Explanation of calculations

Explanation of Change in Gross Revenue estimate due to price change from Jun 2005 to Jun 2006 See tab with data attached 1 Obtained Revenue and usage data from 06/01/05 to 05/31/06: Columns J and K 2 Obtained charge master effective 06/01/06 Colmns A, B, C, D, E, F, G, I, L 3 Obtained Prices from 06/01/05, prior year submitted file to OSHPD Column H 4 Calculation for revenue change due to price Column I "Price 2006" minus Column H "Price 2005" = Price change Price Change multiplied time YTD quantity charge: Column J 5 Result of price change times YTD quantities charge in Column M 6 Sum of incremental change due to price divided by YTD total revenue is estimated change due to price change Listed as TOTALS on bottom of spreadsheet 05 to Jun 2006 ated change due to price change OSHPD 06-01-06 Rev Chng Calc LP CDM 725002090 725003821 725002381 725000764 725000885 725000584 725000587 725000761 725003489 725003769 725002584 725004037 725005069 725003098 725001459 725002086 725002302 725092431 725003534 725003778 725000588 725002983 725003543 725001575 725002540 725002542 725002805 725002162 725001756 725002308 725003506 725003890 725001481 725003586 725005137 725000555 725000782 725003897 725003724 725000762 725005147 725001308 725002941 725003619 725001876 725004003 725003523 725003505 725001193 Description LP MAGNESIUM SUL POWDER 454GM SODIUM BICARBONATE TAB 325MG NIACIN 1000MG CA LACTATE TAB 600MG CHLORASEPTIC MOUTHWASH 180ML ASCORBIC ACID TAB 250MG ASCRIPTIN TAB 300MG CA GLUCONATE TAB CHEW 1GM AQUAPHOR OINTMENT 16OZ POTASSIUM ACETATE 10MEQ/5ML PHENOBARBITAL TAB 15MG CYANOCOBALAMIN TAB 1000MCG EMETROL LIQ 30 ML TETRACYCLINE HCL CAP 250MG FERROUS GLUCONATE TAB 300MG MAGNESIUM GLUCONATE TAB 500MG MYLANTA TAB VITAMIN D 400 I.U. VIT A 25 000 UN CAP SODIUM FLUORIDE LOZI-BASE TAB ASPIRIN (BUFFERED) TAB 300MG SODIUM CHLORIDE TAB 1GM CALCET TAB GAVISCON CHEWABLE TABLET PENICILLIN V K LIQ 125MG/5ML PENICILLIN V K TAB 250MG PSEUDOEPHEDRINE 15MG/5ML METHADONE HCL TAB 5MG IBUPROFEN TAB 300MG MYLANTA-II CHEWABLE TABLET ALUMINUM CARB GEL SUSP 15ML PERPHENAZ/AMITRIP 4/10 TAB FLORICAL CAPSULE CORICIDIN TAB PEPTO-BISMOL TAB AMPICILLIN SUSP 125MG/5ML 5ML CALCIUM POLYCARBOPHIL 625MG PYRIDOXINE INJ 100MG/1ML K-PHOS NEUTRAL TAB CA GLUCONATE TAB CHEW 500MG PROPANTHELINE 15 MG TAB ASA W/CODEINE 30 MG TAB SIMETHICONE TAB EC 60MG DIMETAPP ELX 5ML ISOSORBIDE DINITRATE TAB SL 2. TRIAMINIC LIQ 5ML BLISTEX OINT 10 GM ALUMINUM CARB BASIC CAP DIMENHYDRAINATE TAB 50MG HCPCS HCPC Mod CPT Rev Cd 250 259 259 259 259 259 259 250 259 250 259 259 259 259 259 250 250 259 259 250 259 259 250 259 250 259 259 259 259 259 250 250 250 250 250 250 259 250 250 250 259 259 250 250 259 250 259 250 259 Chg Edit Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Page 3 OSHPD 06-01-06 Rev Chng Calc LP 725003290 725000706 725003126 725003588 725003888 725002746 725003889 725000538 725000589 725002135 725003943 725000591 725000474 725003891 725002136 725001877 725001279 725002155 725002045 725001127 725005040 725001150 725003200 725001199 725004014 725001198 725002386 725003149 725002154 725003860 725003556 725003822 725002427 725005109 725001244 725000473 725000914 725003929 725003609 725003517 725004148 725002799 725004149 725001152 725003155 725003808 725000966 725002727 725003737 725003796 725001404 725002804 TRIMETHOPRIM TAB 100MG BIPERIDEN HCL 2MG THEOPHYLLINE TAB SA 100MG CORTISONE TAB 5MG PERPHENAZ/AMITRIP 2-10 TAB PREPARATION H SUPPOSITORY PERPHENAZ/AMITRIP 2-25 TAB AMMONIA AROMATIC INHALANTS 10' ASPIRIN SUPP 125MG MEPIVACAINE HCL 1% DSV 30ML IN DOXEPIN LIQ 50MG/5ML ASPIRIN SUPP 600MG ALBUTEROL TAB 2MG PERPHENAZ/AMITRIP 4/15 TAB MEPIVACAINE HCL 1% MDV 50ML IN ISOSORBIDE DINITRATE TAB SL 5M DRIXORAL TABLET SA 120MG METAPROTERENOL TAB 10MG LOPERAMIDE LIQ 1MG/5ML 5ML DEXTROAMPHETAMINE TAB 5MG CASCARA FLUID EXTR 5 ML DICLOXACILLIN CAP 250MG TOLBUTAMIDE TAB 500MG DIMATAPP TAB BETAMETHASONE OINT 0.1% 15GM DIMETAPP ALIXIR 10ML NICARDIPINE CAP 20MG THIORIDAZINE HCL TAB 10MG METAPROTERENOL SYRUP 10MG/5ML PHRENALIN TAB CEPACOL MOUTH WASH LIQ 12 OZ SODIUM CHLORIDE 234MG/ML INJ NITROGLYCERIN TAB SL 0.4MG LIDOCAINE 4% 5ML AMP DOCUSATE SODIUM SYRUP 100MG/30 ALBUTEROL SYRUP 2MG/5ML CHLORPROPAMIDE TAB 100MG SALIVA SUBSTITUTE 5ML TOLERODINE TAB 2MG DONNAGEL ORAL SUSP 20ML METAPROTERENOL 0.4% INH 2.5ML PROPRANOLOL HCL TAB 80MG METAPROTERENOL 0.6% UD INH DICLOXACILLIN SUSP 250MG/20ML THIOTHIXENE CAP 1MG MOM 15ML/CASCARA 5ML CLEMASTINE TAB 1.34MG PRAZOSIN HCL CAP 1MG KU-ZYME CAP METAPROTERENOL TAB 20MG ETHACRYNIC ACID TAB 50MG PROTRIPTYLINE HCL TAB 5MG J2001 250 250 259 259 250 259 250 250 250 250 250 259 259 250 250 250 250 250 259 259 259 250 250 250 259 250 259 259 259 250 259 250 259 636 259 259 259 250 259 259 259 250 250 250 259 259 250 250 250 259 259 259 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Page 4 OSHPD 06-01-06 Rev Chng Calc LP 725002577 725001220 725003896 725001912 725001960 725002195 725003342 725003886 725002378 725000510 725003660 725005036 725002010 725003811 725002102 725000564 725001228 725001632 725003738 725002259 725002821 725003080 725002181 725002548 725001406 725003659 725001735 725003791 725003872 725003644 725001734 725000482 725002456 725003985 725003152 725002995 725002407 725001355 725002547 725002803 725003148 725002346 725003271 725003631 725004145 725001689 725002753 725004153 725002031 725002820 725000915 725002572 PHENELZINE TAB 15MG DIPYRIDAMOLE TAB 25MG PYRIDOSTIGMINE LIQ 60MG/5ML LACTINEX GRANULE 1GM PKT LEVOTHYROXINE TAB 0.3MG METHYLPREDNISOLONE TAB 2MG URISED TABLET NEOSTIGMINE TAB 15MG NEUTRA-PHOS-K-PACKET AMILORIDE TAB 5MG FERO-GRAD-500 TAB CARBAMAZEPINE XR 200MG LIOTHYRONINE SOD TAB 5MCG MICONAZOLE LOTION 30ML MAPROTILINE TAB 25MG AMYL NITRITE 0.3 ML DISULFIRAM TAB 250MG GUANETHIDINE SULFATE TAB 10MG KUTRASE CAP MODURETIC TABLET PYRIDOSTIGMIN BR TAB 60MG TERBUTALINE TAB 5MG METHYLDOPA TAB 500MG PENTOBARBITAL SOD CAP 100MG ETHAMBUTOL HCL TAB 100MG FERO-FOLIC-500 TAB HYDROXYZINE HCL TAB 10MG PROCARBAZINE 50 MG CAP ACARBOSE TAB 100MG ETHINYL ESTRADIOL TAB 0.05MG HYDROXYZINE HCL SYRUP 10MG/5ML ALDACTAZIDE TABLET 25MG/25MG NYSTATIN VAG TAB 15 PAK LIOTRIX TAB 60MG THIORIDAZINE HCL TAB 50MG SODIUM THIOSULFATE AMP 1GM INJ NITROGLYCERIN 50MG VIAL ERGOLOID MESYLATE TAB 1MG PENTOBARBITAL ELIX 50 MG/12.5 PROTRIPTYLINE 10 MG TAB THIORIDAZINE HCL TAB 100MG NAPROXEN TAB 275MG TRIFLUOPERAZINE TAB 1MG METHYCLOTHIAZIDE TAB 5MG HYDROCORTISONE OINT 0.2% 45GM HYCOMINE SYRUP 5ML PROCAINAMIDE HCL CAP 250MG GENORA 1/50 LITHIUM CITRATE LIQ 300MG/5ML PYRIDOSTIGMIN BR AMP (5MG/ML) CHLORPROPAMIDE TAB 250MG PERPHENAZINE TAB 2MG J3010 250 259 250 259 259 250 250 259 259 259 250 259 259 250 250 250 259 250 250 250 259 259 259 259 259 250 259 259 250 250 259 259 250 250 259 250 250 250 250 259 259 250 259 250 250 250 250 250 259 250 259 259 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Page 5 OSHPD 06-01-06 Rev Chng Calc LP 725003986 725003483 725002754 725000954 725001557 725002150 725003608 725002103 725002976 725000919 725001556 725001028 725003705 725003841 725000941 725001224 725001388 725001603 725002760 725002792 725001148 725003058 725003830 725003857 725004146 725001017 725002387 725002834 725003292 725003576 725000822 725001167 725001474 725003987 725002186 725003255 725002165 725001633 725003283 725002856 725002744 725002790 725004156 725000675 725003795 725003996 725003855 725001225 725001749 725002531 725002631 725003524 LIOTRIX TAB 120MG AMOXAPINE TAB 25MG PROCAINAMIDE HCL CAP 375MG CISAPRIDE TAB 10MG FOSINOPRIL TAB 20MG MESORIDAZINE 10 MG TAB DESONIDE CREAM 0.5% 60GM MAPROTILINE TAB 50MG SODIUM CHLORIDE 0.9%-FLUSH 2ML CHLORTHALIDONE TAB 50MG FOSINOPRIL TAB 10MG CORTISONE 25 MG TAB HYCODAN TABLET IPODATE CAP 500MG CIMETIDINE TAB 200MG DISOPYRAMIDE CAP 100MG ESTRADIOL TAB 2MG GLYBURIDE 3 MG TAB PROCAINAMIDE TAB SR 500MG PROPOXYPHENE NAPSYLATE TAB 100 DICLOFENAC SOD TAB 25MG TALACEN TAB NIFEDIPINE CAP 20MG PHENOL LIQ 1ML CRITICARE HN 237 ML COMBIPRES TAB 0.1MG NICARDIPINE CAP 30MG QUINIDINE SULFATE TAB SA 300MG TRINSICON CAP CLOTRIMAZOLE VAG TAB 100MG CEFACLOR SUSP 125MG/5ML 5ML DIFLUNISAL TAB 500MG FIORINAL TABLET LIOTRIX TAB 180MG METHYLPHENIDATE HCL TAB 20MG TRIAMTERENE CAP 50MG METHAZOLAMIDE TAB 50MG GUANETHIDINE SULFATE TAB 25MG TRILISATE 500 MG TAB REPAGLINIDE TAB 0.5MG PREMPRO TABLET 0.625/5MG PROPOFOL 50 ML INJ PYRIDOSTIGMINE 180 MG TAB SA BENZONATATE CAP 100MG MESORIDAZINE TAB 50MG BITOLTEROL MDI 15ML TALWIN NX TAB 50MG DISOPYRAMIDE CAP 150MG IBERET-FOLIC-500 TABLET PENICILLAMINE CAP 250MG PINDOLOL TAB 5MG DOMEBORO POWDER PACKET J2912 250 250 250 250 250 250 250 250 636 250 250 259 259 259 259 250 259 259 250 259 250 259 259 259 257 259 250 259 250 250 250 250 250 250 259 259 250 250 250 259 259 250 250 259 259 259 250 259 250 259 250 259 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Page 6 OSHPD 06-01-06 Rev Chng Calc LP 725003741 725001226 725003521 725003472 725000096 725001908 725002527 725003156 725002629 725002729 725002152 725002117 725000920 725001268 725001440 725001898 725003043 725003272 725003938 725001527 725002562 725002828 725003900 725003974 725004136 758000509 725001480 725002156 725090823 725001476 725003454 725000420 725004052 725000788 725002840 725000718 725001018 725002019 725002024 725001227 725000542 725003711 725003357 725003599 725000709 725003434 725004059 725000375 725001883 725002470 725003634 725000419 LACTASE CAPSULE DISOPYRAMIDE CAP SA 100MG BETAXOLOL TAB 10MG FEXOFENADINE CAP 60MG CODEINE PHOSPH INJ 30MG/ML 1ML LABETALOL TAB 300MG PEMOLINE TAB 18.75MG THIOTHIXENE CAP 2MG PIMOZIDE TAB 2MG PRAZOSIN HCL CAP 5MG MESORIDAZINE BESYLATE TAB 25MG MEDROXYPROGESTERONE TAB 10MG CHLORZOXAZONE CAP 500MG DOXEPIN HCL CAP 75MG FELODIPINE SA 5MG TAB KETOPROFEN CAP 50MG SULINDAC TAB 150MG TRIFLUOPERAZINE TAB 2MG NEFAZODONE TAB 150MG FLUPHENAZINE HCL TAB 1MG PERGOLIDE TABLET 0.05MG QUINAPRIL TAB 10MG QUINAPRIL TAB 5MG TACRINE CAP 20MG CHLORPROMAZINE SYR 25MG/12.5ML SHOEHORN FLEET ENEMA PEDIATRIC 66.6ML METARAMINOL BITARTRATE 100MG/1 SULFADIAZINE 500 MG TAB FLAVOXATE HCL TAB 100MG PERINDOPRIL TAB 4MG ACETAMIN 80 MG CHEW TAB LIDOCAINE 0.5% W/EPI 1:200,000 CAPOZIDE TAB 25/25 RAMIPRIL CAP 2.5MG BROMFED PD CAP COMBIPRES TAB 0.2MG LISINOPRIL HCTZ 20/12.5 LISINOPRIL HCTZ 20/25MG DISOPYRAMIDE CAP SA 150MG AMOXAPINE TAB 50MG INDERIDE TAB 40/25 VASERETIC TAB DEXTROSE 10% INJ 5ML BISOPROLOL TAB 5MG ZIAC TAB 2.5 MG ZIAC TAB 5MG PERPHENAZINE TAB 8MG ISRADIPINE CAP 2.5MG OLSALAZINE CAP 250MG ASA 81 MG TAB ACETAMINOPHEN TAB 500MG J0745 Q0171 259 259 250 259 250 259 259 259 250 259 250 259 250 259 259 250 259 259 259 259 259 250 250 250 636 271 259 250 259 250 250 259 250 250 259 250 250 250 250 259 259 250 250 250 259 250 259 259 250 250 259 259 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Page 7 OSHPD 06-01-06 Rev Chng Calc LP 725000738 725001392 725002795 725002755 725003852 725002217 725003044 725000784 725002630 725003273 725001420 731090216 731091041 731090368 731090916 725000596 725003922 725002313 725001421 725000592 725001853 725001779 725003463 725003904 725000417 725003714 725005200 725005196 731090378 725003364 725000735 725000994 725000963 725002061 725003962 725003366 725003763 725003725 725000697 725002570 725003579 725004147 725002507 725002335 731090678 725003862 725000825 725003590 725002246 725002943 725000944 725000455 BUPIV/EPI 0.5% VIAL 50ML ESTRATEST H.S. TABLET PROPRANOLOL CAP SA 80MG PROCAINAMIDE HCL CAP 500MG PAREGORIC LIQUID 5ML MEXILETINE CAP 200MG SULINDAC TAB 200MG CANDESARTAN CILEXETIL 16MG PINDOLOL 10 MG TAB TRIFLUOPERAZINE TAB 5MG ETODOLAC CAP 200MG IMMUNOGLOBULIN E IGG SERUM - LC PRE ALBUMIN T3 TOTAL-TRIIODOTHYRONINE ASPIRIN TAB EC 325MG METHYLPHENIDATE SR TAB 20MG NABUMETONE TAB 500MG ETODOLAC CAP 300MG ASPIRIN TAB 325MG IRBESARTAN TAB 150MG INDOMETHACIN CAP SA 75MG ADDERALL TAB 5MG RANITIDINE TAB 150MG ACETAMINOPHEN TAB 325MG ISOCAL LIQUID 8OZ ENT NUT CHOICE DM LIQ 240ML ENT NUT PERATIVE LIQ 250ML WESTERN BLOT VENLAFAXINE 25 MG TAB BUPIVACAINE 0.25% SDV 10ML INJ CLORAZEPATE DIPOTASSIUM 7.5MG CLARITIN D TAB LOXAPINE 10 MG CAP SULTRIN VAG SUPP EACH VENLAFAXINE 50 MG TAB ETODOLAC TAB 400MG KAOLIN/PECTIN SUSP 15ML BETAMETHASONE TAB 0.6MG PERPHENAZINE CONC 16MG/5ML COLESTIPOL PACKET 5GM MAALOX TC SUSP 15 ML LOTRISONE LOTION 1%-30ML NAMBUMETONE 750MG TABLET IMMUNOASSAY FOR ANTIGEN CA 19 PIROXICAM CAP 10MG CEFACLOR SUSP 250MG/5ML 5ML PANCREATIN 10 CAP MINOCYCLINE CAP 100MG SIMVASTIAN 5MG CIMETIDINE VIAL (150MG/ML) 2ML ALU CAP 82785 82784 84134 84480 82785 82784 84134 84480 84182 84182 86316 86316 250 250 259 259 250 259 259 259 250 259 250 301 301 301 301 259 259 259 250 259 250 259 259 259 259 259 259 259 301 259 250 259 250 259 250 259 250 259 259 250 250 259 259 250 302 250 250 259 259 250 250 259 Y Y Y Y Y Y Y Y Y Y Y N N N N Y Y Y Y Y Y Y Y Y Y Y Y Y N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N Y Y Y Y Y Y Y Page 8 OSHPD 06-01-06 Rev Chng Calc LP 725001847 725002842 725004050 725001146 725000226 725003597 725003903 725005312 725005198 725004011 725005197 731090709 731090710 758000510 758080913 725002315 725004028 725000402 725005247 725004065 725003760 725002766 725007020 731090983 725000958 725002798 725001634 725003625 725003467 725002224 725002487 725001475 725003677 725003902 731000067 731090907 731091023 725000515 725003405 725001692 725003270 725001524 725001954 725000795 725003866 725002480 725003743 725092233 725000993 725002194 725002443 725003479 IPECAC SYRUP 30ML RANITIDINE 50 MG/2ML VIAL LIDO/EPI VL 2% 10ML DICLOFENAC 75/MISOPROSTOL 200 METHOCARBAMOL VIAL (100MG/ML) PEMOLINE TAB 37.5MG RANITIDINE EFF. TAB 150MG BUPIVACAINE AMP 0.75% 30ML ENT NUT RESPALOR LIQ 240ML ULTRACAL LIQ 240ML ENT NUT DELIVER 2.0 LIQ 240ML VDRL CSF VDRL SERUM SHOE LACES ELASTIC NUT ORTHOPEDIC PROSTH NADOLOL TAB 40MG VENLAFAXINE TAB 100MG ACEBUTOLOL CAP 200MG TRANDOLAPRIL TAB 2MG CETIRIZINE TAB 5MG LIDO/EPI VL 2% 20ML PROCHLORPERAZINE CAP SA 15MG PROPOFOL VL 10MG/ML 100ML C-REACTIVE PROTEIN HIGH SENS CLARITHROMYCIN SUSP 125MG/5ML PROPRANOLOL HCL TAB 40MG GUANFACINE HCL TAB 1MG DOXYCYLINE 100MG SYRP ALBUTEOL TAB ER 8MG MICONAZOLE VAG SUPP 100MG 7'S OXAPROZIN TAB 600MG FIORINAL W/CODEINE NO 3 FIORICET/CODEINE 30MG TAB RAMIPRIL CAP 5MG VOL MEASURE TIME COLLECTION HDL SERUM FAT LIPIDS FECES QL AMINOCAPROIC ACID TAB 500MG WARFARIN SODIUM TAB 10MG HYDRALAZINE HCL TAB 25MG TRIFLUOPERAZINE TAB 10MG FLUPHENAZINE ELIX 2.5MG/5ML LEVOTHYROXINE TAB 0.112MG CAPOZIDE 50/25 TAB POLYCOSE LIQ 240ML ORPHENADRINE 100MG TAB LANCETS # 100 CYCLOSPORINE M/EMUL 25MG CLORAZEPATE DIPOTASSIUM 3.75MG METHYLPREDNISOLONE TAB 16MG NORTRIPTYLINE CAP 75MG ALPHA- KERI SOAP 4OZ J2780 J2800 86592 86592 86592 86592 86141 86141 81050 83718 82705 81050 83718 82705 B4155 J7515 J7509 250 636 250 250 636 250 250 250 259 259 259 302 302 271 274 250 259 250 259 259 250 250 250 302 250 259 259 250 259 259 250 259 259 259 307 301 301 259 259 259 259 259 259 250 250 250 250 636 259 636 259 250 Y Y Y Y Y Y Y Y Y Y Y N N N N Y Y Y Y Y Y Y Y N Y Y Y Y Y Y Y Y Y Y N N N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Page 9 OSHPD 06-01-06 Rev Chng Calc LP 725003633 725003969 731091010 731090933 725005199 725000819 731000276 731091016 725003406 725003845 725003914 725003968 725000907 725001002 725002208 725003172 725001595 725002688 725003676 725003208 725001567 725000794 725003408 725000286 725002829 725002488 725001696 725001871 725002130 725001151 725002791 725003154 725000531 725000543 725001139 725001154 725003372 725005058 725000918 725002180 725002399 725002583 725001264 725002009 725001083 725003690 725002605 725004036 725005113 725000433 725002489 725003545 ENSURE PLUS LIQ 8OZ SUSTACAL LIQ-VANILLAN 240ML ALBUMIN LC RUBELLA IGG EIZ ENT NUT MAGNACAL LIQ 250ML CEFACLOR CAP 250MG BLOOD SMEAR W/O DIFFERENTIAL LDH CSF LC WARFARIN SODIUM TAB 2.5MG OSMOLITE LIQUID 240ML RESOURCE LIQ 240ML SUSTACAL LIQ 240ML CHLORPROMAZINE HCL TAB 100MG CLOZAPINE TAB 25MG METOPROLOL TARTRATE TAB 100MG TICLOPIDINE HCL TAB 250MG GLIPIZIDE TAB 10MG KCL 10 MEZ SR TAB SAQUINAVIR 200MG CAP TOPIRAMATE 25MG TAB FUROSEMIDE TAB 20MG CAPTOPRIL TAB 50MG WARFARIN SODIUM TAB 5MG PREDNISOLONE TAB 5MG QUINAPRIL TAB 20MG OXAZEPAM CAP 10MG HYDROCHLOROTHIAZIDE TAB 50MG ISOSORBIDE DINITRATE TAB 40MG MEPERIDINE HCL TAB 50MG DICLOXACILLIN CAP 500MG PROPOXYPHENE 65 MG CAP THIOTHIXENE CAP 10MG AMITRIPTYLINE HCL TAB 75MG AMOXICILLIN CAPSULE 250MG DIAZEPAM TAB 2MG DICYCLOMINE HCL 10MG/5ML VERAPAMIL TAB 120MG DESMOPRESSIN 0.1MG TAB CHLORTHALIDONE TAB 25MG METHYLDOPA TAB 250MG NITROFURANTOIN CAP 100MG PHENOBARBITAL TAB 100MG DOXEPIN HCL CAP 10MG LIOTHYRONINE SOD TAB 25MCG DESIPRAMINE HCL TAB 10MG GUAIFENESIN 600MG/DM 30MG SR T PHENYTOIN CHEW TAB 50MG VIT CAP 50,000 UNITS MAGNESIUM OXIDE TABLET (MAGNES ACTIFED TABLET OXAZEPAM CAP 15MG CALCIUM CARBONATE TAB 650MG B4152 82040 86762 82040 86762 85008 83615 B4150 85008 83615 J7510 636 250 301 302 259 250 305 301 259 250 259 250 259 259 259 259 259 259 250 259 259 259 259 250 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 250 259 259 259 259 259 250 259 259 259 259 259 259 Y Y N N Y Y N N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Page 10 OSHPD 06-01-06 Rev Chng Calc LP 725001721 725002030 725005043 725000372 725000475 725000556 725000888 725001182 725001183 725001267 725001400 725001594 725001722 725001766 725001878 725001899 725002070 725002166 725002216 725002419 725002541 725002559 725002728 725002765 725002769 725003037 725003121 725003211 725003387 725003493 725003643 725003735 725003792 725003812 725003937 725004061 740000244 725002171 725001550 725003652 725002347 725001959 725003481 725000855 725003334 725001234 725003333 725002202 725007267 725004027 725001473 725000909 HYDROMORPHONE HCL TAB 2MG LITHIUM CARBONATE TAB SA 450MG CHLORPROMAZINE 200 MG TAB TRIMETHOBENZAMIDE CAP 250MG ALBUTEROL TAB 4MG AMPICILLIN SUSP 250MG/5ML CHLORDIAZEPOXIDE HCL CAP 5MG DILTIAZEM CAP SR 60MG DILTIAZEM CAP SR 90MG DOXEPIN HCL CAP 50MG ESTROGENS CONJUGATED TAB 900MC GLIPIZIDE ER 10MG HYDROMORPHONE 4 MG TAB IMIPRAMINE HCL TAB 10MG ISOSORBIDE MONONITRATE TAB 20M KETOPROFEN CAP 75MG MAALOX CHEWABLE TABLET METHENAMINE HIPPURATE TAB 1GM MEXILETINE CAP 150MG NITROGLYCERIN PATCH 0.3MG/HR PENICILLIN V K LIQ 250MG/5ML PERCODAN TABLET PRAZOSIN HCL CAP 2MG PROCHLORPERAZINE SR 10 MG CAP PROCHLORPERAZINE SYRUP 10MG/10 SULFASALAZINE TAB 500MG THEOPHYLLINE ER CAP 200MG TORSEMIDE TAB 10MG VIT B W/C CAP TRIHEXYPHENIDYL 2MG/5ML LIQ ERYTHROMYCIN 500MG TAB KETOROLAC TAB 10MG TRANDOLAPRIL TAB 4MG MORPH SULF 10 MG SOL TAB SENOKAP-DSS CAP ZINC GLUCONATE TAB 50MG PATH SURG PROCEDURE UNLISTED METHOCARBAMOL TAB 500MG FLUVASTATIN CAP 20MG EXCEDRIN TAB NAPROXEN TAB 375MG LEVOTHYROXINE TAB 0.2MG GLIMEPIRIDE TAB 4MG CELECOXIB CAP 100MG TYLENOL W/CODEINE NO 4 DIVALPROEX TAB SA 250MG TYLENOL W/CODEINE NO 3 METOCLOPRAPAMIDE HCL TAB 5MG BENAZEPRIL TAB 40MG ENALAPRIL TAB 20MG FIORICET TABLET CHLORPROMAZINE HCL TAB 50MG Q0173 Q0164 88399 88399 259 259 259 250 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 636 259 259 259 259 259 259 259 259 259 259 259 312 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Page 11 OSHPD 06-01-06 Rev Chng Calc LP 725002159 725002158 725003913 725002384 725002809 725001767 725002822 725003820 725003279 725002088 725001469 725002555 725003028 725001650 725001772 725000745 725003401 725000655 725000544 725001263 725003580 725000746 725000371 725000803 725090344 725001860 725001251 725002808 725001651 725005091 725001155 725003332 725001952 725001543 725002204 725001953 725000476 725001011 725001605 725005121 725003288 725003829 725003133 725001222 725002119 725003709 725002108 725001778 725000530 725004179 725001221 725001232 METFORMIN TAB 850MG METFORMIN TAB 500MG ROPINIROLE TAB 2MG NIACIN TAB 50MG PSEUDOEPHEDRINE HCL TAB 60MG IMIPRAMINE HCL TAB 25MG PYRIDOXINE HCL TAB 50MG SODIUM BICARBONATE TAB 650MG TRIHEXYPHENIDYL HCL TAB 2MG MAGNESIUM OXIDE TAB 400MG FERROUS SULFATE TAB SA 160MG PENTOXIFYLINE TAB 400MG SULCRAFATE SUSP 1GM/10ML HALOPERIDOL TAB 10MG INDAPAMIDE TAB 2.5MG BUPROPION CAP SR TAB 100MG VIT E 400 U CAP BENAZEPRIL 5 MG TAB AMOXICILLIN CAPSULE 500MG DOXEPIN HCL CAP 100MG PROCHLORPERAZINE TAB 10MG BUPROPION HCL TAB 100MG CHLORPROMAZINE HCL TAB 25MG CARBAMAZEPINE TAB CHEW 100MG DYAZIDE CAP 37.5/25MG ISONIAZID TAB 300MG DONNATAL TABLET PSEUDOEPHEDRINE HCL TAB 30MG HALOPERIDOL TAB 1MG HYDROXYZINE 50 MG CAP DICYCLOMINE HCL CAP 10MG TYLENOL W/CODEINE NO 2 LEVOTHYROXINE TAB 0.075MG FLUTAMIDE CAP 125MG METOLAZONE TAB 2.5MG LEVOTHYROXINE TAB 0.088MG ALBUTEROL TAB SA 4MG COLCHICINE TAB 600MCG GLYBURIDE TAB 2.5MG MORPHINE ORAL SOLUTION 20MG/ML TRIMETHOBENZAMIDE SUPP 100MG NEUTRA PHOS POWD THERAGRAN-M TABLET DIPYRIDAMOLE TAB 75MG MEDROXYPROGESTERONE TAB 5MG IBUPROFEN TAB 800MG MAXZIDE TABLET INDOMETHACIN CAP 50MG AMITRIPTYLINE HCL TAB 50MG WARFARIN 4 MG TAB DIPYRIDAMOLE TAB 50MG DIVALPROEX SOD TAB SA 125MG J9999 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 250 259 259 259 259 259 259 259 259 636 259 259 259 259 259 250 259 259 259 259 259 259 259 259 259 259 259 259 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Page 12 OSHPD 06-01-06 Rev Chng Calc LP 725000601 725000985 725001067 725002830 725004005 725000729 725001396 725002409 725001957 725004057 725002796 725003026 725000984 725002284 725001649 725002118 725003212 725002837 725003157 725002947 725000501 725000753 725003134 725001582 725001467 725005089 725000549 725004034 725001539 725000497 725000421 725002172 725000792 725002946 725003518 725002565 725002021 725000600 725003942 725002797 725001597 725002737 725001138 725002029 725000747 725000492 725002396 725003185 725002087 725002211 725004032 725090589 ATENOLOL TAB 25MG CLONAZEPAM TAB 2MG DAPSONE TABLET 100MG QUINIDINE GLUCONATE 324 MG SR TRIMETH/SULFA 100 ML SUSP BUMETANIDE TAB 1MG ESTROGENS CONJUGATED TAB 1.25M NITROGLYCERIN CAP SA 6.5MG LEVOTHYROXINE TAB 0.175MG TIZANIDINE TAB 4MG PROPRANOLOL HCL TAB 10MG SUCRALFATE TAB 1GM CLONAZEPAM TAB 1MG MULTIVITA TAB PRENATAL W/MINER HALOPERIDOL TAB 0.5MG MEDROXYPROGESTERONE TAB 2.5MG TORSEMIDE 100MG TAB QUININE SULFATE TAB 260MG THIOTHIXENE CAP 5MG SINEMET 25/100 TAB AMANTADINE CAP 100MG BUSPIRONE HCL TAB 5MG THIAMINE HCL TAB 100MG GEMFIBROZIL TAB 600MG FERROUS SULFATE TAB 325MG HYDROXYZINE 25 MG CAP AMOXICILLIN SUSP 250MG/5ML CYANOCOBALAMIN TAB 100MCG FLURAZEPAM 30 MG CAP ALPRAZOLAM TAB 0.5MG ACETAZOLAMIDE 500 MG CAP METHOCARBAMOL TAB 750MG CAPTOPRIL TAB 12.5MG SINEMET 10/100 TAB DONNATAL ELIXIR 5ML PERI-COLACE CAPSULE LISINOPRIL TAB 5MG ATENOLOL TAB 100MG SINEMET-CR 25/100 TAB PROPRANOLOL HCL TAB 20MG GLIPIZIDE TAB ER 5MG PREDNISONE SYRUP 30MG/30ML DIAZEPAM TAB 10MG LITHIUM CARBONATE TAB SA 300MG BUPROPION HCL TAB 75MG ALLOPURINOL TAB 300MG NIFEDIPINE TAB SA 3OMG TMP-SMZ TAB (160-800) MAGNESIUM HYDROXIDE LIQ 30ML METRONIDAZOLE 500MG VICODIN ES TAB LITH CARB 300 MG CAP G9017 Q0177 J7506 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 636 259 259 259 259 250 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 636 259 259 259 259 259 259 259 259 259 259 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Page 13 OSHPD 06-01-06 Rev Chng Calc LP 725002287 725002109 725001191 725002578 725002343 725002510 725001178 725002676 725005067 725002558 725001955 725002273 725002040 725002052 725000793 725000369 725002794 725003622 725001736 725000987 725001695 725002857 725003894 725001056 725001207 725003442 725001049 725000585 725001757 725001758 725000526 725003151 725002836 725002395 725002576 725001951 725001177 725002112 725002199 725003598 725001872 725000999 725002028 725001880 725001116 725001187 725003826 725003186 725001398 725001964 725001487 725000935 MULTIVITA TAB THERAPEUTIC DYAZIDE 37.5/25MG DILTIAZEM XR 120MG PHENOBARBITAL ELIX 20MG/5ML 5M NAPROXEN EC 500MG TAB PANCRELIPASE CAPSULE DIGOXIN TAB 0.25MG POTASSIUM BICARB 25MEQ DOCUSATE CA 240 MG CAP PERCOCET TAB LEVOTHYROXINE TAB 0.125MG MORPHINE SULFATE TAB SA 15MG LOMOTIL TABLET LOSARATAN POT TAB 25MG CAPTOPRIL TAB 25MG CHLORPROMAZINE HCL TAB 10MG PROPRANOLOL CAP SA 60MG DIPHENHYDRAMINE CAP 50MG HYDROXYZINE HCL TAB 25MG CLONIDINE HCL TAB 200MCG HYDROCHLOROTHIAZIDE TAB 25MG REPAGLINIDE TAB 2MG PULMOCARE LIQ 8OZ CYPROHEPTADINE HCL TAB 4MG DIPHENHYDRAMINE ELIX 12.5MG/5M ZINC SULFATE CAP 220MG CYCLOBENZAPRINE HCL TAB 10MG ASCORBIC ACID TAB 500MG IBUPROFEN TAB 400MG IBUPROFEN TAB 600MG AMITRIPTYLINE HCL TAB 100MG THIORIDAZINE HCL TAB 25MG QUININE SULFATE CAP 325MG NIFEDIPINE CAP 10MG PHENAZOPYRIDINE TAB 200MG LEVOTHYROXINE TAB 0.05MG DIGOXIN TAB 0.125MG MECLIZINE HCL TAB 25MG METOCLOPRAMIDE HCL 10MG TAB DOCUSATE CAP 250MG ISOSORBIDE DINITRATE TAB 5MG CLOTRIMAZOLE TROCHE 10MG LITHIUM CARBONATE TAB 300MG ISOSORBIDE MONONITRATE 60 MG T DEXAMETHASONE TAB 4MG DILTIAZEM TAB 30MG NEPHRO VITE TAB TMP-SMZ TAB (80-400) ESTROGENS CONJUGATED TAB 300MC LIBRAX CAPSULE FLUDROCORTISONE ACETATE 100MCG CILOSTAZOL 100MG Q0171 Q0163 Q0163 J8597 J8540 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 636 259 636 259 259 259 259 259 259 250 259 259 259 259 259 259 259 259 259 259 259 259 636 259 259 259 259 259 259 636 259 259 259 259 259 259 259 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Page 14 OSHPD 06-01-06 Rev Chng Calc LP 725000548 725003757 725002050 725002253 725007239 725090517 725003617 725002212 725003574 725002044 725003328 725003665 725002205 725003797 725000802 725001596 725000553 725003409 725000708 725001568 725002940 725001068 725092826 725002944 725002441 725001273 725000748 725002586 725002048 725001376 725001311 725003262 725002816 725000679 725002383 725003261 725001729 725003378 725000654 725002209 725002908 725002345 725003680 725090313 725002243 725002615 725003128 725000811 725001646 725000816 725000983 725002060 AMOXICILLIN SUSP 125MG/5ML LIDOCAINE VISCOUS 2% 30ML LORAZEPAM TAB 2MG MISOPROSTOL TAB 200MCG TRAMADOL/ACET TAB 37.5/325MG SLOW-MAG TAB DICLOFENAC TAB 75MG METRONIDAZOLE TAB 250MG CLONIDINE TAB 0.3MG LOPERAMIDE CAP 2MG TYLENOL W/CODEINE ELIXIR 10ML FLEET PHOSPHA SODA 45ML METOLAZONE TAB 5MG METHYLERGONOVINE TAB 0.2MG CARBAMAZEPINE TAB 200MG GLIPIZIDE TAB 5MG AMPICILLIN CAPSULE 500MG WARFARIN SODIUM TAB 7.5MG BISACODYL TAB 5MG FUROSEMIDE TAB 40MG SIMETHICONE TAB CHEW 80MG DARVOCET-N 100 TABLET NORCO TAB SIMVASTATIN TAB 10MG NORTRIPTYLINE CAP 25MG DOXYCYCLINE HYCLATE CAP 100MG BUPROPION HCL TAB SR 150MG PHENOBARBITAL TAB 60MG LORAZEPAM TAB 0.5MG ERYTHROMYCIN TAB EC 250MG ENALAPRIL MALEATE TAB 2.5MG TRIAZOLAM TAB 0.25MG PSYLLIUM HYDROPHILIC PKT (5ML) BENZTROPINE MESYLATE TAB 0.5MG NIACIN TAB 500MG TRIAZOLAM TAB 0.125MG HYDROXYCHLOROQUINE SUL TAB 200 VERAPAMIL TAB SA 180MG BENAZEPRIL TAB 10MG METOPROLOL TARTRATE TAB 50MG SALSALATE TAB 500MG NAPROXEN TAB 250MG FUROSEMIDE TAB 80MG ERYTHRO BASE 500 MG TAB MINERAL OIL 30 ML PHYTONADIONE TAB 5MG THEOPHYLLINE TAB SA 300MG CARISOPRODOL TAB 350MG HALOPERIDOL CONC 10MG/5ML CARVEDILOL 3.125MG TAB CLONAZEPAM TAB 0.5MG LOVASTATIN TAB 20MG 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 250 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Page 15 OSHPD 06-01-06 Rev Chng Calc LP 725005145 725001754 725002252 725000681 725000986 725000534 725003099 725003365 725002543 725004029 725002408 725000552 725000702 725003130 725003167 725003423 725000368 725001950 725000862 725001156 725003800 725002157 725002248 725001691 725000285 725001260 725001149 725002948 725000496 725002071 725003380 725002111 725000680 725002020 725001241 725002575 725000502 725000529 725002695 725001573 725001181 725002462 725003410 725004178 725001652 725001188 725003514 725001751 725002234 725003280 725001399 725005292 PREDNISONE 50 MG TAB IBUPROFEN TAB 200MG MISOPROSTOL TAB 100MCG BENZTROPINE MESYLATE TAB 2MG CLONIDINE HCL TAB 100MCG AMLODIPINE TAB 5MG TETRACYCLINE HCL CAP 500MG VENLAFAXINE 37.5 MG TAB PENICILLIN V K TAB 500MG VENLAFAXINE 75 MG TAB NITROGLYCERIN CAP SA 2.5MG AMPICILLIN CAPSULE 250MG BETHANECHOL CL TAB 5MG THEOPHYLLINE TAB SA 450MG THYROID TAB 30MG ZAFIRLUKAST TAB 20MG PROMETHAZINE HCL TAB 25MG LEVOTHYROXINE TAB 0.025MG CEPHALEXIN MONOHYDRATE CAP 250 DICYCLOMINE HCL TAB 20MG METOPROLOL 50 MG SR TAB METAXALONE 400MG MINOXIDIL TAB 10MG HYDRALAZINE HCL TAB 10MG METHYLPREDNISOLONE TAB 4MG DOXAZOSIN TAB 1MG DICLOFENAC SOD TAB 50MG SINEMET 25/250 TAB ALPRAZOLAM TAB 0.25MG MYLANTA 150ML LIQ VICODIN TAB MECLIZINE HCL TAB 12.5MG BENZTROPINE MESYLATE TAB 1MG LISINOPRIL TAB 10MG DOCUSATE SOD CAP 100MG PHENAZOPYRIDINE TAB 100MG AMANTADINE HCL SYRUP 50MG/5ML AMITRIPTYLINE HCL TAB 25MG POTASSIUM CL TAB SA 8MEQ GABAPENTIN CAP 300MG DILTIAZEM CAP SR 120MG OCUTIVE TABLET WARFARIN TAB 1MG WARFARIN 3 MG TAB HALOPERIDOL TAB 2MG DILTIAZEM TAB 60MG CARVEDILOL TAB 6.25MG IBUPROFEN LIQ 100MG/5ML MIDRIN CAPSULE TRIHEXYPHENIDYL HCL TAB 5MG ESTROGENS CONJUGATED TAB 625MC PREDNISOL SYRP 15MG/5ML 5ML J7506 J7509 J8597 G9017 J7510 250 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 250 259 259 259 259 259 259 636 259 259 259 259 636 259 259 259 259 259 259 259 259 259 259 259 259 259 259 636 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Page 16 OSHPD 06-01-06 Rev Chng Calc LP 725001956 725003610 725002141 725000778 725002603 725003764 725001112 725002681 725000779 725003005 725001377 725002748 725003689 725001147 725000866 725003007 725002606 725002694 725002497 725002049 725001870 725001606 725002740 725000283 725002749 725005060 725004056 725003936 725005150 725003618 731090093 725001538 731090175 731090825 725005151 725000752 725001436 725001010 725001716 725001859 725002833 725003801 731090229 731090945 725003127 725002185 725001310 725004218 725002684 725002818 725001958 725003214 LEVOTHYROXINE TAB 0.15MG DEXAMETHASONE TAB 1MG MEPROBAMATE TAB 200MG OS-CAL 500+ VIT D TAB PHENYTOIN CAP 100MG LORCET TAB 10/650 DEXAMETHASONE TAB 0.5MG POTASSIUM CL 10% SOLN 20MEQ/15 CALCIUM CARBONATE TAB 500MG SPIRONOLACTONE TAB 100MG ERYTHROMYCIN TAB EC 333MG PRIMIDONE TAB 250MG GUAIFENESIN SR TAB 600MG DICLOFENAC K TAB 50MG CEPHALEXIN SUSP 250MG/5ML 5ML SPIRONOLACTONE TAB 50MG PHENYTON 100 MG/ 4ML LIQ POTASSIUM CL TAB SA 20MEQ OXYBUTYNIN 5 MG TAB LORAZEPAM TAB 1MG ISOSORBIDE DINITRATE TAB 20MG GLYBURIDE TAB 5MG PREDNISONE TAB 1MG PREDNISONE TAB 5MG PRIMIDONE TAB 50MG DEXAMETH 2 MG TAB LIDOCAINE 2% INJ 1ML SENNA TAB 187MG QUININE 200 MG CAP DILTIAZEM TAB 90MG ALDOSTERONE SERUM FLURAZEPAM CAP 15MG CORTISOL PLASMA HPLC EIA QL HEPATITIS B AG LC REPACLINIDINE 1MG TAB BUSPIRONE HCL TAB 10MG FAMOTIDINE TAB 20MG COLCHICINE TAB 500MCG HYDROCORTISONE 20MG TAB ISONIAZID TAB 100MG QUINIDINE SULFATE TAB 300MG TELMISARTAN TAB 40MG FRUCTOSAMINE FOLIC ACID (RBC) THEOPHYLLINE TAB SA 200MG METHYLPHENIDATE HCL TAB 10MG ENALAPRIL MALEATE TAB 10MG CARVEDILOL TAB 12.5MG POTASSIUM CL EXTENCAP 10MEQ PYRAZINAMIDE TAB 500MG LEVOTHYROXINE TAB 0.1MG TRAMADOL TAB 50MG J8540 J8540 J7506 J7506 J8540 J2001 82088 82533 87340 82088 82533 87340 82985 82747 82985 82747 259 636 259 259 259 259 636 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 250 250 259 636 636 259 259 259 301 259 301 306 259 259 259 259 259 259 259 259 301 301 259 259 259 259 259 259 259 259 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N Y N N Y Y Y Y Y Y Y Y N N Y Y Y Y Y Y Y Y Page 17 OSHPD 06-01-06 Rev Chng Calc LP 725000875 725001569 725001907 725003846 725002201 725003407 725003377 725000498 725092242 725000602 725000374 725001192 725002585 725001266 725003909 725002825 725001204 725000297 725000491 725007244 725001879 725002062 725002686 725003828 725002053 725002017 731090090 725000642 725002269 725002249 725002863 725002148 725002400 725002741 725000438 725005149 725003079 725000532 725002187 725001553 725000701 725001312 725001140 725003006 725003510 725002784 725000700 725003348 725001777 725003513 725001465 725003168 CHLORAL HYDRATE SYRUP 500MG/5M FUROSEMIDE VIAL (10MG/ML) 10ML LABETALOL TAB 200MG OXYCODONE 20 MG SR TAB METOCLOPRAMIDE SYRUP 10MG/10ML WARFARIN SODIUM TAB 2MG VERAPAMIL TAB SA 120MG ALPRAZOLAM TAB 1MG MIDODRINE 2.5MG TAB ATENOLOL TAB 50MG PERPHENAZINE TAB 4MG DILTIAZEM XR 180MG PHENOBARBITAL TAB 30MG DOXEPIN HCL CAP 25MG SEVELAMER CAP 403MG QUETIAPINE TAB 25MG DIPHENHYDRAMINE CAP 25MG MELPHALAN TAB 2MG ALLOPURINOL TAB 100MG OXCARBAZEPINE TAB 150MG ISOSORBIDE MONONITRATE TAB 30M LOXAPINE 25 MG CAP POTASSIUM CL PKT 20MEQ GABAPENTIN 400MG CAP LOSARATAN POT TAB 50MG LISINOPRIL TAB 20MG MICROALBUMIN UR- LC BACLOFEN TAB 10MG MORPHINE ORAL SOLN 10MG/5ML 5M MINOXIDIL TAB 2.5MG RIFAMPIN CAP 300MG MESALAMINE TAB 400MG NITROFURANTOIN CAP 50MG PREDNISONE TAB 20MG ACTIVATED CHARCOAL SUSP 25GM I PSEUDOPHEDRINE 120 MG SR CAP TERBUTALINE TAB 2.5MG AMLODIPINE TAB 10MG METHYLPHENIDATE HCL TAB 5MG FOLIC ACID TAB 1MG BETHANECHOL CL TAB 25MG ENALAPRIL MALEATE TAB 5MG DIAZEPAM TAB 5MG SPIRONOLACTONE TAB 25MG BENAZEPRIL TAB 20MG PROPAFENONE TAB 150MG BETHANECHOL CL TAB 10MG VALPROIC ACID CAP 250MG INDOMETHACIN CAP 25MG DOXAZOSIN TAB 4MG FERROUS SULFATE LIQ 300MG/5ML THYROID TAB 60MG Q0175 J8600 82043 82043 J7506 259 250 259 259 259 259 259 259 259 259 636 259 259 259 259 259 259 250 259 259 259 259 259 259 259 259 301 259 259 259 259 259 259 636 250 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Page 18 OSHPD 06-01-06 Rev Chng Calc LP 725000401 725001593 725003379 725002750 725002261 725000426 725003374 725001385 725000299 758080347 725005031 725002800 731090930 725001572 725000895 731090127 731090425 758060100 758080280 725002274 725002868 725001653 725002739 725001235 725002072 725003547 725001715 725001693 725001529 725003057 725003975 725003976 725003997 725003222 725001084 725007228 725000887 725002402 725000775 725003746 725000886 725003074 725001387 725001869 725002782 725000527 725002719 725003666 725003072 725002170 725002724 725002785 ACARBOSE TAB 50MG GLIMEPIRIDE TAB 2MG VERAPAMIL TAB SA 240MG PROBENECID TAB 500MG MOLINDONE 25MG ACETOHEXAMIDE TAB 250MG VERAPAMIL TAB 80MG ESTRADIOL PATCH 0.05MG LEUCOVORIN TAB 5MG TUBE FEEDING BUSPIRONE 15MG TABLET PROPYLTHIOURACIL TAB 50MG HEPATITIS B SURF AB GABAPENTIN CAP 100MG CHLORPHENIRAMINE MALEATE TAB 4 CADMIUM BLOOD UROBILINOGEN QT 24HR UR AIRWAY CATH GUIDE DSG CUTINOVA-HYDRO WCC MORPHINE SULFATE TAB SA 30MG RISPERIDONE SOLN 1MG/1ML HALOPERIDOL 5 MG TAB PREDNISONE TAB 10MG DIVALPROEX TAB SA 500MG MAALOX PLUS LIQUID 30ML CAMPHO PHEN LIQ 45ML HYDROCORTISONE 10MG TAB HYDRALAZINE HCL TAB 50MG FLUPHENAZINE HCL TAB 5MG TACRINE CAP 10MG TRACRINE CAP 30MG TACRINE CAP 40MG TRAUMACAL LIQ 240ML TRAZODONE TAB 50MG DESIPRAMINE HCL TAB 25MG ZONISAMIDE CAP 100MG CHLORDIAZEPOXIDE HCL CAP 25MG NITROFURANTOIN MACROCRYSTAL 10 CALCIUM ACETATE TAB 667MG SINEMET - CR 50/200 TAB CHLORDIAZEPOXIDE HCL CAP 10MG TERAZOSIN 2 MG TAB ESTRADIOL TAB 1MG ISOSORBIDE DINITRATE TAB 10MG PHENERGAN/COD 5 ML LIQ AMITRIPTYLINE HCL TAB 10MG PRAMIPEXOLE 0.25MG TAB TAMSULOSIN CAP 0.4MG TERAZOSIN 10MG CAP METHIMAZOLE TAB 5MG PRAVASTATIN TAB 10MG PROPAFENONE TAB 225MG 86706 86706 82300 84580 82300 84580 J7506 B4154 259 259 259 259 250 259 259 259 259 272 259 259 302 259 259 301 301 271 270 259 250 259 636 259 259 250 259 259 259 250 250 250 636 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 259 252 250 Y Y Y Y Y Y Y Y Y N Y Y N Y Y N N N N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Page 19 OSHPD 06-01-06 Rev Chng Calc LP 725001906 725003515 725003961 725002936 725001551 725002433 725003504 725003955 725002233 725003568 725003070 725005237 725002725 725000800 725001733 725007241 725001407 725002768 725003450 725001173 725000719 725001255 725002215 725003899 725002161 725001967 725003963 731090789 725002832 731090895 731090230 731090231 731090639 731090640 731090891 725003632 731090007 731090172 731090508 725000436 725001180 725003075 725000603 725002366 725003684 725002353 725005208 725003663 725000486 725000981 725001848 725001243 LABETALOL TAB 100MG INDINAVIR CAP 400MG SULFANILAMIDE VAG SUPP SIMETHICONE (40MG/0.6ML) DROPS FLUVASTATIN CAP 40MG NIZATIDINE 150 MG CAP BANALG LIQ 60ML POTASSIUM IODIDE LIQ (SSKI) 1M MIDODRINE 5MG TAB CITROTEIN POWDER-CAN 14.16 OZ TEMAZEPAM CAP 7.5MG MEMANTINE TAB 10MG PRAVASTATIN TAB 20MG CARBAMAZEPINE SUSP 100MG/5ML HYDROXYUERA CAP 500MG ESCITALOPRAM TAB 10MG ETHAMBUTOL HCL TAB 400MG PROCHLORPERAZINE SUPP 5MG ZOLPIDEM TAB 5MG DIGOXIN ELIXIR 0.125MG/2.5ML BROMOCRIPTINE MESYLATE TAB 2.5 DOPAMINE IV ADD 400MG INJ METYRAPONE 250MG QUAZEPAM TAB 7.5MG METHADONE HCL TAB 10MG LIDOCAINE 1% 20ML VL SUPLENA LIQ 240ML TOXOPLASMA IGM QUINIDINE SULFATE TAB 200MG IGA SERUM FSH 24HR UR LUTEINIZING HORMONE (LH) COMPLEMENT C3 COMPLEMENT C4 VITAMIN B12 ENSURE LIQ 8OZ PROTOPORPHYRIN RBC QN COPPER BRUCELLA ABORTUS AB ACTIVATED CHARCOAL 25GM-AQ.BA DILTIAZEM CAP ER 240MG TERAZOSIN 5MG CAP ATORVASTATIN TAB 10MG NEOMYCIN SULFATE TAB 500MG GENTIAN VIOLET TOP SOL. 1% 1OZ NEFAZODONE TAB 100MG LIDOCAINE IVPB 0.4% 250ML FLEET PREP KIT #1 ALENDRONATE TAB 10MG CLOMIPRAMINE CAP 25MG IPRATROPIUM 0.03% NASAL SOLN DOCUSATE SODIUM LIQ 150MG/15ML J1265 J2001 86778 82784 83001 83002 86160 86160 82607 B4150 84202 82525 86622 86778 82784 83001 83002 86160 86160 82607 84202 82525 86622 259 259 259 259 259 250 250 259 259 259 259 259 259 259 259 259 259 259 259 259 259 636 250 250 259 636 250 302 259 301 301 301 302 302 301 636 301 301 302 250 259 259 259 259 250 259 250 250 259 259 259 259 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N Y N N N N N N Y N N N Y Y Y Y Y Y Y Y Y Y Y Y Y Page 20 OSHPD 06-01-06 Rev Chng Calc LP 725000356 725003349 725000280 725003925 731090143 731090786 731090743 731091025 731090790 725001625 725000650 725000765 725003762 725003856 725000177 725001419 725005174 725001564 725004150 725000730 725000969 725002440 725002920 725001827 725000956 725002929 725004096 725003073 725007281 725005116 725001367 725000924 725002839 725005235 725005238 725003814 725002996 725002519 725002514 725002928 725000964 725003449 731090934 731090226 731090273 725003831 725000670 725001472 725002997 725003367 725003863 725005153 VINBLASTINE SULFATE INJ 1MG VALPROIC ACID SYRUP 250MG/5ML AZATHIOPRINE ORAL 50MG ROBITUSSIN DM LIQ 5ML CERULOPLASMIN TOXOPLASMA IGG EPSTEIN BARR NA IGG IGM PROTEIN ELECTROPHORESIS VARICELLA ZOSTER IGG GUAIFENESIN SYRUP 100MG/5ML BELLADONNA & OPIUM SUPP 60MG CAFERGOT P-B SUPPOS LINDANE LOTION 1% 30ML PEPTO BISMOL LIQ 10ML KANAMYCIN VIAL (250MG/ML) 2ML ETIDRONATE TAB 200MG MEMANTINE TAB 5MG FUROMESIDE LIQ 20MG/2ML OPTIPRANOLOL O/S 0.3% 10 ML BUMETANIDE VIAL 0.5MG/2ML INJ CLINDAMYCIN HCL CAP 150MG NORTRIPTYLINE CAP 10MG SELEGILINE (L-DEPRENYL) TAB 5M INSULIN NPH/REG 70/30 U-100 CITALOPRAM TAB 20MG SERTRALINE 100 MG TAB OXMORPHONE INJ 1.5MG/1ML TERAZOSIN TAB 1MG MIRTAZAPINE TAB 30MG METHYLPRED TAB 4 MG DOSEPAK ERYTHRO ESTOLA SUSP 250MG/5ML CHOLESTYRAMINE PKT 9GM ROLOXIFENE 60MG TAB EZETIMIBE TAB 10MG LEVETIRACETAM TAB 250MG MINERAL OIL (HEAVY) 10ML SOMA COMPOUND TABLET PAROXETINE 10 MG TAB PAPAVERINE HCL CAP SA 150MG SERTRALINE HCL TAB 50MG CARITIN D 24HR TAB ZOLPIDEM TAB 10MG FTA G6PD QT INSULIN NIFEDIPINE SR TAB 60MG BENZOCAINE 20% SPRAY 60ML FINASTERIDE TAB 5MG SOMA COMPOUND W/CODEINE TABLET VENLAFAXINE XR 37.5 MG CAP CLOPIDOREL TAB 75MG RIVASTIGMINE 1.5MG CAP J9360 J7500 82390 86777 86664 84165 86787 82390 86777 86664 84165 86787 J1815 J2410 J7509 86781 82955 83525 86781 82955 83525 250 259 250 259 301 302 302 301 302 259 259 250 250 259 250 259 259 259 250 250 259 259 259 636 259 259 250 259 259 636 259 259 259 259 259 259 250 259 250 259 250 259 302 301 301 259 259 259 250 259 259 259 Y Y Y Y N N N N N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N N N Y Y Y Y Y Y Y Page 21 OSHPD 06-01-06 Rev Chng Calc LP 725003653 725003802 725003668 725000856 725000959 725005104 725001994 731090095 731090233 725001085 731091026 731090963 731090901 725000364 725003847 731090155 731090360 731090364 725002886 725002887 725003712 725003744 725001802 725003884 725002899 725001916 725002520 725000820 725000097 725002147 725003476 725000623 725000912 725002084 725091251 725003220 725002498 731090732 731090826 731090763 725000613 758081568 731090894 725002453 725002780 731090914 731090921 725003477 725002457 725003740 725000590 725003827 EYE STREAM 4OZ MOLINDONE TAB 50MG FLUPHENAZINE TAB 10MG CELECOXIB CAP 200MG CLARITHROMYCIN SUSP 250MG/5ML LAMOTRIGINE 25MG TAB LIDOCAINE VISCOUS 2% 100ML ALPHA-1 ANTITRYPSIN TOTAL HAPTOGLOBIN QT DESIPRAMINE HCL TAB 50MG FL AB SCR CHLAMYDIA LC TYROSINE HEMOGLOBIN GLYCATED PROCHLORPERAZINE TAB 5MG OXYCODONE 20MG/1ML CONC HEMOGLOBIN FETAL PROSTATIC ACID PHOSPHATASE PORPHOBILINOGEN QT UR ROFECOXIB TAB 12.5MG ROFECOXIB TAB 25MG GLUCOSE GEL LANOLIN CREAM 1OZ INSULIN (HUMAN) NPH U-100 INJ PROPAFENONE TAB 300MG ROSIGLITAZONE 4MG LACTULOSE SYRUP (3.3GM/5ML) 30 PAROXETINE HCL TAB 20MG CEFACLOR CAP 500MG COLCHICINE AMP (5000MCG/ML) 2M MESALAMINE SUPP 500MG ALPHA-KERI LOTION 8OZ AUGMENTIN TAB 250MG CHLORPROMAZINE SUPP 25MG MAGNESIUM CITRATE 300ML (10OZ) CEPACOL LOZ 18 PAK TRAZODONE TAB 150MG OXYBUTNIN CL 5MG XL CMV AB IGG HEPATITIS BE AG HEPATITIS BE AB ATROPINE SULFATE 1% O/S 1ML DSG NORM GEL EACH TUBE FOLIC ACID NYSTATIN OINT 15 GM PROMETHAZINE VC W/COD SYRUP 5M TRANSFERRIN ANA SCREEN ONLY ALPHA-KERI OIL 4OZ OCEAN NASAL SPRAY 45ML LACRI-LUBE NP OINT 0.7GM ASPIRIN SUPP 300MG NEPRO LIQUID 240ML 82103 83010 87270 84510 83036 Q0164 83030 84066 84110 82103 83010 87270 84510 83036 83030 84066 84110 J1815 J0760 86644 87350 86707 86644 87350 86707 82746 82746 84466 86038 84466 86038 250 250 259 259 250 259 259 301 301 259 300 301 301 250 259 301 301 301 250 259 259 250 636 250 259 259 259 250 636 250 250 259 250 259 259 259 259 302 306 302 259 272 301 259 259 301 302 250 259 259 259 259 Y Y Y Y Y Y Y N N Y N N N Y Y N N N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N N N Y N N Y Y N N Y Y Y Y Y Page 22 OSHPD 06-01-06 Rev Chng Calc LP 725003835 725002371 725000645 725001978 725091372 725001088 725001386 725000649 725005203 725001041 725001698 725002420 725003502 725003874 725003761 725002265 725003451 725004008 725000707 725000408 725002451 725002450 725003289 725001186 725003500 725004105 725002406 725000997 725000414 725000468 725002256 725002416 725001479 725000575 725002999 725000415 725000626 725005103 725000573 725002373 731099005 731090632 725001702 725002222 725003455 725003509 725003246 731090361 731090966 725003439 725002715 725002932 NORFLOXACIN TAB 400MG NEOSPORIN OINT 1/32OZ 144'S BECLOMETHASONE DIPROPIONATE IN LIDOCAINE 2% 10 ML VIAL EPINEPHRINE INH SOL 15 ML DESITIN OINTMENT 30GM ESTRADIOL PATCH 0.1MG BELLADONNA & OPIUM SUPP 30MG ACETYLCYSTEINE VL 10% 10ML CROMOLYN SODIUM NASAL SPRAY 13 HYDROCORTISONE 0.5% CREAM 30GM NITROGLYCERIN PATCH 0.4MG/HR ( BACITRC-POLY ONT 15GM POVIDONE-IODONE DOUCHE 15ML LIDOCAINE 4% 50ML TOP SOL MONTELUKAST TAB 10MG A & D OINT 60 GM TUCKS PADS 40'S BISACODYL SUPP 10MG ACETAMINOPHEN ELIX (160MG/5ML) NYSTATIN CREAM 15GM NYSTATIN POWDER 15GM TRIMETHOBENZAMIDE SUPP 200MG DILTIAZEM CD CAP 300MG BACITRACIN ONT 1 OZ SODIUM CHLORIDE INJ 3ML NITROGLYCERIN 2% OINT UD CLOTRIMAZOLE 1% CREAM 30GM ACETAMINOPHEN SUPP 120MG ALBUTEROL 0.083% INH SOLN 3ML MIVACURIUM VIAL (2MG/ML) 5ML I NITROGLYCERIN PATCH 0.2MG/HR FLEET ENEMA ANUSOL-HC SUPPOSITORY SOTALOL TAB 80MG ACETAMINOPHEN SUPP 325MG AURALGAN OTIC SOL 15ML LAMOTRIGINE 100MG TAB ANUSOL SUPPOSITORY NEO/POLY/BACI OINT 15 GM SMOOTH MUSCLE AB TITER SPECTROPHOTOMETRY HYDROCORTISONE 1% OINTMENT 30G MICONAZOLE NITRATE 2% CREAM 30 VOSOL OTIC 15 ML BEN GAY GREASLESS ONT 1.25OZ TRIAMCIN OINT 0.1% 15GM ALK PHOS ISOENZYMES HEMOGLOBIN ELECTROPHORESIS ZINC OXIDE PASTE 25% 28GM POVIDONE-IODINE OINT 10% 30GM SILVER NITRATE APPLICATOR J2001 J2912 86256 84311 86256 84311 84080 83020 84080 83020 250 250 259 636 250 259 259 259 250 259 259 259 259 271 250 259 250 259 259 259 250 259 259 259 259 636 259 259 259 259 250 259 259 259 259 259 259 259 259 259 302 301 259 250 259 259 259 301 301 259 271 250 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N N Y Y Y Y Y N N Y Y Y Page 23 OSHPD 06-01-06 Rev Chng Calc LP 725001613 731090964 731090965 731091052 725003565 725001577 725001699 725001780 725002596 725002598 725002709 725003702 725004151 731090783 725003877 725003499 725000470 725001948 725003687 725002414 725002047 725003710 725002573 725000416 725000863 725003532 725000770 725003832 725007233 725004023 725003068 725005310 725002250 725002642 731090249 731090764 731091003 725002454 725001485 725001552 725001768 725000458 725003368 725001805 725000064 725000239 725003330 725001206 725001700 725003779 725003219 725000080 GLYCERIN SUPP (ADULT) GALACTOSE TRANSFERASE QN THYROID STIMULATING HORMONE HEMOGLOBIN FRACT QN-PH CHLORHEXIDENE ORAL RINSE 30ML GAVISCON LIQ 30ML HYDROCORTISONE OINTMENT 0.5% 3 INDOMETHACIN SUPP 50MG PHENYLEPHRINE1% SPRAY 15 ML PHENYLEPHRINE HCL 10% O/S 5ML POVIDONE IODINE 10% OINT HOMATROPINE OPTH.SOL 5% 2ML MICONAZOLE NITRATE CREAM 60 GM RUBEOLA IGM (MEASLES) OMEPRAZOLE SR CAP 10MG BACITRACIN 0.9GM UD PKTS ALBUTEROL INH SOLN 0.5% 20ML LEVOFLOXACIN 25MG/ML (20 ML) V GLUCERNA LIQUID 240ML NITROGLYCERIN PATCH 0.1MG/HR ( LORATIDINE TAB 10MG ILEX SKIN PROTECTANT PASTE 1.5 PETROLATUM WHITE OINTMENT 30GM ACETAMINOPHEN SUPP 650MG CEPHALEXIN MONOHYDRATE CAP 500 POVIDONE-IODINE SOL 1 OZ CALAMINE LOTION 120ML NIFEDIPINE SR TAB 90MG VALDECOXIB TAB 10MG BEPRIDIL TAB 200MG TEMAZEPAM CAP 15MG LIDOCAINE VL 0.5% 50ML MIRTAZAPINE 15MG TAB PIROXICAM CAP 20MG HYDROXYINDOLACETIC 5-(HIAA) UR INFLUENZA A ANTIBODY IMMUNO RSV AB QN LC NYSTATIN SUSP 500 000U/5ML FLUCYTOSINE 250MG FLUVOXZMINE TAB 50MG IMIPRAMINE HCL TAB 50MG ALUMINUM HYDROXIDE ORAL SUSPEN VENLAFAXINE XR 75 MG CAP INSULIN (HUMAN) REGULAR U-100 SUCCINYLCHOL 200 MG/10ML PENTAZOCINE LACTATE AMP 30MG/1 TYLENOL W/CODEINE ELIXIR 15ML DIPHENHYDRAMINE CREAM 2% 30GM HYDROCORTISONE 1% CREAM 30GM FLUVOXAMINE TAB 100MG TRAZODONE TAB 100MG CA GLUCONATE VIAL 100MG/ML 10M 82775 84443 83021 82775 84443 83021 86765 86765 J1956 J2001 83497 86710 86317 83497 86710 86317 J1815 J0330 J3070 J0610 259 301 301 301 259 259 259 259 259 259 259 259 259 302 250 259 259 636 259 259 259 250 259 259 259 271 259 259 259 250 259 636 259 259 301 302 302 259 259 259 259 259 259 636 636 250 259 259 259 259 259 636 Y N N N Y Y Y Y Y Y Y Y Y N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N N N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Page 24 OSHPD 06-01-06 Rev Chng Calc LP 725003685 731091011 731090188 731090906 725003103 725001477 740000238 731090116 758000013 725003605 725002838 725002602 725001143 725002870 725002300 725001517 725001850 725002392 725002593 725002144 725002393 725002594 725003664 725000166 725003951 731090919 731090781 731091002 725002472 725003531 725092361 725003487 725000572 725000961 725003813 725003926 731090886 725005268 731090147 725004043 725003069 725000126 725001897 731091027 731090937 731090371 725002394 731090124 725001807 731090106 731090126 731090938 CARBAMIDE PEROXIDE LIQ 10%-15M FL AB TITER MITOCHONDRAL LC DHEA SULFATE LEAD BL TETRAHYDROZOLINE 0.05% O/S 15M FLECAINIDE TAB 100MG SPECIAL STAIN I VITAMIN C SOCK AID DERMOPLAST SPRAY 82.5ML RABEPRAZOLE 20MG PHENYTOIN AMP (50MG/ML) 5ML IN DIBUCAINE 1% OINTMENT 28GM RISPERIDONE TAB 1MG MYCOPHENOLATE 250 MG CAP FLUOXETINE HCL CAP 10MG IPRATROPRIUM 0.02% NEB SOLN 2. NICOTINE PATCH 14MG PHENYLEPHRINE 0.5% NOSE DROPS MERCAPTOPURINE 50MG NICOTINE PATCH 21MG PHENYLEPHRINE0.5% SPRAY 15 ML FLEET PREP KIT #3 DROPERIDOL AMP (2.5MG/ML) 2ML DSG CALCIUM ALGINATE 4X4 LEUKOCYTE AKALINE PHOS WITH CO RUBELLA IGM EIA COMPLEMENT FIX RSV LC OMEPRAZOLE CAP SA 20MG BETADINE SOLN 120ML ATORVASTATIN 40MG TAB PHYSOSTIGMINE INJ 2MG/2ML ANUSOL / ANUSERT OINT 30GM CLARITHROMYCIN TAB 250MG MULTI-TRACE ELEMENTS 1ML INJ ROBITUSSIN PE LIQ 5ML APOLIPOPROTEIN B DULOXETINE CAP 30MG 30 CHOLINESTERASE SERUM DICLOFENAC ER TAB 100MG TEMAZEPAM CAP 30MG ERGONOVINE MELEATE AMP 200MCG/ KETOCONAZOLE TAB 200MG PRIMIDONE LC CHLAMYDIA BY DNA PROBE PROGESTERONE NICOTINE PATCH 7MG BETA 2 MICROGLOBULIN INSULIN (HUMAN) ULTRALENTE U-1 CYSTINE QT 24HR UR BILE ACIDS TOTAL GC BY DNA PROBE 86256 82627 83655 86256 82627 83655 88312 82180 88312 82180 J1165 J7517 J1790 A6209 85540 86762 86171 85540 86762 86171 82172 C9399 82480 82172 82480 J1330 80188 87490 84144 82232 J1815 82131 82239 87591 80188 87490 84144 82232 82131 82239 87591 259 302 301 301 259 259 312 301 271 259 250 636 259 259 636 259 259 259 259 250 259 259 250 250 272 305 302 302 259 271 259 250 259 259 250 250 301 636 301 250 259 636 259 301 306 301 259 301 636 301 301 306 Y N N N Y Y N N N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N N N Y Y Y Y Y Y Y Y N Y N Y Y Y Y N N N Y N Y N N N Page 25 OSHPD 06-01-06 Rev Chng Calc LP 731091028 725001423 725004038 725002599 725001910 725003459 725003603 725000570 725002633 731090733 731090935 758080282 758000152 725007213 731090039 731090382 725003345 725001704 725000950 725003655 725002767 725003927 725090913 725000619 725001988 731090438 731090618 731090929 725003457 731000382 725002590 731090051 731090206 731090347 725000604 725001518 731091049 725002620 725002552 731090138 731090034 731091048 731090767 731090905 731000519 725003470 725004135 725001921 725003875 725003012 725003819 725003995 HERPES SMPX I AB IGM LC ETOMIDATE (2MG/ML) AMP 10ML IN VIT CREAM 60GM PHENYLEPHRINE HCL 2.5% O/S 5ML LACRI-LUBE OPTH OINT 3.5GM ACID MANTLE CR 1OZ DEXAMETHASONE ACET INJ 8MG/ML ANBESOL LIQUID 9ML PIOGLITAZONE 15MG TABS CMV AB IGM HEPATITIS C AB DSG HYDROCLOID WCC AIRWAY ORAL DISP LEVALBUTEROL INH SOLN UD CHROMATO QN CAFFEINE PYRUVIC ACID / PYRUVATE URSODIOL CAPSULE 300MG HYDROCORTISONE 2.5% CREAM 30GM CIPROFLOXACIN TAB 250MG FAMOTIDINE TAB 40MG PROCHLORPERAZINE SUPP 25MG ROCURONIUM INJ 50MG GANCICLOVIR 250 MG CAP ATROPINE SYRINGE 0.1MG/ML 10ML LIDOCAINE 5% C GLUCOSE 7.5% 2M ZINC SERUM FL AB TITER ANCA HEPATITIS B CORE AB ACETYLCYSTEINE 20% 1ML HELICOBACTERPYLORI TISSUE PHENYLEPHRINE 0.125% NOSE DROP FLECAINIDE FATTY ACIDS NONESTERIFIED OXALATE ATORVASTATIN TAB 20MG FLUOXETINE HCL CAP 20MG IMMUNOFIXATION ELECTRO OTHER PILOCARPINE HCL 1% O/S 2ML PENTOBARBITAL SOD SUPP 60MG CAROTENE ETHOSUXIMIDE QT PROTEIN ELECTROPHORETIC URINE LEGIONELLA AB PANEL LACTATE/LACTIC ACID VENIPUNCTURE PHLEBOTOMY ALFENTANIL INJ 0.5MG/ML-2ML DRONABINOL CAPSULE 2.5MG LAMIVUDINE TAB 150MG PREPARATION-H OINT 60GM STAVUDINE CAP 15MG SOD BICARB VL 8.4% 50MEQ 50ML TOPIRAMATE TAB 100MG 86695 86695 J1094 86645 86317 86645 86317 82491 84210 82491 84210 J0460 84630 86256 86704 87081 80299 82725 83945 84630 86256 86704 87081 80299 82725 83945 86335 86335 82380 80168 84166 86713 83605 36415 Q0167 82380 80168 84166 86713 83605 36415 302 250 259 259 259 250 636 250 259 302 302 272 271 259 301 301 259 259 259 259 259 250 259 636 250 301 302 302 259 306 259 301 301 301 259 259 300 259 250 301 301 300 302 301 300 250 636 259 259 250 250 259 N Y Y Y Y Y Y Y Y N N N N Y N N Y Y Y Y Y Y Y Y Y N N N Y N Y N N N Y Y N Y Y N N N N N N Y Y Y Y Y Y Y Page 26 OSHPD 06-01-06 Rev Chng Calc LP 725003952 740000247 731090113 725003767 725003924 731090391 731090433 731090434 731090435 725000523 725003013 725000640 725000883 731090132 731090426 731090299 731090174 731090408 731090096 731090043 731090185 731090297 731090507 725004117 725000611 725002776 725000962 725003601 725001358 731090932 740000239 731090357 731090890 758000454 725001762 725001765 725001001 725003490 725005125 725003573 725000996 758081209 731090775 731090024 731090149 731090186 731090660 731090711 731090780 731090204 725004058 731091065 STALOL TAB 160MG SPECIAL STAIN II IRON ANGIOTENSIN CONVERTING ENZYME ADHESION BARRIER INTERCEED ROBITUSSIN CF LIQ 5ML LASA XYLOSE ABSORPTION URINE VOLATILES SCRN XYLOSE ABSORPTION BLOOD AMIODARONE TAB 200MG STAVUDINE 20 MG CAPSULE BACITRACIN OPTH OINT 3.5GM CHLORASEPTIC LOZENGES 18'S CALCIUM IONIZED VMA 24HR UR MYOGLOBIN QT RANDOM UR CORTISOL FREE TESTOSTERONE TOTAL ALPHA FETOPROTEIN SERUM CHLOROPROMAZINE QT CYANIDE METHSUXIMIDE VISCOSITY SERUM POTASSIUM CHLORIDE INJ 40MEQ/2 ATROPINE SULFATE 1% O/O 3.5GM PROMETHAZINE SUPP 12.5MG CLARITHROMYCIN TAB 500MG CARBAMIDE PEROXIDE 6.5% OTIC 1 ERGOTAMINE TARTRATE TAB SL 2MG HEPATITIS A IGM SPECIAL STAIN II ACID PHOS TOTAL ENZYMATIC CREATINE KINASE (CPK) ISOENZYM REACHER NORCO IMIPRAMINE HCL PAMOATE CAP 100 IMIPRAMINE HCL PAMOATE CAP 75M CLOZAPINE TAB 100MG CHLOROQUINE TAB 500MG NALTEXONE 50 MG TAB CLOMIPRAMINE CAP 50MG CLOTRIMAZOLE 1% CREAM 15GM NEEDLE SPINAL 22G/3.5 MUMPS VIRUS AB PANEL DIAZEPAM QT PSEUDOCHOLINESTERASE DIBUCAINE VITAMIN B 12 BINDING CAPACITY FL ANTIBODY TITER LC ADENOVIRUS AB RESP SYNCYTIAL VIRUS ETHYLENE GLYCOL STAVUDINE CAP 40MG PSA FREE AND TOTAL- LC 88313 82164 88313 82164 84275 84620 84600 84620 84275 84620 84600 84620 82330 84585 83874 82530 84403 82105 84022 82600 83858 85810 J3480 82330 84585 83874 82530 84403 82105 84022 82600 83858 85810 86709 88313 84060 82552 86709 88313 84060 82552 86735 80154 82480 82608 86256 86603 86756 82693 84154 86735 80154 82480 82608 86256 86603 86756 82693 84154 250 312 301 272 259 301 301 301 301 259 259 259 259 301 301 301 301 301 301 301 301 301 305 636 259 259 259 259 250 302 312 301 301 271 250 250 259 259 259 259 259 272 302 301 301 301 302 302 302 301 259 301 Y N N Y Y N N N N Y Y Y Y N N N N N N N N N N Y Y Y Y Y Y N N N N N Y Y Y Y Y Y Y N N N N N N N N N Y N Page 27 OSHPD 06-01-06 Rev Chng Calc LP 731090294 725001927 725003567 725003462 731090340 731091060 731090776 731090680 731090037 731090099 731090100 731090122 731090201 731090419 725003876 731090429 731090730 731090962 731090017 731090490 725003468 725000625 725002824 725003882 725002777 725000684 731090439 731091029 731091030 731090022 725000769 731090061 731090645 731090902 731091004 725000262 725003918 725002588 731090223 731090232 824000149 731090667 731090716 731091007 731091018 725000284 725002624 725002206 725001519 725004101 725000190 725001247 METANEPHRINES 24HR UR LANSOPRAZOLE CAP SA 15MG CIPRRFLOXACIN TAB 750MG OXYMETAZOLINE 0.05% -20ML NAS NUCLEOTIDASE 5 LYME DISEASE AB LC MYCOPLASMA AB PANEL IMMUNO TUMOR AG CA 125 LC NORTRIPTYLINE QT AMINO ACID PLASMA QL AMINO ACIDS UR QL BARBIURATES QUANT- UCI ESTRIOL VITAMIN E LANSOPRAZOLE SR CAP 30MG VITAMIN A COCCIDIOIDES NEWBORN SCREEN (PKU) AMITRIPTYLINE LYSOZYME SERUM LC ALCOHOL INJ 2ML AUGMENTIN TAB 875MG QUETIAPINE TAB 100MG PROMETHAZINE SUPP 50MG PROMETHAZINE SUPP 25MG BETAMETH VAL 0.1% CR 15 GM C PEPTIDE FL AB TITER CHLAMYDIA LC CHLAMYDIA AB IGM LC CLONAZEPAM (CLONOPIN) CALADRYL LOTION 180ML METHOTREXATE PARAINFLUENZA 1 2 3 AB METHEMOGLOBIN QN- LC IMMUNO ROTAVIRUS AB QN LC HYALURONIDASE VIAL (150U/ML) 1 RIFABUTIN CAP 150MG PHENOXYBENZAMINE HCL CAP 10MG GASTRIN GROWTH HORMONE ER INJECTION- IM VACCINE ANTI STRIATED MUSCLE AB BLASTOMYCOSIS AB COMPLEMENT FIX ASPERGILLUS LC FL AB TITER CENTROMERE LC TACROLIMUS 1MG CAP PILOCARPINE HCL 2% O/S 2ML METOPROLOL AMP (1MG/ML) 5ML IN FLUOXETINE LIQ 20MG/5ML 5ML FLUPHENAZINE VL 2.5MG/ML 1ML MORPHINE SULFATE 10MG INJ DONEPEZIL TAB 5MG 83835 83835 83915 86617 86738 86304 80182 82128 82128 82205 82677 84446 84590 86635 84030 80152 85549 83915 86617 86738 86304 80182 82128 82128 82205 82677 84446 84590 86635 84030 80152 85549 84681 87270 86632 80154 80299 86710 83050 86317 J3470 84681 87270 86632 80154 80299 86710 83050 86317 82941 83003 90471 86256 86612 86171 86256 J7507 82941 83003 90471 86256 86612 86171 86256 J2270 301 259 250 259 301 302 300 302 301 301 301 301 301 301 259 301 302 301 301 305 250 259 259 259 250 259 301 300 302 301 259 301 302 301 302 250 250 250 301 301 450 302 302 302 302 636 259 250 259 250 250 259 N Y Y Y N N N N N N N N N N Y N N N N N Y Y Y Y Y Y N N N N Y N N N N Y Y Y N N N N N N N Y Y Y Y Y Y Y Page 28 OSHPD 06-01-06 Rev Chng Calc LP 725004208 725003533 725003858 731090145 758080174 731009259 731090006 731090036 731090108 725004054 725005075 731090956 731090877 731090032 731090033 731090291 731090759 725092434 731090298 725001101 725002871 725003347 731090114 731090292 731090712 731091012 725001373 725000766 740000240 731099119 758080122 758080279 731091020 731090341 731090989 725003495 731090098 731090416 731090184 802000044 725000951 731091022 725001285 725003460 731090300 725002231 725000851 725000569 725000179 725002915 731090413 725003848 MAGNESIUM SULFATE 4MEQ/1ML INJ POVIDONE IO 10% SURG SCRB PHYSOSTIGMINE OPT OINT DRUG SCR SGL CLASS CLAMP OSTOMY BAG COMPATABILITY INCUBATION TECHN CALCULUS ANALYSIS XRAY IMIPRAMINE AMINOLEVULINIC ACID (ALA) UR LIDO/EPI VL 1%-1:200000 1ML EVAC-Q-KIT CULTURE SCRN LEGIONELLA DRUGS OF ABUSE RANDOM UR-REF DESIPRAMINE DOXEPIN QT MEPROBAMATE QT HISTOPLASMA OLANZAPINE 2.5MG TAB MYELIN BASIC PROTEIN (CSF) DEXAMETHASONE 0.05% O/O 3.5GM RISPERIDONE TAB 2MG VALPROATE NA VIAL 500MG/5ML IN ARSENIC BL MERCURY BL ASPERGILLUS AB FL AB TITER SKELETAL MUSCLE LC ERYTHROMYCIN O/O 0.5% 3.5GM CAFERGOT SUPP SPECIAL STAIN III HISTO IMMUNOELECTROPHORESIS SERUM CATH INTRODUCER DSG CUTINOVA-HYDRO 5CM*6CM RUBEOLA AB LC OLIGOCLONAL BANDS COXIELLA BRUNETII (Q FEVER) AB ATRACURIUM 50 MG AMP ALUMINUM SERUM THYROXINE BINDING GLOBULIN CRYOGLOBULIN D FACT VS OT FUNCT ACT CIPROFLOXACIN TAB 500MG FL AB TITER CMV LC DUOFILM 15ML PIOGLITAZONE 45MG TABS MYOGLOBIN QT SERUM MIDAZOLAM VIAL (5MG/ML) 2ML IN CEFUROXIME 500 MG TAB ANASTROZOLE 1MG FUROSEMIDE VIAL (10MG/ML) 2ML SCOPOLAMINE PATCH 1.5MG THYROGLOBULIN OXCODONE 40 MG SR TAB J3475 80101 86921 82370 80174 82135 80101 86921 82370 80174 82135 87081 80100 80160 80166 83805 86698 83873 87081 80100 80160 80166 83805 86698 83873 82175 83825 86606 86256 82175 83825 86606 86256 88313 86320 88313 86320 86765 83916 86638 82108 84442 82595 97139 86644 86765 83916 86638 82108 84442 82595 97139 86644 GO 83874 J2250 J9999 J1940 84432 83874 84432 250 250 250 301 272 302 301 301 301 250 259 306 301 301 301 301 302 259 301 250 259 250 301 301 302 302 259 250 312 302 272 272 302 301 302 250 301 301 301 430 259 300 250 259 301 250 259 636 250 250 301 259 Y Y Y N N N N N N Y Y N N N N N N Y N Y Y Y N N N N Y Y N N N N N N N Y N N N N Y N Y Y N Y Y Y Y Y N Y Page 29 OSHPD 06-01-06 Rev Chng Calc LP 725002283 725004142 794000038 731000477 794000022 731090293 731090646 758080079 725003045 725003010 725005122 731090480 731090224 755000827 725003563 725000051 725003948 725007243 758081229 758080684 794000026 758080678 794000048 731000065 731090112 725003093 725003964 731000356 731090035 731090263 725000724 725001614 725004041 758080518 740000215 731090194 740000048 758080506 731090248 731090801 731091031 758081544 758081158 513000002 731090198 725002872 725002452 725003525 731090675 731090882 731090227 731091008 MULTIVITA LIQUID 5ML AZITHROMYCIN SUSP 200/5 5ML AEROSOL SPUTUM INDUCTION C DIFFICILE STOOL TOXIN NEBULIZER TREATMENT MERCURY URINE PSITTACOSIS AB BINDER FEMALE T SULTRIN VAGINAL CREAM 78GM SPS SUSP USP. 15MG/60ML MORPHINE SULF SR 100 MG TAB PROTEIN C AG GLUCAGON THERAPEUTIC PHLEBOTOMY CHERRY SYRUP 15ML LOMUSTINE CAP 10MG SILVER SULFADIAZINE CR 20GM MODAFINIL TAB 100MG DILATOR VESSEL 7FR,20CM SHOE WEDGE ORTHO HEALING PULSE OXIMETRY SINGLE DETERMIN SHIELD CORNEAL OXYGEN PER HOUR URINE MICROSCOPIC ONLY ANDROSTENEDIONE TETRACAINE HCL 0.5% O/S 2ML CEFIXIME TAB 400MG CULTURE ENVIRONMENTAL HALOPERIDOL DISOPYRAMIDE BSS SOLUTION 15ML GLYCOPYRROLATE (0.2MG/ML) 1ML VIVONEX TEN 80GM CATH INTERMIT STRAIGHT ADULT FINE NEEDLE EVAL ERYTHROPOIETIN CONSULT PATH SURGERY ELECT CAUTERY CUTTING LOOPS HYDROXYCORTICOSTEROID 17 CULTURE MYCOPLASMA LC ROTAVIRUS AB LC TUBE NASOGASTRIC SYRINGE CT TRI PAK NUTRITION RE ASSMT 15 MIN ESTROGENS FRACT 24HR UR RISPERIDONE TAB 3MG NYSTATIN OINT 30GM BLINX SOLUTION 120ML IMMUNO TUMOR AG CA 15-3 AMIKACIN- LC GLUTAMINE CSF COMPLEMENT FIX HISTOPLASMA LC 94640 87324 94640 83825 86171 L0450 94640 87324 94640 83825 86171 85302 82943 99195 85302 82943 99195 94760 94760 81015 82157 81015 82157 87070 80173 80299 87070 80173 80299 88172 82668 88329 83491 87109 86759 88172 82668 88329 83491 87109 86759 97803 82671 97803 82671 86300 80150 82975 86171 86300 80150 82975 86171 259 259 410 306 410 301 302 274 259 259 250 305 301 940 250 250 259 259 272 271 460 272 271 307 301 259 250 306 301 301 250 250 250 272 311 301 312 272 301 306 302 272 272 942 301 259 259 250 302 301 301 302 Y Y N N N N N N Y Y Y N N N Y Y Y Y N N N N N N N Y Y N N N Y Y Y N N N N N N N N N N N N Y Y Y N N N N Page 30 OSHPD 06-01-06 Rev Chng Calc LP 725003696 731009129 731090481 758081227 725003613 725001977 725001884 731090950 731090352 731090791 731090412 725002468 731090813 758080616 758081567 513000001 758081564 731090407 731090129 731090696 725004115 725003077 731090979 731090088 731091032 731000278 725004053 725000200 725002801 725003837 725001026 725002511 725003078 725003600 725002566 731090797 731090386 731090793 731090029 731091017 758081565 731090195 731090693 731090969 725004079 725001502 725002398 731090200 725000624 725001904 725000186 725002442 HYDROCORTISONE LOTION 0.5%-120 URINALYSIS QL SQ PROTEIN S TOTAL SHEATH DILATOR 4FR DEZOCINE 10MG VIAL LIDOCAINE 2% JELLY U.D. 5ML ITRACONAZOLE TAB 100MG PROLACTIN LC PARATHYROID HORMONE (PTH) VARICELLA ZOSTER IGG/IGM THIOCYANATE QT OLANZAPINE TAB 5MG VIRUS ISOLATE & ID NON-IMM CAST PLASTER ROLL 3 IN DSG MEPITEL 7.5X10 CM EACH NUTRITION INITIAL ASSMT 15 MIN DSG MEPILEX BORDER 10X10 CM TESTOSTERONE SERUM VITAMIN D (1 25 DIHYDROXY) INSULIN ANTIBODIES POTASSIUM CHLORIDE INJ 20MEQ/1 TERBINAFINE TAB 250MG OXCARBAZEPINE -LC ACTH IMMUNO TUMOR AG CA 19-9 LC HEMOGLOBIN LIDOCAINE 1% 5 ML AMP PHENYLEPHRINE HCL AMP 10MG/1ML PROTAMINE PER 50MG NUTRIHEP LIQUID 250ML CORTICOTROPIN REPOSITORY 80U V PANCURONIUM AMP 2MG/ML 2ML TERBUTALINE INHALER 10.5GM DACRIOSE OPTH SOL 120ML PERI-COLACE SYRUP 15ML HLA TYPING B-27 LC RENIN LC THYROGLOBIN AB CYCLOSPORINE MICROSOMAL ANTIBODY THYROID DSG MEPILEX 2X10 CM EACH ESTRADIOL IMMUNE CPLX ASY C1Q BINDING AMIODARONE ESTRADIOL CYP.INJ 5MG/1ML FLUOCINONIDE CR 0.05% 15 GM NIMODIPINE CAP 30MG ESTROGEN TOTAL AUGMENTIN TAB 500MG LABETALOL MDV (5MG/ML) 20ML IN MEPERIDINE HCL TUBEX 100MG/1ML NORTRIPTYLINE CAP 50MG 81005 85305 81005 85305 84146 83970 86787 84430 87255 84146 83970 86787 84430 87255 97802 84403 82652 86337 J3480 80299 82024 86301 85018 J2001 J2370 J2720 97802 84403 82652 86337 80299 82024 86301 85018 86812 84244 86800 80158 86376 82670 86332 80299 J1000 86812 84244 86800 80158 86376 82670 86332 80299 82672 82672 J2175 259 307 305 270 250 259 259 301 301 302 301 259 306 271 272 942 272 301 301 302 636 259 301 301 302 305 636 250 636 259 254 250 259 259 250 302 301 302 301 302 272 301 302 301 636 259 259 301 259 250 250 259 Y N N N Y Y Y N N N N Y N N N N N N N N Y Y N N N N Y Y Y Y Y Y Y Y Y N N N N N N N N N Y Y Y N Y Y Y Y Page 31 OSHPD 06-01-06 Rev Chng Calc LP 725000669 725090072 725003688 731090142 725003850 758080972 731099143 731090005 731090141 731090365 731090405 758080117 758080516 725000631 725003549 725000693 758081162 725003369 731090740 731090754 725091536 725005131 725003691 725002405 755000096 725001562 725003815 725001902 758080355 758080617 731091006 725002374 725002998 725001306 731090423 725004040 725002662 725002945 725002132 725000367 725000540 731090135 725003594 725002223 758056593 794000028 731090245 725000158 725000931 725004089 725000695 725001093 BENZOCAINE 20% OINTMENT 30GM ESMOLOL 2.5 GM AMP GLYCERIN LIQUID 30ML CATECHOL FRACTIONATED PANCURONIUM INJ 1MG/ML COLLAR CERVICAL THYROXINE (T-4) FREE VITAMIN D (CALCIFEROL) CATECHOL FRACT PLASMA PORPHYRINS 24HR UR TESTOSTERONE FREE CANNULA DISP. INNER ASPIRATOR MECONIUM AZITHROMYCIN 250 MG CAP DILTIAZEM INJ 100MG/20ML VIAL BETAMETHASONE LOTION 0.1% 60ML MULTI TORQUE DEVICE VERAPAMIL AMP (2.5MG/ML) 2ML I ECHOVIRUS AB HEPATITIS D AB PHENERGAN VC EXPT 120 ML OFLOXACIN OPH SOL 5ML CLOTRIMAZOLE VAG.CREAM 45GM NITROGLYCERIN 2% OINT 30GM FRESH FROZEN PLASMA THAW EACH FUROSEMIDE 40MG/4ML SYRINGE IN MUROCOLL-2 O/S 5ML KETOROLAC 15MG INJ FINGER BANDAGE CAST PLASTER ROLL 4 IN COMPLEMENT FIX EA AG LC NEO/POLY/BACI OPTH OINT SORBITOL 70 % SOLN 30 ML EMLA CREAM 5 GM THYROID STIMULATING IMMUNO (A) VIVONEX PLUS 80GM POLYSPORIN POWDER 10GM SIMVASTATIN 20 MG TAB MEPERIDINE HCL TUBEX 50MG/1ML PROMETHAZINE SYRUP 12.5MG/10ML AMOBARBITAL SODIUM AMP 500MG I CARCINOEMBRYONIC ANTIGEN CYCLOPENTOLATE OPTH SOL 0.5% 5 MICONAZOLE NITRATE 2% CREAM 45 TRANSFUSION SET GISH AUTO CONT OXY MEASUREMENT W/RECORDE HISTAMINE HEPARIN SODIUM 1000 UNITS CICLOPIROX CREAM 15GM MIDAZOLAM INJ 2MG/2ML BETAMETHASONE OINT 0.1% 45GM DESONIDE 0.05% CREAM 15GM 82384 L0120 84439 82307 82384 84120 84402 82384 84439 82307 82384 84120 84402 86658 86692 86658 86692 86927 86927 J1885 86171 86171 84445 84445 J2175 Q0169 J0300 82378 82378 94762 83088 J1644 J2250 94762 83088 259 250 259 301 250 274 301 301 301 301 301 274 272 259 250 250 272 250 302 302 259 259 259 259 302 250 259 636 272 271 302 259 259 259 301 259 259 259 250 250 636 301 259 259 272 460 301 636 259 250 259 250 Y Y Y N Y N N N N N N N N Y Y Y N Y N N Y Y Y Y N Y Y Y N N N Y Y Y N Y Y Y Y Y Y N Y Y N N N Y Y Y Y Y Page 32 OSHPD 06-01-06 Rev Chng Calc LP 725000245 731091034 725002561 731091066 731090133 758080546 631000001 740000016 601000001 758080779 731090990 731091063 725000098 731090130 731090369 731090959 731090931 758056392 725002467 725003686 731090381 804050045 804050046 731090753 725002783 725003651 725004111 725000082 725002601 758080619 758080277 758080161 731090787 725001077 725002935 725002225 725001949 725003639 725001482 731090755 725002628 725000678 725003721 725001215 725007319 725007320 725003671 725000615 758060127 725003883 731091013 725004104 TRIMETHOBENZAMIDE VIAL 200MG/2 PSA PROSTATE SPECIFIC AG TOTAL PEDIEM 6 GM PKT LC CALCULUS ANALYSIS QN CALCULI ANALYSIS INFRARED NEEDLE INFUSAID ANGLED OBSERVATION HRLY - OB/GYN DECALCIFICATION OBSERVATION HRLY - MED/SURG SUTURE PER PKG BARTONELLA ANTIBODY CLYCOMARK (ANHYDROGLUCITOL) PROCHLORPERAZINE VIAL 10MG/2ML CALCITONIN PREGNANEDIOL GLYBURIDE THERAP DRUG ASSAY HEPATITIS A AB (HAAB) TOTAL SUPPORT WRIST THUMB WRAP UNIV OLANZAPINE TAB 10MG GLUCERNA LIQUID 960ML VITAMIN B-6 (PYRIDOXAL PHOS) TONE DECAY SHRT INCREMNT SENSITIVTY INDEX WESTERN BLOT ASSAY PROMETHAZINE W/DM SYRUP 5ML CROTAMITON 10% CRM 60GM TRIAMCINOLONE INJ 10MG CALCITROL 1MCG/LM, 1ML INJ PHENYTOIN AMP (50MG/ML) 2ML IN CAST PLASTER ROLL 6 IN DSG CUTINOVA-HYDRO 10CM*10C LENS CLEANER TOXOPLASMA IGG IGM DEMECLOCYCLINE CAP 150MG SILVER SULFADIAZINE 1% CREAM 5 MICONAZOLE VAG SUPP 200MG 3'S LEVOFLOXACIN TAB 500MG ESMOLOL INJ 100MG FLUCONAZOLE TAB 100MG HERPES SIMPLEX AB PILOCARPINE 4% GEL 5 GM BENZTROPHINE MESYLATE AMP 2MG/ JEVITY LIQUID 100MLS DIPIVEFRIN 0.1% O/S 5ML ARIPIPRAZOLE TAB 10MG ARIPIPRAZOLE TAB 15MG FLUNISOLIDE INHLR 7GM ATROPINE SULFATE 1% O/S 5ML SHIELD EYE GUARD PROTECTOR PROMOTE W/FIBER 1000ML COMPLEMENT FIX MUMPS LC METOCLOPRAMIDE INJ 10MG/2ML J3250 84153 82360 82365 G0378 88311 G0378 86611 82985 J0780 82308 84135 80299 86708 L3909 84153 82360 82365 99218 88311 99218 86611 82985 82308 84135 80299 86708 84207 92563 92564 86689 84207 92563 92564 86689 J3301 J0636 J1165 86778 86778 86694 J0515 86694 86171 J2765 86171 250 301 259 301 301 272 762 312 762 272 302 301 250 301 301 301 302 274 259 259 301 470 470 302 259 250 636 636 636 271 272 259 302 259 259 259 259 250 259 302 259 250 259 259 259 259 259 259 271 250 302 250 Y N Y N N N N N N N N N Y N N N N N Y Y N N N N Y Y Y Y Y N N Y N Y Y Y Y Y Y N Y Y Y Y Y Y Y Y N Y N Y Page 33 OSHPD 06-01-06 Rev Chng Calc LP 876000018 758080978 758081119 731000737 731090251 731090428 725000878 725002618 731090187 728000478 758029258 758080349 731000738 725003672 725003000 731000480 731000513 731091019 728000466 758080711 725004064 728004163 731090389 731090739 725000125 758081539 725000212 758080167 731090427 725000478 731090418 725002145 701000010 725002622 725002625 725003816 731090478 731090829 731091051 725003541 719000015 731090876 731090140 731000203 725003789 731000183 731000179 758056387 758081100 725004026 725005124 725000641 FINGERSTICK BLOOD SUGAR SPLINT FINGER DSG PROFORE 4 LAYER WRAP SINGL SPECIFIC GRAVITY NON URINE HYDROXYPROLINE FREE 24HR UR ANTI DIURETIC HORMONE CHLORAMPHENICOL O/O 1% 3.5GM PILOCARPINE HCL 0.5% O/S 15ML DHEA SODIUM CHLORIDE O/O 5% 3.5GM TRU GUIDE MAXCORE GUN C1410 CATH FEMALE KIT BLOOD COUNT MANUAL DIFF WBC FLUMAZENIL INJ 0.1MG/ML SOTRADECOL 1%AMP 2ML INJ RAPID FLU TEST STAIN FAT FECES URINE SPUTUM DRUG SCR SGL TRICYCLIC LC SODIUM CHLORIDE IRRIGATION 150 ELECTRODE SPIRAL SCALP INTENAL CAPSAICIN CR 0.025% 45GM CLYCINE 1500 SEROTONIN BLOOD COXSACKIE B AB DOBUTAMINE HCL VIAL 250MG INJ BINDER ABDOMINAL OXYTOCIN VIAL (10U/ML) 1ML INJ BAG DRAINAGE CLOSED VASOACTIVE INTESTINAL POLYPEPT ALCLOMETASONE 0.05% CREAM 15GM THYROID STIMULATING IMMUNO (B) MESALAMINE 4GM/60ML ENEMA ROOM LABOR 60 MIN PILOCARPINE HCL 2% O/S 15ML PILOCARPINE HCL 3% O/S 15ML TROPICAMIDE 1% O/S 1ML PROTEIN C ACTIVITY HIV 1 P24 AG COGENTIN LEVEL-LC BUPIVICAINE 0.5%/EPI INJ 30ML LOCAL ADDL 15 MIN ACUTE HEPATITIS PROFILE CATECHOLAMINES URINE PH BODY FLUID BUPIV/EPI 0.5% 10 ML VIAL IRON BINDING CAPACITY IRON SERUM SPLINT RESTING HAND DSG CUTINOVA HYDRO BOX WCC VASOPRESSIN INJ 20 UNITS/ML NALOXONE 2 MG/2 ML INJ BACITRACIN 50 MU VIAL 82948 82948 84315 83500 84588 84315 83500 84588 82626 82626 85007 85007 87400 89125 80101 87400 89125 80101 84260 86658 J1250 J2590 84586 84445 84260 86658 84586 84445 85303 86317 80299 85303 86317 80299 80074 82382 83986 83550 83540 L3930 80074 82382 83986 83550 83540 J2310 301 271 272 301 301 301 250 259 301 250 272 272 305 250 250 306 300 301 250 272 259 250 301 302 250 271 250 271 301 250 301 259 720 259 259 259 305 302 301 250 370 301 301 301 250 301 301 274 272 250 636 250 N N N N N N Y Y N Y N N N Y Y N N N Y N Y Y N N Y N Y N N Y N Y N Y Y Y N N N Y N N N N Y N N N N Y Y Y Page 34 OSHPD 06-01-06 Rev Chng Calc LP 725003241 725003752 731009164 731090756 725001051 725003511 725000202 725002229 755000403 725001686 758056623 725003642 725003697 725004046 725003081 731090665 731090802 758080173 758081566 758080061 876000022 513000003 731091058 725003703 725000104 731090370 725000774 725003512 725005090 725000618 731090630 725001703 725003593 725002580 725000988 758081223 719000016 725002341 725004109 725000241 725000704 725001330 758080634 758081099 731000008 758080113 725002781 731090741 725003637 725002368 725000155 758029262 TRIAMCINOLONE ACET 40MG/ML 1M LIDOCAINE JELLY 2% 10ML CLOSTRIDIUM DIFF CULT/TOXIN LC HERPES SIMPLEX 1 & 2 IGM CYCLOPENTOLATE HCL 1% O/S 2ML BENZOYL PEROXIDE 5% GEL 60GM ONDANSETRON HCL INJ 1 MG MIDAZOLAM VIAL (1MG/ML) 5ML IN SDBB CRYOPRECIPITATE EA UNIT HOMATROPINE HBR 5% O/S 5ML NEEDLE CHIBA 22G 20G 18G ERYTHROMYCIN 2% TOP SOLN. 60ML HYDROCORTISONE VAL.OINT 0.2% 1 HYDROCORTISONE VAL.CR 0.2% 15G TERCONAZOLE VAG SUPP 3'S 80MG ANTI PARIETAL CELL AB CULTURE CHLAMYDIA BAG COLOSTOMY DSG MEPITEL 10X8 CM EACH DSG BANDAGE WRAP SETOPRESS STRAPPING UNNA BOOT SINGLE NUTRITION GROUP 30 MIN COLLAGEN CROSS LINKS LISPRO INSULIN 100 UNITS/1ML METHYLPREDNISOLONE ACET 40MG/1 PREGNANETRIOL CALCITROL CAP 0.25MCG BENZOYL PEROXIDE 10% GEL 60GM HYDROXYZINE 25 MG/ML INJ ATROPINE 0.4 MG 20 ML VIAL CARDIOLIPIN AB (PHOSPHOLIPID) HYDROCORTISONE 100MG/60ML ENEM CARRASYN GEL 90GM PHENOBARBITAL 130 MG INJ CLONIDINE PATCH 0.1MG GUIDE WIRE LARGE J MAC 15 ADDL MIN NAPHAZ 0.012% OS 15 ML FENTANYL INJ 100MCG/2ML CHLORPROMAZINE INJ (25MG/ML) 5 BICALUTAMIDE TAB 50MG EPINEPHRINE 1:1000 30 ML MDV PUMP BREAST DISPOSABLE DSG CURASORB ROPE BOX WCC SS MUCICARMINE BUR OPTHALMIC PROMETHAZINE W/COD SYRUP 10ML POLIO VIRUS ANTIBODIES EPINEPHRINE BORATE O/S 1% 7.5 NEOSPORIN GU IRRIG SOLN 1ML HALOPERIDOL VIAL (5MG/ML) 1ML NEEDLE TRUGUIDE MAXCORE C2010A J3301 87999 86694 87999 86694 J2405 J2250 P9012 86256 87110 86256 87110 29580 97804 82523 J1817 J1030 84138 29580 97804 82523 84138 J3410 J0460 86147 86147 C1769 J3010 J3230 J9999 J0170 88313 88313 86658 86658 J1630 636 259 306 302 259 250 250 250 390 259 272 259 250 259 259 302 306 274 272 272 510 942 301 636 250 301 259 259 250 636 302 259 250 250 259 272 370 259 250 250 636 636 271 272 310 272 259 302 250 250 250 272 Y Y N N Y Y Y Y N Y N Y Y Y Y N N N N N N N N Y Y N Y Y Y Y N Y Y Y Y N N Y Y Y Y Y N N N N Y N Y Y Y N Page 35 OSHPD 06-01-06 Rev Chng Calc LP 725003027 725003604 802000046 731091015 876000011 758080557 758081552 731000091 731090023 800000025 802000016 725001808 725001690 725000112 725004152 725003825 725001450 725001337 725002183 758060104 725002184 725000115 725000184 731000221 758081111 731090647 725001417 725001210 755000032 725003229 725007321 725003232 725004095 725000898 725001297 725002553 725004087 725000081 725003853 725000617 725000192 725001782 725001326 725001445 725002230 731090918 725001665 731090821 758000838 725000744 725000714 725002761 SUFENTANIL 1 ML INJ DEMECLOCYCLINE TAB 300MG FLUIDOTHERAPY SMEAR OTH- PNEUMOCYSTIS MRL DEBRIDEMENT EC ADDITIONAL NAIL NEEDLE SPINAL EPIDUR SPROTTE DRAIN JP RESERVOIR/BULB OCCULT BLOOD STOOL CLOZAPINE (CLOZARIL) QN WHIRLPOOL WHIRLPOOL INSULIN GLARGINE 100 UNITS/ML HYDRALAZINE HCL (20MG/ML) 1ML DEXAMETHASONE VIAL (4MG/ML) 1M NOREPINEPHRINE 1 MG INJ NEOSTIGMINE 1:1000 INJ 10ML FENTANYL PATCH 25MCG EPINEPHRINE SYRINGE 1MG/10ML I METHYLENE BLUE 1% AMPULE 1ML I TRAY NERVE BLOCK PAIN METHYLERGONOVINE AMP 200MCG IN DIGOXIN AMP (0.25MG/ML) 2ML IN LORAZEPAM VIAL 2MG INJ PROTEIN TOTAL SERUM DSG DUODERM BOX WCC ANTI DNA DS AB ETHYL CHLORIDE USP SPRAY 120ML DIPHT/TETANUS ADULT 0.5ML BLOOD GROUP ABO TRIAMCIN OINT 0.025% 15GM ARIPIPRAZOLE TAB 20MG TRIAMCIN CRM 0.1% 15 GM ONDANSETRON 4MG/2ML INJ CHLORPROCAINE 3% (P-F) 30ML VI EDROPHONIUM AMP (10MG/ML) 1ML PENTOBARBITAL SOD TUBESX 100MG LIDO/EPI VL 1%-1:200000 30ML CALCITONIN VIAL (200IU/ML) 2ML PHENOBARBITAL 30 MG INJ ATROPINE SULFATE VIAL 1MG/1ML MORPHINE SULFATE 10MG PF INFLUENZA VACCINE 0.5ML IM EPHEDRINE 50 MG INJ FENTANYL 5 ML AMP MIDAZOLAM VIAL (5MG/ML) 1ML IN KLEIHAUER BETKE HEPARIN 10U/ML 10 ML INJ RESP SYNCYTIAL VIRUS AG STAPLE REMOVER DISP SKIN BUPRENORPHINE AMP 0.3MG/1ML IN BRETYLIUM 500 MG INJ PROCAINE HCL 1% AMP 2ML INJ 97022 87207 11721 GO 97022 87207 11721 82270 80299 97022 97022 J1815 J0360 J1100 J2710 J0170 A9535 J2210 J1160 J2060 84155 86225 90718 86900 GP GO 82270 80299 97022 97022 84155 86225 90718 86900 J2405 J2400 J2515 J0630 J2560 J0460 J2275 90658 J3010 J2250 85460 J1642 87280 J0592 90658 85460 87280 250 259 430 306 510 272 272 301 301 420 430 636 250 250 250 636 259 636 636 272 636 250 250 301 270 302 259 636 302 259 259 259 250 636 254 636 250 636 636 636 250 636 250 636 250 305 636 306 272 636 250 250 Y Y N N N N N N N N N Y Y Y Y Y Y Y Y N Y Y Y N N N Y Y N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N Y N N Y Y Y Page 36 OSHPD 06-01-06 Rev Chng Calc LP 725003824 725004088 731000540 731009174 725000232 725004074 725000167 725004077 725001739 758081203 824000153 710000017 776000146 794000024 876000056 824000150 824000151 710000018 804050026 725003675 725004078 725000756 725001893 725000743 725003679 725001962 725003354 725000193 725004080 725004045 725004098 725005134 725001774 725000119 725004100 725002133 725002612 725002131 731090978 725003029 725003854 725004044 731099132 725002328 725000233 725000105 725003759 725000257 725001360 725004099 725000161 800000021 NALOXONE 0.4MG/ML INJ 10ML LIDOCAINE 2% W/EPI 1:200,00 I RED CROSS SPEC SCREEN MUMPS SKIN TEST METHYLPREDNISOLONE SOD SUC 40G EPINEPHRINE INJ 1:1000 1ML PROPRANOLOL HCL VIAL 1MG/1ML I ATROPINE INJO 0.5MG/1ML HYDROXYZINE HCL VIAL 50MG/1ML GUIDE WIRE EXCHANGE STRAIGHT ER THROMBOLYSIS CORONARY IV IN INJECTION IM OR SUB Q RX ISOTOPE MDP 20-25MCI CHEST PERCUSSION SUBSEQUENT INJECTION IM OR SUB Q ER INJECTION IM ANTIBIOTIC ER INJECTION- IM OR SUB Q INJECTION IM ANTIBIOTIC OSCILLATING TRACKING FOLIC ACID INJ 5MG/ML 1ML DICYCLOMINE INJ 10MG/1ML BUTORPHANOL INJ 1MG/0.5ML KETAMINE HCL VIAL (500MG/ML) 1 BUPIVICAINE 0.75 IN DETROSE 8 NITROFURAZONE CREAM 0.2% 28GM LEVOTHYROXINE VIAL 500MCG INJ VANCOMYCIN CAP 250MG NALBUPHINE VIAL (10MG/ML) 1ML DEXAMETHASONE INJ 10MG/1ML WATERSTERILE INJ 5ML PROMETHAZINE INJ 25MG/ML PAPAVERINE 60 MG INJ INDIGO CARMINE 0.8% AMP 5ML IN DIPHENHYDRAMINE AMP 50MG/1ML 1 PHENOBARBITAL INJ 60MG/1ML MEPERIDINE HCL TUBEX 75MG/1ML PHYTONADIONE 1 MG INJ MEPERIDINE HCL TUBEX 25 MG/1ML TOPIRAMATE (TOPAMAX) SULFACET 10 % OPTH OINT THIOPENTAL 500 MG INJ WATER STERILE INJ 50ML FACTOR 2 ASSAY NALOXONE HCL VIAL (0.4MG/ML) 1 METHYLPREDNISOLONE SOD SUC 125 DEPO-MEDROL 80 MG/ML 5 ML VIAL LIDOCAINE INJ 1.5% W EPI 1:200 VANCOMYCIN HCL VIAL 500MG INJ ERYTHROMYCIN 2% GEL 30GM PROMETHAZINE INJ 50MG/ML HYDROCORTISONE SOD SUCC 100MG MECHANICAL TRACTION J2310 86850 86586 J2920 J0170 J1800 J0460 C1769 92977 90772 A9503 94668 90772 90772 90772 90772 92545 J0500 86850 86586 92977 90772 94668 90772 90772 90772 90772 92545 J2300 J1100 A4216 J2550 J2440 J1200 J2560 J2175 J3430 J2175 80201 80201 85210 J2310 J2930 J1040 J3370 J2550 J1720 97012 85210 GP 97012 636 250 302 302 250 250 250 636 250 272 480 761 343 410 510 450 450 761 470 250 636 250 250 250 250 250 259 250 636 636 250 250 254 250 636 250 250 250 301 259 250 250 305 250 250 250 250 250 250 250 250 420 Y Y N N Y Y Y Y Y N N N Y N N N N N N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N Y Y Y N Y Y Y Y Y Y Y Y N Page 37 OSHPD 06-01-06 Rev Chng Calc LP 758080097 758080300 804050047 725002957 725001984 725002298 725002921 725001980 725001720 725007303 725001296 725003851 731090253 725003713 725000116 725002613 725004090 725003362 725003978 725001664 761090002 824000117 731000515 725003758 725005156 725000256 725000449 725001504 731090951 725000733 725003939 725001211 755000787 758081217 794000020 731090486 731091055 725001585 731090254 731091035 725000260 758081182 758080236 731000204 758080193 758080468 725003719 731091014 725003871 758080076 758080793 758080866 BOOT BUCKS TRACT DSG VIASORB 6 X 10 STENGER PURE TONE SOD BICARB 4.2% PFS 10 ML LIDOCAINE 2.5% OINTMENT 35GM MYCOLOG OINTMENT 15GM SELENIUM SULFIDE 2.5% SUSP 120 LIDOCAINE 2% PF 5ML VIAL HYDROMORPHONE HCL AMP 2MG/1ML AZITHROMYCIN TAB 600MG ECONAZOLE 1% CREAM 15GM PANCURONIUM INJ 10MG/10ML ANTI TRANSGLUTAMINASE-LC IODINE, STRONG 5ML HYDROMORPHONE HCL AMP 4MG/1ML PHYTONADIONE AMP 10MG/1ML INJ MORPHINE-PF INJ 5MG/10ML VECURONIUM 10 MG VIAL TETANUS TOXOID INJ 0.5ML HEPARIN FLUSH 100U/ML VIAL EKG RHYTHM STRIP ER CARDIAC MONITORING EOSINOPHIL SMEAR NASAL LIDOCAINE INJ 1% W EPI 1:20000 SODIUM BICARBONATE 4.2% VIAL DIAZEPAM VIAL (5MG/ML) 2ML INJ ADSORBONAC 5% OPTH SOLN 15ML FLUOCINONIDE OINTMENT 0.05% 15 IMMUNOELECTROPHORESIS-URINE BUPIVACAINE 0.25% AMP 30ML INJ BUPIVICAINE INJ 0.75% W/EPI 30 DIPHT/TETANUS PEDIATRIC FETAL HGB STAIN UCI GUIDE WIRE 3MM J CURVE,.035 NEBULIZER TREATMENT INITIAL EUGLOBULIN LYSIS TIME SEX HORMONE BINDING GLOBULIN GENTAMICIN 0.3% OPTH SOLN 5ML NEURON SPECIFIC ENOLASE-LC CYSTIRCERCOSIS AB LC CYANOCOBALAMIN TUBEX 1000MCG/1 GUIDE WIRE STRAIGHT TUBING VACURETTE PH STOOL CATH CUTDOWN DRAIN WOUND KIT WCC ARTIFICIAL TEARS 15ML PHOSPHATIDYLGLYCEROL UCI PORTAGEN POWDER 16OZ BAG BILE DRAIN T TUBE BAG LEG URINARY 92565 92565 J2001 J1170 83516 J1170 J3430 J2275 90703 J1642 93041 93041 89190 83516 90703 93041 93041 89190 J3360 86325 86325 90702 85460 C1769 94664 85360 84270 86316 86682 J3420 C1769 83986 90702 85460 94664 85360 84270 86316 86682 83986 84081 84081 270 272 470 250 259 259 257 636 250 259 259 250 301 250 250 250 250 250 636 250 730 730 300 250 250 636 259 259 302 250 250 250 305 272 410 305 301 259 302 302 250 272 272 301 272 272 259 301 250 272 272 272 N N N Y Y Y Y Y Y Y Y Y N Y Y Y Y Y Y Y N N N Y Y Y Y Y N Y Y Y N N N N N Y N N Y N N N N N Y N Y N N N Page 38 OSHPD 06-01-06 Rev Chng Calc LP 731000086 731000090 758080495 725003542 725001508 755000389 731009264 731090980 755000388 758056384 725005110 731090923 731090747 731090939 725007294 731091009 725003910 794000001 731009181 725000007 731090420 731090917 725003911 731090097 758080166 804050024 725003048 636000001 725003923 725000879 758081220 758081180 758081161 758080184 731009183 758080573 725001584 725002337 731000105 725003818 710000184 731090008 731090384 758081156 725000129 731091053 755000830 731000471 731000475 731009187 731000454 731000277 BILIRUBIN TOTAL BILIRUBIN DIRECT PAD VEIN LIGHT LANDRY CALCIUM CHLORIDE 1GM/10ML INJ FLUORESCEIN 10% AMP 5 ML ARC FPP EACH- RED CROSS STREP A IMMUNO SCREEN (ICON) SELENIUM BLOOD/URINE ARC CRYOPRECIPITATE EA UNIT BRACE D-RING WR. W/THUMB LIDOCAINE 5% OINT ASO SCRN TITER HELICOBACTER PYLORI AB STEP SCRN RAPID BETA MORPHINE INJ 2MG/ML 1ML COMP C1Q COMPONENT LC RENOGRAFFIN - 60 50ML VIAL INTUBATION ENDOTRACHEAL HISTOPLASMOSIS SKIN TEST RUBELLA VIRUS VACCINE LIVE HUM T3 FREE-TRIIODOTHYRONINE HEINZ BODIES DIRECT RENO-M-60 100ML VIAL AFP AMNIOTIC FLUID CLO TEST BIOPSY OPTOKINETIC NYSTAGMUS TEST SUMATRIPTAN TAB 25MG OBSERVATION HRLY - PCU ROBITUSSIN AC 5 ML LIQ CHLORAMPHENICOL O/S 0.5% 7.5ML CATH STRAIGHT NS CATH LIU A, 5FR CATH PIGTAIL 5FR CONVERTORS RPR DSG OWENS 3X8 GENTAMICIN 0.3% OPTH OINT 3.5G NAPHAZ 0.1% OS 15 ML CHLORIDE CSF SOD BICARB INJ 8.4% 10MEQ 10ML OP PROCEDURE MINOR ANTITHROMBIN III AG ACETYLCHOLINE RECEP BIND AB GUIDE WIRE BENTSON TIP ESTRADIOL VALERATE 20MG/1ML 1M CRYPTOCOCCUS ANTIBODY-LC PLASMA CRYOPRECIPITATE INDIA INK STAIN TISSUE EXAM KOH SKIN/HAIR/NAIL FECAL WHITE CELLS GRAM STAIN HEMATOCRIT 82247 82248 82247 82248 P9017 87880 84255 P9012 L3930 86060 86677 87081 J2270 86160 31500 86510 90706 84481 85441 82106 92544 G0378 87880 84255 86060 86677 87081 86160 31500 86510 90706 84481 85441 82106 92544 99218 86592 86592 82438 82438 85301 84238 C1769 J1390 86641 P9044 87210 Q0112 89055 87205 85014 85301 84238 86641 87210 87220 89055 87205 85014 301 301 272 250 250 390 306 301 390 274 250 302 302 306 636 302 255 360 302 636 301 305 255 301 272 470 259 762 259 250 270 272 272 272 302 272 259 259 301 250 360 305 301 272 250 302 390 306 306 300 306 305 N N N Y Y N N N N N Y N N N Y N Y N N Y N N Y N N N Y N Y Y N N N N N N Y Y N Y N N N N Y N N N N N N N Page 39 OSHPD 06-01-06 Rev Chng Calc LP 731000516 758060056 725004234 725005281 725001640 725003032 725002971 725001679 758056413 758056388 725001108 800000079 802000049 725003949 725003624 725004114 731090410 731090209 731090697 731091036 804050049 725003596 725003747 725007259 725001102 725003991 725004093 758029260 758080093 725002043 725003867 725003982 794000021 731090363 758081531 725002473 758080278 800000056 731090765 725002627 725000612 758060110 725003001 725002966 725003722 725003529 758081098 731000287 802000015 800000036 802000022 800000086 SPERM CONFIRMATION NEEDLE INSUFFLATION & ACCESS ALENDRONATE TAB 70MG PIPERACILLIN/TAZO 3.375GM IVPB HALCINONIDE CR 15 GM SULFACETAMIDE NA 10% O/S 5ML SODIUM CHLORIDE 0.9% ANO 10 ML HEXACHLOROPHENE 3% LIQUID 148M LENS GLIDE SPLINT ANTISPASTICITY DEXAMETHASONE EXLIX 0.5MG/5ML VASOPNEUMATIC DEVICE VASOPNEUMATIC DEVICES SOD PHOS 3 MM/ML 15ML VIAL ACETIC ACID 2% OTIC 60ML POTASSIUM CLORIDE INJ 10MEQ/5M VITAMIN B1 PLASMA FLUORIDE SERUM INTRINSIC FACTOR ANTIBODIES COMPLEMENT FIX COCCIDIOIDES LC TYMPANOMETRY CYCLOMYDRIL OPTH SOL 5ML LEVOBUNOLOL OPTH SOL 0.5% 5ML RISEDRONATE TAB 30MG DEXAMETHASONE 0.1% O/S 5ML TIMOLOL O/S 0.25% 5ML MORPHINE INJ 1MG/1ML NEEDLE TRUGUIDE MAXCORE C1416 BRUSH BONE FEMORAL LOMUSTINE CAP 40MG SPS SUSP 30GMS/120ML VIT B1(THIAMINE) VL 200MG METERED DOSE INHALER EVAL/TX PHOSPHORUS URINE SYRINGE ELLICK ODANSETRON 4MG DSG CUTINOVA-HYDRO 15CM*20C WHEELCHAIR MGMT/PROPUL TR 15' INFLUENZA B AB PANEL PILOCARPINE HCL 6% O/S 15ML ATROPINE SULFATE 1% O/S 15ML TROCAR APPLE SOTRADECOL 3% AMP 2ML INJ NITROPRUSSIDE 50 MG VIAL POTASSIUM PHOS INJ 66MEQ/15ML CELESTONE SOLUSPAN INJ 1ML DSG CURASORB 4X4 BOX WCC WBC WHITE BLOOD COUNT PARAFFIN NEUROMUSCULAR RE-ED 15' NEUROMUSC RE-ED PARAFFIN BATH 89310 89310 J2543 J2912 97016 97016 GP GO 97016 97016 J3480 84425 82735 86340 86171 92567 84425 82735 86340 86171 92567 J2270 J3411 94664 84105 J8597 97542 86710 GP 94664 84105 97542 86710 J0702 85048 97018 97112 97112 97018 85048 97018 97112 97112 97018 GO GP GO GP 300 272 259 636 250 259 636 271 272 274 259 420 430 250 259 636 301 301 302 302 470 250 250 259 259 259 636 272 272 250 259 636 410 301 272 636 272 420 302 259 259 272 250 250 250 636 272 305 430 420 430 420 N N Y Y Y Y Y Y N N Y N N Y Y Y N N N N N Y Y Y Y Y Y N N Y Y Y N N N Y N N N Y Y N Y Y Y Y N N N N N N Page 40 OSHPD 06-01-06 Rev Chng Calc LP 731090638 731090666 761000018 725003674 725001540 731000510 725001894 731091024 725003810 725004024 755000395 725003753 731009266 725000181 758080888 758080939 758080492 758081550 800000023 731009196 758080165 804050055 725002295 731090817 758080591 758081097 876000004 731099147 758029264 725000881 725000217 731090698 804095000 731000097 731000098 731000267 731000104 731000213 802000024 731000286 731000222 731000234 731000103 731009198 800000048 725003519 731099307 731000265 758060058 758060074 725001493 725001499 COMPLEMENT C2 FL AB TITER RETICULIN HOLTER SCAN RECORDING 24 HR FLUOROMETHOLONE O/S 0.1% 5ML FLURBIPROFEN OPTH SOLN 2.5ML SYNOVIAL FLUID CELL COUNT KETOCONAZOLE 2% CREAM 15GM BNP -IMMUNO QN B TYPE RIA MICONAZOLE CREAM 15GM VASOCIDIN OPT OINT RED CROSS PLAT CONC X 1 LIDOCAINE JELLY CHOLESTEROL LDL DIRECT LEVOFLOXACIN 250MG CAUTERY EYE ERASER WETFIELD WIRE K PLAIN KIRSCHNER TUBE LEVINE PLASTIC TUBING INSUFFLATOR ELECT STIM UNATTENDED PT COCCIDIOMYCOSIS SKIN TEST CLIPS WINGED ROUND ACOUSTIC REFLEX DECAY TEST MYCOLOG CREAM 15GM HERPES SIMPLEX CULTURE PADS DEFIBRILLATOR PASTE WOUND CRITICAID BIOPSY LESION SINGLE SICKLE CELL PREP LC NEEDLE COOK 20G CHLORAMPHENICOL OTIC SOLN 15ML PROCAINAMIDE HCL (500MG/ML) 2M ISLET CELL ANTIBODY AUD EVK PH LTD CALCIUM 24HR UR CO2 SERUM URIC ACID 24HR UR CHLORIDE URINE POTASSIUM URINE GROUP THERAPY-OT RETICULOCYTE COUNT MANUAL TOTAL PROTEIN URINE SODIUM URINE 24 HR CHLORIDE URINE LE CELL PREP GROUP THERAPY-PT LEVOBUNOLOL 0.25% O/S 5ML CULTURE VIRUS CMV - LC UREA NITROGEN CLEARANCE DERMACARRIE SKIN GRAFT INTRODUCER HEMO FAST-CATH FLUOCINOLONE 0.01% CREAM 15GM FLUOCINOLONE 0.025% OINT 15GM 86160 86256 93225 86160 86256 93225 89051 83519 89051 83519 P9019 83721 83721 B4083 G0283 86490 92569 87252 GP 97014 86490 92569 87252 11100 85660 11100 85660 J2690 86341 92586 82340 82374 84560 82436 84133 97150 85044 84156 84300 82436 85999 97150 87252 84545 C1894 GN GO GP 86341 92586 82340 82374 84560 82436 84133 97150 85044 84156 84300 82436 85999 97150 87252 84545 302 302 731 250 259 300 259 301 259 250 390 259 301 259 272 278 272 272 420 302 272 470 259 306 271 271 510 305 272 250 250 302 470 301 301 301 301 301 430 305 301 301 301 305 420 259 306 301 272 272 250 250 N N N Y Y N Y N Y Y N Y N Y N N N N N N N N Y N N N N N N Y Y N N N N N N N N N N N N N N Y N N N N Y Y Page 41 OSHPD 06-01-06 Rev Chng Calc LP 725002038 725004183 725001131 725003803 731090624 802000019 800000042 800000030 731090777 725001533 725002532 725003992 731091037 725002153 731009200 800000077 802000054 731090260 725004141 633000001 758060112 701000022 731000378 731090924 804050052 859000500 725004030 725001313 725003527 725000269 725003628 758080688 731000511 758080235 758080053 725000424 725004191 725001671 731000443 731000440 725003538 731090796 755000050 725001583 725003572 725001293 731090993 725003718 725002591 731090820 758080682 758029268 LOMOTIL LIQUID 5ML MEROPENEM INJ 1GM DEXTROSE 50% SYRINGE 50ML INJ MIRALAX POWDER LUPIS ANA PANEL ULTRASOUND OT MASSAGE 15' ULTRASOUND 15MIN PARVOVIRUS B19 AB IGG/IGM FLURANDRENOLIDE 0.025% OINT 30 PENICILLIN G K-VIAL 1MIL UNITS TIMOLOL O/S 5% 5ML PARTICLE AGG SCR CRYPTO CSF METAPROTERENOL SUL 1.5% INHALE SKIN TEST CANDIDA CONTRAST BATH 15' CONTRAST BATHS TRYPSIN FECES QN 24 HR FOSPHENYTOIN 50MG/1ML CIRCUMCISION- PROCEDURE DRAIN BLAKE INJ ANES NERVE PARACERVICAL GC CULTURE GENITAL C REACTIVE PROTEIN SCRN ACOUSTIC REFLEX TEST ACTIVITY THRPY-PSY 45 MIN/MORE RIMEXOLONE OPTH.SUSP 1% 5ML ENALAPRIL VIAL (1.25MG/ML) 2ML BICITRA SOLUTION 5ML DEXTROSE 5% IN WATER 500ML IV MOMETASONE 0.1% 30ML LOTION SKIN GRAFT CARRIER CRYSTALS ID FLUID BOWL CEMENT MIXING BAG FEEDING ACETIC ACID 0.25% 1000ML HEPARIN 5 MU 1 ML INJ HEPARIN VIAL (10 000U/ML) 1ML GRAM POS SENSI SA GPS102 GRAM NEG SENSI FLEX BSS SOLUTION 500ML LAMICTAL - LAMOTRIGINE LEV-LC SPECIAL ANTIGEN TEST GENTAMICIN 0.1% OINTMENT 15GM CLOBETASOL CR 0.05% 15GM ECHOTHIOPHATE IODIDE 0.125% O/ ENCEPHALITIS ASSAY CSF- LC PILOCARPINE OPTH SOL 1% 15ML PHENYLEPHRINE 0.25% NOSE DROPS LEGIONELLA DFA SPUTUM- LC SHOE POST-OP VELCRO DARCO NEEDLE BIOPSY MC1810 J2185 86235 97035 97124 97035 86747 J2540 86403 86485 97034 97034 84490 Q2009 GO GP GP 86235 97035 97124 97035 86747 86403 86485 97034 97034 84490 GP GO 64435 87081 86140 92568 G0176 64435 87081 86140 92568 J7060 89060 89060 J1644 J1644 87186 87186 80299 86905 87186 87186 80299 86905 86654 86654 87278 87278 259 636 250 259 302 430 420 420 302 250 636 259 302 259 302 420 430 301 636 360 272 360 306 302 470 904 250 250 259 250 250 272 300 272 271 250 636 636 306 306 250 301 302 259 250 250 302 259 259 306 271 622 Y Y Y Y N N N N N Y Y Y N Y N N N N Y N N N N N N N Y Y Y Y Y N N N N Y Y Y N N Y N N Y Y Y N Y Y N N N Page 42 OSHPD 06-01-06 Rev Chng Calc LP 731090354 758080785 701000017 802000023 758080054 802000040 804090000 758081171 800000085 824000121 824000126 802000026 800000044 802000020 804000078 802000027 802000025 800000052 800000034 758080787 800000080 800000087 800090000 802000048 731090485 725002003 725000989 731090657 731090655 876000027 731000290 767090005 725000185 731090940 731000106 725001586 800000039 731009240 731090985 725000522 876000006 731090991 731090982 758070033 725003673 758080302 758080551 731009263 701000012 731090981 725002788 725002731 PHENCYCLIDINE QT SUTURES BOLSTERS ROOM RECOVERY L&D ADD 15 MIN MANUAL THERAPY 15 MIN EA OT BAG INFUSOR COMMUNITY WORK REINT SENSORY INTEG SP 15' SHEATH PINNACLE INTRODUCER COMMUNITY/WORK INTEGRATION 15 ER LEVEL 1 ER LEVEL 1 - TRIAGE COGNITIVE SKILLS OT 15' PT MANUAL THERAPY 15 MIN THERAPEUTIC PROC/EXER COGNITIVE SKILLS SP 15' OT HOME INSTRUCTION/PROGRAM 15 OT THERAPEUTIC ACTIVITY 15 MIN PT THERAPEUTIC ACTIVITY 15 MIN PT EXERCISE THERAPEUTIC 15 MIN SUTURES GENERAL SELF CARE-HOME MANAGEMENT SENSORY INTEG PT 15' COGNITIVE SKILLS PT 15' SENSORY INTEG OT 15' ACTIVATED PROCTEIN C RESISTANC LINDANE 1% SHAMPOO 60ML CLONIDINE PATCH 0.2MG SJORGRENS AB EXTRACTABLE NUCLEAR AG AB VISIT E&M RETURN BRIEF CLOT RETRACTION NERVE CONDUCTION VELOCITY 1EXT MANNITOL 25% VIAL 12.5GM/50ML MYOCARDIAL ANTIBODY- LC CHLORIDE FLUID GENTAMICIN CREAM 0.1% 15GM AQUATIC THERAPY 15MIN THYROID STIMULATING HORMONE * PLATELET ANTIBODY ID- LC AMINOPHYLLINE VIAL (25MG/ML) 2 APPLICATION CAST LEG SHORT WEST NILE VIRUS AB BLOOD COUNT RETICULOCYTE AUTO COIL EMBOLIZATION STEEL FLUORI-METHANE SPRAYY 4OZ DSG WOUND HYDROGEL CARRASY NEEDLE RETROBUBAR SYPHILIS VDRL/RPR QN OBSERVATION HRLY - L&D PLASMINOGEN ANTIGENIC PROPARACAINE OPT SOL 15 ML PREDNISOLONE ACET 1% OPTH SUSP 83992 83992 97140 97537 97533 C1894 97537 99281 99281 97532 97140 97110 97532 97535 97530 97530 97110 97535 97533 97532 97533 85307 GO GO GN GP 97140 97537 97533 97537 99281 99281 97532 97140 97110 97532 97535 97530 97530 97110 97535 97533 97532 97533 85307 GO GP GO GN GO GO GP GP GP GP GP GO 86235 86235 99211 85170 95900 J2150 86256 82438 97113 84443 86022 J0280 29405 86790 85045 GP 86235 86235 99211 85170 95900 86256 82438 97113 84443 86022 29405 86790 85045 86593 G0378 85421 86593 99218 85421 301 272 710 430 271 430 440 272 420 450 450 430 420 430 440 430 430 420 420 272 420 420 420 430 305 250 259 302 302 510 305 922 250 302 301 259 420 301 302 636 510 302 305 278 259 272 272 302 762 305 259 259 N N N N N N N N N N N N N N N N N N N N N N N N N Y Y N N N N N Y N N Y N N N Y N N N N Y N N N N N Y Y Page 43 OSHPD 06-01-06 Rev Chng Calc LP 876000007 758080096 800000040 725000946 731090703 758080393 725003798 794000044 758029263 758081561 725003839 725000977 725002626 725002661 725003484 725000814 725003577 731090054 725003623 758080440 731091000 758080925 767090007 731090798 728000149 755000016 725000183 725004139 725001643 725001644 725001258 731090920 731090509 731000102 800000027 804000086 731000285 859000501 802000050 725003750 725003844 725002057 731000469 794000023 876000021 731000107 731000298 731000069 731000299 731000058 731000305 758051757 CAST REMOVAL SUTURE BONE WAX PT GAIT TRAINING 15 MIN CIPROFIOXACIN OPTH SOLN 3.5MG/ BACT AG DETECTION HEIMLICH CHEST VALVE METHOHEXITAL 500MG FLOW VOLUME LOOP NEEDLE BIOPSY MC2010 20G BLADE SAW VINCRISTINE 5MG INJ CLINDAMYDCIN PHOS TOP SOLN 10M PILOCARPINE HCL 4% O/S 15ML POLYSPORIN OPTH OINT AMPHOTERICIN-B OINT 3%-20GM CARTEOLOL OPHTH SOLN 1% 5ML COCAINE 10% TOPICAL SOL 4ML GABAPENTIN (NEURONTIN) BETAMETHASONE 0.1% AER 85GM CATH NASAL EPISTAXIS KIT OSMOLALITY SERUM SCREW CORTICAL ASIF EMG EACH ADD'L NERVE HEPATITIS B DNA AB- LC DEXTROSE 5% IN WATER 50ML IV DIRECT COOMBS CHLORDIAZEPOXIDE HCL AMP 100MG ONDANSETRON TAB 8MG HALOBETASOL 0.05% CR15GM HALOBETASOLE 0.05% OINT 15GM DORZOLAMIDE OPTH SOLN 2% 5ML ANA REFLEX TITER FEBRILE AGGLUTININS CHLORIDE SERUM ELECTRIC STIM ATTEND 15 MIN PT ELECTRIC STIM ATTEND 15 MIN ST HEMOGRAM EDUCATION & TRAINING GRP WORK HARDEN/CONDITION ADDL HR FLUOCINONIDE-E CREAM 15GM DIENESTROL VAG CR 0.01% 78GM LOTRISONE CREAM 15GM MALARIA SMEAR CHEST PERCUSSION TREATMENT INI NAIL CLIPPING CHOLESTEROL SERUM PLATELET COUNT ACETONE OR KETONE SERUM QUALIT PT PROTHROMBIN TIME URINALYSIS W/O MICRO THROMBIN TIME SNARE 29700 97116 86185 GP 29700 97116 86185 94375 94375 80299 80299 83930 95904 87515 86880 J1990 Q0179 83930 95904 87515 86880 86039 86000 82435 97032 97032 85027 G0177 97546 GP GN 86039 86000 82435 97032 97032 85027 97546 GO 87207 94667 11719 82465 85049 82009 85610 81003 85670 87207 94667 11719 82465 85049 82009 85610 81003 85670 510 272 420 259 302 272 250 460 272 272 250 259 259 259 250 250 250 301 259 272 301 278 922 306 258 302 250 250 250 250 259 302 302 301 420 440 305 942 430 250 250 259 306 410 510 301 305 301 305 307 305 272 N N N Y N N Y N N N Y Y Y Y Y Y Y N Y N N N N N Y N Y Y Y Y Y N N N N N N N N Y Y Y N N N N N N N N N N Page 44 OSHPD 06-01-06 Rev Chng Calc LP 725001098 725001863 758060098 725001451 725002288 725002665 758081208 731000070 731000302 731009204 725004067 725092078 731090020 725001089 725004042 731090912 758080854 758080784 804050033 725003528 725000072 725003865 758060053 725002297 731090707 731090493 731090705 725003971 758081570 725003630 749000076 758056540 740000229 758051380 731009265 758081177 804050064 731090422 731000148 731000143 731000156 725004047 725000062 719000013 758081210 758081554 758060051 804050067 876000028 740000271 740000003 758080151 DESOXIMETHASONE 0.25% CREAM 15 ISOPROTERNOL 0.2MG/ML INJ SUTURE FIBERWIRE FENTANYL PATCH 50MCG MULTIVITA VL THERAPUTIC 10ML POLYTRIM OPHTH SOLN 10ML SHEATH CATH INTRODUCER ALBUMIN SERUM SED RATE WINTROBE ASPERGILLUS SKIN TEST DOLASETRON INJ 20MG/5ML D5 RINGERS 500 ML BENZODIAZEPINES DESMOPRESSIN ACET 4MCG/ML (1ML DICLOFENAC O/S 0.1% 2.5ML TACROLIMUS FK506 PROGRAF TUBE NASOPHARYNGEAL SUTURE WIRE PURE TONE AUDIO AIR ONLY BETAXOLOL O/S 0.5% 5ML PEN G BENZ/PROCAINE C-R 120000 POLYCITRA LIQ 30ML CLIP SUTURE LAPRA-TY MYCOLOG OINT 30GM RHEUM FACT QT FACTOR INHIBITOR LUPUS RHEUM FACTOR LATEX FLUOCINOLONE SOL 0.01% 20ML SENSOR BIS POD MOMETASONE 0.1% CRM 15GM ANOSCOPY ENDO STITCH CYTOPATH CONCENTRATION DERMABOND SKIN CLOSURE FIBRIN DEG D-DIMER QL/SQ CATH PICC LINE VAXEL SELECT PICTURE TRYPSIN FECES QL GLUCOSE 2 HR PP GLUCOSE CSF GLUCOSE SERUM HYDROCORTISONE VAL.CR 0.2% 45G AMPICILLIN VIAL 500MG INJ BLOCK/SPINAL ADDL 15 MIN NEEDLE HAWKINS 5CM BREAST ELECT CAUTERY LEEP SUTURE RETRIEVER OAE VISIT E&M NEW BRIEF SURG PATH LEV I ADDL SURG PATH LEV 1 CATH URETERAL DISP C1894 82040 85651 86586 J1260 80154 J2597 80197 82040 85651 86586 80154 80197 92552 J0540 92552 86431 85335 86430 86431 85335 86430 88108 85378 C1751 92583 84488 82950 82945 82947 J0290 88108 85378 92583 84488 82950 82945 82947 92588 99201 88300 88300 C1758 91 92588 99201 88300 88300 259 250 272 259 250 259 272 301 305 302 250 258 301 636 250 301 272 272 470 259 250 259 272 250 302 305 302 250 271 259 750 272 311 272 305 272 470 301 301 301 301 250 250 370 272 272 272 470 510 310 312 272 Y Y N Y Y Y N N N N Y Y N Y Y N N N N Y Y Y N Y N N N Y N Y N N N N N N N N N N N Y Y N N N N N N N N N Page 45 OSHPD 06-01-06 Rev Chng Calc LP 731000123 804000012 725002375 731091044 876000043 758080544 725001896 731090387 725004102 758080486 731090649 731000232 731009210 731000472 725005035 731000095 731000219 731000256 731000037 731000266 731000211 725003486 725003708 725000686 704090003 731090462 731009211 731090463 876000268 876000269 725002276 758080519 725003616 802000045 725004049 725000240 731000122 731009213 731000119 876000248 725002589 725000471 725001434 725093267 731091038 725003184 804050020 731090468 725002210 725001016 725000998 728000465 CREATININE BODY FLUID SPEECH THERAPY GROUP NEOSPORIN OPTH SOLN 10ML ESTRONE DEBRIDEMENT NON-SELECTIVE NEEDLE FREE PKG KETOCONAZOLE 1% SHAMPOO VITAMIN B-2 (RIBOFLAVIN) FLUPHENAZINE DEC.INJ 25MG/ML TUBE LAVACUATOR ANTI DNASE TITER SODIUM SERUM ACID FAST STAIN SMEAR WET MOUNT PREP CARBACHOL 3% 15 ML OPT SOL CALCIUM SERUM PROTEIN TOTAL FLUID BUN SERUM LITHIUM URIC ACID POTASSIUM SERUM ANA-KIT #1 HYSKON SOLUTION 100ML VIAL BETAMETHASONE CREAM 0.05% 15GM TREATMENT ROOM LEVEL I FACTOR V T3 UPTAKE FACTOR VII PT NEG PRESS WOUND THRPY <50 PT NEG PRESS WOUND THRPY >50 MORPHINE SULFATE TUBEX 15MG/1M METER PEAK FLOW METRONIDAZOLE INJ 500MG DRIVING EVALUATION 30 MIN PERINEAL WASH SOLUTION 240ML TERBUTALINE SULFATE AMP 1MG/1 CREATININE SERUM SKIN TEST TB CREATININE BLOOD STRAPPING TOES PHENTOLAMINE 5 MG INJ ALBUTEROL INHALER 17GM FAMOTIDINE 10MG/ML (2 ML) VIAL NS 3000 ML IRRIG RUBELLA AB SCREEN LC TRIMETH/SULFA IV 10ML POSITIONAL NYSTAGMUS TEST FACTOR VIII VON WILLEBRAND AG METRONIDAZOLE 0.75% GEL 30GM COLY-MYCIN S SUSPENSION 5ML CLOTRIMAZOLE 1% LOTION 30 ML STERILE WATER IRRIGATION 300ML 82570 92508 82679 97602 GN 82570 92508 82679 97602 84252 J2680 86215 84295 87206 Q0111 82310 84157 84520 80178 84550 84132 84252 86215 84295 87206 87210 82310 84157 84520 80178 84550 84132 85220 84479 85230 97605 97606 J2270 85220 84479 85230 97605 97606 97799 J3105 82565 86580 82565 29550 J2760 GO 97799 82565 86580 82565 29550 86762 92542 85246 86762 92542 85246 301 440 259 301 510 272 259 301 250 272 302 301 306 306 259 301 301 301 301 301 301 250 254 259 761 305 301 305 420 420 636 271 250 430 250 636 301 302 301 510 636 259 250 250 302 250 470 305 259 259 259 250 N N Y N N N Y N Y N N N N N Y N N N N N N Y Y Y N N N N N N Y N Y N Y Y N N N N Y Y Y Y N Y N N Y Y Y Y Page 46 OSHPD 06-01-06 Rev Chng Calc LP 755000831 725003526 725005096 725002569 731000734 725001294 731090960 725000699 731091001 731090491 770000091 770000090 859000023 859090002 859090003 859090004 725002751 731090290 876000250 725003383 725000710 725003834 731090471 731090473 758080365 731000032 731000112 731000283 725000754 731090971 725000428 740000226 725003933 740000223 740000224 740000227 740000232 770050197 725092114 731090467 731090470 758029259 755000075 731000291 731090695 758060091 725002192 728000470 725001031 725005230 725001091 758080547 PLATELETES IRRAD EA UNIT BLEPHAMIDE O/O 3.5GM DSG IODOFLEX GEL PAD PERMETHRIN 5% CREAM 60GM NATRIURETIC PEPTIDE ECHOTHIOPHATE IODIDE 0.25% O/S HIV IRNA PCR, QUANT-LC BETAXOLOL OPTH SUSP .25% 5ML OSMOLALITY UR OSMOTIC FRAGILITY KNEE 1-2 VIEWS - RT KNEE 1-2 VIEWS - LT PSYCHOTHERAPY INDIV 20-30M PSY HOS 20-30M W E&M PSY INTA HOS 20-30M PSY INTA HOS 20-30M E&M PROCAINAMIDE 1GM VIAL MANGANESE SERUM WINDOW CAST VINBLASTINE SULFATE VIAL 10 MG BLEPHAMIDE OPTH SOLN 5ML NITROGLYCERIN SPRAY 13.8GM FACTOR X STUART-PROWER FACTOR XII HAGEMAN CATH FOLEY 3 WAY VALPROIC ACID CREATINE KINASE (CPK) TOTAL CBC W/AUTOMATED DIFFERENTIAL BUTORPHANOL NASAL SPRAY 10MG/1 IMMUNO QN RIA PTH RELATED PRO ACETYLCHOLINE CL 1% O/S 2ML CYTOPATH FLUID SMEAR COLLAGENASE 15 GM OINT PAP TBS MANUAL SMEAR CYTO OTHER SMEAR W/PREP OTHER FINE NEEDLE INTERPRETATION XR SUBTRACTION CONTRAST STUDY PLASMALYTE A 1000ML INJ FACTOR VIII VON WILLEBRAND CF FACTOR IX CHRISTMAS/PTC NEEDLE BIOPSY MC1410 COOMBS CROSSMATCH 01 FDP FIBRIN DEGRADATION PROD RAJI CELL ASSAY PIN GUIDE THREADED METHYLPREDNISOLONE SOD SUC 1GM MANNITOL 10% 500ML CORTISPORIN OPTH OINT 3.5GM TIOTROPIUM INH CAP 18MCG-6caps DESMOPRESSIN ACETATE NASAL SPR NEEDLE INTRAOSSEOUS P9032 A6262 83880 87535 83935 85557 73560 73560 90804 90817 90823 90824 J2690 83785 29730 J9360 83880 87535 83935 85557 73560 73560 90804 90817 90823 90824 83785 29730 85260 85280 80164 82550 85025 83519 88104 88164 88160 88161 88173 76350 85245 85250 86922 85362 86332 J2930 85260 85280 80164 82550 85025 83519 88104 88164 88160 88161 88173 76350 85245 85250 86922 85362 86332 390 250 272 250 301 250 306 259 301 305 320 320 914 914 914 914 636 301 510 250 259 259 305 305 272 301 301 305 259 301 250 311 259 311 311 311 311 320 258 305 305 272 302 305 302 272 636 250 259 259 259 272 N Y Y Y N Y N Y N N N N N N N N Y N N Y Y Y N N N N N N Y N Y N Y N N N N N Y N N N N N N N Y Y Y Y Y N Page 47 OSHPD 06-01-06 Rev Chng Calc LP 758080343 731090947 758080951 758080328 725004085 800000018 731091039 802000013 876000032 876000012 758080644 731000198 731090487 731090652 731090742 758060131 731090282 731091021 731000297 725000990 758060133 758080438 758080405 731000244 731000186 731000329 731000189 731000208 731000306 728000472 725003162 758060048 758081528 767090016 731090258 725000113 758080823 725004215 758060125 725002296 770000082 770000081 758080789 770090034 824000146 770000010 770090059 776000166 725001895 731090472 731090738 758080890 EYE LAVAGE KIT ER HOMOCYSTINE SLING ARM ENDO TRACH TUBE GENTAMISIN INJ 40MG/1ML PT RE-EVALUATION EXTRACT NUCLEAR AG SCL 70 LC RE-EVALUATION VISIT E&M RETURN LIMITED DEB PART THICKNESS DRAIN SALEM SUMP MAGNESIUM SERUM PLASMINOGEN PLASMA ANTI JO 1 AB EPSTEIN BARR EARLY AG INDEFLATOR DISP FETAL LUNG MATUR L/S RATIO FL AB TITER GLOM BASE MEMB LC PLATELET COUNT MANUAL CLONIDINE PATCH 0.3MG SIZER BREAST CATH CV DUAL LUM 20CM KIT IMMOBILIZER KNEE SGOT SERUM (AST) LDH FLUID MONO SCRN LDH SERUM QT PHOSPHORUS SERUM PTT PARTIAL THROMBOPLASTIN RINGERS IV 1000ML THROMBIN 20000U SPRAY KIT CUFF TOURNIQUET CLIP LIGACLIP UROFLOW- ELECTRO IMMUNO QN RIA DIHYDROERGOTAMINE MESYLATE 1MG TRAY CIRCUMCISION ADENOSINE DIAG VL 30MG NEEDLE STABILIZATION MYCOLOG CREAM 30GM HIP 1 VIEW - RT HIP 1 VIEW - LT SUTURES SPECIAL MAMMO SCREEN BILATERAL ER INJECTION IV MANDIBLE PARTIAL <4 VIEW HIP LMT LT NM DRUG ADMIN/INJECTION - IV KETOCONAZOLE 2% CREAM 30GM FACTOR XI PTA COXSACKIE A AB WICK FEMORAL 83090 83090 J1580 97002 86235 97004 99212 11040 83735 85420 86235 86663 83661 86256 85032 GP GO 97002 86235 97004 99212 11040 83735 85420 86235 86663 83661 86256 85032 L1830 84450 83615 86308 83615 84100 85730 84450 83615 86308 83615 84100 85730 51741 83519 J1110 J0152 51741 83519 73500 73500 76092 C8952 70100 73500 C8952 85270 86658 RT LT 73500 73500 76092 70100 73500 LT 85270 86658 272 301 271 272 636 424 302 434 510 510 272 301 305 302 302 272 301 302 305 259 272 272 274 301 301 302 301 301 305 250 250 271 272 920 301 250 272 636 272 259 320 320 272 403 260 320 320 260 259 305 302 272 N N N N Y N N N N N N N N N N N N N N Y N N N N N N N N N Y Y N N N N Y N Y N Y N N N N N N N N Y N N N Page 48 OSHPD 06-01-06 Rev Chng Calc LP 770090042 725003959 758070032 725000058 725091841 770000169 770000170 770000193 770000194 758060052 758060062 710000181 824000181 731090087 725002934 725092089 725004124 779000078 731009225 731000033 779000077 731000039 731000082 731009226 725000715 758056586 725001505 725000400 758080987 800000020 731000004 770000080 770000079 802000018 804000018 755000007 755000037 758080381 770000097 758080072 725002042 731091054 731090836 710000185 725004055 758080861 731090968 725000075 725003879 731009234 758080477 761000001 MAMMO SURGICAL SPECIMEN MAFENIDE CR 120GM COIL EMBOLIZATION TORNADO AMINOPHYLLINE VIAL (250MG/ML) LORTAB ELIXIR 15 ML EXTREMITY LOWER INFANT <29D LT EXTREMITY LOWER INFANT <29D RT EXTREM UPPER INFANT < 29 D LT EXTREM UPPER INFANT < 29 D RT CATH AIRWAY EXCHANGE COOK SLEEVE AUTOSUTURE IV INFUSION THPY ADDL 1 HR OP ER IV INFUSION THPY ADDL 1 HR ACETYLCHOLINESTERASE QL SILVER SULFDIAZINE 400MG DOPAMINE 400 MG/250 ML RTU BUDESONIDE INHALER 7GM US BREAST UNILATERAL HCG QN GENTAMICIN US BREAST LT PHENYTOIN PANCREATIC AMYLASE UR SWEAT CHLORIDE BRIMONIDINE SOLN 0.2% 5ML PLATE TUBULAR FLUOCINONIDE 0.05% OINTMENT 30 SPONGE GELATIN ABSORBABLE SPLINT NOSE IONOTOPHORESIS 15 MIN ELECTROLYTES FINGERS MIN 2 VIEWS - RT FINGERS MIN 2 VIEWS LT IONTOPHORESIS SWALLOW DISFUNCTION TRMT ANTIBODY SCREEN IND COOMBS RH (D) GLYCINE 1500 BOTH KNEES STANDING - AP BELT TRACTION LOMUSTINE CAP 100MG T CELLS CD4 CD8 RATIO HEP C RNA BY PCR-LC OP PROCEDURE INTERMEDIATE LIDOCAINE 1GM INJ TUBING BLOOD WARMING SET ORG ACID SGL QN METHYLMALONIC BICILLIN LA 1.2 MU INJ PROCOFOAM-HC AEROSOL 10GM CULTURE SENS BRONCH KNIFE OPTHALMIC EKG (8308) 76098 76098 J0280 73592 73592 73092 73092 73592 73592 73092 73092 LT C8951 C8951 82013 J1265 76645 84702 80170 76645 80185 82150 89230 82013 76645 84702 80170 76645 80185 82150 89230 97033 80051 73140 73140 97033 92526 86850 86901 73565 J9999 86360 87522 J2001 83921 J0570 87070 93005 GP RT LT GO GN 97033 80051 73140 73140 97033 92526 86850 86901 73565 86360 87522 83921 87070 93005 320 250 278 636 259 320 320 320 320 272 272 260 260 301 259 636 259 402 301 301 402 301 301 309 259 278 259 272 271 420 301 320 320 430 440 302 302 250 320 271 636 302 306 360 250 271 301 250 259 306 272 730 N Y N Y Y N N N N N N N N N Y Y Y N N N N N N N Y Y Y Y N N N N N N N N N Y N N Y N N N Y N N Y Y N N N Page 49 OSHPD 06-01-06 Rev Chng Calc LP 731009235 761099005 758022284 725001165 728000485 770000087 876000013 770000130 758060049 725003780 731000275 740000219 740000218 731000168 770000043 731000127 731090421 794000041 731000262 731000044 731000045 758081150 725000019 731090476 728000457 728000460 728000450 728000458 728000117 728000374 728000116 728000147 728000270 728000434 728000482 728000454 728000475 728000473 728000452 728000477 728000468 728000453 728000151 728000145 728000150 728000469 728000480 728000274 728000474 725003485 725092084 728000264 CRYPTOSPORIDIUM STAIN HOLTER MICROPROCESSOR W REPORT CATH MAHURKAR DIFLORSONE CR 0.05% 15GM HEPARIN IV 25000UNIT/D5W 500ML PELVIS/HIPS INFANT MIN 2 VIEWS DEBRIDEMENT NAILS 5 OR LESS CHOLANGIOGRAM ORAL REPEAT/MUL SCISSORS ENDO TIP DISP M-M-R II VACCINE VIAL W/ DILUE BLEEDING TIME BX BONE MARROW NEEDLE/TROCAR ASP BONE MARROW ONLY GLUTAMYLTRANSFERASE GAMMA GGT SCOLIOSIS SERIES CREATININE CLEARANCE T3 REVERSE-TRIIODOTHYRONINE PULSE OXIMETRY MULTIPLE DETERM UREA NITROGEN URINE THEOPHYLLINE TOBRAMYCIN TRAY ANGIO AORTAGRAM PANTOPRAZOLE INJ 40MG ANTITHROMBIN III ACTIVITY- LC DEXTROSE 5% IN 1/2NS 500ML DEXTROSE 5% IN WATER 150ML DEXTROSE 5% IN RINGERS 1000ML DEXTROSE 5% IN NS 500ML DEXTROSE 10% IN WATER 250ML IV SODIUM CHLORIDE 3% 500MG I.V. DEXTROSE 10% IN WATER 1000ML I DEXTROSE 5% IN WATER 250ML IV DEXTROSE 5% IN WATER 1000ML IV WATER FOR INJ STERILE 1000ML DEXTROSE 5% IN WATER 500ML DEXTROSE 5% IN 1/4NS 1000ML SODIUM CHLORIDE 0.9% 250ML SODIUM CHLORIDE 0.45% 1000ML DEXTROSE 5% IN NS 1000ML SODIUM CHLORIDE 0.9% 50ML SODIUM CHLORIDE 0.9% 100ML DEXTROSE 5% IN 1/2NS 1000ML DEXTROSE 5% LACTATED RIN 500ML DEXTROSE 5% IN WATER 100ML IV DEXTROSE 5% LACTATED RIN 1000M SODIUM CHLORIDE 0.9% 500ML RINGERS LACTATED 500ML IV SOLN RINGERS LACTATED 1000ML IV SOL SODIUM CHLORIDE 0.9% 1000ML AMINOCAPROIC ACID 20 ML VIAL RINGERS INJ 500 ML MANNITOL 20% 500ML IV 87206 93232 C1752 J1644 73540 11720 74291 87206 93232 73540 11720 74291 85002 38221 38220 82977 72069 82575 84482 94761 84540 80198 80200 C9113 85300 85002 38221 38220 82977 72069 82575 84482 94761 84540 80198 80200 85300 J7042 B4164 J7070 J7060 J7050 J7042 J7040 J7120 J7120 J7030 306 731 272 250 636 320 510 320 272 250 305 360 360 301 320 301 301 460 301 301 301 272 636 305 258 258 258 636 258 258 258 258 636 250 636 258 636 258 636 258 258 258 258 258 258 636 636 636 636 250 258 250 N N N Y Y N N N N Y N N N N N N N N N N N N Y N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Page 50 OSHPD 06-01-06 Rev Chng Calc LP 728000373 728000443 728000449 728000455 728000456 728000461 728000462 728000476 731090961 758060067 725005259 725003950 725000246 725002961 770000112 770000111 758080364 731000048 761000015 758080361 758081527 731000206 731000245 731000248 731009236 731000066 731000517 725000574 725003726 758060089 758060047 725003602 725003756 731000436 731000078 731000079 731000076 859000025 758081159 725001617 731000043 725001452 725001491 758080926 740000221 719000003 758080614 725004031 725000053 725002290 758081197 758080461 SODIUM CHLORIDE 0.9% 150 ML DEXTROSE 10% 500ML PF DEXTROSE 10% IN NS 1000ML DEXTROSE 5% IN 1/4NS 500ML DEXTROSE 5% IN 1/2NS 1000ML GL DEXTRAN-70 6% IN NS 500ML DEXTRAN-70 6% IN D5W 500ML SODIUM CHLORIDE 0.9% 300ML (U PLATELET AGGREGATION-UCI CLIP FILSHIE D5-1/2NS 1000MLS+KCL 20MEQ METHYLPREDNISOLONE INJ 500MG TOBRAMYCIN VIAL (40MG/ML) 2ML DAKIN'S SOLN FULL STR TOES MIN 2 VIEWS - RT TOES MIN 2 VIEWS - LT CATH FOLEY VANCOMYCIN ECHO W COLOR DOP CATH FOLEY COUDE CATH EMBOLECTOMY FOGARTY ALK PHOS SGPT SERUM (ALT) TRIGLYCERIDES SERUM THYROXINE (T-4) TOTAL PREGNANCY TEST UR QL SEMINAL FLUID ANALYSIS ANUSOL-HC CREAM 28GM TRIAMCINOLONE CR 0.25% 60GM TUBING SUCTION IRRIGATION ENDO BUR DRILLBIT ZIMMER DEXTRANOMER BEADS 60GM LIDOCAINE SPRAY 10% 30ML OVA & PARASITES STOOL AMMONIA AMYLASE ALCOHOL ANY SPECIMEN EXCEPT BR PSY MULT FAMILY GROUP MICRO PUNTURE SET GOLYTELE/OCL SOLUTION SALICYLATE FENTANYL PATCH 75MCG FLUNISOLIDE NAS SOLN 25 ML SCREWS CANCELLOUS ASIF CELL BLOCK-FLUID/MARROW ANES ADDL 15 MIN GENERAL PLASMA-LYTE 1000ML DOXYCYCLINE INJ 100MG ADENOSINE VIAL 6MG/2ML THPY MUPIROCIN OINT 22 GM NEEDLE BIOPSY 20G/16CM T/GUIDE CATH RADIAL ARTERY KIT B4164 J7042 85576 85576 J2930 J3260 73660 73660 80202 93325 C1757 84075 84460 84478 84436 81025 89320 RT LT 73660 73660 80202 93325 84075 84460 84478 84436 81025 89320 87177 82140 82150 82055 90849 87177 82140 82150 82055 90849 80196 80196 88305 88305 J0150 258 250 250 258 250 250 250 250 305 272 250 636 250 250 320 320 272 301 483 272 272 301 301 301 301 307 300 259 259 272 272 250 259 306 301 301 301 916 272 259 301 259 250 278 312 370 270 250 636 259 272 272 Y Y Y Y Y Y Y Y N N Y Y Y Y N N N N N N N N N N N N N Y Y N N Y Y N N N N N N Y N Y Y N N N N Y Y Y N N Page 51 OSHPD 06-01-06 Rev Chng Calc LP 758080467 794000031 804050030 804050031 804050032 725003614 758080724 725004017 758081192 758081154 725000832 859000003 725005088 758080080 758080625 731000031 758080109 731000012 725000560 731009237 725003082 758080931 758080396 758080362 758080094 804050019 725003661 725001849 876000041 731090396 755000836 758080799 731000350 725007223 725003681 725003739 725000084 725003629 770090008 770000063 770000064 770000179 770000180 725000507 725000088 770000056 770000055 731000118 731090998 725003885 761000011 725000559 WOUND MANAGER LG WCC BRONCHOSCOPIC PARTIAL SINUSOIDAL ROTATIONAL TEST SUPPLEMENTAL VERTICAL RECORDNG POSTUROGRAPHY ACETAZOLAMIDE 500 MG VL STAPLE BONE BECLOMETHASONE MDI 84MCG-5.4GM CATH GLIDE JB1 5FR 100CM GUIDE WIRE ANGLED CEFAZOLIN SYRINGE 1GM INJ PSYCHOTHERAPY GROUP HYDROMORPHONE ORAL SOL. 1MG/ML BUR DRILLBIT DISP BELT POSEY DIGOXIN BRUSH/SNAR BIOPSY HEPATIC FUNCTION PANEL AMPICILLIN VIAL 2GM INJ ANTIBODY SCREEN TERCONAZOLE VAGINAL CREAM 0.4% WIRE K PLAIN STEINMAN PIN HEMO CLIPS X5 CATH FOLEY SILASTIC CEMENT INJECTOR BONE SPONTANEOUS NYSTAGMUS TEST FERRLECIT INJ 62.5MG/5ML IPRATROPIUM BR INHALER 14GM DEB FULL THICKNESS SOMATOMEDIN C PLATELETS L/R CMV NEG UNIT THORACIC CATHETER CULTURE BLOOD ZIPRASIDONE INJ 100MG/0.5ML GELATIN SPONGE ABSORB. SZ 100 LAC-HYDRIN LOTION 12% 360ML LEUCOVORIN 100 MG INJ MOMETASONE 0.1% 60ML LOTION ABDOMEN/CHEST DET FOREIGN BODY HUMERUS UPPER ARM 2 VIEW HUMERUS UPPER ARM 2 VIEW SHOULDER LMTD LEFT SHOULDER LMTD RIGHT AMIKACIN VIAL (1GM/4ML) 4ML CEFAZOLIN SODIUM VIAL 500MG IN CLAVICLE - RT CALVICLE - LT MB FRACTION ONLY NUCLEIC ACID PROBE AMP MULTI DIPIVEFRIN O/S 0.1% 10ML ECHO DOPPLER AMPICILLIN VIAL 1GM INJ 31725 92546 92547 92548 J1120 C1713 31725 92546 92547 92548 C1769 J0690 90853 90853 80162 80076 J0290 86850 80162 80076 86850 92541 J2916 11041 84305 P9055 87040 J3486 92541 11041 84305 87040 J0640 76010 73060 73060 73020 73020 J0278 J0690 73000 73000 82553 87801 93320 J0290 76010 73060 73060 73020 73020 LT RT LT 73000 73000 82553 87801 93320 270 360 470 470 470 250 278 259 272 272 636 915 259 272 271 301 272 301 250 302 259 278 272 272 272 470 636 259 510 301 390 272 306 636 272 259 636 250 320 320 320 320 320 636 250 320 320 301 306 259 483 636 N N N N N Y N Y N N Y N Y N N N N N Y N Y N N N N N Y Y N N N N N Y Y Y Y Y N N N N N Y Y N N N N Y N Y Page 52 OSHPD 06-01-06 Rev Chng Calc LP 758060120 725000648 758081163 758081523 770000019 731000193 824000122 770000018 725004019 719000004 731009238 770000189 770000073 770000072 731000252 731090190 731090464 749000083 725000974 725003960 758070034 731090469 876000247 779000039 876000249 725002214 755000409 725003920 725003189 731091042 859090005 725000063 725003237 758081503 758081184 755000404 725003635 876000024 731000293 749000080 725000450 725003749 758081529 725005029 758080025 758080731 731090235 725000156 776000008 776000010 725005081 725003873 BLADE CUTTER AGGRESSIVE BECLOMETHASONE NASAL SPRAY 25G SYRINGE LEVEEN INFLATION 20CC ENDO GRASPER SKULL LESS THAN 4 VIEWS LIPASE SERUM ER LEVEL 2 SELLA TURCICA VANCOMYCIN INJ 1GM LOCAL 1ST 60 MIN TYPE & SCREEN THORACOLUMBAR SP (AP&LAT) WRIST 2 VIEWS - RT WRIST 2 VIEWS - LT TROPONIN I QT DEOXYCORTISOL FACTOR VIII AHG POLYPECTOMY COLON CLINDAMYCIN TOPICAL SOL 10MG/M SULFANILAMIDE VAG CR 120GM TRAY BIOPSY CT FACTOR VIII VW MULTIMETRIC APPL SPLNT LEG LOWER US PELVIC FOLLOW UP WEDGE CAST METRONIDAZOLE VAG GEL .75% 70G SDBB RBC DIMETHYL SULFOXIDE SOL 50 ML TOBRAMYCIN 0.3% O/S 5ML ENTEROVIRUS PANEL- CSF PSY INTA HOS 75-80M AMPICILLIN/SULBACTAM VIAL 1.5G TRIAMCIN NASAL SPRAY 10GM HIP SHEET WITH POUCHES CATH PICC DUAL-LUMEN SDBB FFP PLASMA FROZEN 8 TO 24 EPINEPHRINE O/S 0.5% 15ML VISIT E&M NEW LIMITED FIBRINOGEN LIVER BIOPSY AERO CHAMBER INHALER FLUCINONIDE CR 0.05% 30GM BAG URINARY W/URINEMETER BICILLIN LA 2.4 MU INJ TRAY AMNIOCENTESES STIMULATOR NERVE DISP HEAVY METALS SCREEN LC HALOPERIDOL DECANOATE AMP 50MG THYROID UPTAKE SINGLE THYROID IMAG W SINGLE UP FLUTICASONE ORAL INHALER 44MCG PREDNISOLONE AC .OPTH 1% 10ML 70250 83690 99282 70240 J3370 86903 72080 73100 73100 84484 82634 85240 70250 83690 99282 70240 RT LT 86903 72080 73100 73100 84484 82634 85240 85247 29515 76857 29740 P9021 85247 29515 76857 29740 86658 90828 J0295 86658 90828 C1751 P9059 99202 85384 99202 85384 J0580 83015 J1631 78006 78006 83015 78006 78006 272 259 272 272 320 301 450 320 636 370 302 320 320 320 301 301 305 750 259 250 272 305 510 402 510 259 390 250 259 302 914 250 259 272 272 390 259 510 305 360 271 259 272 636 272 272 301 250 341 341 259 259 N Y N N N N N N Y N N N N N N N N N Y Y N N N N N Y N Y Y N N Y Y N N N Y N N N Y Y N Y N N N Y N N Y Y Page 53 OSHPD 06-01-06 Rev Chng Calc LP 701000020 770000036 731009242 731000370 731000365 731000403 731009241 755000139 758080771 770000016 770000172 770000066 770000065 731090252 770000220 725001929 725003190 770000058 731009243 770000057 770000109 770000110 731090003 731000029 731000068 701000028 731000042 758060065 758060066 725003539 758081563 731000041 725001494 725001500 713000009 731091067 731090992 728000220 725001672 731009244 770000069 770000070 779000022 824000127 770090001 802000051 725001030 725002107 770050031 740000233 758081215 876000029 INJ ANES EPIDURAL LUMBAR SGL STERNOCLAVICULAR 3 VIEWS CULTURE NOSE/THROAT ANAEROBIC CULTURE CULTURE OTHER SOURCE CULTURE URINE CATH CAMPYLOBACTER CULTURE RHOGAM SUPPORT LUMBAR SACRO SINUSES PARANASL> 3 VIEW FACIAL BONES LIMITED ELBOW 2 VIEWS - RT ELBOW 2 VIEWS - LT LC CELIAC PANEL BONE SURVEY LIMITED METS LATANOPROST O.S. 0.005% 2.5ML TOBRAMYCIN OPTH OINT 3.5GM SCAPULA - RT COLD AGGLUTININS SCAPULA - LT OSCALSIS HEEL 2 VIEWS -LT OSCALSIS HEEL 2 VIEWS -RT DRUG SCREEN COMPREHENSIVE CARBAMAZEPINE (TEGRETOL) ACETAMINOPHEN PROC MINOR -ADDL 15 MIN L&D QUINIDINE NET POLYP ROTH BRUSH ERCP CYTOLOGY BILIARY BSS PLUS SOLUTION 500ML APPICATOR DUOFLO PROCAINAMIDE W/NAPA FLUOCINOLONE 0.01% CREAM 60GM FLUOCINOLONE 0.025% OINT 60GM PACU ADDL 15 MIN LC ANTI-PHOSPHATIDYLSERINE AB FETAL FIBRONECTIN- UCI HETASTARCH 6% 500ML IV SOLN HEPATITIS A VACCINE 1440U/1ML FUNGUS CULTURE FOREARM TWO VIEWS - LT FOREARM TWO VIEWS - RT US NECK SOFT TISSUE ER PROCEDURE MINOR FOREARM LT WORK HARDENING/CONDITIONING 2H CORTISPORIN OINTMENT 15GM MAXITROL OPTH SUSP 5ML SC INTRO CATH VENOUS FIRST OR CONSULT PATH SURGERY EACH ADDL CATH DRAINAGE FLEXIMA 8FR KIT VISIT E&M RETURN INTERMEDIATE 71130 87070 87075 87070 87088 87045 J2790 70210 70140 73070 73070 83516 76061 71130 87070 87075 87070 87088 87045 90384 70210 70140 73070 73070 83516 76061 RT LT 73010 86157 73010 73650 73650 80100 80156 82003 80194 LT LT RT 73010 86157 73010 73650 73650 80100 80156 82003 80194 80192 80192 86148 82731 86148 82731 87106 73090 73090 76536 73090 97545 RT 87106 73090 73090 76536 73090 97545 LT GO 36011 88332 99213 36011 88332 99213 360 320 306 306 306 306 306 636 274 320 320 320 320 301 320 259 259 320 302 320 320 320 301 301 301 360 301 272 272 250 272 301 259 250 710 302 301 258 250 306 320 320 402 450 320 430 259 259 360 312 272 510 N N N N N N N Y N N N N N N N Y Y N N N N N N N N N N N N Y N N Y Y N N N Y Y N N N N N N N Y Y N N N N Page 54 OSHPD 06-01-06 Rev Chng Calc LP 770000028 725003560 740000272 740000004 725003682 758080870 758080974 755000408 755000014 701000023 804050044 725001449 725000577 728000464 758056626 728000471 758080142 758060057 725001495 725000127 725003453 731009247 779000036 731009246 725001032 770090043 725007212 758080892 758080527 758080871 758080952 725001034 725000621 758080253 758081525 758081521 770000105 770000106 758080310 770000076 770000077 770000102 770000101 758080033 770000173 725001033 770000196 758081555 719000011 770000159 770050063 770050195 CHEST 1 VIEW FRONTAL CETACAINE SPRAY SURG PATH LEV 2 ADDL SURG PATH LEV 2 GELATIN POWDER ABSORB. 1GM VACURETTE DISP SPLINT COLLES FOREARM SDBB LEUKOCYTES REDUCED RBC ANTIBODY IDENTIFICATION ROOM OBSERV SPECIAL (MGSO4-AM BASIC COMPR AUDIOMETRY FENTANYL PATCH 100MCG APRACLONIDINE OPHTH SOLN 5ML LIPIDS 20% 250ML LACRIMAL INTUBATION SET PROCALAMINE 1000ML CATH MUSHROOM TROCAR VERSAPORT FLUOCINOLONE 0.01% SOLN 60ML ERYTHROMYCIN LACTOBI VIAL 500M ACCUZYME 30 GM. ACID FAST CULTURE US ENDOVAGINAL HCG QL SERUM CORTISPORIN OPTH SUSP 5ML MAMMO DIAGNOSTIC UNILATERAL RT CYSTOGRAFFIN 300ML GUIDE WIRE MONITOR CVP KIT VACUUM EXTRACTOR DISPOSABLE SPLINT ELBOW CORTISPORIN OTIC SUSP 10ML AUGMENTIN 250MG/5ML 75 ML SUSP DRAIN JACKSON PRATT ENDO DISSECTOR ENDO SHEARS FOOT 2 VIEWS - LT FOOT 2 VIEWS - RT DSG EAR KIT HAND 2 VIEWS - LT HAND 2 VIEWS - RT ANKLE 2 VIEWS - RT ANKLE 2 VIEWS - LT ELEVATOR ARM HAND 1V BILATERAL CORTISPORIN OTIC SOLN 10ML SC INJ URETHRO CYSTO RETRO TUBING SHAVER SINUS MAC 1ST 60 MIN SC INJ ARTHROGRAM HIP SC NEPHROSTOMY TUBE EXCHANGE SC INJ CHOLANGIOGRAM T-TUBE 71010 88302 88302 91 71010 88302 88302 L3986 P9016 86870 92557 86870 92557 J1364 87015 76830 84703 76090 C1769 RT 87015 76830 84703 76090 73620 73620 73120 73120 73600 73600 73120 51610 LT RT LT RT RT LT 73620 73620 73120 73120 73600 73600 73120 51610 27093 50398 47505 27093 50398 47505 324 259 310 312 272 272 274 390 302 720 470 259 259 250 272 258 272 272 259 250 259 306 402 301 250 401 250 272 272 272 274 259 259 272 272 272 320 320 272 320 320 320 320 274 320 259 360 272 370 360 360 360 N Y N N Y N N N N N N Y Y Y N Y N N Y Y Y N N N Y N Y N N N N Y Y N N N N N N N N N N N N Y N N N N N N Page 55 OSHPD 06-01-06 Rev Chng Calc LP 758080851 725003993 758080421 725003699 770000183 779000032 749000089 725000151 749000072 731000351 710000183 725002106 725002059 758080821 794000039 731000271 776000056 776000055 740000273 770000051 740000006 731090838 758080439 758080841 758056634 758056633 758060092 770000014 770000168 770000011 770000038 725004016 758080900 710000180 824000180 725002115 876000267 770050032 770050062 770050036 850000101 725003548 725001020 725004231 770000054 770000113 804000011 758056612 758081536 725090018 776000007 725002635 TUBE GASTROSTOMY TOBRADEX OPTH.SUSP 5ML INTRODUCER CATHETER KIT HEPATITIS B VACC VL 20MCG 1ML CHEST FLUORO US PREGNANCY LTD CANCELLED ENDO PROCEDURE GLUCAGON VIAL 1MG INJ SIGMOIDOSCOPY RIGID CULTURE STOOL CHEMO IV INFUS ADD HR TO 8 OP MAXITROL OPTH OINT 3.5GM LOTRISONE CREAM 45GM CATH TRANSDUCER INTRAUTERINE ARTERIAL BLOOD GAS HCG QT CARDIAC SPECT W/EF CARDIAC GATING SPECT SURG PATH LEV 3 ADDL PELVIS ONE OR TWO VIEWS SURG PATH LEV 3 HIV-1 ULTRA SENSITIVE RNA-LC CATH CV TRIPLE LUMEN KIT TROCAR CATHETER REAMER FEMORAL REAMER TIBIAL SHEET SILASTIC NASAL BONES MIN 3 VIEWS LUMBAR SPINE 1 VIEW MANDIBLE MIN 4 VIEWS SPINE CERVICAL XTABLE LA BECLOMETHASONE AQ-NAS 84MCG 19 TUBE EAR REUTER BOBBIN IV INFUSION THPY 16 MIN-1HR OP ER IV INFUSION THPY 16 MIN-1HR MEDROXYPROGESTERONE AC 100MG/M APPLICATION CAST ARM LONG SC INTRO CATH 2ND ORDER OR MO SC INJ NEPHROSTOGRAM SC INTRO SEL CATH SEGMENTL PUL HYPERBARIC O2 PER 30 MIN CARBOPROST 250MCG INJ COMBIVENT MDI 14.7GM SALMETEROL DISKUS 50MCG INH#28 COCCYX AND SACRUM MIN 2 ABDOMEN KUB A/P VIEW SPEECH-LANGUAGE THERAPY SEALANT FIBRIN TISSEEL 1ML BUR ANSPACH DRILL BITS HEPATITIS B VACC 0.5 ML VL NM THYROID UPTAKE (SINGLE DETE ZOSYN 3.375 GM VIAL B4086 C1894 90746 71023 76815 J1610 87045 C8955 87045 90746 71023 76815 82803 84702 78480 78478 88304 72170 88304 87536 91 82803 84702 78480 78478 88304 72170 88304 87536 70160 72020 70110 72020 70160 72020 70110 72020 C8950 C8950 29065 36012 50394 36015 C1300 29065 36012 50394 36015 72220 74000 92507 GN 72220 74000 92507 90744 78000 J2543 90744 78000 278 259 272 636 324 402 750 636 750 306 335 259 259 272 301 301 341 341 310 320 312 306 272 272 272 272 278 320 320 320 320 259 278 260 260 250 510 360 360 360 413 250 259 259 320 320 440 278 272 636 341 636 N Y N Y N N N Y N N N Y Y N N N N N N N N N N N N N N N N N N Y N N N Y N N N N N Y Y Y N N N N N Y N Y Page 56 OSHPD 06-01-06 Rev Chng Calc LP 725001503 725003751 725003461 876000253 876000252 731000038 725002640 770000053 794000025 770050071 770050140 770050009 767090001 770000008 770050058 770050141 770050142 770050144 770050183 725003771 725003187 770090031 794000009 758056568 758080581 758080538 725005171 740000274 740000009 731000002 758081522 804050022 725003482 758080918 701000002 701000001 701000026 731091062 770000062 770000174 770000175 725000130 740000231 770000114 876000023 876000015 776000042 776090003 725000561 731000010 770050056 725003649 FLUOCINONIDE 0.05% OINT 60GM FLUOCINONIDE-E CREAM 60GM KETOROLAC O/S 0.5% 5ML I&D FOREIGN BODY SUBQ SIMPLE ASP ABSC/HEMA/CYST/BULLA PHENOBARBITAL PIRBUTEROL 25.6GM INHALER SACROILIACS 3 VIEWS LUNG DIFFUSION TEST SC MYELOGRAM LUMBAR PUNC INJ SC INJ SINUS TRACT SC INJ CONTRAST VENOGRAPHY EMG ONE EXTREMITY SC CATH/INTRO SALINE/CONTRAST SC SIALOGRAM SC INJ ARTHROGRAM SHOULDER SC INJ ARTHROGRAM ELBOW SC INJ KNEE ARTHROGRAPHY SC INJ URETHROCYSTOGRAM VOID ENOXAPARIN 30MG/ 0.3ML PFS TOBRADEX OPTH OINT 3.5GM MAMMO DIAGNOSTIC BILATERAL NITROGEN WASHOUT MESH IMPLANTABLE PACK SURGERY GENERAL NEEDLE BREAST BIOPSY ZOSYN 2.25 GM VIAL SURG PATH LEV 4 ADDL SURG PATH LEV 4 BASIC METABOLIC PANEL ENDO STAPLER DISP CALORIC VESTIBULAR TEST AUGMENTIN SUSP 250MG/5ML-150ML PIN RUSH TEST NON-STRESS FETAL TEST STRESS FETAL TEST NIPPLE STIMULATION HEPARIN ASSAY ANTIBODY- LC SHLDR AC JNT W/WO WEIGHT HAND LEFT (MIN 3 V) HAND RIGHT (MIN 3V) ESTROGENS CONJUGATED AMP 25MG/ ASP FINE NEEDLE W/O IMAGING ABDOMEN AP/UPRT 2 VIEWS VISIT E&M NEW INTERMEDIATE DEB SKIN SUB Q NM BONE VASCULAR FLOW ONLY NM RENAL IMAGING (VASCULAR FLO AMPICILLIN/SULBACTAM 3GM VIAL RENAL FUNCTION PANEL SC EXCHG INFUSE CATH THROMBOLY ETHIODIZED OIL 37% 10ML AMP 10120 10160 80184 72202 94720 62284 20501 36005 95860 58340 42550 23350 24220 27370 51600 J1650 76091 94350 C1781 10120 10160 80184 72202 94720 62284 20501 36005 95860 58340 42550 23350 24220 27370 51600 76091 94350 J2543 88305 88305 80048 92543 C1713 59025 59020 85520 73050 73130 73130 J1410 10021 74020 99203 11042 78445 78715 J0295 80069 37209 91 88305 88305 80048 92543 59025 59020 85520 73050 73130 73130 10021 74020 99203 11042 78445 78715 80069 37209 LT RT 250 259 259 510 510 301 250 320 460 360 360 360 922 360 360 360 360 360 360 250 259 401 460 278 272 272 636 310 312 301 272 470 250 278 920 920 720 305 320 320 320 250 360 320 510 510 341 341 250 301 360 250 Y Y Y N N N Y N N N N N N N N N N N N Y Y N N Y N N Y N N N N N Y N N N N N N N N Y N N N N N N Y N N Y Page 57 OSHPD 06-01-06 Rev Chng Calc LP 725001559 731090799 770009008 758080642 758080363 725003849 749000001 770000144 758080781 725005166 725003772 758081517 710000186 725003646 731000163 758060085 758060086 725004123 758080966 758080068 758080999 758080772 758080807 740000275 758081532 740000013 824000128 725000839 725000165 725003497 725002636 731090957 731090958 776000122 725005079 731000007 761000013 725002263 770000041 770000029 749000088 770000047 770000067 770000068 770000103 770000104 770090002 770000075 770000074 758060111 770000031 758080037 FOSPHENYTOIN 50MG/ML (10 ML) V HLA PHENOTYPE A B C- LC FLUOROSCOPY PACEMAKER INSERTN RETRACTABLE NEEDLE CATH FOLEY W/BAG TRAY PANAFIL OINT 30GM ESOPHAGEAL DILATION BONE AGE STUDIES SUTURE EYE TRASTUZUMAB 10MG ENOXAPARIN 40MG/ 0.4ML PFS PACK LEGACY I&A PHACO KIT OP PROCEDURE MAJOR PREMARIN CR/APP TOLERANCE TEST GTT 3 SPEC INC MESH SOFRADIM 6X4 LT MESH SOFRADIM 6X4 RT FLUTICASONE NASAL INH 16GM SPLINT CLAVICLE BLADE BEAVER IMMOBILIZER SHOULDER CATH CYSTO SUPRAPUBIC TUBE TRACH CUFFED SURG PATH LEV 5 ADDL BAG ENDOBAG SURG PATH LEV 5 ER PROCEDURE INTERMEDIATE CEFOTETAN VIAL 1GM INJ IRON DEXTRAN 50MG AZTREONAM INJ 1GM ZOSYN 4.5 GM VIAL RECEPTOR ASSAY PROGESTERONE RECEPTOR ASSAY ESTROGEN SCHILLING TEST WO INTRINS FLUTICASONE ORAL INHALER 110MC CORONARY RISK (LIPID PANEL) ECHO 2 DIM S/O PR MOMETASONE NASAL SPRAY 17GM SPINE CERV TWO OR THREE CHEST AP PA & LATERAL ANOSCOPY & DILATION L-SPINE TWO OR THREE VIE ELBOW MIN 3 VIEWS - LT ELBOW MIN 3 VIEWS - RT ANKLE 3 VIEWS - LT ANKLE 3 VIEWS - RT ELBOW COMPLETE RIGHT WRIST MIN 3 VIEWS - RT WRIST MIN 3 VIEWS - LT TROCAR BALLOON W BULB CHEST 1-2 VIEWS SPECIAL ARTERIAL LINE KIT Q2009 86813 71090 86813 71090 76020 J9355 J1650 76020 82951 C1781 C1781 82951 L3670 C2627 88307 88307 91 88307 88307 J1751 J2543 84234 84233 78270 80061 93321 72040 71020 72100 73080 73080 73610 73610 73080 73110 73110 71035 84234 84233 78270 80061 93321 72040 71020 72100 73080 73080 73610 73610 73080 73110 73110 71035 LT RT LT RT RT RT LT 636 302 320 270 272 259 750 320 272 636 250 272 360 259 301 278 278 259 271 272 274 272 272 310 272 312 450 250 636 250 636 301 301 341 259 301 483 259 320 324 750 320 320 320 320 320 320 320 320 272 324 272 Y N N N N Y N N N Y Y N N Y N N N Y N N N N N N N N N Y Y Y Y N N N Y N N Y N N N N N N N N N N N N N N Page 58 OSHPD 06-01-06 Rev Chng Calc LP 758060043 725003520 824000123 758080198 740000220 770000035 740000015 740000276 802000011 800000015 758000913 731000357 725003648 725005002 770000083 770000084 725004062 758060041 701000031 770000098 770000099 758000912 770000033 770000032 770000108 770000107 770000187 770090060 758081219 725000772 804050063 804050092 779000082 731000533 758060132 779000066 779000072 779000079 779000026 731000016 770090006 770090018 770090019 776000157 779000045 758060107 770000023 770000025 758080446 725003805 758081115 770000178 NEEDLEKNIFE MICROKNIFE XL BETAMETH DIP CRM 0.05% 50GM ER LEVEL 3 CATH CYSTOCATH SILASTIC BONE MARROW SMEAR INTERP STERNUM 2 VIEWS SURG PATH LEV 6 SURG PATH LEV 6 ADDL INITIAL OT EVAL PT EVALUATION TRAY PARACENTESIS DISP CULTURE GENITAL ETHANOLAMINE OLEATE 5% 2ML AMP ADVAIR INHALER 50/100 HIP 2 VIEWS - LT HIP 2 VIEWS - RT AZITHROMYCIN INJ 500MG CATH BALLOON RETRIEVAL ROOM OPERATING ADDL 15 MIN TIBIA & FIBULA TWO VIEWS TIBIA & FIBULA TWO VIEWS TRAY THORACENTESIS DISP RIBS 2 VIEWS - RT RIBS 2 VIEWS - LT FOOT MIN 3 VIEWS - RT FOOT MIN 3 VIEWS - LT BONE LENGTH STUDY FOOT COMP LT STENT URETERAL 8 FR, 26CM CALCITONIN-SALMON NASAL SPRAY CONDITIONED PLAY AUDIOMETRY VRA DUPLEX ABD/PEL/RETRO CMPL RED CROSS WHOLE BLOOD STAPLER LINEAR CUTTER US DUP SCN ABDOMEN LTD STUDY US KIDNEY US APPENDIX US ABD GALLBLAD LTD EXAM DRUGS OF ABUSE RANDOM UR SC PUNCT ASP BREAST CYST ADD R SC INTRO PREOP NDL LOC WIRE AD SC INTRO PREOP NDL LOC WIRE AD SC INJ LYMPHOSCINTOGRAPHY US HIPS INFANT SEALANT FLOSEAL KIT TMJ'S BILATERAL NECK SOFT TISSUE TRANSDUCER MONITOR DUAL PRIMAXIN 250MG VIAL SPLINT MULTI PODUS WCC RIBS 4V W CHEST RT 99283 C2627 85097 71120 88309 88309 97003 97001 87070 J1430 73510 73510 J0456 99283 85097 71120 88309 88309 97003 97001 87070 91 GO GP LT RT 73510 73510 73590 73590 71100 71100 73630 73630 76040 73630 C2617 92582 92579 93975 P9010 93976 76775 76705 76705 80100 19001 19291 19291 38792 76886 70330 70360 J0743 71101 LT RT RT LT RT LT LT 73590 73590 71100 71100 73630 73630 76040 73630 92582 92579 93975 RT RT LT 93976 76775 76705 76705 80100 19001 19291 19291 38792 76886 70330 70360 RT 71101 272 259 450 272 310 320 312 310 434 424 272 306 636 259 320 320 636 272 360 320 320 272 320 320 320 320 320 320 278 259 470 470 921 390 272 921 402 402 402 301 360 360 360 360 402 272 320 320 272 250 271 320 N Y N N N N N N N N N N Y Y N N Y N N N N N N N N N N N N Y N N N N N N N N N N N N N N N N N N N Y N N Page 59 OSHPD 06-01-06 Rev Chng Calc LP 770000177 725003693 770000045 725000975 794000003 876000214 876000014 779000125 785000019 725000840 876000017 731009251 779000023 779000055 876000031 770000128 725005092 725003864 758080077 758080955 804050093 804000013 804000007 776000012 758000186 758000187 758060040 776000126 758060059 770000094 770000093 710000182 779000108 779000110 710000016 725003589 731000546 770050033 779000091 758080399 758080896 758080331 876000026 725000100 758080397 758060129 758060113 770000096 770000095 725002864 770000131 770000185 RIBS 4V W/CHEST LT HALOPERIDOL DEC.INJ 100MG/ML SPINE THORACIC THREE VIE CLINDAMYCIN VIAL 300MG/2ML RESUSCITATION 30 MIN DEB SKIN MUSCLE SUB Q DEB SKIN MUSCLE SUB Q SC PERITONEAL DRAINAGE PERCUT SC PERITONEAL DRAINAGE PERCUT CEFOTETAN VIAL 2GM INJ EXCISION NAIL & MATRIX BACT AG SCREEN US CHEST US INTRA OPERATIVE VISIT E&M RETURN EXTENDED CHOLECYSTOGRAM ORAL INDOCYANINE GREEN 25 MG INJ PNEUMOCOCCAL VACCINE 0.5ML BINDER 3 PANEL POSITIONER BODY ROLL- ALIGNER SWALLOWING EVAL CLINICAL EVAL BEDSIDE SWALLOWING EVAL SPEECH,LANGUAGE,VOICE STA NM THYROID IMAGING ONLY BOOTS COMPRESSION KNEE BOOTS COMNPRESSION THIGH BLADE ULTRATOME CARDIAC FIRST PASS SUTURE PASSER SUTURELASSO KNEE ROUTINE 3 VIEWS - R KNEE ROUTINE 3 VIEWS - L CHEMO IV INFUSION 1ST 1HR OP US PREG >14 WKS MULT GEST ADDL US PREG >14 WKS MULT GEST ADDL CENTRAL LINE PLACEMENT COSOPT OPTH SOL 10ML RED CROSS HLA TYPING SC INTRO CATH ARTERY HEART/PUL US DPLX HEMO ACCESS GRAFT CATH HUMI CEMENT BONE EPIDURAL TRAY VISIT E&M NEW EXTENDED COSYNTROPIN VIAL 0.25MG INJ HEMOVAC KIT CATH ADHERENT CLOT FOGARTY STENT PERCUFLEX CONT POLARIS KNEE MIN 4 VIEWS - RT KNEE MIN 4 VIEWS - LT RIFAMPIN VIAL 600MG INJ CHOLANGIOGRAM T-TUBE TOMOGRAM (NON URO) 71101 J1631 72072 92950 11043 11043 49021 49021 11750 86403 76604 76986 99214 74290 90732 LT 71101 72072 92950 11043 11043 49021 49021 11750 86403 76604 76986 99214 74290 90732 92610 92610 92506 78010 GN GN GN 92610 92610 92506 78010 78481 73562 73562 C8954 76810 76810 RT LT 78481 73562 73562 76810 76810 86813 36013 93990 86813 36013 93990 99204 J0835 C1757 C2617 73564 73564 74305 76100 99204 73564 73564 74305 76100 320 636 320 250 480 510 510 360 360 250 510 300 402 402 510 320 254 636 271 271 444 444 444 341 271 271 272 341 272 320 320 335 402 402 360 250 302 360 921 272 272 272 510 636 272 272 278 320 320 250 320 320 N Y N Y N N N N N Y N N N N N N Y Y N N N N N N N N N N N N N N N N N Y N N N N N N N Y N N N N N Y N N Page 60 OSHPD 06-01-06 Rev Chng Calc LP 758080126 731000165 804000014 758056635 758060042 767090002 758080850 725091500 758080508 758081213 770050053 770000141 770000184 725000360 725004134 770000001 770000013 770000060 770000061 758080152 725005003 755000851 701000016 725000134 770000089 770000088 758080238 740000256 776000117 758080855 876000030 749000067 731000006 770050051 770000020 758080250 770000182 776000137 758000632 758080251 770050093 770050199 725092178 725000162 770000034 770090016 770090017 770000012 779000034 758060061 779000080 779000024 CATH FOGARTY BILIARY GLUCOSE TOLERANCE ADDL AFTER 3 EVAL SWALLOWING-VIDEO SCREW BIO-INTERFERENCE PROBE GOLD EMG TWO EXTREMITIES TUBE ERCP CANNULATION GASTROGRAFIN 120 ML LTA ANESTHESIA KIT CATH SUMP VANSONNENBERG DRAING SC TRANCATH RETRVL FOREIGN BO FLUOROSCOPY UP TO 1 HR CHEST 4 VIEWS VINORELBINE 10 MG INJ VINORELBINE INJ 50MG ORBITS MIN 4 VIEWS FACIAL BONES MIN 3 VIEWS SHOULDER 2 VIEWS - LT SHOULDER 2 VIEWS - RT TRAY CAUDAL ADVAIR INHALER 50/250 TRANSFUSION PROCEDURE ROOM RECOVERY L&D 2 HR FLUCONAZOLE IVPB 200MG FEMUR TWO VIEWS - RT FEMUR TWO VIEWS - LT BLADE DERMATONE CONSULT PATH REQUIRING PREP THYROID MET IMAGE LTD TUBE SHILEY TRACH VISIT E&M RETURN COMPLEX SIGMOID W/BIOPSY COMPREHEN METABOLIC PANEL SC THPY INFS THROMBO NON-CORON SKULL MIN 4 VIEWS BLADE MYRINGOTOMY DISP CHEST 2 VIEWS W/OBLIQUES NM ABSCESS LOC LTD TRAY LUMBAR PUNCTURE ADULT STAPLER SKIN DISP RENAL CYST STUDY S/I SC DECLOT THROMBOLITIC AGENT DOUBLE ANTIBIOTIC IRRIG 500 ML DIAZOXIDE AMP (15MG/ML) 20M IN X-RAY RIBS BOTH SIDES SC PLACEMNT NEEDLE LOC WIRE LT SC INTRO PREOP NDL LOC WIRE RT MASTOIDS MIN 3 VIEWS US BIOPHYSICAL PROFILE PAIN MANAGEMENT SYST ON-Q US AMNIOCENTESIS W/ FILMS US BREAST BILATERAL C1729 82952 92611 C1713 95861 GN 82952 92611 95861 C1729 37203 76000 71030 J9390 J9390 70200 70150 73030 73030 37203 76000 71030 LT RT 70200 70150 73030 73030 36430 J1450 73550 73550 88323 78015 99215 80053 37201 70260 71022 78805 36430 RT LT 73550 73550 88323 78015 99215 80053 37201 70260 71022 78805 74470 36550 J1730 71110 19290 19290 70130 76818 76946 76645 74470 36550 LT RT 71110 19290 19290 70130 76818 76946 76645 272 301 440 278 272 922 272 255 272 272 360 320 324 636 636 320 320 320 320 272 259 391 710 250 320 320 272 312 341 274 510 750 301 360 320 272 324 341 272 272 320 360 250 636 320 360 360 320 402 272 402 402 N N N N N N N Y N N N N N Y Y N N N N N Y N N Y N N N N N N N N N N N N N N N N N N Y Y N N N N N Y N N Page 61 OSHPD 06-01-06 Rev Chng Calc LP 725001688 758056281 758080606 758080710 755000394 770000138 770090023 770000115 770000017 824000129 770090024 758080125 779000068 758080367 779000057 779000058 876000025 758080441 755000390 755000397 758081204 758080360 758080039 776000110 824000124 725003496 725001545 770000192 776000048 770000222 770000143 776000053 767000007 770000042 704000035 758080513 770000163 770000164 770000157 770000158 758081535 725001189 719000005 755000835 758060039 758080576 776000091 758080961 749000012 758081543 758080884 758081546 HYCODAN SYRUP 5ML GEL GRAFTON PIN KNOWLES TRAY SPINAL ANES ARC RED CELLS PACKED EA RBC CYSTOGRAM MAMMARY DUCTOGRAM LT ESOPHAGUS ONLY SINUSES 3 VIEWS ER PROCEDURE MAJOR MAMMARY DUCTOGRAM RT CATH CHOLANGIOGRAM US DUP SCN AORTA & IVC LTD FOOT DROP STOPS US DUP SCN EXT ART/LTD - LT US DUP SCN EXT ART/LTD - RT VISIT E&M NEW COMPLEX CATH CENTRAL VENOUS KIT ARC LEUKO-REDUCED RBC ARC SALINE WASHED RBC SHEATH SUPER ARROW-FLEX 7F CATH FOGARTY AORTIC OCCLUS BLADE ARTHRO END CUT RX I131 NA IODIDE P/MCI ER LEVEL 4 AVITENE HEMOSTAT 1GM JAR FLUTICASONE MDI 220MCG 13GM RIBS BILATERAL W/1V CHEST CARDIAC REST SPECT SC INJ LUMBAR FACET STEROID EA FLOUROSCOPY GREATHER THAN 1HR HEART INFARCT IMAGING SPECT EEG CERVICAL SPINE 4 VIEWS OR TIME CANCELLED CASE COLOSTOMY MARSAN LOOP LOCK SET ARTHOGRAM SHOULDER LT ARTHROGRAM SHOULDER RT ARTHROGRAM HIP LT ARTHROGRAM HIP RT STAPLER ENDO GIA DILTIAZEM VIAL (5MG/ML) 10ML I BLOCK/SPINAL 1ST 60 MIN RBC IRRADIATED EA UNIT BLADE STONETOME PACK EYE ALCON I/A NM HYPERTHYROID THRPY SUB SPLINT CAST SUGAR TONG ADULT ESOPHAGEAL BALLOON DILATATION PROBE SUCTION/IRRIG ENDOSCOPY WALKER DH PRESSURE APPLIER CLIP MULTI LOAD ETHICO C1713 P9021 74430 76086 74220 70220 76086 93979 93882 93882 99205 P9016 P9022 C1894 C2628 A9517 99284 LT RT LT 74430 76086 74220 70220 76086 93979 93882 93882 99205 RT 99284 71111 78464 64475 76001 78469 95819 72050 71111 78464 64475 76001 78469 95819 72050 73040 73040 73525 73525 LT RT 73040 73040 73525 73525 P9038 79005 79005 L4360 250 278 278 272 390 320 320 320 320 450 320 272 921 274 921 921 510 272 390 390 272 272 272 344 450 250 259 320 341 360 320 341 740 320 360 270 322 322 322 322 272 250 370 390 272 272 342 274 750 272 274 272 Y Y N N N N N N N N N N N N N N N N N N N N N N N Y Y N N N N N N N N N N N N N N Y N N N N N N N N N N Page 62 OSHPD 06-01-06 Rev Chng Calc LP 776000077 758050466 758080635 876000038 758081553 770050030 770000116 770090040 770090041 758080949 770000002 770000085 767090003 758081190 770000092 770000086 725000238 758060126 758056598 755000411 779000109 758060103 731091046 767090004 770000153 776000021 758051141 779000074 779000041 740000049 770000037 770000048 779000124 725005004 749000041 731000550 755000024 755000392 758056470 755000025 770000049 770050086 749000013 770000139 749000068 749000069 749000070 749000071 794000016 758080252 758080623 770000125 GALLIUM TUMOR LIMEITED GUIDE WIRE STEER JAGWIRE CATH QUINTON MAHURKAR KIT SURGICAL WOUND PREP-INIT APPLIER CLIP FISTULA SINUS TRACT STUDY S/I VIDEOFLOUROSCOPY SWALLOW FX MAMMO PLACE NEEDLE BREAST LT MAMMO PLACE NEEDLE BREAST RT PILLOW ABDUCTION COMPLETE-INCLD OBLIQUE&FL HIP BILAT MIN 2 VWS W/AP EMG THREE EXTREMITIES CATH DRAINAGE KIT 10F - 12F HIP PINNING INTRAOP RT HIP PINNING INTRAOP LT SUMATRIPTAN INJ 6MG/0.5ML INJ TISSUE ALLODERM VASC CLOSURE DEVICE FASCIA SDBB PLATELETPHERESIS US PREGNANCY TRANSVAGINAL LENS IOL POSTR CHAMBER STAAR FLOW CYTOMETRY 1ST MARKER TC EMG FOUR EXTREMITIES ABDOMEN AP/UPRT & CHEST LIVER RBC WAND ARTHROCARE US PERICARDIOCENTESIS US TRANSRECTAL PROSTATE CONSULT PATH SURGICAL W/FROZEN SPINE ENTIRE AP & LAT LUMBAR SPINE & OBLIQUES US SALINE INFUS SON COLOR FLOW ADVAIR INHALER 50/500 EGD W/BIOSPY RED CROSS LEUKAPHERESIS BLOOD PROCESSING AUTOLOGOUS RED CELLS EACH UNIT AUTOLOGUS SCREW CANNULATED BLOOD PROCESSING AUTO DIRECTED LUMBAR SPINE COMP & BEND BILIARY STONE REMOVAL T-TUBE ESOPHAGOGASTRODUODENOSCOPY EGD CYSTO VOIDING URETHROGRA SIGMOID W/BLEED CONTROL SIGMOID W/FB REMOVAL SIGMOID W/HOT BIOPSY SIGMOID W/SNARE VENT ASSIST & MGMT SUBSEQUENT STRIPPER VEIN DISP DRAIN PLEUR EVAC COLON SINGLE CONTRAST 78800 C1769 15000 76080 74230 76096 76096 72052 73520 95863 73530 73530 J3030 C1760 P9034 76817 C1780 88184 95864 74022 78140 76930 76872 88331 72010 72110 76831 RT LT 78800 15000 76080 74230 76096 76096 72052 73520 95863 73530 73530 LT RT 76817 88184 95864 74022 78140 76930 76872 88331 72010 72110 76831 P9050 86890 P9021 86999 72114 74327 74455 86890 86999 72114 74327 74455 94657 94657 74270 74270 341 272 272 360 272 320 320 401 401 274 320 320 922 272 320 320 636 278 272 390 402 276 310 922 320 341 272 402 402 312 320 320 402 259 750 390 302 390 278 302 320 320 750 320 750 750 750 360 410 272 272 320 N N N N N N N N N N N N N N N N Y N N N N N N N N N N N N N N N N Y N N N N N N N N N N N N N N N N N N Page 63 OSHPD 06-01-06 Rev Chng Calc LP 767000008 749000014 779000062 779000061 785000023 785000025 776000067 770000148 770000217 770000140 758081199 779000107 779000043 779000042 779000071 758080776 779000064 770000123 876000042 779000021 876000251 758060079 758080189 6330171 725003715 758060128 725005055 749000043 794000034 725000725 776000082 758080628 725003620 770000050 770050088 758081175 755000833 725000153 779000030 785000111 758080906 770090007 725003940 725000524 761000012 770050265 779000063 770050184 776000123 758056625 779000040 776000063 EEG W/SLEEP FLEXIBLE SIGMOIDOSCOPY DUP SCN UPPER EXT ART/LTD - RT DUP SCN UPPER EXT ART/LTD - LT SC PARACENTESIS SUBSQ SC EXCHANGE ABSCESS/CYST CATH NM CISTERNOGRAM PER IMAGE BONE SURVEY IUP RETROGRADE URETHROGRAM HYSTEROSALPINGOGRAM CATH BALLOON DILAT PTA POWERFL US PREG <14 WKS SNGL/1ST GEST US EXTREMITY NON-VASCULAR RT US EXTREMITY NON-VASCULAR LT US EXTREMITY UPPER SURGINEEDLE US DUP SCN EXT VEINS UNLAT/LTD SMALL BOWEL PATTERN DEB SKIN MUSCLE BONE SUB Q US HEAD NEONATAL I&D HEMATOMA/SEROMA/FLUID MESH SOFRADIM 3X6 PACK C-SECTION R&B NURSERY NEWBORN ISOFLURANE 1ST 60 MINUTES CATH THROMBECTOMY FOGARTY DESFLURANE INH PER HOUR EGD W/ FB REMOVAL END TIDAL MONITOR BUDESONIDE 200MCG MDI (PULMICO TUMOR LOCALWHOLE BODY 1 DAY PROBE BICAP DINOPROSTONE VAG INSERT LUMBAR BENDING ONLY 4 VIEWS PERCUT PLACE GASTRO TUBE S/I GUIDE WIRE STIFF ANGLED PLATELETS PHER/IRRAD EA UNIT GRANISETRON HCL INJ 100MCG US PREG >14 WKS SNGLE/1ST GEST CT BONE DENSITY MESH MARLEX 2X12 SC INJ DUCTOGRAM/GALACTOGRAM SEVOFLURANE PER HR AMIODARONE VIAL (50MG/ML) 3ML STRESS TEST TRACING ONLY SC REPOSITION CVP OR PICC DOPPLER VENOUS EXTREMITY BILAT SIALOGRAM S&I NM SCHILLING TEST (VITAMIN B-1 BLADE SINUS SHAVER US TESTICULAR BRAIN SPECT 95822 93931 93931 49081 49423 78630 76062 74450 74740 C1725 76801 76880 76880 76880 93971 74250 11044 76506 10140 C1781 RT LT 95822 93931 93931 49081 49423 78630 76062 74450 74740 76801 76880 76880 76880 93971 74250 11044 76506 10140 LT LT C1757 94770 78802 94770 78802 72120 74350 C1769 P9036 J1626 76805 76070 C1781 19030 J0282 93017 36597 93965 70390 78271 76870 78607 72120 74350 76805 76070 19030 93017 36597 93965 70390 78271 76870 78607 740 750 921 921 360 360 341 320 320 320 272 402 402 402 402 272 921 320 510 402 510 278 272 171 250 272 250 750 460 259 341 272 250 320 320 272 390 636 402 352 278 360 250 636 482 360 921 320 341 272 402 341 N N N N N N N N N N N N N N N N N N N N N N N N Y N Y N N Y N N Y N N N N Y N N N N Y Y N N N N N N N N Page 64 OSHPD 06-01-06 Rev Chng Calc LP 758080485 770000118 770000121 758060072 767000009 758060088 6330179 719000002 755000396 728000447 758081187 776000129 758056632 701000021 776000133 770000137 749000077 770000160 770000161 713000001 758081541 749000047 749000048 749000040 749000044 776000059 776000026 749000045 779000059 779000025 779000029 725000925 779000084 761090001 749000018 761000014 785000107 779000067 758050343 758056615 740000258 758080437 758080778 758080632 758080929 776000011 794000018 779000038 704000034 804050065 725003318 776000070 TUBE ENDOTRACHEAL LASER UPPER GASTRNINTSTL /W KUB UPPER GI AIR CONTRAST W/KUB CATH BALLOON DIL CRE WIREGUIDE ELECTROCORTICOSILENCE MESH PROLENE HERNIA SYSTEM R&B NURSERY- PEDS/BOARDER ANES 1ST 60 MIN GENERAL ARC PLATELET PHERESIS DEXTROSE 50% 500 ML PF SHEATH INTRODUCER 7FR NM AEREOSOL IMAGE SINGLE ACL DISPOSABLE KIT DEL VAGINAL MULT/HIGH RISK NM BRAIN SCAN (STATIC) RETROGRADE PYELOGRAM EXOPHAGEAL DIL W WIRE ARTHROGRAM KNEE LT ARTHROGRAM KNEE RT PACU 1ST 60 MIN BLADE ANSPASCH EGD W/SNARE EGD W/VARECEAL BANDING EGD WITH BICAP CAUTERY EGD W/HOT BIOPSY NM LUNG PERFUSION SCAN HEPATOBILIARY SCAN (HIDA) EGD W/PEG INST/REMOVL US ART LOWER EXT BILAT US ABDOMEN US SPINE CHONDROITIN/HYALURONATE 0.5ML US LOC-OPHTHALMIC F.B. TILT TABLE CARDIAC TEST ANOSCOPY ARGON CONTROL BLEEDIN ECHOCARDIOGRAM CT LTD OR FOLLOW UP STUDY US DUP SCN AORTA & IVC DILATOR ESOPHAGEAL BALLOON CATH BALLOON DILAT UROMAX TISSUE CULT BONE MARROW TAPE RESUSCITATION BROSELOW SURGIPORT PROBE VITRECTOMY SHUNT JAVID CAROTID BYPASS THYROID IMAG W/ MULTI UP BIPAP 1ST DAY US PELVIC OR ADDL 15 MIN ABR - THRESHOLD/COMPLETE TUSSIONEX LIQ 5 ML NM RENAL IMAGING (STATIC) 74241 74247 C1726 95824 C1781 74241 74247 95824 P9034 B4164 C1894 78586 78586 78605 74420 73580 73580 LT RT 78605 74420 73580 73580 78580 78223 93923 76700 76800 76529 93660 93307 76380 93978 C1726 C1726 88237 78580 78223 93923 76700 76800 76529 93660 93307 76380 93978 88237 78007 94660 76856 92585 78700 78007 94660 76856 92585 78700 272 320 320 272 740 278 179 370 390 250 272 341 272 360 341 320 750 322 322 710 272 750 750 750 750 341 341 750 921 402 402 250 402 480 750 483 350 921 272 272 311 271 272 272 272 341 410 402 360 470 259 341 N N N N N N N N N Y N N N N N N N N N N N N N N N N N N N N N Y N N N N N N N Y N N N N N N N N N N Y N Page 65 OSHPD 06-01-06 Rev Chng Calc LP 758081557 770050132 770050133 770050135 770050136 770000126 758080372 758080940 758080066 758080318 758060096 776000131 776000061 794090002 794000033 779000056 770000129 728000444 776000032 749000082 758056154 770050057 770000188 758080910 749000065 701000027 749000005 776000135 758060080 758060102 770000122 758060095 755000834 758080199 776000060 770000166 758060050 824000125 794000014 776000083 776000089 776000139 776000072 761000020 758081562 758056597 758080727 725000197 770000167 758081515 776000014 776000078 CATH CVP TRIPLE LUMEN VENOGRAPHY RENAL UNILATERAL LT VENOGRAPHY RENAL UNILATERAL RT VENOGRAPHY ADRENAL UNILAT LT VENOGRAPHY ADRENAL UNILAT RT COLON WITH AIR CONTRAST TUBE GASTROSTOMY PEG KIT LENS IOL ARCH BAR DENTAL IMPL ELECTRODE PACING BIPOLAR MORCELLATOR NM LUNG PERF IMAGE W/AEREOSOL LUNG DIFFERENCIAL FUNCTION BRONCHOSCOPY ASSIST BRONCHOSCOPIC FULL US CAROTID W/ DOPPLER CHOLANGIOGRAM SURGICAL INITL DEXTROSE 20% 500ML PF SCHILLING TEST W/WO INTRINS PERC ENDOSCOPE GASTROSTOMY TOE PROSTH SC INTRO PERC IVC FILTER BONE SURVEY (INF/CHILD) NAIL KUNTSCHNER SIGMDSCPY FLX ARG ABLAT PROC MINOR - 60 MIN COLONOSCOPY NM BRAIN SCAN VASCULAR FLOW ON MESH SOFRADIM 4X8 BUR DRILLBIT THREE FLUTED UPPER GASTRNINSTL W/SM BOWEL GRAFT DURAL MATRIX DURAGEN RBC DEGLYCEROLIZED EA UNIT CYSTOTOME IRRIGATING NM LUNG VENTILATION (XENON GAS IVP (IV PYELOGRAM) STAPLER PROTACK ER LEVEL 5 VENT ASSIST & MGMT INITIAL DAY GALLIUM TUMOR SPECT GALLIUM ABSCESS SPECT WBC SCAN ABSCESS SPECT NM RENOGRAM (KIDNEY FUNCTION) STRESS ECHOCARDIOGRAPHY LAP CHOLE SET BLUNT CATH PERITONEAL DIALYSIS STAPLER ENDO TA DISP OCTREOTIDE ACETATE INJ 1MG IVP W/NEPHROTOMOGRAMS LAP CHOLE KIT NM PARATHYROID IMAGING NM TUMOR LOCAL-BREAST(MULTI LE C1751 75831 75831 75840 75840 74280 B4086 75831 75831 75840 75840 74280 C1782 78588 78596 31625 31625 93875 74300 B4164 78272 C1776 37620 76065 78588 78596 31625 31625 93875 74300 78272 37620 76065 78610 C1781 74249 C1762 P9039 78593 74400 99285 94656 78803 78807 78807 78707 93350 78610 74249 78593 74400 99285 94656 78803 78807 78807 78707 93350 J2354 74415 78070 78801 74415 78070 78801 272 320 320 320 320 320 272 276 278 275 272 341 341 360 360 921 320 250 341 750 278 360 320 278 750 360 750 341 278 272 320 278 390 272 341 320 272 450 410 341 341 341 341 483 272 278 272 636 320 272 341 341 N N N N N N N Y N N N N N N N N N Y N N Y N N N N N N N N N N N N N N N N N N N N N N N N Y N Y N N N N Page 66 OSHPD 06-01-06 Rev Chng Calc LP 770050134 770050137 725003626 725005064 758056652 794000006 776000023 776000130 758060093 749000035 749000033 785000022 749000063 770050001 770050002 770050003 770050004 770050005 770050006 770050054 770050055 770050178 770050201 779000001 785000010 770050090 758056587 758081545 770050264 725000198 770050070 776000054 758000511 824000005 758080722 758060081 770050075 6410120 6360120 6310122 6010120 776000031 749000032 770000171 701000006 725004119 758080648 728000442 731090856 776000101 770050073 770050074 VENOGRAPHY RENAL BILATERAL VENOGRAPHY ADRENAL BILATERAL DIPTH/TET/PERT VACCINE 0.5ML DINOPROSTONE 10MG VAG INSERT DERMAGRAFT PER 37.5 SQ CM SPIROMETRY COMPLETE PFT LIVER/SPLEEN SPECT NM LUNG VENTILATION AEROSOL ANCHOR SUTURE BIO-FASTAK COLONOSCOPY WITH BIOPSY COLONOSCOPY WITH HOT BIOPSY SC PERITONEOCENTESIS/ INITIAL PARACENTESIS SC PTA RENAL/ VISCERAL ARTERY SC PTA AORTA SC PTA ILIAC SC PTA FEMORAL POPITEAL SC PTA BRACHIOCEPHALIC TRUNK SC PTA VENOUS SC INTRO STENT PERC INIT SC INTRO STENT PERC ADDL SC INTRO CHEST TUBE SC INSERT CHEST TUBE SC PERITONEOCENTESIS/ INITIAL SC ABS/CYST LOC/DRN LUNG UROGRAPHY (YLEO,NEPHRO,LOOPO) CABLE ORTHO FRACTURE WIRE IMPL CATH DIALYSIS BIO FLEX TESIO SC PLACE G-TUBE PERC OPRELVEKIN VIAL 5MG INJ SC LUMBAR PUNCTURE DIAGNOSTIC NM CARDIAC GATED REST (MUGA) BONE CANCELLOUS CHIPS ER LEVEL CRITICAL CARE 30-74MI APPLIER CLIP MULTI LOAD MESH SOFRADIM 6X4 MYELOGRAM LUMBAR R&B SEMI PRIVATE M/S IN 6410 R&B SEMI PRIV M/S IN 6360 R&B SEMI PRIV OB/GYN R&B SEMI PRIV M/S I GASTRIC EMPTYING COLONOSCOPY W F/B REMOVE ERCP (CBD & PANCI DUCT) ROOM OBSERV SPECIAL 12 HOUR SODIUM HYALURONATE 20-25MG SCREW LAG AMINO ACID/TRAVASOL 8.5% 500ML CHROM COUNT 15-20/2 RX CYANOCOBALAMIN CO57/58 .5MC MYELOGRAM CERVICAL MYELOGRAM THORACIC 75833 75842 90700 J7342 94060 78205 78587 C1713 75833 75842 90700 94060 78205 78587 49080 35471 35472 35473 35474 35475 35476 37205 37206 32020 32020 49080 32201 74425 C1750 43750 J2355 62270 78472 99291 C1781 72265 49080 35471 35472 35473 35474 35475 35476 37205 37206 32020 32020 49080 32201 74425 43750 62270 78472 99291 72265 78264 74330 78264 74330 B4176 88262 A9546 72240 72255 88262 72240 72255 320 320 636 250 636 460 341 341 278 750 750 360 360 360 360 360 360 360 360 360 360 360 360 360 360 320 278 278 360 636 360 341 278 450 272 278 320 120 120 122 120 341 750 320 720 250 278 250 311 343 320 320 N N Y Y N N N N N N N N N N N N N N N N N N N N N N Y N N Y N N Y N N N N N N Y N N N N N Y N Y N N N N Page 67 OSHPD 06-01-06 Rev Chng Calc LP 758056590 749000006 779000015 785000020 785000024 779000097 779000019 779000094 785000027 785000012 785000014 779000092 779000096 779000050 770050179 779000008 779000069 779000093 779000095 779000098 779000099 779000100 779000101 785000004 785000011 785000015 785000018 785000021 785000026 785000029 785090031 776000104 6010128 6630134 6620134 6610138 6610128 6620124 6620169 6630124 6630169 749000079 770000329 770050127 770050128 758080935 770050129 6010110 6310112 6610118 758056637 776000037 SCALPEL HARMONIC E.R.C.P. US BIOPSY PROSTATE SC SUBDIAPHRAGMATIC DRAINAGE SC BX OF ABDOMEN PERCUT US BIOPSY LYMPH NODE US BIOPSY THYROID US ASPIRATION BREAST SC RENAL BIOPSY PERCUT SC BX OF LUNG SC BX OF LIVER US ASPIRATION THYROID US BIOPSY BREAST US GUIDED NEEDLE BX SC BX OF LUNG US BIOPSY LIVER US AMNIOCENTESIS US ASPIRATION INJ RENAL SC BX OF ABDOMINAL PERC US BIOPSY MUSCLE US BIOPSY PANCREAS US BIOPSY PLEURA US BIOPSY RENAL SC BIOPSY OF MUSCLE SC BX OF PLEURA SC LIVER DRAINAGE SC BX OF PANCREAS SC RETROPERTONEAL DRAINAGE SC RENAL PERIRENAL DRAINAGE SC RENAL CYST DRAINAGE PERCUT SC BIOPSY BONE RX INDIUM III DTPA 500UCI R&B SEMI PRIV REHAB- M/S I R&B WARD PSY NON-EXEMPT R&B WARD PSY EXEMPT R&B WARD REHAB EXEMPT R&B SEMI PRIV REHAB EXEMPT R&B SEMI PRIV PSY EXEMPT R&B SEMI PRIV PSY ADMIN EXEMPT R&B SEMI PRIV PSY NON-EXEMPT R&B SEMI PRIV PSY ADMIN NON-EX GASTROSTOMY TUBE REMOVAL VENOGRAM EXT RT VENOGRAPHY EXTREM UNILATERAL L VENOGRAPHY EXTREM UNILATERAL R STENT PIGTAIL VENOGRAPHY EXTREMITY BILATERAL R&B PRIVATE M/S I R&B PRIVATE OB/GYN R&B PRIVATE REHAB EXEMPT STAPLER HEMORRHOID NM BONE SCAN LTD 55700 49041 49180 38505 60100 19000 50200 32405 47000 60001 19102 76942 32405 47000 59000 50390 49180 20206 48102 32400 50200 20206 32400 47011 48102 49061 50021 50390 20225 A9548 55700 49041 49180 38505 60100 19000 50200 32405 47000 60001 19102 76942 32405 47000 59000 50390 49180 20206 48102 32400 50200 20206 32400 47011 48102 49061 50021 50390 20225 75820 75820 75820 C2617 75822 LT LT RT 75820 75820 75820 75822 78300 78300 272 750 360 360 360 360 360 360 360 360 360 360 360 402 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 343 128 134 134 138 128 124 169 124 169 750 320 320 320 278 320 110 112 118 272 341 N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N Y N N N N N N N N N N N N N N N N N N N N Page 68 OSHPD 06-01-06 Rev Chng Calc LP 779000028 749000046 758080197 758080572 758080483 776000045 779000106 779099002 776000073 758060060 776000074 776000024 725000203 770050161 776000035 758080798 770050069 770050015 749000053 749000057 749000054 749000055 749000058 749000059 725003766 776000134 758056611 758056610 758080941 785000052 785000051 725003817 776000050 779000090 749000081 770050263 770050021 758081538 785000055 758081542 758081548 758081540 770050192 767000014 758080465 776000013 6330172 758060082 770050164 776000028 725000347 770050076 US ECHO TRANSPLANT KIDNEY W/WO EGD W/SCLEROTHERAPY PACK CYSTO PACK ORTHO PACK LAPAROSCOPY NM VENOGRAM (ISOTOPE) DUP SCAN UPPER EXT ART BILT US DPLX UPPER EXTRM ART BILT NM RENOGRAM WITH DRUG INTERVEN CARTRIDGE CURVTEK RENAL FLOW/FUNC W/WO CAP NM LIVER/SPLEEN SCAN PAMIDRONATE DISODIUM VIAL 30MG TRANSCATH INTRO INTRAVAC STENT NM MECKELS SCAN CATH THERMODILUTION SC PERC EMBOLIZATION NON NEURO EXCHANGE ART INFUSION CATH ERCP W/BALLON DILATE ERCP W/STENT OR TUBE ERCP W/BIOPSY ERCP W/HOT BIOPSY ERCP W/STENT REMVL ERCP W/STONE EXTRACT HEPATAMINE 8% 500ML NM BRAIN SCAN WITH FLOW CATH ASH SPLIT 14X32 CATH ASH SPLIT 14X28 BASKET STONE SEQURA CT FACIAL BONES W/O CT AXIAL SINUSES WO CONT SOD ACET VL 2MEQ/ML 1ML CARDIAC REST/STRESS SPECT US NEPHROSTOMY PERCUTANEOUS ENDOSCOPI JEJU SC INTRO CATH RENAL PELVIS PTA EACH ADDTL PERIP VESSEL TUBING SUCTION IRRIGATION ORTH CT MAXILLOFACIAL W/CON SHUNT VP SET BANDING TUBAL LIGATION RINGS CATH ASH ANGIO SPINAL SELECT EEG 24 HR CATH VENT THORACIC KIT IODINE TOTAL BODY SCAN R&B NURSERY NEONATE MESH SOFRADIM 8X6 PTA RENAL VISC NM SALIVARY GLANDS (MULTIPLE I MITOMYCIN VIAL 20MG INJ MYELOGRAM SPINAL CANAL ENTIRE 76778 76778 78458 93930 93930 78708 78709 78215 J2430 75960 78290 61626 75900 78458 93930 93930 78708 78709 78215 75960 78290 61626 75900 B5100 78606 C1750 C1750 70486 70486 78465 50393 50392 75964 70487 78606 70486 70486 78465 50393 50392 75964 70487 C1750 75705 95950 78018 C1781 75966 78231 72270 75705 95950 78018 75966 78231 72270 402 750 272 272 272 341 921 921 341 272 341 341 636 320 341 272 360 320 750 750 750 750 750 750 636 341 272 278 272 351 351 250 341 360 750 360 320 272 351 272 272 278 323 740 270 341 172 278 320 341 250 320 N N N N N N N N N N N N Y N N N N N N N N N N N Y N N N N N N Y N N N N N N N N N N N N N N N N N N Y N Page 69 OSHPD 06-01-06 Rev Chng Calc LP 770050068 770050138 770050012 776000076 785000061 776000036 770050193 770050194 776000038 776000002 785000084 785000085 776000051 776090007 785000036 785000082 761000022 770050094 701000008 776000138 716000001 785000098 785000037 785090014 758080920 716000002 716000005 716000007 716000004 716000003 776000009 776000034 785000035 758060108 785000115 758060044 758060134 758060135 758080032 770090046 770050050 770050139 758080934 785000083 770050198 776000103 776090005 758060075 785000081 782000050 782000052 782000051 SC PERC EMBOLIZATION NEURO VENOGRAPHY SINUS JUGULAR VENOUS SAMPLING THRU CATH NM TESTICULAR SCAN CT CHEST W/O NM LEVEEN (DENVER) SHUNT ANGIO VERTEBRAL LEFT ANGIO VERTEBRAL RIGHT NM BONE SCAN WHOLE BODY LYMPHOSCINTOGRAPHY CT EXTREM UPPER LT W/CONT CT EXTREM UPPER RT W/CONT NM THALLIUM SCAN (STRESS/REST) NM THALLIUM SCAN CT HEAD W/CONTRAST CT EXTREM UPPER LT W/O ECHO TEE COMPLETE INTRO OF CATH INTO RENAL PELVI ROOM DELIVERY- LDR WBC SCAN ABSCESS WHOLE BDY IP HEMODIALYSIS CT CATHETER EXCHANGE CT HEAD WO/W CONTRAST CT TEMPORAL BONE PLATE COMP. RICHARDS IP DIALYSIS CAPD PLASMAPHERISIS APHERISIS IP DIALYSIS NON-CAPD IP DIALYIS CCPD CNS LEAK STUDY NM GI TRACT BLOOD LOSS STUDY CT HEAD W/O CONTRAST SEALANT COSEAL SC BIOPSY OF SALIVARY GLAND HAND ACCESS DEVICE GELPORT BREAST SILICONE PROSTHESIS BREAST OTHER PROSTHESIS APPLIER ENDOCLIP DSA ABD AORTO 1 RUN SC CENTRAL LINE PLACEMENT VENOGRAPHY SUP SAGITAL SINUS STENT URETERAL SINGLE-J CT EXTREM UPPER RT W/O TRNSCTH INFUS TX RX INDIUM 111 OXINE P/O .5 MCI NM LUNG VENTILATION/PERFUSION LEAD FINELINE II EZ STEROX CT PELVIS WO/W CONTRAST MRI EXTREM LOWR N/JNT RT W/CON MRI EXTREM LOWER N/JNT RFT WO MRI EXTREM LOWER N/JNT IT WO 61624 75860 75893 78761 71250 78291 75685 75685 78306 78195 73201 73201 78466 78461 70460 73200 93312 74475 78806 75984 70470 70470 LT RT LT RT LT 61624 75860 75893 78761 71250 78291 75685 75685 78306 78195 73201 73201 78466 78461 70460 73200 93312 74475 78806 75984 70470 70470 90945 78650 78278 70450 42400 L8030 L8039 75625 36556 75870 C2617 73200 75896 A9547 78585 C1898 72194 73719 73718 73718 90945 78650 78278 70450 42400 75625 36556 75870 RT 73200 75896 78585 72194 73719 73718 73718 RT 360 320 320 341 352 341 323 323 341 341 352 352 341 341 351 352 483 320 720 341 801 320 351 351 278 803 360 800 802 804 341 341 351 272 360 272 274 274 272 323 360 320 278 352 320 343 341 275 352 610 610 610 N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N Y N N N N N N Page 70 OSHPD 06-01-06 Rev Chng Calc LP 782000049 782000069 782000073 782000078 782000079 782000080 782000081 785000079 725003907 776000149 785000057 785000094 785000117 782000055 782000001 782000009 782000026 782000021 782000020 782090000 785000056 725001203 785000058 6410206 6360206 758060101 782000056 779000081 779000006 785000099 785000007 770050016 770050095 776000039 782000082 782000083 770050131 770050130 782000059 782000061 782000063 782000065 782000066 782000046 782000048 782000022 782000023 758060046 758060045 758060094 785080005 785080006 MRI EXTREM LOWR N/JNT LT W/CON MRA LOWER EXT-LT W/WO CONTRAST MRA LOWER EXT-RT W/WO CONTRAST MRA LOWER EXT-LT W/CONTRAST MRA LOWER EXT-RT W/CONTRAST MRA LOWER EXT-LT W/O CONTRAST MRA LOWER EXT-RT W/O CONTRAST CT PELVIS W/O CONTRAST BECAPLERMIN GEL 0.01% 1GM RX TC 99M EXAMETAZINE CERETE CT NECK W/O CONTRAST CT ABDOMEN W/O SC ASPIRATION MAJOR JOINT/HIP MRI PELVIS W/O CON MRI ORBITS WO/CONTRAST MRI SPINE THORACIC WO MRI ABDOMEN MRI EXTREM UPPER JOINT RT WO MRI EXTREM UPPER JOINT LT WO MRI NECK WO CON CT MAXILLOFACL WO/W PROSTIN 20 MG SUP CT NECK WITH CONTRAST R&B PROGRESSIVE CARE IN 6410 R&B PROGRESSIVE CARE BLADE INFERIOR TURBINATE MRI PELVIS WO/W CON US ABCESS LOC/DRAIN US THORACENTESIS CT GUIDE PERC DRAIN W/PLCMT C SC THORANCENTESIS PERC PLACE IVC FILTER URETHRAL CATH INTO URETER NM BONE SCAN TRIPLE PHASE MRA ANGI W CONTRAST, PELVIS MRA ANGIO W/O CONTRAST, PELVIS VENOGRAPHY SVC VENOGRAPHY IVC MRI EXTREM UPPER JOINT LT W/ MRI EXTREM UPPER JOINT RT W/ MRI EXTREM UPPER N/JNT LT W/ MRI EXTREM UPPER N/JNT LT WO MRI EXTREM UPPER N/JNT RT W/ MRI EXTREM LOWR JOINT LT WO/W MRI EXTREM LOWR JOINT RT WO/W MRI EXTREM LOWR N/JNT LT WO/W MRI EXTREM LOWR N/JNT RT WO/W CATH PERMACATH SINGLE LUMEN CATH PERMACATH DUAL LUMEN FILLER BONE NORIAN SRS CTA PELVIS W&W/O CONTRAST CTA UPR EXT W&W/O CONTRAST 73719 C8914 C8914 C8912 C8912 C8913 C8913 72192 A9521 70490 74150 20610 72195 70540 72146 74181 73221 73221 70540 70488 70491 LT 73719 73725 73725 73725 73725 73723 73723 72192 RT LT 70490 74150 20610 72195 70540 72146 74181 73221 73221 70540 70488 70491 72197 75989 32000 75989 32000 75940 74480 78315 C8918 C8919 75827 75825 73222 73222 73219 73218 73219 73723 73723 73720 73720 C1750 C1750 72191 73206 72197 75989 32000 75989 32000 75940 74480 78315 LT RT LT LT RT LT RT LT RT 75827 75825 73222 73222 73219 73218 73219 73723 73723 73720 73720 72191 73206 610 610 610 610 610 610 610 352 250 343 351 352 360 612 611 612 610 610 610 611 351 250 351 206 206 272 612 402 360 350 360 320 320 341 612 612 320 320 610 610 610 610 610 610 610 610 610 278 278 278 352 352 N N N N N N N N Y Y N N N N N N N N N N N Y N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N Page 71 OSHPD 06-01-06 Rev Chng Calc LP 785080007 749000056 701000032 785000102 785000080 785000059 785080004 785080003 785000043 785000073 758060083 785000070 785000086 785000087 782000043 785000095 785080008 782000008 782000006 782000012 782000010 782000017 782000042 782000024 782000025 785000063 782000003 758080726 782000044 785000041 758080249 758080641 785080001 782000058 785090028 785000076 785000066 785000069 785000074 785000077 785000078 785090017 785090023 785090026 785090030 758081440 758080904 758060068 758060069 770060001 770060002 785000096 CTA LWR EXT W&W/O CONTRAST ERCP W/SPINCTEROTOMY ROOM OPERATING- BASIC 60 MIN CT GUIDE FOR NEEDLE PLACEMENT CT PELVIS W/ CONTRAST CT NECK WO/W CONT CTA NECK W/&W/O CONTRAST CTA HEAD W/&W/O CONTRAST CT ORBIT SELLA FOSSA OR EAR CO CT THORACIC SPINE W/O CONT MESH SOFRADIM 10X8 CT CERVICAL SPINE W/WO CT EXTREM UPPER LT WO/W CT EXTREM UPPER RT WO/W MRA CHEST ANGIO W/ CONTRAST CT ABDOMEN W/CONT CTA ABDOMEN W&W/O CONTRAST MRI SPINE CERVICAL W CON MRI CHEST W CONTRAST MRI SPINE LUMBAR W CON MRI SPINE THORACIC W CON MRI PELVIS W CON MRA CHEST W/O CONTRAST MRI EXTREM LOWR JOINT LT WO MRI EXTREM LOWR JOINT RT WO CT CHEST W/CONTRAST MRI BRAIN W/O CONTRAST STAPLER ILS/ EEA MRI CHEST W/WO CON CT ORBIT SELLA FOSSA OR EAR W/ STAPLER INTERNAL DISP CEMENTRESTRICTOR FEMORAL CANAL CTA CHEST W/&W/O CONTTRAST MRI TMJ CT CHEST WITH & W/O CONTRAST CT LUMBAR SPINE W/O CONT CT CERVICAL SPINE W/O CT CERVICAL SPINE W/CONTRAST CT THORACIC SPINE W/CONTRAST CT LUMBAR SPINE W/CONT CT LUMBAR SPINE W/WO CONT CT CERVICAL POST MYEK CT CERVICAL POST MYELO CT LUMBAR POST MYE/O CT LUMBAR W LEAD PACEMKR TRANSVENOUS IMPL GRAFT VASCULAR GRAFT DISTAFLO GRAFT DISTAFLO FLEX SC INS VENOUS ACCESS DEVIC > 5 SC INS PERIPH CV ACC W/PORT <5 CT ABDOMEN WO/W 73706 73706 76360 72193 70492 70498 70496 70481 72128 C1781 72127 73202 73202 C8909 74160 74175 72142 71551 72149 72147 72196 C8910 73721 73721 71260 70551 71552 70480 76360 72193 70492 70498 70496 70481 72128 72127 73202 73202 71555 74160 74175 72142 71551 72149 72147 72196 71555 73721 73721 71260 70551 71552 70480 LT RT LT RT 71275 70336 71270 72131 72125 72126 72129 72132 72133 72126 72126 72131 72132 C1900 C1768 C1768 C1768 36571 36570 74170 71275 70336 71270 72131 72125 72126 72129 72132 72133 72126 72126 72131 72132 36571 36570 74170 352 750 360 350 352 351 351 351 351 352 278 352 352 352 610 352 352 612 610 612 612 612 610 610 610 352 611 272 610 351 272 278 352 610 352 352 352 352 352 352 352 352 352 352 352 278 278 278 278 360 360 352 N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N Y Y N N N N N Page 72 OSHPD 06-01-06 Rev Chng Calc LP 770050185 770090011 782000004 785080009 725000713 782000084 758080723 782000018 782000019 782000007 782000011 758060084 782000074 782000075 782000077 758060105 782000032 782000031 758070031 770050096 758080943 758060017 758060064 782000062 782000060 782000045 782000047 6360200 6410200 6410209 758060106 758080127 776000040 758060055 770090026 725090017 758056605 785000044 785000075 758081155 782000013 758056558 758060071 758022388 758029023 782000033 758056639 758056276 758056601 782000053 782000034 782000035 VENOGRAPHY EPIDURAL ANGIO-SPLENOPORTOGRAM MRI BRAIN W CON CTA ABDOMINAL AORTA W/RUNOFF BOTULINUM TOXIN-A 100 UNITS MRA W/O FOLLOW W CONT, PELVIS STAPLER GUN ROTICULATOR MRI EXTREM UPPER N/JNT LT WO/W MRI EXTREM UPPER N/JNT RT W/O MRI SPINE CERVICAL WO MRI SPINE LUMBAR W/O MESH SOFRADIM 12X8 MRA ABD W/CONTRAST MRA ABD W/O CONTRAST MRA CHEST W/WO CONTRAST PROGRAMMER NEUROSTIM MRA HEAD ANGIO WO/CONTRAST MRA HEAD ANGIO W/CONTRAST CATH FRONTRUNNER PERCUTANEOUS URETERAL DILATATI CATH PORT-A PACK CELL SAVER FIBER LASER KTP MRI EXTREM UPPER JOINT RT WO/W MRI EXTREM UPPER JOINT LT WO/W MRI EXTREM LOWR JOINT LT W/CON MRI EXTREM LOWR JOINT RT W/CON R&B ICU IN 6360 R&B ICU R&B ICU ISOLATION PUTTY ALLOMATRIX CATH HICKMAN BONE SPECT PROGRAMMER INTERSTIM DIGITAL SUB ANG RENAL BILAT HEP B IMM GLOB 1 ML PLATE MANDIBULAR SYSTEM CT EARS & POST FOSSA W&WO CT THORACIC SPINE WO/W CONT FILTER GREENFIELD FEMORAL MRI SPINE CERVICAL W/WO CONT BREAST PROSTH FILTERWIRE 190CM SYST GRAFT DERMAL APLIGRAF PACEMKR LEAD VDD MRA HEAD ANGIO WO/W CONTRAST NEEDLE TUNA TRANSURETHRA ABLAT SLING SPARC SYSTEM TAPE TVT TENSION-FREE VAGINAL MRI ORBIT/ FACE/ NECK W/CON MRA NECK ANGIO W/CONTRAST MRA NECK ANGIO WO/CONTRAST 75872 75810 70552 75635 J0585 C8920 73220 73220 72141 72148 C1781 C8900 C8901 C8911 C1787 70544 70545 74485 C1788 LT RT 75872 75810 70552 75635 73220 73220 72141 72148 74185 74185 71555 70544 70545 74485 73223 73223 73722 73722 RT LT LT RT 73223 73223 73722 73722 C1713 C1751 78320 C1787 75724 90371 70482 72130 C1880 72156 C1789 C1884 J7340 C1779 70546 C1771 C1771 70542 70548 70547 78320 75724 90371 70482 72130 72156 70546 70542 70548 70547 320 320 611 352 636 612 272 610 610 612 612 278 610 610 610 271 611 611 272 320 278 272 272 610 610 610 610 200 200 209 278 272 341 271 323 250 278 351 352 278 612 278 272 250 275 611 272 278 278 611 611 611 N N N N Y N N N N N N N N N N N N N N N N Y N N N N N N N N Y N N N N Y Y N N N N Y N N Y N N Y N N N N Page 73 OSHPD 06-01-06 Rev Chng Calc LP 782000039 782000014 782000015 782000005 704000033 782000040 758056595 725000571 770050157 758081157 758056599 782000054 782000036 758060013 704000041 758060119 758056584 758056651 704000042 758056525 758060032 704090002 758056585 704000039 758056233 758056173 758060070 758060004 725003915 758056222 758056194 758056241 758060076 758060115 758060114 758060078 758060116 758060117 758060118 758060077 725003188 725003234 725004118 725083024 725085002 731090118 731090119 731091069 731091074 731091075 731091080 740090004 MRI ABDOMEN W/CONTRAST MRI SPINE THORACIC W/WO MRI SPINE LUMBAR W/WO MRI BRAIN W/ AND W/O CONTRAST OR 1ST 60 MIN MRI ABDOMEN W/WO CONTRAST PORT LIFEPORT KIT ANTIVENTIN CROTALIDAE POLYVALE TRANSCATH EMBOLIZATION THERAPY STENT BILIARY NAIL FEMORAL MRI ORBITS WO/W CONTRAST MRA NECK ANGIO WO/W CONTRAST ORTHOTIC HUMERAL OR 1ST 60 MIN WITH LASER LEAD EASYTRAK 4513 HIP CEMENTED BIPOLAR- IMPL SHOULDER TOTAL IMPLANT OR 1ST 60 MIN HYDRO THERM ABLA GASTRIC LAP-BAND 10CM B-2101 GASTRIC LAP-BAND 9.75CM B-2220 OR 1ST 60 MIN LITHOTRIPSY HIP BIPOLAR OR 1ST 60 MIN CRYO ABLATION HIP TOTAL- IMPLANT KNEE TOTAL IMPL GENERATOR PACEMAKER AVS ITERM PACEMKR DC NON RATE TRETINOIN CR 0.05% 20GM PACEMKR SINGLE CHBR NONRATE RE PACEMKR DUAL CHBR RATE RESPON PACEMKR SINGLE CHBR RATE RESPO LEAD ICD ENDOTAK RELIANCE ICD VITALITY AVT A155 ICD VITALITY AVT A135 ICD VITALITY DS ICD CONTAK RENEWAL 3 H175 ICD CONTAK RENEWAL 3 H179 ICD CONTAK RENEWAL ICD DEFIB CONTAK CD TOBRADEX OPTH SOLN 2.5ML TRIAM/DENTAL PASTE 5 GM TRIAMCINOLONE MDI 100MCG-20GM MEGESTROL ACETATE TAB 20MG ALTEPLASE INJ 100MG AMIKACIN PEAK- UCI AMIKACIN TROUGH- UCI DRUG SCREEN CONFIRMATION EA ANTICYCLIC CETRUNATED PEPT- LC LC CHROMOGANIN A EHRLICHIA ANTIBODY-LC CYTOGEN PNL TISSUE CULT- CLAR 74182 72157 72158 70553 74183 C1788 75894 74182 72157 72158 70553 74183 75894 70543 70549 L3999 C1900 C1776 70543 70549 C2619 C2620 C1785 C1786 C1895 C1721 C1721 C1721 C1882 C1882 C1882 C1882 J9999 J2997 80150 80150 80102 83516 86316 86666 88237 80150 80150 80102 83516 86316 86666 88237 610 612 612 611 360 610 278 250 320 278 278 611 611 274 360 278 278 278 360 278 278 360 278 360 278 278 275 275 250 275 275 275 278 275 275 275 275 275 275 275 259 259 259 636 636 301 301 301 301 302 302 311 N N N N N N Y Y N N Y N N Y N N Y Y N N N N Y Y Y Y N Y Y Y Y Y N N N N N N N N Y Y Y Y Y N N N N N N N Page 74 OSHPD 06-01-06 Rev Chng Calc LP 740090006 746000004 746000008 746000060 746060019 746060027 746060245 746060249 746060263 758051318 758070051 770050177 725081021 725083033 725085007 725086026 731091082 740090005 746000002 746000046 746000047 746060103 746060105 758060142 776000156 779000128 785000120 876060001 725081009 731090643 746000009 770009052 725004033 725005368 725081020 725081024 725083008 725083029 725086030 746000001 746060101 725086053 746000042 746060018 746060251 776070012 725000101 731091071 731091098 746000263 776070015 725083028 CYTOGEN PNL CHROM KARYO- CLAR ANGIO EXTREMITY RT XR ANGIO VISC W/W/O FLUSH 1ST XR ANGIO A-V SHUNT SC PLMT CATH ABD/PEL/LWR 1S LT SC PLMT CATH ABD/PEL/LWR 2N LT SC INTRO NDL/CATH ARTERY EXTRE SC CHG TUBE NEPHRO/PYELO INS TEMP PACER TRANS VENOUS CATH SWAN GANZ TRAY HYSTEROSALPINGOGRAM LUMBAR DISKOGRAPHY S/I FILGRASTIN VL 480MCG/1.6ML VINCRISTINE SULFATE VL 1MG I RETEPLASE INJ 20 UNIT CEFTRIAXONE VIAL 2GM INJ IMMUNO ALPHA SUBUNIT FREE-LC CYTOGEN PNL 20-25 CELL- CLAR XR ANGIO CERVICOCEREBRAL/ARCH XR ANGIO CEREBRAL CAROTID LT XR ANGIO CEREBRAL CAROTID RT SC PLACE CATH THOR/BRAC 2ND LT SC PLACE CATH THOR/BRAC 3RD LT ALLOGRAFT BONE RX TC 99M MERTIATIDE MAG 3 SC ASP FINE NDL W/IMAGING GUID CT LWR EXT W&W/O CONTRAST WC PROCEDURE- MINOR EPOETIN ALFA VL 2,000U/1ML I COMPLEMENT TOTAL CH 50 XR ANGIO VISC W/W/O FLUSH ADD XR EPIDUROGRAM VIT B COMPLEX TAB TIGECYCLINE INJ PER 1MG FILGRASTIM VL 300 MCG IMMUNE GLOBULIN IV 0.5GM CYCLOPHOSPHAMIDE TAB 50MG MITOMYCIN VIAL 5MG INJ CYCLOSPORIN CAP 25MG XR AORTOGRAM ABDOMEN W/RUNOFF SC PLACE CATH THOR/BRAC 1ST LT NESIRITIDE 1.5MG INJ XR AORTOGRAM ABDOMEN W/SER SC PLMT CATH AORTA XR DISKOGRAM L-SPINE RX INDIUM III PENTETREO / MCI DEFEROXAMINE MESYLATE AMP 500M GAMMAGLOBULIN IGM SERUM AMPHETAMINE CONFIRMATION- UCI CATH RT/LT HEART RETROGRADE RX XENON XE-133 PER 10MCI METHOTREXATE TAB 2.5MG 88280 75710 75726 75790 36245 36246 36140 50398 33210 RT LT LT 88280 75710 75726 75790 36245 36246 36140 50398 33210 72295 J1441 J9370 J2993 J0696 83519 88264 75650 75665 75665 36216 36217 A9562 10022 73702 J0885 86162 75774 72275 C9228 J1440 J1567 J8530 J9280 J7515 75630 36215 J2325 75625 36200 72295 A9565 J0895 82784 80102 93526 A9558 J8610 72295 LT RT LT LT 83519 88264 75650 75665 75665 36216 36217 10022 73702 86162 75774 72275 LT 75630 36215 75625 36200 72295 82784 80102 93526 311 323 323 323 360 360 360 360 360 272 272 320 636 636 636 636 301 311 323 323 323 360 360 278 343 360 352 510 636 302 323 320 259 636 636 636 636 636 636 323 360 636 323 360 320 343 636 301 301 481 343 636 N N N N N N N N N N N N Y Y Y Y N N N N N N N N Y N N N Y N N N Y Y Y Y Y Y Y N N Y N N N N Y N N N N Y Page 75 OSHPD 06-01-06 Rev Chng Calc LP 725085010 725086002 776070008 725083011 725083030 725086028 725083037 725086004 731091083 794000012 725086056 725085008 725083006 776070009 725081011 740090007 725083035 725002317 6360128 746060239 725081012 776070006 725005350 785000118 725002534 725083023 731000733 746060083 776000168 876000270 746000267 746060070 746000264 746000228 746000265 746000266 746000269 731009269 725081003 725086001 725081010 725086033 725086051 779000127 725086005 725086050 725081004 725086021 776070010 758030002 725070011 731091084 ALTEPLASE VL 2MG ACYCLOVIR OINT 5% 15GM RX TC99M MAC ALBUMIN TO 10MCI DOXORUBICIN PFS VL 10MG PACILTAXEL VIAL (6MG/ML) 5ML I CEFTRIAXONE 500MG VIAL PACLITAXEL VIAL 100MG/17M INJ ACYCLOVIR VIAL 500MG INJ FUNGUS STAIN KOH FLUORESC - LC IPPB BREATHING TREATMENT SUBSQ OCTREOTIDE ACETATE INJ 0.5MG/1 TENECTEPLASE 50MG INJ CYCLOPHOSPHAMIDE IV 100 MG RX TC99M SULF COLLOID TO 20MCI EPOETIN ALFA VL 3,000U/1ML I IMMUNOCYTOCHEM EA ANTIBODY CARBOPLATIN VIAL 50MG INJ NAFCILLIN 1GM VIAL INJ R&B SEMI PRIV REHAB- DOU SC PLACE CATH VENOUS 1ST ORDER EPOETIN ALFA VL 4,000U/1ML I RX TC99M PYROPHOSPH TO 25MCI SURGICEL CT LWR EXT W/O CONTRAST PEN G K 5 MU VIAL LEUPROLIDE LUPRON 3 MO 22.5MG HEMOGLOBIN GLYCATED A1C SC PLMT CATH IVC OR SVC RX MYOVIEW PER DOSE APPL OASIS 1ST 100CM CATH LEFT HEART PERC SC INSERT PORT ACCESS DEV INJ LT ATRIAL/VENTRICULR ANGIO XR FLUORO GUIDANCE PICC LINE INJ CORONARY ANGIO DUR CARD CA ATRIAL/VENT ANGIO S&I S&I CORO/PULM ANGIO/AORTO/BG HIV AB (HIV 1+2) ALBUMIN VL 5% 250ML ACYCLOVIR CAP 200MG EPOETIN VL 20, 000 UNITS CYCLOSPORINE ORAL 100 MG LINEZOLID TAB 600MG US RETROPERITONEAL COMPLETE VALACYCLOVIR CAP 500MG LINEZOLID IVPB 600MG ALBUMIN VL 5% 500ML CEFTAZIDME 1GM VIAL INJ RX MEBROFENIN UP TO 15 MCI DSG FIBRACOL RX IOHEXOL 300 VL 1ML PSA PROSTATE CANCER SCREEN J2997 A9540 J9000 J9265 J0696 J9265 J0133 87206 94640 J2354 J3100 A9541 J0885 88342 J9045 87206 94640 88342 36011 J0885 A9538 73700 J2540 J9217 83036 36010 A9502 15430 93510 36569 93543 75998 93545 93555 93556 86703 P9045 J0885 J7502 76770 J2020 P9045 J0713 A9537 Q9949 G0103 36011 73700 83036 36010 15430 93510 36569 93543 75998 93545 93555 93556 86703 76770 636 259 343 636 636 636 636 636 306 410 636 636 250 343 636 310 636 250 128 360 636 343 272 352 636 636 301 360 343 360 481 360 481 320 481 481 481 302 636 259 636 636 259 402 259 636 636 636 343 272 254 301 Y Y N Y Y Y Y Y N N Y Y Y N Y N Y Y N N Y N N N Y Y N N N N N N N N N N N N Y Y Y Y Y N Y Y Y Y N N Y N Page 76 OSHPD 06-01-06 Rev Chng Calc LP 785000126 725083031 731009268 725081008 725083026 725086003 725086007 725070006 725081002 725086067 725081001 725083025 725086063 776070007 731091076 731091077 725003773 758030007 776000102 725070010 725086023 725085004 725070007 725070012 725000479 725000712 725001903 725002164 725002254 725002907 725003095 725003501 725003559 725003707 725003878 725005181 725005193 725005343 725005344 725005345 725005347 725005348 725005349 725005351 725005352 725005353 725005354 725005355 725005356 725005357 725005358 725005359 CT RECONST 3D RNDR W/POSTPRO RITUXIMAB VL 100MG (10MG/ML) FERRITIN SERUM EPOETIN ALFA VL 10,000U/1ML MEGESTROL ACETATE TAB 40MG ACYCLOVIR TAB 800MG AMPHOTERICIN B VIAL 50MG INJ RX ISOVUE-M 300 VL 61% 1ML ALBUMIN VL 25% 50ML DANTROLENE CAP 25MG ALBUMIN VL 25% 100ML MEDESTROL ORAL SUSP 400MG/10ML TPN 1000ML RX TC99M PENTETATE TO 25MC HYDROXYPROGESTERONE (CAH) MASS SPECTOMETRY MS/MS TANDEM ENOXAPARIN 60MG/ 0.6ML PFS TISSUE DERM OASIS PER SQ CM RX NA IODIDE I 123 PER 100 UCI RX INJ GAD BASE MR CONTRAST/ML CEFTRIAXONE VIAL 1GM INJ EPTIFIBATIDE INJ 0.75MG/ML RX ISOVUE-370 VL 76% 1ML RX ISOVUE 300 VL 61% 1ML SODIUM CHLORIDE O/S 5% 15ML BOTULINUM TOXIN-A 1UNIT KETOROLAC SYRINGE 60MG INJ METHADONE SOL 10MG/5ML 5ML MITOXANTRONE 30 MG INJ SALMETEROL INHALER 50MCG 6.5GM TETRACAINE HCL 2% TOP SOL 30ML BACITRACIN ONT 1/2 OZ CERUMENEX OTIC SOL 15ML HOMATROPINE 2% OPT SOL 1 ML PROCAINE PEN G INJ 600 000 UNI MIRTAZAPINE TAB 45MG QUETIAPINE FUM TAB 300MG BCG VACC INTRAVES 50MG/2ML PROPAFENONE CAP SR 325MG OCTREOTIDE VL 1MG/ML 5ML NA HYALURONATE OP 14/ML 0.85ML NICARDIPINE INJ 2.5MG/ML 10ML LIOTHYRONINE INJ 10MCG 10 ML SURGICEL FIBRILLAR LANTHANUM CARB TAB CHW 1000MG NALMEFENE AMP 100MCG/ML 1ML LEVETIRACETAM SOL 100/ML 5ML SILDENAFIL TAB 25MG TRAVOPROST OP SOL 0.004% 2.5ML XENADERM OINT 60GM OSELTAMIVIR SUSP 12MG/ML 25ML DULOXETINE CAP 20MG 76377 J9310 82728 J0885 J9999 J0285 Q9949 P9047 P9047 J9999 A9539 83498 83789 J1650 J7341 A9516 Q9952 J0696 J1327 Q9950 Q9949 J0585 J1885 J9293 76377 82728 83498 83789 J2510 J9031 J2354 G9035 C9399 350 636 301 636 636 259 636 254 636 259 636 636 258 343 301 301 636 636 343 636 636 636 254 636 259 636 636 259 636 259 259 259 259 259 250 259 259 636 259 636 250 250 250 272 259 250 259 259 259 259 636 636 N Y N Y Y Y Y Y Y Y Y Y Y N N N Y N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N Y Y Y Y Y Y Y Y Page 77 OSHPD 06-01-06 Rev Chng Calc LP 725005360 725005361 725005362 725005363 725005364 725005365 725005366 725005367 725005369 725005371 725070008 725081027 725083001 725083002 725083003 725083004 725083007 725083009 725083013 725083014 725083015 725083017 725083018 725083019 725083020 725083021 725083022 725083032 725083034 725083036 725085005 725085009 725086006 725086008 725086009 725086022 725086031 725086032 725086035 725086036 725086040 725086045 725086046 725086052 725086054 725086055 725086060 725086061 725086062 725086065 731000549 731090117 DULOXETINE CAP 60MG OSELTAMIVIR CAP 75MG LOPINAVIR/RITON TAB 200-50MG LOPINAVIR/RITONAVIR SOL 5ML ADMIN IVIG PER INFUSION CA SULFATE OSTEOSET BEAD KIT MILRINONE LAC IVPB 200/ML 200M MICAFUNGIN SODIUM INJ PER 1 MG INSULIN ASPART HUMAN PER 5 U DARBEPOETIN VL 1MCG NONESRD RX ISOVUEM 200 VL 41% 1ML IMMUNE GLOBULIN IV 6GM BLEOMYCIN SULFATE AMP 15U INJ BUSULFAN TAB 2MG CARBOPLATIN VL 150MG CHLORAMBUCIL TAB 2MG CYCLOPHOSPHAMIDE TAB 25MG DAUNORUBICIN IV 10MG ETOPOSIDE VL 10 MG FLUROURACIL VIAL 500MG INJ GEMCITABINE HCL VL 1GM IDARUBICIN VL 5 MG INJECTION IFOSFOMIDE VIAL 1GM INJ INTERFERRON ALPHA 2-B VL 3MIU IRINOTECAN VL 20MG/ML 5ML LEUPROLIDE ACETATE DEPOT 3.75M LEUPROLIDE ACETATE 7.5MG/ML IN TAMOXIFEN CITRATE TAB 10MG MESNA INJ 400MG METHOTREXATE VIAL (25MG/ML) 2M EPTIFIBATIDE INJ 5MG 2.5ML ALTEPLASE VL 50MG ACYCLOVIR 400MG TAB AMPHOTERICIN B FUNGIZONE VL 5M AMPHOTERICIN B LIPO INJ 50MG CEFTIZOXIME VIAL 1GM CYCLOSPORINE AMP 50MG/ML 5ML CYCLOSPORIN LIQ 100MG/1ML DANTROLENE VL 20MG DAPTOMYCIN INJ 500 MG DROTRECOGIN 5MG INJ FOSCARNET SODIUM 24MG/ML 250ML INFLIXIMAB INJ 100MG NELFINAVIR TAB 250MG NEVIRAPINE TAB 200MG OCTREOTIDE ACETATE 0.1MG/ML 1M DIGOXIN IMMUNE FAB (OVINE),PER RITONAVIR CAP 100MG TENOFOVIR TAB 300MG ZIDOVUDINE CAP 100MG ACCU-CHECK GLUCOSE REAGENT STR GLUTAMIC ACID DECARBOXYLASE AB C9399 G9035 G0332 J2260 C9227 J1815 J0881 Q9947 J1567 J9040 J8510 J9045 J8530 J9150 J9181 J9190 J9201 J9211 J9208 J9214 J9206 J1950 J9217 J9999 J9209 J9250 J1327 J2997 J0285 J0289 J0715 J7516 J0878 J1455 J1745 J2354 J1162 82948 83519 82948 83519 636 636 259 259 260 250 636 636 636 636 254 636 636 636 636 259 636 636 636 636 636 636 636 636 636 636 636 636 636 636 636 636 259 636 636 636 636 250 250 636 250 250 636 259 259 636 636 259 259 259 301 301 Y Y Y Y N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N N Page 78 OSHPD 06-01-06 Rev Chng Calc LP 731091068 731091070 731091072 731091073 731091078 731091079 731091081 731091096 731091097 731091099 740090008 740090009 740090010 740090011 740090012 740090013 746000003 746000005 746000006 746000007 746000016 746000017 746000026 746000027 746000035 746000036 746000039 746000040 746000041 746000043 746000044 746000045 746000048 746000049 746000050 746000051 746000052 746000053 746000054 746000055 746000056 746000057 746000058 746000059 746000061 746000062 746000063 746000064 746000071 746000072 746000073 746000074 LC- CRYPTOCOCCAL AG SER/CSF GAMMAGLOBULIN IGA SERUM ENA AB JO1 ENA AB SS-B (LA) IBD- FIRST STEP (PROMETHEUS) IBD- DIAGNOSTIC (PROMETHEUS) PROTHROMBIN GENE MUTATION-QUES COCCAINE CONFIRMATION-UCI DRUG SCREEN CONFIRM THC- UCI DRUG SCREEN CONFIRMATION-UCI IMMUNOFLOURESCENT DIRECT ELECTRON MICROSCOPY DIAGNOSTIC CHROMOSOME COUNT 5/1 CELLS CHROMOSOME ADDL KARYO CHROMOSOME ADDL CELL COUNT HERB2 BY FISH- PATHINC ANGIO EXTREMITY LT XR ANGIO RENAL LT XR ANGIO RENAL RT XR ANGIO RENAL BIL XR PLMT TRANSCATH STENT XR TRANSCATH STENT NON COR ADD XR PTA PERIPHERAL ADD LT XR PTA PERIPHERAL ADD RT XR PTA RENAL/VISCERAL LT XR PLMT TRANSCATH STENT ADDL XR REMOVE BILE DUCT STONE XR DILATION BILIARY DUCT W/O XR AORTOGRAM THORACIC W/SER XR ANGIO EXTERNAL CAROTID LT XR ANGIO EXTERNAL CAROTID RT XR ANGIO EXTERNAL CAROTID BIL XR ANGIO CEREBRAL CAROTID BIL XR ANGIO CERVICAL CAROTID LT XR ANGIO CERVICAL CAROTID RT XR ANGIO CERVICAL CAROTID BIL XR ANGIO EXTREMITY BIL XR ANGIO ADRENAL LT XR ANGIO ADRENAL RT XR ANGIO ADRENAL BIL XR ANGIO PULMONARY LT XR ANGIO PULMONARY RT XR ANGIO PULMONARY BIL XR ANGIO PULMONARY NONSELECT XR TRANSCATH ANGIO EXIST CATH XR TRANSHEPATIC BILIARY DRAIN XR PLMT BILIARY DRAINAGE CATH XR CHANGE TUBE/DRAINAGE CATH XR RENAL CYST STUDY XR PLMT CATH RENAL PELVIS XR PLMT CATH/STENT URETER XR DILATION NEPH/URETR/URETH 87899 82784 86235 86235 86021 86021 83891 82489 80102 80102 88346 88348 88261 88280 88285 88368 75710 75722 75722 75724 75960 75960 75964 75964 75966 75966 74327 74363 75605 75660 75660 75662 75671 75676 75676 75680 75716 75731 75731 75733 75741 75741 75743 75746 75898 75980 75982 75984 74470 74475 74480 74485 LT LT RT LT RT LT LT RT LT RT LT RT LT RT 87899 82784 86235 86235 86021 86021 83891 82489 80102 80102 88346 88348 88261 88280 88285 88368 75710 75722 75722 75724 75960 75960 75964 75964 75966 75966 74327 74363 75605 75660 75660 75662 75671 75676 75676 75680 75716 75731 75731 75733 75741 75741 75743 75746 75898 75980 75982 75984 74470 74475 74480 74485 306 301 302 302 302 302 301 301 301 301 310 310 311 311 311 312 323 323 323 323 320 320 320 320 320 320 320 320 323 323 323 323 323 323 323 323 323 323 323 323 323 323 323 323 320 320 320 320 320 320 320 320 N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N Page 79 OSHPD 06-01-06 Rev Chng Calc LP 746000075 746000076 746000077 746000078 746000080 746000081 746000082 746000083 746000084 746000085 746000086 746000087 746000088 746000089 746000090 746000091 746000095 746000097 746000098 746000206 746000211 746000212 746000213 746000214 746000218 746000227 746060003 746060004 746060005 746060006 746060007 746060008 746060009 746060010 746060011 746060012 746060013 746060014 746060015 746060016 746060017 746060020 746060028 746060032 746060033 746060035 746060036 746060037 746060038 746060043 746060064 746060066 XR VENOGRAM EXTREMITY LT XR VENOGRAM EXTREMITY RT XR VENOGRAM EXTREMITY BIL XR VENACAVAGRAM IVC XR VENOGRAM RENAL LT XR VENOGRAM RENAL RT XR VENOGRAM RENAL BIL XR VENOGRAM ADRENAL RT XR VENOGRAM ADRENAL LT XR VENOGRAM ADRENAL BIL XR VENOGRAM SINUS/JUGULAR XR VENOGRAM SUPERIOR SAGITTAL XR VENOGRAM SAMPLING CATH XR TRANSCATH INFUSION THPY XR EXCHANGE THROMBOLYTIC CATH XR PLMT IVC FILTER XR FLUORO ABSCESS DRAINAGE XR TRANSCATH EMBOLIZATION THER XR VENACAVAGRAM SVC XR ANGIO SPINAL XR ANGIO VERTEBRAL RIGHT XR MYELOGRAM THORACIC XR MEYLOGRAM LUMBAR XR MYELOGRAM SPINAL CANAL XR PERCUT PLACE GASTRO TUBE XR ANGIO VERTEB/CERVICAL LT SC PTA RENAL/VISCERAL LT SC PTA RENAL/VISCERAL ADD LT SC PTA RENAL/VISCERAL RT SC PTA RENAL/VISCERAL ADD RT SC PTA AORTA SC PTA ILIAC LT SC PTA ILIAC ADD LT SC PTA ILIAC RT SC PTA ILIAC ADD RT SC PTA FEM/POPLITEAL LT SC PTA FEM/POPLITEAL ADD LT SC PTA FEM/POPLITEAL RT SC PTA FEM/POPLITEAL ADD RT SC PTA BRACHIOCEPHALIC LT SC PTA BRACHIOCEPHALIC RT SC PLMT CATH ABD/PEL/LWR 1S RT SC PLMT CATH ABD/PEL/LWR 2N RT SC PLMT CATH ABD/PEL/LWR 3R LT SC PLMT CATH ABD/PEL/LWR 3R RT SC PLMT TRANSCATH STENT 1ST RT SC PLMT STENT ADD RT SC PLMT TRANSCATH STENT 1ST LT SC PLMT STENT ADD LT SC EXTRACT STONE DUCT BILIARY SC PTA VENOUS SC INJ VENOGRAM CONTRAST 75820 75820 75822 75825 75831 75831 75833 75840 75840 75842 75860 75870 75893 75896 75900 75940 75989 75894 75827 75705 75685 72255 72265 72270 74350 75685 35471 35471 35471 35471 35472 35473 35473 35473 35473 35474 35474 35474 35474 35475 35475 36245 36246 36247 36247 37205 37206 37205 37206 47630 35476 36005 LT RT LT RT RT LT LT LT RT RT LT LT RT RT LT LT RT RT LT RT RT RT LT RT RT RT LT LT 75820 75820 75822 75825 75831 75831 75833 75840 75840 75842 75860 75870 75893 75896 75900 75940 75989 75894 75827 75705 75685 72255 72265 72270 74350 75685 35471 35471 35471 35471 35472 35473 35473 35473 35473 35474 35474 35474 35474 35475 35475 36245 36246 36247 36247 37205 37206 37205 37206 47630 35476 36005 320 320 320 320 320 320 320 320 320 320 320 320 320 320 320 320 320 320 320 323 323 320 320 320 320 323 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N Page 80 OSHPD 06-01-06 Rev Chng Calc LP 746060067 746060068 746060069 746060072 746060073 746060078 746060079 746060080 746060081 746060082 746060099 746060102 746060104 746060106 746060107 746060108 746060201 746060202 746060204 746060206 746060207 746060209 746060212 746060213 746060214 746060215 746060216 746060221 746060229 746060230 746060232 746060233 746060234 746060235 746060236 746060237 746060238 746060240 746060241 746060242 746060243 746060244 746060246 746060247 746060248 746060250 746060252 746060253 746060254 746060255 746060256 746060257 SC PLMT CATH ARTERY PULM LT SC PLMT CATH ARTERY PULM RT XR CHOLANGIOGRAM TRANSHEPATIC SC THPY INFUS TRANSCATH THROMB SC TRANSCATH INFUS CATH EXCH SC ASP/INJ CYST RENAL PERC SC PLMT CATH RENAL PELVIS SC PLMT CATH/STENT URETER SC INJ PYELOGRAM SC PLMT GUIDE NEPHROSTOMY PERC SC TRANSCATH REMOVE FB SC PLACE CATH THOR/BRAC 1ST RT SC PLACE CATH THOR/BRAC 2ND RT SC PLACE CATH THOR/BRAC 3RD RT SC PLACE CATH THOR/BRAC ADD LT SC PLACE CATH THOR/BRAC ADD RT SC INJ CHOLANGIOGRAPHY SC CATH/INTRO SALINE/CONTRAST SC INJ LUMBAR FACET STEROID EA SC INTRO CATH CV NON-TUNL SC THPY INFS THROMBO NON-CORON SC INTRO PERC IVC FILTER SC PERC EMBOLIZATION NEURO SC PERC EMBOLIZATION NON-NEURO SC LUMBAR PUNCTURE DIAGNOSTIC SC INJ MYELOGRAM LUMBAR PUNC SC INSERT CHEST TUBE SC PLACE G-TUBE PERC SC INS VENOUS ACCESS DEVIC > 5 SC INS PERIPH CV ACC W/PORT <5 SC REPOSITION CVP OR PICC SC INJ SINUS TRACT SC INJ ARTHROGRAM SHOULDER SC INJ ARTHROGRAM ELBOW SC INJ ARTHROGRAM HIP SC INJ KNEE ARTHROGRAPHY SC THROMBECT GRAFT AV SC PLACE CATH VENOUS 2ND ORDER SC INTRO CATH ARTERY HEART/PUL SC PLACE CATH ARTERY PULM SEG SC INTRO NDL/CATH ART CAR/VER SC INTRO NDL/CATH ARTERY BRACH SC PLACE CATH ABD/PEL ADD SC DECLOT PORT W/THROMB AGENT SC INJ SIALOGRAM XR FLUORO PACEMAKER INSERTION XR ARTHROGRAM SHOULDER LT XR ARTHROGRAM SHOULDER RT XR ARTHROGRAM HIP LT XR ARTHROGRAM HIP RT XR ARTHROGRAM KNEE LT XR ARTHROGRAM KNEE RT 36014 36014 74320 37201 37209 50390 50392 50393 50394 50395 37203 36215 36216 36217 36218 36218 47505 58340 64475 36556 37201 37620 61624 61626 62270 62284 32020 43750 36571 36570 36597 20501 23350 24220 27093 27370 35875 36012 36013 36015 36100 36120 36248 36550 42550 71090 73040 73040 73525 73525 73580 73580 LT RT RT RT RT LT RT LT RT LT RT LT RT 36014 36014 74320 37201 37209 50390 50392 50393 50394 50395 37203 36215 36216 36217 36218 36218 47505 58340 64475 36556 37201 37620 61624 61626 62270 62284 32020 43750 36571 36570 36597 20501 23350 24220 27093 27370 35875 36012 36013 36015 36100 36120 36248 36550 42550 71090 73040 73040 73525 73525 73580 73580 360 360 320 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 360 320 322 322 322 322 322 322 N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N Page 81 OSHPD 06-01-06 Rev Chng Calc LP 746060258 746060259 746060260 746060261 746060262 758000101 758000102 758000103 758000104 758056422 758056423 758056424 758060025 758060026 758060027 758060034 758060137 758060139 758060140 758060141 758060143 758060144 758060145 758060146 758060147 758060148 758060149 758060150 758060151 758060152 758060154 758060155 758060156 758060157 758060158 758060159 758060160 758060161 758060162 758060163 758060164 758060165 758060166 758060167 758060168 758060169 758060170 758060171 758060172 758070047 758070049 758070050 XR ERCP CATH BILIARY&PANCREAS XR SPLENOPORTOGRAM XR VENOGRAM EPIDURAL XR ABSC SINUS/FISTULA XR SUBTRACTION RETRACTOR LONE STAR DISP STAY LONE STAR BRACE LSO CUSTOM TRAY THORACIC VENT PENILE PROS INFLAT ACCESS KIT PENILE PROS INFLAT AMS 700 CX PENILE PROS INFLAT RESERVOIR PUMP AUS CONTROL IMPL BALLOON AUS PRESSURE IMPL CUFF AUS IMPL EXTERNAL FIXATOR SPACER CERVICAL GRAFTECH THORACOPORT MESH DULEX GRAFT BONE INFUSE ENDOBUTTON ENDOBUTTON BUR DRILL BIT STENT URETHRAL UROLUME SCREW SET STANDARD SCREW DOUBLE INNIE EXPEDIUM SCREW TAP HOOK LOCK SPINAL ROD LOWER RETRACTOR ABDOMINAL MOBIUS ARTIFICIAL URINARY SPHINCTER PACEMKR PHILOS II MESH TITANIUM SEALANT FIBRIN TISSEEL 2ML SEALANT FIBRIN TISSEEL 5ML PROBE CRYOABLATION CRYOPROBE PACEMKR INSYNC III 7279 LEAD PCMKR CRYSTALLINE SUTURE ORTHOCORD GRAFT BONE OPTIMESH 10CMX15CM GRAFT BONE OPTIMESH 15CMX15CM GRAFT BONE OPTIMESH 15CMX20CM GRAFT BONE CDO DELIVERY SYS NAIL TIBIAL TITANIUM PLATE LCP ENDO SAPH VEIN HARVEST KIT STENT WALLSTENT ENDOPROS SYST FILLER BONE PRO OSTEON 500 CAGE SPINAL PEEK PLATE STRUT LEAD NEUROSTIMULATOR TINED CATH SILVERHAWK CATH ARROW-TREROTOLA PTD KIT CATH ARROW-TREROTOLA PTD 74330 75810 75872 76080 76350 74330 75810 75872 76080 76350 C1813 C1781 C1713 C1876 C1815 C1785 C1781 C2618 C2621 C1898 C1876 C1713 C1778 C1714 C1757 C1757 320 320 320 320 320 272 272 271 272 272 278 278 278 278 278 278 278 272 278 278 278 272 278 278 278 272 278 272 278 275 278 278 278 272 275 275 272 278 278 278 272 278 278 272 278 278 278 278 278 272 272 272 N N N N N N N Y N N N N N N N N N N N Y N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N Page 82 OSHPD 06-01-06 Rev Chng Calc LP 770050172 776000169 776070011 776070013 776070014 779000126 785000002 785000119 794000051 800000057 802000056 824000186 876000044 876000045 876000049 876000050 876000053 876060002 876060003 TOTALS SINUS TRAC/FISTULA STD RX ISOTOPE TC99M FANOLESOMAB D RX GLUCEPTATE PER 5MCI RX ISOTOPE TC99M RBC TO 30 MCI RX TC99M BICISATE TO 25 MCI SC CATH/INTRO SALINE/CONTRAST SC ASP FINE NDL W/IMAGING GUID CT LWR EXT W/CONTRAST SIMPLE PULMONARY FUNCTION TEST PT PERFORMANCE TEST 15 MIN ORTHOTIC MNGMNT/FIT/TRAIN 15 CATH FOR COLLECT SINGLE PT I&D ABCESS SIMPLE I&D ABCESS COMPLEX AVULSION NAIL PLATE SINGLE AVULSION NAIL PLATE ADDL CAUTERY CHEMICAL TISSUE WC PROCEDURE- INTERMEDIATE WC PROCEDURE- MAJOR 76080 A9566 A9550 A9560 A9557 58340 10022 73701 94010 97750 97760 P9612 10060 10061 11730 11732 17250 76080 GP GO 58340 10022 73701 94010 97750 97760 10060 10061 11730 11732 17250 320 343 343 343 343 360 360 352 460 420 420 300 510 510 510 510 510 510 510 N N N N N N N N N N N N N N N N N N N Page 83 OSHPD 06-01-06 Rev Chng Calc LP Price 05 0.03 0.03 0.06 0.06 0.06 0.09 0.09 0.09 0.09 0.13 0.13 0.16 0.16 0.16 0.16 0.16 0.16 0.19 0.19 0.19 0.22 0.22 0.22 0.25 0.25 0.25 0.25 0.28 0.28 0.28 0.32 0.32 0.35 0.35 0.38 0.44 0.44 0.44 0.47 0.50 0.50 0.54 0.57 0.57 0.60 0.60 0.63 0.63 0.66 Price 06 YTD Qty YTD Amount ACT 0.50 0.50 0.50 0.50 0.50 0.50 0.50 0.50 0.50 70.05 0.50 0.50 9.00 0.50 0.50 0.50 0.50 8.83 0.50 0.50 0.50 0.50 0.50 0.50 0.50 0.50 0.50 9.00 9.00 0.50 0.50 0.50 0.50 0.50 0.50 0.50 0.50 0.50 0.50 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 8.83 no usage no usage 1 no usage no usage no usage no usage no usage no usage 649 no usage 1 1 26 no usage no usage no usage 30 no usage no usage no usage no usage no usage 1 no usage no usage no usage 1 2 no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage 2 no usage 12 Revenue due to 05-06 Price 9Y 0.44 721 Y 8Y 9Y 237 Y 45378.08 0.34 8.84 8.84 265 Y 259.20 8Y 0.25 9Y 18 Y 8.72 17.44 26 Y 106 Y 0.74 98.04 Page 84 OSHPD 06-01-06 Rev Chng Calc LP 0.66 0.69 0.72 0.72 0.79 0.82 0.82 0.88 0.88 0.88 0.88 0.95 1.01 1.01 1.04 1.07 1.07 1.13 1.20 1.26 1.26 1.29 1.29 1.32 1.32 1.35 1.35 1.35 1.39 1.39 1.42 1.44 1.45 1.45 1.48 1.48 1.48 1.48 1.50 1.54 1.54 1.54 1.54 1.58 1.58 1.58 1.61 1.61 1.64 1.64 1.67 1.67 1.00 1.00 1.00 1.00 1.00 1.00 1.00 14.00 1.00 1.00 1.00 14.00 8.84 1.50 1.50 1.50 1.50 1.50 1.50 1.50 1.50 1.50 1.50 1.50 1.50 1.50 1.50 1.50 1.50 1.50 1.50 70.05 5.90 2.00 8.80 8.80 2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 2.00 no usage no usage no usage no usage no usage no usage no usage 1 no usage no usage no usage 1 72 no usage no usage 2 no usage no usage 2 no usage no usage no usage no usage no usage no usage no usage no usage no usage 2 no usage 19 758 774 no usage 6 14 no usage no usage 2 1 18 no usage no usage no usage no usage no usage no usage no usage no usage no usage 27 no usage 14 Y 13.12 14 Y 679 Y 13.05 563.76 18 Y 0.86 53 Y 0.60 18 Y 61 Y 43 Y 4327 Y 62 Y 123 Y 0.22 1.52 52006.38 3444.30 43.92 102.48 18 Y 9Y 248 Y 1.00 0.46 8.28 238 Y 8.91 Page 85 OSHPD 06-01-06 Rev Chng Calc LP 1.70 1.73 1.73 1.76 1.80 1.80 1.80 1.83 1.83 1.83 1.89 1.89 1.92 1.92 1.95 1.98 1.98 1.98 1.98 2.08 2.08 2.08 2.11 2.11 2.14 2.17 2.21 2.21 2.21 2.24 2.27 2.30 2.30 2.30 2.33 2.36 2.40 2.43 2.46 2.52 2.52 2.55 2.55 2.55 2.55 2.58 2.61 2.61 2.65 2.65 2.68 2.71 2.00 2.00 2.00 8.80 2.00 2.00 2.00 9.00 8.83 2.00 2.00 2.00 2.50 2.50 2.50 2.50 2.50 2.50 2.50 2.50 2.50 2.50 2.50 2.50 2.50 2.50 8.83 2.50 2.50 2.50 8.80 2.50 2.50 2.50 2.50 2.50 32.89 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 no usage no usage no usage 9 no usage no usage no usage 1 13 no usage no usage no usage 7 no usage no usage no usage no usage no usage no usage no usage no usage no usage 3 no usage no usage no usage 41 no usage no usage no usage 21 no usage no usage no usage no usage no usage 387 no usage no usage 1 no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage 79 Y 63.36 9Y 115 Y 7.17 91.00 132 Y 4.06 26 Y 1.17 360 Y 271.42 185 Y 137.13 11955 Y 11799.63 9Y 0.48 Page 86 OSHPD 06-01-06 Rev Chng Calc LP 2.71 2.74 2.77 2.84 2.84 2.84 2.84 2.90 2.93 2.93 2.93 2.96 2.99 2.99 3.06 3.06 3.06 3.09 3.12 3.15 3.15 3.15 3.15 3.15 3.15 3.18 3.18 3.18 3.18 3.24 3.28 3.28 3.31 3.31 3.34 3.34 3.37 3.40 3.40 3.43 3.50 3.53 3.53 3.56 3.56 3.56 3.59 3.62 3.65 3.65 3.65 3.65 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.50 3.50 3.50 3.50 3.50 3.50 3.50 3.50 3.50 3.50 3.50 3.50 8.83 3.50 3.50 3.50 3.50 3.50 3.50 3.50 3.50 3.50 3.50 3.50 3.50 3.50 3.50 4.00 4.00 4.00 4.00 4.00 4.00 9.00 4.00 4.00 8.83 4.00 4.00 4.00 4.00 4.00 4.00 4.00 4.00 no usage no usage no usage no usage no usage no usage no usage no usage 18 no usage no usage 5 no usage no usage no usage no usage no usage no usage no usage 24 no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage 2 no usage no usage 6 no usage no usage no usage no usage no usage no usage no usage no usage 63 Y 10.26 43 Y 2.70 212 Y 136.32 18 Y 11.00 53 Y 31.62 Page 87 OSHPD 06-01-06 Rev Chng Calc LP 3.69 3.69 3.69 3.72 3.72 3.72 3.72 3.73 3.75 3.78 3.81 3.84 3.84 3.84 3.84 3.87 3.87 3.87 3.91 3.94 3.94 3.97 3.97 4.00 4.00 4.00 4.03 4.10 4.13 4.19 4.19 4.20 4.21 4.22 4.22 4.25 4.25 4.25 4.28 4.35 4.35 4.35 4.38 4.38 4.47 4.47 4.47 4.50 4.50 4.50 4.52 4.54 8.83 4.00 4.00 8.67 4.00 4.00 4.00 4.00 4.00 4.00 4.00 4.50 4.50 4.50 4.50 4.50 4.50 4.50 4.50 4.50 4.50 4.50 4.50 4.50 4.50 4.50 4.50 4.50 4.50 4.50 4.50 4.50 2.50 4.50 4.50 4.50 4.50 4.50 4.50 9.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 1.50 1.50 18 no usage no usage 4 no usage no usage no usage no usage no usage no usage no usage 1 no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage 2 no usage no usage no usage no usage no usage 217 no usage no usage no usage no usage no usage no usage 2 no usage no usage no usage no usage 2 no usage no usage 5 no usage no usage 2322 6858 159 Y 92.52 35 Y 19.80 9Y 0.66 28 Y 0.94 560 Y (371.07) 18 Y 9.30 18 Y 1.06 44 Y 2.50 3899 Y 10883 Y (7012.44) (20848.32) Page 88 OSHPD 06-01-06 Rev Chng Calc LP 4.58 4.66 4.69 4.69 4.69 4.73 4.76 4.85 4.85 4.88 4.88 5.00 5.00 5.00 5.00 5.01 5.04 5.07 5.07 5.15 5.23 5.32 5.36 5.42 5.45 5.50 5.50 5.50 5.50 5.51 5.62 5.64 5.73 5.73 5.73 5.86 5.86 5.89 5.89 5.95 5.95 5.95 5.99 5.99 6.00 6.05 6.11 6.14 6.17 6.17 6.24 6.25 7.56 5.00 5.00 5.00 5.00 5.00 5.00 5.50 5.50 8.80 5.50 11.03 4.14 4.14 3.60 1.50 5.50 5.50 5.50 1.50 5.50 6.00 6.00 6.00 1.50 6.00 6.00 6.00 5.50 6.00 40.88 6.00 6.50 6.50 6.50 6.50 6.50 6.50 6.50 6.50 6.50 6.50 6.50 6.50 6.00 6.50 6.50 8.83 6.50 6.50 150.20 7.00 2744 no usage 2 no usage no usage no usage no usage 21 no usage 20 no usage 6 15 21 no usage 1567 no usage 3 no usage 1457 no usage 2 no usage no usage 6548 88 1756 no usage no usage no usage 5690 no usage no usage no usage no usage 56 no usage 1 no usage no usage no usage no usage 2 no usage no usage no usage no usage 115 no usage no usage 13 no usage 20146 Y 18 Y 8177.12 0.62 194 Y 176 Y 54 Y 69 Y 90 Y 2475 Y 26 Y 2190 Y 17 Y 13.65 78.40 36.18 (12.90) (18.06) (5500.17) 1.29 (5318.05) 1.36 12440 Y 484 Y 9658 Y (25864.60) 44.00 878.00 49315 Y 200629.40 494 Y 9Y 35.84 0.61 28 Y 1.02 1027 Y 309.35 1359 Y 1871.48 Page 89 OSHPD 06-01-06 Rev Chng Calc LP 6.30 6.30 6.32 6.33 6.35 6.36 6.36 6.45 6.50 6.50 6.50 6.50 6.50 6.50 6.50 6.52 6.58 6.62 6.63 6.65 6.65 6.65 6.72 6.75 6.77 6.82 6.84 6.84 6.87 6.90 6.90 6.96 6.96 7.00 7.00 7.00 7.00 7.02 7.05 7.12 7.12 7.15 7.16 7.25 7.25 7.28 7.31 7.33 7.34 7.37 7.43 7.43 7.00 7.00 7.00 7.00 7.00 7.00 7.00 7.00 7.00 7.00 7.00 1.80 6.50 7.00 7.00 7.00 9.00 7.00 7.00 7.00 7.00 7.00 70.05 9.42 7.50 9.05 7.50 7.50 7.50 7.50 7.50 7.50 7.50 9.00 7.50 2.03 13.31 7.50 7.50 7.50 7.50 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 no usage no usage 3136 no usage no usage no usage no usage 174 132 932 1275 no usage no usage no usage no usage no usage 2 no usage 18 2 2148 no usage 75908 no usage no usage 87 no usage no usage no usage no usage no usage no usage no usage 2 8 no usage no usage 11 44 418 no usage no usage 61 no usage no usage no usage no usage 216 no usage no usage no usage no usage 17784 Y 2132.48 1608 858 6058 8288 Y Y Y Y 95.70 66.00 466.00 637.50 18 Y 159 Y 18 Y 19514 Y 332463 Y 4.84 6.66 0.70 751.80 4807253.64 785 Y 194.01 18 Y 60 Y 4.00 4.00 115 Y 385 Y 4010 Y 5.28 19.80 158.84 537 Y 51.24 2231 Y 144.72 Page 90 OSHPD 06-01-06 Rev Chng Calc LP 7.47 7.47 7.50 7.50 7.50 7.50 7.50 7.50 7.56 7.56 7.56 7.56 7.62 7.66 7.77 7.78 7.80 7.82 7.88 7.90 7.92 7.94 7.97 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 3.47 3.60 8.00 8.00 8.00 3.39 8.00 8.00 8.00 8.00 8.00 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 10.00 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 114 no usage 2 2 386 no usage no usage no usage 78 no usage no usage no usage 1068 171 269 no usage 589 2 no usage 358 535 16 558 1 1 2 3 3 3 4 4 4 6 7 7 7 7 7 9 9 9 10 12 16 20 22 25 29 38 43 66 135 1164 Y 11 Y 11 Y 2893 Y 60.42 (8.06) (7.80) 193.00 756 Y 34.32 9877 Y 1506 Y 2317 Y 5429 Y 18 Y 3175 4934 156 5114 9 9 18 26 26 26 35 35 34 53 62 62 62 62 77 77 76 79 88 106 141 176 194 221 255 335 379 617 1491 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y 405.84 143.64 196.37 412.30 1.36 214.80 310.30 32.96 295.74 0.50 0.50 1.00 1.50 1.50 1.50 2.00 2.00 2.00 3.00 3.50 3.50 3.50 3.50 3.50 4.50 4.50 4.50 5.00 6.00 8.00 10.00 11.00 12.50 14.50 19.00 21.50 33.00 67.50 Page 91 OSHPD 06-01-06 Rev Chng Calc LP 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.00 8.01 8.01 8.02 8.02 8.02 8.03 8.03 8.03 8.03 8.03 8.03 8.05 8.05 8.05 8.05 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 9.00 8.50 8.50 8.50 8.50 8.50 136 148 479 no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage 58 no usage 16 53 72 10 50 80 2286 2398 no usage 3 17 36 56 1283 Y 1304 Y 4147 Y 68.00 74.00 239.50 573 Y 194 459 635 88 476 706 20990 21196 25 150 324 494 Y Y Y Y Y Y Y Y Y Y Y Y 28.42 7.68 25.44 34.56 4.70 23.50 37.60 1074.42 2326.06 1.35 7.65 16.20 25.20 Page 92 OSHPD 06-01-06 Rev Chng Calc LP 8.05 8.05 8.06 8.06 8.06 8.06 8.06 8.06 8.06 8.06 8.07 8.07 8.07 8.07 8.08 8.08 8.08 8.08 8.08 8.09 8.09 8.09 8.09 8.09 8.10 8.10 8.10 8.10 8.10 8.10 8.10 8.10 8.10 8.10 8.11 8.11 8.11 8.11 8.11 8.12 8.12 8.12 8.12 8.12 8.13 8.13 8.13 8.13 8.13 8.13 8.13 8.13 8.50 247 9.00 2806 8.50 2 8.50 12 8.50 16 8.50 39 8.50 71 8.50 102 8.50 192 8.50 235 8.50 79 8.50 110 8.50 498 8.50 609 8.50 6 8.50 48 8.50 58 8.50 120 8.50 235 8.50 77 8.50 78 8.50 121 8.50 149 8.50 457 9.00 2 9.00 5 9.00 56 9.00 61 9.00 63 9.00 79 9.00 101 9.00 145 9.00 454 9.00 no usage 9.00 3 9.00 9 9.00 63 9.00 96 9.00 192 9.00 17 9.00 62 9.00 189 9.00 200 9.00 no usage 9.00 6 9.00 77 9.00 83 9.00 86 9.00 145 9.00 146 9.00 245 9.00 291 2174 25508 18 106 141 370 697 970 1693 2297 696 969 4392 5380 52 421 547 1052 2114 679 687 1073 1307 4205 18 44 477 547 551 694 891 1251 4159 26 80 556 843 1746 150 575 1689 1745 67 678 728 759 1323 1386 2540 2567 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y 111.15 2665.70 0.88 5.28 7.04 17.16 31.24 44.88 84.48 103.40 33.97 47.30 214.14 261.87 2.52 20.16 24.36 50.40 98.70 31.57 31.98 49.61 61.09 187.37 1.80 4.50 50.40 54.90 56.70 71.10 90.90 130.50 408.60 2.67 8.01 56.07 85.44 170.88 14.96 54.56 166.32 176.00 5.22 66.99 72.21 74.82 126.15 127.02 213.15 253.17 Page 93 OSHPD 06-01-06 Rev Chng Calc LP 8.13 8.13 8.13 8.13 8.14 8.14 8.14 8.14 8.14 8.14 8.14 8.14 8.14 8.14 8.15 8.15 8.15 8.15 8.15 8.15 8.15 8.15 8.15 8.15 8.15 8.16 8.16 8.16 8.16 8.16 8.16 8.17 8.17 8.17 8.17 8.17 8.17 8.17 8.18 8.18 8.18 8.18 8.18 8.18 8.18 8.18 8.18 8.18 8.18 8.18 8.18 8.18 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 22.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 4.42 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 1052 no usage no usage no usage 4 5 46 85 91 198 279 715 918 1148 5 20 24 54 125 470 489 558 664 677 3010 37 54 68 78 278 295 186 196 324 450 459 477 no usage 4 12 14 65 78 95 140 144 208 787 1020 1022 1102 1200 9356 Y 915.24 35 44 406 744 801 1799 2590 6329 8413 10105 44 176 212 476 1181 4257 4293 4894 5723 5945 26483 318 466 853 685 2556 2761 1640 1769 2846 4356 4114 4188 35 118 123 358 685 826 1305 1281 1948 6911 8967 8984 9728 11169 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y 3.44 4.30 39.56 73.10 78.26 170.28 239.94 614.90 789.48 987.28 4.25 17.00 20.40 45.90 106.25 399.50 415.65 474.30 564.40 575.45 2558.50 31.08 45.36 941.12 65.52 233.52 247.80 154.38 162.68 268.92 373.50 380.97 395.91 3.28 9.84 11.48 (244.40) 63.96 77.90 114.80 118.08 170.56 645.34 836.40 838.04 903.64 984.00 Page 94 OSHPD 06-01-06 Rev Chng Calc LP 8.18 8.19 8.19 8.19 8.19 8.19 8.19 8.19 8.19 8.19 8.20 8.20 8.20 8.20 8.20 8.20 8.21 8.21 8.21 8.21 8.21 8.22 8.22 8.22 8.22 8.22 8.22 8.22 8.22 8.22 8.22 8.22 8.23 8.23 8.23 8.23 8.23 8.23 8.23 8.23 8.24 8.24 8.24 8.24 8.24 8.24 8.24 8.25 8.25 8.25 8.25 8.25 9.00 2383 9.00 124 9.00 132 9.00 136 9.00 139 9.00 170 9.00 377 9.00 1223 9.00 1802 9.00 3580 9.00 89 9.00 202 9.00 400 9.00 444 9.00 471 9.00 no usage 9.00 8 9.00 239 9.00 287 9.00 556 9.00 1188 9.00 21 9.00 76 9.00 107 9.00 189 9.00 336 9.00 368 9.00 882 9.00 1415 9.00 2883 9.00 no usage 9.00 no usage 9.00 89 9.00 124 9.00 126 9.00 494 9.00 852 8.82 872 9.00 2020 9.00 3985 9.00 43 9.00 71 9.00 94 9.00 141 9.00 162 9.00 178 9.00 537 9.00 13 9.00 26 9.00 34 9.00 66 9.00 94 21485 1101 1164 1628 1226 1790 3290 10892 15846 32000 798 1870 3557 3911 4637 71 2079 2573 4964 10524 185 854 944 1682 2945 3288 7792 12519 25360 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y 1954.06 100.44 106.92 110.16 112.59 137.70 305.37 990.63 1459.62 2899.80 71.20 161.60 320.00 355.20 376.80 6.32 188.81 226.73 439.24 938.52 16.38 59.28 83.46 147.42 262.08 287.04 687.96 1103.70 2248.74 784 1153 1107 4334 7507 7678 17752 34996 379 635 829 1270 1427 1870 4725 115 247 303 624 818 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y 68.53 95.48 97.02 380.38 656.04 514.48 1555.40 3068.45 32.68 53.96 71.44 107.16 123.12 135.28 408.12 9.75 19.50 25.50 49.50 70.50 Page 95 OSHPD 06-01-06 Rev Chng Calc LP 8.25 8.25 8.25 8.26 8.26 8.26 8.26 8.26 8.26 8.26 8.26 8.26 8.26 8.26 8.26 8.26 8.27 8.27 8.27 8.27 8.27 8.27 8.27 8.28 8.28 8.28 8.28 8.28 8.28 8.29 8.29 8.29 8.29 8.29 8.29 8.30 8.30 8.30 8.30 8.30 8.31 8.31 8.31 8.31 8.31 8.31 8.31 8.31 8.31 8.31 8.31 8.32 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 14.20 9.00 9.00 9.00 103 299 4272 23 53 60 70 97 123 165 171 195 198 234 826 942 66 159 281 1916 1962 2447 2517 1 78 126 381 405 858 15 17 73 108 115 251 43 52 65 740 4501 12 25 38 38 56 79 118 156 187 636 663 8 906 2628 37522 202 458 536 611 856 1084 1459 1505 1742 1809 2061 7494 8613 580 1412 2720 17512 17492 21703 22514 11 803 1111 3356 3743 7541 132 150 640 944 1014 2194 396 452 553 6871 41015 132 221 331 353 518 838 1028 1383 1764 5716 5977 91 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y 77.25 224.25 3204.00 17.02 39.22 44.40 51.80 71.78 91.02 122.10 126.54 144.30 146.52 173.16 611.24 697.08 48.18 116.07 205.13 1398.68 1432.26 1786.31 1837.41 0.72 56.16 90.72 274.32 291.60 617.76 10.65 12.07 51.83 76.68 81.65 178.21 30.10 36.40 45.50 518.00 3150.70 8.28 17.25 26.22 26.22 38.64 54.51 81.42 107.64 1101.43 438.84 457.47 5.44 Page 96 OSHPD 06-01-06 Rev Chng Calc LP 8.32 8.32 8.32 8.32 8.32 8.32 8.33 8.33 8.33 8.33 8.33 8.33 8.33 8.33 8.33 8.34 8.34 8.34 8.34 8.35 8.35 8.36 8.36 8.36 8.36 8.36 8.36 8.36 8.36 8.36 8.36 8.37 8.37 8.37 8.37 8.38 8.38 8.38 8.38 8.38 8.39 8.39 8.39 8.39 8.39 8.39 8.39 8.39 8.40 8.40 8.40 8.40 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 8.82 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 13 78 87 905 1480 1495 1 24 129 201 237 no usage no usage no usage no usage 3 9 219 254 135 416 14 21 27 46 88 98 123 401 1190 6531 175 503 1329 3404 4 95 97 286 1870 16 35 37 144 174 234 456 1758 1 29 106 303 115 714 763 7962 13362 13841 9 212 1112 1783 2231 Y Y Y Y Y Y Y Y Y Y Y 8.84 53.04 59.16 615.40 1006.40 1016.60 0.67 16.08 86.43 134.67 158.79 26 79 1819 2235 1187 3838 123 183 238 499 820 917 1085 3565 10467 58280 1520 4468 11840 30569 35 1711 867 2350 17267 141 309 321 1294 1557 2052 4283 15527 9 256 929 2694 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y 1.98 5.94 144.54 167.64 87.75 270.40 8.96 13.44 17.28 29.44 56.32 62.72 78.72 256.64 761.60 4179.84 78.75 316.89 837.27 2144.52 2.48 58.90 60.14 177.32 1159.40 9.76 21.35 22.57 87.84 106.14 142.74 278.16 1072.38 0.60 17.40 63.60 181.80 Page 97 OSHPD 06-01-06 Rev Chng Calc LP 8.41 8.41 8.41 8.41 8.41 8.42 8.42 8.42 8.42 8.43 8.43 8.43 8.43 8.44 8.44 8.44 8.44 8.44 8.45 8.45 8.47 8.47 8.48 8.48 8.49 8.49 8.49 8.49 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.50 8.51 8.51 8.52 8.52 8.52 8.53 8.53 8.54 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 44.94 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.94 9.00 2.70 2.70 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 5.39 6.26 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 129 149 269 1056 2216 4 63 879 1012 2 42 74 147 1 2 249 585 3323 616 1337 182 981 35 288 57 157 1657 1720 1 5 13 19 25 45 56 462 5459 no usage no usage no usage no usage no usage no usage no usage 93 269 251 372 1101 32 424 432 1154 1544 2373 31283 21005 35 617 8330 9081 18 370 653 1579 12 18 2369 28665 31172 5526 12108 1861 9109 335 2700 626 1420 13536 15809 9 42 126 194 73 191 488 4095 49020 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y 76.11 87.91 158.71 623.04 1307.44 2.32 36.54 509.82 586.96 1.14 23.94 42.18 83.79 0.56 1.12 139.44 21352.50 1860.88 338.80 735.35 96.46 519.93 18.20 149.76 29.07 80.07 845.07 877.20 0.50 2.50 18.72 9.50 (145.00) (261.00) 28.00 231.00 2729.50 846 2552 2434 3890 10890 370 3895 4056 Y Y Y Y Y Y Y Y 45.57 131.81 120.48 178.56 528.48 15.04 199.28 198.72 Page 98 OSHPD 06-01-06 Rev Chng Calc LP 8.55 8.55 8.56 8.56 8.57 8.58 8.59 8.59 8.60 8.60 8.61 8.61 8.61 8.61 8.62 8.62 8.63 8.63 8.64 8.66 8.66 8.66 8.67 8.67 8.68 8.68 8.69 8.71 8.75 8.75 8.77 8.77 8.78 8.78 8.80 8.80 8.80 8.81 8.82 8.82 8.82 8.83 8.83 8.84 8.84 8.85 8.85 8.87 8.90 8.90 8.90 8.91 9.00 9.00 9.00 9.00 9.00 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.06 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 69 no usage 270 458 374 239 86 267 140 1024 49 89 312 no usage 795 877 1148 no usage 417 48 252 no usage 45 591 1397 1518 61 2219 82 100 76 241 18 1705 1 5 92 632 406 876 993 38 263 635 1116 2 no usage 365 123 127 157 86 626 Y 2467 4425 3248 2280 759 2503 1429 9085 431 782 2797 Y Y Y Y Y Y Y Y Y Y Y 31.05 118.80 201.52 160.82 219.88 78.26 242.97 126.00 921.60 43.61 79.21 277.68 699.60 771.76 998.76 358.62 40.32 211.68 37.35 490.53 1145.54 1244.76 22.57 1753.01 61.50 75.00 55.48 175.93 12.96 1227.60 0.70 3.50 64.40 436.08 276.08 595.68 675.24 25.46 176.21 419.10 736.56 1.30 229.95 73.80 76.20 94.20 50.74 7665 Y 8255 Y 10509 Y 4051 Y 441 Y 2466 Y 397 5342 12978 14279 550 20433 776 1048 849 2381 212 15771 9 44 811 5890 3894 7711 9555 335 2617 6533 10215 18 3332 1151 1180 1774 862 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Page 99 OSHPD 06-01-06 Rev Chng Calc LP 8.92 8.92 8.94 8.95 8.95 8.97 8.97 8.98 8.98 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.00 9.02 9.04 9.06 9.07 9.10 9.10 9.10 9.16 9.18 9.19 9.20 9.20 9.20 9.20 9.21 9.22 9.22 9.23 9.25 9.27 9.30 9.30 9.32 9.36 9.36 9.42 9.46 9.47 9.48 9.50 9.54 9.54 9.54 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 9.50 3.60 9.50 9.50 64.40 9.00 9.50 9.50 9.50 9.50 10.00 10.00 10.00 10.00 10.00 10.00 8.82 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 8.83 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 8.81 10.50 10.50 15 370 177 22 no usage 26 170 17 no usage 2 30 101 132 1048 no usage no usage no usage no usage no usage 167 71 1422 736 3025 no usage no usage 58 362 490 no usage no usage no usage no usage 365 22 104 558 177 866 16 43 86 60 295 395 221 34 517 no usage 27 no usage no usage 141 3702 1662 207 Y Y Y Y 8.70 214.60 99.12 12.10 13.78 90.10 8.84 1.00 15.00 50.50 (712.80) 524.00 229 Y 1513 Y 235 Y 19 288 1096 545 9830 Y Y Y Y Y 1662 915 13335 7127 29253 Y Y Y Y Y 80.16 32.66 1336.68 684.48 2722.50 606 Y 3310 Y 4834 Y 48.72 (130.32) 396.90 3282 194 1030 5446 1737 8408 141 370 858 582 2711 4145 2273 406 4771 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y 288.35 17.16 81.12 429.66 132.75 632.18 11.20 (20.21) 58.48 38.40 188.80 229.10 119.34 18.02 268.84 (19.71) 238 Y Page 100 OSHPD 06-01-06 Rev Chng Calc LP 9.57 9.58 9.58 9.60 9.60 9.64 9.64 9.67 9.67 9.67 9.68 9.68 9.70 9.72 9.74 9.75 9.76 9.77 9.80 9.83 9.86 9.89 9.89 9.89 9.99 9.99 9.99 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.02 10.02 10.05 10.06 10.09 10.24 10.25 10.27 10.30 10.33 10.36 10.36 10.43 10.50 10.50 10.50 10.50 10.50 10.50 10.50 10.50 10.50 10.50 10.50 10.50 10.50 10.50 10.50 10.50 10.50 10.50 10.50 10.50 10.50 165.43 10.50 10.50 10.50 10.50 10.50 11.96 10.50 4.14 4.50 4.50 4.14 4.14 3.60 10.50 8.10 16.56 55.20 11.00 11.00 11.00 11.00 11.00 11.00 11.00 165.33 11.00 11.00 11.00 11.00 11.00 124 no usage no usage 2 no usage no usage no usage 31 134 3905 83 234 2 40 14 730 60 no usage 1165 68 no usage 26 no usage no usage 617 9852 no usage 2 3 7 9 9 31 41 210 2149 no usage no usage no usage 104 182 131 2252 359 no usage 12 114 no usage 8 8 no usage 750 1287 Y 115.32 18 Y 1.80 402 1480 39237 846 2338 27 423 123 7817 745 Y Y Y Y Y Y Y Y Y Y 25.73 111.22 3241.15 68.06 191.88 1.60 31.20 10.64 547.50 44.40 815.50 45.56 4044.04 12012 Y 1754 Y 4300 Y 6450 Y 128748 Y 22 26 52 41 41 210 252 1063 21942 Y Y Y Y Y Y Y Y Y 314.67 5024.52 3.92 1.50 (41.02) (49.50) (49.50) (181.66) (240.26) (1344.00) 1074.50 1103 1919 1486 23875 3342 Y Y Y Y Y 101.92 178.36 124.45 2116.88 326.69 9.00 17676.84 5.36 5.12 427.50 106 Y 1038 Y 90 Y 111 Y 8571 Y Page 101 OSHPD 06-01-06 Rev Chng Calc LP 10.43 10.45 10.48 10.48 10.50 10.50 10.50 10.50 10.50 10.51 10.52 10.55 10.55 10.58 10.58 10.58 10.64 10.65 10.65 10.71 10.72 10.79 10.80 10.85 10.86 10.93 10.96 10.97 10.97 11.00 11.08 11.15 11.15 11.15 11.23 11.34 11.34 11.36 11.36 11.41 11.47 11.48 11.50 11.50 11.50 11.62 11.66 11.66 11.75 11.78 11.79 11.91 11.00 11.00 11.00 11.00 2.70 9.00 14.17 9.77 5.40 11.50 11.50 11.50 11.50 11.50 11.50 11.50 11.50 30.60 11.50 70.00 11.50 11.50 11.50 11.50 11.50 11.50 12.00 12.00 12.00 50.00 12.00 12.00 12.00 12.00 12.00 12.00 12.00 12.00 12.00 12.00 12.50 12.50 13.20 12.60 4.14 12.50 12.50 12.50 12.50 12.50 12.50 13.00 no usage 975 24 160 1 2 3 54 125 268 no usage no usage no usage 253 no usage no usage 17 33 no usage 21 66 61 30 787 413 no usage no usage 103 285 21 356 24 62 159 693 3 no usage 260 no usage 1231 no usage 1476 3 no usage no usage 140 1 111 no usage 37 1785 80 9873 291 2348 3 20 35 540 843 3058 Y Y Y Y Y Y Y Y Y 536.25 12.48 83.20 (7.80) (3.00) 11.01 (39.42) (637.50) 265.32 2804 Y 232.76 171 Y 961 Y 907 775 586 349 7126 4626 Y Y Y Y Y Y 14.62 658.35 1245.09 51.48 43.31 21.00 511.55 264.32 1097 3307 1050 3651 288 756 1847 8237 47 Y Y Y Y Y Y Y Y Y 106.09 293.55 819.00 327.52 20.40 52.70 135.15 533.61 1.98 166.40 726.29 1505.52 5.10 3127 Y 15150 Y 17813 Y 40 Y 1682 Y 13 Y 1330 Y 464 Y 22163 Y 1098 Y 123.20 0.84 93.24 26.64 1267.35 87.20 Page 102 OSHPD 06-01-06 Rev Chng Calc LP 11.94 11.94 11.95 11.97 11.97 11.98 12.00 12.00 12.00 12.00 12.00 12.00 12.00 12.00 12.00 12.00 12.00 12.00 12.04 12.04 12.10 12.10 12.14 12.16 12.18 12.18 12.19 12.19 12.22 12.29 12.32 12.35 12.38 12.43 12.44 12.47 12.50 12.50 12.50 12.50 12.50 12.50 12.50 12.50 12.50 12.50 12.50 12.54 12.56 12.57 12.57 12.57 13.00 13.00 13.00 13.00 13.00 13.00 13.00 6.44 4.50 13.00 4.50 12.00 2.48 13.00 13.00 15.48 8.25 6.63 13.00 13.00 13.00 13.00 11.50 13.00 13.00 13.00 13.00 13.00 13.00 13.00 13.00 13.00 13.00 13.50 8.84 13.50 13.50 4.50 5.40 7.36 13.50 13.50 4.05 13.50 13.50 4.60 3.15 13.50 13.50 13.50 13.50 13.50 no usage no usage 10 275 no usage 352 1 3 19 27 46 72 364 no usage no usage no usage no usage no usage no usage no usage 9 no usage 668 no usage 567 1358 617 no usage no usage no usage no usage no usage no usage 53 83 5 1 3 4 4 4 6 207 no usage no usage no usage no usage no usage 4 5 29 732 128 Y 3497 Y 4709 14 19 123 282 320 864 1702 Y Y Y Y Y Y Y Y 10.50 283.25 359.04 1.00 (16.68) (142.50) 27.00 (345.00) 0.00 (3465.28) 114 Y 5635 Y 7542 Y 12167 Y 8023 Y 8.10 (427.52) 464.94 1113.56 499.77 682 887 66 13 30 22 29 55 77 1219 Y Y Y Y Y Y Y Y Y Y 56.71 (298.80) 5.15 1.00 (24.00) (28.40) (20.56) 4.00 6.00 (1749.15) 55 69 400 12583 Y Y Y Y 3.76 4.65 26.97 680.76 Page 103 OSHPD 06-01-06 Rev Chng Calc LP 12.57 12.58 12.60 12.60 12.62 12.67 12.67 12.67 12.67 12.67 12.67 12.68 12.70 12.71 12.71 12.74 12.75 12.76 12.78 12.79 12.80 12.80 12.80 12.81 12.81 12.82 12.82 12.83 12.83 12.84 12.87 12.88 12.89 12.90 12.90 12.90 12.91 12.94 12.96 12.99 13.00 13.00 13.00 13.00 13.00 13.00 13.00 13.00 13.00 13.00 13.00 13.00 13.50 13.50 193.67 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 13.50 14.00 14.00 14.00 14.00 14.00 14.00 14.00 14.00 14.00 14.00 9.20 13.00 14.00 14.00 14.00 14.00 14.00 35.88 15.48 14.00 14.00 14.00 no usage 54 6 no usage 56 1 1 5 9 no usage no usage 98 22 30 237 534 5 230 551 1663 6 27 108 16 101 69 1537 18 202 13827 252 857 395 128 188 250 104 440 43 45 1 1 1 1 1 1 2 2 3 4 6 14 745 Y 802 Y 770 14 38 69 152 Y Y Y Y Y 49.68 1086.42 49.28 0.83 0.83 4.15 7.47 1347 300 411 3261 7187 69 3168 7568 23234 83 372 1487 218 1386 950 22350 247 2780 190287 5004 11747 5559 1766 2605 3448 1426 6413 592 619 13 13 14 14 14 13 27 72 44 55 82 190 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y 80.36 17.60 23.70 187.23 405.84 3.75 170.20 396.72 1180.73 4.20 18.90 75.60 11.04 69.69 46.92 1045.16 12.06 135.34 9125.82 284.76 959.84 438.45 140.80 206.80 275.00 113.36 466.40 44.72 45.45 (3.80) 0.00 1.00 1.00 1.00 1.00 2.00 45.76 7.44 4.00 6.00 14.00 Page 104 OSHPD 06-01-06 Rev Chng Calc LP 13.00 13.00 13.00 13.00 13.00 13.00 13.00 13.00 13.00 13.00 13.00 13.00 13.00 13.00 13.01 13.06 13.09 13.10 13.12 13.13 13.13 13.14 13.17 13.17 13.18 13.25 13.25 13.25 13.29 13.32 13.33 13.40 13.42 13.50 13.50 13.50 13.50 13.59 13.61 13.62 13.67 13.69 13.70 13.71 13.72 13.80 13.82 13.86 13.88 13.92 13.96 13.97 14.00 15.40 15.40 22.40 14.00 14.00 14.00 14.00 14.00 14.00 14.00 14.00 14.00 9.20 14.00 14.00 14.00 200.11 14.00 7.14 14.00 14.00 14.00 14.00 14.00 14.00 14.00 14.00 14.00 14.00 14.00 4.67 14.50 14.50 12.49 31.25 13.50 14.50 14.50 14.50 14.50 14.50 14.50 14.50 14.50 14.50 15.00 15.00 15.00 15.00 15.00 15.00 21 692 693 693 997 no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage 1070 77 213 2670 7 318 no usage 2 493 911 1 7 146 no usage no usage 1166 25 662 no usage no usage no usage no usage 561 no usage 398 1 27 350 10250 1391 no usage 5 10 25 21 292 801 288 10424 10439 14611 14211 Y Y Y Y Y 21.00 1660.80 1663.20 6514.20 997.00 14695 1062 110520 37727 50 4418 28 7431 12703 14 97 2043 Y Y Y Y Y Y Y Y Y Y Y Y 1005.80 70.07 39833.13 2349.60 (41.93) 276.66 1.66 409.19 747.02 0.75 5.25 109.50 16317 Y 140 Y 9307 Y 781.22 (218.25) 714.96 5383 Y 5938 15 330 5237 95610 22276 39 147 366 305 4201 15533 Y Y Y Y Y Y Y Y Y Y Y Y 510.51 350.24 0.83 21.87 280.00 8097.50 1084.98 5.90 11.40 28.00 22.68 303.68 825.03 Page 105 OSHPD 06-01-06 Rev Chng Calc LP 13.99 14.00 14.00 14.00 14.00 14.00 14.00 14.00 14.00 14.04 14.05 14.11 14.14 14.16 14.26 14.28 14.30 14.31 14.33 14.33 14.38 14.40 14.40 14.46 14.49 14.50 14.50 14.50 14.52 14.52 14.56 14.58 14.62 14.65 14.68 14.74 14.75 14.78 14.85 14.87 14.89 14.93 14.93 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 7.20 14.90 4.50 15.00 15.00 15.00 11.11 15.00 15.00 15.00 76.00 15.00 15.00 15.00 15.00 15.50 15.50 15.50 15.50 15.50 15.50 15.50 15.50 15.50 9.74 12.88 14.50 15.50 15.50 15.50 15.50 15.50 15.50 7.67 15.50 9.41 16.00 3.55 16.00 16.00 16.00 16.00 13.36 4.50 4.14 16.00 10.80 16.00 5.49 11.88 9.00 no usage 1 1 3 3 6 386 no usage no usage 217 no usage 47 no usage 436 504 192 8071 61 9 no usage 229 9 no usage no usage no usage 2 2 no usage 1 334 no usage 1 no usage no usage 43 no usage 2 323 no usage no usage 2657 no usage no usage 1 2 4 4 8 no usage no usage no usage no usage 14 14 14 42 88 5759 Y Y Y Y Y Y (6.80) 0.90 (28.50) 3.00 6.00 386.00 3228 Y 3578 Y 6537 7907 2701 121431 921 134 Y Y Y Y Y Y 208.32 2908.83 366.24 372.96 138.24 9685.20 72.59 10.53 256.48 9.90 3449 Y 135 Y 19 Y 27 Y 20 Y 4585 Y 70 Y (9.52) (3.24) 0.98 327.32 0.92 435 Y 19 Y 5116 Y (301.43) (10.68) 394.06 41661 Y 2949.27 13 9 27 60 99 Y Y Y Y Y (1.64) (21.00) (43.44) 4.00 (33.60) Page 106 OSHPD 06-01-06 Rev Chng Calc LP 15.00 15.06 15.17 15.20 15.33 15.34 15.40 15.44 15.45 15.50 15.50 15.50 15.50 15.50 15.50 15.50 15.56 15.60 15.62 15.70 15.71 15.72 15.78 15.88 15.97 16.00 16.00 16.00 16.00 16.00 16.00 16.00 16.00 16.00 16.16 16.21 16.23 16.35 16.41 16.50 16.50 16.50 16.50 16.50 16.50 16.57 16.59 16.60 16.67 16.70 16.75 16.75 13.91 32.57 16.00 16.00 16.50 16.50 16.50 16.50 16.50 4.50 4.50 16.50 16.50 16.50 15.18 15.50 16.50 16.50 16.50 16.50 16.50 17.00 17.00 70.00 17.00 9.20 9.00 11.22 17.00 17.00 17.00 15.64 12.60 11.64 17.00 17.50 16.23 17.50 17.50 14.47 12.55 19.87 18.82 11.76 17.50 17.50 17.50 17.50 17.50 18.00 156.30 18.00 no usage 475 no usage 391 no usage no usage no usage no usage 373 3 31 120 523 2166 no usage no usage 82 37 no usage no usage 32 3016 no usage 2 no usage 1 10 19 292 497 no usage no usage no usage no usage 2159 813 no usage no usage no usage 1 2 7 8 10 21800 no usage 21 25 3 no usage 166 454 11328 Y 6257 Y 8317.25 312.80 6253 36 228 1975 8591 29796 Y Y Y Y Y Y 391.65 (33.00) (341.00) 120.00 523.00 2166.00 1374 Y 596 Y 77.08 33.30 529 Y 50140 Y 140 Y 9 97 237 14534 8417 Y Y Y Y Y 25.28 3860.48 108.24 (6.80) (70.00) (90.82) 292.00 497.00 37175 Y 13829 Y 1813.56 1048.77 14 25 132 148 122 379731 Y Y Y Y Y Y (2.03) (7.90) 23.59 18.56 (47.40) 21800.00 19.11 22.50 2.49 23165.30 567.50 340 Y 568 Y 54 Y 17721 Y 8345 Y Page 107 OSHPD 06-01-06 Rev Chng Calc LP 16.82 17.00 17.00 17.00 17.00 17.00 17.00 17.00 17.00 17.08 17.36 17.38 17.40 17.50 17.50 17.50 17.50 17.50 17.50 17.50 17.50 17.50 17.50 17.55 17.63 17.75 17.82 17.83 17.86 18.00 18.00 18.00 18.00 18.00 18.11 18.11 18.16 18.30 18.33 18.34 18.50 18.50 18.50 18.50 18.50 18.50 18.50 18.50 18.50 18.75 18.77 19.00 18.00 18.00 6.90 411.67 18.00 17.00 6.44 13.20 17.00 18.00 18.50 18.50 18.50 8.28 11.96 8.10 6.44 4.50 4.50 16.19 15.40 17.50 12.71 70.05 19.00 19.00 19.00 19.00 19.00 4.50 19.00 13.11 13.50 19.00 19.50 19.50 19.50 19.50 19.50 19.50 19.50 19.50 4.50 14.17 12.45 11.04 18.50 69.00 18.50 15.18 20.00 4.50 no usage 1 5 6 no usage no usage no usage no usage no usage 463 no usage 14 no usage 1 1 2 3 5 24 no usage no usage no usage no usage 726 6 5 57 5 no usage 7 382 no usage no usage no usage no usage no usage 805 no usage 18 9 2 74 124 no usage no usage no usage no usage no usage no usage no usage no usage 2 18 Y 55 Y 2470 Y 1.00 (50.50) 2368.02 8234 Y 256 Y 8 12 16 19 36 199 Y Y Y Y Y Y 425.96 15.68 (9.22) (5.54) (18.80) (33.18) (65.00) (312.00) 32507 112 94 1068 94 Y Y Y Y Y 38115.00 8.22 6.25 67.26 5.85 (94.50) 382.00 59 Y 7237 Y 14426 Y 353 171 39 1439 1006 Y Y Y Y Y 1078.70 21.06 10.44 2.00 74.00 (1736.00) 38 Y (29.00) Page 108 OSHPD 06-01-06 Rev Chng Calc LP 19.00 19.05 19.15 19.40 19.50 19.50 19.50 19.50 19.50 19.50 19.50 19.50 19.50 19.50 19.62 20.00 20.00 20.00 20.00 20.00 20.03 20.16 20.20 20.22 20.33 20.49 20.50 20.50 20.50 20.50 20.50 20.50 20.50 20.50 20.50 20.60 20.60 20.88 21.00 21.00 21.00 21.00 21.00 21.00 21.00 21.10 21.33 21.56 21.64 21.67 21.83 21.87 19.00 20.00 20.50 20.50 17.16 22.99 10.52 4.50 18.22 15.18 15.18 35.00 19.32 9.20 21.00 13.80 80.00 20.00 19.80 15.58 21.50 21.50 21.50 21.50 21.50 22.00 12.42 15.64 15.64 14.17 22.00 20.50 20.50 20.50 20.50 22.00 22.00 22.00 6.30 15.13 22.50 11.04 18.15 21.00 55.20 15.83 22.50 70.05 23.00 23.00 70.30 23.00 no usage 633 no usage 78 1 4 10 31 no usage no usage no usage no usage no usage no usage 1036 2 5 72 no usage no usage no usage 54 5354 no usage 10 25 1 1 1 3 no usage no usage no usage no usage no usage no usage no usage no usage 1 2 675 no usage no usage no usage no usage 189 106 267 no usage no usage 1614 754 15268 Y 1602 20 81 114 320 Y Y Y Y Y 601.35 85.80 (2.34) 13.96 (89.80) (465.00) 21030 34 280 1440 Y Y Y Y 1429.68 (12.40) 300.00 0.00 1360 Y 115319 Y 214 533 12 16 16 43 Y Y Y Y Y Y 72.36 6960.20 11.70 37.75 (8.08) (4.86) (4.86) (18.99) 6Y 30 Y 15126 Y (14.70) (11.74) 1012.50 3535 Y 2370 Y 14684 Y (996.03) 124.02 12946.83 112978 Y 18367 Y 78230.58 852.02 Page 109 OSHPD 06-01-06 Rev Chng Calc LP 21.89 21.89 21.99 22.00 22.00 22.00 22.00 22.00 22.00 22.33 22.50 22.50 22.50 22.50 22.50 22.50 22.50 22.63 22.75 22.84 22.97 22.98 23.00 23.00 23.00 23.00 23.28 23.44 23.50 23.50 23.50 23.50 23.50 23.50 23.50 23.62 23.75 24.00 24.00 24.00 24.00 24.00 24.03 24.46 24.50 24.55 24.58 24.60 24.65 25.00 25.00 25.22 23.00 23.00 23.50 22.00 23.50 23.50 22.00 18.22 17.22 23.50 24.00 20.96 9.20 18.22 18.22 14.17 18.15 24.00 18.42 24.00 24.50 17.50 64.40 36.80 21.39 23.00 24.50 25.00 25.00 23.50 25.00 25.00 23.50 18.76 16.75 25.00 19.23 11.50 4.18 25.50 25.50 24.00 25.50 26.00 10.12 26.00 26.00 26.00 66.97 26.50 11.96 26.50 721 no usage no usage 1 9 no usage no usage no usage no usage no usage 1 4 141 no usage no usage no usage no usage 142 no usage no usage 988 16 no usage no usage no usage no usage 1108 no usage 8 12 13 15 124 no usage no usage no usage no usage 1 5 38 no usage no usage no usage 103 3 427 68 2 3129 no usage no usage 158 31539 Y 800.31 22 Y 212 Y 0.00 13.50 23 Y 84 Y 1803 Y 1.50 (6.16) (1875.30) 3520 Y 194.54 24774 Y 280 Y 1511.64 (87.68) 27289 Y 200 282 325 368 2914 Y Y Y Y Y 1351.76 12.00 0.00 19.50 22.50 0.00 12 Y 61 Y 969 Y (12.50) (99.10) 57.00 2648 30 8214 1645 67 210653 Y Y Y Y Y Y 158.62 (43.14) 619.15 96.56 2.80 132419.28 3724 Y 202.24 Page 110 OSHPD 06-01-06 Rev Chng Calc LP 25.22 25.38 25.50 25.50 25.50 25.50 25.50 25.50 25.52 25.85 26.00 26.00 26.00 26.00 26.15 26.18 26.40 26.43 26.50 26.50 26.50 26.50 26.50 26.50 26.50 26.61 26.62 27.00 27.00 27.00 27.13 27.42 27.44 27.50 27.50 27.50 27.50 27.50 27.50 27.50 27.50 28.00 28.00 28.00 28.00 28.37 28.48 28.48 28.50 28.50 28.50 28.50 26.50 27.00 27.00 27.00 27.00 36.80 25.50 27.00 27.00 27.50 27.50 22.50 27.60 26.00 27.50 27.50 28.00 28.00 28.00 28.00 28.00 28.00 28.00 28.00 36.80 28.00 28.00 28.50 18.22 12.55 28.50 31.73 29.00 29.00 29.00 12.42 29.00 29.00 17.49 27.50 15.63 29.50 29.50 29.50 28.00 30.00 30.00 30.00 14.90 14.67 52.66 28.50 262 35 14 200 13864 no usage no usage no usage 2 532 2 3 no usage no usage no usage no usage 62 155 2 3 5 7 102019 no usage no usage 358 no usage no usage no usage no usage 384 986 no usage 2 4 8 21 21 no usage no usage no usage 33 1226 no usage no usage 560 no usage no usage 8 12 no usage no usage 6492 908 375 5375 373056 Y Y Y Y Y 335.36 56.70 21.00 300.00 20796.00 69 14729 53 68 Y Y Y Y 2.96 877.80 3.00 (10.50) 1727 4050 56 84 139 195 2843331 Y Y Y Y Y Y Y 99.20 243.35 3.00 4.50 7.50 10.50 153028.50 10078 Y 497.62 11027 Y 30161 Y 57 116 145 603 605 Y Y Y Y Y 526.08 4249.66 3.00 6.00 (120.64) 31.50 31.50 971 Y 36017 Y 49.50 1839.00 16794 Y 912.80 119 Y 204 Y (108.80) (165.96) Page 111 OSHPD 06-01-06 Rev Chng Calc LP 28.85 29.00 29.00 29.00 29.11 29.17 29.48 29.50 29.50 29.50 29.70 29.95 30.00 30.00 30.00 30.00 30.50 30.50 30.50 30.50 30.87 30.96 31.00 31.00 31.00 31.00 31.16 31.41 31.45 31.50 31.50 31.75 32.00 32.00 32.07 32.50 32.50 32.50 32.50 32.50 32.50 32.63 33.00 33.00 33.30 33.42 33.48 33.50 33.51 33.74 33.82 33.86 30.50 30.50 40.50 30.50 31.00 31.00 42.56 4.14 8.28 29.50 29.70 31.50 27.00 31.50 31.50 31.50 32.50 27.60 29.45 24.69 70.05 33.00 14.17 14.90 5.40 33.00 70.00 33.00 33.50 32.00 33.50 33.50 34.00 34.00 34.00 22.50 9.00 8.10 12.60 32.50 34.50 26.41 16.09 27.50 35.00 45.50 35.50 21.91 35.50 70.05 79.19 36.00 no usage 9 14 no usage no usage 2 36 11 17 no usage no usage 1706 3 25 27 no usage 2 4 12 no usage 5283 1 1 5 41 1119 53 167 71 21 no usage no usage no usage no usage no usage 3 4 6 10 no usage no usage 5 1 no usage 2 2 293 2 99 267 495 4 275 Y 544 Y 13.50 161.00 61 1532 122 289 Y Y Y Y 3.66 470.88 (278.96) (360.74) 56279 90 788 849 Y Y Y Y 2644.30 (9.00) 37.50 40.50 4.00 (11.60) (12.60) 206987.94 2.04 (16.83) (80.50) (1049.60) 2238.00 2058.52 265.53 145.55 10.50 65 Y 113 Y 357 Y 338497 42 14 75 452 36785 1047 5685 1751 672 Y Y Y Y Y Y Y Y Y Y 98 36 97 146 Y Y Y Y (30.00) (94.00) (146.40) (199.00) 151 Y 16 Y 70 91 11682 44 21146 13329 23157 138 Y Y Y Y Y Y Y Y (31.10) (16.91) 3.40 24.16 591.86 (23.18) 197.01 9694.77 22458.15 8.56 Page 112 OSHPD 06-01-06 Rev Chng Calc LP 34.00 34.30 34.37 34.50 34.63 35.00 35.00 35.00 35.00 35.00 35.00 35.00 35.00 35.25 35.39 35.44 35.50 35.64 36.00 36.00 36.33 36.33 37.00 37.00 37.00 37.00 37.20 37.23 37.50 37.50 37.50 37.67 37.72 37.82 37.88 37.96 38.00 38.00 38.30 38.39 38.49 38.50 38.59 39.00 39.00 39.00 39.00 39.11 39.12 39.19 39.20 39.22 36.00 36.50 36.50 29.91 36.50 37.00 35.00 35.00 29.91 5.18 40.48 37.00 37.00 36.11 37.50 37.50 37.50 71.20 84.64 36.00 38.50 38.50 39.00 39.00 37.00 39.00 39.50 70.05 39.50 39.50 37.50 40.00 9.94 40.00 47.84 40.00 40.00 40.00 70.05 40.50 40.50 4.50 53.00 41.00 41.00 41.00 188.50 48.46 41.50 73.87 41.50 41.50 2 2 no usage no usage 3 15 287 no usage no usage no usage no usage no usage no usage 553 152 no usage 2 98 no usage no usage 1 2 1 3 93 no usage no usage 2710 1 22 no usage 4 518 12 no usage no usage no usage no usage 1086 165 no usage 109 1 3 14 15 no usage 31 no usage 3352 12 no usage 73 Y 140 Y 4.00 4.40 210 Y 555 Y 10045 Y 5.61 30.00 0.00 19767 Y 3777 Y 75 Y 6651 Y 475.58 320.72 4.00 3484.88 38 77 39 115 3441 Y Y Y Y Y 2.17 4.34 2.00 6.00 0.00 152204 Y 38 Y 859 Y 155 Y 5960 Y 477 Y 88942.20 2.00 44.00 9.32 (14390.04) 26.16 75879 Y 6653 Y 491 53 127 572 615 Y Y Y Y Y 34480.50 348.15 (3706.00) 14.41 6.00 28.00 30.00 289.85 116247.36 27.60 1468 Y 216450 Y 506 Y Page 113 OSHPD 06-01-06 Rev Chng Calc LP 39.28 39.50 39.78 40.00 40.00 40.00 40.00 40.00 40.00 40.00 40.00 40.00 40.25 40.50 40.50 40.50 41.00 41.00 41.26 41.27 41.50 41.50 41.50 42.00 42.00 42.08 42.33 42.53 42.81 43.00 43.00 43.00 43.00 43.10 43.23 43.31 43.52 43.58 43.69 44.00 44.33 44.39 44.42 44.42 44.56 44.68 44.98 45.00 45.00 45.11 45.50 45.63 70.05 41.50 42.00 18.00 18.00 42.00 42.00 42.00 42.00 42.00 40.00 40.00 70.05 19.04 40.50 40.50 4.50 43.50 43.50 56.40 26.68 44.00 44.00 42.00 44.50 44.50 44.50 45.00 70.05 45.50 45.50 45.50 43.00 45.50 45.50 45.50 46.00 70.05 50.15 12.35 47.00 67.54 10.34 47.00 47.00 47.00 47.50 47.50 47.50 47.50 45.50 70.05 21 60 no usage 1 2 19 50 135 1191 9120 no usage no usage 269 no usage no usage no usage 1 no usage 1697 46 no usage no usage no usage 1 67 no usage 2 no usage 86 2 157 194 no usage 34 90 1 1568 98 409 3 118 67 1489 no usage 272 818 29 1 no usage no usage no usage 3980 1181 Y 2424 Y 18 58 782 2100 5640 50022 381504 Y Y Y Y Y Y Y 646.17 120.00 (22.00) (44.00) 38.00 100.00 270.00 2382.00 18240.00 16131 Y 8016.20 41 Y 80366 Y 2596 Y (36.50) 3801.28 695.98 42 Y 2982 Y 137 Y 5317 91 7094 8797 1536 4153 59 71727 5749 19724 69 5521 4196 15396 12869 38718 1373 47 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y 0.00 167.50 4.34 2342.64 5.00 392.50 485.00 81.60 204.30 2.19 3888.64 2594.06 2642.14 (94.95) 315.06 1551.05 (50745.12) 663.68 1897.76 73.08 2.50 239585 Y 97191.60 Page 114 OSHPD 06-01-06 Rev Chng Calc LP 46.00 46.00 46.00 46.00 46.00 46.00 46.31 46.46 46.50 46.75 47.00 47.00 47.00 47.13 47.19 47.50 47.50 47.50 48.00 48.00 48.00 48.00 48.00 48.00 48.13 48.50 48.60 49.00 49.50 49.52 50.43 50.43 50.50 50.67 50.81 50.84 51.00 51.00 51.00 51.32 51.50 51.50 52.00 52.50 52.50 52.50 52.50 52.50 52.50 52.66 52.68 52.89 48.50 48.50 48.50 48.50 35.92 37.62 49.00 49.00 33.96 49.50 49.50 49.50 49.50 70.00 50.00 50.00 50.00 47.50 54.60 50.50 50.50 54.60 23.00 230.00 184.29 51.00 65.53 51.50 50.60 52.00 47.84 69.00 53.50 53.50 53.50 53.50 20.00 7.20 51.00 68.40 54.50 59.40 19.75 55.50 70.10 55.50 55.50 55.50 55.50 110.86 70.05 56.00 158 167 447 no usage no usage no usage no usage no usage no usage no usage 26 126 no usage 12 no usage 1 no usage no usage 29 100 no usage no usage no usage no usage 42 37 1543 13 no usage no usage 1 2 6404 2 no usage 379 9 no usage no usage 39 41 140 no usage 3 14 224 293 no usage no usage 27 32 20 7661 Y 8070 Y 21610 Y 395.00 417.50 1117.50 1287 Y 6195 Y 791 Y 50 Y 65.00 315.00 274.44 2.50 2020 Y 5033 Y 191.40 250.00 4424 1877 95318 667 Y Y Y Y 5718.72 92.50 26122.99 32.50 48 138 341359 108 Y Y Y Y (2.59) 37.14 19212.00 5.66 1008.14 (279.00) 20317 Y 211 Y 2683 Y 2235 Y 8063 Y 167 841 12381 16199 Y Y Y Y 666.12 123.00 1106.00 9.00 246.40 672.00 879.00 2485 Y 2102 Y 1151 Y 1571.40 555.84 62.20 Page 115 OSHPD 06-01-06 Rev Chng Calc LP 53.14 53.49 53.50 53.50 54.00 54.15 54.50 54.83 55.00 55.00 55.00 55.03 55.22 55.22 55.33 55.50 55.50 55.50 55.50 55.50 55.50 55.50 55.75 55.88 55.89 56.00 56.25 56.51 56.71 56.78 57.00 57.00 57.52 57.67 57.73 58.00 58.00 58.05 58.35 58.38 58.44 58.47 58.50 58.50 58.50 58.50 59.00 59.00 59.06 59.12 59.36 59.50 70.07 73.14 56.50 13.91 57.00 57.00 57.50 70.05 58.00 58.00 58.00 58.00 58.00 58.00 58.50 15.64 18.37 58.50 58.50 58.50 115.50 58.50 55.75 38.80 70.05 56.00 59.50 77.00 69.31 70.00 4.50 60.00 60.50 83.46 61.00 61.00 61.00 79.00 61.50 61.50 61.50 70.00 61.50 61.50 61.50 61.50 62.00 59.00 62.50 62.50 62.50 62.50 29 725 no usage no usage 4 no usage 82 43 7 no usage no usage no usage no usage no usage 1 1 4 25 34 353 745 no usage no usage 564 5 no usage 297 1 413 9 9 no usage no usage 85 26 2 462 13 no usage 52 16 25 3 12 no usage no usage no usage no usage no usage 238 433 25 1961 Y 53027 Y 490.97 14246.25 232 Y 4711 Y 2995 Y 406 Y 12.00 246.00 654.46 21.00 59 16 73 1445 1986 20618 74135 Y Y Y Y Y Y Y 3.17 (39.86) (148.52) 75.00 102.00 1059.00 44700.00 26707 Y 347 Y 41172 77 28607 617 146 Y Y Y Y Y (9633.12) 70.80 965.25 20.49 5203.80 118.98 (472.50) 6516 1569 122 28131 1032 3486 998 420 185 735 Y Y Y Y Y Y Y Y Y Y 2192.15 85.02 6.00 1386.00 272.35 162.24 48.96 288.25 9.00 36.00 15302 Y 28828 Y 1560 Y 804.44 1359.62 75.00 Page 116 OSHPD 06-01-06 Rev Chng Calc LP 59.71 59.85 60.00 60.00 60.00 60.00 60.00 60.00 60.00 60.00 60.00 60.11 60.16 60.31 61.39 61.54 61.70 61.86 61.98 62.00 62.05 62.15 62.26 62.50 62.50 62.50 62.81 62.94 63.00 63.00 63.03 63.10 63.44 63.50 63.50 63.50 63.50 63.50 63.53 63.53 63.53 63.55 63.58 63.83 63.94 64.00 64.00 64.00 64.00 64.00 64.00 64.00 63.00 63.00 63.00 53.55 63.00 63.00 63.00 63.00 34.04 63.00 63.00 63.50 70.05 63.50 154.70 70.05 65.00 65.00 70.05 65.50 70.05 69.74 65.50 66.00 66.00 10.68 86.00 70.05 63.00 66.50 66.50 66.50 79.43 67.00 67.00 67.00 67.00 67.00 70.05 70.05 67.00 70.05 70.07 67.50 70.05 64.00 70.05 17.44 67.50 70.05 67.50 67.50 259 no usage 1 2 11 67 134 539 no usage no usage no usage 1156 106 445 275 538 54 258 27 no usage 173 419 2524 2 4 13 3 772 1776 no usage 83 31 4327 1 1 3 8 26 1 162 no usage 44 49 3565 26 1 3 8 12 18 no usage no usage 16305 Y 60 107 693 4215 8388 33822 Y Y Y Y Y Y 852.11 3.00 (12.90) 33.00 201.00 402.00 1617.00 80550 6156 28691 45968 37321 3507 18066 1885 11872 29124 167452 132 257 502 258 53892 111888 5549 2101 318086 67 70 210 534 1811 70 10701 3082 3419 248740 1818 64 210 140 810 1258 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y 3918.84 1048.34 1419.55 25660.25 4578.38 178.20 810.12 217.89 1384.00 3180.21 8177.76 7.00 14.00 (673.66) 69.57 5488.92 0.00 288.01 105.40 69188.73 3.50 3.50 10.50 28.00 91.00 6.52 1056.24 286.00 318.01 13083.55 158.86 0.00 18.15 (372.48) 42.00 108.90 Page 117 OSHPD 06-01-06 Rev Chng Calc LP 64.00 64.00 64.00 64.00 64.03 64.21 64.25 64.32 64.45 64.50 64.50 64.50 64.50 64.50 64.50 64.50 64.50 64.50 64.50 64.53 64.54 64.55 64.56 64.56 64.58 64.67 64.74 64.75 64.76 64.78 64.78 64.80 64.80 64.83 64.91 64.92 64.92 64.96 65.00 65.00 65.00 65.00 65.00 65.05 65.07 65.17 65.24 65.30 65.36 65.40 65.46 65.50 67.50 67.50 67.50 67.50 67.50 67.50 67.50 68.00 68.00 68.00 68.00 68.00 68.00 68.00 68.00 68.00 68.00 68.00 68.00 76.86 68.00 68.00 68.00 43.79 68.00 68.00 68.00 68.00 68.00 68.50 68.50 70.05 68.50 68.50 90.05 68.50 68.50 68.50 44.16 68.50 68.50 68.50 93.75 68.50 70.05 68.50 68.50 75.13 69.00 69.00 69.00 69.00 no usage no usage no usage no usage 1058 408 1 122 659 2 5 19 23 24 29 209 1860 no usage no usage 38 155 81 16 47 no usage 24 no usage 340 239 37 1178 10 40 1346 27 323 1144 3448 1 no usage no usage no usage no usage 27 1207 20 67 374 no usage 12 111 144 73871 28037 70 8539 45929 133 340 1285 1564 1632 1955 14160 126190 Y Y Y Y Y Y Y Y Y Y Y Y Y 3671.26 1342.32 3.25 448.96 2339.45 7.00 17.50 66.50 80.50 84.00 101.50 731.50 6510.00 2747 10634 5664 701 2028 Y Y Y Y Y 468.54 536.30 279.45 55.04 (976.19) 79.92 1105.00 774.36 137.64 4382.16 52.50 148.00 4939.82 678.78 1156.34 4095.52 12205.92 (20.84) 1195 Y 23667 16745 2592 82105 630 2792 94095 2312 22416 77358 240335 44 Y Y Y Y Y Y Y Y Y Y Y Y 1878 83283 1394 4663 28698 Y Y Y Y Y 93.15 6010.86 66.60 218.42 3676.42 43.20 392.94 504.00 841 Y 7769 Y 9926 Y Page 118 OSHPD 06-01-06 Rev Chng Calc LP 65.50 65.50 65.50 65.53 65.58 65.58 65.58 65.68 65.70 65.86 65.96 66.00 66.00 66.02 66.08 66.08 66.08 66.40 66.43 66.44 66.50 66.50 66.50 66.72 66.73 66.89 66.94 66.94 67.00 67.00 67.00 67.00 67.50 67.50 67.50 67.50 67.50 67.52 68.00 68.00 68.15 68.50 68.50 68.50 68.50 68.50 68.80 69.00 69.24 69.50 69.50 69.50 69.00 69.00 69.00 69.00 69.00 69.00 69.00 69.00 70.73 69.50 69.50 69.50 27.60 69.50 69.50 71.75 69.50 70.00 70.00 70.00 70.00 70.00 70.00 70.50 48.91 70.50 92.00 70.50 67.00 70.50 70.50 70.50 67.50 71.00 71.00 67.50 20.40 77.33 30.36 68.00 72.00 72.00 72.00 72.00 72.00 72.00 71.91 69.00 73.00 73.00 73.00 73.00 no usage no usage no usage 4 24 no usage no usage 13 4364 no usage no usage 10 no usage no usage 146 179 1669 95 25 562 2 2 13 145 96 81 1 no usage 1 1 1 no usage 1 12 1612 no usage no usage 51 no usage no usage 12 1 81 no usage no usage no usage 22 1 no usage 2 4 31 277 Y 1662 Y 13.88 82.08 907 Y 307360 Y 43.16 21950.92 701 Y 35.00 13585 12732 116459 6602 1745 39124 140 140 910 10114 5501 5661 92 Y Y Y Y Y Y Y Y Y Y Y Y Y 499.32 1014.93 5707.98 342.00 89.25 2000.72 7.00 7.00 45.50 548.10 (1710.72) 292.41 25.06 0.00 3.50 3.50 0.00 42.00 5642.00 67 Y 71 Y 70 Y 68 Y 852 Y 113903 Y 3926 Y 500.31 841 Y 72 Y 5818 Y 46.20 3.50 283.50 1576 Y 69 Y 146 Y 292 Y 2249 Y 68.42 0.00 7.00 14.00 108.50 Page 119 OSHPD 06-01-06 Rev Chng Calc LP 69.50 69.50 69.50 69.73 69.90 70.00 70.00 70.00 70.00 70.00 70.33 70.50 70.50 70.50 70.66 71.00 71.00 71.00 71.00 71.10 71.50 71.50 72.17 72.50 72.50 72.50 72.71 73.00 73.16 73.27 73.50 73.50 73.50 73.50 73.50 73.50 74.38 74.50 74.50 74.92 75.00 75.00 75.00 75.00 75.00 75.00 75.00 75.50 75.50 75.50 75.50 75.50 73.00 73.00 73.00 73.50 73.50 74.00 73.50 36.80 100.00 73.50 74.50 5.62 8.28 70.50 74.50 12.91 75.00 75.00 75.00 75.00 9.00 71.50 76.00 18.40 76.50 76.50 86.50 77.00 65.17 77.00 77.50 77.50 77.50 77.50 77.50 77.50 78.50 78.50 78.50 93.88 79.00 29.70 61.20 79.00 79.00 27.60 75.00 79.50 79.50 79.50 79.50 79.50 144 151 no usage 53 no usage 1 45 no usage no usage no usage 4 1 10 no usage 3409 2 71 220 no usage 11 23 no usage no usage 4 474 no usage 7 770 22 no usage 1 6 37 47 no usage no usage 40 no usage no usage 266 1 2 2 49 no usage no usage no usage 3 5 83 126 1116 10498 Y 11009 Y 4527 Y 74 Y 3283 Y 504.00 528.50 199.81 4.00 157.50 299 Y 6Y 269 Y 250795 26 5310 16456 Y Y Y Y 16.68 (64.88) (622.20) 13090.56 (116.18) 284.00 880.00 42.90 (1437.50) 831 Y 582 Y 74 Y 36145 Y 596 Y 59290 Y 1547 Y 78 465 2860 3619 Y Y Y Y (216.40) 1896.00 96.53 3080.00 (175.78) 4.00 24.00 148.00 188.00 3101 Y 164.80 26532 79 59 136 3863 Y Y Y Y Y 5043.36 4.00 (90.60) (27.60) 196.00 239 390 6567 9941 88450 Y Y Y Y Y 12.00 20.00 332.00 504.00 4464.00 Page 120 OSHPD 06-01-06 Rev Chng Calc LP 75.50 75.50 75.61 75.62 75.66 75.88 75.91 76.00 76.00 76.00 76.33 76.50 76.50 76.64 76.64 76.84 77.00 77.00 77.00 77.00 77.00 77.36 77.43 77.60 78.00 78.00 78.40 78.50 78.50 78.78 79.00 79.04 79.50 79.50 80.00 80.00 80.50 80.50 80.50 80.51 80.73 81.00 81.11 81.13 81.22 81.38 81.50 82.50 82.50 82.50 82.50 82.50 79.50 79.50 79.00 79.50 79.50 80.00 92.03 80.00 80.00 80.00 14.00 80.50 80.50 70.05 80.50 165.38 16.56 70.00 67.39 77.00 81.00 81.50 81.50 81.50 82.00 82.00 99.23 82.50 82.50 83.00 83.00 83.00 83.50 4.55 84.00 86.28 85.00 85.00 80.50 85.00 85.00 85.50 85.50 85.50 70.05 85.50 86.00 87.00 87.00 87.00 87.00 87.00 no usage no usage 35 179 no usage 4 26709 4 5 no usage 2 no usage no usage 149 no usage 322 1 no usage no usage no usage no usage no usage no usage 12 no usage no usage 556 4 5 no usage 8 92 16 no usage 6 197 105 213 no usage no usage 5 no usage no usage 45 77 46 193 1 23 844 2521 no usage 2755 Y 14003 Y 322 2533102 315 400 Y Y Y Y 118.65 694.52 16.48 430549.08 16.00 20.00 (124.66) 93 Y 5398 Y 47228 Y 17 Y (981.91) 28509.88 (60.44) 966 Y 46.80 55356 Y 326 Y 409 Y 678 Y 7847 Y 1332 Y 504 16997 8876 18047 Y Y Y Y 11581.48 16.00 20.00 32.00 364.32 64.00 24.00 1237.16 472.50 958.50 548 Y 21.35 4334 5728 4123 16418 83 2001 73059 218481 Y Y Y Y Y Y Y Y 196.65 (860.09) 189.52 868.50 4.50 103.50 3798.00 11344.50 Page 121 OSHPD 06-01-06 Rev Chng Calc LP 83.00 83.00 83.00 83.03 83.28 83.50 84.00 84.75 84.80 84.92 85.00 85.00 85.00 85.06 85.50 85.50 85.50 85.50 85.50 85.50 85.50 85.50 86.00 86.00 86.00 86.50 86.50 87.00 87.00 87.19 87.28 87.50 87.50 88.00 88.00 88.00 88.00 88.00 88.00 88.00 88.00 88.00 88.00 88.00 88.00 88.07 88.25 88.50 88.50 88.50 88.99 88.99 15.84 36.80 87.50 87.50 87.50 88.00 88.50 69.92 89.50 89.50 85.00 33.47 89.50 241.91 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 86.00 90.50 91.00 91.00 87.00 91.50 92.00 92.00 87.50 92.00 92.50 92.50 92.50 92.50 92.50 92.50 92.50 92.50 92.50 92.50 92.50 92.50 92.50 88.25 93.00 93.00 93.00 93.50 93.50 no usage no usage no usage no usage 372 126 no usage no usage 2 no usage 4 2014 no usage 2873 43 49 170 184 878 no usage no usage no usage 1 2 48 no usage no usage 1 10 no usage no usage no usage no usage 1 1 2 37 54 62 76 116 129 no usage no usage no usage 2 no usage no usage no usage no usage no usage no usage 32679 Y 11030 Y 1569.84 567.00 176 Y 340 Y 67720 Y 680995 3857 4406 15251 16502 78746 Y Y Y Y Y Y 9.40 0.00 (103781.42) 450630.05 193.50 220.50 765.00 828.00 3951.00 90 Y 172 Y 4317 Y 4.00 0.00 216.00 87 Y 915 Y 0.00 45.00 93 93 185 3423 4986 5735 7017 10703 11919 Y Y Y Y Y Y Y Y Y 4.50 4.50 9.00 166.50 243.00 279.00 342.00 522.00 580.50 241 Y 8.86 Page 122 OSHPD 06-01-06 Rev Chng Calc LP 89.00 89.02 89.35 89.46 89.50 89.50 89.50 89.50 89.50 89.78 89.89 90.20 90.50 90.50 90.50 90.50 90.50 91.00 91.00 91.00 91.00 91.50 92.00 92.00 92.00 92.00 92.14 92.37 92.55 92.58 92.77 93.00 93.00 93.00 93.00 93.17 93.18 93.71 94.00 94.00 94.32 94.50 94.50 94.51 94.63 94.94 95.00 95.00 95.22 95.50 95.50 96.00 93.50 93.50 135.22 94.00 89.50 94.00 94.00 94.00 64.40 94.50 88.29 95.00 12.76 95.50 95.50 95.50 95.50 91.00 96.00 96.00 96.00 96.50 97.00 2.70 97.00 97.00 97.00 80.08 25.97 35.30 97.50 98.00 98.00 98.00 98.00 98.00 120.76 114.00 99.00 99.00 99.50 36.80 94.50 99.50 99.50 100.00 95.00 100.00 100.00 50.00 100.50 101.00 4 no usage 210 12 2 59 80 441 no usage no usage 99 12 3 no usage no usage no usage no usage 1 6 40 no usage 231 57 75 no usage no usage no usage 171 48 113 no usage 5 7 20 533 7 1794 241 580 796 348 1 97 228 no usage no usage 1 no usage 1 5 57 12 384 Y 27866 1123 179 5542 7502 41333 Y Y Y Y Y Y 18.00 9632.70 54.48 0.00 265.50 360.00 1984.50 8741 Y 1135 Y 116 Y (158.40) 57.60 (233.22) 91 Y 568 Y 3830 Y 22257 Y 5494 Y 1631 Y 0.00 30.00 200.00 1155.00 285.00 (6697.50) 15620 Y 2421 Y 4841 Y 490 681 1955 52014 686 276157 27496 57200 78509 34720 37 9167 22519 Y Y Y Y Y Y Y Y Y Y Y Y Y (2101.59) (3195.84) (6472.64) 25.00 35.00 100.00 2665.00 33.81 49478.52 4889.89 2900.00 3980.00 1802.64 (57.70) 0.00 1137.72 95 Y 14 250 5714 1207 Y Y Y Y 0.00 4.78 (227.50) 285.00 60.00 Page 123 OSHPD 06-01-06 Rev Chng Calc LP 96.00 96.50 96.50 96.50 96.50 96.50 96.50 96.50 96.50 96.50 96.50 96.50 96.50 96.50 96.50 96.50 96.50 96.50 96.50 96.50 96.50 96.50 96.50 96.50 97.00 97.34 97.36 97.50 97.50 97.50 97.50 97.50 98.23 98.50 99.00 99.00 99.00 99.50 100.00 100.00 100.00 100.00 100.00 100.00 100.42 100.50 100.50 100.50 100.50 101.25 101.38 101.83 142.60 101.50 101.50 101.50 101.50 101.50 101.50 101.50 101.50 101.50 101.50 101.50 101.50 101.50 101.50 101.50 101.50 101.50 101.50 101.50 101.50 101.50 101.50 101.50 50.00 102.50 112.05 10.80 141.68 102.50 102.50 102.50 94.07 98.50 104.00 104.00 104.00 104.50 50.60 165.00 244.00 69.46 100.00 105.00 105.50 106.00 106.00 106.00 106.00 101.25 106.50 107.00 no usage 6 7 9 12 15 18 68 108 421 514 1366 3160 5241 5847 8058 10970 11013 21447 no usage no usage no usage no usage no usage 1 no usage 45 4 4 135 no usage no usage 22 no usage 1 7 159 1157 2 4 4 8 no usage no usage no usage 31 248 986 1151 no usage 138 7 609 706 914 1203 1523 1827 6887 10947 42457 52036 137869 319570 529067 590801 813727 1109415 1112295 2168181 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y 30.00 35.00 45.00 60.00 75.00 90.00 340.00 540.00 2105.00 2570.00 6830.00 15800.00 26205.00 29235.00 40290.00 54850.00 55065.00 107235.00 97 Y 4751 217 523 13713 Y Y Y Y (47.00) 661.05 (346.80) 176.72 675.00 2536 Y 104 728 16536 120437 151 662 837 708 Y Y Y Y Y Y Y Y (91.52) 5.00 35.00 795.00 5785.00 (98.80) 260.00 576.00 (244.32) 3286 26173 104115 121396 Y Y Y Y 170.50 1364.00 5423.00 6330.50 706.56 36.19 14602 Y 747 Y Page 124 OSHPD 06-01-06 Rev Chng Calc LP 102.00 102.00 102.00 102.00 102.00 102.00 102.12 102.50 102.50 102.50 102.50 103.00 103.00 103.00 103.04 103.16 103.59 104.00 104.00 104.50 104.50 104.50 104.50 105.00 105.00 105.00 105.00 105.08 105.53 105.53 105.63 106.00 106.00 106.50 106.50 106.50 106.50 106.50 106.50 106.75 107.10 107.46 107.50 107.50 107.50 107.50 107.50 107.50 107.50 107.50 107.50 107.50 107.50 107.50 107.50 107.50 36.30 107.50 107.50 108.00 108.00 108.00 108.00 108.50 108.50 108.50 108.50 108.50 109.00 32.20 109.50 110.00 7.19 110.00 110.00 90.00 165.38 105.00 110.50 110.50 111.00 111.00 111.00 3.91 144.44 112.00 112.00 112.00 112.00 112.00 112.00 112.50 112.50 113.00 113.00 113.00 113.00 113.00 113.00 113.00 113.00 113.00 113.00 113.00 6 8 5647 no usage no usage no usage no usage 7 20 85 no usage no usage no usage no usage no usage no usage 3 8 no usage 1 40 83 no usage 9 52 722 no usage no usage no usage no usage 2 151 no usage 3 26 71 675 4203 no usage no usage no usage 15 3 9 17 18 38 105 4109 5078 no usage no usage 645 Y 855 Y 604352 Y 33.00 44.00 31058.50 718 Y 2155 Y 9092 Y 38.50 110.00 467.50 325 Y 545 Y 110 Y 969 Y 9092 Y 825 Y 4195 Y 75810 Y 16.23 (574.40) 5.50 (3892.40) 456.50 (135.00) 3139.76 0.00 221 Y 4980 Y 336 2912 7925 75364 468998 Y Y Y Y Y 10.74 (15415.59) 16.50 143.00 390.50 3712.50 23116.50 1701 339 1017 1921 2029 4283 11827 462128 571466 Y Y Y Y Y Y Y Y Y 83.10 16.50 49.50 93.50 99.00 209.00 577.50 22599.50 27929.00 Page 125 OSHPD 06-01-06 Rev Chng Calc LP 107.92 108.00 108.00 108.54 108.65 108.83 109.00 109.00 109.00 109.00 109.08 109.27 109.50 109.92 109.97 110.00 110.00 110.00 110.00 110.33 110.38 110.50 110.50 110.88 111.00 111.00 111.00 111.51 112.50 112.80 113.00 113.00 113.00 113.00 113.00 113.00 113.00 114.00 114.50 114.50 114.50 114.50 114.83 115.00 115.00 115.00 115.00 115.00 115.50 115.50 115.50 115.50 113.50 147.50 113.50 114.00 135.22 114.50 114.50 114.50 114.50 114.50 115.00 115.00 180.00 130.07 115.50 60.00 115.50 115.50 115.50 116.00 116.00 116.50 116.50 116.50 5.52 23.00 2.70 117.50 118.50 118.50 119.00 119.00 119.00 119.00 119.00 119.00 119.00 114.00 120.50 120.50 120.50 120.50 180.00 121.00 121.00 121.00 121.00 121.00 121.50 121.50 121.50 121.50 no usage 22 no usage 60 283 1 3 62 356 no usage no usage 10 no usage 42 no usage 7 15 no usage no usage 7 25 no usage no usage no usage 9 12 58 no usage no usage 4 1 4 120 291 354 no usage no usage no usage 6 31 180 no usage 5 17 18 21 no usage no usage 3 4 41 113 3162 Y 6866 35256 149 338 7083 40482 Y Y Y Y Y Y 869.00 327.60 7519.31 5.67 16.50 341.00 1958.00 1100 Y 5445 Y 470 Y 1722 Y 57.30 846.30 (350.00) 82.50 798 Y 2860 Y 39.69 140.50 261 Y 628 Y 1565 Y (949.32) (1056.00) (6281.40) 468 119 476 14196 34467 41928 Y Y Y Y Y Y 22.80 6.00 24.00 720.00 1746.00 2124.00 717 Y 3724 Y 21618 Y 901 2057 2172 2541 Y Y Y Y 36.00 186.00 1080.00 325.85 102.00 108.00 126.00 365 486 4946 13700 Y Y Y Y 18.00 24.00 246.00 678.00 Page 126 OSHPD 06-01-06 Rev Chng Calc LP 115.50 115.50 115.67 116.00 116.50 116.50 116.67 116.75 116.80 117.50 117.50 117.50 117.50 117.50 117.50 117.50 117.50 117.50 117.50 117.50 117.50 117.87 118.07 118.40 119.00 119.00 119.00 119.00 119.00 119.00 119.50 120.00 120.15 120.50 120.96 121.16 121.50 121.50 121.50 121.50 121.67 121.76 121.99 122.08 122.50 123.00 123.00 123.25 123.64 123.95 124.00 124.50 121.50 121.50 121.50 23.00 122.50 122.50 122.50 116.75 123.00 123.50 69.00 123.50 123.50 123.50 123.50 123.50 123.50 123.50 123.50 123.50 123.50 124.00 124.00 124.50 125.00 93.75 125.00 65.00 125.00 125.00 125.50 126.00 126.50 127.00 127.50 127.50 128.00 128.00 128.00 128.00 131.00 128.00 128.50 128.50 122.50 165.33 129.50 93.75 130.00 130.50 130.50 131.00 121 no usage 3 no usage 7 no usage no usage no usage 25 1 2 5 6 25 39 49 52 52 127 199 234 no usage 14 no usage 2 7 418 no usage no usage no usage no usage no usage 1630 309 no usage 153 172 377 no usage no usage 2 200 1522 149 152 7 no usage no usage 2 no usage no usage 4 14684 Y 370 Y 834 Y 726.00 17.49 42.00 2995 124 138 618 741 3076 4873 5998 6374 6398 15637 24493 28767 Y Y Y Y Y Y Y Y Y Y Y Y Y 155.00 6.00 (97.00) 30.00 36.00 150.00 234.00 294.00 312.00 312.00 762.00 1194.00 1404.00 83.02 12.00 (176.75) 2508.00 1748 Y 244 Y 707 Y 51998 Y 197620 Y 39009 Y 19568 Y 21899 Y 48003 Y 10350.50 2008.50 970.02 1118.00 2450.50 262 25584 186404 19165 18620 1158 Y Y Y Y Y Y 18.66 1248.00 9908.22 956.58 0.00 296.31 338 Y 12.72 517 Y 26.00 Page 127 OSHPD 06-01-06 Rev Chng Calc LP 125.00 125.02 125.13 125.20 125.50 125.81 126.00 126.00 126.00 126.00 127.00 127.00 127.00 127.00 127.00 127.00 127.50 127.50 127.50 127.70 127.76 127.78 128.50 128.50 129.00 129.00 129.00 129.00 129.34 129.50 129.65 130.00 130.00 130.00 130.00 130.00 130.00 130.00 130.18 131.00 131.00 131.50 131.50 131.50 131.50 131.50 131.63 131.73 131.86 132.32 132.50 132.50 125.00 131.50 131.50 131.50 132.00 132.50 108.00 132.50 8.10 126.00 133.50 133.50 133.50 133.50 133.50 133.50 123.33 41.40 134.00 134.50 175.00 134.50 93.75 93.75 135.50 135.50 135.50 135.50 136.00 129.50 136.50 136.50 136.50 136.50 136.50 136.50 136.50 136.50 131.53 123.75 93.75 138.50 131.50 138.50 131.50 138.50 85.40 165.38 138.50 139.00 139.50 139.50 no usage no usage 142 15 1385 no usage 1 2 33 no usage 24 27 no usage no usage no usage no usage 13 no usage no usage no usage 1 146 no usage no usage 12 283 5328 16869 no usage 1 no usage 12 no usage no usage no usage no usage no usage no usage 186 1 no usage 23 1379 no usage no usage no usage 12 17 no usage 99 1 6 18864 Y 2010 Y 182189 Y 108 Y 338 Y 1093 Y 3185 Y 3585 Y 904.54 94.50 9002.50 (18.00) 13.00 (3890.70) 156.00 175.50 1710 Y (54.21) 175 Y 19560 Y 47.24 981.12 1620 38210 719461 2277072 Y Y Y Y 78.00 1839.50 34632.00 109648.50 0.00 78.00 130 Y 1625 Y 25591 Y 124 Y 3186 Y 181339 Y 251.10 (7.25) 161.00 0.00 1585 Y 2703 Y 13854 Y 143 Y 837 Y (554.76) 572.05 661.32 7.00 42.00 Page 128 OSHPD 06-01-06 Rev Chng Calc LP 132.50 132.50 132.50 132.50 133.66 134.00 134.00 134.00 134.00 134.00 134.00 134.00 134.00 134.00 134.00 134.00 134.50 134.50 134.50 134.59 135.00 136.50 136.50 136.50 136.50 136.50 136.50 136.50 136.50 136.50 137.88 138.50 138.50 138.50 139.00 139.10 139.50 139.50 140.00 141.00 141.00 141.00 141.00 141.00 141.00 141.00 141.00 141.00 141.25 141.50 142.00 142.50 139.50 25.00 139.50 139.50 156.07 141.00 16.97 141.00 141.00 141.00 141.00 141.00 22.66 76.00 134.00 141.00 59.80 3.28 141.50 226.20 142.00 143.50 143.50 143.50 143.50 143.50 143.50 143.50 143.50 165.38 146.45 145.50 145.50 145.50 139.00 146.50 146.50 146.50 147.00 148.50 148.50 148.50 148.50 148.50 148.50 148.50 148.50 148.50 148.50 93.75 92.00 150.00 7 15 391 1224 637 3 4 6 30 51 67 2102 no usage no usage no usage no usage 1 4 no usage 15 no usage 1 3 22 39 54 70 1019 3316 no usage 19 1 3 no usage 1 no usage 63 no usage no usage 1 22 23 517 2044 7242 no usage no usage no usage 3 no usage no usage 6 963 590 54328 169950 100583 423 302 846 4230 7163 9426 294562 Y Y Y Y Y Y Y Y Y Y Y Y 49.00 (1612.50) 2737.00 8568.00 14275.17 21.00 (468.12) 42.00 210.00 357.00 469.00 14714.00 60 Y 144 Y 5072 Y 144 424 3136 5555 7714 9982 145779 473935 Y Y Y Y Y Y Y Y (74.70) (524.88) 1374.15 7.00 21.00 154.00 273.00 378.00 490.00 7133.00 23212.00 162.83 7.00 21.00 0.00 441.00 2782 Y 139 Y 437 Y 139 Y 9202 Y 152 3245 3408 76475 302259 1072474 Y Y Y Y Y Y 7.50 165.00 172.50 3877.50 15330.00 54315.00 456 Y 21.75 893 Y 45.00 Page 129 OSHPD 06-01-06 Rev Chng Calc LP 142.50 142.85 143.00 143.25 143.35 143.50 143.50 143.50 143.50 143.50 143.50 144.00 144.00 144.00 144.46 144.70 145.37 145.50 145.50 145.50 145.50 145.50 145.50 145.50 146.94 147.00 147.92 148.00 148.50 148.50 148.50 148.50 148.50 148.50 148.50 148.50 148.50 148.50 149.50 149.50 149.78 150.00 150.00 150.00 150.00 150.50 150.50 151.00 151.70 152.50 152.50 152.50 150.00 150.00 150.50 150.50 15.35 151.00 151.00 151.00 151.00 151.00 151.00 151.50 151.50 37.26 152.00 132.81 153.00 153.00 153.00 153.00 153.00 153.00 153.00 153.00 154.50 154.50 155.50 155.50 156.00 156.00 156.00 156.00 156.00 156.00 156.00 148.50 148.50 156.00 157.00 157.00 157.50 50.00 120.00 157.50 157.50 158.50 41.40 180.00 159.50 160.50 160.50 160.50 12 no usage no usage no usage 40 1 1 2 4 no usage no usage 191 1570 no usage no usage 509 no usage 89 127 149 156 345 no usage no usage 23 16 3 no usage 32 69 87 124 132 181 658 752 1780 no usage 3 no usage no usage 3 15 no usage no usage 9 no usage 1 no usage 26 769 6434 1800 Y 90.00 700 151 151 295 604 Y Y Y Y Y (5120.00) 7.50 7.50 15.00 30.00 28892 Y 237405 Y 1432.50 11775.00 68826 Y 13550 19356 22752 23763 52530 Y Y Y Y Y (6052.01) 667.50 952.50 1117.50 1170.00 2587.50 3583 Y 14333 Y 607 Y 4962 10697 13557 19277 20510 28139 102273 111672 264330 Y Y Y Y Y Y Y Y Y 173.88 120.00 22.74 240.00 517.50 652.50 930.00 990.00 1357.50 4935.00 0.00 0.00 22.50 471 Y 150 Y 1860 Y (300.00) (450.00) 1419 Y 180 Y 4157 Y 122825 Y 1028785 Y 72.00 29.00 208.00 6152.00 51472.00 Page 130 OSHPD 06-01-06 Rev Chng Calc LP 152.50 152.50 153.00 153.03 153.49 153.50 153.50 154.50 154.50 155.01 155.50 155.50 155.50 155.50 155.50 155.50 155.50 155.50 156.50 156.50 156.50 156.50 156.98 157.00 157.50 157.50 157.50 157.50 157.50 157.50 157.50 157.50 157.50 157.50 157.50 157.50 157.50 157.50 157.50 157.50 157.50 157.50 157.50 157.50 157.50 157.50 157.50 157.50 157.50 157.50 157.50 157.50 160.50 160.50 161.00 161.00 161.50 161.50 161.50 162.50 162.50 163.00 163.50 163.50 163.50 163.50 163.50 163.50 26.68 163.50 164.50 164.50 164.50 218.00 162.61 23.18 165.38 165.38 165.38 165.38 165.38 165.38 165.38 165.38 165.38 165.38 165.38 165.38 165.38 165.38 165.38 165.38 165.38 165.38 165.38 165.38 165.38 165.38 165.38 165.38 165.38 165.50 165.50 165.38 no usage no usage no usage no usage 38 1 14 1 no usage no usage 2 2 5 10 22 66 no usage no usage 6 42 54 153 1253 1 1 1 3 3 6 19 22 27 32 34 40 50 80 135 138 226 448 571 640 725 727 968 2036 3080 5057 no usage no usage no usage 6277 162 2261 155 Y Y Y Y 304.38 8.00 112.00 8.00 327 327 818 1619 3581 10743 Y Y Y Y Y Y 16.00 16.00 40.00 80.00 176.00 528.00 987 6893 8819 26916 203192 157 165 22 488 496 992 3134 3630 1747 5276 6484 4400 8190 6858 22051 22618 24816 55406 93754 70313 83029 119664 142366 219919 506298 822421 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y 48.00 336.00 432.00 9409.50 7054.39 (133.82) 7.88 7.88 23.64 23.64 47.28 149.72 173.36 212.76 252.16 267.92 315.20 394.00 630.40 1063.80 1087.44 1780.88 3530.24 4499.48 5043.20 5713.00 5728.76 7627.84 16043.68 24270.40 39849.16 Page 131 OSHPD 06-01-06 Rev Chng Calc LP 157.50 157.50 157.50 157.50 157.50 157.50 157.50 157.50 157.50 157.50 157.67 158.00 158.05 158.42 158.50 158.50 158.50 158.50 158.50 158.50 159.00 159.50 159.50 159.50 159.50 159.50 159.50 159.80 160.00 160.00 160.50 161.41 161.78 162.00 162.00 162.00 162.00 162.00 162.50 163.04 163.50 164.14 164.56 165.00 165.00 165.00 165.00 166.33 166.42 166.43 166.50 166.50 165.38 165.50 165.38 165.38 165.38 165.38 165.38 165.38 157.50 165.50 166.00 166.00 144.70 166.50 166.50 166.50 166.50 166.50 166.50 166.50 167.00 167.50 167.50 167.50 167.50 167.50 167.50 168.00 168.00 168.00 169.00 169.50 170.00 170.50 170.50 170.50 170.50 170.50 171.00 171.50 172.00 175.25 173.00 173.50 173.50 173.50 173.50 347.60 175.00 175.00 175.00 175.00 no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage 6 179 7 25 37 110 234 925 no usage 33 4 36 114 548 761 no usage 1 10 no usage no usage no usage 1 96 294 448 722 no usage 1 69 587 14 no usage 29 117 4699 no usage 30 298 455 7 30 420 28909 1140 4163 6129 18275 38721 153413 5495 670 5998 19007 91462 127076 Y Y Y Y Y Y Y Y Y Y Y Y Y Y 48.00 (2389.65) 56.56 200.00 296.00 880.00 1872.00 7400.00 264.00 32.00 288.00 912.00 4384.00 6088.00 8.20 80.00 170 Y 1622 Y 221 16317 49957 76138 122523 171 11864 100531 2441 Y Y Y Y Y Y Y Y Y 8.22 816.00 2499.00 3808.00 6137.00 8.50 583.74 4989.50 155.54 246.50 994.50 39941.50 5438.10 2556.84 3899.35 59.50 255.00 5032 Y 20155 Y 811341 Y 9756 52526 80793 1183 5199 Y Y Y Y Y Page 132 OSHPD 06-01-06 Rev Chng Calc LP 166.50 166.50 166.50 166.50 166.50 167.00 167.50 167.99 168.00 168.00 169.19 169.50 169.85 170.50 170.50 170.50 170.50 170.50 170.52 171.00 172.00 172.00 172.00 172.00 173.00 173.00 173.09 173.14 174.00 174.50 175.00 176.00 176.00 176.11 176.13 177.00 177.19 177.19 177.50 177.50 177.50 178.00 178.00 178.24 178.85 179.50 179.50 179.50 180.00 180.00 180.50 180.73 175.00 175.00 175.00 175.00 175.00 175.50 176.00 176.50 176.50 176.50 180.19 178.00 178.50 179.50 179.50 179.50 179.50 179.50 179.50 180.00 181.00 181.00 181.00 181.00 182.00 182.00 182.00 182.00 183.00 27.60 175.00 185.00 185.00 185.00 185.00 186.00 186.50 186.50 186.50 186.50 186.50 187.00 187.00 164.19 181.60 188.50 188.50 188.50 180.00 189.00 190.00 181.58 no usage no usage no usage no usage no usage no usage 4 no usage 39 40 3148 13113 4 15 78 493 1131 1531 225 no usage 1 4 125 no usage 9 no usage 251 23 42 2 no usage 11 2483 76 76 no usage no usage no usage 2 50 50 30 34 87 16 25 40 1882 2 6 925 501 704 Y 6884 7052 555530 2325878 691 2684 13974 88134 202223 273897 40767 Y Y Y Y Y Y Y Y Y Y Y 34.00 331.50 340.00 34628.00 111460.50 34.60 135.00 702.00 4437.00 10179.00 13779.00 2020.50 9.00 36.00 1125.00 81.00 2236.41 203.78 378.00 (293.80) 99.00 22347.00 675.64 674.12 178 Y 724 Y 22526 Y 1629 Y 46329 4237 7677 55 2026 457627 14322 14003 Y Y Y Y Y Y Y Y 364 9262 9280 5610 6358 14277 2892 4704 7495 353389 360 1122 175038 90936 Y Y Y Y Y Y Y Y Y Y Y Y Y Y 18.00 450.00 450.00 270.00 306.00 (1222.35) 44.00 225.00 360.00 16938.00 0.00 54.00 8787.50 425.85 Page 133 OSHPD 06-01-06 Rev Chng Calc LP 182.00 182.35 183.00 183.00 183.00 183.00 183.00 183.00 183.63 184.00 184.00 184.50 184.50 184.50 184.50 185.08 185.50 185.50 186.73 187.00 187.00 187.00 187.50 187.50 187.50 188.62 189.00 189.00 190.00 190.00 190.50 190.93 192.00 192.00 192.00 192.00 192.00 193.00 193.00 193.00 193.39 193.40 194.50 195.50 195.50 195.50 196.00 196.45 196.50 196.50 197.00 198.00 191.50 191.50 192.50 192.50 192.50 192.50 192.50 192.50 198.03 193.50 193.50 194.00 194.00 194.00 194.00 185.08 93.75 195.00 196.50 202.00 196.50 187.00 197.00 197.00 197.00 198.50 210.00 198.50 199.50 142.60 200.50 198.83 202.00 202.00 202.00 64.00 202.00 203.00 203.00 203.00 203.50 202.00 204.50 205.50 205.50 205.50 74.52 190.38 206.50 206.50 207.00 208.00 no usage no usage 1 2 16 1774 1902 no usage 932 49 no usage 14 19 32 5643 no usage 4 208 no usage 2 4 no usage 2 5 no usage no usage 859 no usage 8 no usage no usage 100 3 39 78 85 no usage 9 114 no usage 50 7 no usage 11 no usage no usage 2 13 no usage no usage no usage 1 193 385 3071 340232 363846 Y Y Y Y Y 9.50 19.00 152.00 16853.00 18069.00 13420.80 465.50 133.00 180.50 304.00 53608.50 (367.00) 1976.00 30.00 38.00 19.00 47.50 185944 Y 9463 Y 2707 3677 6170 1090856 Y Y Y Y 467 Y 40408 Y 403 Y 786 Y 394 Y 985 Y 174957 Y 1600 Y 18039.00 76.00 19864 622 7848 15696 6208 Y Y Y Y Y 790.00 30.00 390.00 780.00 (10880.00) 90.00 1140.00 505.50 60.20 110.00 1827 Y 23092 Y 10225 Y 1416 Y 2217 Y 149 Y 2475 Y (242.96) (78.91) 213 Y 10.00 Page 134 OSHPD 06-01-06 Rev Chng Calc LP 198.00 198.50 203.00 203.00 203.00 203.00 203.00 203.50 204.00 204.00 204.00 204.00 204.00 204.00 204.50 204.91 205.00 205.50 205.50 205.50 205.50 205.50 206.50 206.50 206.50 206.50 206.50 207.00 207.00 207.90 208.00 208.50 209.25 209.25 209.50 210.00 210.00 210.14 210.86 211.50 211.50 211.50 211.50 211.50 211.50 211.50 212.00 212.24 213.00 213.00 213.00 213.00 208.00 208.50 213.50 213.50 213.50 213.50 213.50 203.50 214.50 214.50 214.50 214.50 214.50 78.22 215.00 215.50 215.50 216.00 216.00 216.00 216.00 216.00 206.50 217.00 217.00 217.00 217.00 217.50 217.50 218.50 218.50 219.00 220.00 220.00 220.00 210.00 210.00 221.00 221.50 222.50 222.50 222.50 222.50 222.50 222.50 222.50 223.00 228.00 224.00 224.00 224.00 224.00 469 no usage 88 190 1520 1971 no usage 45 1 2 5 19 21 no usage no usage 30 4 4 5 5 26 29 14 80 613 no usage no usage no usage no usage no usage no usage no usage no usage no usage 751 1 no usage 12 no usage 51 99 113 114 2335 no usage no usage no usage 6 2 4 4 402 97222 Y 18662 40271 323019 419086 9158 215 429 1062 4065 4484 Y Y Y Y Y Y Y Y Y Y 4690.00 924.00 1995.00 15960.00 20695.50 0.00 10.50 21.00 52.50 199.50 220.50 6436 881 864 1070 1070 5585 6243 2891 17308 132402 Y Y Y Y Y Y Y Y Y Y 317.70 42.00 42.00 52.50 52.50 273.00 304.50 0.00 840.00 6436.50 164464 Y 210 Y 2084 Y 11238 21940 25066 25255 517734 Y Y Y Y Y 7885.50 0.00 130.32 561.00 1089.00 1243.00 1254.00 25685.00 1368 448 896 896 89663 Y Y Y Y Y 94.56 22.00 44.00 44.00 4422.00 Page 135 OSHPD 06-01-06 Rev Chng Calc LP 213.00 213.17 214.00 214.00 215.49 215.50 215.50 216.00 217.00 218.00 218.00 218.13 218.14 218.62 219.00 219.70 220.00 220.50 220.69 220.96 221.88 223.00 223.00 223.00 223.20 224.00 224.00 225.50 226.50 226.50 226.50 227.50 227.80 228.00 228.50 228.50 229.00 229.00 229.00 229.00 229.00 229.00 229.00 229.00 229.00 229.25 229.50 229.50 229.50 229.50 229.50 229.50 224.00 224.00 225.00 225.00 226.50 226.50 226.50 239.00 217.00 229.00 229.00 229.50 229.50 230.00 230.00 231.00 231.00 232.00 232.00 232.50 233.00 234.50 234.50 234.50 234.50 235.50 235.50 237.00 238.00 238.00 238.00 239.00 239.50 239.50 240.00 240.00 240.50 240.50 240.50 240.50 240.50 240.50 240.50 240.50 240.50 241.00 241.00 241.00 241.00 241.00 241.00 241.00 6102 26 51 219 no usage 81 284 87 30 44 no usage 4 no usage 348 no usage no usage no usage no usage no usage 17 180 77 573 806 2 194 no usage 20 17 73 no usage 52 3 141 61 141 7 9 10 10 12 14 17 no usage no usage 2 4 5 517 no usage no usage no usage 1361645 5807 11464 49110 18303 64260 20315 6302 10043 Y Y Y Y Y Y Y Y Y 67122.00 281.58 561.00 2409.00 891.00 3124.00 2001.00 0.00 484.00 45.48 3960.24 922 Y 80099 Y 3792 40053 17919 133771 188271 470 45572 Y Y Y Y Y Y Y 196.18 2001.60 885.50 6589.50 9269.00 22.60 2231.00 230.00 195.50 839.50 598.00 35.10 1621.50 701.50 1621.50 80.50 103.50 115.00 115.00 138.00 161.00 195.50 4717 Y 4012 Y 17305 Y 12499 725 33528 14617 33748 1684 2165 2394 2405 2886 3356 4077 Y Y Y Y Y Y Y Y Y Y Y Y 482 964 1205 124114 Y Y Y Y 23.50 46.00 57.50 5945.50 Page 136 OSHPD 06-01-06 Rev Chng Calc LP 230.00 230.00 230.00 231.00 231.00 232.00 232.00 233.12 233.50 234.00 234.00 234.50 235.50 235.50 235.50 235.50 236.50 236.50 236.50 236.50 236.50 236.50 236.50 236.50 237.00 237.00 237.00 237.50 239.00 239.00 239.00 239.50 240.00 240.00 240.00 240.00 241.00 242.50 242.50 242.50 243.00 243.67 244.43 245.25 245.50 245.50 246.50 247.00 247.00 247.42 247.50 248.15 241.50 247.63 241.50 243.00 243.00 244.00 244.00 245.00 245.50 246.00 246.00 246.50 247.50 247.50 247.50 247.50 248.50 248.50 248.50 248.50 248.50 236.50 248.50 248.50 249.00 249.00 249.00 249.50 251.00 251.00 251.00 251.50 252.00 252.00 252.00 252.00 253.50 255.00 255.00 255.00 255.50 256.00 257.00 258.00 258.00 258.00 259.00 259.50 259.50 260.00 260.00 268.54 1 11 no usage 1 7 12 no usage 33 no usage 160 no usage 6 5 77 1481 no usage 1 3 62 122 560 no usage no usage no usage 1 no usage no usage 47 19 28 95 no usage 1 36 2408 no usage no usage 1 1 no usage 239 6 37 9 46 445 2918 no usage no usage 369 no usage 2922 242 Y 2724 Y 240 Y 1701 Y 2916 Y 8684 Y 39192 Y 1479 1221 18950 365600 249 746 15383 30173 138644 Y Y Y Y Y Y Y Y Y 11.50 193.93 12.00 84.00 144.00 392.04 1920.00 72.00 60.00 924.00 17772.00 12.00 36.00 744.00 1464.00 6720.00 237 Y 12.00 11691 4769 7016 23785 Y Y Y Y 564.00 228.00 336.00 1140.00 12.00 432.00 28896.00 252 Y 9060 Y 605412 Y 255 Y 255 Y 60990 1536 9501 2319 11806 114485 752837 Y Y Y Y Y Y Y 12.50 12.50 2987.50 73.98 465.09 114.75 575.00 5562.50 36475.00 96752 Y 788003 Y 4642.02 59579.58 Page 137 OSHPD 06-01-06 Rev Chng Calc LP 248.16 248.16 248.33 248.50 248.50 250.00 251.02 251.50 251.50 253.00 253.00 253.00 253.00 253.00 253.00 253.00 253.00 253.00 253.00 253.06 253.12 255.00 255.50 255.50 255.50 257.50 257.62 259.00 259.00 259.00 259.50 259.50 259.56 260.00 261.50 261.50 261.50 262.00 264.00 264.00 264.00 264.00 266.00 266.00 266.00 266.00 266.00 266.00 266.82 267.00 267.00 267.28 261.00 261.00 261.00 261.00 261.00 262.50 264.00 264.50 264.50 266.00 266.00 266.00 266.00 266.00 266.00 266.00 266.00 266.00 266.00 270.99 268.70 268.00 268.50 268.50 268.50 270.50 247.22 272.00 272.00 272.00 272.50 272.50 273.00 273.00 275.00 275.00 275.00 262.00 277.50 277.50 277.50 277.50 279.50 279.50 279.50 279.50 279.50 279.50 254.83 280.50 280.50 281.00 no usage no usage 8 2 5 60 no usage 11 no usage 1 1 7 no usage no usage no usage no usage no usage no usage no usage 1651 367 128 1 32 294 80 1116 263 1290 12042 2 no usage no usage 1 350 no usage no usage 1 3 231 279 no usage 21 77 233 3289 no usage no usage 316 no usage no usage no usage 2075 522 1305 15713 Y Y Y Y 101.36 25.00 62.50 750.00 143.00 13.00 13.00 91.00 2910 Y 266 Y 266 Y 1849 Y 443711 98220 34122 256 30272 78627 21510 283173 71172 349177 3262801 545 Y Y Y Y Y Y Y Y Y Y Y Y 29602.43 5717.86 1664.00 13.00 416.00 3822.00 1040.00 (11606.40) 3419.00 16770.00 156546.00 26.00 273 Y 95967 Y 13.00 4725.00 262 833 63846 77207 5829 21441 64651 916414 Y Y Y Y Y Y Y Y 0.00 40.50 3118.50 3766.50 283.50 1039.50 3145.50 44401.50 83978 Y (3788.84) Page 138 OSHPD 06-01-06 Rev Chng Calc LP 267.75 268.00 269.50 270.00 270.00 270.22 271.50 271.50 272.50 273.00 274.31 274.50 275.00 276.80 277.00 278.00 278.00 278.71 280.00 280.00 280.00 280.00 281.00 281.00 281.00 281.00 281.00 282.54 283.71 284.43 285.85 286.00 286.00 287.00 288.36 289.00 289.00 289.38 289.50 289.50 290.00 292.50 292.50 292.50 292.50 292.50 292.50 293.50 293.50 294.00 296.50 298.00 284.40 193.75 283.00 283.50 283.50 361.88 285.50 285.50 286.50 287.00 286.03 288.50 289.00 296.00 291.00 292.00 292.00 293.00 294.00 294.00 294.00 294.00 295.50 295.50 295.50 295.50 295.50 294.72 298.00 299.00 297.40 286.00 286.00 301.50 303.00 303.50 303.50 311.00 304.00 304.00 304.50 307.50 307.50 307.50 307.50 307.50 307.50 308.50 308.50 309.00 311.50 313.00 166 no usage 7 31 1413 193 1 5 309 no usage 1579 349 no usage 6 11 no usage no usage 31 2 4 35 no usage 1 4 111 191 221 461 no usage 9 104 15 16 no usage 7 957 no usage 10 77 3627 no usage 40 111 137 234 248 no usage 141 161 no usage 14 17 47067 Y 1981 8789 399047 64274 286 1428 88137 Y Y Y Y Y Y Y 2763.90 94.50 418.50 19075.50 17690.38 14.00 70.00 4326.00 18505.88 4886.00 115.20 154.00 454587 Y 100197 Y 1754 Y 3187 Y 9093 574 1148 10234 281 1168 32728 56122 65117 131743 2560 30934 4290 4576 Y Y Y Y Y Y Y Y Y Y Y Y Y Y 442.99 28.00 56.00 490.00 14.50 58.00 1609.50 2769.50 3204.50 5614.98 131.13 1201.20 0.00 0.00 102.48 13876.50 216.20 1116.50 52591.50 600.00 1665.00 2055.00 3510.00 3720.00 2115.00 2415.00 210.00 255.00 2128 Y 289116 Y 3108 Y 23336 Y 1098592 Y 12270 33983 41978 71625 75945 Y Y Y Y Y 43379 Y 49474 Y 4331 Y 5291 Y Page 139 OSHPD 06-01-06 Rev Chng Calc LP 298.00 298.71 299.00 299.50 302.50 302.50 302.50 302.50 303.50 303.50 304.00 304.50 305.00 306.11 306.50 306.50 306.63 307.00 310.50 310.50 310.50 312.00 312.00 312.00 312.00 312.00 312.00 312.00 312.50 312.57 313.00 313.00 316.50 316.50 318.00 319.00 319.00 319.00 319.00 319.00 319.00 319.00 319.00 319.00 319.00 320.00 322.00 322.00 322.00 322.46 323.00 323.00 313.00 408.50 314.00 314.50 318.00 318.00 318.00 318.00 319.00 319.00 319.50 320.00 320.50 324.29 322.00 322.00 303.37 322.50 326.50 326.50 326.50 328.00 328.00 328.00 328.00 328.00 328.00 328.00 328.50 336.60 329.00 329.00 332.50 332.50 334.00 335.00 335.00 335.00 335.00 335.00 335.00 335.00 335.00 335.00 335.00 336.00 338.50 338.50 338.50 295.95 339.50 339.50 no usage 11 6470 2 20 32 36 no usage 734 1889 40 6 no usage 11 167 195 533 no usage 35 104 114 38 43 54 297 308 no usage no usage no usage 9 no usage no usage 34 no usage no usage 1 1 79 478 778 no usage no usage no usage no usage no usage no usage 9 49 no usage 145 19 25 4359 2023225 629 6298 10130 11402 233232 599941 12718 1889 3567 53495 62449 163677 11380 33716 37077 12432 14008 17616 97032 100576 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y 1207.69 97050.00 30.00 310.00 496.00 558.00 11377.00 29279.50 620.00 93.00 199.98 2588.50 3022.50 (1737.58) 560.00 1664.00 1824.00 608.00 688.00 864.00 4752.00 4928.00 3030 Y 216.27 11273 Y 544.00 335 335 26369 159474 259526 Y Y Y Y Y 16.00 16.00 1264.00 7648.00 12448.00 3030 Y 16504 Y 44056 Y 6418 Y 8455 Y 148.50 808.50 (3843.95) 313.50 412.50 Page 140 OSHPD 06-01-06 Rev Chng Calc LP 323.00 324.00 324.50 325.18 329.00 330.00 330.00 330.00 330.00 331.69 332.00 332.00 332.00 332.00 333.00 333.00 334.52 335.29 335.50 335.50 337.50 337.50 337.50 340.00 341.00 341.00 342.00 344.50 345.00 345.50 345.50 347.00 348.00 348.00 351.00 351.00 351.00 351.00 352.00 352.50 352.50 352.50 354.00 355.50 355.50 356.50 357.50 359.50 359.50 361.00 361.00 362.50 339.50 349.25 341.00 314.31 345.50 346.50 346.50 346.50 346.50 306.83 349.00 349.00 349.00 349.00 350.00 350.00 456.50 357.22 352.50 352.50 354.50 354.50 354.50 357.00 358.50 358.50 359.50 362.00 362.50 363.00 363.00 364.50 365.50 365.50 369.00 377.67 369.00 369.00 370.00 370.50 370.50 370.50 372.00 373.50 373.50 374.50 375.50 377.50 377.50 379.50 379.50 381.00 46 7 190 469 88 54 417 no usage no usage 78 2 6 21 no usage 156 no usage 11 195 197 no usage 1 298 427 no usage 7 184 no usage no usage no usage 19 25 no usage 2 7 1 8 no usage no usage no usage 4 36 358 88 3 14 no usage no usage 391 396 7 no usage no usage 15617 2445 64510 142705 30305 18695 144111 Y Y Y Y Y Y Y 759.00 176.75 3135.00 (5098.03) 1452.00 891.00 6880.50 24103 698 2077 7329 Y Y Y Y (1939.08) 34.00 102.00 357.00 2652.00 1341.78 4276.35 3349.00 17.00 5066.00 7259.00 122.50 3220.00 54515 Y 4217 Y 70176 Y 69290 Y 355 Y 105216 Y 150743 Y 2510 Y 65527 Y 6880 Y 9040 Y 731 2541 369 3009 Y Y Y Y 332.50 437.50 35.00 122.50 18.00 213.36 1482 13266 132117 32718 1148 5175 Y Y Y Y Y Y 72.00 648.00 6444.00 1584.00 54.00 252.00 147063 Y 148824 Y 2722 Y 7038.00 7128.00 129.50 Page 141 OSHPD 06-01-06 Rev Chng Calc LP 363.50 363.50 365.50 366.50 366.50 366.50 368.50 369.50 373.50 374.00 374.50 376.50 376.50 376.52 376.52 377.50 377.50 377.50 377.50 377.50 377.66 378.00 379.50 379.83 380.50 380.50 382.00 382.50 382.50 392.00 393.00 394.00 394.00 395.00 396.00 397.00 397.00 397.00 399.00 400.50 402.00 402.00 405.11 407.67 408.00 408.00 408.00 410.50 413.00 414.00 415.50 415.50 382.00 382.00 384.00 385.00 385.00 385.00 387.00 388.00 392.50 393.00 393.50 395.50 395.50 395.50 395.50 396.50 396.50 396.50 396.50 396.50 400.11 378.00 398.50 417.10 400.00 400.00 401.50 402.00 402.00 412.00 413.00 414.00 414.00 415.00 416.00 417.00 417.00 417.00 419.00 421.00 422.50 422.50 417.65 428.50 428.50 428.50 428.50 431.50 434.00 435.00 436.50 436.50 1 no usage 53 14 no usage no usage 25 22 2 6 1 161 no usage no usage no usage 13 29 204 224 no usage 175 525 708 49 48 73 7 10 no usage 5 61 5 4523 no usage 13 1 1 no usage 49 606 no usage no usage 244 no usage 3 no usage no usage 1 77 no usage 4 49 382 Y 20260 Y 5298 Y 18.50 980.50 259.00 9675 8213 785 2358 394 63467 Y Y Y Y Y Y 462.50 407.00 38.00 114.00 19.00 3059.00 5098 11461 80639 88550 69816 198450 281302 18635 19142 29083 2811 4020 2040 25193 2050 1865402 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y 247.00 551.00 3876.00 4256.00 3928.75 0.00 13452.00 1826.23 936.00 1423.50 136.50 195.00 100.00 1220.00 100.00 90460.00 260.00 20.00 20.00 980.00 12423.00 5388 Y 417 Y 397 Y 20451 Y 254060 Y 97762 Y 1286 Y 3059.76 61.50 432 Y 33376 Y 1746 Y 21305 Y 21.00 1617.00 84.00 1029.00 Page 142 OSHPD 06-01-06 Rev Chng Calc LP 415.79 418.50 418.50 418.50 420.00 421.50 421.50 421.50 421.50 421.50 421.50 423.00 423.00 423.00 423.00 423.00 424.00 429.50 435.00 435.33 435.50 436.50 438.00 439.50 440.00 441.50 441.80 444.00 446.50 446.50 446.50 446.50 450.00 450.00 450.00 455.50 455.50 455.50 456.00 456.00 458.00 458.03 459.00 460.00 461.00 465.50 465.50 467.50 469.00 469.50 471.50 471.50 433.71 439.50 439.50 439.50 442.00 443.00 443.00 443.00 443.00 443.00 443.00 444.50 444.50 444.50 444.50 444.50 445.50 451.00 457.00 435.33 457.50 458.50 460.00 461.50 462.00 464.00 472.33 466.50 469.00 469.00 469.00 469.00 472.50 472.50 472.50 478.50 479.00 479.00 479.00 479.00 481.00 322.25 482.00 460.00 484.50 489.00 489.00 491.00 492.50 493.00 495.50 495.50 7 1 3 170 12 1 1 30 83 115 no usage 4 11 no usage no usage no usage 41 3 60 no usage 5 no usage 68 no usage 4917 no usage 25 8 12 17 93 no usage 321 519 no usage no usage no usage no usage no usage no usage 92 320 3 no usage no usage 354 no usage 13 1 2 12 45 3036 578 1319 74505 5304 443 443 13204 36554 50859 Y Y Y Y Y Y Y Y Y Y 125.44 21.00 63.00 3570.00 264.00 21.50 21.50 645.00 1784.50 2472.50 86.00 236.50 1757 Y 4890 Y 18244 Y 1353 Y 27420 Y 2288 Y 31214 Y 2265670 Y 11806 3732 5628 7973 43415 Y Y Y Y Y 881.50 64.50 1320.00 110.00 1496.00 108174.00 763.25 180.00 270.00 382.50 2092.50 7222.50 11677.50 151110 Y 244373 Y 44206 Y 89490 Y 1423 Y 2116.00 (43449.60) 69.00 172166 Y 6360 493 986 5874 22226 Y Y Y Y Y 8319.00 305.50 23.50 47.00 288.00 1080.00 Page 143 OSHPD 06-01-06 Rev Chng Calc LP 474.50 477.00 477.50 478.50 478.50 479.00 479.00 482.00 482.00 485.50 487.00 487.00 487.00 488.50 489.00 489.00 491.38 492.50 495.00 495.50 496.00 500.00 500.00 500.00 503.50 503.50 505.50 513.00 516.50 520.50 522.50 523.50 525.00 526.96 529.00 533.00 535.00 535.00 535.00 535.00 535.50 535.50 536.50 537.50 538.50 538.50 538.50 538.50 539.00 540.00 542.00 542.00 498.50 501.00 501.50 502.50 502.50 503.00 503.00 506.50 506.50 510.00 511.50 511.50 511.50 513.00 513.50 513.50 520.13 517.50 520.00 505.00 521.00 525.00 500.00 525.00 529.00 529.00 531.00 539.00 542.50 547.00 549.00 550.00 551.50 562.80 555.50 560.00 535.00 582.00 562.00 535.00 562.50 562.50 563.50 564.50 565.50 565.50 565.50 565.50 566.00 567.00 569.50 569.50 no usage 17 26 2 5 8 58 3 7 20 2 67 no usage 2 4 5 29 no usage 20 46 130 2 7 no usage 458 no usage 20 no usage 1 33 no usage 696 no usage 22 431 no usage 9 10 24 no usage 2 no usage 234 1 1 no usage no usage no usage 629 7 16 21 8517 13015 1052 2513 4024 29126 1520 3546 10176 1023 34197 1026 2054 2519 15009 10400 23211 67530 1050 3500 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y 408.00 624.00 48.00 120.00 192.00 1392.00 73.50 171.50 490.00 49.00 1641.50 49.00 98.00 122.50 833.75 500.00 437.00 3250.00 50.00 0.00 11679.00 510.00 26.00 874.50 18444.00 788.48 11421.50 0.00 470.00 648.00 54.00 6318.00 27.00 27.00 241211 Y 10569 Y 543 Y 17866 Y 381131 Y 12360 Y 238255 Y 4815 Y 5820 Y 13353 Y 1125 Y 131724 Y 565 Y 566 Y 354799 3969 9085 11905 Y Y Y Y 16983.00 189.00 440.00 577.50 Page 144 OSHPD 06-01-06 Rev Chng Calc LP 543.00 546.00 548.00 548.00 548.50 548.50 549.00 553.00 560.00 564.00 569.50 570.50 571.50 571.50 571.50 572.50 572.50 575.50 579.50 579.50 584.50 584.50 586.50 591.00 593.52 594.00 597.40 602.00 603.50 604.00 605.00 606.00 608.45 609.00 611.50 612.00 612.50 614.88 619.00 619.00 620.50 620.50 624.25 626.38 627.00 629.00 630.00 635.50 636.50 637.00 638.50 638.50 570.50 573.50 575.50 575.50 576.00 576.00 576.50 581.00 588.00 592.50 598.00 599.50 600.50 600.50 600.50 601.50 601.50 604.50 608.50 608.50 857.00 614.00 616.00 620.00 644.33 624.00 644.35 632.50 634.00 634.50 635.50 636.50 639.00 639.50 642.50 643.00 612.50 646.00 650.00 650.00 652.00 652.00 644.35 632.27 658.50 660.50 661.50 667.50 668.50 669.00 670.50 670.50 no usage 8 1 3 no usage no usage no usage 1 2 7 1 192 8 12 no usage 59 357 31 60 no usage 2 no usage 176 1270 3 no usage 1242 4 no usage no usage 1 16 no usage 1 no usage no usage no usage no usage 402 no usage 47 no usage 1216 167 127 no usage 141 no usage no usage 5 62 no usage 4561 Y 576 Y 1727 Y 220.00 27.50 82.50 581 1176 4148 598 114785 4775 7206 35315 214330 18653 36336 Y Y Y Y Y Y Y Y Y Y Y 28.00 56.00 199.50 28.50 5568.00 232.00 348.00 1711.00 10353.00 899.00 1740.00 545.00 5192.00 36830.00 152.43 58311.90 122.00 1228 Y 108092 Y 785109 Y 1933 Y 795926 Y 2500 Y 636 Y 10184 Y 640 Y 30.50 488.00 30.50 260432 Y 30455 Y 781600 Y 101466 Y 83283 Y 92799 Y 12462.00 1480.50 24441.60 983.63 4000.50 4441.50 3345 Y 41507 Y 160.00 1984.00 Page 145 OSHPD 06-01-06 Rev Chng Calc LP 645.50 648.00 648.00 648.00 650.50 653.50 654.00 654.50 656.00 656.50 659.00 664.50 668.50 669.00 669.00 671.50 675.50 676.50 676.50 677.50 679.50 680.50 680.50 680.50 680.50 688.50 695.00 697.50 697.50 697.50 697.50 698.18 698.50 700.00 705.00 709.00 710.00 715.50 716.00 716.00 717.00 718.50 720.00 731.00 731.00 733.00 739.00 752.00 753.00 757.50 762.17 763.00 678.00 680.50 680.50 680.50 683.50 686.50 690.00 687.50 691.00 689.50 692.00 698.00 702.00 702.50 702.50 705.50 709.50 710.50 710.50 711.50 713.50 715.00 715.00 715.00 715.00 723.00 730.00 732.50 732.50 732.50 732.50 743.03 733.50 735.00 740.50 744.50 745.50 751.50 752.00 752.00 753.00 754.50 756.00 768.00 768.00 770.00 776.00 790.00 791.00 795.50 562.32 801.50 no usage 12 54 no usage no usage no usage 29 1359 5 27 4 no usage 5 1 no usage 8 12 no usage no usage 3073 1 2 22 no usage no usage 4 31 97 128 935 no usage 90 no usage no usage no usage 926 1 no usage 18 no usage no usage no usage 215 9 14 20 81 676 5285 no usage 34 no usage 8101 Y 36650 Y 390.00 1755.00 20010 930221 3455 34233 2768 Y Y Y Y Y 1044.00 44847.00 175.00 891.00 132.00 167.50 33.50 272.00 408.00 3510 Y 703 Y 5610 Y 8514 Y 2178110 714 1430 15696 Y Y Y Y 104482.00 34.00 69.00 759.00 2858 22525 70703 93165 682368 Y Y Y Y Y 138.00 1085.00 3395.00 4480.00 32725.00 4036.50 66575 Y 686745 Y 746 Y 13536 Y 32873.00 35.50 648.00 161748 6912 10715 15400 62634 531912 4162195 Y Y Y Y Y Y Y 7740.00 333.00 518.00 740.00 2997.00 25688.00 200830.00 (6794.90) 19119 Y Page 146 OSHPD 06-01-06 Rev Chng Calc LP 769.00 769.50 769.50 769.50 769.50 771.00 775.50 777.00 777.00 779.00 780.00 780.00 780.50 784.00 784.00 786.50 792.50 800.18 802.00 802.50 808.00 809.50 814.00 816.00 822.00 829.00 832.00 836.00 838.00 838.00 840.00 840.00 845.00 848.50 848.50 851.50 853.00 854.00 858.50 860.00 860.00 860.00 861.00 864.50 864.50 868.50 869.50 870.75 875.50 881.00 884.00 884.00 807.50 808.00 808.00 808.00 808.00 810.00 814.50 816.00 816.00 818.00 819.00 819.00 820.00 823.50 823.50 826.00 832.50 840.50 842.50 843.00 848.50 850.00 855.00 857.00 863.50 870.50 874.00 878.00 880.00 880.00 882.00 882.00 845.00 891.00 891.00 894.50 896.00 897.00 901.50 903.00 903.00 903.00 904.50 908.00 908.00 912.00 913.00 903.83 919.50 925.50 928.50 928.50 2 no usage no usage no usage no usage 33 80 327 no usage 27 no usage no usage no usage 22 no usage 420 4 31 no usage no usage 4 6 no usage 3 no usage 1 723 no usage no usage no usage 20 no usage no usage 1 1 2 no usage 2589 161 1 no usage no usage 2 14 71 2 27 6 53 42 1 no usage 1615 Y 77.00 26613 Y 64770 Y 265467 Y 22008 Y 1287.00 3120.00 12753.00 1053.00 17999 Y 345498 Y 3290 Y 17376 Y 869.00 16590.00 160.00 1249.92 7628 Y 5100 Y 2571 Y 871 Y 629466 Y 162.00 243.00 123.00 41.50 30366.00 17514 Y 840.00 849 Y 891 Y 1789 Y 2317044 Y 144755 Y 903 Y 42.50 42.50 86.00 111327.00 6923.00 43.00 1809 12712 64468 1014 24564 5423 48382 38649 929 Y Y Y Y Y Y Y Y Y 87.00 609.00 3088.50 87.00 1174.50 198.48 2332.00 1869.00 44.50 Page 147 OSHPD 06-01-06 Rev Chng Calc LP 885.00 885.00 885.94 889.50 891.50 896.50 909.00 919.00 919.00 926.50 926.50 930.50 930.50 930.50 930.50 930.50 930.50 930.50 930.50 930.50 930.50 930.50 930.50 930.50 930.50 932.50 933.00 934.00 935.50 945.00 951.50 953.50 955.50 955.50 956.50 959.50 960.50 962.00 962.00 962.00 962.00 962.50 966.00 969.00 971.50 988.73 997.00 997.23 998.50 998.50 1005.50 1005.50 929.50 929.50 930.50 944.60 936.50 941.50 954.50 965.00 965.00 973.00 973.00 977.50 977.50 977.50 977.50 977.50 977.50 977.50 977.50 977.50 977.50 977.50 977.50 977.50 977.50 979.50 980.00 981.00 982.50 992.50 999.50 1001.50 1003.50 1003.50 1004.50 1007.50 1009.00 1010.00 1010.00 1010.00 1010.00 1011.00 1014.50 1017.50 1020.50 1009.94 1047.00 1047.50 676.25 1048.50 1056.00 1056.00 no usage no usage no usage 57 13 1 no usage 1 no usage 3 no usage 12 no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage 1 no usage 2 no usage no usage 8 no usage 1 313 15 no usage no usage 30 149 1486 5791 1 no usage 24 78 360 1 57 2 no usage 1 no usage 53703 Y 12175 Y 897 Y 965 Y 2919 Y 11636 Y 3140.70 585.00 45.00 46.00 139.50 564.00 980 Y 1962 Y 47.00 94.00 7948 Y 825 Y 313136 Y 14876 Y 384.00 48.00 15024.00 720.00 30204 147942 1496588 5697168 1011 24420 79599 373719 1047 56268 1675 Y Y Y Y Y Y Y Y Y Y Y 1440.00 7152.00 71328.00 277968.00 48.50 1164.00 3822.00 7635.60 50.00 2865.39 (644.50) 50.50 1056 Y Page 148 OSHPD 06-01-06 Rev Chng Calc LP 1016.00 1021.00 1023.50 1023.50 1023.50 1023.50 1023.50 1023.50 1023.50 1023.50 1023.50 1023.50 1023.50 1023.50 1023.50 1023.50 1023.50 1023.50 1023.50 1023.50 1023.50 1023.50 1023.50 1023.50 1023.50 1023.50 1023.50 1023.50 1023.50 1023.50 1023.50 1025.50 1031.00 1031.00 1031.00 1031.00 1031.00 1031.00 1031.00 1031.00 1031.00 1034.50 1039.00 1039.00 1039.00 1043.50 1050.00 1054.00 1054.00 1054.00 1057.00 1060.00 1067.00 1072.50 1075.00 1075.00 1075.00 1075.00 1075.00 1075.00 1075.00 1075.00 1075.00 1075.00 1075.00 1075.00 1075.00 1075.00 1075.00 1075.00 1075.00 1075.00 1075.00 1075.00 1075.00 1075.00 1075.00 1075.00 1075.00 1075.00 1075.00 1075.00 1075.00 1077.00 1085.00 1085.00 1085.00 1085.00 1085.00 1085.00 1031.00 1085.00 1031.00 1086.50 1091.00 1091.00 1091.00 1096.00 1102.50 1110.00 1110.00 1110.00 1110.00 1113.00 4 14 1 1 2 3 4 4 4 7 13 14 20 56 no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage 2 209 911 4106 4659 no usage no usage no usage no usage no usage 1 no usage no usage no usage 6 no usage 4 19 no usage 8 1 4217 15015 1075 1075 2150 3225 4249 4300 4249 7422 13924 14947 21500 60097 Y Y Y Y Y Y Y Y Y Y Y Y Y Y 204.00 721.00 51.50 51.50 103.00 154.50 206.00 206.00 206.00 360.50 669.50 721.00 1030.00 2884.00 2154 225577 988435 4438648 5033415 Y Y Y Y Y 103.00 11286.00 49194.00 221724.00 251586.00 1087 Y 52.00 6471 Y 4384 Y 21090 Y 8827 Y 1113 Y 315.00 224.00 1064.00 424.00 53.00 Page 149 OSHPD 06-01-06 Rev Chng Calc LP 1069.50 1076.50 1078.00 1078.00 1078.00 1094.00 1095.00 1095.00 1105.00 1114.00 1115.50 1121.00 1124.11 1125.00 1128.00 1141.00 1141.00 1144.00 1145.50 1145.50 1145.50 1145.50 1145.50 1145.50 1150.00 1153.50 1154.50 1154.50 1173.50 1177.50 1177.50 1200.00 1208.50 1210.50 1233.50 1236.00 1243.50 1248.50 1256.00 1259.00 1259.00 1272.00 1294.50 1296.00 1322.00 1325.00 1331.00 1345.50 1351.00 1351.00 1369.84 1376.50 1123.00 1130.50 1132.00 1132.00 1132.00 1149.00 1150.00 1150.00 1160.50 1170.00 1171.50 1177.50 1180.50 1181.50 1184.50 1198.50 1198.50 1201.50 1203.00 1203.00 1203.00 1203.00 1203.00 1203.00 1207.50 1211.50 1212.50 1212.50 1232.50 1236.50 1236.50 70.05 1269.00 1271.50 1295.50 1298.00 1306.00 1311.00 1319.00 1322.00 1322.00 1336.00 1359.50 1361.00 1388.50 1391.50 1400.00 1413.00 1419.00 1419.00 1438.50 1445.50 4 27 79 284 909 no usage 4 no usage 5 no usage 2 6 13 no usage 1 no usage no usage no usage 1 3 no usage no usage no usage no usage 1 no usage 5 25 2 37 107 360 9 no usage no usage no usage no usage 114 1 no usage no usage no usage no usage no usage no usage no usage 3 no usage no usage no usage no usage 1 4492 30524 89050 320030 1024830 Y Y Y Y Y 214.00 1458.00 4266.00 15336.00 49086.00 220.00 277.50 112.00 339.00 733.07 56.50 4600 Y 5747 Y 2343 Y 7065 Y 15407 Y 1185 Y 1203 Y 3609 Y 57.50 172.50 478 Y 6063 30255 2465 45515 131480 43 11421 Y Y Y Y Y Y Y 57.50 290.00 1450.00 118.00 2183.00 6313.00 (406782.00) 544.50 149454 Y 1319 Y 7125.00 63.00 4200 Y 207.00 1446 Y 69.00 Page 150 OSHPD 06-01-06 Rev Chng Calc LP 1392.50 1409.50 1410.00 1413.00 1417.00 1431.00 1435.00 1435.00 1447.50 1450.00 1468.00 1468.00 1470.00 1470.00 1477.00 1486.00 1493.50 1501.00 1526.50 1528.50 1528.50 1547.00 1550.00 1550.00 1560.00 1560.50 1567.50 1567.50 1589.50 1589.50 1589.50 1590.00 1590.00 1590.00 1590.50 1599.00 1600.00 1600.00 1606.00 1616.00 1619.00 1620.50 1621.00 1634.50 1638.00 1651.50 1652.50 1654.00 1655.50 1663.50 1663.50 1663.50 1462.50 1480.00 1480.50 1484.00 1488.00 1503.00 1507.00 1507.00 1520.00 1522.50 1541.50 1541.50 1543.50 1543.50 1551.00 1716.50 1568.50 1576.50 1603.00 1605.00 1605.00 1624.50 1627.50 1627.50 1638.00 1639.00 1646.00 1646.00 1669.00 1669.00 1669.00 1669.50 1669.50 1669.50 1670.50 1679.00 1680.00 1680.00 1686.50 1697.00 1700.00 1702.00 1702.50 1716.50 1720.00 1734.50 1735.50 1737.00 1738.50 1747.00 1747.00 1747.00 no usage no usage 1 no usage 96 no usage no usage no usage 40 no usage no usage no usage no usage no usage 7 10 no usage 1 540 14 447 no usage 90 no usage 1 78 1 no usage 10 68 no usage 7 1748 no usage no usage no usage no usage no usage 18 no usage 5 no usage 7 9 no usage 17 14 no usage 56 1 4 5 1481 Y 142209 Y 70.50 6816.00 60510 Y 2900.00 10635 Y 16548 Y 1577 862866 22317 714605 Y Y Y Y 518.00 2305.00 75.50 41310.00 1071.00 34195.50 6975.00 78.00 6123.00 78.50 795.00 5406.00 556.50 138966.00 145855 Y 1638 Y 127842 Y 1646 Y 16690 Y 112379 Y 11607 Y 2907792 Y 30357 Y 8419 Y 11918 Y 15367 Y 29321 Y 24297 Y 96692 1747 6988 8568 Y Y Y Y 1449.00 405.00 570.50 738.00 1411.00 1162.00 4648.00 83.50 334.00 417.50 Page 151 OSHPD 06-01-06 Rev Chng Calc LP 1663.50 1663.50 1663.50 1663.50 1663.50 1663.50 1663.50 1677.50 1679.42 1684.50 1711.00 1713.00 1713.50 1716.00 1716.00 1716.00 1716.00 1716.00 1716.00 1716.00 1732.50 1734.64 1746.50 1748.00 1748.00 1755.00 1755.50 1786.00 1786.00 1786.00 1786.00 1824.50 1824.50 1833.50 1838.50 1838.50 1844.50 1844.50 1851.50 1851.50 1851.50 1851.50 1851.50 1862.50 1862.50 1862.50 1862.50 1869.00 1869.00 1877.00 1885.00 1885.00 1747.00 1747.00 1747.00 1747.00 1747.00 1747.00 1747.00 1761.50 1763.50 1769.00 1797.00 1799.00 1799.50 1802.00 1802.00 1802.00 1802.00 1802.00 1802.00 1802.00 1819.50 1821.50 1834.00 1835.00 1835.00 1843.00 1843.50 1875.50 1875.50 1875.50 1875.50 1916.00 1916.00 1925.50 1930.50 1930.50 1937.00 1937.00 1944.50 1944.50 1944.50 1944.50 1944.50 1956.00 1956.00 1956.00 1956.00 1962.50 1962.50 1971.00 1979.50 1979.50 no usage no usage no usage no usage no usage no usage no usage 376 no usage no usage 6 397 no usage 1 2 8 8 21 30 no usage 1 no usage 50 92 3395 no usage 12 10 15 17 no usage 7 no usage 23 no usage no usage 30 no usage 3 no usage no usage no usage no usage 5 13 no usage no usage 1 no usage no usage no usage no usage 660224 Y 31584.00 10610 Y 711967 Y 1716 3604 14330 14244 37756 53802 Y Y Y Y Y Y 516.00 34142.00 86.00 172.00 688.00 688.00 1806.00 2580.00 87.00 4375.00 8004.00 295365.00 1056.00 895.00 1342.50 1521.50 640.50 2116.00 1820 Y 91350 Y 168820 Y 6197437 Y 22122 18666 28133 31884 Y Y Y Y 13412 Y 44195 Y 57463 Y 5834 Y 2775.00 279.00 9780 Y 25428 Y 467.50 1215.50 1963 Y 93.50 Page 152 OSHPD 06-01-06 Rev Chng Calc LP 1885.00 1889.50 1891.00 1904.00 1921.00 1924.50 1925.00 1925.00 1939.50 1945.00 1962.50 1965.00 1987.50 1987.50 1996.00 2004.00 2041.00 2053.50 2053.50 2053.50 2053.50 2053.50 2053.50 2058.00 2058.00 2066.00 2082.50 2083.50 2093.00 2101.00 2109.50 2130.00 2150.00 2154.00 2160.50 2160.50 2160.50 2160.50 2160.50 2160.50 2160.50 2160.50 2160.50 2160.50 2160.50 2205.00 2205.00 2205.00 2205.00 2205.00 2205.00 2207.50 1979.50 1984.00 1986.00 1999.50 2017.50 2021.00 2021.50 2021.50 2036.50 2042.50 2061.00 2063.50 2087.00 2087.00 2096.00 2104.50 2143.50 2156.50 2156.50 2156.50 2156.50 2156.50 2156.50 2161.00 2161.00 2169.50 2187.00 2188.00 2198.00 2206.50 2215.00 2236.50 2257.50 2262.00 2269.00 2269.00 2269.00 2269.00 2269.00 2269.00 2269.00 2269.00 2269.00 2269.00 2269.00 2315.50 2315.50 2315.50 2315.50 2315.50 2315.50 2318.00 no usage 8 181 8 727 3 1 no usage 2 8 no usage no usage no usage no usage no usage 715 no usage 2 3 3 no usage no usage no usage 9 93 339 127 7 2 50 94 no usage no usage 2 27 31 97 no usage no usage no usage no usage no usage no usage no usage no usage 15 24 no usage no usage no usage no usage 99 15872 358421 15996 1461994 6063 2022 Y Y Y Y Y Y 756.00 17195.00 764.00 70155.50 289.50 96.50 194.00 780.00 4073 Y 16340 Y 1499492 Y 4313 Y 6367 Y 6367 Y 71857.50 206.00 309.00 309.00 19449 200149 732149 276291 15316 4396 109798 207472 Y Y Y Y Y Y Y Y 927.00 9579.00 35086.50 13271.50 731.50 210.00 5275.00 9917.00 4524 61155 70014 219225 Y Y Y Y 216.00 2929.50 3363.50 10524.50 31845 Y 26435 Y 1657.50 2652.00 228267 Y 10939.50 Page 153 OSHPD 06-01-06 Rev Chng Calc LP 2211.00 2211.00 2217.50 2234.00 2240.00 2280.50 2284.50 2287.00 2287.00 2287.00 2287.00 2315.50 2356.50 2356.50 2356.50 2390.00 2395.00 2395.00 2402.50 2406.00 2437.00 2469.50 2481.00 2488.00 2488.00 2499.00 2499.00 2530.00 2530.00 2546.00 2570.00 2601.50 2634.00 2635.00 2654.00 2677.06 2700.50 2807.00 2807.00 2869.00 2884.00 2929.00 2933.00 2968.00 2982.00 3031.00 3039.50 3122.00 3122.00 3141.00 3144.50 3144.50 2322.00 2322.00 2328.50 2346.00 2352.00 2395.00 2399.00 2401.50 2401.50 2401.50 2401.50 2431.50 2474.50 2474.50 2474.50 2509.50 2515.00 2515.00 2523.00 2526.50 2559.00 2593.00 2605.50 2612.50 2612.50 2624.00 2624.00 2655.00 2655.00 2675.00 2698.50 2732.00 2766.00 2767.00 2787.00 2811.00 2836.00 2947.50 2947.50 3012.50 3028.50 3075.50 3080.00 3116.50 3131.50 3183.00 3191.50 3278.50 3278.50 3298.50 3302.00 3302.00 no usage no usage 8 no usage no usage no usage 3 5 6 48 121 no usage no usage no usage no usage no usage 16 no usage no usage no usage 28 13 no usage 2 5 2 5 17 1620 no usage 2 no usage no usage no usage no usage 6 no usage 2 no usage 7 6 1 no usage 4 no usage no usage no usage 1 5 no usage no usage no usage 18517 Y 888.00 7197 12008 14409 114700 289322 Y Y Y Y Y 343.50 572.50 687.00 5496.00 13854.50 40120 Y 1920.00 71530 Y 33709 Y 5225 13063 4998 13120 45135 4275760 Y Y Y Y Y Y 3416.00 1605.50 249.00 622.50 250.00 625.00 2125.00 202500.00 257.00 5269 Y 16851 Y 5895 Y 21088 Y 18171 Y 1175 Y 12466 Y 803.64 281.00 1004.50 867.00 146.50 594.00 1940 Y 16393 Y 156.50 782.50 Page 154 OSHPD 06-01-06 Rev Chng Calc LP 3169.50 3172.00 3172.00 3172.00 3241.50 3298.00 3343.50 3386.25 3457.00 3461.50 3690.00 3781.00 3781.00 5210.00 5325.50 5500.00 5985.00 6453.50 6641.00 6865.50 6865.50 7153.50 7768.00 9261.00 9869.50 9869.50 10110.00 11180.50 11796.50 15281.00 15281.00 15281.00 16427.50 36952.00 39074.00 43079.50 61900.00 63400.00 63400.00 69898.50 3328.00 3331.00 3331.00 3331.00 3404.00 3463.00 3511.00 3556.00 3630.00 3635.00 3874.50 3970.50 3970.50 5470.50 5592.00 5775.00 6284.50 6776.50 6973.50 7209.00 7209.00 7511.50 8156.50 9724.50 10363.00 10363.00 10615.50 11740.00 12386.50 16045.50 16045.50 16045.50 17249.00 38800.00 41028.00 45233.50 64995.00 66570.00 66570.00 73393.50 124.00 70.80 16.00 43.00 6406.00 35.00 35.00 17.00 9.90 101.20 300.00 175.00 1 5 13 153 1887 5 no usage no usage no usage no usage 29 22 no usage 1 54 no usage 8 7 1 no usage no usage 1 6 no usage 6 9 no usage no usage no usage 1 16 no usage no usage no usage no usage no usage no usage no usage no usage no usage 1 1 1 1 1 1 1 1 1 1 1 1 3328 16496 43303 508212 6396861 17315 Y Y Y Y Y Y 158.50 795.00 2067.00 24327.00 306637.50 825.00 123545 Y 86972 Y 3350 Y 300103 Y 53339 Y 6679 Y 6974 Y 5350.50 4169.00 260.50 14391.00 2396.00 2261.00 332.50 7512 Y 50894 Y 61361 Y 89692 Y 358.00 2331.00 2961.00 4441.50 6915 Y 146496 Y 764.50 12232.00 124 73 16 43 6406 35 35 17 10 101 300 175 Y Y Y Y Y Y Y Y Y Y Y Y Page 155 OSHPD 06-01-06 Rev Chng Calc LP 28.00 1457.00 2787.00 2143.50 339.50 375.00 369.00 241.00 1267.50 498.00 165.50 1100.50 1053.20 155.50 5923.00 724.00 120.75 147.00 1866.50 1415.00 1415.00 328.50 446.50 2025.00 213.00 419.00 1541.50 80.50 163.33 12.42 2787.00 783.00 8.50 243.50 712.00 4658.50 17.75 554.75 9.00 2380.50 328.50 2062.40 1697.00 369.00 1100.50 1957.00 73.83 4.14 35.00 7208.00 85.00 22.67 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 3 3 3 4 4 4 4 4 4 4 4 4 5 5 5 5 5 6 6 6 7 7 8 28 1457 2787 2144 340 375 369 241 1268 498 166 1101 2268 311 11846 1447 242 294 3733 2830 2830 657 893 4050 426 838 3083 161 490 37 8361 2349 35 974 2848 18634 71 2219 70 9522 1314 10312 8485 1845 5503 9785 443 25 210 50456 595 181 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Page 156 OSHPD 06-01-06 Rev Chng Calc LP 332.75 369.25 138.00 231.10 753.80 180.20 753.82 565.36 22.00 27.00 70.05 12201.00 26.69 94.00 210.15 66.50 498.25 181.62 1085.00 224.00 122.56 194.50 126.15 1288.00 180.29 2828.44 45.00 369.00 392.00 380.50 5791.00 1540.00 1064.00 618.00 2245.00 499.00 588.50 11.00 387.69 10.60 1150.61 26.37 272.06 936.00 19.75 736.14 387.68 250.07 241.00 35.50 7.82 170.50 8 8 9 10 10 10 11 11 11 11 14 15 16 17 18 18 20 21 22 22 25 25 26 29 31 31 31 31 35 39 41 44 46 47 47 47 47 49 53 56 68 71 72 79 85 86 92 92 92 94 100 107 2662 2954 1242 2311 7538 1751 8292 6219 242 297 751 170814 427 1598 4133 1197 9966 3812 23870 4928 4203 4863 3280 37352 5589 93338 1395 11439 13720 14840 237431 67760 48944 29046 105515 23453 27660 539 20547 529 81694 1872 19588 73944 1668 63309 25328 22837 22172 3337 782 18244 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Page 157 OSHPD 06-01-06 Rev Chng Calc LP 401.50 527.51 14.50 614.70 8.82 25.89 88.09 25.90 208.61 9.48 1106.02 43.08 1150.00 68.00 15.40 15.40 282.50 14.90 89.50 42.50 198.94 9.56 4.95 4.10 59.36 23.52 70.05 38.00 4935.12 239.24 56.20 24.00 77.88 52.96 70.80 21.00 47.00 496.74 37.62 139.94 619.20 453.54 1920.60 180.32 26.13 43.19 61.53 60.35 200.02 180.26 65.88 22.11 108 152 200 210 218 254 255 292 299 399 422 422 458 474 597 597 599 654 815 1032 1869 1900 17966 47176 no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage 43362 80182 2900 127425 2002 6576 23889 7563 58502 3784 457360 18180 526700 32232 9194 9194 174075 9745 72943 43860 371808 18169 89174 193422 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Page 158 OSHPD 06-01-06 Rev Chng Calc LP 23.96 28.18 26.41 36.40 148.50 1487.50 831.70 14.87 3.19 15.65 3.20 1980.00 1169.84 8.82 460.00 882.00 8.82 353.76 104.84 70.00 449.36 1509.24 679.36 142.52 670.56 2268.96 2378.60 8.82 673.76 70.80 70.80 5948.00 8.82 81.80 92.00 70.80 1100.00 26.92 364.32 712.80 1081.52 340.00 276.64 8.82 8.82 83.00 3032.00 8.82 8.82 8.82 48.50 46.00 no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage Page 159 OSHPD 06-01-06 Rev Chng Calc LP 12.76 4.14 76.00 10.35 145.00 460.00 50.00 35.00 35.00 35.00 48.00 617.50 369.50 96.50 141.00 330.00 1457.00 2328.50 2328.50 2787.00 1181.50 1181.50 1306.00 1306.00 1419.00 1419.00 562.50 1809.50 2079.00 2345.00 2345.00 3079.50 3387.00 2111.50 2111.50 3075.50 1457.00 2079.00 2079.00 2079.00 2322.00 2322.00 2903.00 1702.50 1005.50 502.50 577.50 1624.50 422.50 1576.50 1916.00 2526.50 no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage Page 160 OSHPD 06-01-06 Rev Chng Calc LP 1091.00 1091.00 1102.50 1937.00 808.00 808.00 929.50 808.00 808.00 929.50 1480.00 1702.00 1480.50 1720.00 1201.50 1916.00 1875.50 3630.00 1937.00 1359.50 1507.00 1056.00 1009.00 1445.50 642.50 1507.00 977.50 977.50 977.50 977.50 977.50 977.50 977.50 977.50 977.50 977.50 977.50 977.50 977.50 977.50 977.50 339.50 375.00 445.50 445.50 977.50 977.50 977.50 977.50 925.50 977.50 266.00 no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage Page 161 OSHPD 06-01-06 Rev Chng Calc LP 218.50 218.50 733.50 415.00 280.50 1075.00 1298.00 1271.50 255.00 1929.00 393.50 328.50 328.50 446.50 474.00 474.00 241.00 266.00 469.00 1700.00 415.00 850.00 1462.50 1198.50 999.50 266.00 977.50 982.50 2315.50 2315.50 660.50 266.00 266.00 266.00 241.00 266.00 977.50 255.00 369.00 255.00 369.00 369.00 75.00 422.50 266.00 283.00 479.00 479.00 479.00 479.00 710.50 710.50 no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage Page 162 OSHPD 06-01-06 Rev Chng Calc LP 1017.50 2322.00 2322.00 503.00 136.50 168.00 166.00 1200.00 575.00 900.00 8378.00 2360.00 2200.00 1400.00 1900.00 3544.00 2427.50 151.50 2182.50 8748.50 550.50 215.00 4025.00 519.50 2504.00 519.50 773.50 200.00 5320.00 8250.00 550.00 410.00 1125.00 10500.00 11480.00 1875.00 71.50 565.50 2580.00 1075.00 2537.50 2375.50 2410.00 1846.00 3200.00 1487.50 2848.00 4716.50 4760.00 6125.00 257.50 1353.00 no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage Page 163 OSHPD 06-01-06 Rev Chng Calc LP 503.00 2521.00 48.50 151.00 794.50 266.00 419.00 1541.50 392.50 98.00 94.00 30.00 185.50 235.50 110.00 96.00 115.50 160.50 321.00 no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage no usage 155,290,980 13,629,375 8.8% Page 164