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RVU table MHS - USAFP Home Page

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					                                               EM


CPT     CPTtxt                           M2WorkRVU CMSWorkRVU CMSNonFacRVU Encounters
99290   Ped crit care transport addl            2.40       2.40         0.83         4.00
99236   Observ/hosp same date                   4.26       4.26         1.59       277.00
99235   Observ/hosp same date                   3.41       3.41         1.29       982.00
99404   "Preventive counseling, indiv"          1.95       1.95         1.32     8,774.00
99357   "Prolonged service, inpatient"          1.71       1.71         0.63       216.00
99254   Initial inpatient consult               2.64       2.64         0.99     1,853.00
99273   Confirmatory consultation               1.19       1.19         1.10       352.00
99301   Nursing facility care                   1.20       1.20         0.67       401.00
99381   "Prev visit, new, infant"               1.19       1.19         1.50    22,350.00
99392   "Prev visit, est, age 1-4"              1.19       1.19         1.09    81,398.00
99393   "Prev visit, est, age 5-11"             1.19       1.19         1.06    34,443.00
99255   Initial inpatient consult               3.64       3.64         1.35     1,186.00
99252   Initial inpatient consult               1.32       1.32         0.50     2,151.00
99243   Office consultation                     1.72       1.72         1.39    58,294.00
99356   "Prolonged service, inpatient"          1.71       1.71         0.62       241.00
99222   Initial hospital care                   2.14       2.14         0.74     6,397.00
99274   Confirmatory consultation               1.73       1.73         1.36       151.00
99284   Emergency dept visit                    1.95       1.95         0.47    49,652.00
99219   Observation care                        2.14       2.14         0.72       875.00
99262   Follow-up inpatient consult             0.85       0.85         0.31     4,798.00
99245   Office consultation                     3.42       3.42         2.29    22,280.00
99205   "Office/outpatient visit, new"          2.67       2.67         1.80    39,819.00
99311   "Nursing fac care, subseq"              0.60       0.60         0.47       585.00
99402   "Preventive counseling, indiv"          0.98       0.98         0.87    38,376.00
99403   "Preventive counseling, indiv"          1.46       1.46         1.09     7,041.00
99203   "Office/outpatient visit, new"          1.34       1.34         1.13 188,667.00
99397   "Prev visit, est, 65 & over"            1.71       1.71         1.36    10,781.00
99386   "Prev visit, new, age 40-64"            1.88       1.88         1.74    18,165.00
99411   "Preventive counseling, group"          0.15       0.15         0.18    13,516.00
99253   Initial inpatient consult               1.82       1.82         0.68     2,121.00
99251   Initial inpatient consult               0.66       0.66         0.25     5,599.00
99213   "Office/outpatient visit, est"          0.67       0.67         0.70 3,030,235.00
99281   Emergency dept visit                    0.33       0.33         0.09    72,932.00
99214   "Office/outpatient visit, est"          1.10       1.10         1.05 806,970.00
99282   Emergency dept visit                    0.55       0.55         0.15 232,684.00
99395   "Prev visit, est, age 18-39"            1.36       1.36         1.16 207,525.00
99394   "Prev visit, est, age 12-17"            1.36       1.36         1.13    23,022.00
99283   Emergency dept visit                    1.24       1.24         0.31 230,303.00
99211   "Office/outpatient visit, est"          0.17       0.17         0.39 1,239,464.00
99436   "Attendance, birth"                     1.50       1.50         0.46       119.00
99299   "Ic, lbw infant 1500-2500 gm"           2.50       2.50         0.95       231.00
90804   "Psytx, office, 20-30 min"              1.21       1.21         0.49         1.00
99349   "Home visit, est patient"               2.02       2.02         1.04        19.00
99345   "Home visit, new patient"               3.78       3.78         1.44        31.00
99316   Nursing fac discharge day               1.50       1.50         0.90         1.00
99341   "Home visit, new patient"               1.01       1.01         0.48       419.00
99440   Newborn resuscitation                   2.93       2.93         0.94        28.00
99292   "Critical care, add’l 30 min"           2.00       2.00         0.81       178.00
99456   Disability examination                  0.00       0.00         0.00     6,617.00
99379   Nursing fac care supervision            1.10       1.10         0.70         8.00
99239   Hospital discharge day                  1.75       1.75         0.74       755.00


                                             Page 1
                                          EM


99342   "Home visit, new patient"          1.52    1.52   0.68        82.00
99275   Confirmatory consultation          2.31    2.31   1.64       466.00
99332   "Rest home visit, est pat"         0.80    0.80   0.38        20.00
99289   Ped crit care transport            4.79    4.79   1.91        14.00
99433   Normal newborn care/hospital       0.62    0.62   0.20     3,875.00
99387   "Prev visit, new, 65 & over"       2.06    2.06   1.87       946.00
99354   "Prolonged service, office"        1.77    1.77   0.75        16.00
99322   "Rest home visit, new patient"     1.01    1.01   0.46        12.00
99382   "Prev visit, new, age 1-4"         1.36    1.36   1.54     7,479.00
99375   Home health care supervision       1.73    1.73   1.55        49.00
99223   Initial hospital care              2.99    2.99   1.04     2,959.00
99377   Hospice care supervision           1.10    1.10   0.70         2.00
99380   Nursing fac care supervision       1.73    1.73   1.00        43.00
99347   "Home visit, est patient"          0.76    0.76   0.39        87.00
99333   "Rest home visit, est pat"         1.00    1.00   0.45         4.00
99412   "Preventive counseling, group"     0.25    0.25   0.25    60,977.00
99348   "Home visit, est patient"          1.26    1.26   0.71         7.00
99294   "Ped critical care, subseq"        7.99    7.99   2.49       643.00
99293   "Ped critical care, initial"      15.98   15.98   4.96        70.00
99420   Health risk assessment test        0.00    0.00   0.00    39,679.00
99429   Unlisted preventive service        0.00    0.00   0.00     4,086.00
99435   Newborn discharge day hosp         1.50    1.50   0.50       111.00
99331   "Rest home visit, est pat"         0.60    0.60   0.32         1.00
99298   Ic for lbw infant < 1500 gm        2.75    2.75   0.93        58.00
99217   Observation care discharge         1.28    1.28   0.53       349.00
99499   Unlisted e&m service               0.00    0.00   0.00 2,927,298.00
99315   Nursing fac discharge day          1.13    1.13   0.70        21.00
99321   "Rest home visit, new patient"     0.71    0.71   0.35        83.00
99374   Home health care supervision       1.10    1.10   0.70        29.00
99303   Nursing facility care              2.01    2.01   1.16        91.00
99313   "Nursing fac care, subseq"         1.42    1.42   0.84       356.00
99344   "Home visit, new patient"          3.03    3.03   1.18        25.00
99288   Direct advanced life support       0.00    0.00   0.00        22.00
99302   Nursing facility care              1.61    1.61   0.95        32.00
99343   "Home visit, new patient"          2.27    2.27   0.95        40.00
99432   "Newborn care, not in hosp"        1.26    1.26   0.90     1,125.00
99455   Disability examination             0.00    0.00   0.00    10,177.00
99431   "Initial care, normal newborn"     1.17    1.17   0.38     4,692.00
99323   "Rest home visit, new patient"     1.28    1.28   0.55         6.00
99312   "Nursing fac care, subseq"         1.00    1.00   0.65       467.00
99220   Observation care                   2.99    2.99   1.03       181.00
99383   "Prev visit, new, age 5-11"        1.36    1.36   1.48     4,807.00
55250   Removal of sperm duct(s)           3.29    3.29   9.07         7.00
99450   Life/disability evaluation         0.00    0.00   0.00       728.00
99204   "Office/outpatient visit, new"     2.00    2.00   1.51    81,471.00
99378   Hospice care supervision           1.73    1.73   1.94         1.00
99391   "Prev visit, est, infant"          1.02    1.02   1.02    94,024.00
99291   "Critical care, first hour"        3.99    3.99   2.34       739.00
99218   Observation care                   1.28    1.28   0.43     1,350.00
99221   Initial hospital care              1.28    1.28   0.45     9,582.00
99231   Subsequent hospital care           0.64    0.64   0.23    20,423.00
99241   Office consultation                0.64    0.64   0.65    37,624.00


                                         Page 2
                                          EM


99238   Hospital discharge day             1.28    1.28   0.54    13,261.00
99261   Follow-up inpatient consult        0.42    0.42   0.16     3,685.00
99263   Follow-up inpatient consult        1.27    1.27   0.45     3,398.00
99271   Confirmatory consultation          0.45    0.45   0.55       431.00
99242   Office consultation                1.29    1.29   1.05    65,794.00
99234   Observ/hosp same date              2.56    2.56   1.00     2,700.00
99272   Confirmatory consultation          0.84    0.84   0.82       287.00
99201   "Office/outpatient visit, new"     0.45    0.45   0.50 164,263.00
99212   "Office/outpatient visit, est"     0.45    0.45   0.54 1,415,039.00
99202   "Office/outpatient visit, new"     0.88    0.88   0.79 234,885.00
99215   "Office/outpatient visit, est"     1.77    1.77   1.34 146,271.00
99401   "Preventive counseling, indiv"     0.48    0.48   0.62    88,271.00
99244   Office consultation                2.58    2.58   1.83    52,764.00
99384   "Prev visit, new, age 12-17"       1.53    1.53   1.55     3,379.00
99233   Subsequent hospital care           1.51    1.51   0.52     4,655.00
99285   Emergency dept visit               3.06    3.06   0.72     6,207.00
99396   "Prev visit, est, age 40-64"       1.53    1.53   1.25 118,881.00
99385   "Prev visit, new, age 18-39"       1.53    1.53   1.55    53,508.00
99232   Subsequent hospital care           1.06    1.06   0.37    10,225.00
99296   Neonate critical care subseq       7.99    7.99   2.55     1,705.00
99350   "Home visit, est patient"          3.03    3.03   1.40        14.00
99295   "Neonate crit care, initial"      18.46   18.46   5.39       311.00
99371   Physician phone consultation       0.23    0.00   0.00 1,035,639.00
99372   Physician phone consultation       0.57    0.00   0.00 234,993.00
99373   Physician phone consultation       1.14    0.00   0.00    69,286.00
99359   "Prolonged serv, w/o contact"      1.25    0.00   0.00        45.00
99361   Physician/team conference          1.44    0.00   0.00     6,506.00
99360   Physician standby services         1.71    0.00   0.00        32.00
99362   Physician/team conference          2.51    0.00   0.00     5,134.00
99358   "Prolonged serv, w/o contact"      2.51    0.00   0.00     2,514.00
99297                                      4.00    0.00                2.00




                                         Page 3
                                     EM


M2WorkRVUTotal CMSWorkRVUTotal
             9.60            9.60
         1,180.02        1,180.02
         3,348.62        3,348.62
        17,109.30       17,109.30
           369.36          369.36
         4,891.92        4,891.92
           418.88          418.88
           481.20          481.20
        26,596.50       26,596.50
        96,863.62       96,863.62
        40,987.17       40,987.17
         4,317.04        4,317.04
         2,839.32        2,839.32
       100,265.68      100,265.68
           412.11          412.11
        13,689.58       13,689.58
           261.23          261.23
        96,821.40       96,821.40
         1,872.50        1,872.50
         4,078.30        4,078.30
        76,197.60       76,197.60
       106,316.73      106,316.73
           351.00          351.00
        37,608.48       37,608.48
        10,279.86       10,279.86
       252,813.78      252,813.79
        18,435.51       18,435.51
        34,150.20       34,150.20
         2,027.40        2,027.40
         3,860.22        3,860.22
         3,695.34        3,695.34
     2,030,257.49    2,030,257.50
        24,067.56       24,067.56
       887,667.00      887,667.01
       127,976.20      127,976.20
       282,234.00      282,234.00
        31,309.92       31,309.92
       285,575.72      285,575.72
       210,708.88      210,708.88
           178.50          178.50
           577.50          577.50
             1.21            1.21
            38.38           38.38
           117.18          117.18
             1.50            1.50
           423.19          423.19
            82.04           82.04
           356.00          356.00
             0.00            0.00
             8.80            8.80
         1,321.25        1,321.25


                                    Page 4
                           EM


    124.64       124.64
  1,076.46     1,076.46
     16.00        16.00
     67.06        67.06
  2,402.50     2,402.50
  1,948.76     1,948.76
     28.32        28.32
     12.12        12.12
 10,171.44    10,171.44
     84.77        84.77
  8,847.41     8,847.41
      2.20         2.20
     74.39        74.39
     66.12        66.12
      4.00         4.00
 15,244.25    15,244.25
      8.82         8.82
  5,137.57     5,137.57
  1,118.60     1,118.60
      0.00         0.00
      0.00         0.00
    166.50       166.50
      0.60         0.60
    159.50       159.50
    446.72       446.72
      0.00         0.00
     23.73        23.73
     58.93        58.93
     31.90        31.90
    182.91       182.91
    505.52       505.52
     75.75        75.75
      0.00         0.00
     51.52        51.52
     90.80        90.80
  1,417.50     1,417.50
      0.00         0.00
  5,489.64     5,489.64
      7.68         7.68
    467.00       467.00
    541.19       541.19
  6,537.52     6,537.52
     23.03        23.03
      0.00         0.00
162,942.00   162,942.00
      1.73         1.73
 95,904.48    95,904.48
  2,948.61     2,948.61
  1,728.00     1,728.00
 12,264.96    12,264.96
 13,070.72    13,070.72
 24,079.36    24,079.36


                          Page 5
                           EM


 16,974.08    16,974.08
  1,547.70     1,547.70
  4,315.46     4,315.46
    193.95       193.95
 84,874.26    84,874.26
  6,912.00     6,912.00
    241.08       241.08
 73,918.35    73,918.35
636,767.56   636,767.52
206,698.80   206,698.80
258,899.67   258,899.66
 42,370.08    42,370.08
136,131.12   136,131.11
  5,169.87     5,169.87
  7,029.05     7,029.05
 18,993.42    18,993.42
181,887.93   181,887.93
 81,867.24    81,867.24
 10,838.50    10,838.50
 13,622.95    13,622.95
     42.42        42.42
  5,741.06     5,741.06
238,196.97         0.00
133,946.01         0.00
 78,986.04         0.00
     56.25         0.00
  9,368.64         0.00
     54.72         0.00
 12,886.34         0.00
  6,310.14         0.00
      8.00




                          Page 6
                                                                  CPT1


CPT     CPTtxt                           M2WorkRVU          CMSWorkRVU          CMSNonFacRVU          Encounters      M2WorkRVUTotal
0001F   "Blood pressure, measured"                   0.00                0.00                  0.00          3,215.00             0.00
0001T   Endovas repr abdo ao aneurys                 0.00                0.00                  0.00              1.00             0.00




0002F   "Tobacco use, smoking, assess"               0.00                0.00                  0.00            58.00              0.00
0003F   "Tobacco use, non-smoking"                   0.00                0.00                  0.00             2.00              0.00
0004F   Tobacco use txmnt counseling                 0.00                0.00                  0.00           507.00              0.00
0005F   "Tobacco use txmnt, pharmacol"               0.00                0.00                  0.00            33.00              0.00
0006F   "Statin therapy, prescribed"                 0.00                0.00                  0.00            14.00              0.00
0008F   Ace inhibitor thx prescribed                 0.00                0.00                  0.00            12.00              0.00
0008T   Upper gi endoscopy w/suture                  0.00                0.00                  0.00             1.00              0.00
0009F   Assess anginal symptom/level                 0.00                0.00                  0.00             1.00              0.00
0009T   Endometrial cryoablation                     0.00                0.00                  0.00             4.00              0.00
00100                                                0.00                0.00                                   6.00              0.00
00103                                                0.00                0.00                                   6.00              0.00
0010T   "Tb test, gamma interferon"                  0.00                0.00                  0.00         1,479.00              0.00
00120                                                0.00                0.00                                  10.00              0.00
00124                                                0.00                0.00                                   2.00              0.00
00126                                                0.00                0.00                                  29.00              0.00
0012T   Osteochondral knee autograft                 0.00                0.00                  0.00             3.00              0.00
0013T   Osteochondral knee allograft                 0.00                0.00                  0.00             3.00              0.00
00140                                                0.00                0.00                                  30.00              0.00
00142                                                0.00                0.00                                   1.00              0.00
00144                                                0.00                0.00                                   1.00              0.00
00148                                                0.00                0.00                                  11.00              0.00
0014T   "Meniscal transplant, knee"                  0.00                0.00                  0.00             2.00              0.00
00160                                                0.00                0.00                                   7.00              0.00
00164                                                0.00                0.00                                   3.00              0.00
0016T   Thermotx choroid vasc lesion                 0.00                0.00                  0.00            16.00              0.00
00170                                                0.00                0.00                                 110.00              0.00
00190                                                0.00                0.00                                   6.00              0.00
0020T   "Extracorp shock wave tx, ft"                0.00                0.00                  0.00            33.00              0.00
00210                                                0.00                0.00                                   1.00              0.00
00215                                                0.00                0.00                                   1.00              0.00
0024T   Transcath cardiac reduction                  0.00                0.00                  0.00             3.00              0.00


                                                                  Page 7
                                               CPT1


0027T   Endoscopic epidural lysis       0.00          0.00   0.00     5.00   0.00
0028T   Dexa body composition study     0.00          0.00   0.00     1.00   0.00
0029T   Magnetic tx for incontinence    0.00          0.00   0.00    10.00   0.00
00300                                   0.00          0.00           27.00   0.00
0031T   Speculoscopy                    0.00          0.00   0.00    48.00   0.00
00320                                   0.00          0.00           18.00   0.00
00322                                   0.00          0.00           12.00   0.00
0032T   Speculoscopy w/direct sample    0.00          0.00   0.00    88.00   0.00
0033T   Endovasc taa repr incl subcl    0.00          0.00   0.00     2.00   0.00
00350                                   0.00          0.00            1.00   0.00
00400                                   0.00          0.00           73.00   0.00
00404                                   0.00          0.00            1.00   0.00
0041T   Detect ur infect agnt w/cpas    0.00          0.00   0.00     3.00   0.00
0044T   Whole body photography          0.00          0.00   0.00   469.00   0.00
00450                                   0.00          0.00            4.00   0.00
0045T   Whole body photography          0.00          0.00   0.00     1.00   0.00
0046T   "Cath lavage, mammary duct(s"   0.00          0.00   0.00     3.00   0.00
00520                                   0.00          0.00           14.00   0.00
00522                                   0.00          0.00            4.00   0.00
00528                                   0.00          0.00            3.00   0.00
0052T   Replace component heart syst    0.00          0.00   0.00     1.00   0.00
00600                                   0.00          0.00            1.00   0.00
00630                                   0.00          0.00            4.00   0.00
00635                                   0.00          0.00            6.00   0.00
00670                                   0.00          0.00            1.00   0.00
00702                                   0.00          0.00           28.00   0.00
00740                                   0.00          0.00            7.00   0.00
00750                                   0.00          0.00           14.00   0.00
00790                                   0.00          0.00            9.00   0.00
00800                                   0.00          0.00            1.00   0.00
00802                                   0.00          0.00            1.00   0.00
00810                                   0.00          0.00           16.00   0.00
00830                                   0.00          0.00           13.00   0.00
00832                                   0.00          0.00            3.00   0.00
00840                                   0.00          0.00            5.00   0.00
00842                                   0.00          0.00            1.00   0.00
00844                                   0.00          0.00            2.00   0.00



                                               Page 8
               CPT1


00851   0.00          0.00     7.00   0.00
00860   0.00          0.00     3.00   0.00
00862   0.00          0.00     1.00   0.00
00864   0.00          0.00     1.00   0.00
00902   0.00          0.00     7.00   0.00
00910   0.00          0.00     3.00   0.00
00916   0.00          0.00     1.00   0.00
00920   0.00          0.00    23.00   0.00
00921   0.00          0.00   292.00   0.00
00922   0.00          0.00     1.00   0.00
00924   0.00          0.00     3.00   0.00
00940   0.00          0.00    12.00   0.00
00942   0.00          0.00     1.00   0.00
00944   0.00          0.00     1.00   0.00
00948   0.00          0.00     3.00   0.00
00952   0.00          0.00     1.00   0.00
01112   0.00          0.00     2.00   0.00
01210   0.00          0.00     1.00   0.00
01220   0.00          0.00     1.00   0.00
01230   0.00          0.00     1.00   0.00
01232   0.00          0.00     1.00   0.00
01320   0.00          0.00     3.00   0.00
01380   0.00          0.00     1.00   0.00
01382   0.00          0.00    10.00   0.00
01392   0.00          0.00     1.00   0.00
01400   0.00          0.00    11.00   0.00
01462   0.00          0.00    14.00   0.00
01470   0.00          0.00     2.00   0.00
01472   0.00          0.00     1.00   0.00
01480   0.00          0.00    10.00   0.00
01490   0.00          0.00     1.00   0.00
01500   0.00          0.00     1.00   0.00
01520   0.00          0.00     1.00   0.00
01610   0.00          0.00     1.00   0.00
01622   0.00          0.00     8.00   0.00
01630   0.00          0.00     7.00   0.00
01634   0.00          0.00     2.00   0.00



               Page 9
                                              CPT1


01670                                 0.00           0.00              1.00       0.00
01710                                 0.00           0.00              1.00       0.00
01714                                 0.00           0.00              1.00       0.00
01740                                 0.00           0.00              1.00       0.00
01756                                 0.00           0.00              1.00       0.00
01758                                 0.00           0.00              1.00       0.00
01810                                 0.00           0.00              8.00       0.00
01820                                 0.00           0.00              5.00       0.00
01830                                 0.00           0.00              1.00       0.00
01860                                 0.00           0.00              2.00       0.00
01905                                 0.00           0.00              3.00       0.00
01916                                 0.00           0.00              1.00       0.00
01920                                 0.00           0.00              8.00       0.00
01922                                 0.00           0.00              5.00       0.00
01952                                 0.00           0.00              1.00       0.00
01958                                 0.00           0.00              1.00       0.00
01960                                 0.00           0.00              5.00       0.00
01961                                 0.00           0.00              7.00       0.00
01964                                 0.00           0.00              3.00       0.00
01967                                 0.00           0.00              3.00       0.00
01991                                 0.00           0.00            119.00       0.00
01992                                 0.00           0.00              7.00       0.00
01995                                 0.00           0.00             22.00       0.00
01996                                 0.00           0.00            329.00       0.00
01999                                 0.00           0.00             88.00       0.00
10021   Fna w/o image                 1.27           1.27   2.20     733.00     930.91
10022   Fna w/image                   1.27           1.27   2.61     117.00     148.59
10040   Acne surgery                  1.18           1.18   1.02     378.00     446.04
10060   Drainage of skin abscess      1.17           1.17   1.20   5,905.00   6,908.85
10061   Drainage of skin abscess      2.40           2.40   1.81     560.00   1,344.00
10080   Drainage of pilonidal cyst    1.17           1.17   3.13     341.00     398.97
10081   Drainage of pilonidal cyst    2.45           2.45   4.11      27.00      66.15
10120   Remove foreign body           1.22           1.22   1.46     860.00   1,049.20
10121   Remove foreign body           2.69           2.69   3.33      58.00     156.02
10140   Drainage of hematoma/fluid    1.53           1.53   1.51     403.00     616.59
10160   Puncture drainage of lesion   1.20           1.20   0.73     620.00     744.00
10180   "Complex drainage, wound"     2.25           2.25   3.25     216.00     486.00



                                             Page 10
                                                 CPT1


11000   Debride infected skin            0.60           0.60    0.57      653.00      391.80
11001   Debride infected skin add-on     0.30           0.30    0.23       18.00        5.40
11010   "Debride skin, fx"               4.19           4.19    6.74       73.00      305.87
11011   "Debride skin/muscle, fx"        4.94           4.94    8.03       20.00       98.80
11012   "Debride skin/muscle/bone, fx"   6.87           6.87   12.01       15.00      103.05
11040   "Debride skin, partial"          0.50           0.50    0.51    1,873.00      936.50
11041   "Debride skin, full"             0.82           0.82    0.65      391.00      320.62
11042   Debride skin/tissue              1.12           1.12    0.97      925.00    1,036.00
11043   Debride tissue/muscle            2.38           2.38    3.41       54.00      128.52
11044   Debride tissue/muscle/bone       3.06           3.06    4.50       26.00       79.56
11055   Trim skin lesion                 0.43           0.43    0.55    1,729.00      743.47
11056   "Trim skin lesions, 2 to 4"      0.61           0.61    0.63    1,082.00      660.02
11057   "Trim skin lesions, over 4"      0.79           0.79    0.73      319.00      252.01
11100   "Biopsy, skin lesion"            0.81           0.81    1.26   12,651.00   10,247.31
11101   "Biopsy, skin add-on"            0.41           0.41    0.34      395.00      161.95
11200   Removal of skin tags             0.77           0.77    1.06    4,096.00    3,153.92
11201   Remove skin tags add-on          0.29           0.29    0.16       74.00       21.46
11300   Shave skin lesion                0.51           0.51    1.00    2,841.00    1,448.91
11301   Shave skin lesion                0.85           0.85    1.12    1,183.00    1,005.55
11302   Shave skin lesion                1.05           1.05    1.31      299.00      313.95
11303   Shave skin lesion                1.24           1.24    1.59      136.00      168.64
11305   Shave skin lesion                0.67           0.67    0.84      800.00      536.00
11306   Shave skin lesion                0.99           0.99    1.11      348.00      344.52
11307   Shave skin lesion                1.14           1.14    1.29      118.00      134.52
11308   Shave skin lesion                1.41           1.41    1.45       57.00       80.37
11310   Shave skin lesion                0.73           0.73    1.12    1,350.00      985.50
11311   Shave skin lesion                1.05           1.05    1.24      412.00      432.60
11312   Shave skin lesion                1.20           1.20    1.44       95.00      114.00
11313   Shave skin lesion                1.62           1.62    1.82       41.00       66.42
11400   Exc tr-ext b9+marg 0.5 < cm      0.85           0.85    2.00    2,437.00    2,071.45
11401   Exc tr-ext b9+marg 0.6-1 cm      1.23           1.23    2.07    1,568.00    1,928.64
11402   Exc tr-ext b9+marg 1.1-2 cm      1.51           1.51    2.25    1,463.00    2,209.13
11403   Exc tr-ext b9+marg 2.1-3 cm      1.79           1.79    2.42      646.00    1,156.34
11404   Exc tr-ext b9+marg 3.1-4 cm      2.06           2.06    2.73      281.00      578.86
11406   Exc tr-ext b9+marg > 4.0 cm      2.76           2.76    3.10      435.00    1,200.60
11420   Exc h-f-nk-sp b9+marg 0.5 <      0.98           0.98    1.77      689.00      675.22
11421   Exc h-f-nk-sp b9+marg 0.6-1      1.42           1.42    2.08      513.00      728.46



                                                Page 11
                                                CPT1


11422   Exc h-f-nk-sp b9+marg 1.1-2     1.63           1.63   2.27     383.00     624.29
11423   Exc h-f-nk-sp b9+marg 2.1-3     2.01           2.01   2.61     191.00     383.91
11424   Exc h-f-nk-sp b9+marg 3.1-4     2.43           2.43   2.82      74.00     179.82
11426   Exc h-f-nk-sp b9+marg > 4 cm    3.77           3.77   3.52      94.00     354.38
11440   Exc face-mm b9+marg 0.5 < cm    1.06           1.06   2.28     624.00     661.44
11441   Exc face-mm b9+marg 0.6-1 cm    1.48           1.48   2.40     431.00     637.88
11442   Exc face-mm b9+marg 1.1-2 cm    1.72           1.72   2.59     315.00     541.80
11443   Exc face-mm b9+marg 2.1-3 cm    2.29           2.29   2.97      95.00     217.55
11444   Exc face-mm b9+marg 3.1-4 cm    3.14           3.14   3.54      32.00     100.48
11446   Exc face-mm b9+marg > 4 cm      4.48           4.48   4.11      35.00     156.80
11450   "Removal, sweat gland lesion"   2.73           2.73   5.11      22.00      60.06
11451   "Removal, sweat gland lesion"   3.94           3.94   6.74       1.00       3.94
11462   "Removal, sweat gland lesion"   2.51           2.51   5.20       4.00      10.04
11470   "Removal, sweat gland lesion"   3.25           3.25   5.14       6.00      19.50
11471   "Removal, sweat gland lesion"   4.40           4.40   6.85       2.00       8.80
11600   Exc tr-ext mlg+marg 0.5 < cm    1.31           1.31   2.65      77.00     100.87
11601   Exc tr-ext mlg+marg 0.6-1 cm    1.80           1.80   2.72     126.00     226.80
11602   Exc tr-ext mlg+marg 1.1-2 cm    1.95           1.95   2.86     259.00     505.05
11603   Exc tr-ext mlg+marg 2.1-3 cm    2.19           2.19   3.11     152.00     332.88
11604   Exc tr-ext mlg+marg 3.1-4 cm    2.40           2.40   3.41      61.00     146.40
11606   Exc tr-ext mlg+marg > 4 cm      3.42           3.42   4.11      84.00     287.28
11620   Exc h-f-nk-sp mlg+marg 0.5 <    1.19           1.19   2.62      30.00      35.70
11621   Exc h-f-nk-sp mlg+marg 0.6-1    1.76           1.76   2.73      60.00     105.60
11622   Exc h-f-nk-sp mlg+marg 1.1-2    2.09           2.09   3.00      83.00     173.47
11623   Exc h-f-nk-sp mlg+marg 2.1-3    2.61           2.61   3.36      35.00      91.35
11624   Exc h-f-nk-sp mlg+marg 3.1-4    3.06           3.06   3.79      17.00      52.02
11626   Exc h-f-nk-sp mlg+mar > 4 cm    4.29           4.29   4.70      25.00     107.25
11640   Exc face-mm malig+marg 0.5 <    1.35           1.35   2.69      83.00     112.05
11641   Exc face-mm malig+marg 0.6-1    2.16           2.16   3.06     129.00     278.64
11642   Exc face-mm malig+marg 1.1-2    2.59           2.59   3.44     155.00     401.45
11643   Exc face-mm malig+marg 2.1-3    3.10           3.10   3.85      65.00     201.50
11644   Exc face-mm malig+marg 3.1-4    4.02           4.02   4.74      27.00     108.54
11646   Exc face-mm mlg+marg > 4 cm     5.94           5.94   5.81      33.00     196.02
11719   Trim nail(s)                    0.17           0.17   0.25   1,131.00     192.27
11720   "Debride nail, 1-5"             0.32           0.32   0.34   1,133.00     362.56
11721   "Debride nail, 6 or more"       0.54           0.54   0.43   2,781.00   1,501.74
11730   Removal of nail plate           1.13           1.13   1.02   3,088.00   3,489.44



                                               Page 12
                                               CPT1


11732   "Remove nail plate, add-on"    0.57           0.57    0.43      48.00       27.36
11740   Drain blood from under nail    0.37           0.37    0.85     267.00       98.79
11750   Removal of nail bed            1.86           1.86    2.13   3,730.00    6,937.80
11752   Remove nail bed/finger tip     2.67           2.67    2.95      11.00       29.37
11755   "Biopsy, nail unit"            1.31           1.31    1.10      90.00      117.90
11760   Repair of nail bed             1.58           1.58    1.84      54.00       85.32
11762   Reconstruction of nail bed     2.89           2.89    2.27       3.00        8.67
11765   "Excision of nail fold, toe"   0.69           0.69    1.14     674.00      465.06
11770   Removal of pilonidal lesion    2.61           2.61    3.52     332.00      866.52
11771   Removal of pilonidal lesion    5.73           5.73    5.70      75.00      429.75
11772   Removal of pilonidal lesion    6.97           6.97    7.17      15.00      104.55
11900   Injection into skin lesions    0.52           0.52    0.65   3,639.00    1,892.28
11901   Added skin lesions injection   0.80           0.80    0.66     166.00      132.80
11920   Correct skin color defects     1.61           1.61    1.99      35.00       56.35
11921   Correct skin color defects     1.93           1.93    2.36      14.00       27.02
11922   Correct skin color defects     0.49           0.49    0.37       2.00        0.98
11950   Therapy for contour defects    0.84           0.84    1.15      30.00       25.20
11951   Therapy for contour defects    1.19           1.19    1.50       5.00        5.95
11952   Therapy for contour defects    1.69           1.69    1.87       2.00        3.38
11960   Insert tissue expander(s)      9.07           9.07   10.52      48.00      435.36
11970   Replace tissue expander        7.05           7.05    6.10       5.00       35.25
11971   Remove tissue expander(s)      2.13           2.13    7.10       5.00       10.65
11975   Insert contraceptive cap       1.48           1.48    1.42       7.00       10.36
11976   Removal of contraceptive cap   1.78           1.78    1.70     102.00      181.56
11980   Implant hormone pellet(s)      1.48           1.48    1.10      45.00       66.60
11981   Insert drug implant device     1.48           1.48    1.74      87.00      128.76
11982   Remove drug implant device     1.78           1.78    1.97      21.00       37.38
11983   Remove/insert drug implant     3.30           3.30    2.32      12.00       39.60
12001   Repair superficial wound(s)    1.70           1.70    2.00   6,469.00   10,997.30
12002   Repair superficial wound(s)    1.86           1.86    2.06   1,458.00    2,711.88
12004   Repair superficial wound(s)    2.24           2.24    2.36      89.00      199.36
12005   Repair superficial wound(s)    2.86           2.86    2.85      21.00       60.06
12006   Repair superficial wound(s)    3.66           3.66    3.43       5.00       18.30
12007   Repair superficial wound(s)    4.11           4.11    3.86       5.00       20.55
12011   Repair superficial wound(s)    1.76           1.76    2.16   2,880.00    5,068.80
12013   Repair superficial wound(s)    1.99           1.99    2.31     394.00      784.06
12014   Repair superficial wound(s)    2.46           2.46    2.61      30.00       73.80



                                              Page 13
                                               CPT1


12015   Repair superficial wound(s)    3.19         3.19   3.19    10.00      31.90
12016   Repair superficial wound(s)    3.92         3.92   3.60     2.00       7.84
12017   Repair superficial wound(s)    4.70         4.70   1.91     2.00       9.40
12018   Repair superficial wound(s)    5.52         5.52   2.27     1.00       5.52
12020   Closure of split wound         2.62         2.62   2.65   431.00   1,129.22
12021   Closure of split wound         1.84         1.84   1.74   732.00   1,346.88
12031   Layer closure of wound(s)      2.15         2.15   2.31   189.00     406.35
12032   Layer closure of wound(s)      2.47         2.47   3.88   144.00     355.68
12034   Layer closure of wound(s)      2.92         2.92   3.17    22.00      64.24
12035   Layer closure of wound(s)      3.42         3.42   5.26     4.00      13.68
12036   Layer closure of wound(s)      4.04         4.04   5.36     2.00       8.08
12037   Layer closure of wound(s)      4.66         4.66   6.41     2.00       9.32
12041   Layer closure of wound(s)      2.37         2.37   2.47   135.00     319.95
12042   Layer closure of wound(s)      2.74         2.74   3.21    72.00     197.28
12044   Layer closure of wound(s)      3.14         3.14   3.20     4.00      12.56
12045   Layer closure of wound(s)      3.63         3.63   3.67     1.00       3.63
12047   Layer closure of wound(s)      4.64         4.64   6.42     1.00       4.64
12051   Layer closure of wound(s)      2.47         2.47   3.23   141.00     348.27
12052   Layer closure of wound(s)      2.77         2.77   3.17    77.00     213.29
12053   Layer closure of wound(s)      3.12         3.12   3.22     6.00      18.72
12054   Layer closure of wound(s)      3.45         3.45   3.54     7.00      24.15
12055   Layer closure of wound(s)      4.42         4.42   4.54     2.00       8.84
12057   Layer closure of wound(s)      5.95         5.95   6.10     1.00       5.95
13100   Repair of wound or lesion      3.12         3.12   3.51    21.00      65.52
13101   Repair of wound or lesion      3.91         3.91   3.75    21.00      82.11
13102   Repair wound/lesion add-on     1.24         1.24   0.74     3.00       3.72
13120   Repair of wound or lesion      3.30         3.30   3.61    30.00      99.00
13121   Repair of wound or lesion      4.32         4.32   3.97    39.00     168.48
13122   Repair wound/lesion add-on     1.44         1.44   0.87     8.00      11.52
13131   Repair of wound or lesion      3.78         3.78   3.88    50.00     189.00
13132   Repair of wound or lesion      5.94         5.94   4.68    38.00     225.72
13133   Repair wound/lesion add-on     2.19         2.19   1.19     2.00       4.38
13150   Repair of wound or lesion      3.80         3.80   5.50    21.00      79.80
13151   Repair of wound or lesion      4.44         4.44   5.40    12.00      53.28
13152   Repair of wound or lesion      6.32         6.32   6.08     4.00      25.28
13153   Repair wound/lesion add-on     2.38         2.38   1.34     3.00       7.14
13160   Late closure of wound         10.46        10.46   7.14    30.00     313.80



                                              Page 14
                                                  CPT1


14000   Skin tissue rearrangement         5.88         5.88    8.52   12.00    70.56
14001   Skin tissue rearrangement         8.46         8.46    9.94    4.00    33.84
14020   Skin tissue rearrangement         6.58         6.58    9.17    9.00    59.22
14021   Skin tissue rearrangement        10.04        10.04   10.45    4.00    40.16
14040   Skin tissue rearrangement         7.86         7.86    8.25   17.00   133.62
14041   Skin tissue rearrangement        11.47        11.47   10.64    5.00    57.35
14060   Skin tissue rearrangement         8.49         8.49    9.08   24.00   203.76
14061   Skin tissue rearrangement        12.27        12.27   11.66    4.00    49.08
14300   Skin tissue rearrangement        11.74        11.74   11.19   10.00   117.40
14350   Skin tissue rearrangement         9.60         9.60    7.12    1.00     9.60
15000   Skin graft                        3.99         3.99    3.81   18.00    71.82
15001   Skin graft add-on                 1.00         1.00    1.36    1.00     1.00
15050   Skin pinch graft                  4.29         4.29    5.97    2.00     8.58
15100   Skin split graft                  9.04         9.04   12.63   27.00   244.08
15120   Skin split graft                  9.82         9.82   10.78    6.00    58.92
15200   Skin full graft                   8.02         8.02   10.71    1.00     8.02
15220   Skin full graft                   7.86         7.86   10.59    3.00    23.58
15260   Skin full graft                  10.04        10.04    9.88    6.00    60.24
15342   "Cultured skin graft, 25 cm"      1.00         1.00    1.83    2.00     2.00
15350   Skin homograft                    3.99         3.99    8.22    4.00    15.96
15570   Form skin pedicle flap            9.20         9.20    9.17    1.00     9.20
15574   Form skin pedicle flap            9.87         9.87    8.79    3.00    29.61
15576   Form skin pedicle flap            8.68         8.68    9.39    1.00     8.68
15600   Skin graft                        1.91         1.91    7.04    6.00    11.46
15610   Skin graft                        2.42         2.42    3.73    1.00     2.42
15620   Skin graft                        2.94         2.94    7.46    2.00     5.88
15630   Skin graft                        3.27         3.27    6.84    6.00    19.62
15650   Transfer skin pedicle flap        3.96         3.96    6.70    3.00    11.88
15732   "Muscle-skin graft, head/neck"   17.81        17.81   18.05    1.00    17.81
15736   "Muscle-skin graft, arm"         16.25        16.25   18.16    1.00    16.25
15750   Neurovascular pedicle graft      11.39        11.39    9.04    1.00    11.39
15757   "Free skin flap, microvasc"      35.18        35.18   21.73    3.00   105.54
15760   Composite skin graft              8.73         8.73    9.71    2.00    17.46
15780   Abrasion treatment of skin        7.28         7.28    7.07   51.00   371.28
15781   Abrasion treatment of skin        4.84         4.84    5.35   50.00   242.00
15782   Abrasion treatment of skin        4.31         4.31    4.30   11.00    47.41
15783   Abrasion treatment of skin        4.28         4.28    4.92   77.00   329.56



                                                 Page 15
                                                  CPT1


15786   "Abrasion, lesion, single"        2.03         2.03    1.63      22.00      44.66
15788   "Chemical peel, face, epiderm"    2.09         2.09    3.34     675.00   1,410.75
15789   "Chemical peel, face, dermal"     4.91         4.91    6.39      45.00     220.95
15792   "Chemical peel, nonfacial"        1.86         1.86    3.16      17.00      31.62
15793   "Chemical peel, nonfacial"        3.73         3.73    4.14       2.00       7.46
15810   Salabrasion                       4.73         4.73    3.87      15.00      70.95
15811   Salabrasion                       5.38         5.38    6.31       5.00      26.90
15819   "Plastic surgery, neck"           9.37         9.37    7.20       3.00      28.11
15820   Revision of lower eyelid          5.14         5.14    6.85      32.00     164.48
15821   Revision of lower eyelid          5.71         5.71    7.23      33.00     188.43
15822   Revision of upper eyelid          4.44         4.44    5.80     183.00     812.52
15823   Revision of upper eyelid          7.04         7.04    7.79     103.00     725.12
15824   Removal of forehead wrinkles     10.59         0.00    0.00      25.00     264.75
15825   Removal of neck wrinkles         12.10         0.00    0.00       6.00      72.60
15828   Removal of face wrinkles         27.99         0.00    0.00       8.00     223.92
15829   Removal of skin wrinkles         31.02         0.00    0.00      10.00     310.20
15831   Excise excessive skin tissue     12.38        12.38    8.22     245.00   3,033.10
15832   Excise excessive skin tissue     11.57        11.57    8.38      16.00     185.12
15833   Excise excessive skin tissue     10.62        10.62    8.24       4.00      42.48
15834   Excise excessive skin tissue     10.83        10.83    7.71       4.00      43.32
15835   Excise excessive skin tissue     11.65        11.65   11.40       5.00      58.25
15836   Excise excessive skin tissue      9.33         9.33    6.81      29.00     270.57
15837   Excise excessive skin tissue      8.42         8.42    7.90       5.00      42.10
15838   Excise excessive skin tissue      7.12         7.12    6.09       8.00      56.96
15839   Excise excessive skin tissue      9.37         9.37    7.84      92.00     862.04
15850   Removal of sutures                0.78         0.78    1.58   1,043.00     813.54
15851   Removal of sutures                0.86         0.86    1.72     395.00     339.70
15852   Dressing change not for burn      0.86         0.86    1.87   2,566.00   2,206.76
15860   Test for blood flow in graft      1.95         1.95    1.28       1.00       1.95
15876   Suction assisted lipectomy        0.00         0.00    0.00       9.00       0.00
15877   Suction assisted lipectomy        0.00         0.00    0.00      98.00       0.00
15878   Suction assisted lipectomy        0.00         0.00    0.00       6.00       0.00
15879   Suction assisted lipectomy        0.00         0.00    0.00      18.00       0.00
16000   Initial treatment of burn(s)      0.89         0.89    0.86     175.00     155.75
16010   Treatment of burn(s)              0.87         0.87    0.66      63.00      54.81
16015   Treatment of burn(s)              2.35         2.35    1.15       4.00       9.40
16020   Treatment of burn(s)              0.80         0.80    1.31     672.00     537.60



                                                 Page 16
                                                  CPT1


16025   Treatment of burn(s)              1.85         1.85   1.79      102.00      188.70
16030   Treatment of burn(s)              2.08         2.08   2.20       35.00       72.80
16035   "Incision of burn scab, initi"    3.74         3.74   1.47        4.00       14.96
17000   Destroy benign/premlg lesion      0.60         0.60   0.98   27,849.00   16,709.40
17003   "Destroy lesions, 2-14"           0.15         0.15   0.11    3,031.00      454.65
17004   "Destroy lesions, 15 or more"     2.79         2.79   2.32    1,899.00    5,298.21
17106   Destruction of skin lesions       4.58         4.58   4.87      882.00    4,039.56
17107   Destruction of skin lesions       9.15         9.15   7.52      207.00    1,894.05
17108   Destruction of skin lesions      13.18        13.18   9.68       97.00    1,278.46
17110   "Destruct lesion, 1-14"           0.65         0.65   1.63    8,798.00    5,718.70
17111   "Destruct lesion, 15 or more"     0.92         0.92   1.68      165.00      151.80
17250   "Chemical cautery, tissue"        0.50         0.50   1.23      766.00      383.00
17260   Destruction of skin lesions       0.91         0.91   1.28       86.00       78.26
17261   Destruction of skin lesions       1.17         1.17   1.62      137.00      160.29
17262   Destruction of skin lesions       1.58         1.58   1.89      120.00      189.60
17263   Destruction of skin lesions       1.79         1.79   2.07       32.00       57.28
17264   Destruction of skin lesions       1.94         1.94   2.23        7.00       13.58
17266   Destruction of skin lesions       2.34         2.34   2.53       11.00       25.74
17270   Destruction of skin lesions       1.32         1.32   1.71       24.00       31.68
17271   Destruction of skin lesions       1.49         1.49   1.79       26.00       38.74
17272   Destruction of skin lesions       1.77         1.77   2.00       13.00       23.01
17273   Destruction of skin lesions       2.05         2.05   2.21        5.00       10.25
17274   Destruction of skin lesions       2.59         2.59   2.58        1.00        2.59
17276   Destruction of skin lesions       3.20         3.20   2.97        2.00        6.40
17280   Destruction of skin lesions       1.17         1.17   1.62       18.00       21.06
17281   Destruction of skin lesions       1.72         1.72   1.91       20.00       34.40
17282   Destruction of skin lesions       2.04         2.04   2.17        9.00       18.36
17283   Destruction of skin lesions       2.64         2.64   2.56        2.00        5.28
17286   Destruction of skin lesions       4.43         4.43   3.71        5.00       22.15
17304   "1 stage mohs, up to 5 spec"      7.59         7.59   8.09      985.00    7,476.15
17305   "2 stage mohs, up to 5 spec"      2.85         2.85   3.81       35.00       99.75
17306   "3 stage mohs, up to 5 spec"      2.85         2.85   3.83       13.00       37.05
17307   Mohs addl stage up to 5 spec      2.85         2.85   3.78        5.00       14.25
17310   Mohs any stage > 5 spec each      0.95         0.95   1.65        2.00        1.90
17340   Cryotherapy of skin               0.76         0.76   0.37    3,865.00    2,937.40
17360   Skin peel therapy                 1.43         1.43   1.46       59.00       84.37
17380   Hair removal by electrolysis      1.08         0.00   0.00       64.00       69.12



                                                 Page 17
                                                  CPT1


17999   Skin tissue procedure             0.00         0.00    0.00   3,542.00       0.00
19000   Drainage of breast lesion         1.21         0.84    2.03     296.00     358.16
19001   Drain breast lesion add-on        0.60         0.42    0.79       4.00       2.40
19020   Incision of breast lesion         3.56         3.56    6.00      35.00     124.60
19030   Injection for breast x-ray        2.14         1.53    3.37       2.00       4.28
19100   Bx breast percut w/o image        1.83         1.27    2.15     284.00     519.72
19101   "Biopsy of breast, open"          3.18         3.18    4.69     330.00   1,049.40
19102   Bx breast percut w/image          2.81         2.00    3.98     114.00     320.34
19103   Bx breast percut w/device         3.31         3.69   12.07      39.00     129.09
19110   Nipple exploration                4.29         4.29    5.82      22.00      94.38
19112   Excise breast duct fistula        3.66         3.66    5.80       3.00      10.98
19120   Removal of breast lesion          5.55         5.55    4.58   1,071.00   5,944.05
19125   "Excision, breast lesion"         6.05         6.05    4.83     451.00   2,728.55
19126   "Excision, addl breast lesion"    2.93         2.93    1.01       1.00       2.93
19140   Removal of breast tissue          5.13         5.13    7.29     179.00     918.27
19160   Removal of breast tissue          5.98         5.98    3.45      21.00     125.58
19162   "Remove breast tissue, nodes"    13.51        13.51    6.38      19.00     256.69
19180   Removal of breast                 8.79         8.79    5.06      53.00     465.87
19182   Removal of breast                 7.72         7.72    4.81      38.00     293.36
19200   Removal of breast                15.47        15.47    8.04       3.00      46.41
19240   Removal of breast                15.98        15.98    8.28      43.00     687.14
19260   Removal of chest wall lesion     15.42        15.42   11.30       8.00     123.36
19271   Revision of chest wall           18.87        18.87   18.23       2.00      37.74
19290   "Place needle wire, breast"       1.78         1.27    3.01      46.00      81.88
19295   "Place breast clip, percut"       0.95         0.00    2.77       1.00       0.95
19316   Suspension of breast             10.67        10.67    7.59      55.00     586.85
19318   Reduction of large breast        15.60        15.60   11.20     213.00   3,322.80
19324   Enlarge breast                    5.84         5.84    4.92      11.00      64.24
19325   Enlarge breast with implant       8.44         8.44    6.59      74.00     624.56
19328   Removal of breast implant         5.67         5.67    5.07      13.00      73.71
19330   Removal of implant material       7.58         7.58    6.07       9.00      68.22
19340   Immediate breast prosthesis       6.32         6.32    3.12       4.00      25.28
19342   Delayed breast prosthesis        11.18        11.18    8.97      17.00     190.06
19350   Breast reconstruction             8.91         8.91   14.20      41.00     365.31
19355   Correct inverted nipple(s)        7.56         7.56   12.80       1.00       7.56
19357   Breast reconstruction            18.13        18.13   13.85     100.00   1,813.00
19361   Breast reconstruction            19.23        19.23   11.78       1.00      19.23



                                                 Page 18
                                                  CPT1


19364   Breast reconstruction            40.94        40.94   23.64        1.00       40.94
19366   Breast reconstruction            21.25        21.25   11.23        6.00      127.50
19367   Breast reconstruction            25.69        25.69   16.57        6.00      154.14
19370   Surgery of breast capsule         8.04         8.04    6.95        9.00       72.36
19371   Removal of breast capsule         9.34         9.34    7.87       23.00      214.82
19380   Revise breast reconstruction      9.13         9.13    7.76       38.00      346.94
19396   Design custom breast implant      2.17         2.17    5.78        2.00        4.34
19499   Breast surgery procedure          0.00         0.00    0.00      411.00        0.00
20000   Incision of abscess               2.12         2.12    2.36      125.00      265.00
20005   Incision of deep abscess          3.41         3.41    3.34       11.00       37.51
20100   "Explore wound, neck"            10.06        10.06    5.79        3.00       30.18
20102   "Explore wound, abdomen"          3.93         3.93    3.51        9.00       35.37
20103   "Explore wound, extremity"        5.29         5.29    4.14       26.00      137.54
20150   Excise epiphyseal bar            13.67        13.67    7.21        4.00       54.68
20200   Muscle biopsy                     1.46         1.46    3.19       12.00       17.52
20205   Deep muscle biopsy                2.35         2.35    4.14       12.00       28.20
20206   "Needle biopsy, muscle"           1.41         0.99    3.17        3.00        4.23
20220   "Bone biopsy, trocar/needle"      4.20         1.27    4.73       22.00       92.40
20225   "Bone biopsy, trocar/needle"      4.83         1.87    4.92        6.00       28.98
20240   "Bone biopsy, excisional"         3.23         3.23    2.60       10.00       32.30
20245   "Bone biopsy, excisional"         7.77         7.77    6.36        5.00       38.85
20250   Open bone biopsy                  9.82         5.02    4.54        1.00        9.82
20500   Injection of sinus tract          1.23         1.23    5.88        8.00        9.84
20520   Removal of foreign body           1.85         1.85    2.25       93.00      172.05
20525   Removal of foreign body           3.49         3.49    3.43       17.00       59.33
20526   "Ther injection, carp tunnel"     0.94         0.94    0.97      136.00      127.84
20550   Inj tendon sheath/ligament        0.75         0.75    0.71    2,933.00    2,199.75
20551   Inj tendon origin/insertion       0.75         0.75    0.68      329.00      246.75
20552   "Inj trigger point, 1/2 muscl"    0.66         0.66    0.73    1,283.00      846.78
20553   "Inject trigger points, =/> 3"    0.75         0.75    0.84      320.00      240.00
20600   "Drain/inject, joint/bursa"       0.99         0.66    0.64    1,381.00    1,367.19
20605   "Drain/inject, joint/bursa"       1.01         0.68    0.75    2,593.00    2,618.93
20610   "Drain/inject, joint/bursa"       1.42         0.79    0.94   11,485.00   16,308.70
20612   Aspirate/inj ganglion cyst        0.70         0.70    0.71      474.00      331.80
20615   Treatment of bone cyst            2.28         2.28    2.54       44.00      100.32
20650   Insert and remove bone pin        2.23         2.23    2.42       39.00       86.97
20660   "Apply, rem fixation device"      2.51         2.51    3.07        2.00        5.02



                                                 Page 19
                                                  CPT1


20661   Application of head brace         4.88         4.88     4.95     1.00       4.88
20662   Application of pelvis brace       6.06         6.06     5.43     3.00      18.18
20663   Application of thigh brace        5.42         5.42     4.76     2.00      10.84
20665   Removal of fixation device        1.31         1.31     2.05     1.00       1.31
20670   Removal of support implant        1.74         1.74     6.69   469.00     816.06
20680   Removal of support implant        3.34         3.34     3.22   741.00   2,474.94
20690   Apply bone fixation device        3.51         3.51     2.47     4.00      14.04
20693   Adjust bone fixation device       5.85         5.85     5.54     3.00      17.55
20694   Remove bone fixation device       4.15         4.15     6.86    27.00     112.05
20816   "Replantation digit, complete"   30.89        30.89    39.17     2.00      61.78
20822   "Replantation digit, complete"   25.55        25.55    35.90     1.00      25.55
20827   "Replantation thumb, complete"   26.37        26.37    37.95     1.00      26.37
20900   Removal of bone for graft         5.57         5.57     7.31     8.00      44.56
20910   Remove cartilage for graft        5.33         5.33     7.11     2.00      10.66
20912   Remove cartilage for graft        6.34         6.34     6.09     1.00       6.34
20924   Removal of tendon for graft       6.47         6.47     5.92     3.00      19.41
20926   Removal of tissue for graft       5.52         5.52     4.93     4.00      22.08
20936   Spinal bone autograft             1.49         0.00     0.00     2.00       2.98
20950   "Fluid pressure, muscle"          1.26         1.26     1.36    41.00      51.66
20956   "Iliac bone graft, microvasc"    39.21        39.21    24.86     1.00      39.21
20962   "Other bone graft, microvasc"    39.21        39.21    26.41     1.00      39.21
20974   Electrical bone stimulation       0.62         0.62     0.62     6.00       3.72
20982   "Ablate, bone tumor(s) perq"      7.27         7.27   105.35     2.00      14.54
20999   Musculoskeletal surgery           0.00         0.00     0.00    39.00       0.00
21015   Resection of facial tumor         5.28         5.28     5.53     4.00      21.12
21025   "Excision of bone, lower jaw"    10.04        10.04    10.20     4.00      40.16
21026   Excision of facial bone(s)        4.84         4.84     6.94     2.00       9.68
21029   Contour of face bone lesion       7.70         7.70     8.60     2.00      15.40
21030   Excise max/zygoma b9 tumor        4.49         4.49     6.84    10.00      44.90
21031   "Remove exostosis, mandible"      3.24         3.24     4.58     7.00      22.68
21032   "Remove exostosis, maxilla"       3.24         3.24     4.63     1.00       3.24
21034   Excise max/zygoma mlg tumor      16.15        16.15    13.56     1.00      16.15
21040   Excise mandible lesion            4.49         4.49     6.87    15.00      67.35
21046   Remove mandible cyst complex     12.98        12.98    12.69     5.00      64.90
21047   Excise lwr jaw cyst w/repair     18.72        18.72    13.44     1.00      18.72
21048   Remove maxilla cyst complex      13.48        13.48    12.97     2.00      26.96
21049   Excis uppr jaw cyst w/repair     17.97        17.97    13.03     2.00      35.94



                                                 Page 20
                                                  CPT1


21050   Removal of jaw joint             10.75        10.75   10.26    2.00    21.50
21060   Remove jaw joint cartilage       10.21        10.21    9.80    3.00    30.63
21084   Prepare face/oral prosthesis     22.48        22.48   22.71    4.00    89.92
21085   Prepare face/oral prosthesis      8.99         8.99    8.52   13.00   116.87
21086   Prepare face/oral prosthesis     24.88        24.88   24.30   14.00   348.32
21089   Prepare face/oral prosthesis      0.00         0.00    0.00    2.00     0.00
21100   Maxillofacial fixation            4.21         4.21    5.62    2.00     8.42
21110   Interdental fixation              5.20         5.20    7.02    5.00    26.00
21120   Reconstruction of chin            4.92         4.92    8.83   14.00    68.88
21121   Reconstruction of chin            7.63         7.63   10.43    3.00    22.89
21122   Reconstruction of chin            8.51         8.51    7.08    3.00    25.53
21123   Reconstruction of chin           11.14        11.14    8.26    1.00    11.14
21125   "Augmentation, lower jaw bone"   10.60        10.60   11.82    1.00    10.60
21127   "Augmentation, lower jaw bone"   11.10        11.10   14.52    1.00    11.10
21141   "Reconstruct midface, lefort"    18.07        18.07   13.88   19.00   343.33
21142   "Reconstruct midface, lefort"    18.78        18.78   13.08   11.00   206.58
21143   "Reconstruct midface, lefort"    19.55        19.55   14.09    8.00   156.40
21145   "Reconstruct midface, lefort"    19.91        19.91   14.15    3.00    59.73
21146   "Reconstruct midface, lefort"    20.68        20.68   15.59    6.00   124.08
21147   "Reconstruct midface, lefort"    21.74        21.74   15.29    5.00   108.70
21154   "Reconstruct midface, lefort"    30.47        30.47   20.18    1.00    30.47
21155   "Reconstruct midface, lefort"    34.40        34.40   22.30    2.00    68.80
21160   "Reconstruct midface, lefort"    46.37        46.37   24.41    4.00   185.48
21172   Reconstruct orbit/forehead       27.76        27.76   14.07    1.00    27.76
21182   Reconstruct cranial bone         32.14        32.14   19.66    1.00    32.14
21193   Reconst lwr jaw w/o graft        17.12        17.12   12.97    5.00    85.60
21194   Reconst lwr jaw w/graft          19.81        19.81   14.06    3.00    59.43
21195   Reconst lwr jaw w/o fixation     17.21        17.21   13.26    8.00   137.68
21196   Reconst lwr jaw w/fixation       18.88        18.88   13.88   29.00   547.52
21198   Reconstr lwr jaw segment         14.14        14.14   10.90   20.00   282.80
21199   Reconstr lwr jaw w/advance       15.98        15.98    9.19    5.00    79.90
21206   Reconstruct upper jaw bone       14.08        14.08   10.81   16.00   225.28
21208   Augmentation of facial bones     10.21        10.21   14.49    3.00    30.63
21209   Reduction of facial bones         6.71         6.71   11.89    1.00     6.71
21210   Face bone graft                  10.21        10.21   13.69   17.00   173.57
21215   Lower jaw bone graft             10.75        10.75   13.48    4.00    43.00
21230   Rib cartilage graft              10.75        10.75    8.57    1.00    10.75



                                                 Page 21
                                                CPT1


21235   Ear cartilage graft             6.71         6.71   11.37    3.00    20.13
21240   Reconstruction of jaw joint    14.03        14.03   12.70    2.00    28.06
21245   Reconstruction of jaw          11.84        11.84   16.10    8.00    94.72
21247   Reconstruct lower jaw bone     22.60        22.60   17.93    2.00    45.20
21248   Reconstruction of jaw          11.46        11.46   13.02   10.00   114.60
21249   Reconstruction of jaw          17.49        17.49   16.58    6.00   104.94
21256   Reconstruction of orbit        16.17        16.17   12.17    1.00    16.17
21270   "Augmentation, cheek bone"     10.21        10.21   11.90    1.00    10.21
21280   Revision of eyelid              6.02         6.02    6.07    2.00    12.04
21299   Cranio/maxillofacial surgery    0.00         0.00    0.00   11.00     0.00
21300   Treatment of skull fracture     0.72         0.72    2.38    2.00     1.44
21310   Treatment of nose fracture      0.58         0.58    2.34   27.00    15.66
21315   Treatment of nose fracture      1.51         1.51    3.03   35.00    52.85
21320   Treatment of nose fracture      1.85         1.85    4.25   89.00   164.65
21335   Treatment of nose fracture      8.60         8.60    6.81    2.00    17.20
21337   Treat nasal septal fracture     2.70         2.70    5.11   26.00    70.20
21338   Treat nasoethmoid fracture      6.45         6.45    5.99    1.00     6.45
21343   Treatment of sinus fracture    12.93        12.93   10.14    3.00    38.79
21344   Treatment of sinus fracture    19.69        19.69   13.71    3.00    59.07
21345   Treat nose/jaw fracture         8.15         8.15   11.54    5.00    40.75
21355   Treat cheek bone fracture       3.76         3.76    4.70    2.00     7.52
21356   Treat cheek bone fracture       4.14         4.14   11.67    7.00    28.98
21360   Treat cheek bone fracture       6.45         6.45   13.89    1.00     6.45
21365   Treat cheek bone fracture      14.93        14.93   11.77   14.00   209.02
21385   Treat eye socket fracture       9.15         9.15    7.07    7.00    64.05
21390   Treat eye socket fracture      10.11        10.11    8.01   18.00   181.98
21395   Treat eye socket fracture      12.66        12.66    9.32    1.00    12.66
21406   Treat eye socket fracture       7.00         7.00    6.35    2.00    14.00
21421   Treat mouth roof fracture       5.13         5.13    9.92    1.00     5.13
21422   Treat mouth roof fracture       8.31         8.31   11.28    1.00     8.31
21450   Treat lower jaw fracture        2.97         2.97   10.65    2.00     5.94
21451   Treat lower jaw fracture        4.86         4.86    8.77    1.00     4.86
21453   Treat lower jaw fracture        5.53         5.53   10.50    5.00    27.65
21454   Treat lower jaw fracture        6.45         6.45    6.54    3.00    19.35
21461   Treat lower jaw fracture        8.08         8.08   12.52    4.00    32.32
21462   Treat lower jaw fracture        9.78         9.78   14.06   17.00   166.26
21465   Treat lower jaw fracture       11.89        11.89   10.05    3.00    35.67



                                               Page 22
                                                  CPT1


21470   Treat lower jaw fracture         15.32        15.32    12.24    5.00      76.60
21480   Reset dislocated jaw              0.61         0.61     1.95   16.00       9.76
21485   Reset dislocated jaw              3.98         3.98     5.94    1.00       3.98
21499   Head surgery procedure            0.00         0.00     0.00    5.00       0.00
21501   Drain neck/chest lesion           3.80         3.80     4.70   43.00     163.40
21502   Drain chest lesion                7.11         7.11     5.70    2.00      14.22
21550   Biopsy of neck/chest              2.06         2.06     3.64   85.00     175.10
21555   "Remove lesion, neck/chest"       4.34         4.34     5.06   41.00     177.94
21556   "Remove lesion, neck/chest"       5.56         5.56     4.11   21.00     116.76
21557   "Remove tumor, neck/chest"        8.87         8.87     5.44    2.00      17.74
21610   Partial removal of rib           14.59        14.59     9.04    1.00      14.59
21615   Removal of rib                    9.86         9.86     6.73    1.00       9.86
21705   Revision of neck muscle/rib       9.59         9.59     5.63    3.00      28.77
21740   Reconstruction of sternum        16.48        16.48     8.60    1.00      16.48
21800   Treatment of rib fracture         0.96         0.96     2.10    5.00       4.80
21899   Neck/chest surgery procedure      0.00         0.00     0.00    7.00       0.00
21920   Biopsy soft tissue of back        2.06         2.06     3.28   93.00     191.58
21925   Biopsy soft tissue of back        4.48         4.48     6.63   12.00      53.76
21930   "Remove lesion, back or flank"    4.99         4.99     5.48   77.00     384.23
21935   "Remove tumor, back"             17.93        17.93    10.20    2.00      35.86
22102   "Remove part, lumbar vertebra"    9.80         9.80     8.08    1.00       9.80
22210   Revision of neck spine           23.78        23.78    15.51    1.00      23.78
22214   Revision of lumbar spine         19.42        19.42    13.78    4.00      77.68
22220   Revision of neck spine           21.34        21.34    13.79   19.00     405.46
22224   Revision of lumbar spine         21.49        21.49    14.24   39.00     838.11
22305   Treat spine process fracture      2.05         2.05     3.19    1.00       2.05
22310   Treat spine fracture              2.61         2.61     4.88    6.00      15.66
22315   Treat spine fracture              8.83         8.83    13.42    2.00      17.66
22505   Manipulation of spine             1.87         1.87     0.94    2.00       3.74
22520   Percut vertebroplasty thor       13.75         8.90   101.62    6.00      82.50
22521   Percut vertebroplasty lumb       12.90         8.33    89.47    4.00      51.60
22533   Lat lumbar spine fusion          23.09        23.09    13.48    2.00      46.18
22548   Neck spine fusion                25.78        25.78    15.83    3.00      77.34
22554   Neck spine fusion                18.59        18.59    12.32   60.00   1,115.40
22556   Thorax spine fusion              23.42        23.42    14.68    1.00      23.42
22558   Lumbar spine fusion              22.25        22.25    13.24    9.00     200.25
22590   Spine & skull spinal fusion      20.48        20.48    13.29    1.00      20.48



                                                 Page 23
                                                  CPT1


22600   Neck spine fusion                16.12        16.12   11.14     4.00    64.48
22610   Thorax spine fusion              16.00        16.00   11.32     2.00    32.00
22612   Lumbar spine fusion              20.97        20.97   14.09     8.00   167.76
22630   Lumbar spine fusion              20.81        20.81   13.55    21.00   437.01
22800   Fusion of spine                  18.22        18.22   12.64     1.00    18.22
22802   Fusion of spine                  30.83        30.83   19.48     2.00    61.66
22808   Fusion of spine                  26.23        26.23   16.25     1.00    26.23
22812   Fusion of spine                  32.65        32.65   19.95     1.00    32.65
22830   Exploration of spinal fusion     10.83        10.83    7.89     1.00    10.83
22842   Insert spine fixation device     12.56        12.56    6.53     1.00    12.56
22846   Insert spine fixation device     12.40        12.40    6.36     1.00    12.40
22849   Reinsert spinal fixation         18.48        18.48   11.76     1.00    18.48
22850   Remove spine fixation device      9.51         9.51    7.00     2.00    19.02
22851   Apply spine prosth device         6.70         6.70    3.37     1.00     6.70
22855   Remove spine fixation device     15.11        15.11    9.72     1.00    15.11
22899   Spine surgery procedure           0.00         0.00    0.00     5.00     0.00
22900   Remove abdominal wall lesion      5.79         5.79    3.28    16.00    92.64
22999   Abdomen surgery procedure         0.00         0.00    0.00     2.00     0.00
23000   Removal of calcium deposits       4.35         4.35    5.18     2.00     8.70
23020   Release shoulder joint            8.92         8.92    7.58     4.00    35.68
23030   Drain shoulder lesion             3.42         3.42    3.01    11.00    37.62
23031   Drain shoulder bursa              2.74         2.74    2.69     3.00     8.22
23040   Exploratory shoulder surgery      9.19         9.19    7.85     3.00    27.57
23044   Exploratory shoulder surgery      7.11         7.11    6.50     2.00    14.22
23065   Biopsy shoulder tissues           2.27         2.27    2.81    33.00    74.91
23066   Biopsy shoulder tissues           4.15         4.15    5.10     5.00    20.75
23075   Removal of shoulder lesion        2.39         2.39    2.24    26.00    62.14
23076   Removal of shoulder lesion        7.62         7.62    5.78     5.00    38.10
23100   Biopsy of shoulder joint          6.02         6.02    5.69     2.00    12.04
23101   Shoulder joint surgery            5.57         5.57    5.39     3.00    16.71
23107   Explore treat shoulder joint      8.61         8.61    7.39     2.00    17.22
23120   "Partial removal, collar bone"    7.10         7.10    6.48   136.00   965.60
23125   Removal of collar bone            9.38         9.38    7.63     2.00    18.76
23130   "Remove shoulder bone, part"      7.54         7.54    7.10    53.00   399.62
23140   Removal of bone lesion            6.88         6.88    5.41     6.00    41.28
23146   Removal of bone lesion            7.82         7.82    7.13     1.00     7.82
23170   Remove collar bone lesion         6.85         6.85    6.36     2.00    13.70



                                                 Page 24
                                                  CPT1


23180   Remove collar bone lesion         8.52         8.52    9.21    12.00     102.24
23182   Remove shoulder blade lesion      8.14         8.14    8.89     2.00      16.28
23200   Removal of collar bone           12.06        12.06    8.97     1.00      12.06
23210   Removal of shoulder blade        12.47        12.47    9.30     1.00      12.47
23330   Remove shoulder foreign body      1.85         1.85    1.98     6.00      11.10
23331   Remove shoulder foreign body      7.37         7.37    6.79     3.00      22.11
23350   Injection for shoulder x-ray      1.41         1.00    3.85     3.00       4.23
23395   "Muscle transfer,shoulder/arm"   16.82        16.82   12.74     2.00      33.64
23405   Incision of tendon & muscle       8.36         8.36    7.01     2.00      16.72
23410   "Repair rotator cuff, acute"     12.43        12.43    9.40    31.00     385.33
23412   "Repair rotator cuff, chronic"   13.29        13.29    9.90    63.00     837.27
23415   Release of shoulder ligament      9.96         9.96    7.97    22.00     219.12
23420   Repair of shoulder               13.28        13.28   10.78    37.00     491.36
23430   Repair biceps tendon              9.97         9.97    8.11     8.00      79.76
23440   Remove/transplant tendon         10.46        10.46    8.29     1.00      10.46
23450   Repair shoulder capsule          13.38        13.38    9.87    24.00     321.12
23455   Repair shoulder capsule          14.35        14.35   10.45    85.00   1,219.75
23460   Repair shoulder capsule          15.35        15.35   11.37     2.00      30.70
23465   Repair shoulder capsule          15.83        15.83   11.30    10.00     158.30
23466   Repair shoulder capsule          14.20        14.20   11.27    20.00     284.00
23470   Reconstruct shoulder joint       17.12        17.12   12.13     6.00     102.72
23472   Reconstruct shoulder joint       21.07        21.07   14.27     5.00     105.35
23480   Revision of collar bone          11.16        11.16    8.77     9.00     100.44
23485   Revision of collar bone          13.41        13.41    9.91     9.00     120.69
23500   Treat clavicle fracture           2.08         2.08    3.66   146.00     303.68
23505   Treat clavicle fracture           3.68         3.68    5.33    15.00      55.20
23515   Treat clavicle fracture           7.40         7.40    6.52    47.00     347.80
23520   Treat clavicle dislocation        2.16         2.16    3.65     2.00       4.32
23525   Treat clavicle dislocation        3.59         3.59    5.27     2.00       7.18
23530   Treat clavicle dislocation        7.30         7.30    6.03     2.00      14.60
23540   Treat clavicle dislocation        2.23         2.23    4.26    10.00      22.30
23545   Treat clavicle dislocation        3.25         3.25    4.50     5.00      16.25
23550   Treat clavicle dislocation        7.23         7.23    6.38    36.00     260.28
23552   Treat clavicle dislocation        8.44         8.44    7.26     7.00      59.08
23570   Treat shoulder blade fx           2.23         2.23    3.67     6.00      13.38
23575   Treat shoulder blade fx           4.05         4.05    5.76     3.00      12.15
23585   Treat scapula fracture            8.95         8.95    7.60     2.00      17.90



                                                 Page 25
                                                CPT1


23600   Treat humerus fracture          2.93         2.93    5.73    34.00    99.62
23605   Treat humerus fracture          4.86         4.86    6.59     7.00    34.02
23615   Treat humerus fracture          9.34         9.34    8.69    11.00   102.74
23620   Treat humerus fracture          2.40         2.40    5.20     7.00    16.80
23630   Treat humerus fracture          7.34         7.34    6.59     5.00    36.70
23650   Treat shoulder dislocation      3.38         3.38    4.69   125.00   422.50
23655   Treat shoulder dislocation      4.56         4.56    4.16    42.00   191.52
23660   Treat shoulder dislocation      7.48         7.48    6.36     1.00     7.48
23670   Treat dislocation/fracture      7.89         7.89    6.82     1.00     7.89
23675   Treat dislocation/fracture      6.04         6.04    7.56     1.00     6.04
23700   Fixation of shoulder            2.52         2.52    2.30    16.00    40.32
23800   Fusion of shoulder joint       14.14        14.14   10.46     2.00    28.28
23920   Amputation at shoulder joint   14.59        14.59   10.09     1.00    14.59
23929   Shoulder surgery procedure      0.00         0.00    0.00    55.00     0.00
23930   Drainage of arm lesion          2.94         2.94    2.71    21.00    61.74
23931   Drainage of arm bursa           1.79         1.79    2.43    16.00    28.64
23935   Drain arm/elbow bone lesion     6.08         6.08    6.13     3.00    18.24
24000   Exploratory elbow surgery       5.81         5.81    5.36     6.00    34.86
24065   Biopsy arm/elbow soft tissue    2.08         2.08    2.10    21.00    43.68
24066   Biopsy arm/elbow soft tissue    5.20         5.20    5.76     2.00    10.40
24075   Remove arm/elbow lesion         3.91         3.91    5.05    23.00    89.93
24076   Remove arm/elbow lesion         6.29         6.29    5.09     3.00    18.87
24101   Explore/treat elbow joint       6.12         6.12    5.86     9.00    55.08
24105   Removal of elbow bursa          3.60         3.60    4.35    20.00    72.00
24110   Remove humerus lesion           7.38         7.38    6.71     1.00     7.38
24115   Remove/graft bone lesion        9.62         9.62    7.35     1.00     9.62
24120   Remove elbow lesion             6.64         6.64    5.88     8.00    53.12
24125   Remove/graft bone lesion        7.88         7.88    6.18     1.00     7.88
24130   Removal of head of radius       6.24         6.24    5.95     4.00    24.96
24140   Partial removal of arm bone     9.17         9.17    9.49     2.00    18.34
24145   Partial removal of radius       7.57         7.57    8.15     1.00     7.57
24147   Partial removal of elbow        7.53         7.53    8.64     8.00    60.24
24149   Radical resection of elbow     14.18        14.18   11.41     2.00    28.36
24155   Removal of elbow joint         11.71        11.71    8.41     1.00    11.71
24160   Remove elbow joint implant      7.82         7.82    6.77     7.00    54.74
24200   Removal of arm foreign body     1.76         1.76    1.97    30.00    52.80
24201   Removal of arm foreign body     4.55         4.55    5.68     9.00    40.95



                                               Page 26
                                                CPT1


24220   Injection for elbow x-ray       1.86         1.31   10.32     1.00     1.86
24300   Manipulate elbow w/anesth       3.74         3.74    5.48     5.00    18.70
24301   Muscle/tendon transfer         10.18        10.18    8.18     2.00    20.36
24340   Repair of biceps tendon         7.88         7.88    6.91     2.00    15.76
24341   Repair arm tendon/muscle        7.89         7.89    7.75    16.00   126.24
24342   Repair of ruptured tendon      10.60        10.60    8.46    15.00   159.00
24346   Reconstruct elbow med ligmnt   13.98        13.98   11.17     2.00    27.96
24350   Repair of tennis elbow          5.24         5.24    5.52    63.00   330.12
24351   Repair of tennis elbow          5.90         5.90    5.86     9.00    53.10
24356   Revision of tennis elbow        6.67         6.67    6.26     7.00    46.69
24360   Reconstruct elbow joint        12.32        12.32    9.35     3.00    36.96
24363   Replace elbow joint            18.46        18.46   13.53     1.00    18.46
24366   Reconstruct head of radius      9.12         9.12    7.43     1.00     9.12
24430   Repair of humerus              12.79        12.79    9.75     3.00    38.37
24435   Repair humerus with graft      13.15        13.15   10.83     1.00    13.15
24500   Treat humerus fracture          3.21         3.21    5.40    34.00   109.14
24505   Treat humerus fracture          5.16         5.16    7.29    22.00   113.52
24515   Treat humerus fracture         11.63        11.63    9.34     4.00    46.52
24516   Treat humerus fracture         11.63        11.63    9.11     3.00    34.89
24530   Treat humerus fracture          3.49         3.49    5.39    46.00   160.54
24535   Treat humerus fracture          6.86         6.86    8.39     7.00    48.02
24538   Treat humerus fracture          9.42         9.42    8.69    17.00   160.14
24545   Treat humerus fracture         10.44        10.44    8.42     3.00    31.32
24546   Treat humerus fracture         15.67        15.67   11.31     1.00    15.67
24560   Treat humerus fracture          2.80         2.80    5.07     9.00    25.20
24575   Treat humerus fracture         10.64        10.64    8.30     5.00    53.20
24576   Treat humerus fracture          2.86         2.86    4.94     7.00    20.02
24577   Treat humerus fracture          5.78         5.78    7.56     2.00    11.56
24579   Treat humerus fracture         11.58        11.58    8.83     7.00    81.06
24582   Treat humerus fracture          8.54         8.54    9.01     1.00     8.54
24586   Treat elbow fracture           15.19        15.19   11.11     4.00    60.76
24600   Treat elbow dislocation         4.22         4.22    5.57    64.00   270.08
24605   Treat elbow dislocation         5.41         5.41    5.25     4.00    21.64
24620   Treat elbow fracture            6.97         6.97    6.11    84.00   585.48
24635   Treat elbow fracture           13.17        13.17   14.21     5.00    65.85
24640   Treat elbow dislocation         1.20         1.20    1.93   198.00   237.60
24650   Treat radius fracture           2.16         2.16    4.55    88.00   190.08



                                               Page 27
                                                 CPT1


24655   Treat radius fracture            4.39         4.39    6.76    14.00      61.46
24665   Treat radius fracture            8.13         8.13    7.48    14.00     113.82
24666   Treat radius fracture            9.48         9.48    8.05     1.00       9.48
24670   Treat ulnar fracture             2.54         2.54    4.44     9.00      22.86
24685   Treat ulnar fracture             8.79         8.79    7.52    30.00     263.70
24900   Amputation of upper arm          9.59         9.59    7.35     1.00       9.59
24925   Amputation follow-up surgery     7.06         7.06    6.27     1.00       7.06
24999   Upper arm/elbow surgery          0.00         0.00    0.00     5.00       0.00
25000   Incision of tendon sheath        3.37         3.37    6.95    50.00     168.50
25020   Decompress forearm 1 space       5.91         5.91    9.94     2.00      11.82
25023   Decompress forearm 1 space      12.94        12.94   15.45     2.00      25.88
25025   Decompress forearm 2 spaces     16.52        16.52   10.00     2.00      33.04
25028   Drainage of forearm lesion       5.24         5.24    8.48     6.00      31.44
25031   Drainage of forearm bursa        4.13         4.13    8.25     3.00      12.39
25040   Explore/treat wrist joint        7.17         7.17    7.34     5.00      35.85
25065   Biopsy forearm soft tissues      1.99         1.99    2.79    28.00      55.72
25066   Biopsy forearm soft tissues      4.12         4.12    7.24     3.00      12.36
25075   Removel forearm lesion subcu     3.73         3.73    6.13    32.00     119.36
25076   Removel forearm lesion deep      4.91         4.91    9.98     4.00      19.64
25077   "Remove tumor, forearm/wrist"    9.75         9.75   12.68     1.00       9.75
25085   Incision of wrist capsule        5.49         5.49    7.30     1.00       5.49
25101   Explore/treat wrist joint        4.68         4.68    5.96     6.00      28.08
25105   Remove wrist joint lining        5.84         5.84    7.48     3.00      17.52
25107   Remove wrist joint cartilage     6.42         6.42    8.41     6.00      38.52
25110   Remove wrist tendon lesion       3.91         3.91    7.26    17.00      66.47
25111   Remove wrist tendon lesion       3.38         3.38    4.83   465.00   1,571.70
25112   Reremove wrist tendon lesion     4.52         4.52    5.43    60.00     271.20
25115   Remove wrist/forearm lesion      8.81         8.81   14.44     3.00      26.43
25118   Excise wrist tendon sheath       4.36         4.36    5.88     8.00      34.88
25120   Removal of forearm lesion        6.09         6.09   12.44     2.00      12.18
25130   Removal of wrist lesion          5.25         5.25    6.51     9.00      47.25
25135   Remove & graft wrist lesion      6.88         6.88    7.53     1.00       6.88
25145   Remove forearm bone lesion       6.36         6.36   12.47     1.00       6.36
25150   Partial removal of ulna          7.08         7.08    8.41     1.00       7.08
25151   Partial removal of radius        7.38         7.38   13.08     1.00       7.38
25210   Removal of wrist bone            5.94         5.94    6.90     9.00      53.46
25215   Removal of wrist bones           7.88         7.88    8.89     7.00      55.16



                                                Page 28
                                                CPT1


25230   Partial removal of radius       5.22         5.22    6.22    3.00    15.66
25240   Partial removal of ulna         5.16         5.16    7.09    5.00    25.80
25246   Injection for wrist x-ray       2.04         1.45   10.05    3.00     6.12
25248   Remove forearm foreign body     5.13         5.13    8.75   12.00    61.56
25259   Manipulate wrist w/anesthes     3.74         3.74    5.48    1.00     3.74
25260   Repair forearm tendon/muscle    7.79         7.79   13.90    8.00    62.32
25270   Repair forearm tendon/muscle    5.99         5.99   12.60    1.00     5.99
25275   Repair forearm tendon sheath    8.49         8.49    7.47    7.00    59.43
25280   Revise wrist/forearm tendon     7.21         7.21   13.03    1.00     7.21
25290   Incise wrist/forearm tendon     5.28         5.28   15.53    4.00    21.12
25295   Release wrist/forearm tendon    6.54         6.54   12.59   16.00   104.64
25301   Fusion of tendons at wrist      8.39         8.39    8.16    1.00     8.39
25310   Transplant forearm tendon       8.13         8.13   13.44    2.00    16.26
25312   Transplant forearm tendon       9.56         9.56   14.32    1.00     9.56
25320   Repair/revise wrist joint      10.75        10.75   11.21   22.00   236.50
25332   Revise wrist joint             11.39        11.39    9.06    4.00    45.56
25337   Reconstruct ulna/radioulnar    10.15        10.15   11.07    7.00    71.05
25350   Revision of radius              8.77         8.77   14.28    5.00    43.85
25360   Revision of ulna                8.42         8.42   14.17    4.00    33.68
25390   Shorten radius or ulna         10.38        10.38   14.91    5.00    51.90
25400   Repair radius or ulna          10.90        10.90   15.49    9.00    98.10
25405   Repair/graft radius or ulna    14.36        14.36   17.58   10.00   143.60
25415   Repair radius & ulna           13.33        13.33   16.81    2.00    26.66
25420   Repair/graft radius & ulna     16.31        16.31   18.56    1.00    16.31
25431   Repair nonunion carpal bone    10.42        10.42    8.23    3.00    31.26
25440   Repair/graft wrist bone        10.42        10.42    9.41   38.00   395.96
25445   Reconstruct wrist joint         9.68         9.68    7.87    2.00    19.36
25447   Repair wrist joint(s)          10.35        10.35    8.54   12.00   124.20
25449   Remove wrist joint implant     14.47        14.47   10.57    2.00    28.94
25490   Reinforce radius                9.53         9.53   14.03    2.00    19.06
25500   Treat fracture of radius        2.45         2.45    3.99   53.00   129.85
25505   Treat fracture of radius        5.20         5.20    7.22   37.00   192.40
25515   Treat fracture of radius        9.17         9.17    7.47   13.00   119.21
25520   Treat fracture of radius        6.25         6.25    7.44    9.00    56.25
25525   Treat fracture of radius       12.22        12.22    9.94    1.00    12.22
25526   Treat fracture of radius       12.96        12.96   13.59    5.00    64.80
25530   Treat fracture of ulna          2.09         2.09    4.14   27.00    56.43



                                               Page 29
                                                 CPT1


25535   Treat fracture of ulna           5.13         5.13    6.85     7.00      35.91
25545   Treat fracture of ulna           8.89         8.89    7.65    11.00      97.79
25560   Treat fracture radius & ulna     2.44         2.44    4.04   263.00     641.72
25565   Treat fracture radius & ulna     5.62         5.62    7.35    84.00     472.08
25574   Treat fracture radius & ulna     7.00         7.00    7.13     5.00      35.00
25575   Treat fracture radius/ulna      10.43        10.43    9.39    10.00     104.30
25600   Treat fracture radius/ulna       2.63         2.63    4.47   820.00   2,156.60
25605   Treat fracture radius/ulna       5.80         5.80    8.03   117.00     678.60
25611   Treat fracture radius/ulna       7.76         7.76    8.84    59.00     457.84
25620   Treat fracture radius/ulna       8.54         8.54    7.28   103.00     879.62
25622   Treat wrist bone fracture        2.61         2.61    4.64   110.00     287.10
25624   Treat wrist bone fracture        4.52         4.52    6.98    11.00      49.72
25628   Treat wrist bone fracture        8.42         8.42    7.81    74.00     623.08
25630   Treat wrist bone fracture        2.88         2.88    4.57    28.00      80.64
25635   Treat wrist bone fracture        4.38         4.38    6.75     7.00      30.66
25650   Treat wrist bone fracture        3.05         3.05    4.83    17.00      51.85
25652   Treat fracture ulnar styloid     7.59         7.59    6.85     3.00      22.77
25660   Treat wrist dislocation          4.75         4.75    4.66     1.00       4.75
25670   Treat wrist dislocation          7.91         7.91    7.08     1.00       7.91
25671   Pin radioulnar dislocation       5.99         5.99    5.98     1.00       5.99
25675   Treat wrist dislocation          4.66         4.66    6.49     5.00      23.30
25676   Treat wrist dislocation          8.03         8.03    7.32     1.00       8.03
25680   Treat wrist fracture             5.98         5.98    4.75    64.00     382.72
25685   Treat wrist fracture             9.77         9.77    7.87     2.00      19.54
25690   Treat wrist dislocation          5.49         5.49    5.39     1.00       5.49
25695   Treat wrist dislocation          8.33         8.33    7.19     1.00       8.33
25800   Fusion of wrist joint            9.75         9.75    9.10     8.00      78.00
25810   Fusion/graft of wrist joint     10.55        10.55    9.88    11.00     116.05
25820   Fusion of hand bones             7.44         7.44    7.88     5.00      37.20
25825   Fuse hand bones with graft       9.26         9.26    9.22     7.00      64.82
25830   "Fusion, radioulnar jnt/ulna"   10.04        10.04   14.69     5.00      50.20
25905   Amputation of forearm            9.11         9.11   12.82     1.00       9.11
25907   Amputation follow-up surgery     7.79         7.79   12.21     1.00       7.79
25909   Amputation follow-up surgery     8.95         8.95   12.76     1.00       8.95
25915   Amputation of forearm           17.05        17.05   19.51     1.00      17.05
25920   Amputate hand at wrist           8.67         8.67    8.00     1.00       8.67
25929   Amputation follow-up surgery     7.58         7.58    6.06     2.00      15.16



                                                Page 30
                                                  CPT1


25931   Amputation follow-up surgery      7.80         7.80   12.06     1.00     7.80
25999   Forearm or wrist surgery          0.00         0.00    0.00    14.00     0.00
26010   Drainage of finger abscess        1.54         1.54    5.67    94.00   144.76
26011   Drainage of finger abscess        2.19         2.19    9.08    18.00    39.42
26020   Drain hand tendon sheath          4.66         4.66    5.57    10.00    46.60
26034   Treat hand bone lesion            6.22         6.22    6.27     7.00    43.54
26035   Decompress fingers/hand           9.50         9.50    8.10     2.00    19.00
26040   Release palm contracture          3.33         3.33    3.99     9.00    29.97
26045   Release palm contracture          5.55         5.55    5.56     9.00    49.95
26055   Incise finger tendon sheath       2.69         2.69   14.54   278.00   747.82
26060   Incision of finger tendon         2.81         2.81    3.45     4.00    11.24
26070   Explore/treat hand joint          3.68         3.68    3.36    27.00    99.36
26075   Explore/treat finger joint        3.78         3.78    3.76    25.00    94.50
26080   Explore/treat finger joint        4.23         4.23    4.78    14.00    59.22
26100   Biopsy hand joint lining          3.66         3.66    4.10     3.00    10.98
26105   Biopsy finger joint lining        3.70         3.70    4.17     4.00    14.80
26110   Biopsy finger joint lining        3.52         3.52    3.98     9.00    31.68
26115   Removel hand lesion subcut        3.85         3.85   13.33    67.00   257.95
26116   "Removel hand lesion, deep"       5.52         5.52    5.92    27.00   149.04
26121   Release palm contracture          7.53         7.53    6.90     5.00    37.65
26123   Release palm contracture          9.28         9.28    8.74    30.00   278.40
26130   Remove wrist joint lining         5.41         5.41    5.30     1.00     5.41
26145   "Tendon excision, palm/finger"    6.31         6.31    5.98     5.00    31.55
26160   Remove tendon sheath lesion       3.15         3.15   12.69   192.00   604.80
26180   Removal of finger tendon          5.17         5.17    5.35     4.00    20.68
26185   Remove finger bone                5.24         5.24    5.91     2.00    10.48
26200   Remove hand bone lesion           5.50         5.50    5.29    11.00    60.50
26210   Removal of finger lesion          5.14         5.14    5.36    19.00    97.66
26215   Remove/graft finger lesion        7.09         7.09    6.26     2.00    14.18
26230   Partial removal of hand bone      6.32         6.32    5.85     3.00    18.96
26235   "Partial removal, finger bone"    6.18         6.18    5.75     1.00     6.18
26236   "Partial removal, finger bone"    5.31         5.31    5.28     2.00    10.62
26250   Extensive hand surgery            7.54         7.54    6.38     1.00     7.54
26255   Extensive hand surgery           12.41        12.41    9.35     1.00    12.41
26260   Extensive finger surgery          7.02         7.02    6.14     1.00     7.02
26320   Removal of implant from hand      3.97         3.97    4.25     7.00    27.79
26340   Manipulate finger w/anesth        2.50         2.50    4.74     8.00    20.00



                                                 Page 31
                                                 CPT1


26350   Repair finger/hand tendon        5.98           5.98   15.49   14.00    83.72
26352   Repair/graft hand tendon         7.67           7.67   16.08    2.00    15.34
26356   Repair finger/hand tendon        8.06           8.06   18.91   20.00   161.20
26357   Repair finger/hand tendon        8.57           8.57   16.53    3.00    25.71
26358   Repair/graft hand tendon         9.13           9.13   17.43    1.00     9.13
26370   Repair finger/hand tendon        7.10           7.10   15.95   16.00   113.60
26372   Repair/graft hand tendon         8.75           8.75   17.32    2.00    17.50
26373   Repair finger/hand tendon        8.15           8.15   16.87    3.00    24.45
26390   Revise hand/finger tendon        9.18           9.18   13.92    1.00     9.18
26410   Repair hand tendon               4.62           4.62   12.59   13.00    60.06
26415   "Excision, hand/finger tendon"   8.33           8.33   12.28    2.00    16.66
26418   Repair finger tendon             4.24           4.24   12.95   34.00   144.16
26420   Repair/graft finger tendon       6.76           6.76   14.26    2.00    13.52
26426   Repair finger/hand tendon        6.14           6.14   13.78    9.00    55.26
26428   Repair/graft finger tendon       7.20           7.20   14.58    1.00     7.20
26432   Repair finger tendon             4.01           4.01   10.69   12.00    48.12
26433   Repair finger tendon             4.55           4.55   11.37    5.00    22.75
26440   Release palm/finger tendon       5.01           5.01   14.18   14.00    70.14
26445   Release hand/finger tendon       4.30           4.30   13.93   21.00    90.30
26449   Release forearm/hand tendon      6.99           6.99   16.39    1.00     6.99
26450   Incision of palm tendon          3.66           3.66    7.58    1.00     3.66
26455   Incision of finger tendon        3.63           3.63    7.50    1.00     3.63
26471   Fusion of finger tendons         5.72           5.72   11.65    2.00    11.44
26474   Fusion of finger tendons         5.31           5.31   11.84    1.00     5.31
26480   Transplant hand tendon           6.68           6.68   15.68    1.00     6.68
26483   Transplant/graft hand tendon     8.28           8.28   16.12    6.00    49.68
26489   Transplant/graft palm tendon     9.54           9.54   12.54    1.00     9.54
26490   Revise thumb tendon              8.40           8.40   13.16    3.00    25.20
26496   Revise thumb tendon              9.58           9.58   13.61    1.00     9.58
26497   Finger tendon transfer           9.56           9.56   13.96    2.00    19.12
26499   Revision of finger               8.97           8.97   13.50    3.00    26.91
26500   Hand tendon reconstruction       5.95           5.95   12.12    5.00    29.75
26502   Hand tendon reconstruction       7.13           7.13   12.58    2.00    14.26
26508   Release thumb contracture        6.00           6.00   12.11    5.00    30.00
26510   Thumb tendon transfer            5.42           5.42   11.79    3.00    16.26
26516   Fusion of knuckle joint          7.14           7.14   12.65    1.00     7.14
26520   Release knuckle contracture      5.29           5.29   14.63    6.00    31.74



                                                Page 32
                                                CPT1


26525   Release finger contracture      5.32         5.32   14.74     5.00    26.60
26530   Revise knuckle joint            6.68         6.68    6.02     9.00    60.12
26531   Revise knuckle with implant     7.90         7.90    6.99     5.00    39.50
26535   Revise finger joint             5.23         5.23    3.69    20.00   104.60
26536   Revise/implant finger joint     6.36         6.36    9.74     2.00    12.72
26540   Repair hand joint               6.42         6.42   12.35    41.00   263.22
26541   Repair hand joint with graft    8.61         8.61   13.83    23.00   198.03
26542   Repair hand joint with graft    6.77         6.77   12.39     3.00    20.31
26545   Reconstruct finger joint        6.91         6.91   12.79     4.00    27.64
26546   Repair nonunion hand            8.91         8.91   15.20    12.00   106.92
26548   Reconstruct finger joint        8.02         8.02   13.39     9.00    72.18
26550   Construct thumb replacement    21.21        21.21   18.16     2.00    42.42
26555   Positional change of finger    16.61        16.61   18.67     1.00    16.61
26560   Repair of web finger            5.37         5.37   10.28     3.00    16.11
26561   Repair of web finger           10.90        10.90   12.93     2.00    21.80
26565   Correct metacarpal flaw         6.73         6.73   12.46     4.00    26.92
26567   Correct finger deformity        6.81         6.81   12.39     2.00    13.62
26568   Lengthen metacarpal/finger      9.07         9.07   16.09     2.00    18.14
26580   Repair hand deformity          18.15        18.15   13.98     1.00    18.15
26587   Reconstruct extra finger       14.03        14.03    9.05     6.00    84.18
26590   Repair finger deformity        17.93        17.93   14.40     1.00    17.93
26596   Excision constricting tissue    8.94         8.94    9.01     3.00    26.82
26600   Treat metacarpal fracture       1.96         1.96    4.08   500.00   980.00
26605   Treat metacarpal fracture       2.85         2.85    5.25   204.00   581.40
26607   Treat metacarpal fracture       5.35         5.35    6.35    15.00    80.25
26608   Treat metacarpal fracture       5.35         5.35    6.35    60.00   321.00
26615   Treat metacarpal fracture       5.32         5.32    5.53    76.00   404.32
26641   Treat thumb dislocation         3.93         3.93    5.40    12.00    47.16
26645   Treat thumb fracture            4.40         4.40    6.10     6.00    26.40
26650   Treat thumb fracture            5.71         5.71    6.76    14.00    79.94
26665   Treat thumb fracture            7.59         7.59    6.80    14.00   106.26
26670   Treat hand dislocation          3.68         3.68    4.89    13.00    47.84
26675   Treat hand dislocation          4.63         4.63    6.23     2.00     9.26
26676   Pin hand dislocation            5.51         5.51    6.79     5.00    27.55
26685   Treat hand dislocation          6.97         6.97    6.26     2.00    13.94
26686   Treat hand dislocation          7.93         7.93    7.03     2.00    15.86
26700   Treat knuckle dislocation       3.68         3.68    4.65    26.00    95.68



                                               Page 33
                                                 CPT1


26705   Treat knuckle dislocation        4.18         4.18    6.03     7.00    29.26
26706   Pin knuckle dislocation          5.11         5.11    5.09     1.00     5.11
26715   Treat knuckle dislocation        5.73         5.73    5.71     4.00    22.92
26720   "Treat finger fracture, each"    1.66         1.66    3.89   412.00   683.92
26725   "Treat finger fracture, each"    3.33         3.33    6.09    96.00   319.68
26727   "Treat finger fracture, each"    5.22         5.22    6.40    29.00   151.38
26735   "Treat finger fracture, each"    5.97         5.97    5.86    43.00   256.71
26740   "Treat finger fracture, each"    1.94         1.94    3.56    45.00    87.30
26742   "Treat finger fracture, each"    3.84         3.84    5.81    11.00    42.24
26746   "Treat finger fracture, each"    5.80         5.80    5.91    18.00   104.40
26750   "Treat finger fracture, each"    1.70         1.70    3.14   166.00   282.20
26755   "Treat finger fracture, each"    3.10         3.10    4.81    14.00    43.40
26756   "Pin finger fracture, each"      4.38         4.38    6.04    21.00    91.98
26765   "Treat finger fracture, each"    4.16         4.16    4.78    18.00    74.88
26770   Treat finger dislocation         3.02         3.02    4.40    62.00   187.24
26775   Treat finger dislocation         3.70         3.70    5.85     9.00    33.30
26776   Pin finger dislocation           4.79         4.79    6.21     4.00    19.16
26785   Treat finger dislocation         4.20         4.20    4.81     5.00    21.00
26841   Fusion of thumb                  7.12         7.12   13.53     4.00    28.48
26842   Thumb fusion with graft          8.23         8.23   13.71     3.00    24.69
26843   Fusion of hand joint             7.60         7.60   12.68     3.00    22.80
26844   Fusion/graft of hand joint       8.72         8.72   13.68     2.00    17.44
26850   Fusion of knuckle                6.96         6.96   12.56    14.00    97.44
26852   Fusion of knuckle with graft     8.45         8.45   13.25     3.00    25.35
26860   Fusion of finger joint           4.68         4.68   11.55    34.00   159.12
26862   Fusion/graft of finger joint     7.36         7.36   12.75     4.00    29.44
26863   Fuse/graft added joint           3.89         3.89    2.12     1.00     3.89
26910   Amputate metacarpal bone         7.59         7.59   11.70     3.00    22.77
26951   Amputation of finger/thumb       4.58         4.58   10.62    24.00   109.92
26952   Amputation of finger/thumb       6.30         6.30   12.23     8.00    50.40
26989   Hand/finger surgery              0.00         0.00    0.00    17.00     0.00
26990   Drainage of pelvis lesion        7.47         7.47    7.63    13.00    97.11
27025   Incision of hip/thigh fascia    11.14        11.14    8.60     2.00    22.28
27030   Drainage of hip joint           12.99        12.99    9.66     1.00    12.99
27033   Exploration of hip joint        13.37        13.37    9.93     5.00    66.85
27036   Excision of hip joint/muscle    12.86        12.86   10.03     3.00    38.58
27040   Biopsy of soft tissues           2.87         2.87    2.62    11.00    31.57



                                                Page 34
                                                CPT1


27041   Biopsy of soft tissues          9.88         9.88    6.73     6.00    59.28
27047   Remove hip/pelvis lesion        7.44         7.44    6.55     6.00    44.64
27048   Remove hip/pelvis lesion        6.24         6.24    5.04     2.00    12.48
27049   "Remove tumor, hip/pelvis"     13.64        13.64    8.81     1.00    13.64
27052   Biopsy of hip joint             6.22         6.22    5.89     1.00     6.22
27062   Remove femur lesion/bursa       5.36         5.36    5.22     4.00    21.44
27065   Removal of hip bone lesion      5.89         5.89    5.54     5.00    29.45
27066   Removal of hip bone lesion     10.31        10.31    8.51     3.00    30.93
27070   Partial removal of hip bone    10.70        10.70    9.78     3.00    32.10
27071   Partial removal of hip bone    11.44        11.44   10.75     2.00    22.88
27080   Removal of tail bone            6.38         6.38    5.08     2.00    12.76
27086   Remove hip foreign body         1.87         1.87    2.01     4.00     7.48
27090   Removal of hip prosthesis      11.13        11.13    8.65     1.00    11.13
27093   Injection for hip x-ray         1.90         1.30   12.21     4.00     7.60
27095   Injection for hip x-ray         2.13         1.50   10.76     4.00     8.52
27096   Inject sacroiliac joint         1.40         1.40    9.35   109.00   152.60
27097   Revision of hip tendon          8.79         8.79    6.47     1.00     8.79
27120   Reconstruction of hip socket   17.98        17.98   11.74     1.00    17.98
27122   Reconstruction of hip socket   14.96        14.96   10.91     1.00    14.96
27125   Partial hip replacement        14.67        14.67   10.49     8.00   117.36
27130   Total hip arthroplasty         20.09        20.09   13.21    31.00   622.79
27132   Total hip arthroplasty         23.27        23.27   15.48     2.00    46.54
27134   Revise hip joint replacement   28.48        28.48   17.69     4.00   113.92
27137   Revise hip joint replacement   21.14        21.14   13.82     2.00    42.28
27138   Revise hip joint replacement   22.14        22.14   14.28     1.00    22.14
27140   Transplant femur ridge         12.22        12.22    9.41     1.00    12.22
27146   Incision of hip bone           17.40        17.40   12.27     3.00    52.20
27151   Incision of hip bones          22.48        22.48    8.21     2.00    44.96
27156   Revision of hip bones          24.59        24.59   16.10     1.00    24.59
27165   Incision/fixation of femur     17.88        17.88   12.85     2.00    35.76
27170   Repair/graft femur head/neck   16.05        16.05   11.30     1.00    16.05
27176   Treat slipped epiphysis        12.03        12.03    8.98     1.00    12.03
27177   Treat slipped epiphysis        15.06        15.06   10.83     2.00    30.12
27185   Revision of femur epiphysis     9.17         9.17    7.58     1.00     9.17
27187   Reinforce hip bones            13.52        13.52   10.33     1.00    13.52
27193   Treat pelvic ring fracture      5.55         5.55    7.10     8.00    44.40
27194   Treat pelvic ring fracture      9.64         9.64    8.75     1.00     9.64



                                               Page 35
                                                  CPT1


27215   Treat pelvic fracture(s)         10.03        10.03    7.17    1.00    10.03
27216   Treat pelvic ring fracture       15.17        15.17    9.72    1.00    15.17
27230   Treat thigh fracture              5.49         5.49    6.51   15.00    82.35
27232   Treat thigh fracture             10.66        10.66    7.18    2.00    21.32
27235   Treat thigh fracture             12.14        12.14    9.39   11.00   133.54
27236   Treat thigh fracture             15.58        15.58   10.93    9.00   140.22
27238   Treat thigh fracture              5.51         5.51    5.09    1.00     5.51
27244   Treat thigh fracture             15.92        15.92   11.26    5.00    79.60
27245   Treat thigh fracture             20.28        20.28   13.70    2.00    40.56
27248   Treat thigh fracture             10.43        10.43    8.19    1.00    10.43
27250   Treat hip dislocation             6.94         6.94    4.77    1.00     6.94
27257   Treat hip dislocation             5.21         5.21    2.88    1.00     5.21
27266   Treat hip dislocation             7.48         7.48    6.27    3.00    22.44
27275   Manipulation of hip joint         2.27         2.27    2.13    1.00     2.27
27299   Pelvis/hip joint surgery          0.00         0.00    0.00    9.00     0.00
27301   Drain thigh/knee lesion           6.48         6.48    7.34   34.00   220.32
27303   Drainage of bone lesion           8.27         8.27    7.24    3.00    24.81
27305   Incise thigh tendon & fascia      5.91         5.91    5.36    4.00    23.64
27307   Incision of thigh tendons         5.79         5.79    5.52    1.00     5.79
27310   Exploration of knee joint         9.26         9.26    7.54   15.00   138.90
27315   "Partial removal, thigh nerve"    6.96         6.96    4.83    1.00     6.96
27323   "Biopsy, thigh soft tissues"      2.28         2.28    2.19   12.00    27.36
27324   "Biopsy, thigh soft tissues"      4.89         4.89    4.35   15.00    73.35
27327   Removal of thigh lesion           4.46         4.46    5.34   18.00    80.28
27328   Removal of thigh lesion           5.56         5.56    4.57   13.00    72.28
27330   "Biopsy, knee joint lining"       4.96         4.96    4.61    4.00    19.84
27331   Explore/treat knee joint          5.87         5.87    5.51   13.00    76.31
27332   Removal of knee cartilage         8.26         8.26    7.08   26.00   214.76
27333   Removal of knee cartilage         7.29         7.29    6.60    1.00     7.29
27334   Remove knee joint lining          8.69         8.69    7.38    2.00    17.38
27340   Removal of kneecap bursa          4.17         4.17    4.53   14.00    58.38
27345   Removal of knee cyst              5.91         5.91    5.61    9.00    53.19
27347   Remove knee cyst                  5.77         5.77    5.42   15.00    86.55
27350   Removal of kneecap                8.16         8.16    7.19    6.00    48.96
27355   Remove femur lesion               7.64         7.64    6.81   11.00    84.04
27357   Remove femur lesion/graft        10.51        10.51    8.70    2.00    21.02
27360   "Partial removal, leg bone(s)"   10.48        10.48    9.95   11.00   115.28



                                                 Page 36
                                                CPT1


27365   Extensive leg surgery          16.25        16.25   11.67     2.00      32.50
27370   Injection for knee x-ray        1.37         0.96   12.01     2.00       2.74
27372   Removal of foreign body         5.06         5.06    6.00    19.00      96.14
27380   Repair of kneecap tendon        7.15         7.15    7.25    24.00     171.60
27381   Repair/graft kneecap tendon    10.32        10.32    9.05     2.00      20.64
27385   Repair of thigh muscle          7.75         7.75    7.59     1.00       7.75
27390   Incision of thigh tendon        5.32         5.32    5.26     1.00       5.32
27393   Lengthening of thigh tendon     6.38         6.38    5.85     1.00       6.38
27394   Lengthening of thigh tendons    8.49         8.49    7.28     1.00       8.49
27395   Lengthening of thigh tendons   11.71        11.71    9.38     1.00      11.71
27396   Transplant of thigh tendon      7.85         7.85    7.07     7.00      54.95
27400   Revise thigh muscles/tendons    9.01         9.01    7.34     1.00       9.01
27403   Repair of knee cartilage        8.32         8.32    7.14    18.00     149.76
27405   Repair of knee ligament         8.64         8.64    7.46    14.00     120.96
27407   Repair of knee ligament        10.26        10.26    8.30   160.00   1,641.60
27409   Repair of knee ligaments       12.88        12.88    9.91    13.00     167.44
27418   Repair degenerated kneecap     10.83        10.83    8.85    10.00     108.30
27420   Revision of unstable kneecap    9.82         9.82    8.05     8.00      78.56
27422   Revision of unstable kneecap    9.77         9.77    8.07     7.00      68.39
27424   Revision/removal of kneecap     9.80         9.80    8.04     2.00      19.60
27425   Lat retinacular release open    5.21         5.21    5.49    13.00      67.73
27427   "Reconstruction, knee"          9.35         9.35    7.74    31.00     289.85
27428   "Reconstruction, knee"         13.98        13.98   11.10    26.00     363.48
27429   "Reconstruction, knee"         15.50        15.50   12.34     1.00      15.50
27430   Revision of thigh muscles       9.66         9.66    7.96     6.00      57.96
27435   Incision of knee joint          9.48         9.48    8.36     1.00       9.48
27437   Revise kneecap                  8.45         8.45    7.11     5.00      42.25
27438   Revise kneecap with implant    11.21        11.21    8.43     2.00      22.42
27440   Revision of knee joint         10.41        10.41    5.97     1.00      10.41
27441   Revision of knee joint         10.80        10.80    6.65     2.00      21.60
27442   Revision of knee joint         11.87        11.87    8.80     3.00      35.61
27443   Revision of knee joint         10.91        10.91    8.59     2.00      21.82
27445   Revision of knee joint         17.65        17.65   12.23     6.00     105.90
27446   Revision of knee joint         15.82        15.82   11.15     5.00      79.10
27447   Total knee arthroplasty        21.45        21.45   14.46    72.00   1,544.40
27448   Incision of thigh              11.04        11.04    8.65     1.00      11.04
27450   Incision of thigh              13.96        13.96   10.59     4.00      55.84



                                               Page 37
                                               CPT1


27454   Realignment of thigh bone     17.53        17.53   12.50    1.00    17.53
27455   Realignment of knee           12.80        12.80    9.87   14.00   179.20
27457   Realignment of knee           13.43        13.43    9.91    3.00    40.29
27465   Shortening of thigh bone      13.85        13.85   10.34    4.00    55.40
27466   Lengthening of thigh bone     16.31        16.31   11.87    1.00    16.31
27470   Repair of thigh               16.05        16.05   11.83    2.00    32.10
27477   Surgery to stop leg growth     9.84         9.84    7.73    1.00     9.84
27485   Surgery to stop leg growth     8.83         8.83    7.38    1.00     8.83
27486   Revise/replace knee joint     19.24        19.24   13.34    4.00    76.96
27487   Revise/replace knee joint     25.23        25.23   16.41    4.00   100.92
27488   Removal of knee prosthesis    15.72        15.72   11.54    1.00    15.72
27496   Decompression of thigh/knee    6.10         6.10    5.72    1.00     6.10
27497   Decompression of thigh/knee    7.16         7.16    5.66    1.00     7.16
27498   Decompression of thigh/knee    7.98         7.98    6.11    5.00    39.90
27500   Treatment of thigh fracture    5.91         5.91    7.01    5.00    29.55
27501   Treatment of thigh fracture    5.91         5.91    7.57    1.00     5.91
27502   Treatment of thigh fracture   10.56        10.56    8.10   22.00   232.32
27503   Treatment of thigh fracture   10.56        10.56    8.26    3.00    31.68
27506   Treatment of thigh fracture   17.42        17.42   12.70    3.00    52.26
27508   Treatment of thigh fracture    5.82         5.82    6.97    2.00    11.64
27509   Treatment of thigh fracture    7.70         7.70    7.90    2.00    15.40
27510   Treatment of thigh fracture    9.12         9.12    7.17    1.00     9.12
27511   Treatment of thigh fracture   13.62        13.62   11.19    1.00    13.62
27514   Treatment of thigh fracture   17.27        17.27   13.29    2.00    34.54
27516   Treat thigh fx growth plate    5.36         5.36    7.27    1.00     5.36
27517   Treat thigh fx growth plate    8.77         8.77    8.89    2.00    17.54
27520   Treat kneecap fracture         2.86         2.86    5.22   15.00    42.90
27524   Treat kneecap fracture         9.99         9.99    8.14   13.00   129.87
27530   Treat knee fracture            3.77         3.77    5.88   25.00    94.25
27532   Treat knee fracture            7.29         7.29    7.82    3.00    21.87
27535   Treat knee fracture           11.48        11.48   10.09   14.00   160.72
27536   Treat knee fracture           15.63        15.63   11.48    1.00    15.63
27538   Treat knee fracture(s)         4.86         4.86    7.07    1.00     4.86
27540   Treat knee fracture           13.08        13.08    9.46    1.00    13.08
27550   Treat knee dislocation         5.75         5.75    6.57    6.00    34.50
27552   Treat knee dislocation         7.89         7.89    6.86    3.00    23.67
27557   Treat knee dislocation        16.74        16.74   13.12    1.00    16.74



                                              Page 38
                                                CPT1


27558   Treat knee dislocation         17.69        17.69   13.08     1.00      17.69
27560   Treat kneecap dislocation       3.81         3.81    5.58    23.00      87.63
27566   Treat kneecap dislocation      12.21        12.21    9.26     1.00      12.21
27570   Fixation of knee joint          1.74         1.74    1.81    25.00      43.50
27580   Fusion of knee                 19.34        19.34   14.75     1.00      19.34
27590   Amputate leg at thigh          12.01        12.01    7.10     6.00      72.06
27594   Amputation follow-up surgery    6.91         6.91    5.45     1.00       6.91
27598   Amputate lower leg at knee     10.51        10.51    7.32     1.00      10.51
27599   Leg surgery procedure           0.00         0.00    0.00    16.00       0.00
27600   Decompression of lower leg      5.64         5.64    4.75    61.00     344.04
27601   Decompression of lower leg      5.63         5.63    5.04     3.00      16.89
27602   Decompression of lower leg      7.34         7.34    5.33    33.00     242.22
27603   Drain lower leg lesion          4.93         4.93   10.64    29.00     142.97
27604   Drain lower leg bursa           4.46         4.46    8.58    10.00      44.60
27605   Incision of achilles tendon     2.87         2.87    8.80     7.00      20.09
27606   Incision of achilles tendon     4.13         4.13   10.03     8.00      33.04
27607   Treat lower leg bone lesion     7.96         7.96    6.58     4.00      31.84
27610   Explore/treat ankle joint       8.33         8.33    7.06     6.00      49.98
27612   Exploration of ankle joint      7.32         7.32    6.12    12.00      87.84
27613   Biopsy lower leg soft tissue    2.17         2.17    3.77    39.00      84.63
27614   Biopsy lower leg soft tissue    5.65         5.65    8.78     5.00      28.25
27618   Remove lower leg lesion         5.08         5.08    9.10    14.00      71.12
27619   Remove lower leg lesion         8.39         8.39   10.62     3.00      25.17
27620   Explore/treat ankle joint       5.97         5.97    5.50    19.00     113.43
27625   Remove ankle joint lining       8.29         8.29    6.54     1.00       8.29
27626   Remove ankle joint lining       8.90         8.90    7.00     3.00      26.70
27630   Removal of tendon lesion        4.79         4.79    8.99    28.00     134.12
27635   Remove lower leg bone lesion    7.77         7.77    6.84    18.00     139.86
27637   Remove/graft leg bone lesion    9.84         9.84    8.35     4.00      39.36
27640   Partial removal of tibia       11.35        11.35   10.81    14.00     158.90
27641   Partial removal of fibula       9.23         9.23    8.83     8.00      73.84
27646   Extensive lower leg surgery    12.64        12.64   11.34     1.00      12.64
27647   Extensive ankle/heel surgery   12.22        12.22    7.85     1.00      12.22
27648   Injection for ankle x-ray       1.36         0.96    9.45     2.00       2.72
27650   Repair achilles tendon          9.68         9.68    7.51   154.00   1,490.72
27652   Repair/graft achilles tendon   10.31        10.31    8.01     3.00      30.93
27654   Repair of achilles tendon      10.00        10.00    7.23     4.00      40.00



                                               Page 39
                                                 CPT1


27656   Repair leg fascia defect         4.56         4.56    9.93    14.00    63.84
27664   "Repair of leg tendon, each"     4.58         4.58   11.26     3.00    13.74
27675   Repair lower leg tendons         7.17         7.17    5.79    22.00   157.74
27676   Repair lower leg tendons         8.41         8.41    6.77    10.00    84.10
27680   Release of lower leg tendon      5.73         5.73    5.19     4.00    22.92
27685   Revision of lower leg tendon     6.49         6.49    8.11    13.00    84.37
27686   Revise lower leg tendons         7.45         7.45   12.57     4.00    29.80
27687   Revision of calf tendon          6.23         6.23    5.42    15.00    93.45
27690   Revise lower leg tendon          8.70         8.70    6.45     4.00    34.80
27691   Revise lower leg tendon          9.95         9.95    7.81    12.00   119.40
27695   Repair of ankle ligament         6.50         6.50    5.92    77.00   500.50
27696   Repair of ankle ligaments        8.26         8.26    6.50    22.00   181.72
27698   Repair of ankle ligament         9.35         9.35    6.98    56.00   523.60
27700   Revision of ankle joint          9.28         9.28    5.62    54.00   501.12
27702   Reconstruct ankle joint         13.65        13.65   10.32     4.00    54.60
27703   "Reconstruction, ankle joint"   15.85        15.85   11.09     1.00    15.85
27704   Removal of ankle implant         7.61         7.61    5.52    14.00   106.54
27705   Incision of tibia               10.36        10.36    8.23     7.00    72.52
27707   Incision of fibula               4.36         4.36    5.01     2.00     8.72
27709   Incision of tibia & fibula       9.94         9.94    8.16     2.00    19.88
27720   Repair of tibia                 11.77        11.77    9.45     4.00    47.08
27722   Repair/graft of tibia           11.80        11.80    9.21     2.00    23.60
27724   Repair/graft of tibia           18.17        18.17   12.45     3.00    54.51
27725   Repair of lower leg             15.57        15.57   11.88     2.00    31.14
27745   Reinforce tibia                 10.05        10.05    8.21     3.00    30.15
27750   Treatment of tibia fracture      3.19         3.19    5.37    79.00   252.01
27752   Treatment of tibia fracture      5.83         5.83    7.38   122.00   711.26
27756   Treatment of tibia fracture      6.77         6.77    6.52     8.00    54.16
27758   Treatment of tibia fracture     11.65        11.65    9.19    13.00   151.45
27759   Treatment of tibia fracture     13.74        13.74   10.32    16.00   219.84
27760   Treatment of ankle fracture      3.01         3.01    5.25    55.00   165.55
27762   Treatment of ankle fracture      5.24         5.24    7.12     6.00    31.44
27766   Treatment of ankle fracture      8.35         8.35    7.16    32.00   267.20
27780   Treatment of fibula fracture     2.65         2.65    4.92    73.00   193.45
27781   Treatment of fibula fracture     4.39         4.39    6.35     7.00    30.73
27784   Treatment of fibula fracture     7.10         7.10    6.45    11.00    78.10
27786   Treatment of ankle fracture      2.84         2.84    5.09   316.00   897.44



                                                Page 40
                                                 CPT1


27788   Treatment of ankle fracture      4.44         4.44    6.46    16.00    71.04
27792   Treatment of ankle fracture      7.65         7.65    6.90   129.00   986.85
27808   Treatment of ankle fracture      2.83         2.83    5.68    30.00    84.90
27810   Treatment of ankle fracture      5.12         5.12    6.95    52.00   266.24
27814   Treatment of ankle fracture     10.66        10.66    8.55    53.00   564.98
27816   Treatment of ankle fracture      2.89         2.89    4.99    41.00   118.49
27818   Treatment of ankle fracture      5.49         5.49    7.06    13.00    71.37
27822   Treatment of ankle fracture     10.98        10.98   10.63    43.00   472.14
27823   Treatment of ankle fracture     12.98        12.98   11.49     4.00    51.92
27824   Treat lower leg fracture         2.89         2.89    5.56    20.00    57.80
27826   Treat lower leg fracture         8.53         8.53    8.87     4.00    34.12
27827   Treat lower leg fracture        14.04        14.04   12.71     6.00    84.24
27828   Treat lower leg fracture        16.21        16.21   13.85     3.00    48.63
27829   Treat lower leg joint            5.48         5.48    6.77    15.00    82.20
27830   Treat lower leg dislocation      3.78         3.78    5.12     3.00    11.34
27840   Treat ankle dislocation          4.57         4.57    3.89     8.00    36.56
27842   Treat ankle dislocation          6.20         6.20    5.08     3.00    18.60
27846   Treat ankle dislocation          9.78         9.78    7.91     4.00    39.12
27848   Treat ankle dislocation         11.18        11.18    9.71     9.00   100.62
27860   Fixation of ankle joint          2.34         2.34    2.01     7.00    16.38
27870   "Fusion of ankle joint, open"   13.89        13.89   10.50     9.00   125.01
27871   Fusion of tibiofibular joint     9.16         9.16    7.62     3.00    27.48
27880   Amputation of lower leg         11.83        11.83    7.46     4.00    47.32
27886   Amputation follow-up surgery     9.31         9.31    6.82     1.00     9.31
27889   Amputation of foot at ankle      9.97         9.97    6.74     1.00     9.97
27892   Decompression of leg             7.38         7.38    5.85     5.00    36.90
27894   Decompression of leg            10.47        10.47    7.93     7.00    73.29
27899   Leg/ankle surgery procedure      0.00         0.00    0.00    18.00     0.00
28001   Drainage of bursa of foot        2.73         2.73    5.82     4.00    10.92
28002   Treatment of foot infection      4.61         4.61    7.22     1.00     4.61
28005   Treat foot bone lesion           8.67         8.67    6.36     6.00    52.02
28008   Incision of foot fascia          4.44         4.44    5.68    56.00   248.64
28010   Incision of toe tendon           2.84         2.84    5.53     1.00     2.84
28020   Exploration of foot joint        5.00         5.00    7.07     5.00    25.00
28022   Exploration of foot joint        4.66         4.66    6.09     7.00    32.62
28024   Exploration of toe joint         4.37         4.37    6.20     5.00    21.85
28030   Removal of foot nerve            6.14         6.14    3.58    12.00    73.68



                                                Page 41
                                                  CPT1


28035   Decompression of tibia nerve      5.08         5.08    5.54    15.00    76.20
28043   Excision of foot lesion           3.53         3.53    5.79    52.00   183.56
28045   Excision of foot lesion           4.71         4.71    6.12     7.00    32.97
28046   "Resection of tumor, foot"       10.16        10.16    9.42     1.00    10.16
28052   Biopsy of foot joint lining       3.93         3.93    5.97     1.00     3.93
28054   Biopsy of toe joint lining        3.44         3.44    5.82     1.00     3.44
28060   "Partial removal, foot fascia"    5.22         5.22    6.39    24.00   125.28
28062   Removal of foot fascia            6.51         6.51    7.13     1.00     6.51
28072   Removal of foot joint lining      4.57         4.57    6.43     1.00     4.57
28080   Removal of foot lesion            3.57         3.57    5.93    97.00   346.29
28086   Excise foot tendon sheath         4.77         4.77    9.50     3.00    14.31
28088   Excise foot tendon sheath         3.85         3.85    7.04     2.00     7.70
28090   Removal of foot lesion            4.40         4.40    6.02    79.00   347.60
28092   Removal of toe lesions            3.63         3.63    6.33    20.00    72.60
28100   Removal of ankle/heel lesion      5.65         5.65    9.21    15.00    84.75
28104   Removal of foot lesion            5.11         5.11    6.35    25.00   127.75
28107   Remove/graft foot lesion          5.55         5.55    7.24     1.00     5.55
28108   Removal of toe lesions            4.15         4.15    5.44    11.00    45.65
28110   Part removal of metatarsal        4.07         4.07    6.03     9.00    36.63
28111   Part removal of metatarsal        5.00         5.00    7.18     6.00    30.00
28112   Part removal of metatarsal        4.48         4.48    6.69     8.00    35.84
28113   Part removal of metatarsal        4.78         4.78    6.81     6.00    28.68
28114   Removal of metatarsal heads       9.78         9.78   11.93     2.00    19.56
28116   Revision of foot                  7.74         7.74    7.20     7.00    54.18
28118   Removal of heel bone              5.95         5.95    7.13    24.00   142.80
28119   Removal of heel spur              5.38         5.38    6.21    52.00   279.76
28120   Part removal of ankle/heel        5.39         5.39    8.67    28.00   150.92
28122   Partial removal of foot bone      7.28         7.28    7.89    25.00   182.00
28124   Partial removal of toe            4.80         4.80    6.08    12.00    57.60
28126   Partial removal of toe            3.51         3.51    5.34     4.00    14.04
28140   Removal of metatarsal             6.90         6.90    8.26     4.00    27.60
28150   Removal of toe                    4.08         4.08    5.98     6.00    24.48
28153   Partial removal of toe            3.65         3.65    5.40    12.00    43.80
28160   Partial removal of toe            3.73         3.73    5.68    11.00    41.03
28190   Removal of foot foreign body      1.96         1.96    6.51   149.00   292.04
28192   Removal of foot foreign body      4.63         4.63    6.43    17.00    78.71
28193   Removal of foot foreign body      5.72         5.72    6.35     2.00    11.44



                                                 Page 42
                                                CPT1


28200   Repair of foot tendon           4.59         4.59    5.94    10.00      45.90
28208   Repair of foot tendon           4.36         4.36    5.72     8.00      34.88
28210   Repair/graft of foot tendon     6.34         6.34    7.12     3.00      19.02
28220   Release of foot tendon          4.52         4.52    5.56     2.00       9.04
28222   Release of foot tendons         5.61         5.61    5.95     2.00      11.22
28225   Release of foot tendon          3.65         3.65    5.26     1.00       3.65
28230   Incision of foot tendon(s)      4.23         4.23    5.62     1.00       4.23
28232   Incision of toe tendon          3.38         3.38    5.66     6.00      20.28
28234   Incision of foot tendon         3.36         3.36    5.81     4.00      13.44
28238   Revision of foot tendon         7.72         7.72    7.97    17.00     131.24
28240   Release of big toe              4.35         4.35    5.59     1.00       4.35
28250   Revision of foot fascia         5.91         5.91    6.53    19.00     112.29
28260   Release of midfoot joint        7.95         7.95    7.09     6.00      47.70
28262   Revision of foot and ankle     15.81        15.81   14.32     4.00      63.24
28270   Release of foot contracture     4.75         4.75    5.90    19.00      90.25
28272   "Release of toe joint, each"    3.79         3.79    5.14     7.00      26.53
28280   Fusion of toes                  5.18         5.18    7.25     2.00      10.36
28285   Repair of hammertoe             4.58         4.58    5.96   227.00   1,039.66
28286   Repair of hammertoe             4.55         4.55    5.74    15.00      68.25
28288   Partial removal of foot bone    4.73         4.73    6.69    71.00     335.83
28289   Repair hallux rigidus           7.03         7.03    8.97   122.00     857.66
28290   Correction of bunion            5.65         5.65    7.02   105.00     593.25
28292   Correction of bunion            7.03         7.03    7.80   104.00     731.12
28293   Correction of bunion            9.14         9.14   10.84     9.00      82.26
28294   Correction of bunion            8.55         8.55    7.64     1.00       8.55
28296   Correction of bunion            9.17         9.17    8.14   759.00   6,960.03
28297   Correction of bunion            9.17         9.17    9.11    35.00     320.95
28298   Correction of bunion            7.93         7.93    7.31    49.00     388.57
28299   Correction of bunion           10.56        10.56    8.71    50.00     528.00
28300   Incision of heel bone           9.53         9.53   13.10    18.00     171.54
28302   Incision of ankle bone          9.54         9.54   13.11     2.00      19.08
28304   Incision of midfoot bones       9.15         9.15    8.16     6.00      54.90
28305   Incise/graft midfoot bones     10.48        10.48   10.90     1.00      10.48
28306   Incision of metatarsal          5.85         5.85    7.19    45.00     263.25
28307   Incision of metatarsal          6.32         6.32   11.59     1.00       6.32
28308   Incision of metatarsal          5.28         5.28    6.07    36.00     190.08
28310   Revision of big toe             5.42         5.42    6.24     3.00      16.26



                                               Page 43
                                                  CPT1


28312   Revision of toe                   4.54         4.54    5.98     2.00     9.08
28313   Repair deformity of toe           5.00         5.00    6.43     9.00    45.00
28315   Removal of sesamoid bone          4.85         4.85    5.82    24.00   116.40
28320   Repair of foot bones              9.17         9.17    6.76     3.00    27.51
28322   Repair of metatarsals             8.33         8.33   10.13    14.00   116.62
28340   Resect enlarged toe tissue        6.97         6.97    7.06     2.00    13.94
28344   Repair extra toe(s)               4.25         4.25    6.78     5.00    21.25
28345   Repair webbed toe(s)              5.91         5.91    6.99     1.00     5.91
28360   Reconstruct cleft foot           13.32        13.32   10.50     1.00    13.32
28400   Treatment of heel fracture        2.16         2.16    4.28    39.00    84.24
28405   Treatment of heel fracture        4.56         4.56    5.51     7.00    31.92
28406   Treatment of heel fracture        6.30         6.30    6.80     1.00     6.30
28415   Treat heel fracture              15.95        15.95   13.24     2.00    31.90
28420   Treat/graft heel fracture        16.62        16.62   12.97     2.00    33.24
28430   Treatment of ankle fracture       2.09         2.09    4.07    27.00    56.43
28436   Treatment of ankle fracture       4.70         4.70    5.90     2.00     9.40
28445   Treat ankle fracture             15.60        15.60   11.02     7.00   109.20
28450   "Treat midfoot fracture, each"    1.90         1.90    4.07    83.00   157.70
28455   "Treat midfoot fracture, each"    3.09         3.09    3.97     4.00    12.36
28465   "Treat midfoot fracture, each"    7.00         7.00    6.37     8.00    56.00
28470   Treat metatarsal fracture         1.99         1.99    3.87   408.00   811.92
28475   Treat metatarsal fracture         2.97         2.97    4.05    55.00   163.35
28476   Treat metatarsal fracture         3.37         3.37    4.99    13.00    43.81
28485   Treat metatarsal fracture         5.70         5.70    5.55    58.00   330.60
28490   Treat big toe fracture            1.09         1.09    2.21    54.00    58.86
28495   Treat big toe fracture            1.58         1.58    2.50     6.00     9.48
28496   Treat big toe fracture            2.33         2.33    9.72     2.00     4.66
28505   Treat big toe fracture            3.80         3.80    9.71     6.00    22.80
28510   Treatment of toe fracture         1.09         1.09    1.98   128.00   139.52
28515   Treatment of toe fracture         1.46         1.46    2.33    25.00    36.50
28525   Treat toe fracture                3.32         3.32    9.30     7.00    23.24
28530   Treat sesamoid bone fracture      1.06         1.06    2.08     1.00     1.06
28531   Treat sesamoid bone fracture      2.35         2.35    8.98     5.00    11.75
28540   Treat foot dislocation            2.04         2.04    2.87     2.00     4.08
28570   Treat foot dislocation            1.66         1.66    2.89     1.00     1.66
28600   Treat foot dislocation            1.89         1.89    3.29     1.00     1.89
28615   Repair foot dislocation           7.76         7.76    7.98     7.00    54.32



                                                 Page 44
                                                CPT1


28630   Treat toe dislocation           1.70         1.70    1.22       2.00       3.40
28645   Repair toe dislocation          4.21         4.21    5.66       4.00      16.84
28660   Treat toe dislocation           1.23         1.23    1.61      15.00      18.45
28665   Treat toe dislocation           1.92         1.92    1.65       2.00       3.84
28675   Repair of toe dislocation       2.92         2.92    8.81       1.00       2.92
28705   Fusion of foot bones           18.77        18.77   12.43       1.00      18.77
28715   Fusion of foot bones           13.08        13.08    9.74       3.00      39.24
28725   Fusion of foot bones           11.59        11.59    8.30      10.00     115.90
28730   Fusion of foot bones           10.74        10.74    8.47       7.00      75.18
28735   Fusion of foot bones           10.83        10.83    7.86       6.00      64.98
28737   Revision of foot bones          9.63         9.63    6.87       6.00      57.78
28740   Fusion of foot bones            8.01         8.01   11.59       9.00      72.09
28750   Fusion of big toe joint         7.29         7.29   12.97      43.00     313.47
28755   Fusion of big toe joint         4.73         4.73    6.83      13.00      61.49
28760   Fusion of big toe joint         7.74         7.74    8.04       1.00       7.74
28805   Amputation thru metatarsal      8.38         8.38    5.90       1.00       8.38
28810   Amputation toe & metatarsal     6.20         6.20    4.76       9.00      55.80
28820   Amputation of toe               4.40         4.40    8.50       5.00      22.00
28825   Partial amputation of toe       3.58         3.58    7.91       5.00      17.90
28899   Foot/toes surgery procedure     0.00         0.00    0.00   2,653.00       0.00
29000   Application of body cast        2.25         2.25    3.09       2.00       4.50
29015   Application of body cast        2.41         2.41    3.01       8.00      19.28
29035   Application of body cast        1.77         1.77    3.45       2.00       3.54
29044   Application of body cast        2.12         2.12    3.80       1.00       2.12
29049   Application of figure eight     0.89         0.89    1.24       9.00       8.01
29055   Application of shoulder cast    1.78         1.78    2.81       7.00      12.46
29058   Application of shoulder cast    1.31         1.31    1.50       8.00      10.48
29065   Application of long arm cast    0.87         0.87    1.26   1,367.00   1,189.29
29075   Application of forearm cast     0.77         0.77    1.20   3,962.00   3,050.74
29085   Apply hand/wrist cast           0.87         0.87    1.23     464.00     403.68
29086   Apply finger cast               0.62         0.62    0.93     290.00     179.80
29105   Apply long arm splint           0.87         0.87    1.18   1,098.00     955.26
29125   Apply forearm splint            0.59         0.59    0.99   6,793.00   4,007.87
29126   Apply forearm splint            0.77         0.77    1.19     602.00     463.54
29130   Application of finger splint    0.50         0.50    0.45   3,926.00   1,963.00
29131   Application of finger splint    0.55         0.55    0.73     315.00     173.25
29200   Strapping of chest              0.65         0.65    0.75       7.00       4.55



                                               Page 45
                                                  CPT1


29220   Strapping of low back             0.64         0.64    0.72     255.00     163.20
29240   Strapping of shoulder             0.71         0.71    0.86     289.00     205.19
29260   Strapping of elbow or wrist       0.55         0.55    0.75   1,638.00     900.90
29280   Strapping of hand or finger       0.51         0.51    0.81     486.00     247.86
29305   Application of hip cast           2.03         2.03    3.19       3.00       6.09
29325   Application of hip casts          2.32         2.32    3.37       3.00       6.96
29345   Application of long leg cast      1.40         1.40    1.69     281.00     393.40
29355   Application of long leg cast      1.53         1.53    1.65      48.00      73.44
29358   Apply long leg cast brace         1.43         1.43    1.96     141.00     201.63
29365   Application of long leg cast      1.18         1.18    1.58      43.00      50.74
29405   Apply short leg cast              0.86         0.86    1.17   2,421.00   2,082.06
29425   Apply short leg cast              1.01         1.01    1.18   1,343.00   1,356.43
29435   Apply short leg cast              1.18         1.18    1.49      27.00      31.86
29440   Addition of walker to cast        0.57         0.57    0.67      48.00      27.36
29445   Apply rigid leg cast              1.78         1.78    1.75      11.00      19.58
29450   Application of leg cast           2.08         2.08    1.45      90.00     187.20
29505   "Application, long leg splint"    0.69         0.69    1.15     436.00     300.84
29515   Application lower leg splint      0.73         0.73    0.85   3,647.00   2,662.31
29520   Strapping of hip                  0.54         0.54    0.87       9.00       4.86
29530   Strapping of knee                 0.57         0.57    0.80   1,674.00     954.18
29540   Strapping of ankle and/or ft      0.51         0.51    0.41   2,766.00   1,410.66
29550   Strapping of toes                 0.47         0.47    0.41     269.00     126.43
29580   Application of paste boot         0.57         0.57    0.65     562.00     320.34
29590   Application of foot splint        0.76         0.76    0.50   2,023.00   1,537.48
29700   Removal/revision of cast          0.57         0.57    0.88   1,156.00     658.92
29705   Removal/revision of cast          0.76         0.76    0.79   1,978.00   1,503.28
29710   Removal/revision of cast          1.34         1.34    1.49      14.00      18.76
29715   Removal/revision of cast          0.94         0.94    1.14       7.00       6.58
29720   Repair of body cast               0.68         0.68    1.10      10.00       6.80
29730   Windowing of cast                 0.75         0.75    0.78       6.00       4.50
29740   Wedging of cast                   1.12         1.12    1.12       8.00       8.96
29750   Wedging of clubfoot cast          1.26         1.26    1.04       8.00      10.08
29799   Casting/strapping procedure       0.00         0.00    0.00   1,702.00       0.00
29800   Jaw arthroscopy/surgery           6.42         6.42    7.12       4.00      25.68
29804   Jaw arthroscopy/surgery           8.13         8.13    8.41       8.00      65.04
29805   "Shoulder arthroscopy, dx"        5.88         5.88    5.65      94.00     552.72
29806   Shoulder arthroscopy/surgery     14.35        14.35   10.94     225.00   3,228.75



                                                 Page 46
                                                CPT1


29807   Shoulder arthroscopy/surgery   13.88        13.88   10.78   368.00   5,107.84
29819   Shoulder arthroscopy/surgery    7.61         7.61    6.66    23.00     175.03
29820   Shoulder arthroscopy/surgery    7.06         7.06    6.12     8.00      56.48
29821   Shoulder arthroscopy/surgery    7.71         7.71    6.68     2.00      15.42
29822   Shoulder arthroscopy/surgery    7.42         7.42    6.56   134.00     994.28
29823   Shoulder arthroscopy/surgery    8.16         8.16    7.09    50.00     408.00
29824   Shoulder arthroscopy/surgery    8.24         8.24    7.33   101.00     832.24
29825   Shoulder arthroscopy/surgery    7.61         7.61    6.64    15.00     114.15
29826   Shoulder arthroscopy/surgery    8.98         8.98    7.41   590.00   5,298.20
29827   Arthroscop rotator cuff repr   15.34        15.34   11.32   131.00   2,009.54
29830   Elbow arthroscopy               5.75         5.75    5.25     6.00      34.50
29834   Elbow arthroscopy/surgery       6.27         6.27    5.72    20.00     125.40
29835   Elbow arthroscopy/surgery       6.47         6.47    5.77     3.00      19.41
29837   Elbow arthroscopy/surgery       6.86         6.86    6.02    10.00      68.60
29838   Elbow arthroscopy/surgery       7.70         7.70    6.76     8.00      61.60
29840   Wrist arthroscopy               5.53         5.53    5.24    18.00      99.54
29843   Wrist arthroscopy/surgery       6.00         6.00    5.54     7.00      42.00
29844   Wrist arthroscopy/surgery       6.36         6.36    5.71    13.00      82.68
29845   Wrist arthroscopy/surgery       7.51         7.51    6.38     2.00      15.02
29846   Wrist arthroscopy/surgery       6.74         6.74    5.95    92.00     620.08
29847   Wrist arthroscopy/surgery       7.07         7.07    6.10     4.00      28.28
29848   Wrist endoscopy/surgery         5.43         5.43    5.49    10.00      54.30
29850   Knee arthroscopy/surgery        8.18         8.18    5.04     2.00      16.36
29851   Knee arthroscopy/surgery       13.08        13.08    9.66     1.00      13.08
29855   Tibial arthroscopy/surgery     10.60        10.60    8.60     3.00      31.80
29860   "Hip arthroscopy, dx"           8.04         8.04    6.82     4.00      32.16
29862   Hip arthroscopy/surgery         9.89         9.89    8.39    36.00     356.04
29863   Hip arthroscopy/surgery         9.89         9.89    8.34     1.00       9.89
29870   "Knee arthroscopy, dx"          5.06         5.06    4.80   300.00   1,518.00
29871   Knee arthroscopy/drainage       6.54         6.54    5.76    21.00     137.34
29873   Knee arthroscopy/surgery        5.99         5.99    6.37    88.00     527.12
29874   Knee arthroscopy/surgery        7.04         7.04    5.97   162.00   1,140.48
29875   Knee arthroscopy/surgery        6.30         6.30    5.74   208.00   1,310.40
29876   Knee arthroscopy/surgery        7.91         7.91    6.88    29.00     229.39
29877   Knee arthroscopy/surgery        7.34         7.34    6.59   721.00   5,292.14
29879   Knee arthroscopy/surgery        8.03         8.03    6.97   130.00   1,043.90
29880   Knee arthroscopy/surgery        8.49         8.49    7.21   133.00   1,129.17



                                               Page 47
                                                 CPT1


29881   Knee arthroscopy/surgery         7.75         7.75    6.82   1,365.00   10,578.75
29882   Knee arthroscopy/surgery         8.64         8.64    7.10     235.00    2,030.40
29883   Knee arthroscopy/surgery        11.03        11.03    8.90      19.00      209.57
29884   Knee arthroscopy/surgery         7.32         7.32    6.55      11.00       80.52
29885   Knee arthroscopy/surgery         9.08         9.08    7.81       9.00       81.72
29886   Knee arthroscopy/surgery         7.53         7.53    6.70      12.00       90.36
29887   Knee arthroscopy/surgery         9.03         9.03    7.78       5.00       45.15
29888   Knee arthroscopy/surgery        13.88        13.88   10.09     717.00    9,951.96
29889   Knee arthroscopy/surgery        15.98        15.98   12.23      24.00      383.52
29891   Ankle arthroscopy/surgery        8.39         8.39    7.35      75.00      629.25
29892   Ankle arthroscopy/surgery        8.99         8.99    7.59      14.00      125.86
29893   "Scope, plantar fasciotomy"      5.21         5.21    6.14      11.00       57.31
29894   Ankle arthroscopy/surgery        7.20         7.20    5.39      23.00      165.60
29895   Ankle arthroscopy/surgery        6.98         6.98    5.39      20.00      139.60
29897   Ankle arthroscopy/surgery        7.17         7.17    5.78      57.00      408.69
29898   Ankle arthroscopy/surgery        8.31         8.31    6.11      59.00      490.29
29899   Ankle arthroscopy/surgery       13.89        13.89    9.84       6.00       83.34
29901   "Mcp joint arthroscopy, surg"    6.12         6.12    6.09       2.00       12.24
29902   "Mcp joint arthroscopy, surg"    6.69         6.69    6.37       3.00       20.07
29999   Arthroscopy of joint             0.00         0.00    0.00      49.00        0.00
30000   Drainage of nose lesion          1.43         1.43    4.19      12.00       17.16
30020   Drainage of nose lesion          1.43         1.43    3.35       2.00        2.86
30100   Intranasal biopsy                0.94         0.94    2.05      30.00       28.20
30110   Removal of nose polyp(s)         1.63         1.63    3.36      10.00       16.30
30115   Removal of nose polyp(s)         4.34         4.34    4.02       6.00       26.04
30117   Removal of intranasal lesion     3.16         3.16    4.38      14.00       44.24
30118   Removal of intranasal lesion     9.68         9.68    7.27       2.00       19.36
30120   Revision of nose                 5.26         5.26    5.53       1.00        5.26
30124   Removal of nose lesion           3.10         3.10    3.03      51.00      158.10
30130   Removal of turbinate bones       3.37         3.37    3.51      25.00       84.25
30140   Removal of turbinate bones       3.42         3.42    3.97      31.00      106.02
30150   Partial removal of nose          9.13         9.13    7.66       1.00        9.13
30200   Injection treatment of nose      0.78         0.78    1.70       5.00        3.90
30210   Nasal sinus therapy              1.08         1.08    2.17      57.00       61.56
30220   Insert nasal septal button       1.54         1.54    4.50       7.00       10.78
30300   Remove nasal foreign body        1.04         1.04    4.84     227.00      236.08
30310   Remove nasal foreign body        1.96         1.96    3.20       4.00        7.84



                                                Page 48
                                                  CPT1


30320   Remove nasal foreign body         4.51         4.51    4.49     1.00       4.51
30400   Reconstruction of nose            9.82         9.82    9.16   100.00     982.00
30410   Reconstruction of nose           12.96        12.96   10.94    21.00     272.16
30420   Reconstruction of nose           15.86        15.86   12.42   240.00   3,806.40
30430   Revision of nose                  7.20         7.20    8.10    26.00     187.20
30435   Revision of nose                 11.69        11.69   10.62    20.00     233.80
30450   Revision of nose                 18.62        18.62   14.10    23.00     428.26
30460   Revision of nose                  9.95         9.95    7.75     7.00      69.65
30465   Repair nasal stenosis            11.62        11.62    7.67     6.00      69.72
30520   Repair of nasal septum            5.69         5.69    5.15   935.00   5,320.15
30540   Repair nasal defect               7.74         7.74    5.62     3.00      23.22
30560   Release of nasal adhesions        1.26         1.26    4.92    10.00      12.60
30580   Repair upper jaw fistula          6.68         6.68    7.17     4.00      26.72
30600   Repair mouth/nose fistula         6.01         6.01    6.32     4.00      24.04
30620   Intranasal reconstruction         5.96         5.96    5.78     3.00      17.88
30630   Repair nasal septum defect        7.11         7.11    6.18    12.00      85.32
30801   "Cauterization, inner nose"       1.09         1.09    2.17    65.00      70.85
30802   "Cauterization, inner nose"       2.03         2.03    2.71    30.00      60.90
30901   Control of nosebleed              1.21         1.21    1.36   418.00     505.78
30903   Control of nosebleed              1.54         1.54    2.80    42.00      64.68
30905   Control of nosebleed              1.97         1.97    3.57    21.00      41.37
30906   Repeat control of nosebleed       2.45         2.45    3.96     4.00       9.80
30930   "Therapy, fracture of nose"       1.26         1.26    1.65    15.00      18.90
30999   Nasal surgery procedure           0.00         0.00    0.00    91.00       0.00
31000   "Irrigation, maxillary sinus"     1.15         1.15    2.91     8.00       9.20
31020   "Exploration, maxillary sinus"    2.94         2.94    4.12    11.00      32.34
31030   "Exploration, maxillary sinus"    5.91         5.91    5.64     3.00      17.73
31032   "Explore sinus, remove polyps"    6.56         6.56    5.60     1.00       6.56
31050   "Exploration, sphenoid sinus"     5.27         5.27    4.50     2.00      10.54
31051   Sphenoid sinus surgery            7.10         7.10    5.86     2.00      14.20
31070   Exploration of frontal sinus      4.27         4.27    4.20     2.00       8.54
31075   Exploration of frontal sinus      9.15         9.15    7.21     2.00      18.30
31080   Removal of frontal sinus         11.40        11.40    8.44     1.00      11.40
31090   Exploration of sinuses            9.52         9.52    8.59     2.00      19.04
31200   Removal of ethmoid sinus          4.96         4.96    5.02     4.00      19.84
31201   Removal of ethmoid sinus          8.36         8.36    6.82     2.00      16.72
31205   Removal of ethmoid sinus         10.22        10.22    7.63     2.00      20.44



                                                 Page 49
                                                 CPT1


31225   Removal of upper jaw            19.20        19.20   13.74       2.00      38.40
31231   "Nasal endoscopy, dx"            1.10         1.10    3.55   2,143.00   2,357.30
31233   "Nasal/sinus endoscopy, dx"      2.18         2.18    4.49      27.00      58.86
31235   "Nasal/sinus endoscopy, dx"      2.64         2.64    5.10       6.00      15.84
31237   "Nasal/sinus endoscopy, surg"    2.98         2.98    5.40     254.00     756.92
31238   "Nasal/sinus endoscopy, surg"    3.26         3.26    5.45      19.00      61.94
31239   "Nasal/sinus endoscopy, surg"    8.69         8.69    8.28       7.00      60.83
31240   "Nasal/sinus endoscopy, surg"    2.61         2.61    1.76       6.00      15.66
31254   Revision of ethmoid sinus        4.64         4.64    2.89      79.00     366.56
31255   Removal of ethmoid sinus         6.95         6.95    4.15      83.00     576.85
31256   Exploration maxillary sinus      3.29         3.29    2.14     110.00     361.90
31267   "Endoscopy, maxillary sinus"     5.45         5.45    3.34      80.00     436.00
31276   "Sinus endoscopy, surgical"      8.84         8.84    5.17      38.00     335.92
31287   "Nasal/sinus endoscopy, surg"    3.91         3.91    2.49      10.00      39.10
31288   "Nasal/sinus endoscopy, surg"    4.57         4.57    2.85      11.00      50.27
31294   "Nasal/sinus endoscopy, surg"   19.03        19.03   13.00       8.00     152.24
31299   Sinus surgery procedure          0.00         0.00    0.00       3.00       0.00
31300   Removal of larynx lesion        14.27        14.27   12.03       1.00      14.27
31360   Removal of larynx               17.05        17.05   13.95       2.00      34.10
31365   Removal of larynx               24.12        24.12   17.63       1.00      24.12
31375   Partial removal of larynx       20.18        20.18   15.35       1.00      20.18
31400   Revision of larynx              10.29        10.29   10.00       1.00      10.29
31500   Insert emergency airway          2.33         2.33    0.55     180.00     419.40
31502   Change of windpipe airway        0.65         0.65    1.49      30.00      19.50
31505   Diagnostic laryngoscopy          0.61         0.61    1.57     278.00     169.58
31510   Laryngoscopy with biopsy         1.92         1.92    3.42      15.00      28.80
31511   "Remove foreign body, larynx"    2.16         2.16    3.25       2.00       4.32
31512   Removal of larynx lesion         2.07         2.07    3.34       4.00       8.28
31513   Injection into vocal cord        2.10         2.10    1.49       8.00      16.80
31515   Laryngoscopy for aspiration      1.80         1.80    3.71      23.00      41.40
31520   Diagnostic laryngoscopy          2.56         2.56    1.60       1.00       2.56
31525   Diagnostic laryngoscopy          2.63         2.63    3.86      36.00      94.68
31526   Diagnostic laryngoscopy          2.57         2.57    1.75      11.00      28.27
31528   Laryngoscopy and dilation        2.37         2.37    1.45       2.00       4.74
31529   Laryngoscopy and dilation        2.68         2.68    1.72       3.00       8.04
31530   Operative laryngoscopy           3.38         3.38    1.98       9.00      30.42
31531   Operative laryngoscopy           3.58         3.58    2.31       3.00      10.74



                                                Page 50
                                                  CPT1


31535   Operative laryngoscopy            3.16         3.16    2.02      64.00     202.24
31536   Operative laryngoscopy            3.55         3.55    2.29      31.00     110.05
31540   Operative laryngoscopy            4.12         4.12    2.59      13.00      53.56
31541   Operative laryngoscopy            4.52         4.52    2.81      17.00      76.84
31560   Operative laryngoscopy            5.45         5.45    3.17       2.00      10.90
31570   Laryngoscopy with injection       3.86         3.86    5.74       9.00      34.74
31571   Laryngoscopy with injection       4.26         4.26    2.63       6.00      25.56
31575   Diagnostic laryngoscopy           1.80         1.10    1.88   3,117.00   5,610.60
31576   Laryngoscopy with biopsy          1.97         1.97    3.62       4.00       7.88
31578   Removal of larynx lesion          2.84         2.84    4.25       6.00      17.04
31579   Diagnostic laryngoscopy           2.26         2.26    3.80     761.00   1,719.86
31582   Revision of larynx               21.59        21.59   17.42       2.00      43.18
31585   Treat larynx fracture             4.63         4.63    5.59       1.00       4.63
31588   Revision of larynx               13.09        13.09   13.10       4.00      52.36
31590   Reinnervate larynx                6.96         6.96    8.81       1.00       6.96
31599   Larynx surgery procedure          0.00         0.00    0.00       1.00       0.00
31600   Incision of windpipe              7.17         7.17    3.20       6.00      43.02
31603   Incision of windpipe              4.14         4.14    1.72       1.00       4.14
31605   Incision of windpipe              3.57         3.57    1.19       1.00       3.57
31611   Surgery/speech prosthesis         5.63         5.63    5.95       8.00      45.04
31612   Puncture/clear windpipe           0.91         0.91    1.12       8.00       7.28
31613   Repair windpipe opening           4.58         4.58    5.42       4.00      18.32
31614   Repair windpipe opening           7.11         7.11    7.81       1.00       7.11
31615   Visualization of windpipe         2.09         2.09    2.63      12.00      25.08
31622   Dx bronchoscope/wash              2.78         2.78    4.17     230.00     639.40
31623   Dx bronchoscope/brush             2.88         2.88    5.05      36.00     103.68
31624   Dx bronchoscope/lavage            2.88         2.88    4.28     111.00     319.68
31625   Bronchoscopy w/biopsy(s)          3.36         3.36    5.37      97.00     325.92
31628   "Bronchoscopy/lung bx, each"      3.80         3.80    5.53      86.00     326.80
31629   "Bronchoscopy/needle bx, each"    3.36         3.36    1.22      44.00     147.84
31630   Bronchoscopy dilate/fx repr       3.81         3.81    2.00      12.00      45.72
31631   "Bronchoscopy, dilate w/stent"    4.36         4.36    2.02       1.00       4.36
31632   "Bronchoscopy/lung bx, add’l"     1.03         1.03    0.76       1.00       1.03
31633   Bronchoscopy/needle bx add’l      1.32         1.32    0.91       1.00       1.32
31635   Bronchoscopy w/fb removal         3.67         3.67    1.67       2.00       7.34
31640   Bronchoscopy w/tumor excise       4.93         4.93    2.35       1.00       4.93
31641   "Bronchoscopy, treat blockage"    5.02         5.02    2.12       5.00      25.10



                                                 Page 51
                                                  CPT1


31643   Diag bronchoscope/catheter        3.49         3.49    1.31     3.00    10.47
31645   "Bronchoscopy, clear airways"     3.16         3.16    1.20     2.00     6.32
31646   "Bronchoscopy, reclear airway"    2.72         2.72    1.08     1.00     2.72
31656   "Bronchoscopy, inj for x-ray"     3.19         2.17    0.93    43.00   137.17
31720   Clearance of airways              1.06         1.06    1.45     1.00     1.06
31730   "Intro, windpipe wire/tube"       2.85         2.85    2.22     2.00     5.70
31775   Reconstruct bronchus             23.50        23.50   11.89     1.00    23.50
31820   Closure of windpipe lesion        4.48         4.48    5.52     3.00    13.44
31830   Revise windpipe scar              4.49         4.49    5.68     4.00    17.96
31899   Airways surgical procedure        0.00         0.00    0.00     2.00     0.00
32000   Drainage of chest                 2.11         1.54    3.13   180.00   379.80
32002   Treatment of collapsed lung       2.19         2.19    3.32    22.00    48.18
32020   Insertion of chest tube           3.97         3.97    1.45    76.00   301.72
32035   Exploration of chest              8.66         8.66    5.91     1.00     8.66
32095   Biopsy through chest wall         8.35         8.35    5.42     3.00    25.05
32100   Exploration/biopsy of chest      15.22        15.22    7.88     2.00    30.44
32110   Explore/repair chest             22.97        22.97   10.81     1.00    22.97
32140   Removal of lung lesion(s)        13.91        13.91    7.75     1.00    13.91
32151   Remove lung foreign body         14.19        14.19    8.07     1.00    14.19
32160   Open chest heart massage          9.29         9.29    5.32     2.00    18.58
32201   "Drain, percut, lung lesion"      3.99         3.99    1.30     1.00     3.99
32400   Needle biopsy chest lining        2.41         1.76    1.70    12.00    28.92
32405   "Biopsy, lung or mediastinum"     2.70         1.93    2.14    43.00   116.10
32420   Puncture/clear lung               2.18         2.18    0.83     1.00     2.18
32440   Removal of lung                  24.96        24.96   12.96     1.00    24.96
32480   Partial removal of lung          23.71        23.71   12.12    11.00   260.81
32484   Segmentectomy                    20.66        20.66   11.44     1.00    20.66
32486   Sleeve lobectomy                 23.88        23.88   13.30     1.00    23.88
32500   Partial removal of lung          21.97        21.97   12.40     3.00    65.91
32601   "Thoracoscopy, diagnostic"        5.45         5.45    2.42     1.00     5.45
32602   "Thoracoscopy, diagnostic"        5.95         5.95    2.58     6.00    35.70
32606   "Thoracoscopy, diagnostic"        8.39         8.39    3.39     2.00    16.78
32650   "Thoracoscopy, surgical"         10.73        10.73    6.80     2.00    21.46
32655   "Thoracoscopy, surgical"         13.08        13.08    7.27     2.00    26.16
32657   "Thoracoscopy, surgical"         13.63        13.63    7.72     1.00    13.63
32662   "Thoracoscopy, surgical"         16.42        16.42    8.85     1.00    16.42
32663   "Thoracoscopy, surgical"         18.44        18.44   10.81     3.00    55.32



                                                 Page 52
                                                  CPT1


32664   "Thoracoscopy, surgical"         14.18        14.18    7.67   13.00   184.34
32900   Removal of rib(s)                20.24        20.24    9.95    3.00    60.72
32905   Revise & repair chest wall       20.72        20.72   10.19    1.00    20.72
32960   Therapeutic pneumothorax          1.84         1.84    1.76    1.00     1.84
32997   Total lung lavage                 5.99         5.99    1.91    2.00    11.98
32999   Chest surgery procedure           0.00         0.00    0.00    1.00     0.00
33010   Drainage of heart sac             3.40         2.24    0.96    4.00    13.60
33025   Incision of heart sac            12.07        12.07    6.39    2.00    24.14
33030   Partial removal of heart sac     18.68        18.68    9.59    2.00    37.36
33200   Insertion of heart pacemaker     12.46        12.46    6.98    1.00    12.46
33206   Insertion of heart pacemaker      6.66         6.66    4.57    3.00    19.98
33207   Insertion of heart pacemaker      8.03         8.03    4.76    7.00    56.21
33208   Insertion of heart pacemaker      8.12         8.12    4.86   17.00   138.04
33210   Insertion of heart electrode      4.85         3.30    1.25    1.00     4.85
33212   Insertion of pulse generator      5.51         5.51    3.42   14.00    77.14
33213   Insertion of pulse generator      6.36         6.36    3.78   13.00    82.68
33214   Upgrade of pacemaker system       7.74         7.74    4.99    1.00     7.74
33216   "Insert lead pace-defib, one"     5.77         5.77    4.30    4.00    23.08
33217   "Insert lead pace-defib, dual"    5.74         5.74    4.33    3.00    17.22
33218   "Repair lead pace-defib, one"     5.43         5.43    4.37    1.00     5.43
33222   "Revise pocket, pacemaker"        4.95         4.95    4.36    1.00     4.95
33224   Insert pacing lead & connect      9.04         9.04    4.02    2.00    18.08
33233   Removal of pacemaker system       3.29         3.29    3.31    5.00    16.45
33240   Insert pulse generator            7.59         7.59    4.66    7.00    53.13
33241   Remove pulse generator            3.24         3.24    2.99    1.00     3.24
33245   Insert epic eltrd pace-defib     14.28        14.28    8.03    1.00    14.28
33246   Insert epic eltrd/generator      20.68        20.68   10.41    1.00    20.68
33249   Eltrd/insert pace-defib          14.21        14.21    8.49    6.00    85.26
33282   Implant pat-active ht record      4.16         4.16    4.11    3.00    12.48
33284   Remove pat-active ht record       2.50         2.50    3.58    2.00     5.00
33404   Prepare heart-aorta conduit      28.50        28.50   14.58    1.00    28.50
33405   Replacement of aortic valve      34.95        34.95   18.36   11.00   384.45
33406   Replacement of aortic valve      37.44        37.44   19.20    3.00   112.32
33410   Replacement of aortic valve      32.41        32.41   16.66    4.00   129.64
33420   Revision of mitral valve         22.67        22.67    9.66    2.00    45.34
33426   Repair of mitral valve           32.95        32.95   17.21    2.00    65.90
33471   "Valvotomy, pulmonary valve"     22.22        22.22    9.82    1.00    22.22



                                                 Page 53
                                                  CPT1


33510   "CABG, vein, single"             28.96        28.96   16.41   3.00    86.88
33512   "CABG, vein, three"              31.75        31.75   17.68   1.00    31.75
33513   "CABG, vein, four"               31.95        31.95   17.86   3.00    95.85
33514   "CABG, vein, five"               32.70        32.70   18.14   2.00    65.40
33518   "CABG, artery-vein, two"          4.84         4.84    1.59   2.00     9.68
33519   "CABG, artery-vein, three"        7.11         7.11    2.33   7.00    49.77
33533   "CABG, arterial, single"         29.96        29.96   16.54   7.00   209.72
33534   "CABG, arterial, two"            32.15        32.15   17.79   1.00    32.15
33535   "CABG, arterial, three"          34.45        34.45   18.22   3.00   103.35
33536   "Cabg, arterial, four or more"   37.44        37.44   18.38   1.00    37.44
33572   Open coronary endarterectomy      4.44         4.44    1.46   8.00    35.52
33615   "Repair, modified fontan"        33.95        33.95   15.14   2.00    67.90
33641   Repair heart septum defect       21.36        21.36    9.64   4.00    85.44
33660   Repair of heart defects          29.96        29.96   13.58   1.00    29.96
33766   Major vessel shunt               22.73        22.73   11.73   2.00    45.46
33813   Repair septal defect             20.62        20.62   10.99   1.00    20.62
33967   Insert ia percut device           4.84         4.84    1.85   1.00     4.84
33970   Aortic circulation assist         6.74         6.74    2.29   3.00    20.22
34101   Removal of artery clot            9.99         9.99    5.38   1.00     9.99
34111   Removal of arm artery clot        9.99         9.99    5.38   1.00     9.99
34151   Removal of artery clot           24.96        24.96   10.45   2.00    49.92
34201   Removal of artery clot           10.01        10.01    5.45   1.00    10.01
34203   Removal of leg artery clot       16.48        16.48    8.09   1.00    16.48
34421   Removal of vein clot             11.98        11.98    6.33   2.00    23.96
34471   Removal of vein clot             10.16        10.16    5.35   2.00    20.32
34490   Removal of vein clot              9.85         9.85    5.46   3.00    29.55
34510   Transposition of vein valve      18.92        18.92    9.48   2.00    37.84
34800   Endovasc abdo repair w/tube      31.96        20.72    9.21   4.00   127.84
34804   Endovasc abdo repr w/device      35.27        22.97    9.84   1.00    35.27
34812   "Xpose for endoprosth, femorl"    6.74         6.74    2.24   1.00     6.74
35001   Repair defect of artery          19.61        19.61    9.59   1.00    19.61
35045   Repair defect of arm artery      17.54        17.54    7.58   1.00    17.54
35081   Repair defect of artery          27.97        27.97   11.51   2.00    55.94
35102   Repair defect of artery          30.71        30.71   12.41   1.00    30.71
35121   Repair defect of artery          29.96        29.96   12.42   1.00    29.96
35131   Repair defect of artery          24.96        24.96   10.80   1.00    24.96
35141   Repair defect of artery          19.97        19.97    8.95   1.00    19.97



                                                 Page 54
                                                 CPT1


35152   "Repair artery rupture, knee"   25.58        25.58   11.43    1.00    25.58
35184   Repair blood vessel lesion      17.97        17.97    8.34    1.00    17.97
35190   Repair blood vessel lesion      12.73        12.73    6.50    4.00    50.92
35207   Repair blood vessel lesion      10.13        10.13    7.51    1.00    10.13
35221   Repair blood vessel lesion      24.35        24.35    9.98    1.00    24.35
35261   Repair blood vessel lesion      17.77        17.77    8.05    1.00    17.77
35301   Rechanneling of artery          18.67        18.67    8.50   17.00   317.39
35371   Rechanneling of artery          14.70        14.70    6.99    1.00    14.70
35381   Rechanneling of artery          15.79        15.79    7.85    1.00    15.79
35400   Angioscopy                       3.00         3.00    1.12    1.00     3.00
35450   Repair arterial blockage        14.82        10.05    4.04    1.00    14.82
35454   Repair arterial blockage         9.76         6.03    2.84    2.00    19.52
35456   Repair arterial blockage        11.73         7.34    3.29    2.00    23.46
35458   Repair arterial blockage        14.97         9.48    4.01    2.00    29.94
35470   Repair arterial blockage        13.22         8.62    3.85    1.00    13.22
35471   Repair arterial blockage        15.35        10.05    4.45   10.00   153.50
35472   Repair arterial blockage        10.76         6.90    3.24    2.00    21.52
35473   Repair arterial blockage         9.45         6.03    2.92    8.00    75.60
35474   Repair arterial blockage        11.36         7.35    2.88    9.00   102.24
35475   Repair arterial blockage        14.22         9.48    4.06    3.00    42.66
35476   Repair venous blockage           9.25         6.03    2.85    1.00     9.25
35492   "Atherectomy, percutaneous"     10.44         6.64    3.19    1.00    10.44
35521   Artery bypass graft             22.17        22.17    9.87    1.00    22.17
35546   Artery bypass graft             25.50        25.50   10.91    2.00    51.00
35548   Artery bypass graft             21.54        21.54    9.46    1.00    21.54
35556   Artery bypass graft             21.73        21.73    9.77    3.00    65.19
35566   Artery bypass graft             26.88        26.88   11.45    1.00    26.88
35585   Vein bypass graft               28.35        28.35   12.32    3.00    85.05
35647   Artery bypass graft             27.96        27.96   11.82    1.00    27.96
35654   Artery bypass graft             24.96        24.96   10.70    1.00    24.96
35656   Artery bypass graft             19.50        19.50    8.64    2.00    39.00
35666   Artery bypass graft             22.16        22.16   10.72    1.00    22.16
35701   "Exploration, carotid artery"    8.49         8.49    5.18    1.00     8.49
35721   "Exploration, femoral artery"    7.17         7.17    4.48    1.00     7.17
35761   Exploration of artery/vein       5.36         5.36    4.07    1.00     5.36
35800   Explore neck vessels             7.01         7.01    4.68    2.00    14.02
35820   Explore chest vessels           12.86        12.86    7.20    1.00    12.86



                                                Page 55
                                                CPT1


35840   Explore abdominal vessels       9.76           9.76   5.31         3.00      29.28
35860   Explore limb vessels            5.54           5.54   4.06         1.00       5.54
36000   Place needle in vein            0.24           0.18   0.60    13,801.00   3,312.24
36002   Pseudoaneurysm injection trt    1.96           1.96   2.91         1.00       1.96
36005   Injection ext venography        1.33           0.95   8.47        11.00      14.63
36010   Place catheter in vein          3.47           2.43   0.79        19.00      65.93
36011   Place catheter in vein          4.47           3.14   1.03        44.00     196.68
36012   Place catheter in vein          4.98           3.51   1.15         6.00      29.88
36014   Place catheter in artery        4.27           3.02   0.99         1.00       4.27
36015   Place catheter in artery        4.97           3.51   1.15         1.00       4.97
36100   Establish access to artery      4.46           3.02   1.10        46.00     205.16
36120   Establish access to artery      2.85           2.01   0.65         2.00       5.70
36140   Establish access to artery      2.85           2.01   0.64        31.00      88.35
36145   Artery to vein shunt            2.86           2.01   0.66        32.00      91.52
36200   Place catheter in aorta         4.28           3.02   1.02        45.00     192.60
36215   Place catheter in artery        6.62           4.67   1.58        33.00     218.46
36216   Place catheter in artery        7.47           5.27   1.76        25.00     186.75
36217   Place catheter in artery        8.98           6.29   2.14         8.00      71.84
36245   Place catheter in artery        6.77           4.67   1.65        33.00     223.41
36246   Place catheter in artery        7.52           5.27   1.79        35.00     263.20
36247   Place catheter in artery        8.95           6.29   2.10        23.00     205.85
36248   Place catheter in artery        1.49           1.01   0.35         1.00       1.49
36260   Insertion of infusion pump     16.42           9.70   4.90         4.00      65.68
36262   Removal of infusion pump        7.03           4.01   2.77         3.00      21.09
36299   Vessel injection procedure      0.00           0.00   0.00         1.00       0.00
36400   Bl draw < 3 yrs fem/jugular     0.24           0.38   0.29       225.00      54.00
36405   Bl draw < 3 yrs scalp vein      0.25           0.31   0.27        34.00       8.50
36406   Bl draw < 3 yrs other vein      0.24           0.18   0.30     1,525.00     366.00
36410   Non-routine bl draw > 3 yrs     0.24           0.18   0.30     6,156.00   1,477.44
36415   Routine venipuncture            0.09           0.00   0.00   102,049.00   9,184.41
36416   Capillary blood draw            0.09           0.00   0.00     1,606.00     144.54
36420   Vein access cutdown < 1 yr      1.42           1.01   3.06        21.00      29.82
36425   Vein access cutdown > 1 yr      0.98           0.76   0.22       107.00     104.86
36430   Blood transfusion service       2.10           0.00   1.01       678.00   1,423.80
36450   "Bl exchange/transfuse, nb"     3.12           2.23   0.71        20.00      62.40
36460   "Transfusion service, fetal"    9.58           6.58   2.25         2.00      19.16
36468   "Injection(s), spider veins"    0.00           0.00   0.00       593.00       0.00



                                               Page 56
                                                 CPT1


36469   "Injection(s), spider veins"     0.00           0.00    0.00      10.00     0.00
36470   Injection therapy of vein        1.60           1.09    2.72      75.00   120.00
36471   Injection therapy of veins       2.32           1.57    3.07     180.00   417.60
36481   "Insertion of catheter, vein"   10.27           6.98    7.51      22.00   225.94
36489   "Insertion of catheter, vein"    1.98           2.50    4.06       1.00     1.98
36500   "Insertion of catheter, vein"    4.98           3.51    1.37       5.00    24.90
36510   "Insertion of catheter, vein"    1.76           1.09    3.74      18.00    31.68
36511   Apheresis wbc                    1.74           1.74    0.71       3.00     5.22
36512   Apheresis rbc                    1.74           1.74    0.71       2.00     3.48
36513   Apheresis platelets              1.74           1.74    0.71       4.00     6.96
36514   Apheresis plasma                 1.74           1.74    0.71      30.00    52.20
36515   "Apheresis, adsorp/reinfuse"     1.74           1.74    0.73       2.00     3.48
36535   Removal of access device         4.46           2.27    2.77       1.00     4.46
36540   Collect blood venous device      0.34           0.00    0.00   2,766.00   940.44
36550   Declot vascular device           0.00           0.00    0.39     298.00     0.00
36555   Insert non-tunnel cv cath        2.68           2.68    6.00      12.00    32.16
36556   Insert non-tunnel cv cath        2.50           2.50    5.85     175.00   437.50
36557   Insert tunneled cv cath          5.09           5.09   13.56       5.00    25.45
36558   Insert tunneled cv cath          4.79           4.79   13.45      55.00   263.45
36560   Insert tunneled cv cath          6.24           6.24   29.19      13.00    81.12
36561   Insert tunneled cv cath          5.99           5.99   29.11     158.00   946.42
36563   Insert tunneled cv cath          6.19           6.19   38.09       7.00    43.33
36565   Insert tunneled cv cath          5.99           5.99   22.15       3.00    17.97
36566   Insert tunneled cv cath          6.49           6.49   22.95       3.00    19.47
36568   Insert tunneled cv cath          1.92           1.92    8.19      14.00    26.88
36569   Insert tunneled cv cath          1.82           1.82    7.39     151.00   274.82
36570   Insert tunneled cv cath          5.31           5.31   40.27       5.00    26.55
36571   Insert tunneled cv cath          5.29           5.29   35.64      62.00   327.98
36575   Repair tunneled cv cath          0.67           0.67    3.35       3.00     2.01
36576   Repair tunneled cv cath          3.19           3.19    7.71       2.00     6.38
36578   Replace tunneled cv cath         3.49           3.49   10.54       8.00    27.92
36580   Replace tunneled cv cath         1.31           1.31    6.76       7.00     9.17
36581   Replace tunneled cv cath         3.43           3.43   13.27       4.00    13.72
36582   Replace tunneled cv cath         5.19           5.19   26.63       1.00     5.19
36584   Replace tunneled cv cath         1.20           1.20    7.23       8.00     9.60
36585   Replace tunneled cv cath         4.79           4.79   35.46       2.00     9.58
36589   Removal tunneled cv cath         2.27           2.27    2.20      99.00   224.73



                                                Page 57
                                                  CPT1


36590   Removal tunneled cv cath          3.30         3.30    6.41    95.00   313.50
36595   Mech remov tunneled cv cath       3.59         3.59   19.71     1.00     3.59
36597   Reposition venous catheter        1.21         1.21    3.18     1.00     1.21
36600   Withdrawal of arterial blood      0.32         0.32    0.48   506.00   161.92
36620   "Insertion catheter, artery"      1.15         1.15    0.24     7.00     8.05
36640   "Insertion catheter, artery"      2.10         2.10    1.05     2.00     4.20
36660   "Insertion catheter, artery"      1.40         1.40    0.44     1.00     1.40
36680   "Insert needle, bone cavity"      1.20         1.20    0.49    18.00    21.60
36800   Insertion of cannula              2.43         2.43    1.81   115.00   279.45
36815   Insertion of cannula              2.62         2.62    1.17     1.00     2.62
36819   Av fusion/uppr arm vein          13.98        13.98    6.40    17.00   237.66
36820   Av fusion/forearm vein           13.98        13.98    6.40     6.00    83.88
36821   Av fusion direct any site         8.92         8.92    4.71    46.00   410.32
36825   Artery-vein autograft             9.83         9.83    5.14     4.00    39.32
36830   Artery-vein nonautograft         11.98        11.98    5.30    12.00   143.76
36831   Open thrombect av fistula         7.99         7.99    3.97     6.00    47.94
36832   "Av fistula revision, open"      10.48        10.48    4.79    14.00   146.72
36833   Av fistula revision              11.93        11.93    5.25     7.00    83.51
36838   "Dist revas ligation, hemo"      20.60        20.60    9.36     1.00    20.60
36861   Cannula declotting                2.52         2.52    1.48     3.00     7.56
36870   Percut thrombect av fistula       5.15         5.15   46.98     8.00    41.20
37195   "Thrombolytic therapy, stroke"    8.37         0.00    8.08     2.00    16.74
37200   Transcatheter biopsy              6.40         4.55    1.50     2.00    12.80
37201   Transcatheter therapy infuse      7.83         4.99    2.52     1.00     7.83
37202   Transcatheter therapy infuse      9.33         5.67    3.03    13.00   121.29
37203   Transcatheter retrieval           7.88         5.02    2.53     2.00    15.76
37204   Transcatheter occlusion          25.32        18.11    5.93    22.00   557.04
37205   Transcatheter stent              12.69         8.27    3.74    12.00   152.28
37209   Exchange arterial catheter        2.27         2.27    0.75     3.00     6.81
37251   Iv us each add vessel add-on      2.37         1.60    0.55     1.00     2.37
37500   Endoscopy ligate perf veins      10.98        10.98    7.12     2.00    21.96
37607   Ligation of a-v fistula           6.15         6.15    3.59     3.00    18.45
37609   Temporal artery procedure         3.00         3.00    4.70    26.00    78.00
37617   Ligation of abdomen artery       22.03        22.03    9.22     1.00    22.03
37618   Ligation of extremity artery      4.83         4.83    3.59     3.00    14.49
37620   Revision of major vein           16.91        10.54    5.72    26.00   439.66
37660   Revision of major vein           20.97        20.97    9.10     1.00    20.97



                                                 Page 58
                                                  CPT1


37700   Revise leg vein                   3.72         3.72   2.81    46.00   171.12
37720   Removal of leg vein               5.65         5.65   3.73   144.00   813.60
37730   Removal of leg veins              7.32         7.32   4.28    10.00    73.20
37735   Removal of leg veins/lesion      10.51        10.51   5.54     3.00    31.53
37760   "Ligation, leg veins, open"      10.45        10.45   5.38     9.00    94.05
37765   Phleb veins - extrem - to 20      7.34         7.34   4.55    80.00   587.20
37766   Phleb veins - extrem 20+          9.29         9.29   5.26     2.00    18.58
37780   Revision of leg vein              3.83         3.83   2.88     6.00    22.98
37785   Ligate/divide/excise vein         3.83         3.83   5.14    34.00   130.22
37788   "Revascularization, penis"       21.98        21.98   9.29     1.00    21.98
37790   Penile venous occlusion           8.33         8.33   4.53     1.00     8.33
37799   Vascular surgery procedure        0.00         0.00   0.00    74.00     0.00
38100   "Removal of spleen, total"       14.48        14.48   6.23     4.00    57.92
38101   "Removal of spleen, partial"     15.29        15.29   6.58     1.00    15.29
38115   Repair of ruptured spleen        15.80        15.80   6.70     2.00    31.60
38120   "Laparoscopy, splenectomy"       16.97        16.97   7.43     9.00   152.73
38200   Injection for spleen x-ray        3.74         2.64   0.89     1.00     3.74
38205   Harvest allogenic stem cells      1.50         1.50   0.67     2.00     3.00
38206   Harvest auto stem cells           1.50         1.50   0.67     1.00     1.50
38208   Thaw preserved stem cells         0.98         0.00   0.00     1.00     0.98
38220   Bone marrow aspiration            1.08         1.08   3.98   204.00   220.32
38221   Bone marrow biopsy                1.37         1.37   4.19   216.00   295.92
38230   Bone marrow collection            4.53         4.53   3.08     2.00     9.06
38240   Bone marrow/stem transplant       2.24         2.24   1.03     3.00     6.72
38241   Bone marrow/stem transplant       2.24         2.24   1.04    12.00    26.88
38242   Lymphocyte infuse transplant      1.71         1.71   0.77     1.00     1.71
38300   "Drainage, lymph node lesion"     1.99         1.99   4.42    10.00    19.90
38305   "Drainage, lymph node lesion"     5.99         5.99   5.98     1.00     5.99
38500   "Biopsy/removal, lymph nodes"     3.74         3.74   3.78   145.00   542.30
38505   "Needle biopsy, lymph nodes"      1.14         1.14   2.13    31.00    35.34
38510   "Biopsy/removal, lymph nodes"     6.42         6.42   5.65    51.00   327.42
38525   "Biopsy/removal, lymph nodes"     6.06         6.06   3.36    60.00   363.60
38530   "Biopsy/removal, lymph nodes"     7.97         7.97   4.46     1.00     7.97
38542   "Explore deep node(s), neck"      5.90         5.90   4.51     3.00    17.70
38550   "Removal, neck/armpit lesion"     6.91         6.91   3.99     4.00    27.64
38562   "Removal, pelvic lymph nodes"    10.47        10.47   5.83     2.00    20.94
38564   "Removal, abdomen lymph nodes"   10.81        10.81   5.30     1.00    10.81



                                                 Page 59
                                                  CPT1


38570   "Laparoscopy, lymph node biop"    9.24         9.24    3.94    3.00    27.72
38589   "Laparoscope proc, lymphatic"     0.00         0.00    0.00    1.00     0.00
38700   "Removal of lymph nodes, neck"    8.23         8.23    8.09    1.00     8.23
38720   "Removal of lymph nodes, neck"   13.59        13.59   11.07    2.00    27.18
38724   "Removal of lymph nodes, neck"   14.52        14.52   11.57    2.00    29.04
38740   Remove armpit lymph nodes        10.01        10.01    5.01    9.00    90.09
38745   Remove armpit lymph nodes        13.08        13.08    6.19    9.00   117.72
38746   Remove thoracic lymph nodes       4.88         4.88    1.62    1.00     4.88
38747   Remove abdominal lymph nodes      4.88         4.88    1.68    1.00     4.88
38760   Remove groin lymph nodes         12.93        12.93    6.20    9.00   116.37
38765   Remove groin lymph nodes         19.95        19.95    8.92    1.00    19.95
38780   Remove abdomen lymph nodes       16.57        16.57    8.27    2.00    33.14
38790   Inject for lymphatic x-ray        1.86         1.29   11.24    1.00     1.86
38792   Identify sentinel node            0.52         0.52    0.44    4.00     2.08
38999   Blood/lymph system procedure      0.00         0.00    0.00    6.00     0.00
39000   Exploration of chest              6.09         6.09    4.70    1.00     6.09
39010   Exploration of chest             11.77        11.77    6.67    3.00    35.31
39400   Visualization of chest            5.60         5.60    4.87    1.00     5.60
39502   Repair paraesophageal hernia     16.31        16.31    7.20    4.00    65.24
39520   Repair of diaphragm hernia       16.08        16.08    8.11    1.00    16.08
40490   Biopsy of lip                     1.22         1.22    1.85   56.00    68.32
40500   Partial excision of lip           4.27         4.27    6.08    2.00     8.54
40510   Partial excision of lip           4.69         4.69    6.82    6.00    28.14
40520   Partial excision of lip           4.66         4.66    7.33    2.00     9.32
40525   Reconstruct lip with flap         7.54         7.54    6.90    2.00    15.08
40650   Repair lip                        3.63         3.63    5.55    7.00    25.41
40652   Repair lip                        4.25         4.25    6.50    2.00     8.50
40700   Repair cleft lip/nasal           12.77        12.77    9.51   18.00   229.86
40720   Repair cleft lip/nasal           13.53        13.53   10.50    4.00    54.12
40761   Repair cleft lip/nasal           14.70        14.70   10.82    2.00    29.40
40799   Lip surgery procedure             0.00         0.00    0.00    7.00     0.00
40800   Drainage of mouth lesion          1.17         1.17    2.21    7.00     8.19
40801   Drainage of mouth lesion          2.53         2.53    3.17    2.00     5.06
40804   "Removal, foreign body, mouth"    1.24         1.24    2.55   10.00    12.40
40806   Incision of lip fold              0.31         0.31    1.37    5.00     1.55
40808   Biopsy of mouth lesion            0.96         0.96    2.29   30.00    28.80
40810   Excision of mouth lesion          1.31         1.31    2.38   19.00    24.89



                                                 Page 60
                                                 CPT1


40812   Excise/repair mouth lesion       2.31         2.31    3.24      13.00   30.03
40814   Excise/repair mouth lesion       3.41         3.41    4.74       2.00    6.82
40816   Excision of mouth lesion         3.66         3.66    4.91       2.00    7.32
40819   Excise lip or cheek fold         2.41         2.41    4.38      38.00   91.58
40820   Treatment of mouth lesion        1.28         1.28    2.69       2.00    2.56
40830   Repair mouth laceration          1.76         1.76    3.07       5.00    8.80
40840   Reconstruction of mouth          8.72         8.72    8.58       3.00   26.16
41000   Drainage of mouth lesion         1.30         1.30    2.47       3.00    3.90
41008   Drainage of mouth lesion         3.36         3.36    4.53       1.00    3.36
41010   Incision of tongue fold          1.06         1.06    3.46      30.00   31.80
41015   Drainage of mouth lesion         3.95         3.95    5.36       2.00    7.90
41017   Drainage of mouth lesion         4.06         4.06    5.36       1.00    4.06
41100   Biopsy of tongue                 1.63         1.63    2.56      39.00   63.57
41105   Biopsy of tongue                 1.42         1.42    2.46       8.00   11.36
41108   Biopsy of floor of mouth         1.05         1.05    2.20      14.00   14.70
41110   Excision of tongue lesion        1.51         1.51    2.52      19.00   28.69
41112   Excision of tongue lesion        2.73         2.73    4.25       8.00   21.84
41113   Excision of tongue lesion        3.19         3.19    4.60       3.00    9.57
41115   Excision of tongue fold          1.74         1.74    3.43      15.00   26.10
41116   Excision of mouth lesion         2.44         2.44    4.22       3.00    7.32
41120   Partial removal of tongue        9.76         9.76    7.58       2.00   19.52
41130   Partial removal of tongue       11.13        11.13    8.36       1.00   11.13
41135   Tongue and neck surgery         23.06        23.06   14.83       1.00   23.06
41250   Repair tongue laceration         1.91         1.91    3.07       5.00    9.55
41251   Repair tongue laceration         2.27         2.27    3.58       1.00    2.27
41510   Tongue to lip surgery            3.41         3.41    3.10       1.00    3.41
41520   "Reconstruction, tongue fold"    2.73         2.73    4.07      13.00   35.49
41599   Tongue and mouth surgery         0.00         0.00    0.00       9.00    0.00
41800   Drainage of gum lesion           1.17         1.17    2.66      14.00   16.38
41823   Excision of gum lesion           3.30         3.30    5.82       3.00    9.90
41825   Excision of gum lesion           1.31         1.31    3.27       3.00    3.93
41826   Excision of gum lesion           2.31         2.31    3.85       2.00    4.62
41850   Treatment of gum lesion          1.45         0.00    0.00       1.00    1.45
41870   Gum graft                        3.64         0.00    0.00       1.00    3.64
41874   Repair tooth socket              3.09         3.09    4.68      17.00   52.53
41899   Dental surgery procedure         0.00         0.00    0.00   2,103.00    0.00
42000   Drainage mouth roof lesion       1.23         1.23    2.72       1.00    1.23



                                                Page 61
                                                  CPT1


42100   Biopsy roof of mouth              1.31         1.31    2.27    17.00      22.27
42104   "Excision lesion, mouth roof"     1.64         1.64    2.76     6.00       9.84
42106   "Excision lesion, mouth roof"     2.10         2.10    3.72     3.00       6.30
42120   Remove palate/lesion              6.16         6.16    5.56     3.00      18.48
42140   Excision of uvula                 1.62         1.62    2.48    36.00      58.32
42145   "Repair palate, pharynx/uvula"    8.04         8.04    6.61   298.00   2,395.92
42160   Treatment mouth roof lesion       1.80         1.80    3.59    12.00      21.60
42200   Reconstruct cleft palate         11.98        11.98    9.01     6.00      71.88
42210   Reconstruct cleft palate         14.48        14.48   10.52     2.00      28.96
42215   Reconstruct cleft palate          8.81         8.81    7.55     1.00       8.81
42225   Reconstruct cleft palate          9.53         9.53    7.66     1.00       9.53
42226   Lengthening of palate             9.99         9.99    7.88     2.00      19.98
42227   Lengthening of palate             9.51         9.51    7.34     1.00       9.51
42235   Repair palate                     7.86         7.86    5.35     1.00       7.86
42299   Palate/uvula surgery              0.00         0.00    0.00    37.00       0.00
42300   Drainage of salivary gland        1.93         1.93    2.95     4.00       7.72
42325   Create salivary cyst drain        2.75         2.75    3.54     1.00       2.75
42330   Removal of salivary stone         2.21         2.21    3.30     7.00      15.47
42335   Removal of salivary stone         3.31         3.31    3.90     2.00       6.62
42340   Removal of salivary stone         4.59         4.59    5.14     1.00       4.59
42400   Biopsy of salivary gland          0.78         0.78    1.75     8.00       6.24
42405   Biopsy of salivary gland          3.29         3.29    4.17     9.00      29.61
42408   Excision of salivary cyst         4.53         4.53    5.05     8.00      36.24
42409   Drainage of salivary cyst         2.81         2.81    3.55     4.00      11.24
42410   Excise parotid gland/lesion       9.33         9.33    6.64    19.00     177.27
42415   Excise parotid gland/lesion      16.86        16.86   11.26    19.00     320.34
42420   Excise parotid gland/lesion      19.56        19.56   12.77     8.00     156.48
42425   Excise parotid gland/lesion      13.00        13.00    9.07     1.00      13.00
42426   Excise parotid gland/lesion      21.23        21.23   13.43     1.00      21.23
42440   Excise submaxillary gland         6.96         6.96    5.06    26.00     180.96
42450   Excise sublingual gland           4.61         4.61    5.66     3.00      13.83
42500   Repair salivary duct              4.29         4.29    5.46     1.00       4.29
42600   Closure of salivary fistula       4.81         4.81    5.83     1.00       4.81
42650   Dilation of salivary duct         0.77         0.77    1.17     2.00       1.54
42660   Dilation of salivary duct         1.13         1.13    1.48     2.00       2.26
42699   Salivary surgery procedure        0.00         0.00    0.00     1.00       0.00
42700   Drainage of tonsil abscess        1.62         1.62    2.74   162.00     262.44



                                                 Page 62
                                                 CPT1


42720   Drainage of throat abscess       5.41         5.41   5.04       4.00      21.64
42725   Drainage of throat abscess      10.70        10.70   8.00       1.00      10.70
42800   Biopsy of throat                 1.39         1.39   2.23      22.00      30.58
42804   Biopsy of upper nose/throat      1.24         1.24   3.97      18.00      22.32
42806   Biopsy of upper nose/throat      1.58         1.58   4.11       1.00       1.58
42808   Excise pharynx lesion            2.30         2.30   3.17       7.00      16.10
42809   Remove pharynx foreign body      1.81         1.81   2.36      16.00      28.96
42810   Excision of neck cyst            3.25         3.25   4.84      17.00      55.25
42815   Excision of neck cyst            7.06         7.06   5.42       5.00      35.30
42820   Remove tonsils and adenoids      3.90         3.90   3.47     838.00   3,268.20
42821   Remove tonsils and adenoids      4.28         4.28   3.68     178.00     761.84
42825   Removal of tonsils               3.41         3.41   3.32     150.00     511.50
42826   Removal of tonsils               3.37         3.37   3.21   1,014.00   3,417.18
42830   Removal of adenoids              2.57         2.57   2.62     226.00     580.82
42831   Removal of adenoids              2.71         2.71   2.86      39.00     105.69
42835   Removal of adenoids              2.30         2.30   2.62      12.00      27.60
42860   Excision of tonsil tags          2.22         2.22   2.58       2.00       4.44
42870   Excision of lingual tonsil       5.39         5.39   4.79       5.00      26.95
42900   Repair throat wound              5.24         5.24   3.70       2.00      10.48
42950   Reconstruction of throat         8.09         8.09   6.60       2.00      16.18
42953   "Repair throat, esophagus"       8.95         8.95   7.53       1.00       8.95
42960   Control throat bleeding          2.33         2.33   2.00      23.00      53.59
42961   Control throat bleeding          5.58         5.58   4.85       3.00      16.74
42962   Control throat bleeding          7.13         7.13   5.73       4.00      28.52
42970   Control nose/throat bleeding     5.42         5.42   3.61       4.00      21.68
42999   Throat surgery procedure         0.00         0.00   0.00      16.00       0.00
43020   Incision of esophagus            8.08         8.08   5.70       1.00       8.08
43030   Throat muscle surgery            7.68         7.68   5.82       4.00      30.72
43130   Removal of esophagus pouch      11.73        11.73   7.62       1.00      11.73
43200   Esophagus endoscopy              1.59         1.59   4.01      83.00     131.97
43201   Esoph scope w/submucous inj      2.09         2.09   4.70       3.00       6.27
43202   "Esophagus endoscopy, biopsy"    1.89         1.89   5.38      48.00      90.72
43204   Esoph scope w/sclerosis inj      3.76         3.76   1.54       1.00       3.76
43205   Esophagus endoscopy/ligation     3.78         3.78   1.55       2.00       7.56
43215   Esophagus endoscopy              4.02         2.60   1.22      18.00      72.36
43216   Esophagus endoscopy/lesion       2.40         2.40   1.18       2.00       4.80
43217   Esophagus endoscopy              2.90         2.90   6.79       1.00       2.90



                                                Page 63
                                                  CPT1


43219   Esophagus endoscopy               2.80         2.80   1.37       3.00        8.40
43220   "Esoph endoscopy, dilation"       3.31         2.10   0.99      61.00      201.91
43226   "Esoph endoscopy, dilation"       2.34         2.34   1.06       4.00        9.36
43227   "Esoph endoscopy, repair"         3.59         3.59   1.47       3.00       10.77
43228   "Esoph endoscopy, ablation"       3.76         3.76   1.58       2.00        7.52
43231   Esoph endoscopy w/us exam         3.19         3.19   1.33       2.00        6.38
43232   Esoph endoscopy w/us fn bx        4.47         4.47   1.84       1.00        4.47
43234   "Upper GI endoscopy, exam"        2.01         2.01   5.21      35.00       70.35
43235   "Uppr gi endoscopy, diagnosis"    2.39         2.39   5.04   2,966.00    7,088.74
43236   Uppr gi scope w/submuc inj        2.92         2.92   6.32       8.00       23.36
43237   "Endoscopic us exam, esoph"       3.98         3.98   1.61       3.00       11.94
43238   Uppr gi endoscopy w/us fn bx      5.02         5.02   1.97       6.00       30.12
43239   "Upper GI endoscopy, biopsy"      2.87         2.87   5.58   3,956.00   11,353.72
43240   Esoph endoscope w/drain cyst      6.85         6.85   2.65       2.00       13.70
43241   Upper GI endoscopy with tube      2.59         2.59   1.14      10.00       25.90
43242   Uppr gi endoscopy w/us fn bx      7.30         7.30   2.78      13.00       94.90
43243   Upper gi endoscopy & inject       4.56         4.56   1.84      10.00       45.60
43244   Upper GI endoscopy/ligation       5.04         5.04   2.01      22.00      110.88
43245   Uppr gi scope dilate strictr      3.18         3.18   1.34      91.00      289.38
43246   Place gastrostomy tube            6.37         4.32   1.74      38.00      242.06
43247   Operative upper GI endoscopy      5.06         3.38   1.42      32.00      161.92
43248   Uppr gi endoscopy/guide wire      3.15         3.15   1.35     295.00      929.25
43249   "Esoph endoscopy, dilation"       2.90         2.90   1.25     135.00      391.50
43250   Upper GI endoscopy/tumor          3.20         3.20   1.35      20.00       64.00
43251   Operative upper GI endoscopy      5.50         3.69   1.53      47.00      258.50
43255   Operative upper GI endoscopy      6.36         4.81   1.92      30.00      190.80
43256   Uppr gi endoscopy w stent         4.34         4.34   1.77       1.00        4.34
43258   Operative upper GI endoscopy      6.69         4.54   1.84       9.00       60.21
43259   Endoscopic ultrasound exam        7.23         5.19   2.04      41.00      296.43
43260   Endo cholangiopancreatograph      8.65         5.95   2.31     114.00      986.10
43261   Endo cholangiopancreatograph      9.09         6.26   2.42       6.00       54.54
43262   Endo cholangiopancreatograph     10.67         7.38   2.81      42.00      448.14
43264   Endo cholangiopancreatograph     12.79         8.89   3.35      53.00      677.87
43265   Endo cholangiopancreatograph     12.80        10.00   3.73       2.00       25.60
43268   Endo cholangiopancreatograph     10.67         7.38   2.90      17.00      181.39
43269   Endo cholangiopancreatograph      8.77         8.20   3.10      40.00      350.80
43271   Endo cholangiopancreatograph     10.66         7.38   2.80       9.00       95.94



                                                 Page 64
                                                 CPT1


43280   "Laparoscopy, fundoplasty"      17.22        17.22    7.33   160.00   2,755.20
43324   Revise esophagus & stomach      20.54        20.54    8.82     9.00     184.86
43330   Repair of esophagus             19.74        19.74    8.59     2.00      39.48
43331   Repair of esophagus             20.10        20.10    9.83     2.00      40.20
43340   Fuse esophagus & intestine      19.58        19.58    9.03     1.00      19.58
43341   Fuse esophagus & intestine      20.82        20.82   10.06     1.00      20.82
43450   Dilate esophagus                 1.38         1.38    2.52    54.00      74.52
43453   Dilate esophagus                 1.51         1.51    5.95     4.00       6.04
43456   Dilate esophagus                 3.76         2.57   13.75     1.00       3.76
43458   Dilate esophagus                 4.47         3.06    6.55    13.00      58.11
43499   Esophagus surgery procedure      0.00         0.00    0.00     1.00       0.00
43500   Surgical opening of stomach     11.03        11.03    5.00     1.00      11.03
43520   Incision of pyloric muscle       9.98         9.98    5.30     7.00      69.86
43610   Excision of stomach lesion      14.58        14.58    6.20     2.00      29.16
43621   Removal of stomach              30.68        30.68   12.06     1.00      30.68
43631   "Removal of stomach, partial"   22.56        22.56    9.21     2.00      45.12
43632   "Removal of stomach, partial"   22.56        22.56    9.21     7.00     157.92
43633   "Removal of stomach, partial"   23.07        23.07    9.37     6.00     138.42
43653   "Laparoscopy, gastrostomy"       7.72         7.72    4.22     3.00      23.16
43750   Place gastrostomy tube           7.43         4.48    2.72    42.00     312.06
43752   Nasal/orogastric w/stent         0.68         0.68    0.26    69.00      46.92
43760   Change gastrostomy tube          1.63         1.10    1.65   112.00     182.56
43761   Reposition gastrostomy tube      2.94         2.01    0.79     9.00      26.46
43800   Reconstruction of pylorus       13.67        13.67    5.94     1.00      13.67
43810   Fusion of stomach and bowel     14.63        14.63    6.23     4.00      58.52
43820   Fusion of stomach and bowel     15.35        15.35    6.45     1.00      15.35
43831   Place gastrostomy tube           7.83         7.83    4.54     1.00       7.83
43840   Repair of stomach lesion        15.54        15.54    6.81     5.00      77.70
43843   Gastroplasty for obesity        18.62        18.62    8.12     1.00      18.62
43846   Gastric bypass for obesity      24.01        24.01   10.37    82.00   1,968.82
43847   Gastric bypass for obesity      26.88        26.88   11.32     3.00      80.64
43848   Revision gastroplasty           29.35        29.35   12.25     1.00      29.35
43860   Revise stomach-bowel fusion     24.96        24.96   10.03     2.00      49.92
43870   Repair stomach opening           9.68         9.68    4.55     1.00       9.68
43880   Repair stomach-bowel fistula    24.61        24.61    9.97     1.00      24.61
43999   Stomach surgery procedure        0.00         0.00    0.00     7.00       0.00
44005   Freeing of bowel adhesion       16.21        16.21    6.77    14.00     226.94



                                                Page 65
                                                 CPT1


44015   Insert needle cath bowel         3.86         2.62    0.89    1.00       3.86
44020   Explore small intestine         13.97        13.97    5.98    1.00      13.97
44021   Decompress small bowel          14.06        14.06    6.02    2.00      28.12
44050   Reduce bowel obstruction        14.01        14.01    6.00    2.00      28.02
44055   Correct malrotation of bowel    21.97        21.97    8.78    1.00      21.97
44110   Excise intestine lesion(s)      11.79        11.79    5.27    1.00      11.79
44120   Removal of small intestine      16.97        16.97    7.12    3.00      50.91
44130   Bowel to bowel fusion           14.47        14.47    6.26    1.00      14.47
44139   Mobilization of colon            2.23         2.23    0.76    1.00       2.23
44140   Partial removal of colon        20.97        20.97    8.69   53.00   1,111.41
44141   Partial removal of colon        19.48        19.48   10.15    2.00      38.96
44143   Partial removal of colon        22.96        22.96   10.80    8.00     183.68
44144   Partial removal of colon        21.50        21.50    9.69    9.00     193.50
44145   Partial removal of colon        26.38        26.38   10.87    1.00      26.38
44146   Partial removal of colon        27.50        27.50   12.98    2.00      55.00
44147   Partial removal of colon        20.68        20.68    8.74    4.00      82.72
44152   Removal of colon/ileostomy      27.79        27.79   11.68    3.00      83.37
44156   Removal of colon/ileostomy      30.74        30.74   15.20    1.00      30.74
44160   Removal of colon                18.59        18.59    7.80    7.00     130.13
44200   "Laparoscopy, enterolysis"      14.42        14.42    6.23   25.00     360.50
44201   "Laparoscopy, jejunostomy"       9.77         9.77    4.70    1.00       9.77
44202   Lap resect s/intestine singl    22.01        22.01    8.98    5.00     110.05
44204   Laparo partial colectomy        25.04        25.04   10.00   24.00     600.96
44205   Lap colectomy part w/ileum      22.20        22.20    8.88    1.00      22.20
44207   L colectomy/coloproctostomy     29.96        29.96   11.59    1.00      29.96
44210   Laparo total proctocolectomy    27.96        27.96   12.03    1.00      27.96
44211   Laparo total proctocolectomy    34.95        34.95   14.74    2.00      69.90
44238   "Laparoscope proc, intestine"    0.00         0.00    0.00    1.00       0.00
44239   "Laparoscope proc, rectum"       0.00         0.00    0.00    1.00       0.00
44310   Ileostomy/jejunostomy           15.93        15.93    6.73    3.00      47.79
44312   Revision of ileostomy            8.01         8.01    4.03    2.00      16.02
44314   Revision of ileostomy           15.03        15.03    6.60    1.00      15.03
44316   Devise bowel pouch              21.06        21.06    8.60    1.00      21.06
44320   Colostomy                       17.61        17.61    7.71    2.00      35.22
44322   Colostomy with biopsies         11.96        11.96    8.70    1.00      11.96
44340   Revision of colostomy            7.71         7.71    4.31    3.00      23.13
44345   Revision of colostomy           15.41        15.41    6.93    2.00      30.82



                                                Page 66
                                                  CPT1


44360   Small bowel endoscopy             2.59         2.59    1.12     8.00      20.72
44361   Small bowel endoscopy/biopsy      2.87         2.87    1.21     1.00       2.87
44364   Small bowel endoscopy             3.73         3.73    1.52     2.00       7.46
44366   Small bowel endoscopy             4.40         4.40    1.76     1.00       4.40
44373   Small bowel endoscopy             3.49         3.49    1.45     1.00       3.49
44378   Small bowel endoscopy             7.12         7.12    2.71     1.00       7.12
44380   Small bowel endoscopy             1.05         1.05    0.56     1.00       1.05
44385   Endoscopy of bowel pouch          1.82         1.82    4.98     2.00       3.64
44388   Colonoscopy                       2.82         2.82    5.14    21.00      59.22
44389   Colonoscopy with biopsy           3.13         3.13    6.49    11.00      34.43
44390   Colonoscopy for foreign body      3.82         3.82    6.76     1.00       3.82
44392   Colonoscopy & polypectomy         3.81         3.81    6.53     6.00      22.86
44394   Colonoscopy w/snare               4.42         4.42    7.75     3.00      13.26
44500   "Intro, gastrointestinal tube"    0.86         0.49    0.36     1.00       0.86
44602   "Suture, small intestine"        16.01        16.01    6.42     5.00      80.05
44604   "Suture, large intestine"        16.01        16.01    6.49     4.00      64.04
44605   Repair of bowel lesion           19.50        19.50    8.46     1.00      19.50
44615   Intestinal stricturoplasty       15.91        15.91    6.72     1.00      15.91
44620   Repair bowel opening             12.18        12.18    5.36     9.00     109.62
44625   Repair bowel opening             15.03        15.03    6.35     5.00      75.15
44626   Repair bowel opening             25.32        25.32    9.87     5.00     126.60
44640   Repair bowel-skin fistula        21.62        21.62    8.62     3.00      64.86
44661   Repair bowel-bladder fistula     24.77        24.77    9.60     1.00      24.77
44799   Unlisted procedure intestine      0.00         0.00    0.00     2.00       0.00
44800   Excision of bowel pouch          11.21        11.21    5.43     2.00      22.42
44900   "Drain app abscess, open"        10.12        10.12    4.74     4.00      40.48
44901   "Drain app abscess, percut"       3.37         3.37    1.12     1.00       3.37
44950   Appendectomy                      9.99         9.99    4.35   211.00   2,107.89
44960   Appendectomy                     12.32        12.32    5.38    31.00     381.92
44970   "Laparoscopy, appendectomy"       8.69         8.69    4.23   246.00   2,137.74
45000   Drainage of pelvic abscess        4.51         4.51    2.98     5.00      22.55
45005   Drainage of rectal abscess        1.99         1.99    4.84    17.00      33.83
45020   Drainage of rectal abscess        4.71         4.71    3.31     2.00       9.42
45100   Biopsy of rectum                  3.67         3.67    2.39    17.00      62.39
45108   Removal of anorectal lesion       4.75         4.75    2.91     5.00      23.75
45112   Removal of rectum                30.49        30.49   11.82     1.00      30.49
45113   Partial proctectomy              30.53        30.53   12.69     1.00      30.53



                                                 Page 67
                                                CPT1


45119   Remove rectum w/reservoir      30.79        30.79   12.54        2.00       61.58
45120   Removal of rectum              24.56        24.56   10.19        1.00       24.56
45130   Excision of rectal prolapse    16.42        16.42    6.80        1.00       16.42
45170   Excision of rectal lesion      11.47        11.47    5.27        9.00      103.23
45300   Proctosigmoidoscopy dx          0.38         0.38    1.47       95.00       36.10
45303   Proctosigmoidoscopy dilate      0.76         0.44   19.04        3.00        2.28
45305   Proctosigmoidoscopy w/bx        1.01         1.01    2.58        9.00        9.09
45308   Proctosigmoidoscopy removal     0.83         0.83    1.94        2.00        1.66
45315   Proctosigmoidoscopy removal     1.40         1.40    2.80        1.00        1.40
45321   Proctosigmoidoscopy volvul      1.17         1.17    0.58        1.00        1.17
45330   Diagnostic sigmoidoscopy        0.96         0.96    2.20    2,625.00    2,520.00
45331   Sigmoidoscopy and biopsy        1.15         1.15    2.91      499.00      573.85
45332   Sigmoidoscopy w/fb removal      1.79         1.79    4.86        4.00        7.16
45333   Sigmoidoscopy & polypectomy     1.79         1.79    4.72       32.00       57.28
45334   Sigmoidoscopy for bleeding      2.73         2.73    1.18        8.00       21.84
45335   Sigmoidoscopy w/submuc inj      1.46         1.46    3.44        4.00        5.84
45338   Sigmoidoscopy w/tumr remove     2.34         2.34    5.03       26.00       60.84
45339   Sigmoidoscopy w/ablate tumr     3.14         3.14    3.34       11.00       34.54
45340   Sig w/balloon dilation          1.89         1.89    6.72        4.00        7.56
45341   Sigmoidoscopy w/ultrasound      2.60         2.60    1.12       25.00       65.00
45345   Sigmoidoscopy w/stent           2.92         2.92    1.20        2.00        5.84
45355   Surgical colonoscopy            3.51         3.51    1.40        3.00       10.53
45378   Diagnostic colonoscopy          3.69         3.69    6.04   10,019.00   36,970.11
45379   Colonoscopy w/fb removal        4.68         4.68    7.56       30.00      140.40
45380   Colonoscopy and biopsy          4.43         4.43    7.07    3,606.00   15,974.58
45381   "Colonoscopy, submucous inj"    4.19         4.19    8.14        3.00       12.57
45382   Colonoscopy/control bleeding    5.68         5.68    9.72       21.00      119.28
45383   Lesion removal colonoscopy      5.86         5.86    7.85      360.00    2,109.60
45384   Lesion remove colonoscopy       4.69         4.69    6.69    1,250.00    5,862.50
45385   Lesion removal colonoscopy      5.30         5.30    7.69    2,426.00   12,857.80
45386   Colonoscopy dilate stricture    4.57         4.57   13.65        5.00       22.85
45387   Colonoscopy w/stent             5.90         5.90    2.35        7.00       41.30
45505   Repair of rectum                7.57         7.57    3.87        1.00        7.57
45550   Repair rectum/remove sigmoid   22.97        22.97    9.29        2.00       45.94
45560   Repair of rectocele            10.56        10.56    5.12       10.00      105.60
45820   Repair rectourethral fistula   18.45        18.45    7.70        1.00       18.45
45905   Dilation of anal sphincter      2.30         2.30    1.43       18.00       41.40



                                               Page 68
                                               CPT1


45910   Dilation of rectal narrowing   2.80           2.80   1.66       2.00     5.60
45915   Remove rectal obstruction      3.14           3.14   4.73       1.00     3.14
45999   Rectum surgery procedure       0.00           0.00   0.00     255.00     0.00
46020   Placement of seton             2.90           2.90   2.28      14.00    40.60
46030   Removal of rectal marker       1.23           1.23   1.35       8.00     9.84
46040   Incision of rectal abscess     4.95           4.95   5.30      73.00   361.35
46045   Incision of rectal abscess     4.31           4.31   2.92       7.00    30.17
46050   Incision of anal abscess       1.19           1.19   2.57      80.00    95.20
46060   Incision of rectal abscess     5.68           5.68   3.30      11.00    62.48
46070   Incision of anal septum        2.71           2.71   1.88       1.00     2.71
46080   Incision of anal sphincter     2.49           2.49   2.39      68.00   169.32
46083   Incise external hemorrhoid     1.40           1.40   2.50     155.00   217.00
46200   Removal of anal fissure        3.41           3.41   3.64      16.00    54.56
46210   Removal of anal crypt          2.67           2.67   4.81       1.00     2.67
46211   Removal of anal crypts         4.24           4.24   5.08       3.00    12.72
46220   Removal of anal tag            1.56           1.56   2.27      33.00    51.48
46221   Ligation of hemorrhoid(s)      2.04           2.04   1.62     177.00   361.08
46230   Removal of anal tags           2.57           2.57   3.04      25.00    64.25
46250   Hemorrhoidectomy               3.88           3.88   4.86     105.00   407.40
46255   Hemorrhoidectomy               4.59           4.59   5.40     209.00   959.31
46257   Remove hemorrhoids & fissure   5.39           5.39   2.91       1.00     5.39
46260   Hemorrhoidectomy               6.36           6.36   3.26      51.00   324.36
46261   Remove hemorrhoids & fissure   7.07           7.07   3.66       1.00     7.07
46262   Remove hemorrhoids & fistula   7.49           7.49   3.79       2.00    14.98
46270   Removal of anal fistula        3.71           3.71   4.66      74.00   274.54
46275   Removal of anal fistula        4.55           4.55   4.36       5.00    22.75
46280   Removal of anal fistula        5.97           5.97   3.31      21.00   125.37
46285   Removal of anal fistula        4.08           4.08   3.59       2.00     8.16
46288   Repair anal fistula            7.12           7.12   3.72       8.00    56.96
46320   Removal of hemorrhoid clot     1.61           1.61   2.12      46.00    74.06
46500   Injection into hemorrhoid(s)   1.61           1.61   2.79       4.00     6.44
46600   Diagnostic anoscopy            0.50           0.50   1.58   1,478.00   739.00
46604   Anoscopy and dilation          1.31           1.31   9.30       7.00     9.17
46606   Anoscopy and biopsy            0.81           0.81   3.83      16.00    12.96
46608   "Anoscopy, remove for body"    1.51           1.51   4.42       2.00     3.02
46610   "Anoscopy, remove lesion"      1.32           1.32   4.08       9.00    11.88
46611   Anoscopy                       1.81           1.81   3.35      19.00    34.39



                                              Page 69
                                                  CPT1


46612   "Anoscopy, remove lesions"        2.34         2.34    5.19     5.00    11.70
46614   "Anoscopy, control bleeding"      2.01         2.01    2.28    21.00    42.21
46615   Anoscopy                          2.68         2.68    2.52     2.00     5.36
46705   Repair of anal stricture          6.89         6.89    3.75     1.00     6.89
46706   Repr of anal fistula w/glue       2.39         2.39    1.24    10.00    23.90
46750   Repair of anal sphincter         10.23        10.23    5.10     2.00    20.46
46754   Removal of suture from anus       2.20         2.20    3.59    21.00    46.20
46900   "Destruction, anal lesion(s)"     1.91         1.91    3.54    11.00    21.01
46910   "Destruction, anal lesion(s)"     1.86         1.86    2.68    22.00    40.92
46916   "Cryosurgery, anal lesion(s)"     1.86         1.86    3.12    40.00    74.40
46917   "Laser surgery, anal lesions"     1.86         1.86    9.17     2.00     3.72
46922   Excision of anal lesion(s)        1.86         1.86    3.32    33.00    61.38
46924   "Destruction, anal lesion(s)"     2.76         2.76    8.69     5.00    13.80
46934   Destruction of hemorrhoids        3.50         3.50    5.01    42.00   147.00
46935   Destruction of hemorrhoids        2.43         2.43    3.45    18.00    43.74
46936   Destruction of hemorrhoids        3.68         3.68    4.45     5.00    18.40
46937   Cryotherapy of rectal lesion      2.69         2.69    2.73     5.00    13.45
46940   Treatment of anal fissure         2.32         2.32    1.99     4.00     9.28
46945   Ligation of hemorrhoids           1.84         1.84    3.54    34.00    62.56
46946   Ligation of hemorrhoids           2.58         2.58    4.17    15.00    38.70
46999   Anus surgery procedure            0.00         0.00    0.00    28.00     0.00
47000   Needle biopsy of liver            2.67         1.90    3.26   354.00   945.18
47010   "Open drainage, liver lesion"    15.99        15.99    8.55     1.00    15.99
47011   "Percut drain, liver lesion"      3.69         3.69    1.21     1.00     3.69
47015   Inject/aspirate liver cyst       15.09        15.09    7.56     2.00    30.18
47100   Wedge biopsy of liver            11.65        11.65    6.10     7.00    81.55
47120   Partial removal of liver         35.45        35.45   15.28     6.00   212.70
47130   Partial removal of liver         53.27        53.27   21.14     2.00   106.54
47362   Repair liver wound               18.48        18.48    8.80     1.00    18.48
47371   Laparo ablate liver cryosurg     19.66        19.66    8.19     1.00    19.66
47379   "Laparoscope procedure, liver"    0.00         0.00    0.00     2.00     0.00
47380   Open ablate liver tumor rf       22.97        22.97    9.39     2.00    45.94
47381   Open ablate liver tumor cryo     23.24        23.24    9.65    20.00   464.80
47382   Percut ablate liver rf           15.17        15.17    6.10     1.00    15.17
47399   Liver surgery procedure           0.00         0.00    0.00     1.00     0.00
47460   Incise bile duct sphincter       18.01        18.01    8.42     2.00    36.02
47480   Incision of gallbladder          10.80        10.80    5.97     4.00    43.20



                                                 Page 70
                                                  CPT1


47490   Incision of gallbladder          14.98         7.22    5.83       6.00       89.88
47500   Injection for liver x-rays        2.74         1.96    0.64       5.00       13.70
47505   Injection for liver x-rays        1.06         0.76    2.60      21.00       22.26
47510   "Insert catheter, bile duct"     17.00         7.82    5.01       2.00       34.00
47511   Insert bile duct drain           21.05        10.48    5.09       3.00       63.15
47525   Change bile duct catheter         9.09         5.54    3.26      13.00      118.17
47552   Biliary endoscopy thru skin       6.03         6.03    2.40       1.00        6.03
47553   Biliary endoscopy thru skin       6.34         6.34    2.60       1.00        6.34
47560   Laparoscopy w/cholangio           4.88         4.88    1.83       3.00       14.64
47561   Laparo w/cholangio/biopsy         5.17         5.17    2.13       7.00       36.19
47562   Laparoscopic cholecystectomy     11.07        11.07    5.00   1,415.00   15,664.05
47563   Laparo cholecystectomy/graph     11.92        11.92    5.32     182.00    2,169.44
47564   Laparo cholecystectomy/explr     14.21        14.21    5.97      20.00      284.20
47570   Laparo cholecystoenterostomy     12.56        12.56    5.39       7.00       87.92
47579   "Laparoscope proc, biliary"       0.00         0.00    0.00       1.00        0.00
47600   Removal of gallbladder           13.56        13.56    6.20      28.00      379.68
47605   Removal of gallbladder           20.11        14.67    6.55      13.00      261.43
47610   Removal of gallbladder           18.79        18.79    7.99       3.00       56.37
47620   Removal of gallbladder           20.61        20.61    8.59       1.00       20.61
47700   Exploration of bile ducts        15.60        15.60    7.48       1.00       15.60
47715   Excision of bile duct cyst       18.77        18.77    8.49       1.00       18.77
47740   Fuse gallbladder & bowel         18.45        18.45    8.45       7.00      129.15
47741   Fuse gallbladder & bowel         21.31        21.31    9.35       1.00       21.31
47900   Suture bile duct injury          19.87        19.87    8.93       4.00       79.48
47999   Bile tract surgery procedure      0.00         0.00    0.00       1.00        0.00
48100   "Biopsy of pancreas, open"       12.21        12.21    5.65       2.00       24.42
48120   Removal of pancreas lesion       15.83        15.83    6.90       1.00       15.83
48140   Partial removal of pancreas      22.91        22.91    9.60       4.00       91.64
48150   Partial removal of pancreas      47.93        47.93   19.65       2.00       95.86
48500   Surgery of pancreatic cyst       15.26        15.26    7.40       1.00       15.26
49000   Exploration of abdomen           11.66        11.66    5.42      65.00      757.90
49002   Reopening of abdomen             10.47        10.47    5.07       9.00       94.23
49010   Exploration behind abdomen       12.26        12.26    5.95       6.00       73.56
49020   Drain abdominal abscess          22.81        22.81   10.24      15.00      342.15
49021   Drain abdominal abscess           3.37         3.37    1.12      10.00       33.70
49040   "Drain, open, abdom abscess"     17.59        13.50    6.47       4.00       70.36
49061   "Drain, percut, retroper absc"   10.02         3.69    1.21       2.00       20.04



                                                 Page 71
                                                  CPT1


49080   "Puncture, peritoneal cavity"     2.03         1.35   4.20      85.00      172.55
49081   Removal of abdominal fluid        1.26         1.26   2.62       9.00       11.34
49085   Remove abdomen foreign body      12.12        12.12   5.56       2.00       24.24
49180   "Biopsy, abdominal mass"          2.42         1.73   3.32      11.00       26.62
49200   Removal of abdominal lesion      10.23        10.23   5.08      24.00      245.52
49201   "Remove abdom lesion, complex"   14.82        14.82   7.10       1.00       14.82
49220   "Multiple surgery, abdomen"      14.86        14.86   6.69       1.00       14.86
49250   Excision of umbilicus             8.34         8.34   4.33       7.00       58.38
49255   Removal of omentum               11.12        11.12   5.66       4.00       44.48
49320   Diag laparo separate proc         5.09         5.09   2.64     321.00    1,633.89
49321   "Laparoscopy, biopsy"             5.39         5.39   2.65      42.00      226.38
49322   "Laparoscopy, aspiration"         5.69         5.69   2.99      23.00      130.87
49329   "Laparo proc, abdm/per/oment"     0.00         0.00   0.00      17.00        0.00
49420   "Insert abdom drain, temp"        2.22         2.22   1.12       3.00        6.66
49421   "Insert abdom drain, perm"        5.53         5.53   3.20       3.00       16.59
49422   Remove perm cannula/catheter      6.24         6.24   2.91       5.00       31.20
49423   Exchange drainage catheter        2.22         1.46   0.67       5.00       11.10
49424   "Assess cyst, contrast inject"    1.23         0.76   0.44       1.00        1.23
49425   Insert abdomen-venous drain      11.35        11.35   5.65       1.00       11.35
49491   Rpr hern preemie reduc           11.11        11.11   5.07       5.00       55.55
49492   "Rpr ing hern premie, blocked"   14.01        14.01   6.14       2.00       28.02
49495   "Rpr ing hernia baby, reduc"      5.88         5.88   3.00      22.00      129.36
49500   "Rpr ing hernia, init, reduce"    5.47         5.47   3.15      87.00      475.89
49501   "Rpr ing hernia, init blocked"    8.87         8.87   4.24       2.00       17.74
49505   Prp i/hern init reduc>5 yr        7.59         7.59   4.10   1,782.00   13,525.38
49507   Prp i/hern init block>5 yr        9.56         9.56   4.54      54.00      516.24
49520   "Rerepair ing hernia, reduce"     9.62         9.62   4.49     143.00    1,375.66
49521   "Rerepair ing hernia, blocked"   11.95        11.95   5.28       5.00       59.75
49525   "Repair ing hernia, sliding"      8.56         8.56   4.13      28.00      239.68
49540   Repair lumbar hernia             10.37        10.37   4.81       1.00       10.37
49550   "Rpr rem hernia, init, reduce"    8.62         8.62   4.16      14.00      120.68
49553   "Rpr fem hernia, init blocked"    9.43         9.43   4.46       6.00       56.58
49555   "Rerepair fem hernia, reduce"     9.02         9.02   4.32       5.00       45.10
49560   "Rpr ventral hern init, reduc"   11.55        11.55   5.21     221.00    2,552.55
49561   "Rpr ventral hern init, block"   14.23        14.23   6.11      37.00      526.51
49565   "Rerepair ventrl hern, reduce"   11.55        11.55   5.28      44.00      508.20
49566   "Rerepair ventrl hern, block"    14.38        14.38   6.18       6.00       86.28



                                                 Page 72
                                                  CPT1


49568   Hernia repair w/mesh              4.88         4.88    1.68    29.00     141.52
49570   "Rpr epigastric hern, reduce"     5.68         5.68    3.20    65.00     369.20
49572   "Rpr epigastric hern, blocked"    6.72         6.72    3.50     8.00      53.76
49580   "Rpr umbil hern, reduc < 5 yr"    4.10         4.10    2.64    78.00     319.80
49582   "Rpr umbil hern, block < 5 yr"    6.64         6.64    3.53     8.00      53.12
49585   "Rpr umbil hern, reduc > 5 yr"    6.22         6.22    3.35   672.00   4,179.84
49587   "Rpr umbil hern, block > 5 yr"    7.55         7.55    3.78    59.00     445.45
49590   Repair spigilian hernia           8.53         8.53    4.13     5.00      42.65
49600   Repair umbilical lesion          10.94        10.94    5.39     1.00      10.94
49605   Repair umbilical lesion          75.89        75.89   28.65     1.00      75.89
49610   Repair umbilical lesion          10.48        10.48    5.26     1.00      10.48
49650   Laparo hernia repair initial      6.26         6.26    3.23   379.00   2,372.54
49651   Laparo hernia repair recur        8.23         8.23    4.09    71.00     584.33
49659   "Laparo proc, hernia repair"      0.00         0.00    0.00    83.00       0.00
49900   Repair of abdominal wall         12.26        12.26    6.28     8.00      98.08
49999   Abdomen surgery procedure         0.00         0.00    0.00    15.00       0.00
50020   "Renal abscess, open drain"      28.61        14.64    8.81     2.00      57.22
50021   "Renal abscess, percut drain"    15.17         3.37    1.11     1.00      15.17
50040   Drainage of kidney               14.92        14.92    8.42     3.00      44.76
50060   Removal of kidney stone          19.27        19.27    8.03     2.00      38.54
50075   Removal of kidney stone          25.30        25.30   10.19     1.00      25.30
50080   Removal of kidney stone          25.93        14.69    7.85     9.00     233.37
50081   Removal of kidney stone          35.55        21.77   10.35    10.00     355.50
50100   Revise kidney blood vessels      16.07        16.07    7.99     1.00      16.07
50200   Biopsy of kidney                  3.69         2.63    0.90    69.00     254.61
50205   Biopsy of kidney                 11.29        11.29    5.24     1.00      11.29
50220   "Remove kidney, open"            17.12        17.12    7.44     4.00      68.48
50230   "Removal kidney open, radical"   22.04        22.04    8.83     4.00      88.16
50236   Removal of kidney & ureter       24.82        24.82   11.41     1.00      24.82
50240   Partial removal of kidney        21.97        21.97   10.50     5.00     109.85
50320   Removal of donor kidney          22.18        22.18    9.96     1.00      22.18
50360   Transplantation of kidney        31.48        31.48   15.76     1.00      31.48
50390   Drainage of kidney lesion         2.74         1.96    0.64     8.00      21.92
50392   Insert kidney drain               4.72         3.37    1.11     8.00      37.76
50393   Insert ureteral tube              5.80         4.15    1.35     7.00      40.60
50394   Injection for kidney x-ray        1.07         0.76    2.54    26.00      27.82
50398   Change kidney tube                2.04         1.46    1.19     6.00      12.24



                                                 Page 73
                                                CPT1


50400   Revision of kidney/ureter      19.47        19.47    7.72     6.00     116.82
50405   Revision of kidney/ureter      23.89        23.89   10.41     1.00      23.89
50500   Repair of kidney wound         19.54        19.54    8.77     1.00      19.54
50542   Laparo ablate renal mass       19.97        19.97    8.13     2.00      39.94
50543   Laparo partial nephrectomy     25.46        25.46   10.27     2.00      50.92
50544   "Laparoscopy, pyeloplasty"     22.37        22.37    8.47     1.00      22.37
50545   Laparo radical nephrectomy     23.96        23.96    9.12     7.00     167.72
50546   Laparoscopic nephrectomy       20.45        20.45    8.30     3.00      61.35
50548   Laparo remove w/ ureter        24.36        24.36    9.11     1.00      24.36
50551   Kidney endoscopy                5.59         5.59    4.92     2.00      11.18
50553   Kidney endoscopy                5.98         5.98   18.59     1.00       5.98
50555   Kidney endoscopy & biopsy       6.52         6.52   19.17     1.00       6.52
50572   Kidney endoscopy               10.33        10.33    3.33     1.00      10.33
50575   Kidney endoscopy               13.96        13.96    4.48     1.00      13.96
50580   Kidney endoscopy & treatment   11.84        11.84    3.80     1.00      11.84
50590   Fragmenting of kidney stone    14.64         9.08   10.77   233.00   3,411.12
50605   Insert ureteral support        15.44        15.44    7.00    17.00     262.48
50610   Removal of ureter stone        15.90        15.90    7.24     1.00      15.90
50630   Removal of ureter stone        14.92        14.92    6.56     4.00      59.68
50660   Removal of ureter              19.52        19.52    8.24     1.00      19.52
50684   Injection for ureter x-ray      1.06         0.76   15.38     3.00       3.18
50688   Change of ureter tube           2.94         1.17    1.75     2.00       5.88
50690   Injection for ureter x-ray      1.16         1.16   15.84     6.00       6.96
50700   Revision of ureter             15.19        15.19    7.30     2.00      30.38
50715   Release of ureter              18.87        18.87    9.03     1.00      18.87
50728   Revise ureter                  12.00        12.00    6.72     1.00      12.00
50780   Reimplant ureter in bladder    18.33        18.33    7.86     4.00      73.32
50782   Reimplant ureter in bladder    19.51        19.51    9.83     1.00      19.51
50800   Implant ureter in bowel        14.50        14.50    6.99     2.00      29.00
50845   Appendico-vesicostomy          20.86        20.86    8.87     1.00      20.86
50947   Laparo new ureter/bladder      24.46        24.46    9.66     7.00     171.22
50949   "Laparoscope proc, ureter"      0.00         0.00    0.00     2.00       0.00
50953   Endoscopy of ureter             6.23         6.23   18.61     2.00      12.46
50961   Ureter endoscopy & treatment    6.04         6.04   25.47    46.00     277.84
50980   Ureter endoscopy & treatment    6.84         6.84    2.20     1.00       6.84
51000   Drainage of bladder             0.78         0.78    1.98     5.00       3.90
51005   Drainage of bladder             1.02         1.02    4.80     5.00       5.10



                                               Page 74
                                                  CPT1


51010   Drainage of bladder               3.52         3.52    5.74      63.00     221.76
51040   Incise & drain bladder            4.39         4.39    2.87       6.00      26.34
51045   Incise bladder/drain ureter       6.76         6.76    4.06       4.00      27.04
51500   Removal of bladder cyst          10.12        10.12    5.08       9.00      91.08
51520   Removal of bladder lesion         9.28         9.28    4.79       1.00       9.28
51525   Removal of bladder lesion        13.95        13.95    6.25       1.00      13.95
51530   Removal of bladder lesion        12.36        12.36    5.87       1.00      12.36
51535   Repair of ureter lesion          12.55        12.55    6.23       1.00      12.55
51550   Partial removal of bladder       15.64        15.64    6.86       2.00      31.28
51565   Revise bladder & ureter(s)       21.59        21.59    9.12       2.00      43.18
51570   Removal of bladder               24.20        24.20    9.94       8.00     193.60
51590   Remove bladder/revise tract      32.61        32.61   12.84       1.00      32.61
51600   Injection for bladder x-ray       1.23         0.88    5.85      65.00      79.95
51605   Preparation for bladder xray      0.90         0.64   10.80       2.00       1.80
51610   Injection for bladder x-ray       1.46         1.05    1.72      59.00      86.14
51700   Irrigation of bladder             0.88         0.88    1.65     402.00     353.76
51701   Insert bladder catheter           0.50         0.50    1.64   2,183.00   1,091.50
51702   Insert temp bladder cath          0.50         0.50    2.34   1,398.00     699.00
51703   "Insert bladder cath, complex"    1.47         1.47    3.05      63.00      92.61
51705   Change of bladder tube            1.02         1.02    2.34     103.00     105.06
51710   Change of bladder tube            1.49         1.49    3.43      12.00      17.88
51715   Endoscopic injection/implant      3.73         3.73    4.01      44.00     164.12
51720   Treatment of bladder lesion       1.96         1.96    1.79     383.00     750.68
51725   Simple cystometrogram             1.51         1.51    5.77     224.00     338.24
51726   Complex cystometrogram            1.71         0.00    7.28     485.00     829.35
51736   Urine flow measurement            0.61         0.61    0.58     399.00     243.39
51741   "Electro-uroflowmetry, first"     1.14         0.00    0.43   1,105.00   1,259.70
51772   Urethra pressure profile          1.61         1.61    5.78       2.00       3.22
51784   Anal/urinary muscle study         1.53         0.00    3.61       9.00      13.77
51785   Anal/urinary muscle study         1.53         1.53    4.62       6.00       9.18
51795   Urine voiding pressure study      1.53         1.53    7.62     195.00     298.35
51797   Intraabdominal pressure test      1.60         0.00    5.43     124.00     198.40
51798   Us urine capacity measure         0.00         0.00    0.36     830.00       0.00
51800   Revision of bladder/urethra      17.39        17.39    7.69       3.00      52.17
51820   Revision of urinary tract        17.86        17.86    8.46       2.00      35.72
51840   Attach bladder/urethra           10.69        10.69    5.57       2.00      21.38
51845   Repair bladder neck               9.72         9.72    4.87       5.00      48.60



                                                 Page 75
                                                  CPT1


51860   Repair of bladder wound          12.00        12.00   5.90       1.00      12.00
51865   Repair of bladder wound          15.02        15.02   6.83       1.00      15.02
51880   Repair of bladder opening         7.65         7.65   4.07       1.00       7.65
51920   Close bladder-uterus fistula     11.79        11.79   5.75       2.00      23.58
51925   Hysterectomy/bladder repair      15.56        15.56   8.62       1.00      15.56
51960   Revision of bladder & bowel      22.98        22.98   9.87       2.00      45.96
51980   Construct bladder opening        11.34        11.34   5.49       1.00      11.34
51990   Laparo urethral suspension       12.48        12.48   6.18       1.00      12.48
51992   Laparo sling operation           13.99        13.99   6.24      13.00     181.87
52000   Cystoscopy                        2.01         2.01   3.38   4,952.00   9,953.52
52001   "Cystoscopy, removal of clots"    5.44         5.44   5.18      24.00     130.56
52005   Cystoscopy & ureter catheter      2.37         2.37   5.98     154.00     364.98
52007   Cystoscopy and biopsy             3.02         3.02   1.15      24.00      72.48
52204   Cystoscopy                        2.37         2.37   3.63     185.00     438.45
52214   Cystoscopy and treatment          3.70         3.70   1.33      14.00      51.80
52224   Cystoscopy and treatment          3.14         3.14   1.15      44.00     138.16
52234   Cystoscopy and treatment          4.62         4.62   1.63      95.00     438.90
52235   Cystoscopy and treatment          5.44         5.44   1.90      31.00     168.64
52240   Cystoscopy and treatment          9.71         9.71   3.30      12.00     116.52
52250   Cystoscopy and radiotracer        6.27         4.49   1.66       6.00      37.62
52260   Cystoscopy and treatment          3.91         3.91   1.43      36.00     140.76
52265   Cystoscopy and treatment          2.94         2.94   3.75       4.00      11.76
52275   Cystoscopy & revise urethra       4.69         4.69   1.67       5.00      23.45
52276   Cystoscopy and treatment          4.99         4.99   1.79      46.00     229.54
52277   Cystoscopy and treatment          6.16         6.16   2.26       3.00      18.48
52281   Cystoscopy and treatment          2.80         2.80   7.43      72.00     201.60
52282   "Cystoscopy, implant stent"       6.39         6.39   2.24      35.00     223.65
52283   Cystoscopy and treatment          3.73         3.73   4.03       7.00      26.11
52285   Cystoscopy and treatment          3.60         3.60   4.10       1.00       3.60
52290   Cystoscopy and treatment          4.58         4.58   1.66       4.00      18.32
52300   Cystoscopy and treatment          5.30         5.30   1.91       1.00       5.30
52310   Cystoscopy and treatment          2.81         2.81   3.53     267.00     750.27
52315   Cystoscopy and treatment          5.20         5.20   1.84      14.00      72.80
52317   Remove bladder stone              6.71         6.71   2.28       6.00      40.26
52318   Remove bladder stone              9.18         9.18   3.10       2.00      18.36
52320   Cystoscopy and treatment          6.55         4.69   1.64      22.00     144.10
52325   "Cystoscopy, stone removal"       8.58         6.15   2.11      16.00     137.28



                                                 Page 76
                                                 CPT1


52327   "Cystoscopy, inject material"    5.18         5.18    1.83    22.00     113.96
52330   Cystoscopy and treatment         7.02         5.03    1.76     2.00      14.04
52332   Cystoscopy and treatment         3.95         2.83    1.06   156.00     616.20
52334   Create passage to kidney         6.73         4.82    1.76    13.00      87.49
52341   Cysto w/ureter stricture tx      5.99         5.99    2.22     8.00      47.92
52342   Cysto w/up stricture tx          6.49         6.49    2.35     3.00      19.47
52344   "Cysto/uretero, stone remove"    7.69         7.69    2.80    10.00      76.90
52345   Cysto/uretero w/up stricture     8.19         8.19    2.96     4.00      32.76
52347   "Cystoscopy, resect ducts"       5.27         5.27    1.71     1.00       5.27
52351   Cystouretero & or pyeloscope     5.85         5.85    2.14    42.00     245.70
52352   Cystouretero w/stone remove      6.87         6.87    2.51   141.00     968.67
52353   Cystouretero w/lithotripsy       7.96         7.96    2.86   223.00   1,775.08
52354   Cystouretero w/biopsy            7.33         7.33    2.67    13.00      95.29
52355   Cystouretero w/excise tumor      8.81         8.81    3.15     4.00      35.24
52400   Cystouretero w/congen repr       9.67         9.67    3.78     2.00      19.34
52450   Incision of prostate             7.63         7.63    3.71    10.00      76.30
52500   Revision of bladder neck         8.46         8.46    3.96    46.00     389.16
52601   Prostatectomy (TURP)            12.35        12.35    5.15    65.00     802.75
52606   Control postop bleeding          8.12         8.12    3.58     8.00      64.96
52612   "Prostatectomy, first stage"     7.97         7.97    3.77    17.00     135.49
52614   "Prostatectomy, second stage"    6.83         6.83    3.38     3.00      20.49
52620   Remove residual prostate         6.60         6.60    3.01     1.00       6.60
52640   Relieve bladder contracture      6.61         6.61    2.98     7.00      46.27
52647   Laser surgery of prostate       10.34        10.34   76.71     3.00      31.02
52648   Laser surgery of prostate       11.19        11.19    4.84    10.00     111.90
53000   Incision of urethra              2.28         2.28    1.57     4.00       9.12
53010   Incision of urethra              3.63         3.63    3.02     1.00       3.63
53020   Incision of urethra              1.77         1.77    3.10    42.00      74.34
53025   Incision of urethra              1.13         1.13    3.87     5.00       5.65
53040   Drainage of urethra abscess      6.39         6.39   11.28     2.00      12.78
53060   Drainage of urethra abscess      2.63         2.63    1.45     2.00       5.26
53200   Biopsy of urethra                2.59         2.59    4.29     2.00       5.18
53210   Removal of urethra              12.55        12.55    5.98     1.00      12.55
53220   Treatment of urethra lesion      6.99         6.99    3.84     1.00       6.99
53230   Removal of urethra lesion        9.57         9.57    4.84     1.00       9.57
53270   Removal of urethra gland         3.09         3.09    1.87     1.00       3.09
53400   "Revise urethra, stage 1"       12.75        12.75    6.10     3.00      38.25



                                                Page 77
                                                  CPT1


53405   "Revise urethra, stage 2"        14.46        14.46    6.45       1.00      14.46
53410   Reconstruction of urethra        16.42        16.42    7.20       4.00      65.68
53415   Reconstruction of urethra        19.38        19.38    7.47       5.00      96.90
53431   Reconstruct urethra/bladder      19.86        19.86    8.17       1.00      19.86
53440   Male sling procedure             13.60        13.60    6.04       1.00      13.60
53442   Remove/revise male sling         11.55        11.55    5.51       2.00      23.10
53445   Insert uro/ves nck sphincter     14.04        14.04    7.26       3.00      42.12
53446   Remove uro sphincter             10.21        10.21    5.27       1.00      10.21
53447   Remove/replace ur sphincter      13.47        13.47    6.48       4.00      53.88
53448   Remov/replc ur sphinctr comp     21.12        21.12    9.13       1.00      21.12
53449   Repair uro sphincter              9.69         9.69    4.85       1.00       9.69
53450   Revision of urethra               6.13         6.13    3.40       4.00      24.52
53500   "Urethrlys, transvag w/ scope"   12.19        12.19    6.19       4.00      48.76
53600   Dilate urethra stricture          1.78         1.21    1.17       5.00       8.90
53601   Dilate urethra stricture          1.46         0.98    1.30       1.00       1.46
53605   Dilate urethra stricture          1.79         1.28    0.41       1.00       1.79
53620   Dilate urethra stricture          2.26         1.62    2.04       3.00       6.78
53660   Dilation of urethra               0.71         0.71    1.34       4.00       2.84
53661   Dilation of urethra               0.72         0.72    1.34       4.00       2.88
53665   Dilation of urethra               0.76         0.76    0.26       1.00       0.76
53850   Prostatic microwave thermotx      9.44         9.44   97.84       2.00      18.88
53852   Prostatic rf thermotx             9.87         9.87   93.04       3.00      29.61
53899   Urology surgery procedure         0.00         0.00    0.00      82.00       0.00
54001   Slitting of prepuce               2.19         2.19    4.30       4.00       8.76
54015   Drain penis lesion                5.31         5.31    2.59       1.00       5.31
54050   "Destruction, penis lesion(s)"    1.24         1.24    1.69      57.00      70.68
54055   "Destruction, penis lesion(s)"    1.22         1.22    1.60       8.00       9.76
54056   "Cryosurgery, penis lesion(s)"    1.24         1.24    2.48     818.00   1,014.32
54057   "Laser surg, penis lesion(s)"     1.24         1.24    0.87       2.00       2.48
54060   Excision of penis lesion(s)       1.93         1.93    3.88      20.00      38.60
54065   "Destruction, penis lesion(s)"    2.42         2.42    1.72      22.00      53.24
54100   Biopsy of penis                   1.90         1.90    2.87      25.00      47.50
54110   Treatment of penis lesion        10.11        10.11    5.64       1.00      10.11
54115   Treatment of penis lesion         6.14         6.14    8.53       1.00       6.14
54120   Partial removal of penis          9.96         9.96    5.60       1.00       9.96
54150   Circumcision                      1.81         1.81    0.97   1,588.00   2,874.28
54152   Circumcision                      2.31         2.31    1.20     158.00     364.98



                                                 Page 78
                                                CPT1


54160   Circumcision                    2.48         2.48    1.11   309.00     766.32
54161   Circumcision                    3.27         3.27    1.57   547.00   1,788.69
54162   Lysis penil circumic lesion     3.00         3.00    2.00    42.00     126.00
54163   Repair of circumcision          3.00         3.00    2.01    45.00     135.00
54164   Frenulotomy of penis            2.50         2.50    1.85     6.00      15.00
54205   Treatment of penis lesion       7.92         7.92    4.83     4.00      31.68
54235   Penile injection                1.66         1.19    0.98    95.00     157.70
54250   Penis study                     5.89         0.00    0.22     1.00       5.89
54300   Revision of penis              10.39        10.39    5.75    11.00     114.29
54304   Revision of penis              12.47        12.47    6.54     3.00      37.41
54312   Reconstruction of urethra      13.55        13.55    7.20     1.00      13.55
54322   Reconstruction of urethra      12.99        12.99    6.63    17.00     220.83
54324   Reconstruction of urethra      16.29        16.29    8.22     9.00     146.61
54326   Reconstruction of urethra      15.70        15.70    8.00     4.00      62.80
54328   Revise penis/urethra           15.63        15.63    7.45     4.00      62.52
54332   Revise penis/urethra           17.05        17.05    7.93     1.00      17.05
54336   Revise penis/urethra           20.01        20.01   10.71     1.00      20.01
54344   Secondary urethral surgery     15.92        15.92    7.97     2.00      31.84
54348   Secondary urethral surgery     17.12        17.12    8.60     1.00      17.12
54352   Reconstruct urethra/penis      24.70        24.70   11.50     2.00      49.40
54360   Penis plastic surgery          11.91        11.91    6.19     4.00      47.64
54380   Repair penis                   13.16        13.16    6.83     1.00      13.16
54400   Insert semi-rigid prosthesis    8.98         8.98    4.47     4.00      35.92
54401   Insert self-contd prosthesis   10.26        10.26    5.83     5.00      51.30
54405   Insert multi-comp penis pros   13.41        13.41    6.06    14.00     187.74
54406   Remove muti-comp penis pros    12.08        12.08    5.46     4.00      48.32
54408   Repair multi-comp penis pros   12.73        12.73    5.77     2.00      25.46
54410   Remove/replace penis prosth    15.48        15.48    6.66     5.00      77.40
54416   Remv/repl penis contain pros   10.85        10.85    5.41     2.00      21.70
54420   Revision of penis              11.40        11.40    5.71     2.00      22.80
54440   Repair of penis                 8.35         0.00    0.00     1.00       8.35
54450   Preputial stretching            1.12         1.12    1.11    47.00      52.64
54500   Biopsy of testis                1.31         1.31    0.61    15.00      19.65
54505   Biopsy of testis                6.20         3.45    1.93    11.00      68.20
54512   Excise lesion testis            8.57         8.57    4.15     3.00      25.71
54520   Removal of testis               5.22         5.22    2.85    27.00     140.94
54522   "Orchiectomy, partial"          9.49         9.49    4.91     7.00      66.43



                                               Page 79
                                                CPT1


54530   Removal of testis               8.57         8.57   4.31      37.00      317.09
54550   Exploration for testis          7.77         7.77   3.90       7.00       54.39
54600   Reduce testis torsion           7.00         7.00   3.61      12.00       84.00
54640   Suspension of testis            6.89         6.89   3.80      94.00      647.66
54650   Orchiopexy (Fowler-Stephens)   11.43        11.43   5.52      13.00      148.59
54660   Revision of testis              5.10         5.10   3.05       3.00       15.30
54670   Repair testis injury            6.40         6.40   3.61       1.00        6.40
54690   "Laparoscopy, orchiectomy"     10.94        10.94   5.06       4.00       43.76
54692   "Laparoscopy, orchiopexy"      12.86        12.86   5.45       5.00       64.30
54700   Drainage of scrotum             3.42         3.42   1.95      28.00       95.76
54800   Biopsy of epididymis            2.33         2.33   0.95       1.00        2.33
54820   Exploration of epididymis       5.13         5.13   3.00       4.00       20.52
54830   Remove epididymis lesion        5.37         5.37   3.08       3.00       16.11
54840   Remove epididymis lesion        5.19         5.19   2.84      45.00      233.55
54860   Removal of epididymis           6.31         6.31   3.37      23.00      145.13
54861   Removal of epididymis           8.89         8.89   4.38       3.00       26.67
54900   Fusion of spermatic ducts      13.18        13.18   5.86       1.00       13.18
54901   Fusion of spermatic ducts      17.91        17.91   7.56       1.00       17.91
55000   Drainage of hydrocele           1.43         1.43   2.11      19.00       27.17
55040   Removal of hydrocele            5.35         5.35   2.96      90.00      481.50
55041   Removal of hydroceles           7.73         7.73   4.04       8.00       61.84
55060   Repair of hydrocele             5.51         5.51   3.13      17.00       93.67
55100   Drainage of scrotum abscess     2.13         2.13   3.77      11.00       23.43
55110   Explore scrotum                 5.69         5.69   3.18      19.00      108.11
55120   Removal of scrotum lesion       5.08         5.08   5.76       4.00       20.32
55150   Removal of scrotum              7.21         7.21   3.96       4.00       28.84
55175   Revision of scrotum             5.23         5.23   3.06       4.00       20.92
55200   Incision of sperm duct          4.23         4.23   5.53      18.00       76.14
55250   Removal of sperm duct(s)        3.29         3.29   9.07   4,433.00   14,584.57
55300   "Prepare, sperm duct x-ray"     5.14         3.50   1.31       4.00       20.56
55400   Repair of sperm duct            8.48         8.48   4.17     180.00    1,526.40
55450   Ligation of sperm duct          4.11         4.11   7.21     111.00      456.21
55500   Removal of hydrocele            5.58         5.58   3.15      61.00      340.38
55520   Removal of sperm cord lesion    6.02         6.02   3.31      13.00       78.26
55530   Revise spermatic cord veins     5.65         5.65   3.07     142.00      802.30
55535   Revise spermatic cord veins     6.55         6.55   3.45       4.00       26.20
55540   Revise hernia & sperm veins     7.66         7.66   3.86      28.00      214.48



                                               Page 80
                                                 CPT1


55550   Laparo ligate spermatic vein     6.56         6.56    3.32       6.00      39.36
55559   "Laparo proc, spermatic cord"    0.00         0.00    0.00       1.00       0.00
55650   Remove sperm duct pouch         11.78        11.78    5.35       1.00      11.78
55700   Biopsy of prostate               2.20         1.57    4.33   1,125.00   2,475.00
55705   Biopsy of prostate               4.56         4.56    2.32      17.00      77.52
55810   Extensive prostate surgery      22.55        22.55    8.71       6.00     135.30
55812   Extensive prostate surgery      27.47        27.47   11.14       1.00      27.47
55821   Removal of prostate             14.23        14.23    6.32       1.00      14.23
55831   Removal of prostate             15.60        15.60    6.77       3.00      46.80
55840   Extensive prostate surgery      22.66        22.66    9.44      35.00     793.10
55842   Extensive prostate surgery      24.34        24.34   10.01      11.00     267.74
55845   Extensive prostate surgery      28.51        28.51   11.11       7.00     199.57
55859   "Percut/needle insert, pros"    20.53        12.50    5.91       3.00      61.59
55860   "Surgical exposure, prostate"   14.43        14.43    6.44       2.00      28.86
55873   Cryoablate prostate             19.44        19.44    9.02       6.00     116.64
55899   Genital surgery procedure        0.00         0.00    0.00      39.00       0.00
56405   I & D of vulva/perineum          1.44         1.44    1.33      43.00      61.92
56420   Drainage of gland abscess        1.39         1.39    2.29     155.00     215.45
56440   Surgery for vulva lesion         2.84         2.84    1.71      44.00     124.96
56441   Lysis of labial lesion(s)        1.97         1.97    1.83       5.00       9.85
56501   "Destroy, vulva lesions, sim"    1.53         1.53    1.79     435.00     665.55
56515   Destroy vulva lesion/s compl     2.76         2.76    2.55      68.00     187.68
56605   Biopsy of vulva/perineum         1.10         1.10    1.09     385.00     423.50
56606   Biopsy of vulva/perineum         0.55         0.55    0.49      25.00      13.75
56620   Partial removal of vulva         7.46         7.46    4.84      17.00     126.82
56625   Complete removal of vulva        8.39         8.39    5.39       2.00      16.78
56630   Extensive vulva surgery         12.34        12.34    6.96       1.00      12.34
56700   Partial removal of hymen         2.52         2.52    1.73       9.00      22.68
56720   Incision of hymen                0.68         0.68    0.39       3.00       2.04
56740   Remove vagina gland lesion       4.56         4.56    2.47      38.00     173.28
56800   Repair of vagina                 3.88         3.88    2.19       4.00      15.52
56810   Repair of perineum               4.12         4.12    2.30      20.00      82.40
56820   Exam of vulva w/scope            1.50         1.50    1.34      30.00      45.00
56821   Exam/biopsy of vulva w/scope     2.05         2.05    1.78      46.00      94.30
57000   Exploration of vagina            2.97         2.97    1.73       2.00       5.94
57010   Drainage of pelvic abscess       6.02         6.02    3.85       2.00      12.04
57022   "I & d vaginal hematoma, pp"     2.56         2.56    1.50       2.00       5.12



                                                Page 81
                                                  CPT1


57023   "I & d vag hematoma, non-ob"      4.74         4.74    2.59       3.00      14.22
57061   "Destroy vag lesions, simple"     1.25         1.25    1.66     282.00     352.50
57065   "Destroy vag lesions, complex"    2.61         2.61    2.30      13.00      33.93
57100   Biopsy of vagina                  1.20         1.20    1.10     108.00     129.60
57105   Biopsy of vagina                  1.69         1.69    1.93      20.00      33.80
57106   "Remove vagina wall, partial"     6.35         6.35    4.20       4.00      25.40
57107   "Remove vagina tissue, part"     22.97        22.97   10.50       1.00      22.97
57110   "Remove vagina wall, complete"   14.27        14.27    7.31       2.00      28.54
57120   Closure of vagina                 7.40         7.40    4.64       4.00      29.60
57130   Remove vagina lesion              2.43         2.43    2.17      31.00      75.33
57135   Remove vagina lesion              2.67         2.67    2.27      37.00      98.79
57150   Treat vagina infection            0.55         0.55    1.11      47.00      25.85
57155   Insert uteri tandems/ovoids       6.26         6.26    4.17       5.00      31.30
57160   Insert pessary/other device       0.89         0.89    1.09     423.00     376.47
57170   Fitting of diaphragm/cap          0.91         0.91    1.49     146.00     132.86
57180   Treat vaginal bleeding            1.58         1.58    2.18      30.00      47.40
57200   Repair of vagina                  3.93         3.93    2.91       2.00       7.86
57210   Repair vagina/perineum            5.16         5.16    3.44       4.00      20.64
57240   Repair bladder & vagina           6.06         6.06    3.84      12.00      72.72
57250   Repair rectum & vagina            5.52         5.52    3.59      19.00     104.88
57260   Repair of vagina                  8.26         8.26    4.86      12.00      99.12
57265   Extensive repair of vagina       11.32        11.32    6.06       3.00      33.96
57270   Repair of bowel pouch            12.09        12.09    6.28       1.00      12.09
57280   Suspension of vagina             15.02        15.02    7.39       2.00      30.04
57282   Repair of vaginal prolapse        8.85         8.85    5.32       4.00      35.40
57284   Repair paravaginal defect        12.68        12.68    7.17       7.00      88.76
57287   Revise/remove sling repair       10.69        10.69    5.52      22.00     235.18
57288   Repair bladder defect            13.00        13.00    5.95     133.00   1,729.00
57300   Repair rectum-vagina fistula      7.60         7.60    4.30       3.00      22.80
57308   "Fistula repair, transperine"     9.93         9.93    5.15       2.00      19.86
57320   Repair bladder-vagina lesion      8.00         8.00    4.43       1.00       8.00
57330   Repair bladder-vagina lesion     12.33        12.33    5.78       1.00      12.33
57335   Repair vagina                    18.70        18.70    9.10       1.00      18.70
57400   Dilation of vagina                2.27         2.27    1.13       9.00      20.43
57410   Pelvic examination                1.75         1.75    2.02   1,099.00   1,923.25
57415   Remove vaginal foreign body       2.17         2.17    1.43      37.00      80.29
57420   Exam of vagina w/scope            1.60         1.60    1.38     394.00     630.40



                                                 Page 82
                                                  CPT1


57421   Exam/biopsy of vag w/scope        2.20         2.20    1.87      520.00    1,144.00
57425   "Laparoscopy, surg, colpopexy"   15.73        15.73    6.69        4.00       62.92
57452   Exam of cervix w/scope            1.50         1.50    1.40    6,302.00    9,453.00
57454   Bx/curett of cervix w/scope       2.33         2.33    1.76   10,214.00   23,798.62
57455   Biopsy of cervix w/scope          1.99         1.99    1.75    1,986.00    3,952.14
57456   Endocerv curettage w/scope        1.85         1.85    1.68    2,013.00    3,724.05
57460   "Bx of cervix w/scope, leep"      2.83         2.83    6.03    1,193.00    3,376.19
57461   "Conz of cervix w/scope, leep"    3.43         3.43    6.30      397.00    1,361.71
57500   Biopsy of cervix                  0.97         0.97    2.66      719.00      697.43
57505   Endocervical curettage            1.14         1.14    1.47      414.00      471.96
57510   Cauterization of cervix           1.90         1.90    1.57       40.00       76.00
57511   Cryocautery of cervix             1.90         1.90    1.84      405.00      769.50
57513   Laser surgery of cervix           1.90         1.90    1.87        4.00        7.60
57520   Conization of cervix              4.03         4.03    4.88      149.00      600.47
57522   Conization of cervix              3.35         3.35    4.35      263.00      881.05
57540   Removal of residual cervix       12.20        12.20    6.27        5.00       61.00
57545   Remove cervix/repair pelvis      13.01        13.01    6.70        3.00       39.03
57550   Removal of residual cervix        5.52         5.52    3.86        1.00        5.52
57700   Revision of cervix                3.54         3.54    3.10        5.00       17.70
57800   Dilation of cervical canal        0.77         0.77    0.76      200.00      154.00
57820   D & c of residual cervix          1.67         1.67    1.49       10.00       16.70
58100   Biopsy of uterus lining           1.53         1.53    1.33    3,883.00    5,940.99
58120   Dilation and curettage            3.27         3.27    2.31      178.00      582.06
58140   Myomectomy abdom method          14.58        14.58    7.13       10.00      145.80
58145   Myomectomy vag method             8.03         8.03    4.84        4.00       32.12
58146   Myomectomy abdom complex         18.97        18.97    8.79        5.00       94.85
58150   Total hysterectomy               15.22        15.22    7.52      250.00    3,805.00
58152   Total hysterectomy               20.57        20.57    9.89        9.00      185.13
58180   Partial hysterectomy             15.27        15.27    7.49       21.00      320.67
58200   Extensive hysterectomy           21.56        21.56   10.05        7.00      150.92
58210   Extensive hysterectomy           28.81        28.81   13.27        4.00      115.24
58240   Removal of pelvis contents       38.33        38.33   17.72        3.00      114.99
58260   Vaginal hysterectomy             12.96        12.96    6.72      121.00    1,568.16
58262   Vag hyst including t/o           14.75        14.75    7.40       55.00      811.25
58263   Vag hyst w/t/o & vag repair      16.04        16.04    7.90       11.00      176.44
58267   Vag hyst w/urinary repair        17.01        17.01    8.42        4.00       68.04
58270   Vag hyst w/enterocele repair     14.24        14.24    7.10       13.00      185.12



                                                 Page 83
                                                  CPT1


58275   Hysterectomy/revise vagina       15.74        15.74    7.80      15.00     236.10
58280   Hysterectomy/revise vagina       16.98        16.98    8.28       1.00      16.98
58285   Extensive hysterectomy           22.23        22.23   10.02       1.00      22.23
58290   Vag hyst complex                 18.97        18.97    8.92       3.00      56.91
58291   "Vag hyst incl t/o, complex"     20.76        20.76    9.89       5.00     103.80
58293   "Vag hyst w/uro repair, compl"   23.03        23.03   10.91       1.00      23.03
58300   Insert intrauterine device        1.01         1.01    1.42   2,730.00   2,757.30
58301   Remove intrauterine device        1.27         1.27    1.33     967.00   1,228.09
58321   Artificial insemination           0.92         0.92    1.15      42.00      38.64
58322   Artificial insemination           1.10         1.10    1.21     507.00     557.70
58323   Sperm washing                     0.23         0.23    0.24      15.00       3.45
58340   Catheter for hysterography        1.29         0.88    6.08     318.00     410.22
58345   Reopen fallopian tube             6.82         4.65    2.44       8.00      54.56
58350   Reopen fallopian tube             1.01         1.01    1.50      19.00      19.19
58353   "Endometr ablate, thermal"        3.55         3.55   36.26      50.00     177.50
58400   Suspension of uterus              6.35         6.35    3.97       1.00       6.35
58545   Laparoscopic myomectomy          14.58        14.58    7.19      11.00     160.38
58546   "Laparo-myomectomy, complex"     18.97        18.97    8.98       1.00      18.97
58550   Laparo-asst vag hysterectomy     14.17        14.17    7.31      37.00     524.29
58552   Laparo-vag hyst incl t/o         15.98        15.98    8.02      29.00     463.42
58554   "Laparo-vag hyst w/t/o, compl"   21.97        21.97   10.46       6.00     131.82
58555   "Hysteroscopy, dx, sep proc"      3.33         3.33    2.10     161.00     536.13
58558   "Hysteroscopy, biopsy"            4.74         4.74    2.06     531.00   2,516.94
58559   "Hysteroscopy, lysis"             6.16         6.16    2.62      15.00      92.40
58560   "Hysteroscopy, resect septum"     6.99         6.99    2.97       5.00      34.95
58561   "Hysteroscopy, remove myoma"      9.99         9.99    4.18      20.00     199.80
58562   "Hysteroscopy, remove fb"         5.20         5.20    2.21       2.00      10.40
58563   "Hysteroscopy, ablation"          6.16         6.16    2.63     119.00     733.04
58578   "Laparo proc, uterus"             0.00         0.00    0.00      13.00       0.00
58579   Hysteroscope procedure            0.00         0.00    0.00      20.00       0.00
58600   Division of fallopian tube        5.59         5.59    3.36      39.00     218.01
58605   Division of fallopian tube        4.99         4.99    3.15      26.00     129.74
58611   Ligate oviduct(s) add-on          1.45         1.45    0.57       4.00       5.80
58615   Occlude fallopian tube(s)         3.89         3.89    2.72      34.00     132.26
58660   "Laparoscopy, lysis"             11.27        11.27    5.28     159.00   1,791.93
58661   "Laparoscopy, remove adnexa"     11.03        11.03    5.14     161.00   1,775.83
58662   "Laparoscopy, excise lesions"    11.77        11.77    5.80     164.00   1,930.28



                                                 Page 84
                                                  CPT1


58670   "Laparoscopy, tubal cautery"      5.59         5.59    3.28      215.00    1,201.85
58671   "Laparoscopy, tubal block"        5.59         5.59    3.30      578.00    3,231.02
58672   "Laparoscopy, fimbrioplasty"     12.86        12.86    6.23        5.00       64.30
58673   "Laparoscopy, salpingostomy"     13.72        13.72    6.63       20.00      274.40
58679   "Laparo proc, oviduct-ovary"      0.00         0.00    0.00       16.00        0.00
58700   Removal of fallopian tube        12.03        12.03    6.01       15.00      180.45
58720   Removal of ovary/tube(s)         11.34        11.34    5.81       41.00      464.94
58740   Revise fallopian tube(s)         13.98        13.98    7.16       16.00      223.68
58750   Repair oviduct                   14.82        14.82    7.41       39.00      577.98
58752   Revise ovarian tube(s)           14.82        14.82    6.99        1.00       14.82
58770   Create new tubal opening         13.95        13.95    6.95        1.00       13.95
58800   Drainage of ovarian cyst(s)       4.13         4.13    4.49        4.00       16.52
58805   Drainage of ovarian cyst(s)       5.87         5.87    3.55        1.00        5.87
58820   "Drain ovary abscess, open"       7.77         4.21    3.34        1.00        7.77
58823   "Drain pelvic abscess, percut"    6.70         3.37    1.12        2.00       13.40
58900   Biopsy of ovary(s)                5.98         5.98    3.61        2.00       11.96
58920   Partial removal of ovary(s)      11.34        11.34    5.62        1.00       11.34
58925   Removal of ovarian cyst(s)       11.34        11.34    5.71       40.00      453.60
58940   Removal of ovary(s)               7.28         7.28    4.13        5.00       36.40
58943   Removal of ovary(s)              18.40        18.40    8.75        1.00       18.40
58952   Resect ovarian malignancy        24.97        24.97   11.85        1.00       24.97
58953   "Tah, rad dissect for debulk"    31.95        31.95   14.61        1.00       31.95
58960   Exploration of abdomen           14.63        14.63    7.45        3.00       43.89
58970   Retrieval of oocyte               5.69         3.52    2.32      200.00    1,138.00
58974   Transfer of embryo                1.95         0.00    0.00       97.00      189.15
58999   Genital surgery procedure         0.00         0.00    0.00    1,407.00        0.00
59000   "Amniocentesis, diagnostic"       2.14         1.30    2.10      214.00      457.96
59001   "Amniocentesis, therapeutic"      3.00         3.00    1.41        5.00       15.00
59012   "Fetal cord puncture,prenatal"    3.44         3.44    1.56        2.00        6.88
59015   Chorion biopsy                    2.20         2.20    1.57        8.00       17.60
59020   Fetal contract stress test        0.66         0.66    0.79       74.00       48.84
59025   Fetal non-stress test             0.53         0.00    0.24   35,499.00   18,814.47
59050   Fetal monitor w/report            0.89         0.89    0.36      480.00      427.20
59051   Fetal monitor/interpret only      0.74         0.74    0.30      172.00      127.28
59070   Transabdom amnioinfus w/ us       5.24         5.24    5.12       10.00       52.40
59074   Fetal fluid drainage w/ us        5.24         5.24    4.61        1.00        5.24
59100   Remove uterus lesion             12.33        12.33    6.48        2.00       24.66



                                                 Page 85
                                                CPT1


59120   Treat ectopic pregnancy        11.47        11.47    6.27      10.00      114.70
59121   Treat ectopic pregnancy        11.65        11.65    6.35       4.00       46.60
59130   Treat ectopic pregnancy        14.20        14.20    4.99       1.00       14.20
59140   Treat ectopic pregnancy         5.45         5.45    5.20       1.00        5.45
59150   Treat ectopic pregnancy        11.65        11.65    6.05       5.00       58.25
59151   Treat ectopic pregnancy        11.47        11.47    6.09      47.00      539.09
59160   D & c after delivery            2.71         2.71    3.27      30.00       81.30
59200   Insert cervical dilator         0.79         0.79    1.20      44.00       34.76
59300   Episiotomy or vaginal repair    2.41         2.41    2.16      43.00      103.63
59320   Revision of cervix              2.48         2.48    1.26      56.00      138.88
59400   Obstetrical care                0.00        23.03   15.48   1,793.00        0.00
59409   Obstetrical care               13.48        13.48    5.32   2,027.00   27,323.96
59410   Obstetrical care                0.00        14.76    6.33     418.00        0.00
59412   Antepartum manipulation         1.71         1.71    0.81      43.00       73.53
59414   Deliver placenta                1.61         1.61    0.63       7.00       11.27
59425   Antepartum care only            0.00         4.80    4.26     932.00        0.00
59426   Antepartum care only            0.00         8.27    7.65     773.00        0.00
59430   Care after delivery             2.13         2.13    1.24     549.00    1,169.37
59510   Cesarean delivery               0.00        26.18   17.43     302.00        0.00
59514   Cesarean delivery only         15.95        15.95    6.23     538.00    8,581.10
59515   Cesarean delivery               0.00        17.34    7.87     136.00        0.00
59610   Vbac delivery                   0.00        24.58   16.03      17.00        0.00
59612   Vbac delivery only             15.04        15.04    6.07      33.00      496.32
59614   Vbac care after delivery        0.00        16.32    6.96      16.00        0.00
59618   Attempted vbac delivery         0.00        27.74   18.43       5.00        0.00
59620   Attempted vbac delivery only   17.50        17.50    6.78      16.00      280.00
59622   Attempted vbac after care       0.00        18.90    8.67       4.00        0.00
59812   Treatment of miscarriage        4.00         4.00    2.56     255.00    1,020.00
59820   Care of miscarriage             4.00         4.00    3.52     550.00    2,200.00
59821   Treatment of miscarriage        4.46         4.46    3.45      26.00      115.96
59830   Treat uterus infection          6.10         6.10    4.01       2.00       12.20
59840   Abortion                        3.01         3.01    2.13      34.00      102.34
59841   Abortion                        5.23         5.23    2.58      10.00       52.30
59851   Abortion                        5.92         5.92    3.74       1.00        5.92
59855   Abortion                        6.11         6.11    3.56       4.00       24.44
59856   Abortion                        7.47         7.47    4.07       1.00        7.47
59870   Evacuate mole of uterus         6.00         6.00    4.43      23.00      138.00



                                               Page 86
                                                CPT1


59871   Remove cerclage suture          2.13         2.13    1.76    23.00      48.99
59899   Maternity care procedure        0.00         0.00    0.00   445.00       0.00
60000   Drain thyroid/tongue cyst       1.76         1.76    2.16     5.00       8.80
60001   Aspirate/inject thyriod cyst    0.97         0.97    1.49     7.00       6.79
60100   Biopsy of thyroid               1.37         1.56    1.42    72.00      98.64
60200   Remove thyroid lesion           9.54         9.54    6.14    11.00     104.94
60210   Partial thyroid excision       10.86        10.86    5.78    55.00     597.30
60212   Partial thyroid excision       16.01        16.01    7.82     6.00      96.06
60220   Partial removal of thyroid     11.88        11.88    6.30    59.00     700.92
60225   Partial removal of thyroid     14.17        14.17    7.55     1.00      14.17
60240   Removal of thyroid             16.04        16.04    7.75   111.00   1,780.44
60252   Removal of thyroid             20.54        20.54   10.29     8.00     164.32
60254   Extensive thyroid surgery      26.95        26.95   14.38     1.00      26.95
60260   Repeat thyroid surgery         17.44        17.44    8.85    13.00     226.72
60270   Removal of thyroid             20.24        20.24   10.66     1.00      20.24
60271   Removal of thyroid             16.80        16.80    8.78     2.00      33.60
60280   Remove thyroid duct lesion      5.86         5.86    4.83    19.00     111.34
60281   Remove thyroid duct lesion      8.52         8.52    5.99     1.00       8.52
60500   Explore parathyroid glands     16.21        16.21    7.53    23.00     372.83
60502   Re-explore parathyroids        20.32        20.32    9.49     2.00      40.64
60512   Autotransplant parathyroid      4.44         4.44    1.63     1.00       4.44
60520   Removal of thymus gland        16.78        16.78    8.38     2.00      33.56
60522   Removal of thymus gland        23.06        23.06   11.35     1.00      23.06
60540   Explore adrenal gland          17.00        17.00    7.65     5.00      85.00
60650   Laparoscopy adrenalectomy      19.97        19.97    7.99     1.00      19.97
60699   Endocrine surgery procedure     0.00         0.00    0.00     1.00       0.00
61000   Remove cranial cavity fluid     1.58         1.58    0.96     1.00       1.58
61070   Brain canal shunt procedure     2.14         0.89    1.03     3.00       6.42
61105   Twist drill hole                5.13         5.13    3.95     1.00       5.13
61107   Drill skull for implantation    4.99         4.99    3.32     1.00       4.99
61120   Burr hole for puncture          8.75         8.75    6.00     2.00      17.50
61151   Pierce skull for drainage      12.40        12.40    7.85     1.00      12.40
61154   Pierce skull & remove clot     14.97        14.97    9.50     3.00      44.91
61312   Open skull for drainage        24.53        24.53   15.08     3.00      73.59
61316   Implt cran bone flap to abdo    1.39         1.39    0.57     2.00       2.78
61322   Decompressive craniotomy       29.46        29.46   14.45     1.00      29.46
61330   Decompress eye socket          23.29        23.29   13.80     1.00      23.29



                                               Page 87
                                                  CPT1


61333   Explore orbit/remove lesion      27.91        27.91   15.66     1.00      27.91
61334   Explore orbit/remove object      18.24        18.24   10.70     1.00      18.24
61343   Incise skull (press relief)      29.73        29.73   16.88     1.00      29.73
61458   Incise skull for brain wound     27.25        27.25   15.58     1.00      27.25
61490   Incise skull for surgery         25.62        25.62   14.39     1.00      25.62
61500   Removal of skull lesion          17.89        17.89   10.85     3.00      53.67
61510   Removal of brain lesion          28.41        28.41   16.76     2.00      56.82
61512   Remove brain lining lesion       35.04        35.04   19.76     2.00      70.08
61518   Removal of brain lesion          37.26        37.26   21.20     1.00      37.26
61519   Remove brain lining lesion       41.33        41.33   22.75     1.00      41.33
61548   Removal of pituitary gland       21.50        21.50   12.85     3.00      64.50
61556   Incise skull/sutures             22.23        22.23   11.42     1.00      22.23
61592   Orbitocranial approach/skull     39.58        39.58   26.60     1.00      39.58
61610   "Transect artery, sinus"         29.63        29.63   13.19     1.00      29.63
61624   "Transcath occlusion, cns"       28.67        20.12    6.93     2.00      57.34
61680   Intracranial vessel surgery      30.66        30.66   17.52     2.00      61.32
61703   Clamp neck artery                17.44        17.44   10.52     1.00      17.44
61793   Focus radiation beam             17.21        17.21   10.16     3.00      51.63
61867   Implant neuroelectrode           31.29        31.29   13.81     1.00      31.29
62000   Treat skull fracture             12.51        12.51    5.55     2.00      25.02
62010   Treatment of head injury         19.78        19.78   11.75     1.00      19.78
62100   Repair brain fluid leakage       22.00        22.00   12.85     1.00      22.00
62121   Incise skull repair              21.55        21.55   12.75     1.00      21.55
62142   Remove skull plate/flap          10.77        10.77    7.03     1.00      10.77
62165   Remove pituit tumor w/scope      21.97        21.97   10.51     2.00      43.94
62223   Establish brain cavity shunt     12.85        12.85    8.28     2.00      25.70
62225   Replace/irrigate catheter         5.40         5.40    4.11     1.00       5.40
62252   Csf shunt reprogram               0.74         0.74    1.48     3.00       2.22
62263   Epidural lysis mult sessions      6.13         6.13   11.87     9.00      55.17
62270   "Spinal fluid tap, diagnostic"    1.65         1.13    3.08   931.00   1,536.15
62272   Drain cerebro spinal fluid        1.35         1.35    3.68    33.00      44.55
62273   Treat epidural spine lesion       2.15         2.15    2.73    38.00      81.70
62281   Treat spinal cord lesion          2.66         2.66    5.76     1.00       2.66
62282   Treat spinal canal lesion         2.33         2.33    8.20    15.00      34.95
62284   Injection for myelogram           2.34         1.54    4.88     3.00       7.02
62287   Percutaneous diskectomy           8.07         8.07    5.52    10.00      80.70
62290   Inject for spine disk x-ray       4.47         3.00    6.81    90.00     402.30



                                                 Page 88
                                                 CPT1


62291   Inject for spine disk x-ray      4.24         2.91    5.69       4.00      16.96
62292   Injection into disk lesion      13.25         7.85    4.50       6.00      79.50
62310   Inject spine c/t                 2.45         1.91    4.83     318.00     779.10
62311   Inject spine l/s (cd)            1.54         1.54    4.91   1,646.00   2,534.84
62318   "Inject spine w/cath, c/t"       2.04         2.04    5.51       4.00       8.16
62319   Inject spine w/cath l/s (cd)     1.87         1.87    4.82      14.00      26.18
62350   Implant spinal canal cath        6.86         6.86    3.99       4.00      27.44
62355   Remove spinal canal catheter     5.44         5.44    3.20      46.00     250.24
62360   Insert spine infusion device     2.62         2.62    2.71       3.00       7.86
62361   Implant spine infusion pump      5.41         5.41    3.91       1.00       5.41
62362   Implant spine infusion pump      7.03         7.03    4.38       2.00      14.06
62365   Remove spine infusion device     5.41         5.41    3.60       2.00      10.82
62367   Analyze spine infusion pump      0.00         0.00    0.00       4.00       0.00
62368   Analyze spine infusion pump      0.00         0.75    0.19      61.00       0.00
63001   Removal of spinal lamina        15.80        15.80    9.52       2.00      31.60
63003   Removal of spinal lamina        15.93        15.93    9.86       2.00      31.86
63005   Removal of spinal lamina        14.90        14.90    9.93      11.00     163.90
63012   Removal of spinal lamina        15.38        15.38   10.09       2.00      30.76
63015   Removal of spinal lamina        19.32        19.32   11.89       1.00      19.32
63017   Removal of spinal lamina        15.92        15.92   10.36       2.00      31.84
63020   Neck spine disk surgery         14.79        14.79    9.67      20.00     295.80
63030   Low back disk surgery           11.98        11.98    8.39     142.00   1,701.16
63040   "Laminotomy, single cervical"   18.78        18.78   11.50      12.00     225.36
63042   "Laminotomy, single lumbar"     17.44        17.44   11.30      33.00     575.52
63044   "Laminotomy, add’l lumbar"       7.48         0.00    0.00       1.00       7.48
63045   Removal of spinal lamina        16.48        16.48   10.35       1.00      16.48
63047   Removal of spinal lamina        14.59        14.59    9.85       9.00     131.31
63075   Neck spine disk surgery         19.38        19.38   12.08      40.00     775.20
63081   Removal of vertebral body       23.69        23.69   14.33       4.00      94.76
63087   Removal of vertebral body       35.52        35.52   19.45       1.00      35.52
63090   Removal of vertebral body       28.12        28.12   16.01       1.00      28.12
63170   Incise spinal cord tract(s)     19.80        19.80   12.06       1.00      19.80
63200   Release of spinal cord          19.15        19.15   11.48       2.00      38.30
63267   Excise intraspinal lesion       17.92        17.92   11.09       1.00      17.92
63278   Biopsy/excise spinal tumor      20.53        20.53   12.39       1.00      20.53
63282   Biopsy/excise spinal tumor      26.35        26.35   15.38       1.00      26.35
63285   Biopsy/excise spinal tumor      35.95        35.95   20.01       1.00      35.95



                                                Page 89
                                                  CPT1


63610   Stimulation of spinal cord        8.72         8.72   55.66       2.00    17.44
63650   Implant neuroelectrodes           6.73         6.73    3.22       6.00    40.38
63655   Implant neuroelectrodes          10.27        10.27    6.90       1.00    10.27
63660   Revise/remove neuroelectrode      6.15         6.15    3.63       4.00    24.60
63685   Implant neuroreceiver             7.03         7.03    4.16       4.00    28.12
63688   Revise/remove neuroreceiver       5.38         5.38    3.57       5.00    26.90
63704   Repair of spinal herniation      21.15        21.15   12.89       1.00    21.15
63707   Repair spinal fluid leakage      11.24        11.24    7.68       1.00    11.24
63740   Install spinal shunt             11.34        11.34    7.38       1.00    11.34
64400   "N block inj, trigeminal"         1.11         1.11    2.01      52.00    57.72
64402   "N block inj, facial"             1.25         1.25    1.74      17.00    21.25
64405   "N block inj, occipital"          1.32         1.32    1.52      72.00    95.04
64408   "N block inj, vagus"              1.41         1.41    1.58       6.00     8.46
64413   "N block inj, cervical plexus"    1.40         1.40    1.88       2.00     2.80
64415   "N block inj, brachial plexus"    1.48         1.48    2.84      29.00    42.92
64416   "N block cont infuse, b plex"     3.49         3.49    0.72      11.00    38.39
64417   "N block inj, axillary"           1.44         1.44    3.09       6.00     8.64
64418   "N block inj, suprascapular"      1.32         1.32    2.65       4.00     5.28
64420   "N block inj, intercost, sng"     1.18         1.18    3.53      13.00    15.34
64421   "N block inj, intercost, mlt"     1.68         1.68    5.39      26.00    43.68
64425   N block inj ilio-ing/hypogi       1.75         1.75    1.70      66.00   115.50
64435   "N block inj, paracervical"       1.45         1.45    2.58      16.00    23.20
64445   "N block inj, sciatic, sng"       1.48         1.48    2.69      15.00    22.20
64447   "N block inj fem, single"         1.50         1.50    0.51      16.00    24.00
64448   "N block inj fem, cont inf"       3.00         3.00    1.03       2.00     6.00
64449   "N block inj, lumbar plexus"      3.00         3.00    0.97       2.00     6.00
64450   "N block, other peripheral"       1.27         1.27    1.26     634.00   805.18
64470   Inj paravertebral c/t             1.85         1.85    4.86      34.00    62.90
64472   Inj paravertebral c/t add-on      1.29         1.29    1.94      21.00    27.09
64475   Inj paravertebral l/s             1.41         1.41    4.56     215.00   303.15
64476   Inj paravertebral l/s add-on      0.98         0.98    1.82     164.00   160.72
64479   Inj foramen epidural c/t          2.20         2.20    7.05      43.00    94.60
64483   Inj foramen epidural l/s          1.90         1.90    7.53     385.00   731.50
64510   "N block, stellate ganglion"      1.22         1.22    3.20      40.00    48.80
64520   "N block, lumbar/thoracic"        1.72         1.35    4.56     190.00   326.80
64530   "N block inj, celiac pelus"       2.03         1.58    3.94       9.00    18.27
64550   Apply neurostimulator             0.18         0.18    0.30   2,722.00   489.96



                                                 Page 90
                                                 CPT1


64555   Implant neuroelectrodes          2.27         2.27    3.09     1.00       2.27
64561   Implant neuroelectrodes          6.73         6.73    3.16     2.00      13.46
64565   Implant neuroelectrodes          1.76         1.76    3.35     1.00       1.76
64573   Implant neuroelectrodes          7.49         7.49    5.23     1.00       7.49
64577   Implant neuroelectrodes          4.61         4.61    3.32     1.00       4.61
64581   Implant neuroelectrodes         13.48        13.48    5.41     1.00      13.48
64585   Revise/remove neuroelectrode     2.06         2.06   11.57     2.00       4.12
64590   Implant neuroreceiver            2.40         2.40    7.26     3.00       7.20
64595   Revise/remove neuroreceiver      1.73         1.73   10.69     2.00       3.46
64612   "Destroy nerve, face muscle"     1.96         1.96    2.62   395.00     774.20
64613   "Destroy nerve, spine muscle"    1.96         1.96    2.97   150.00     294.00
64614   "Destroy nerve, extrem musc"     2.20         2.20    3.24   139.00     305.80
64620   Injection treatment of nerve     2.84         2.84    4.60     3.00       8.52
64622   Destr paravertebrl nerve l/s     3.00         3.00    7.62    67.00     201.00
64623   Destr paravertebral n add-on     0.99         0.99    2.42    65.00      64.35
64626   Destr paravertebrl nerve c/t     3.28         3.28    6.67    11.00      36.08
64627   Destr paravertebral n add-on     1.16         1.16    2.61    38.00      44.08
64630   Injection treatment of nerve     3.00         3.00    2.73     1.00       3.00
64640   Injection treatment of nerve     2.76         2.76    4.24   183.00     505.08
64702   Revise finger/toe nerve          4.22         4.22    3.82     4.00      16.88
64704   Revise hand/foot nerve           4.56         4.56    3.28     8.00      36.48
64708   Revise arm/leg nerve             6.11         6.11    4.83    12.00      73.32
64712   Revision of sciatic nerve        7.74         7.74    4.99     1.00       7.74
64713   Revision of arm nerve(s)        10.98        10.98    5.90     3.00      32.94
64714   Revise low back nerve(s)        10.31        10.31    4.24     1.00      10.31
64718   Revise ulnar nerve at elbow      5.98         5.98    5.87   101.00     603.98
64719   Revise ulnar nerve at wrist      4.84         4.84    4.46    34.00     164.56
64721   Carpal tunnel surgery            4.28         4.28    4.95   855.00   3,659.40
64722   Relieve pressure on nerve(s)     4.69         4.69    3.06     9.00      42.21
64726   Release foot/toe nerve           4.17         4.17    2.76     1.00       4.17
64727   Internal nerve revision          3.10         3.10    1.51     2.00       6.20
64738   Incision of jaw nerve            5.72         5.72    4.62     1.00       5.72
64744   "Incise nerve, back of head"     5.23         5.23    3.79     1.00       5.23
64760   Incision of vagus nerve          6.95         6.95    3.52     5.00      34.75
64761   Incision of pelvis nerve         6.40         6.40    3.56     1.00       6.40
64774   Remove skin nerve lesion         5.16         5.16    3.81     6.00      30.96
64776   Remove digit nerve lesion        5.11         5.11    3.67    10.00      51.10



                                                Page 91
                                                CPT1


64782   Remove limb nerve lesion        6.22         6.22    3.75    14.00    87.08
64784   Remove nerve lesion             9.81         9.81    6.57     1.00     9.81
64788   Remove skin nerve lesion        4.60         4.60    3.47     2.00     9.20
64795   Biopsy of nerve                 3.01         3.01    1.59     2.00     6.02
64804   Remove sympathetic nerves      14.62        14.62    7.20     1.00    14.62
64809   Remove sympathetic nerves      13.65        13.65    5.80     1.00    13.65
64818   Remove sympathetic nerves      10.28        10.28    5.33     2.00    20.56
64820   Remove sympathetic nerves      10.35        10.35    7.11     1.00    10.35
64821   Remove sympathetic nerves       8.74         8.74    7.35     1.00     8.74
64831   Repair of digit nerve           9.43         9.43    7.05    16.00   150.88
64834   Repair of hand or foot nerve   10.17        10.17    7.08     2.00    20.34
64856   Repair/transpose nerve         13.78        13.78    9.17     2.00    27.56
64890   "Nerve graft, hand or foot"    15.13        15.13    9.99     1.00    15.13
64892   "Nerve graft, arm or leg"      14.63        14.63    8.86     1.00    14.63
64898   "Nerve graft, arm or leg"      19.47        19.47   11.81     1.00    19.47
64999   Nervous system surgery          0.00         0.00    0.00     9.00     0.00
65093   Revise eye with implant         6.86         6.86   10.09     2.00    13.72
65101   Removal of eye                  7.02         7.02   10.68     1.00     7.02
65103   Remove eye/insert implant       7.56         7.56   10.87     3.00    22.68
65105   Remove eye/attach implant       8.48         8.48   11.52     1.00     8.48
65150   Revise ocular implant           6.25         6.25    9.29     1.00     6.25
65175   Removal of ocular implant       6.27         6.27    9.65     1.00     6.27
65205   Remove foreign body from eye    0.71         0.71    0.60   346.00   245.66
65210   Remove foreign body from eye    0.84         0.84    0.74    56.00    47.04
65220   Remove foreign body from eye    0.71         0.71    0.60   108.00    76.68
65222   Remove foreign body from eye    0.93         0.93    0.76   486.00   451.98
65235   Remove foreign body from eye    7.56         7.56    7.26    16.00   120.96
65265   Remove foreign body from eye   12.57        12.57   12.67     1.00    12.57
65270   Repair of eye wound             1.90         1.90    3.83     3.00     5.70
65272   Repair of eye wound             3.81         3.81    5.78     1.00     3.81
65275   Repair of eye wound             5.33         5.33    5.66     1.00     5.33
65280   Repair of eye wound             7.65         7.65    8.17     4.00    30.60
65400   Removal of eye lesion           6.05         6.05    8.63     7.00    42.35
65410   Biopsy of cornea                1.47         1.47    1.72     3.00     4.41
65420   Removal of eye lesion           4.16         4.16    7.53    35.00   145.60
65426   Removal of eye lesion           5.24         5.24    7.49    76.00   398.24
65430   Corneal smear                   1.47         1.47    4.95    28.00    41.16



                                               Page 92
                                                CPT1


65435   Curette/treat cornea            0.92         0.92    1.32    20.00      18.40
65436   Curette/treat cornea            4.18         4.18    5.85     1.00       4.18
65450   Treatment of corneal lesion     3.27         3.27    7.22    20.00      65.40
65710   Corneal transplant             12.33        12.33   12.33     4.00      49.32
65730   Corneal transplant             14.23        14.23   11.86    13.00     184.99
65750   Corneal transplant             14.98        14.98   13.35     1.00      14.98
65755   Corneal transplant             14.87        14.87   13.26     6.00      89.22
65760   Revision of cornea             18.30         0.00    0.00   246.00   4,501.80
65767   Corneal tissue transplant      19.77         0.00    0.00     1.00      19.77
65770   Revise cornea with implant     17.53        17.53   14.31     4.00      70.12
65771   Radial keratotomy              10.76         0.00    0.00     1.00      10.76
65772   Correction of astigmatism       4.28         4.28    7.15     2.00       8.56
65782   "Ocular reconst, transplant"   14.98        14.98   11.66     3.00      44.94
65800   Drainage of eye                 1.91         1.91    2.27     5.00       9.55
65805   Drainage of eye                 1.91         1.91    2.27     3.00       5.73
65810   Drainage of eye                 4.86         4.86    8.05     1.00       4.86
65815   Drainage of eye                 5.04         5.04    8.37     1.00       5.04
65820   Relieve inner eye pressure      8.12         8.12   10.65     1.00       8.12
65850   Incision of eye                10.50        10.50    9.38     4.00      42.00
65855   Laser surgery of eye            3.84         3.84    5.20    72.00     276.48
65875   Incise inner eye adhesions      6.53         6.53    7.44     2.00      13.06
65900   Remove eye lesion              10.91        10.91   11.51     2.00      21.82
65920   Remove implant of eye           8.39         8.39    8.70     1.00       8.39
66020   Injection treatment of eye      1.59         1.59    2.37     1.00       1.59
66030   Injection treatment of eye      1.25         1.25    2.21    14.00      17.50
66130   Remove eye lesion               7.68         7.68    7.48     3.00      23.04
66150   Glaucoma surgery                8.29         8.29    9.86     1.00       8.29
66160   Glaucoma surgery               10.15        10.15   10.65     1.00      10.15
66170   Glaucoma surgery               12.14        12.14   12.45    24.00     291.36
66172   Incision of eye                15.02        15.02   15.12    10.00     150.20
66180   Implant eye shunt              14.53        14.53   11.56    15.00     217.95
66185   Revise eye shunt                8.13         8.13    8.19     4.00      32.52
66250   Follow-up surgery of eye        5.97         5.97    7.67    23.00     137.31
66625   Removal of iris                 5.12         5.12    7.02     1.00       5.12
66630   Removal of iris                 6.15         6.15    7.42     1.00       6.15
66680   Repair iris & ciliary body      5.43         5.43    6.04     2.00      10.86
66700   "Destruction, ciliary body"     4.77         4.77    5.34     2.00       9.54



                                               Page 93
                                                  CPT1


66710   "Destruction, ciliary body"       4.77         4.77    5.22       2.00        9.54
66720   "Destruction, ciliary body"       4.77         4.77    5.68      31.00      147.87
66740   "Destruction, ciliary body"       4.77         4.77    5.38       1.00        4.77
66761   Revision of iris                  4.06         4.06    5.55     167.00      678.02
66762   Revision of iris                  4.57         4.57    5.62       5.00       22.85
66821   After cataract laser surgery      2.35         2.35    3.98     347.00      815.45
66825   Reposition intraocular lens       8.22         8.22   10.08      12.00       98.64
66830   Removal of lens lesion            8.19         8.19    7.08       6.00       49.14
66840   Removal of lens material          7.90         7.90    6.99       2.00       15.80
66850   Removal of lens material          9.10         9.10    7.75      13.00      118.30
66852   Removal of lens material          9.96         9.96    8.20       4.00       39.84
66930   Extraction of lens               10.16        10.16    8.57       2.00       20.32
66940   Extraction of lens                8.92         8.92    8.01       2.00       17.84
66982   "Cataract surgery, complex"      13.48        13.48    9.92      62.00      835.76
66983   "Cataract surg w/iol, 1 stage"    8.98         8.98    6.20      47.00      422.06
66984   "Cataract surg w/iol, 1 stage"   10.21        10.21    7.63   2,326.00   23,748.46
66985   Insert lens prosthesis            8.38         8.38    7.47      16.00      134.08
66986   Exchange lens prosthesis         12.26        12.26    9.22      11.00      134.86
66990   Ophthalmic endoscope add-on       1.51         1.51    0.69       1.00        1.51
66999   Eye surgery procedure             0.00         0.00    0.00   2,604.00        0.00
67005   Partial removal of eye fluid      5.69         5.69    4.38       4.00       22.76
67010   Partial removal of eye fluid      6.86         6.86    4.93       2.00       13.72
67015   Release of eye fluid              6.91         6.91    7.73       7.00       48.37
67028   Injection eye drug                2.52         2.52    6.50      14.00       35.28
67030   Incise inner eye strands          4.83         4.83    6.81       1.00        4.83
67031   "Laser surgery, eye strands"      3.66         3.66    4.74       1.00        3.66
67036   Removal of inner eye fluid       11.87        11.87    9.35      22.00      261.14
67038   Strip retinal membrane           21.21        21.21   15.83      33.00      699.93
67039   Laser treatment of retina        14.50        14.50   12.54       9.00      130.50
67040   Laser treatment of retina        17.20        17.20   14.02      57.00      980.40
67101   Repair detached retina            7.52         7.52    9.85       1.00        7.52
67105   Repair detached retina            7.40         7.40    7.99      15.00      111.00
67107   Repair detached retina           14.82        14.82   12.82      15.00      222.30
67108   Repair detached retina           20.79        20.79   17.02      38.00      790.02
67110   Repair detached retina            8.80         8.80   15.37      26.00      228.80
67112   Rerepair detached retina         16.83        16.83   14.59       3.00       50.49
67120   Remove eye implant material       5.97         5.97   12.30       4.00       23.88



                                                 Page 94
                                                  CPT1


67141   Treatment of retina               5.19         5.19    7.24     1.00       5.19
67145   Treatment of retina               5.36         5.36    5.76    34.00     182.24
67210   Treatment of retinal lesion       8.81         8.81    6.25    99.00     872.19
67220   Treatment of choroid lesion      13.11        13.11    9.84    11.00     144.21
67221   Ocular photodynamic ther          4.00         4.00    4.69    53.00     212.00
67227   Treatment of retinal lesion       6.57         6.57    6.38    17.00     111.69
67228   Treatment of retinal lesion      12.72        12.72   10.83   112.00   1,424.64
67250   Reinforce eye wall                8.65         8.65   10.37     1.00       8.65
67299   Eye surgery procedure             0.00         0.00    0.00     6.00       0.00
67311   Revise eye muscle                 6.64         6.64    6.42   140.00     929.60
67312   Revise two eye muscles            8.53         8.53    7.55    86.00     733.58
67314   Revise eye muscle                 7.51         7.51    7.26    23.00     172.73
67316   Revise two eye muscles            9.65         9.65    8.22     9.00      86.85
67318   Revise eye muscle(s)              7.84         7.84    7.64    10.00      78.40
67320   Revise eye muscle(s) add-on       4.32         4.32    1.96     1.00       4.32
67331   Eye surgery follow-up add-on      4.05         4.05    1.91     1.00       4.05
67335   Eye suture during surgery         2.49         2.49    1.12    29.00      72.21
67343   Release eye tissue                7.34         7.34    7.34     1.00       7.34
67345   Destroy nerve of eye muscle       2.96         2.96    4.36    20.00      59.20
67399   Eye muscle surgery procedure      0.00         0.00    0.00     5.00       0.00
67400   Explore/biopsy eye socket         9.75         9.75   12.51     1.00       9.75
67412   Explore/treat eye socket          9.49         9.49   12.99     4.00      37.96
67413   Explore/treat eye socket          9.99         9.99   12.14     2.00      19.98
67414   Explr/decompress eye socket      11.11        11.11   14.01     1.00      11.11
67415   "Aspiration, orbital contents"    1.76         1.76    0.77     9.00      15.84
67450   Explore/biopsy eye socket        13.49        13.49   15.82     1.00      13.49
67500   Inject/treat eye socket           0.79         0.79    0.82    10.00       7.90
67505   Inject/treat eye socket           0.82         0.82    0.92     1.00       0.82
67515   Inject/treat eye socket           0.61         0.61    0.82    31.00      18.91
67550   Insert eye socket implant        10.17        10.17   12.28     1.00      10.17
67570   Decompress optic nerve           13.56        13.56   15.33     1.00      13.56
67700   Drainage of eyelid abscess        1.35         1.35    4.84    21.00      28.35
67710   Incision of eyelid                1.02         1.02    4.99     4.00       4.08
67715   Incision of eyelid fold           1.22         1.22    4.58     2.00       2.44
67800   Remove eyelid lesion              1.38         1.38    2.50   262.00     361.56
67801   Remove eyelid lesions             1.88         1.88    5.34    22.00      41.36
67805   Remove eyelid lesions             2.22         2.22    5.49    28.00      62.16



                                                 Page 95
                                                CPT1


67808   Remove eyelid lesion(s)         3.79         3.79    5.23    16.00    60.64
67810   Biopsy of eyelid                1.48         1.48    3.65   106.00   156.88
67820   Revise eyelashes                0.89         0.89    1.11   111.00    98.79
67825   Revise eyelashes                1.38         1.38    1.58    17.00    23.46
67840   Remove eyelid lesion            2.04         2.04    5.32   141.00   287.64
67850   Treat eyelid lesion             1.69         1.69    6.06     9.00    15.21
67875   Closure of eyelid by suture     1.35         1.35    7.05    11.00    14.85
67880   Revision of eyelid              3.79         3.79    9.66     2.00     7.58
67900   Repair brow defect              6.13         6.13   10.53   138.00   845.94
67901   Repair eyelid defect            6.96         6.96    6.41    16.00   111.36
67902   Repair eyelid defect            7.02         7.02    6.47     6.00    42.12
67903   Repair eyelid defect            6.36         6.36   11.28    12.00    76.32
67904   Repair eyelid defect            6.25         6.25   12.49    46.00   287.50
67906   Repair eyelid defect            6.78         6.78    9.11     3.00    20.34
67908   Repair eyelid defect            5.12         5.12    8.83    21.00   107.52
67909   Revise eyelid defect            5.39         5.39    9.36     1.00     5.39
67911   Revise eyelid defect            5.26         5.26    6.04     4.00    21.04
67912   Correction eyelid w/ implant    5.67         5.67   20.38     2.00    11.34
67914   Repair eyelid defect            3.67         3.67    9.30     5.00    18.35
67916   Repair eyelid defect            5.30         5.30   11.78     5.00    26.50
67917   Repair eyelid defect            6.01         6.01    9.71    15.00    90.15
67921   Repair eyelid defect            3.39         3.39    9.11     9.00    30.51
67923   Repair eyelid defect            5.87         5.87   11.35     6.00    35.22
67924   Repair eyelid defect            5.78         5.78    9.10     8.00    46.24
67930   Repair eyelid wound             3.60         3.60    8.42     7.00    25.20
67935   Repair eyelid wound             6.21         6.21   11.36    11.00    68.31
67938   Remove eyelid foreign body      1.33         1.33    5.81    25.00    33.25
67950   Revision of eyelid              5.81         5.81    8.25     9.00    52.29
67961   Revision of eyelid              5.68         5.68   10.20    13.00    73.84
67966   Revision of eyelid              6.56         6.56    8.33     2.00    13.12
67974   Reconstruction of eyelid       12.82        12.82    9.16     1.00    12.82
67999   Revision of eyelid              0.00         0.00    0.00    18.00     0.00
68020   Incise/drain eyelid lining      1.37         1.37    5.69    13.00    17.81
68040   Treatment of eyelid lesions     0.85         0.85    4.82     3.00     2.55
68100   Biopsy of eyelid lining         1.35         1.35    5.01    13.00    17.55
68110   Remove eyelid lining lesion     1.77         1.77    6.06    21.00    37.17
68130   Remove eyelid lining lesion     4.92         4.92    8.14     1.00     4.92



                                               Page 96
                                                  CPT1


68135   Remove eyelid lining lesion       1.84         1.84   5.32        2.00       3.68
68200   Treat eyelid by injection         0.49         0.49   0.72        4.00       1.96
68320   Revise/graft eyelid lining        5.36         5.36   6.56        1.00       5.36
68399   Eyelid lining surgery             0.00         0.00   0.00       10.00       0.00
68400   Incise/drain tear gland           1.69         1.69   7.61        3.00       5.07
68420   Incise/drain tear sac             2.30         2.30   7.92        3.00       6.90
68440   Incise tear duct opening          0.94         0.94   4.93        8.00       7.52
68510   Biopsy of tear gland              4.60         4.60   8.42        1.00       4.60
68520   Removal of tear sac               7.50         7.50   7.78        1.00       7.50
68530   Clearance of tear duct            3.65         3.65   9.45        7.00      25.55
68540   Remove tear gland lesion         10.58        10.58   9.78        1.00      10.58
68700   Repair tear ducts                 6.59         6.59   7.29        2.00      13.18
68705   Revise tear duct opening          2.06         2.06   5.45        1.00       2.06
68720   Create tear sac drain             8.95         8.95   8.26        8.00      71.60
68750   Create tear duct drain            8.65         8.65   8.69       11.00      95.15
68760   Close tear duct opening           1.73         1.73   3.99       24.00      41.52
68761   Close tear duct opening           1.36         1.36   3.42      225.00     306.00
68801   Dilate tear duct opening          0.94         0.94   0.94       63.00      59.22
68810   Probe nasolacrimal duct           1.90         1.90   2.32       34.00      64.60
68811   Probe nasolacrimal duct           2.35         2.35   2.36       93.00     218.55
68815   Probe nasolacrimal duct           3.20         3.20   8.16       22.00      70.40
68840   Explore/irrigate tear ducts       1.25         1.25   1.64       15.00      18.75
68899   Tear duct system surgery          0.00         0.00   0.00        4.00       0.00
69000   Drain external ear lesion         1.45         1.45   2.95       83.00     120.35
69005   Drain external ear lesion         2.11         2.11   2.96        8.00      16.88
69020   Drain outer ear canal lesion      1.48         1.48   3.92        8.00      11.84
69090   Pierce earlobes                   0.35         0.00   0.00        1.00       0.35
69100   Biopsy of external ear            0.81         0.81   1.74       34.00      27.54
69105   Biopsy of external ear canal      0.85         0.85   2.31        5.00       4.25
69110   "Remove external ear, partial"    3.43         3.43   4.07       12.00      41.16
69120   Removal of external ear           4.04         4.04   3.96        8.00      32.32
69140   Remove ear canal lesion(s)        7.96         7.96   6.69        2.00      15.92
69145   Remove ear canal lesion(s)        2.62         2.62   3.57       20.00      52.40
69200   Clear outer ear canal             0.77         0.77   2.33      818.00     629.86
69205   Clear outer ear canal             1.20         1.20   1.35       37.00      44.40
69210   Remove impacted ear wax           0.61         0.61   0.63   14,632.00   8,925.52
69220   Clean out mastoid cavity          0.83         0.83   2.31      176.00     146.08



                                                 Page 97
                                                CPT1


69222   Clean out mastoid cavity        1.40         1.40    3.78       3.00       4.20
69300   Revise external ear             6.35         6.35    4.23      89.00     565.15
69310   Rebuild outer ear canal        10.77        10.77    8.37       4.00      43.08
69320   Rebuild outer ear canal        16.93        16.93   12.09       2.00      33.86
69399   Outer ear surgery procedure     0.00         0.00    0.00      85.00       0.00
69405   Catheterize middle ear canal    2.63         2.63    3.48       8.00      21.04
69420   Incision of eardrum             1.33         1.33    3.08     126.00     167.58
69421   Incision of eardrum             1.73         1.73    2.09     369.00     638.37
69424   Remove ventilating tube         0.85         0.85    2.14     192.00     163.20
69433   Create eardrum opening          1.52         1.52    3.09     143.00     217.36
69436   Create eardrum opening          1.96         1.96    2.22   1,788.00   3,504.48
69440   Exploration of middle ear       7.56         7.56    6.28      20.00     151.20
69450   Eardrum revision                5.56         5.56    5.02       3.00      16.68
69501   Mastoidectomy                   9.06         9.06    7.06       2.00      18.12
69502   Mastoidectomy                  12.36        12.36    9.26       2.00      24.72
69505   Remove mastoid structures      12.97        12.97    9.51       2.00      25.94
69540   Remove ear lesion               1.20         1.20    3.68       5.00       6.00
69601   Mastoid surgery revision       13.22        13.22   10.01       2.00      26.44
69602   Mastoid surgery revision       13.56        13.56    9.95       1.00      13.56
69604   Mastoid surgery revision       14.00        14.00   10.14       5.00      70.00
69605   Mastoid surgery revision       18.46        18.46   12.80       1.00      18.46
69610   Repair of eardrum               4.42         4.42    5.39     100.00     442.00
69620   Repair of eardrum               5.88         5.88    6.13      70.00     411.60
69631   Repair eardrum structures       9.85         9.85    7.85     123.00   1,211.55
69632   Rebuild eardrum structures     12.73        12.73    9.72      26.00     330.98
69633   Rebuild eardrum structures     12.08        12.08    9.38      30.00     362.40
69635   Repair eardrum structures      13.31        13.31    9.38      24.00     319.44
69636   Rebuild eardrum structures     15.20        15.20   11.15      10.00     152.00
69637   Rebuild eardrum structures     15.09        15.09   11.09      19.00     286.71
69641   Revise middle ear & mastoid    12.69        12.69    9.47      72.00     913.68
69642   Revise middle ear & mastoid    16.81        16.81   12.11      24.00     403.44
69643   Revise middle ear & mastoid    15.30        15.30   11.15       6.00      91.80
69644   Revise middle ear & mastoid    16.94        16.94   12.06       3.00      50.82
69645   Revise middle ear & mastoid    16.36        16.36   11.70       5.00      81.80
69646   Revise middle ear & mastoid    17.96        17.96   12.63       6.00     107.76
69650   Release middle ear bone         9.65         9.65    7.40       1.00       9.65
69660   Revise middle ear bone         11.88        11.88    8.60      16.00     190.08



                                               Page 98
                                                CPT1


69661   Revise middle ear bone         15.72        15.72   11.07   11.00   172.92
69662   Revise middle ear bone         15.42        15.42   10.79   13.00   200.46
69666   Repair middle ear structures    9.74         9.74    7.48    1.00     9.74
69670   Remove mastoid air cells       11.49        11.49    8.63    1.00    11.49
69676   Remove middle ear nerve         9.51         9.51    7.60    1.00     9.51
69710   Implant/replace hearing aid     0.00         0.00    0.00   15.00     0.00
69711   Remove/repair hearing aid      10.42        10.42    8.06   68.00   708.56
69714   Implant temple bone w/stimul   13.98        13.98    9.89   13.00   181.74
69715   Temple bne implnt w/stimulat   18.22        18.22   12.37    1.00    18.22
69717   Temple bone implant revision   14.96        14.96    9.55    2.00    29.92
69718   Revise temple bone implant     18.47        18.47   12.27    1.00    18.47
69720   Release facial nerve           14.36        14.36   10.74    2.00    28.72
69799   Middle ear surgery procedure    0.00         0.00    0.00    8.00     0.00
69801   Incise inner ear                8.55         8.55    6.81    1.00     8.55
69805   Explore inner ear              13.80        13.80   10.04    1.00    13.80
69806   Explore inner ear              12.33        12.33    9.17    1.00    12.33
69840   Revise inner ear window        10.24        10.24    6.91    1.00    10.24
69930   Implant cochlear device        16.78        16.78   11.81   19.00   318.82
69949   Inner ear surgery procedure     0.00         0.00    0.00    4.00     0.00
69960   Release inner ear canal        27.00        27.00   17.04    1.00    27.00
69979   Temporal bone surgery           0.00         0.00    0.00    1.00     0.00
69990   Microsurgery add-on             3.46         3.46    1.80   11.00    38.06
70015   Contrast x-ray of brain         3.10         1.19    0.39    1.00     3.10
70030   X-ray eye for foreign body      0.67         0.17    0.47   18.00    12.06
70100   X-ray exam of jaw               0.79         0.18    0.06    5.00     3.95
70110   X-ray exam of jaw               0.99         0.25    0.70    2.00     1.98
70120   X-ray exam of mastoids          0.89         0.18    0.06    1.00     0.89
70140   X-ray exam of facial bones      0.91         0.19    0.68    8.00     7.28
70150   X-ray exam of facial bones      1.18         0.26    0.09    9.00    10.62
70160   X-ray exam of nasal bones       0.78         0.17    0.58   29.00    22.62
70200   X-ray exam of eye sockets       1.21         0.28    0.09    7.00     8.47
70210   X-ray exam of sinuses           0.88         0.17    0.68   30.00    26.40
70220   X-ray exam of sinuses           1.17         0.25    0.08   28.00    32.76
70250   X-ray exam of skull             0.98         0.24    0.08   11.00    10.78
70260   X-ray exam of skull             1.40         0.34    1.00    4.00     5.60
70300   X-ray exam of teeth             0.43         0.10    0.05   24.00    10.32
70330   X-ray exam of jaw joints        1.22         0.24    0.08    1.00     1.22



                                               Page 99
                                                CPT1


70350   X-ray head for orthodontia      0.63           0.17    0.44       4.00       2.52
70355   Panoramic x-ray of jaws         0.88           0.20    0.08      35.00      30.80
70360   X-ray exam of neck              0.67           0.17    0.47      13.00       8.71
70370   Throat x-ray & fluoroscopy      1.80           0.32    0.11       1.00       1.80
70371   "Speech evaluation, complex"    3.36           0.84    2.38       8.00      26.88
70390   X-ray exam of salivary duct     2.39           0.38    0.13       2.00       4.78
70450   Ct head/brain w/o dye           6.09           0.85    5.02      78.00     475.02
70460   Ct head/brain w/dye             7.44           1.13    0.37      10.00      74.40
70470   Ct head/brain w/o & w/ dye      9.10           1.27    7.51       5.00      45.50
70480   Ct orbit/ear/fossa w/o dye      6.69           1.28    0.42     343.00   2,294.67
70486   Ct maxillofacial w/o dye        6.50           1.14    5.11       6.00      39.00
70487   Ct maxillofacial w/dye          7.68           1.30    0.42       1.00       7.68
70488   Ct maxillofacial w/o & w dye    9.30           1.42    7.56       1.00       9.30
70491   Ct soft tissue neck w/dye       7.79           1.38    6.12       3.00      23.37
70492   Ct sft tsue nck w/o & w/dye     9.35           1.45    0.47       1.00       9.35
70496   "Ct angiography, head"         10.00           1.75   11.22       2.00      20.00
70540   Mri orbit/face/neck w/o dye    12.82           1.35   11.68       2.00      25.64
70544   Mr angiography head w/o dye    13.32           1.20    0.39       2.00      26.64
70545   Mr angiography head w/dye      13.32           1.20   11.63       1.00      13.32
70546   Mr angiograph head w/o&w dye   25.25           1.80    0.59       2.00      50.50
70551   Mri brain w/o dye              13.70           1.48    0.49      18.00     246.60
70552   Mri brain w/ dye               16.42           1.78   14.08       9.00     147.78
70553   Mri brain w/o & w/ dye         29.10           2.36    0.78       6.00     174.60
70557   Mri brain w/o dye              14.50           0.00    0.00       1.00      14.50
70558   Mri brain w/ dye               16.00           3.20    1.08       1.00      16.00
70559   Mri brain w/o & w/ dye         16.00           0.00    0.00       2.00      32.00
71010   Chest x-ray                     0.74           0.18    0.06     912.00     674.88
71015   Chest x-ray                     0.84           0.21    0.59       6.00       5.04
71020   Chest x-ray                     0.95           0.22    0.07   1,850.00   1,757.50
71021   Chest x-ray                     1.15           0.27    0.83     235.00     270.25
71022   Chest x-ray                     1.21           0.31    0.10       6.00       7.26
71023   Chest x-ray and fluoroscopy     1.36           0.38    0.92       7.00       9.52
71030   Chest x-ray                     1.25           0.31    0.10      32.00      40.00
71034   Chest x-ray and fluoroscopy     2.16           0.46    1.60       2.00       4.32
71035   Chest x-ray                     0.79           0.18    0.06      14.00      11.06
71100   X-ray exam of ribs              0.91           0.22    0.07      29.00      26.39
71101   X-ray exam of ribs/chest        1.07           0.27    0.76      17.00      18.19



                                               Page 100
                                                CPT1


71110   X-ray exam of ribs              1.20           0.27    0.09    18.00    21.60
71111   X-ray exam of ribs/ chest       1.37           0.32    1.00     3.00     4.11
71120   X-ray exam of breastbone        0.95           0.20    0.07     2.00     1.90
71130   X-ray exam of breastbone        1.04           0.22    0.78     2.00     2.08
71250   Ct thorax w/o dye               7.74           1.16    0.38     6.00    46.44
71260   Ct thorax w/dye                 9.05           1.24    7.50     4.00    36.20
71275   "Ct angiography, chest"        10.83           1.92   13.05     3.00    32.49
72010   X-ray exam of spine             1.71           0.45    0.15    16.00    27.36
72020   X-ray exam of spine             0.64           0.15    0.46    21.00    13.44
72040   X-ray exam of neck spine        0.94           0.22    0.07   122.00   114.68
72050   X-ray exam of neck spine        1.37           0.31    0.99    66.00    90.42
72052   X-ray exam of neck spine        1.68           0.36    0.12    20.00    33.60
72069   X-ray exam of trunk spine       0.83           0.22    0.57    21.00    17.43
72070   X-ray exam of thoracic spine    0.98           0.22    0.07    28.00    27.44
72072   X-ray exam of thoracic spine    1.08           0.22    0.81     7.00     7.56
72074   X-ray exam of thoracic spine    1.26           0.22    0.07     3.00     3.78
72080   X-ray exam of trunk spine       1.01           0.22    0.74   153.00   154.53
72090   X-ray exam of trunk spine       1.09           0.28    0.09    12.00    13.08
72100   X-ray exam of lower spine       1.01           0.22    0.74   120.00   121.20
72110   X-ray exam of lower spine       1.39           0.31    0.10    56.00    77.84
72114   X-ray exam of lower spine       1.75           0.36    1.31    45.00    78.75
72120   X-ray exam of lower spine       1.25           0.22    0.07    23.00    28.75
72125   Ct neck spine w/o dye           7.74           1.16    6.31     4.00    30.96
72126   Ct neck spine w/dye             9.02           1.22    0.39     2.00    18.04
72129   Ct chest spine w/dye            9.02           1.22    7.49     1.00     9.02
72130   Ct chest spine w/o & w/dye     10.94           1.27    0.41     2.00    21.88
72131   Ct lumbar spine w/o dye         7.74           1.16    6.31     4.00    30.96
72132   Ct lumbar spine w/dye           9.03           1.22    0.40     1.00     9.03
72141   Mri neck spine w/o dye         13.86           1.60    0.53     5.00    69.30
72148   Mri lumbar spine w/o dye       14.97           1.48    0.49     7.00   104.79
72149   Mri lumbar spine w/dye         16.44           1.78   14.09     2.00    32.88
72156   Mri neck spine w/o & w/dye     29.40           2.57    0.85     1.00    29.40
72157   Mri chest spine w/o & w/dye    29.40           2.57   25.83     1.00    29.40
72158   Mri lumbar spine w/o & w/dye   29.11           2.36    0.78     4.00   116.44
72170   X-ray exam of pelvis            0.78           0.17    0.06    90.00    70.20
72190   X-ray exam of pelvis            0.99           0.21    0.74    15.00    14.85
72191   Ct angiograph pelv w/o&w/dye   10.48           1.81    0.60     2.00    20.96



                                               Page 101
                                                  CPT1


72192   Ct pelvis w/o dye                 7.65           1.09    6.29     1.00     7.65
72193   Ct pelvis w/dye                   8.71           1.16    0.38     5.00    43.55
72196   Mri pelvis w/dye                 15.58           1.73   14.06     3.00    46.74
72200   X-ray exam sacroiliac joints      0.78           0.17    0.06     4.00     3.12
72202   X-ray exam sacroiliac joints      0.91           0.19    0.68     3.00     2.73
72220   X-ray exam of tailbone            0.84           0.17    0.06    16.00    13.44
72240   Contrast x-ray of neck spine      6.19           0.91    5.06    10.00    61.90
72255   "Contrast x-ray, thorax spine"    5.72           0.91    0.28     3.00    17.16
72265   "Contrast x-ray, lower spine"     5.36           0.83    4.35    14.00    75.04
72270   "Contrast x-ray, spine"           8.16           1.33    0.41     1.00     8.16
72275   Epidurography                     0.00           0.76    2.30    60.00     0.00
72295   X-ray of lower spine disk         9.29           0.83    8.15    13.00   120.77
73000   X-ray exam of collar bone         0.77           0.16    0.05    45.00    34.65
73010   X-ray exam of shoulder blade      0.78           0.17    0.58     3.00     2.34
73020   X-ray exam of shoulder            0.70           0.15    0.05    74.00    51.80
73030   X-ray exam of shoulder            0.85           0.18    0.63   399.00   339.15
73040   Contrast x-ray of shoulder        2.94           0.54    0.18    10.00    29.40
73050   X-ray exam of shoulders           0.98           0.20    0.74    12.00    11.76
73060   X-ray exam of humerus             0.84           0.17    0.06    44.00    36.96
73070   X-ray exam of elbow               0.75           0.15    0.57    93.00    69.75
73080   X-ray exam of elbow               0.84           0.17    0.06   123.00   103.32
73085   Contrast x-ray of elbow           2.95           0.54    2.29     1.00     2.95
73090   X-ray exam of forearm             0.77           0.16    0.05   182.00   140.14
73092   "X-ray exam of arm, infant"       0.74           0.16    0.54     5.00     3.70
73100   X-ray exam of wrist               0.75           0.16    0.06   163.00   122.25
73110   X-ray exam of wrist               0.79           0.17    0.59   401.00   316.79
73115   Contrast x-ray of wrist           2.42           0.54    0.19     3.00     7.26
73120   X-ray exam of hand                0.74           0.16    0.54   252.00   186.48
73130   X-ray exam of hand                0.79           0.17    0.06   429.00   338.91
73140   X-ray exam of finger(s)           0.62           0.13    0.45   455.00   282.10
73202   Ct uppr extremity w/o&w/dye       9.41           1.22    0.40     1.00     9.41
73206   Ct angio upr extrm w/o&w/dye      9.42           1.81   11.59     2.00    18.84
73218   Mri upper extremity w/o dye      12.82           1.35    0.44     3.00    38.46
73220   Mri uppr extremity w/o&w/dye     27.61           2.15    0.71     3.00    82.83
73221   Mri joint upr extrem w/o dye     12.82           1.35   11.68    13.00   166.66
73222   Mri joint upr extrem w/dye       15.36           1.62    0.53     5.00    76.80
73223   Mri joint upr extr w/o&w/dye     27.61           2.15   25.69     1.00    27.61



                                                 Page 102
                                                  CPT1


73225   Mr angio upr extr w/o&w/dye      14.12           1.73    0.67       1.00    14.12
73500   X-ray exam of hip                 0.73           0.17    0.53      32.00    23.36
73510   X-ray exam of hip                 0.91           0.21    0.07     137.00   124.67
73520   X-ray exam of hips                1.06           0.26    0.76      23.00    24.38
73525   Contrast x-ray of hip             2.94           0.54    0.18       1.00     2.94
73530   X-ray exam of hip                 0.94           0.29    0.62       6.00     5.64
73540   X-ray exam of pelvis & hips       0.89           0.20    0.07       4.00     3.56
73542   "X-ray exam, sacroiliac joint"    3.01           0.59    2.26       8.00    24.08
73550   X-ray exam of thigh               0.84           0.17    0.06      39.00    32.76
73560   "X-ray exam of knee, 1 or 2"      0.79           0.17    0.58     416.00   328.64
73562   "X-ray exam of knee, 3"           0.87           0.18    0.06     334.00   290.58
73564   "X-ray exam, knee, 4 or more"     0.96           0.22    0.70     146.00   140.16
73565   X-ray exam of knees               0.77           0.17    0.06      36.00    27.72
73580   Contrast x-ray of knee joint      3.48           0.54    2.80      27.00    93.96
73590   X-ray exam of lower leg           0.78           0.17    0.06     245.00   191.10
73592   "X-ray exam of leg, infant"       0.74           0.16    0.55      21.00    15.54
73600   X-ray exam of ankle               0.74           0.16    0.05     408.00   301.92
73610   X-ray exam of ankle               0.79           0.17    0.59   1,133.00   895.07
73615   Contrast x-ray of ankle           2.95           0.54    0.19       5.00    14.75
73620   X-ray exam of foot                0.74           0.16    0.54     315.00   233.10
73630   X-ray exam of foot                0.79           0.17    0.06     946.00   747.34
73650   X-ray exam of heel                0.72           0.16    0.52      41.00    29.52
73660   X-ray exam of toe(s)              0.62           0.13    0.04      93.00    57.66
73700   Ct lower extremity w/o dye        6.67           1.09    5.33       5.00    33.35
73720   Mri lwr extremity w/o&w/dye      27.60           2.15   25.69      10.00   276.00
73721   Mri jnt of lwr extre w/o dye     12.82           1.35    0.44      42.00   538.44
73725   Mr ang lwr ext w or w/o dye      14.17           1.82   11.84       3.00    42.51
74000   X-ray exam of abdomen             0.79           0.18    0.06     902.00   712.58
74010   X-ray exam of abdomen             0.92           0.23    0.65     105.00    96.60
74020   X-ray exam of abdomen             1.02           0.27    0.09      42.00    42.84
74022   "X-ray exam series, abdomen"      1.21           0.32    0.85      61.00    73.81
74150   Ct abdomen w/o dye                7.52           1.19    0.39      16.00   120.32
74160   Ct abdomen w/dye                  8.87           1.27    7.28      23.00   204.01
74170   Ct abdomen w/o &w /dye           10.75           1.40    0.45       5.00    53.75
74230   "Cine/vid x-ray, throat/esoph"    2.10           0.53    1.49      36.00    75.60
74235   Remove esophagus obstruction      4.38           1.19    0.39       1.00     4.38
74240   "X-ray exam, upper gi tract"      2.48           0.69    1.69       2.00     4.96



                                                 Page 103
                                                  CPT1


74241   "X-ray exam, upper gi tract"      2.51           0.69    0.23       9.00      22.59
74246   Contrst x-ray uppr gi tract       2.67           0.69    0.23       1.00       2.67
74247   Contrst x-ray uppr gi tract       2.73           0.69    1.92       5.00      13.65
74260   X-ray exam of small bowel         2.25           0.50    1.66       1.00       2.25
74270   Contrast x-ray exam of colon      2.74           0.69    0.23       5.00      13.70
74283   Contrast x-ray exam of colon      5.50           2.02    0.66       3.00      16.50
74300   X-ray bile ducts/pancreas         0.00           0.00    0.00       1.00       0.00
74305   X-ray bile ducts/pancreas         1.41           0.42    0.93       1.00       1.41
74330   X-ray bile/panc endoscopy         4.53           0.90    0.30       1.00       4.53
74350   "X-ray guide, stomach tube"       4.33           0.76    0.25       1.00       4.33
74400   "Contrst x-ray, urinary tract"    2.44           0.49    0.16   1,093.00   2,666.92
74410   "Contrst x-ray, urinary tract"    2.71           0.49    2.12      35.00      94.85
74415   "Contrst x-ray, urinary tract"    2.88           0.49    0.16      45.00     129.60
74420   "Contrst x-ray, urinary tract"    3.23           0.36    2.74      42.00     135.66
74425   "Contrst x-ray, urinary tract"    1.87           0.36    0.12      55.00     102.85
74430   "Contrast x-ray, bladder"         1.55           0.32    1.17      22.00      34.10
74440   "X-ray, male genital tract"       1.70           0.38    0.12       2.00       3.40
74450   "X-ray, urethra/bladder"          1.99           0.33    0.11      58.00     115.42
74455   "X-ray, urethra/bladder"          2.12           0.33    1.69      61.00     129.32
74470   X-ray exam of kidney lesion       2.05           0.54    0.18       1.00       2.05
74475   "X-ray control, cath insert"      4.97           0.54    4.27      12.00      59.64
74480   "X-ray control, cath insert"      4.97           0.54    0.18       7.00      34.79
74740   "X-ray, female genital tract"     1.90           0.38    1.44      20.00      38.00
75552   Heart mri for morph w/o dye      13.86           1.60    0.53       1.00      13.86
75600   Contrast x-ray exam of aorta     13.77           0.49   12.83       6.00      82.62
75605   Contrast x-ray exam of aorta     14.68           0.00   12.64       1.00      14.68
75625   Contrast x-ray exam of aorta     14.65           1.14   13.02       9.00     131.85
75630   "X-ray aorta, leg arteries"      16.16           0.00   13.17      29.00     468.64
75635   Ct angio abdominal arteries      11.45           2.40   16.77       8.00      91.60
75650   "Artery x-rays, head & neck"     15.14           0.00   12.64       4.00      60.56
75658   "Artery x-rays, arm"             14.95           1.31   13.11       1.00      14.95
75660   "Artery x-rays, head & neck"     14.91           0.00   12.64       1.00      14.91
75665   "Artery x-rays, head & neck"     14.91           0.00   12.64       2.00      29.82
75671   "Artery x-rays, head & neck"     15.39           1.66   13.19      16.00     246.24
75676   "Artery x-rays, neck"            14.91           0.00   12.64       1.00      14.91
75680   "Artery x-rays, neck"            15.39           1.66   13.19       4.00      61.56
75685   "Artery x-rays, spine"           14.89           0.00   12.64       2.00      29.78



                                                 Page 104
                                                  CPT1


75710   "Artery x-rays, arm/leg"         14.67           0.00   12.64       6.00       88.02
75716   "Artery x-rays, arms/legs"       14.89           1.31   13.07       1.00       14.89
75722   "Artery x-rays, kidney"          14.68           0.00   12.64       6.00       88.08
75724   "Artery x-rays, kidneys"         15.21           1.49   13.20       4.00       60.84
75726   "Artery x-rays, abdomen"         14.65           0.00   12.64       2.00       29.30
75736   "Artery x-rays, pelvis"          14.65           1.14   13.01       3.00       43.95
75741   "Artery x-rays, lung"            14.89           0.00   12.64       1.00       14.89
75743   "Artery x-rays, lungs"           15.37           1.66   13.18       1.00       15.37
75790   Visualize A-V shunt               4.00           1.84    1.96       2.00        8.00
75820   "Vein x-ray, arm/leg"             1.97           0.00    0.95      10.00       19.70
75822   "Vein x-ray, arms/legs"           3.03           1.06    1.83       1.00        3.03
75825   "Vein x-ray, trunk"              14.66           0.00   12.64       2.00       29.32
75827   "Vein x-ray, chest"              14.64           1.14   13.01       2.00       29.28
75894   "X-rays, transcath therapy"      26.86           1.31   24.65       3.00       80.58
75898   Follow-up angiography             3.42           1.65    1.61       2.00        6.84
75940   "X-ray placement, vein filter"   13.81           0.54   12.82       7.00       96.67
75945   Intravascular us                  5.31           0.00    4.58       1.00        5.31
75954   Iliac aneurysm endovas rpr        0.00           0.00    0.00       1.00        0.00
75960   "Transcatheter intro, stent"     16.61           0.82   15.24       2.00       33.22
75961   "Retrieval, broken catheter"     16.83           0.00   10.54       7.00      117.81
75978   Repair venous blockage           17.06           0.00   15.80       3.00       51.18
75982   Contrast xray exam bile duct      8.33           0.00    6.12       1.00        8.33
75984   Xray control catheter change      3.03           0.72    2.20       4.00       12.12
75989   Abscess drainage under x-ray      4.93           0.00    3.17       2.00        9.86
75994   "Atherectomy, x-ray exam"        18.19           1.31   16.26       1.00       18.19
75998   Fluoroguide for vein device       0.38           0.00    1.31       3.00        1.14
76000   Fluoroscope examination           1.59           0.17    1.36     343.00      545.37
76003   Needle localization by x-ray      2.11           0.54    1.48       8.00       16.88
76005   Fluoroguide for spine inject      2.18           0.00    1.31   1,088.00    2,371.84
76006   X-ray stress view                 0.64           0.41    0.19      29.00       18.56
76010   "X-ray, nose to rectum"           0.79           0.18    0.58       1.00        0.79
76040   "X-rays, bone evaluation"         1.22           0.27    0.88       7.00        8.54
76065   "X-rays, bone evaluation"         1.16           0.00    0.74       2.00        2.32
76070   "Ct bone density, axial"          3.42           0.00    2.96       1.00        3.42
76071   "Ct bone density, peripheral"     0.00           0.22    3.03       1.00        0.00
76075   "Dexa, axial skeleton study"      3.63           0.00    3.11   3,660.00   13,285.80
76076   "Dexa, peripheral study"          1.10           0.22    0.84      65.00       71.50



                                                 Page 105
                                                  CPT1


76080   X-ray exam of fistula             1.85           0.54    1.24      26.00       48.10
76082   Computer mammogram add-on         0.06           0.00    0.41       1.00        0.06
76083   Computer mammogram add-on         0.06           0.06    0.43       2.00        0.12
76090   "Mammogram, one breast"           1.92           0.70    1.29       5.00        9.60
76091   "Mammogram, both breasts"         2.33           0.00    1.31     313.00      729.29
76092   "Mammogram, screening"            2.23           0.70    1.46      51.00      113.73
76093   "Magnetic image, breast"         20.53           0.00   17.68       1.00       20.53
76095   Stereotactic breast biopsy        9.67           0.00    7.19       1.00        9.67
76096   "X-ray of needle wire, breast"    2.15           0.56    1.50       2.00        4.30
76100   X-ray exam of body section        2.12           0.58    1.44       1.00        2.12
76120   Cine/video x-rays                 1.64           0.00    1.06       2.00        3.28
76125   Cine/video x-rays add-on          1.20           0.27    0.88       1.00        1.20
76140   X-ray consultation                0.00           0.00    0.00     104.00        0.00
76360   Ct scan for needle biopsy        10.16           1.16    0.37       4.00       40.64
76362   Ct guide for tissue ablation      0.00           3.99    9.59       1.00        0.00
76370   Ct scan for therapy guide         4.25           0.85    0.28      22.00       93.50
76380   CAT scan follow-up study          5.00           0.98    0.33       4.00       20.00
76496   Fluoroscopic procedure            0.00           0.00    0.00      39.00        0.00
76497   Ct procedure                      0.00           0.00    0.00       1.00        0.00
76498   Mri procedure                     0.00           0.00    0.00       5.00        0.00
76499   Radiographic procedure            0.00           0.00    0.00   1,027.00        0.00
76511   Echo exam of eye                  2.80           0.94    1.09      65.00      182.00
76512   Echo exam of eye                  2.61           0.66    0.30      34.00       88.74
76514   "Echo exam of eye, thickness"     0.17           0.17    0.08     121.00       20.57
76516   Echo exam of eye                  1.97           0.54    0.73       9.00       17.73
76519   Echo exam of eye                  2.12           0.54    0.25     374.00      792.88
76536   Us exam of head and neck          2.26           0.56    0.19     186.00      420.36
76604   "Us exam, chest, b-scan"          2.13           0.55    1.49       3.00        6.39
76645   "Us exam, breast(s)"              1.86           0.54    0.18     118.00      219.48
76700   "Us exam, abdom, complete"        3.19           0.81    2.25     357.00    1,138.83
76705   Echo exam of abdomen              2.31           0.59    0.20     409.00      944.79
76770   "Us exam abdo back wall, comp"    3.08           0.74    2.23       6.00       18.48
76775   "Us exam abdo back wall, lim"     2.30           0.58    0.19      22.00       50.60
76800   "Us exam, spinal canal"           2.98           1.13    0.35       3.00        8.94
76801   "Ob us < 14 wks, single fetus"    0.00           0.99    2.45   2,354.00        0.00
76802   "Ob us < 14 wks, add’l fetus"     0.00           0.83    0.29      54.00        0.00
76805   "Ob us >/= 14 wks, sngl fetus"    3.57           0.99    2.45   8,413.00   30,034.41



                                                 Page 106
                                                 CPT1


76810   "Ob us >/= 14 wks, addl fetus"   7.12           0.98   0.35      321.00    2,285.52
76811   "Ob us, detailed, sngl fetus"    0.00           1.90   4.20    1,318.00        0.00
76812   "Ob us, detailed, addl fetus"    0.00           1.78   0.63       12.00        0.00
76815   "Ob us, limited, fetus(s)"       2.39           0.65   1.66   14,487.00   34,623.93
76816   "Ob us, follow-up, per fetus"    1.96           0.85   0.32    2,666.00    5,225.36
76817   "Transvaginal us, obstetric"     0.00           0.75   1.80    5,615.00        0.00
76818   Fetal biophys profile w/nst      2.91           1.05   0.38      786.00    2,287.26
76819   Fetal biophys profil w/o nst     2.58           0.77   1.90      501.00    1,292.58
76825   Echo exam of fetal heart         4.39           1.67   0.60      146.00      640.94
76826   Echo exam of fetal heart         1.90           0.83   1.00       16.00       30.40
76827   Echo exam of fetal heart         2.63           0.58   0.22    5,741.00   15,098.83
76828   Echo exam of fetal heart         1.97           0.56   1.34    3,535.00    6,963.95
76830   "Transvaginal us, non-ob"        2.56           0.69   0.23    7,604.00   19,466.24
76831   "Echo exam, uterus"              2.60           0.72   1.78      138.00      358.80
76856   "Us exam, pelvic, complete"      2.56           0.69   0.23      308.00      788.48
76857   "Us exam, pelvic, limited"       1.63           0.38   1.70      711.00    1,158.93
76870   "Us exam, scrotum"               2.49           0.64   0.21       17.00       42.33
76872   "Us, transrectal"                2.56           0.69   2.09      334.00      855.04
76873   "Echograp trans r, pros study"   0.00           1.55   0.49       13.00        0.00
76880   "Us exam, extremity"             2.31           0.59   1.63       16.00       36.96
76930   "Echo guide, cardiocentesis"     2.56           0.67   0.26        2.00        5.12
76936   Echo guide for artery repair     9.34           1.99   0.66        1.00        9.34
76937   "Us guide, vascular access"      0.30           0.30   0.47        2.00        0.60
76942   Echo guide for biopsy            2.53           0.67   0.22      160.00      404.80
76945   "Echo guide, villus sampling"    2.53           0.67   1.76        1.00        2.53
76946   Echo guide for amniocentesis     2.12           0.38   0.14        9.00       19.08
76950   Echo guidance radiotherapy       2.17           0.58   0.19      116.00      251.72
76970   Ultrasound exam follow-up        1.66           0.40   0.13       81.00      134.46
76977   Us bone density measure          1.53           0.05   0.02       60.00       91.80
76986   Ultrasound guide intraoper       4.42           1.20   3.02       10.00       44.20
76999   Echo examination procedure       0.00           0.00   0.00      367.00        0.00
77261   Radiation therapy planning       2.00           1.39   0.51       30.00       60.00
77262   Radiation therapy planning       3.02           2.11   0.75       19.00       57.38
77263   Radiation therapy planning       4.48           3.14   1.12      267.00    1,196.16
77280   Set radiation therapy field      4.58           0.70   3.70      166.00      760.28
77285   Set radiation therapy field      7.23           1.05   0.34        4.00       28.92
77290   Set radiation therapy field      8.92           1.56   7.02      392.00    3,496.64



                                                Page 107
                                                  CPT1


77295   Set radiation therapy field      35.32           4.56    1.45     229.00    8,088.28
77299   Radiation therapy planning        0.00           0.00    0.00       2.00        0.00
77300   Radiation therapy dose plan       2.27           0.62    0.20     108.00      245.16
77301   "Radiotherapy dose plan, imrt"    0.00           7.99   30.57      18.00        0.00
77305   Teletx isodose plan simple        2.91           0.70    0.23       2.00        5.82
77310   Teletx isodose plan intermed      3.89           1.05    2.68      23.00       89.47
77315   Teletx isodose plan complex       4.93           1.56    0.49      88.00      433.84
77321   Special teletx port plan          5.51           0.95    4.37       3.00       16.53
77326   Brachytx isodose calc simp        3.75           0.93    0.30       1.00        3.75
77328   Brachytx isodose plan compl       8.06           2.09    0.66       4.00       32.24
77331   Special radiation dosimetry       1.74           0.87    0.78      28.00       48.72
77334   Radiation treatment aid(s)        5.10           1.24    0.39      21.00      107.10
77336   Radiation physics consult         3.09           0.00    2.99     709.00    2,190.81
77370   Radiation physics consult         3.62           0.00    3.50      10.00       36.20
77401   Radiation treatment delivery      1.85           0.00    1.78      48.00       88.80
77403   Radiation treatment delivery      1.85           0.00    1.78     263.00      486.55
77404   Radiation treatment delivery      1.85           0.00    1.78      70.00      129.50
77408   Radiation treatment delivery      2.18           0.00    2.09      29.00       63.22
77409   Radiation treatment delivery      2.18           0.00    2.09       7.00       15.26
77411   Radiation treatment delivery      2.18           0.00    2.09      18.00       39.24
77412   Radiation treatment delivery      2.43           0.00    2.34       7.00       17.01
77413   Radiation treatment delivery      2.43           0.00    2.34   9,158.00   22,253.94
77414   Radiation treatment delivery      2.43           0.00    2.34   8,788.00   21,354.84
77416   Radiation treatment delivery      2.43           0.00    2.34   1,726.00    4,194.18
77417   Radiology port film(s)            0.62           0.00    0.59     996.00      617.52
77418   "Radiation tx delivery, imrt"     0.00           0.00   18.05   1,215.00        0.00
77427   "Radiation tx management, x5"     0.00           3.31    1.05   1,277.00        0.00
77431   Radiation therapy management      2.61           1.81    0.68       1.00        2.61
77432   Stereotactic radiation trmt      11.47           7.92    2.91       1.00       11.47
77470   Special radiation treatment      14.47           2.09   11.85      28.00      405.16
77499   Radiation therapy management      0.00           0.00    0.00       2.00        0.00
77600   Hyperthermia treatment            5.35           1.56    3.55       2.00       10.70
77761   Apply intrcav radiat simple       7.83           3.80    3.62       1.00        7.83
77762   Apply intrcav radiat interm      11.72           0.00    3.62       1.00       11.72
77776   Apply interstit radiat simpl      8.31           0.00    2.18       1.00        8.31
77778   Apply interstit radiat compl     20.89           0.00    5.15       5.00      104.45
77781   High intensity brachytherapy     23.36           1.66   20.91       1.00       23.36



                                                 Page 108
                                                  CPT1


77782   High intensity brachytherapy     24.51           0.00   20.38       1.00       24.51
77784   High intensity brachytherapy     28.84           0.00   20.38       8.00      230.72
78001   "Thyroid, multiple uptakes"       1.73           0.26    1.40       1.00        1.73
78020   Thyroid met uptake                2.27           0.00    1.31       1.00        2.27
78099   Endocrine nuclear procedure       0.00           0.00    0.00      14.00        0.00
78102   "Bone marrow imaging, ltd"        2.91           0.00    2.04       3.00        8.73
78110   "Plasma volume, single"           1.27           0.19    1.02       1.00        1.27
78215   Liver and spleen imaging          3.73           0.00    2.95       1.00        3.73
78220   Liver function study              4.55           0.00    3.74     118.00      536.90
78223   Hepatobiliary imaging             4.98           0.84    3.96       1.00        4.98
78258   Esophageal motility study         4.02           0.74    3.14       5.00       20.10
78262   Gastroesophageal reflux exam      5.38           0.68    4.51       1.00        5.38
78267   Breath tst attain/anal c-14       0.00           0.00    0.00       1.00        0.00
78268   "Breath test analysis, c-14"      0.00           0.00    0.00     280.00        0.00
78270   Vit B-12 absorption exam          1.90           0.20    1.62       1.00        1.90
78271   "Vit b-12 absrp exam, int fac"    1.99           0.00    1.65       1.00        1.99
78300   "Bone imaging, limited area"      3.46           0.62    2.71       3.00       10.38
78305   "Bone imaging, multiple areas"    4.96           0.00    3.68       1.00        4.96
78306   "Bone imaging, whole body"        5.64           0.86    4.58       1.00        5.64
78350   "Bone mineral, single photon"     1.10           0.00    0.76       7.00        7.70
78459   Heart muscle imaging (PET)        0.00           0.00    0.00       1.00        0.00
78460   "Heart muscle blood, single"      3.66           0.00    2.37     122.00      446.52
78461   "Heart muscle blood, multiple"    6.65           1.23    5.17     227.00    1,509.55
78464   "Heart image (3d), single"        8.86           0.00    7.10       6.00       53.16
78465   "Heart image (3d), multiple"     14.30           1.46   12.35     254.00    3,632.20
78469   Heart infarct image (3D)          6.71           0.00    5.24       1.00        6.71
78472   "Gated heart, planar, single"     7.11           0.98    5.88     112.00      796.32
78478   Heart wall motion add-on          2.52           0.62    1.79       4.00       10.08
78499   Cardiovascular nuclear exam       0.00           0.00    0.00       3.00        0.00
78580   Lung perfusion imaging            4.60           0.00    3.44       1.00        4.60
78584   Lung V/Q image single breath      4.70           0.99    3.54       1.00        4.70
78585   Lung V/Q imaging                  7.37           0.00    5.65       1.00        7.37
78586   "Aerosol lung image, single"      3.25           0.40    2.73       2.00        6.50
78596   Lung differential function        9.10           1.27    7.52   1,682.00   15,306.20
78599   Respiratory nuclear exam          0.00           0.00    0.00      11.00        0.00
78605   "Brain imaging, complete"         4.28           0.53    3.60       3.00       12.84
78609   Brain imaging (PET)               0.00           0.00    0.00       3.00        0.00



                                                 Page 109
                                                  CPT1


78615   Cerebral vascular flow image      4.59           0.42   0.16     5.00      22.95
78630   Cerebrospinal fluid scan          6.19           0.68   5.28     6.00      37.14
78650   CSF leakage imaging               5.67           0.61   4.87     7.00      39.69
78700   "Kidney imaging, static"          3.79           0.45   0.15    14.00      53.06
78710   Kidney imaging (3D)               7.05           0.66   0.22     1.00       7.05
78725   Kidney function study             2.39           0.38   0.13     1.00       2.39
78730   Urinary bladder retention         2.03           0.36   1.59    57.00     115.71
78740   Ureteral reflux study             2.99           0.57   0.19     5.00      14.95
78805   "Abscess imaging, ltd area"       4.56           0.73   3.66     1.00       4.56
79020   Thyroid ablation                  5.24           1.81   0.60     1.00       5.24
80048   Basic metabolic panel             1.30           0.00   0.00    28.00      36.40
80050   General health panel              5.60           0.00   0.00    61.00     341.60
80051   Electrolyte panel                 1.10           0.00   0.00     3.00       3.30
80053   Comprehen metabolic panel         1.40           0.00   0.00   114.00     159.60
80055   Obstetric panel                   7.50           0.00   0.00   106.00     795.00
80061   Lipid panel                       2.80           0.00   0.00   535.00   1,498.00
80069   Renal function panel              1.30           0.00   0.00    10.00      13.00
80074   Acute hepatitis panel             9.90           0.00   0.00     5.00      49.50
80076   Hepatic function panel            1.20           0.00   0.00    37.00      44.40
80100   "Drug screen, qualitate/multi"    2.30           0.00   0.00     5.00      11.50
80101   "Drug screen, single"             2.10           0.00   0.00    11.00      23.10
80103   "Drug analysis, tissue prep"      1.50           0.00   0.00     2.00       3.00
80170   Assay of gentamicin               2.50           0.00   0.00     3.00       7.50
80176   Assay of lidocaine                2.30           0.00   0.00    64.00     147.20
80200   Assay of tobramycin               2.40           0.00   0.00     1.00       2.40
80400   Acth stimulation panel            4.90           0.00   0.00    30.00     147.00
80408   Aldosterone suppression eval     19.70           0.00   0.00     4.00      78.80
80410   Calcitonin stimul panel          16.50           0.00   0.00     2.00      33.00
80412   CRH stimulation panel            50.50           0.00   0.00     2.00     101.00
80414   Testosterone response             7.90           0.00   0.00     2.00      15.80
80416   Renin stimulation panel           7.30           0.00   0.00     3.00      21.90
80418   Pituitary evaluation panel       85.70           0.00   0.00     2.00     171.40
80420   Dexamethasone panel              10.80           0.00   0.00     1.00      10.80
80422   Glucagon tolerance panel          7.00           0.00   0.00     1.00       7.00
80426   Gonadotropin hormone panel       22.30           0.00   0.00     2.00      44.60
80428   Growth hormone panel             10.40           0.00   0.00     9.00      93.60
80434   Insulin tolerance panel          15.20           0.00   0.00     2.00      30.40



                                                 Page 110
                                                  CPT1


80435   Insulin tolerance panel          15.80           0.00   0.00        1.00      15.80
80500   Lab pathology consultation        2.00           0.37   0.22       89.00     178.00
80502   Lab pathology consultation        5.70           1.33   0.62        1.00       5.70
81000   "Urinalysis, nonauto w/scope"     0.50           0.00   0.00   14,958.00   7,479.00
81001   "Urinalysis, auto w/scope"        0.40           0.00   0.00    1,263.00     505.20
81002   Urinalysis nonauto w/o scope      0.40           0.00   0.00   12,462.00   4,984.80
81003   "Urinalysis, auto, w/o scope"     0.30           0.00   0.00    3,999.00   1,199.70
81005   Urinalysis                        0.30           0.00   0.00      389.00     116.70
81007   Urine screen for bacteria         0.40           0.00   0.00       16.00       6.40
81015   Microscopic exam of urine         0.50           0.00   0.00      231.00     115.50
81020   "Urinalysis, glass test"          0.60           0.00   0.00       77.00      46.20
81025   Urine pregnancy test              1.00           0.00   0.00    4,957.00   4,957.00
81050   "Urinalysis, volume measure"      0.50           0.00   0.00       18.00       9.00
81099   Urinalysis test procedure         0.50           0.00   0.00       71.00      35.50
82003   Assay of acetaminophen            3.30           0.00   0.00       12.00      39.60
82010   Acetone assay                     1.30           0.00   0.00        1.00       1.30
82013   Acetylcholinesterase assay        1.70           0.00   0.00        1.00       1.70
82024   Assay of acth                     5.90           0.00   0.00        1.00       5.90
82043   "Microalbumin, quantitative"      0.90           0.00   0.00        3.00       2.70
82055   Assay of ethanol                  1.70           0.00   0.00       12.00      20.40
82075   Assay of breath ethanol           1.80           0.00   0.00    4,111.00   7,399.80
82085   Assay of aldolase                 1.60           0.00   0.00        2.00       3.20
82105   "Alpha-fetoprotein, serum"        2.50           0.00   0.00        2.00       5.00
82106   "Alpha-fetoprotein, amniotic"     2.50           0.00   0.00      112.00     280.00
82108   Assay of aluminum                 4.00           0.00   0.00       28.00     112.00
82120   "Amines, vaginal fluid qual"      0.60           0.00   0.00        2.00       1.20
82143   Amniotic fluid scan               0.90           0.00   0.00      890.00     801.00
82150   Assay of amylase                  1.00           0.00   0.00        3.00       3.00
82205   Assay of barbiturates             1.70           0.00   0.00        1.00       1.70
82247   "Bilirubin, total"                0.70           0.00   0.00       33.00      23.10
82252   Fecal bilirubin test              0.70           0.00   0.00        4.00       2.80
82270   "Test for blood, feces"           0.40           0.00   0.00    3,763.00   1,505.20
82273   "Test for blood, other source"    0.50           0.00   0.00       16.00       8.00
82274   "Assay test for blood, fecal"     0.00           0.00   0.00       25.00       0.00
82435   Assay of blood chloride           0.50           0.00   0.00        1.00       0.50
82438   "Assay, other fluid chlorides"    0.80           0.00   0.00       11.00       8.80
82465   "Assay, bld/serum cholesterol"    0.50           0.00   0.00      415.00     207.50



                                                 Page 111
                                                CPT1


82489   Thin layer chromatography       2.80           0.00   0.00       3.00       8.40
82495   Assay of chromium               3.10           0.00   0.00       1.00       3.10
82520   Assay of cocaine                2.30           0.00   0.00       3.00       6.90
82550   Assay of ck (cpk)               0.50           0.00   0.00       6.00       3.00
82552   Assay of cpk in blood           2.00           0.00   0.00       4.00       8.00
82565   Assay of creatinine             0.50           0.00   0.00       2.00       1.00
82585   Assay of cryofibrinogen         1.30           0.00   0.00       1.00       1.30
82595   Assay of cryoglobulin           1.00           0.00   0.00       1.00       1.00
82607   Vitamin B-12                    2.30           0.00   0.00     331.00     761.30
82626   Dehydroepiandrosterone          3.90           0.00   0.00       3.00      11.70
82627   Dehydroepiandrosterone          3.40           0.00   0.00       1.00       3.40
82672   Assay of estrogen               3.30           0.00   0.00       1.00       3.30
82705   "Fats/lipids, feces, qual"      0.80           0.00   0.00       1.00       0.80
82731   Assay of fetal fibronectin      2.10           0.00   0.00       7.00      14.70
82787   "Igg 1, 2, 3 or 4, each"        5.10           0.00   0.00       1.00       5.10
82803   "Blood gases: pH, pO2 & pCO2"   3.00           0.00   0.00     114.00     342.00
82805   Blood gases W/02 saturation     4.20           0.00   0.00     119.00     499.80
82810   "Blood gases, O2 sat only"      1.40           0.00   0.00     185.00     259.00
82820   Hemoglobin-oxygen affinity      1.50           0.00   0.00       7.00      10.50
82946   Glucagon tolerance test         2.30           0.00   0.00       2.00       4.60
82947   "Assay, glucose, blood quant"   0.50           0.00   0.00     189.00      94.50
82948   Reagent strip/blood glucose     0.50           0.00   0.00   3,040.00   1,520.00
82950   Glucose test                    0.70           0.00   0.00       3.00       2.10
82951   Glucose tolerance test (GTT)    2.00           0.00   0.00      18.00      36.00
82955   Assay of g6pd enzyme            1.50           0.00   0.00      71.00     106.50
82960   Test for G6PD enzyme            0.90           0.00   0.00     428.00     385.20
82962   Glucose blood test              0.50           0.00   0.00     824.00     412.00
83001   Gonadotropin (FSH)              2.90           0.00   0.00       4.00      11.60
83003   "Assay, growth hormone (hgh)"   2.60           0.00   0.00       1.00       2.60
83014   H pylori drug admin/collect     0.00           0.00   0.00       1.00       0.00
83015   Heavy metal screen              2.90           0.00   0.00       5.00      14.50
83020   Hemoglobin electrophoresis      2.00           0.00   0.00       2.00       4.00
83036   Glycated hemoglobin test        1.50           0.00   0.00      16.00      24.00
83051   Assay of plasma hemoglobin      1.10           0.00   0.00       7.00       7.70
83068   Hemoglobin stability screen     1.30           0.00   0.00       1.00       1.30
83088   Assay of histamine              4.30           0.00   0.00      35.00     150.50
83090   Assay of homocystine            2.33           0.00   0.00       1.00       2.33



                                               Page 112
                                               CPT1


83491   Assay of corticosteroids       2.80           0.00   0.00     2.00     5.60
83518   "Immunoassay, dipstick"        2.00           0.00   0.00    23.00    46.00
83525   Assay of insulin               1.70           0.00   0.00     3.00     5.10
83527   Assay of insulin               1.70           0.00   0.00     1.00     1.70
83540   Assay of iron                  1.00           0.00   0.00     5.00     5.00
83550   Iron binding test              1.30           0.00   0.00     1.00     1.30
83582   Assay of ketogenic steroids    2.20           0.00   0.00     2.00     4.40
83655   Assay of lead                  1.90           0.00   0.00    27.00    51.30
83661   "L/s ratio, fetal lung"        3.30           0.00   0.00    13.00    42.90
83670   Assay of lap enzyme            1.40           0.00   0.00     1.00     1.40
83690   Assay of lipase                1.10           0.00   0.00     3.00     3.30
83715   Assay of blood lipoproteins    1.70           0.00   0.00     1.00     1.70
83718   Assay of lipoprotein           1.30           0.00   0.00   117.00   152.10
83872   Assay synovial fluid mucin     0.90           0.00   0.00     1.00     0.90
83887   Assay of nicotine              3.60           0.00   0.00     2.00     7.20
83896   Molecular diagnostics          0.60           0.00   0.00    15.00     9.00
83925   Assay of opiates               3.20           0.00   0.00     1.00     3.20
83937   Assay of osteocalcin           6.30           0.00   0.00     1.00     6.30
83986   Assay of body fluid acidity    0.60           0.00   0.00    19.00    11.40
84030   Assay of blood pku             0.80           0.00   0.00   138.00   110.40
84075   Assay alkaline phosphatase     0.50           0.00   0.00     1.00     0.50
84127   Assay of feces porphyrins      1.60           0.00   0.00     1.00     1.60
84132   Assay of serum potassium       0.50           0.00   0.00     1.00     0.50
84146   Assay of prolactin             3.00           0.00   0.00     3.00     9.00
84152   "Assay of psa, complexed"      2.54           0.00   0.00     5.00    12.70
84153   "Assay of psa, total"          2.80           0.00   0.00   160.00   448.00
84155   "Assay of protein, serum"      0.50           0.00   0.00     1.00     0.50
84210   Assay of pyruvate              1.70           0.00   0.00     6.00    10.20
84244   Assay of renin                 3.40           0.00   0.00     6.00    20.40
84375   "Chromatogram assay, sugars"   3.00           0.00   0.00    30.00    90.00
84378   "Sugars, single, quant"        1.60           0.00   0.00     1.00     1.60
84402   Assay of testosterone          4.00           0.00   0.00     1.00     4.00
84403   Assay of total testosterone    4.00           0.00   0.00     2.00     8.00
84425   Assay of vitamin b-1           3.30           0.00   0.00     2.00     6.60
84437   Assay of neonatal thyroxine    1.00           0.00   0.00     1.00     1.00
84439   Assay of free thyroxine        1.40           0.00   0.00     2.00     2.80
84443   Assay thyroid stim hormone     2.60           0.00   0.00   137.00   356.20



                                              Page 113
                                               CPT1


84460   Alanine amino (ALT) (SGPT)     0.50           0.00   0.00       61.00      30.50
84478   Assay of triglycerides         0.50           0.00   0.00        1.00       0.50
84484   "Assay of troponin, quant"     1.40           0.00   0.00        1.00       1.40
84490   Assay of feces for trypsin     1.10           0.00   0.00        1.00       1.10
84512   "Assay of troponin, qual"      0.70           0.00   0.00        1.00       0.70
84520   Assay of urea nitrogen         0.50           0.00   0.00        1.00       0.50
84545   Urea-N clearance test          1.00           0.00   0.00        3.00       3.00
84550   Assay of blood/uric acid       0.50           0.00   0.00        6.00       3.00
84560   Assay of urine/uric acid       0.70           0.00   0.00        1.00       0.70
84580   Assay of urine urobilinogen    1.10           0.00   0.00        1.00       1.10
84597   Assay of vitamin k             2.10           0.00   0.00        3.00       6.30
84702   Chorionic gonadotropin test    2.30           0.00   0.00      439.00   1,009.70
84703   Chorionic gonadotropin assay   1.10           0.00   0.00      643.00     707.30
84999   Clinical chemistry test        2.30           0.00   0.00      308.00     708.40
85004   Automated diff wbc count       0.00           0.00   0.00        2.00       0.00
85007   Bl smear w/diff wbc count      0.50           0.00   0.00      740.00     370.00
85013   Spun microhematocrit           0.40           0.00   0.00      204.00      81.60
85014   Hematocrit                     0.40           0.00   0.00      197.00      78.80
85018   Hemoglobin                     0.40           0.00   0.00      806.00     322.40
85025   Complete cbc w/auto diff wbc   1.20           0.00   0.00    2,314.00   2,776.80
85027   "Complete cbc, automated"      1.00           0.00   0.00      887.00     887.00
85032   "Manual cell count, each"      0.00           0.00   0.00        4.00       0.00
85045   Automated reticulocyte count   0.60           0.00   0.00        1.00       0.60
85049   Automated platelet count       0.00           0.00   0.00        2.00       0.00
85060   Blood smear interpretation     2.30           0.45   0.20      251.00     577.30
85097   Bone marrow interpretation     4.90           0.94   1.75        2.00       9.80
85130   Chromogenic substrate assay    1.80           0.00   0.00       77.00     138.60
85300   Antithrombin III test          1.70           0.00   0.00        3.00       5.10
85301   Antithrombin III test          1.70           0.00   0.00        1.00       1.70
85347   Coagulation time               0.60           0.00   0.00      211.00     126.60
85348   Coagulation time               0.60           0.00   0.00    1,367.00     820.20
85610   Prothrombin time               0.60           0.00   0.00   10,788.00   6,472.80
85611   Prothrombin test               0.60           0.00   0.00      391.00     234.60
85651   "Rbc sed rate, nonautomated"   0.50           0.00   0.00       14.00       7.00
85652   "Rbc sed rate, automated"      0.50           0.00   0.00        1.00       0.50
85660   RBC sickle cell test           0.80           0.00   0.00        2.00       1.60
85670   "Thrombin time, plasma"        0.90           0.00   0.00        1.00       0.90



                                              Page 114
                                                 CPT1


85730   "Thromboplastin time, partial"   0.90           0.00   0.00       88.00       79.20
85732   "Thromboplastin time, partial"   1.00           0.00   0.00        1.00        1.00
85999   Hematology procedure             1.60           0.00   0.00      205.00      328.00
86001   Allergen specific igg            0.72           0.00   0.00        7.00        5.04
86003   Allergen specific IgE            7.50           0.00   0.00       28.00      210.00
86005   Allergen specific IgE            2.00           0.00   0.00       24.00       48.00
86038   Antinuclear antibodies           1.90           0.00   0.00        1.00        1.90
86060   "Antistreptolysin o, titer"      1.10           0.00   0.00       63.00       69.30
86063   "Antistreptolysin o, screen"     0.90           0.00   0.00       28.00       25.20
86140   C-reactive protein               0.80           0.00   0.00        2.00        1.60
86146   Glycoprotein antibody            3.52           0.00   0.00        1.00        3.52
86225   DNA antibody                     2.10           0.00   0.00        5.00       10.50
86255   "Fluorescent antibody, screen"   1.80           0.00   0.00        3.00        5.40
86308   Heterophile antibodies           0.80           0.00   0.00       72.00       57.60
86317   "Immunoassay,infectious agent"   2.30           0.00   0.00        1.00        2.30
86318   "Immunoassay,infectious agent"   2.00           0.00   0.00       23.00       46.00
86320   Serum immunoelectrophoresis      3.40           0.00   0.00        1.00        3.40
86340   Intrinsic factor antibody        2.20           0.00   0.00        2.00        4.40
86382   "Neutralization test, viral"     2.60           0.00   0.00        4.00       10.40
86403   Particle agglutination test      1.70           0.00   0.00    2,123.00    3,609.10
86406   Particle agglutination test      2.30           0.00   0.00        6.00       13.80
86431   "Rheumatoid factor, quant"       0.90           0.00   0.00        3.00        2.70
86485   "Skin test, candida"             0.00           0.00   0.00        6.00        0.00
86510   Histoplasmosis skin test         1.10           0.00   0.32        2.00        2.20
86580   TB intradermal test              0.90           0.00   0.26   88,512.00   79,660.80
86585   TB tine test                     0.00           0.00   0.21    3,325.00        0.00
86586   "Skin test, unlisted"            0.00           0.00   0.00    7,484.00        0.00
86590   "Streptokinase, antibody"        1.70           0.00   0.00        2.00        3.40
86592   "Blood serology, qualitative"    0.70           0.00   0.00       56.00       39.20
86593   "Blood serology, quantitative"   0.70           0.00   0.00        2.00        1.40
86609   Bacterium antibody               2.00           0.00   0.00        1.00        2.00
86618   Lyme disease antibody            2.60           0.00   0.00        5.00       13.00
86628   Candida antibody                 1.90           0.00   0.00        1.00        1.90
86631   Chlamydia antibody               2.00           0.00   0.00       61.00      122.00
86632   Chlamydia igm antibody           2.00           0.00   0.00        2.00        4.00
86648   Diphtheria antibody              2.40           0.00   0.00        3.00        7.20
86658   Enterovirus antibody             2.00           0.00   0.00        4.00        8.00



                                                Page 115
                                                 CPT1


86663   Epstein-barr antibody            2.00           0.00   0.00       4.00       8.00
86665   Epstein-barr antibody            2.80           0.00   0.00       2.00       5.60
86677   Helicobacter pylori              2.30           0.00   0.00       1.00       2.30
86684   Hemophilus influenza             2.40           0.00   0.00       8.00      19.20
86687   Htlv-i antibody                  1.30           0.00   0.00       2.00       2.60
86689   HTLV/HIV confirmatory test       2.90           0.00   0.00      14.00      40.60
86694   Herpes simplex test              2.20           0.00   0.00       8.00      17.60
86695   Herpes simplex test              2.00           0.00   0.00       4.00       8.00
86696   Herpes simplex type 2            2.68           0.00   0.00       4.00      10.72
86701   HIV-1                            1.40           0.00   0.00   1,011.00   1,415.40
86703   "HIV-1/HIV-2, single assay"      2.20           0.00   0.00       7.00      15.40
86704   "Hep b core antibody, total"     1.90           0.00   0.00       3.00       5.70
86706   Hep b surface antibody           1.70           0.00   0.00       9.00      15.30
86708   "Hep a antibody, total"          1.90           0.00   0.00     122.00     231.80
86709   "Hep a antibody, igm"            1.70           0.00   0.00      45.00      76.50
86710   Influenza virus antibody         2.10           0.00   0.00   1,094.00   2,297.40
86717   Leishmania antibody              2.00           0.00   0.00       1.00       2.00
86723   Listeria monocytogenes ab        2.00           0.00   0.00       6.00      12.00
86729   Lympho venereum antibody         1.90           0.00   0.00       1.00       1.90
86735   Mumps antibody                   2.00           0.00   0.00       1.00       2.00
86750   Malaria antibody                 2.00           0.00   0.00       7.00      14.00
86756   Respiratory virus antibody       2.00           0.00   0.00      23.00      46.00
86774   Tetanus antibody                 2.30           0.00   0.00      10.00      23.00
86803   Hepatitis c ab test              2.20           0.00   0.00       2.00       4.40
86812   "HLA typing, A, B, or C"         3.80           0.00   0.00       1.00       3.80
86813   "HLA typing, A, B, or C"         8.90           0.00   0.00       2.00      17.80
86821   "Lymphocyte culture, mixed"      8.70           0.00   0.00       1.00       8.70
86822   "Lymphocyte culture, primed"     5.30           0.00   0.00       2.00      10.60
86849   Immunology procedure             2.30           0.00   0.00      82.00     188.60
86850   RBC antibody screen              0.90           0.00   0.00     427.00     384.30
86860   RBC antibody elution             0.40           0.00   0.00       2.00       0.80
86890   Autologous blood process         3.00           0.00   0.00       1.00       3.00
86900   "Blood typing, ABO"              0.50           0.00   0.00      25.00      12.50
86901   "Blood typing, Rh (D)"           0.10           0.00   0.00       2.00       0.20
86903   "Blood typing, antigen screen"   1.40           0.00   0.00       1.00       1.40
86905   "Blood typing, RBC antigens"     0.60           0.00   0.00       4.00       2.40
86927   "Plasma, fresh frozen"           0.60           0.00   0.00      11.00       6.60



                                                Page 116
                                                 CPT1


86930   Frozen blood prep                5.50           0.00   0.00       1.00       5.50
87001   Small animal inoculation         0.00           0.00   0.00       1.00       0.00
87015   Specimen concentration           0.90           0.00   0.00       1.00       0.90
87040   Blood culture for bacteria       1.60           0.00   0.00      24.00      38.40
87045   "Feces culture, bacteria"        1.50           0.00   0.00      26.00      39.00
87046   "Stool cultr, bacteria, each"    0.33           0.00   0.00      11.00       3.63
87070   "Culture, bacteria, other"       1.30           0.00   0.00   3,816.00   4,960.80
87071   Culture bacteri aerobic othr     0.65           0.00   0.00     265.00     172.25
87073   Culture bacteria anaerobic       0.65           0.00   0.00       4.00       2.60
87075   "Cultr bacteria, except blood"   1.50           0.00   0.00     129.00     193.50
87076   "Culture anaerobe ident, each"   2.00           0.00   0.00      40.00      80.00
87077   Culture aerobic identify         1.12           0.00   0.00     320.00     358.40
87081   Culture screen only              1.00           0.00   0.00   2,326.00   2,326.00
87084   Culture of specimen by kit       1.30           0.00   0.00     394.00     512.20
87086   Urine culture/colony count       1.20           0.00   0.00      30.00      36.00
87088   Urine bacteria culture           1.20           0.00   0.00      17.00      20.40
87101   Skin fungi culture               1.20           0.00   0.00     155.00     186.00
87102   Fungus isolation culture         1.30           0.00   0.00      27.00      35.10
87106   "Fungi identification, yeast"    1.60           0.00   0.00       2.00       3.20
87107   "Fungi identification, mold"     1.43           0.00   0.00       1.00       1.43
87109   Mycoplasma                       2.30           0.00   0.00      55.00     126.50
87110   Chlamydia culture                3.00           0.00   0.00   2,215.00   6,645.00
87116   Mycobacteria culture             1.70           0.00   0.00       1.00       1.70
87140   Culture type immunofluoresc      0.90           0.00   0.00     201.00     180.90
87149   "Culture type, nucleic acid"     2.77           0.00   0.00       1.00       2.77
87158   "Culture typing, added method"   0.80           0.00   0.00     487.00     389.60
87164   Dark field examination           1.70           0.00   0.00       2.00       3.40
87172   Pinworm exam                     0.59           0.00   0.00       3.00       1.77
87177   Ova and parasites smears         1.30           0.00   0.00       9.00      11.70
87190   "Microbe suscept, mycobacteri"   0.80           0.00   0.00       1.00       0.80
87205   "Smear, gram stain"              0.70           0.00   0.00     290.00     203.00
87206   "Smear, fluorescent/acid stai"   0.80           0.00   0.00       1.00       0.80
87207   "Smear, special stain"           0.90           0.00   0.00      93.00      83.70
87210   "Smear, wet mount, saline/ink"   0.70           0.00   0.00   8,624.00   6,036.80
87220   Tissue exam for fungi            0.70           0.00   0.00   4,085.00   2,859.50
87230   "Assay, toxin or antitoxin"      2.90           0.00   0.00       1.00       2.90
87250   "Virus inoculate, eggs/animal"   3.00           0.00   0.00       6.00      18.00



                                                Page 117
                                                 CPT1


87252   "Virus inoculation, tissue"      4.00           0.00   0.00     9.00      36.00
87253   "Virus inoculate tissue, addl"   2.70           0.00   0.00     9.00      24.30
87254   "Virus inoculation, shell via"   0.68           0.00   0.00     2.00       1.36
87255   "Genet virus isolate, hsv"       0.00           0.00   0.00     1.00       0.00
87260   "Adenovirus ag, if"              1.90           0.00   0.00     1.00       1.90
87267   "Enterovirus antibody, dfa"      0.00           0.00   0.00     1.00       0.00
87270   "Chlamydia trachomatis ag, if"   1.90           0.00   0.00     8.00      15.20
87273   "Herpes simplex 2, ag, if"       1.66           0.00   0.00     4.00       6.64
87274   "Herpes simplex 1, ag, if"       1.90           0.00   0.00     2.00       3.80
87283   "Rubeola, ag, if"                1.66           0.00   0.00     2.00       3.32
87299   "Antibody detection, nos, if"    1.90           0.00   0.00     1.00       1.90
87320   "Chylmd trach ag, eia"           2.30           0.00   0.00     9.00      20.70
87338   "Hpylori, stool, eia"            2.30           0.00   0.00     4.00       9.20
87340   "Hepatitis b surface ag, eia"    2.30           0.00   0.00     1.00       2.30
87390   "Hiv-1 ag, eia"                  2.30           0.00   0.00     4.00       9.20
87400   "Influenza a/b, ag, eia"         0.83           0.00   0.00     1.00       0.83
87420   "Resp syncytial ag, eia"         2.30           0.00   0.00     9.00      20.70
87425   "Rotavirus ag, eia"              2.30           0.00   0.00     2.00       4.60
87430   "Strep a ag, eia"                2.30           0.00   0.00   775.00   1,782.50
87449   "Ag detect nos, eia, mult"       2.30           0.00   0.00    11.00      25.30
87450   "Ag detect nos, eia, single"     2.00           0.00   0.00    79.00     158.00
87451   "Ag detect polyval, eia, mult"   1.33           0.00   0.00     1.00       1.33
87485   "Chylmd pneum, dna, dir probe"   2.60           0.00   0.00    12.00      31.20
87486   "Chylmd pneum, dna, amp probe"   2.60           0.00   0.00     1.00       2.60
87490   "Chylmd trach, dna, dir probe"   2.60           0.00   0.00   410.00   1,066.00
87491   "Chylmd trach, dna, amp probe"   2.60           0.00   0.00   360.00     936.00
87510   "Gardner vag, dna, dir probe"    2.60           0.00   0.00     1.00       2.60
87522   "Hepatitis c, rna, quant"        2.60           0.00   0.00     1.00       2.60
87528   "Hsv, dna, dir probe"            2.60           0.00   0.00     3.00       7.80
87529   "Hsv, dna, amp probe"            2.60           0.00   0.00    12.00      31.20
87530   "Hsv, dna, quant"                2.60           0.00   0.00     3.00       7.80
87534   "Hiv-1, dna, dir probe"          2.60           0.00   0.00     1.00       2.60
87536   "Hiv-1, dna, quant"              2.60           0.00   0.00     3.00       7.80
87590   "N.gonorrhoeae, dna, dir prob"   2.60           0.00   0.00   257.00     668.20
87591   "N.gonorrhoeae, dna, amp prob"   2.60           0.00   0.00    23.00      59.80
87592   "N.gonorrhoeae, dna, quant"      2.60           0.00   0.00     1.00       2.60
87620   "Hpv, dna, dir probe"            2.60           0.00   0.00     4.00      10.40



                                                Page 118
                                                  CPT1


87650   "Strep a, dna, dir probe"         2.60           0.00   0.00     365.00      949.00
87651   "Strep a, dna, amp probe"         2.60           0.00   0.00     105.00      273.00
87652   "Strep a, dna, quant"             2.60           0.00   0.00      13.00       33.80
87660   "Trichomonas vagin, dir probe"    0.00           0.00   0.00       2.00        0.00
87797   "Detect agent nos, dna, dir"      2.60           0.00   0.00       1.00        2.60
87800   "Detect agnt mult, dna, direc"    2.77           0.00   0.00      44.00      121.88
87801   "Detect agnt mult, dna, ampli"    4.85           0.00   0.00      15.00       72.75
87802   Strep b assay w/optic             0.00           0.00   0.00     154.00        0.00
87810   Chylmd trach assay w/optic        2.60           0.00   0.00       2.00        5.20
87850   N. gonorrhoeae assay w/optic      2.60           0.00   0.00      25.00       65.00
87880   Strep a assay w/optic             2.60           0.00   0.00   5,259.00   13,673.40
87903   "Phenotype, dna hiv w/culture"   67.53           0.00   0.00       2.00      135.06
87999   Microbiology procedure            1.50           0.00   0.00     262.00      393.00
88104   "Cytopathology, fluids"           3.40           0.56   0.75       5.00       17.00
88107   "Cytopathology, fluids"           4.30           0.76   0.98       1.00        4.30
88141   "Cytopath, c/v, interpret"        0.70           0.42   0.18     129.00       90.30
88142   "Cytopath, c/v, thin layer"       0.80           0.00   0.00   1,870.00    1,496.00
88147   "Cytopath, c/v, automated"        0.80           0.00   0.00     546.00      436.80
88150   "Cytopath, c/v, manual"           0.70           0.00   0.00   5,807.00    4,064.90
88152   "Cytopath, c/v, auto redo"        2.60           0.00   0.00      16.00       41.60
88155   "Cytopath, c/v, index add-on"     0.90           0.00   0.00      58.00       52.20
88160   "Cytopath smear, other source"    2.90           0.50   0.92      72.00      208.80
88164   "Cytopath tbs, c/v, manual"       0.80           0.00   0.00      83.00       66.40
88172   Cytopathology eval of fna         4.60           0.60   0.66       9.00       41.40
88173   "Cytopath eval, fna, report"      7.80           1.39   0.60       2.00       15.60
88180   Cell marker study                 2.40           0.36   1.43       3.00        7.20
88199   Cytopathology procedure           3.30           0.00   0.00      46.00      151.80
88230   "Tissue culture, lymphocyte"     16.50           0.00   0.00      37.00      610.50
88233   "Tissue culture, skin/biopsy"    20.00           0.00   0.00       2.00       40.00
88239   "Tissue culture, tumor"          20.90           0.00   0.00       2.00       41.80
88241   Frozen cell preparation           1.40           0.00   0.00       1.00        1.40
88271   "Cytogenetics, dna probe"         2.60           0.00   0.00       1.00        2.60
88274   "Cytogenetics, 25-99"            19.00           0.00   0.00       2.00       38.00
88299   Cytogenetic study                17.40           0.00   0.00       1.00       17.40
88300   "Surgical path, gross"            1.00           0.08   0.28       6.00        6.00
88302   Tissue exam by pathologist        2.00           0.00   0.63       1.00        2.00
88304   Tissue exam by pathologist        2.90           0.22   0.87      42.00      121.80



                                                 Page 119
                                                  CPT1


88305   Tissue exam by pathologist        6.30           0.00   1.40      16.00     100.80
88307   Tissue exam by pathologist       10.90           1.59   2.65       2.00      21.80
88312   Special stains                    2.70           0.00   1.11       2.00       5.40
88313   Special stains                    1.60           0.24   1.09       4.00       6.40
88321   Microslide consultation           5.90           1.30   0.82       3.00      17.70
88323   Microslide consultation           7.20           1.35   1.44       1.00       7.20
88325   Comprehensive review of data      9.20           2.22   2.90     433.00   3,983.60
88329   Path consult introp               3.60           0.67   0.63       1.00       3.60
88331   "Path consult intraop, 1 bloc"    8.00           1.19   0.98       1.00       8.00
88346   Immunofluorescent study           5.00           0.86   0.37       3.00      15.00
88349   Scanning electron microscopy      8.20           0.76   9.99       3.00      24.60
88400   Bilirubin total transcut          0.35           0.00   0.00     333.00     116.55
89050   Body fluid cell count             0.70           0.00   0.00       1.00       0.70
89051   Body fluid cell count             0.80           0.00   0.00       1.00       0.80
89055   "Leukocyte assessment, fecal"     0.00           0.00   0.00       1.00       0.00
89060   "Exam,synovial fluid crystals"    1.00           0.00   0.00       8.00       8.00
89100   Sample intestinal contents        3.60           0.60   1.60       4.00      14.40
89130   Sample stomach contents           3.00           0.45   1.74       2.00       6.00
89190   Nasal smear for eosinophils       0.70           0.00   0.00      15.00      10.50
89220   Sputum specimen collection        0.00           0.00   0.00      59.00       0.00
89230   Collect sweat for test            0.00           0.00   0.00     108.00       0.00
89250   Cultr oocyte/embryo <4 days       0.00           0.00   0.00       1.00       0.00
89257   Sperm identification              0.00           0.00   0.00       9.00       0.00
89260   "Sperm isolation, simple"         0.00           0.00   0.00       3.00       0.00
89261   "Sperm isolation, complex"        0.00           0.00   0.00      35.00       0.00
89300   Semen analysis w/huhner           1.30           0.00   0.00      36.00      46.80
89310   Semen analysis w/count            1.20           0.00   0.00       1.00       1.20
89320   "Semen analysis, complete"        1.70           0.00   0.00      69.00     117.30
89321   Semen analysis & motility         1.67           0.00   0.00     132.00     220.44
89325   Sperm antibody test               1.50           0.00   0.00       1.00       1.50
90281   "Human ig, im"                    0.00           0.00   0.00       8.00       0.00
90283   "Human ig, iv"                    0.00           0.00   0.00     118.00       0.00
90371   "Hep b ig, im"                    0.00           0.00   0.00      51.00       0.00
90375   "Rabies ig, im/sc"                0.00           0.00   0.00      33.00       0.00
90378   "Rsv ig, im, 50mg"                0.00           0.00   0.00   1,125.00       0.00
90384   "Rh ig, full-dose, im"            0.75           0.00   0.00     168.00     126.00
90385   "Rh ig, minidose, im"             0.00           0.00   0.00       2.00       0.00



                                                 Page 120
                                                 CPT1


90389   "Tetanus ig, im"                 1.02           0.00   0.00        12.00       12.24
90393   "Vaccina ig, im"                 0.00           0.00   0.00         1.00        0.00
90396   "Varicella-zoster ig, im"        0.00           0.00   0.00        29.00        0.00
90399   Immune globulin                  0.00           0.00   0.00        16.00        0.00
90471   Immunization admin               0.17           0.00   0.21   182,921.00   31,096.57
90472   "Immunization admin, each add"   0.17           0.00   0.14    15,219.00    2,587.23
90473   Immune admin oral/nasal          0.14           0.00   0.00         8.00        1.12
90474   Immune admin oral/nasal addl     0.14           0.00   0.00        22.00        3.08
90476   "Adenovirus vaccine, type 4"     0.00           0.00   0.00        25.00        0.00
90477   "Adenovirus vaccine, type 7"     0.00           0.00   0.00        77.00        0.00
90581   "Anthrax vaccine, sc"            0.88           0.00   0.00    21,923.00   19,292.24
90585   "Bcg vaccine, percut"            0.00           0.00   0.00         6.00        0.00
90586   "Bcg vaccine, intravesical"      1.48           0.00   0.00        37.00       54.76
90632   "Hep a vaccine, adult im"        0.00           0.00   0.00    15,934.00        0.00
90633   "Hep a vacc, ped/adol, 2 dose"   0.00           0.00   0.00     4,179.00        0.00
90634   "Hep a vacc, ped/adol, 3 dose"   0.00           0.00   0.00       812.00        0.00
90636   "Hep a/hep b vacc, adult im"     0.62           0.00   0.00    19,106.00   11,845.72
90645   "Hib vaccine, hboc, im"          0.00           0.00   0.00     3,724.00        0.00
90646   "Hib vaccine, prp-d, im"         0.00           0.00   0.00       997.00        0.00
90647   "Hib vaccine, prp-omp, im"       0.21           0.00   0.00     1,653.00      347.13
90648   "Hib vaccine, prp-t, im"         0.21           0.00   0.00       325.00       68.25
90655   "Flu vaccine, 6-35 mo, im"       0.10           0.00   0.00       278.00       27.80
90656                                    0.10           0.00              269.00       26.90
90657   "Flu vaccine, 6-35 mo, im"       0.07           0.00   0.00     3,284.00      229.88
90658   "Flu vaccine, 3 yrs, im"         0.00           0.00   0.00    17,003.00        0.00
90659   "Flu vaccine, whole, im"         0.00           0.00   0.00         3.00        0.00
90660   "Flu vaccine, nasal"             0.00           0.00   0.00        11.00        0.00
90665   "Lyme disease vaccine, im"       0.00           0.00   0.00         2.00        0.00
90669   "Pneumococcal vacc, ped <5"      0.49           0.00   0.00     2,760.00    1,352.40
90675   "Rabies vaccine, im"             0.00           0.00   0.00       780.00        0.00
90676   "Rabies vaccine, id"             0.00           0.00   0.00        40.00        0.00
90680   "Rotovirus vaccine, oral"        0.00           0.00   0.00         1.00        0.00
90690   "Typhoid vaccine, oral"          0.27           0.00   0.00       240.00       64.80
90691   "Typhoid vaccine, im"            0.00           0.00   0.00    16,971.00        0.00
90692   "Typhoid vaccine, h-p, sc/id"    0.00           0.00   0.00       152.00        0.00
90693   "Typhoid vaccine, akd, sc"       0.00           0.00   0.00     1,606.00        0.00
90698   "Dtap-hib-ip vaccine, im"        0.00           0.00   0.00       236.00        0.00



                                                Page 121
                                                 CPT1


90700   "Dtap vaccine, im"               0.00           0.00   0.00   21,695.00        0.00
90701   "Dtp vaccine, im"                0.00           0.00   0.00    1,297.00        0.00
90702   "Dt vaccine < 7, im"             0.09           0.00   0.00      550.00       49.50
90703   "Tetanus vaccine, im"            0.00           0.00   0.00    2,080.00        0.00
90704   "Mumps vaccine, sc"              0.00           0.00   0.00       13.00        0.00
90705   "Measles vaccine, sc"            0.00           0.00   0.00        9.00        0.00
90706   "Rubella vaccine, sc"            0.00           0.00   0.00       16.00        0.00
90707   "Mmr vaccine, sc"                0.00           0.00   0.00    7,399.00        0.00
90708   "Measles-rubella vaccine, sc"    0.00           0.00   0.00       10.00        0.00
90710   "Mmrv vaccine, sc"               0.00           0.00   0.00      175.00        0.00
90712   Oral poliovirus vaccine          0.00           0.00   0.00      176.00        0.00
90713   "Poliovirus, ipv, sc"            0.00           0.00   0.00    3,281.00        0.00
90715   Tdap vaccine >7 im               0.00           0.00   0.00        4.00        0.00
90716   "Chicken pox vaccine, sc"        0.00           0.00   0.00    2,357.00        0.00
90717   "Yellow fever vaccine, sc"       0.00           0.00   0.00    3,342.00        0.00
90718   "Td vaccine > 7, im"             0.00           0.00   0.00   11,032.00        0.00
90719   "Diphtheria vaccine, im"         0.00           0.00   0.00       14.00        0.00
90720   "Dtp/hib vaccine, im"            0.33           0.00   0.00       54.00       17.82
90721   "Dtap/hib vaccine, im"           0.00           0.00   0.00      141.00        0.00
90723   "Dtap-hep b-ipv vaccine, im"     0.55           0.00   0.00   10,391.00    5,715.05
90725   "Cholera vaccine, injectable"    0.00           0.00   0.00        8.00        0.00
90732   Pneumococcal vaccine             0.00           0.00   0.00    1,833.00        0.00
90733   "Meningococcal vaccine, sc"      0.00           0.00   0.00    2,799.00        0.00
90734   "Meningococcal vaccine, im"      0.00           0.00   0.00       59.00        0.00
90735   "Encephalitis vaccine, sc"       0.00           0.00   0.00    2,164.00        0.00
90740   "Hepb vacc, ill pat 3 dose im"   0.00           0.00   0.00      266.00        0.00
90743   "Hep b vacc, adol, 2 dose, im"   0.00           0.00   0.00       48.00        0.00
90744   Hepb vacc ped/adol 3 dose im     0.00           0.00   0.00    4,221.00        0.00
90746   "Hep b vaccine, adult, im"       0.00           0.00   0.00   25,912.00        0.00
90747   "Hepb vacc, ill pat 4 dose im"   0.00           0.00   0.00       68.00        0.00
90748   "Hep b/hib vaccine, im"          0.00           0.00   0.00    2,689.00        0.00
90749   Vaccine toxoid                   0.00           0.00   0.00   10,030.00        0.00
90780   "IV infusion therapy, 1 hour"    0.17           0.17   2.15   52,431.00    8,913.27
90781   "IV infusion, additional hour"   0.17           0.17   0.46    1,650.00      280.50
90782   "Injection, sc/im"               0.17           0.17   0.32   87,443.00   14,865.31
90783   "Injection, ia"                  0.17           0.17   0.32      128.00       21.76
90784   "Injection, iv"                  0.17           0.17   0.80   13,769.00    2,340.73



                                                Page 122
                                                 CPT1


90788   Injection of antibiotic          0.17           0.17   0.27     7,402.00     1,258.34
90799   Ther/prophylactic/dx inject      0.00           0.00   0.00     1,869.00         0.00
90801   Psy dx interview                 2.80           2.80   1.17    88,600.00   248,080.00
90802   Intac psy dx interview           3.01           3.01   1.20     3,763.00    11,326.63
90804   "Psytx, office, 20-30 min"       1.21           1.21   0.49    42,606.00    51,553.26
90805   "Psytx, off, 20-30 min w/e&m"    1.37           1.37   0.50    21,637.00    29,642.69
90806   "Psytx, off, 45-50 min"          1.86           1.86   0.70   104,612.00   194,578.32
90807   "Psytx, off, 45-50 min w/e&m"    2.02           2.02   0.70    21,486.00    43,401.72
90808   "Psytx, office, 75-80 min"       2.79           2.79   1.03    14,466.00    40,360.14
90809   "Psytx, off, 75-80, w/e&m"       2.95           2.95   1.00     1,357.00     4,003.15
90810   "Intac psytx, off, 20-30 min"    1.32           1.32   0.50     1,961.00     2,588.52
90811   "Intac psytx, 20-30, w/e&m"      1.48           1.48   0.57       155.00       229.40
90812   "Intac psytx, off, 45-50 min"    1.97           1.97   0.79     2,921.00     5,754.37
90813   "Intac psytx, 45-50 min w/e&m"   2.13           2.13   0.77       244.00       519.72
90814   "Intac psytx, off, 75-80 min"    2.90           2.90   1.11       427.00     1,238.30
90815   "Intac psytx, 75-80 w/e&m"       3.06           3.06   1.05        18.00        55.08
90816   "Psytx, hosp, 20-30 min"         1.25           1.25   0.46     5,862.00     7,327.50
90817   "Psytx, hosp, 20-30 min w/e&m"   1.41           1.41   0.45       477.00       672.57
90818   "Psytx, hosp, 45-50 min"         1.89           1.89   0.69     2,709.00     5,120.01
90819   "Psytx, hosp, 45-50 min w/e&m"   2.05           2.05   0.65       371.00       760.55
90821   "Psytx, hosp, 75-80 min"         2.83           2.83   1.01       883.00     2,498.89
90822   "Psytx, hosp, 75-80 min w/e&m"   2.99           2.99   0.95        21.00        62.79
90823   "Intac psytx, hosp, 20-30 min"   1.36           1.36   0.48        42.00        57.12
90824   "Intac psytx, hsp 20-30 w/e&m"   1.52           1.52   0.49       454.00       690.08
90826   "Intac psytx, hosp, 45-50 min"   2.01           2.01   0.73        43.00        86.43
90827   "Intac psytx, hsp 45-50 w/e&m"   2.16           2.16   0.69        17.00        36.72
90828   "Intac psytx, hosp, 75-80 min"   2.94           2.94   1.07        14.00        41.16
90829   "Intac psytx, hsp 75-80 w/e&m"   3.10           3.10   0.99         8.00        24.80
90845   Psychoanalysis                   1.79           1.79   0.58       991.00     1,773.89
90846   Family psytx w/o patient         1.83           1.83   0.65     3,657.00     6,692.31
90847   Family psytx w/patient           2.21           2.21   0.82    28,848.00    63,754.08
90849   Multiple family group psytx      0.59           0.59   0.27     1,174.00       692.66
90853   Group psychotherapy              0.59           0.59   0.25    67,432.00    39,784.88
90857   Intac group psytx                0.63           0.63   0.30    16,443.00    10,359.09
90862   Medication management            0.95           0.95   0.40    39,992.00    37,992.40
90865   Narcosynthesis                   2.84           2.84   1.59       137.00       389.08
90870   Electroconvulsive therapy        1.88           1.88   0.79       114.00       214.32



                                                Page 123
                                                 CPT1


90871   Electroconvulsive therapy        2.72           2.72   1.07       21.00       57.12
90875   Psychophysiological therapy      1.20           1.20   0.90      290.00      348.00
90876   Psychophysiological therapy      1.90           1.90   1.16    2,408.00    4,575.20
90880   Hypnotherapy                     2.19           2.19   1.04      999.00    2,187.81
90882   Environmental manipulation       0.71           0.00   0.00   11,178.00    7,936.38
90885   Psy evaluation of records        0.97           0.97   0.37    6,303.00    6,113.91
90887   Consultation with family         1.48           1.48   0.82   13,676.00   20,240.48
90889   Preparation of report            0.61           0.00   0.00    6,439.00    3,927.79
90899   Psychiatric service/therapy      0.00           0.00   0.00    9,206.00        0.00
90901   "Biofeedback train, any meth"    0.41           0.41   0.66      784.00      321.44
90911   Biofeedback peri/uro/rectal      0.89           0.89   1.61      138.00      122.82
90919   "ESRD related services, month"   8.53           8.53   4.07        2.00       17.06
90921   "ESRD related services, month"   4.46           4.46   2.48    2,015.00    8,986.90
90923   "Esrd related services, day"     0.28           0.28   0.13        1.00        0.28
90924   "Esrd related services, day"     0.24           0.24   0.12        3.00        0.72
90925   "Esrd related services, day"     0.15           0.15   0.08      865.00      129.75
90935   "Hemodialysis, one evaluation"   1.22           1.22   0.67    2,147.00    2,619.34
90937   "Hemodialysis, repeated eval"    2.11           2.11   0.98      712.00    1,502.32
90940   Hemodialysis access study        0.69           0.00   0.00        2.00        1.38
90945   "Dialysis, one evaluation"       1.28           1.28   0.70      256.00      327.68
90947   "Dialysis, repeated eval"        2.16           2.16   1.01       16.00       34.56
90989   "Dialysis training, complete"    4.49           0.00   0.00       14.00       62.86
90993   "Dialysis training, incompl"     0.76           0.00   0.00       14.00       10.64
90997   Hemoperfusion                    1.84           1.84   1.41        5.00        9.20
90999   Dialysis procedure               0.00           0.00   0.00       39.00        0.00
91000   Esophageal intubation            0.73           0.73   0.33        3.00        2.19
91010   Esophagus motility study         1.25           1.25   0.43      223.00      278.75
91012   Esophagus motility study         1.46           1.46   0.51        8.00       11.68
91020   Gastric motility                 1.44           1.44   2.93       23.00       33.12
91032   "Esophagus, acid reflux test"    1.21           1.21   4.10       63.00       76.23
91033   Prolonged acid reflux test       1.30           1.30   0.45       65.00       84.50
91060   Gastric saline load test         0.45           0.45   0.30        1.00        0.45
91065   Breath hydrogen test             0.20           0.20   0.07        3.00        0.60
91100   Pass intestine bleeding tube     1.08           1.08   0.29        3.00        3.24
91105   Gastric intubation treatment     0.37           0.37   0.09      325.00      120.25
91122   Anal pressure record             1.77           1.77   0.60       10.00       17.70
91123   Irrigate fecal impaction         0.00           0.00   0.00       11.00        0.00



                                                Page 124
                                                 CPT1


91299   Gastroenterology procedure       0.00           0.00   0.00         8.00         0.00
92002   "Eye exam, new patient"          0.88           0.88   0.96    49,715.00    43,749.20
92004   "Eye exam, new patient"          1.67           1.67   1.68   104,367.00   174,292.89
92012   Eye exam established pat         0.67           0.67   1.02    96,462.00    64,629.54
92014   Eye exam & treatment             1.10           1.10   1.38    68,657.00    75,522.70
92015   Refraction                       0.38           0.38   1.49    97,377.00    37,003.26
92018   New eye exam & treatment         2.50           2.50   1.08       181.00       452.50
92019   Eye exam & treatment             1.31           1.31   0.56     1,154.00     1,511.74
92020   Special eye evaluation           0.37           0.37   0.33     1,514.00       560.18
92060   Special eye evaluation           0.69           0.69   0.72     1,961.00     1,353.09
92065   Orthoptic/pleoptic training      0.37           0.00   0.39        25.00         9.25
92070   Fitting of contact lens          0.70           0.70   1.08     1,480.00     1,036.00
92081   Visual field examination(s)      0.36           0.36   0.85     8,857.00     3,188.52
92082   Visual field examination(s)      0.44           0.00   0.96     2,918.00     1,283.92
92083   Visual field examination(s)      0.50           0.50   1.33    10,455.00     5,227.50
92100   Serial tonometry exam(s)         0.92           0.92   1.26     2,136.00     1,965.12
92120   Tonography & eye evaluation      0.81           0.81   1.04       193.00       156.33
92130   Water provocation tonography     0.81           0.81   1.23         5.00         4.05
92135   Opthalmic dx imaging             1.56           0.35   0.78       624.00       973.44
92136   Ophthalmic biometry              0.54           0.54   0.25       126.00        68.04
92140   Glaucoma provocative tests       0.50           0.50   0.94        10.00         5.00
92225   "Special eye exam, initial"      0.38           0.38   0.22     5,534.00     2,102.92
92226   "Special eye exam, subsequent"   0.33           0.33   0.21     2,648.00       873.84
92230   Eye exam with photos             0.60           0.60   1.67       247.00       148.20
92235   Eye exam with photos             0.81           0.81   2.93       241.00       195.21
92250   Eye exam with photos             0.44           0.44   1.73     3,018.00     1,327.92
92260   Ophthalmoscopy/dynamometry       0.20           0.20   0.29         3.00         0.60
92265   Eye muscle evaluation            0.81           0.81   1.88         1.00         0.81
92270   Electro-oculography              0.81           0.00   1.22        12.00         9.72
92275   Electroretinography              1.01           1.01   1.93        11.00        11.11
92283   Color vision examination         0.17           0.00   0.76     7,451.00     1,266.67
92285   Eye photography                  0.20           0.00   0.98     1,388.00       277.60
92286   Internal eye photography         0.66           0.66   3.37       183.00       120.78
92287   Internal eye photography         0.81           0.81   2.69       350.00       283.50
92310   Contact lens fitting             1.17           1.17   1.12     5,519.00     6,457.23
92311   Contact lens fitting             1.08           1.08   1.18        23.00        24.84
92312   Contact lens fitting             1.26           1.26   1.16        10.00        12.60



                                                Page 125
                                               CPT1


92314   Prescription of contact lens   0.69           0.69   0.94      292.00     201.48
92315   Prescription of contact lens   0.45           0.45   0.95        8.00       3.60
92316   Prescription of contact lens   0.68           0.68   1.00        4.00       2.72
92317   Prescription of contact lens   0.45           0.45   1.05        2.00       0.90
92325   Modification of contact lens   0.00           0.00   0.39      224.00       0.00
92326   Replacement of contact lens    0.00           0.00   1.64    1,670.00       0.00
92330   Fitting of artificial eye      1.08           1.08   1.08       49.00      52.92
92335   Fitting of artificial eye      0.45           0.45   1.01        3.00       1.35
92340   Fitting of spectacles          0.37           0.37   0.70   18,628.00   6,892.36
92341   Fitting of spectacles          0.47           0.47   0.74    5,208.00   2,447.76
92342   Fitting of spectacles          0.53           0.53   0.76      486.00     257.58
92352   Special spectacles fitting     0.37           0.37   0.73       48.00      17.76
92353   Special spectacles fitting     0.50           0.50   0.78        5.00       2.50
92354   Special spectacles fitting     0.00           0.00   8.89       34.00       0.00
92370   Repair & adjust spectacles     0.32           0.32   0.55    4,579.00   1,465.28
92371   Repair & adjust spectacles     0.00           0.00   0.62        6.00       0.00
92390   Supply of spectacles           0.00           0.00   0.00    7,273.00       0.00
92391   Supply of contact lenses       0.00           0.00   0.00      130.00       0.00
92392   Supply of low vision aids      0.00           0.00   3.79        1.00       0.00
92396   Supply of contact lenses       0.00           0.00   2.16       20.00       0.00
92499   Eye service or procedure       0.00           0.00   0.00    6,405.00       0.00
92502   Ear and throat examination     1.51           1.51   1.13       15.00      22.65
92504   Ear microscopy examination     0.18           0.18   0.49    7,322.00   1,317.96
92506   Speech/hearing evaluation      0.86           0.86   2.61    5,896.00   5,070.56
92507   Speech/hearing therapy         0.52           0.52   1.13    5,943.00   3,090.36
92508   Speech/hearing therapy         0.26           0.26   0.52      297.00      77.22
92510   Rehab for ear implant          1.50           1.50   2.08       73.00     109.50
92511   Nasopharyngoscopy              0.84           0.84   3.14    5,656.00   4,751.04
92516   Facial nerve function test     0.43           0.43   0.89        1.00       0.43
92520   Laryngeal function studies     0.76           0.76   0.50       41.00      31.16
92526   Oral function therapy          0.55           0.55   1.66    1,111.00     611.05
92531   Spontaneous nystagmus study    0.20           0.00   0.00       62.00      12.40
92532   Positional nystagmus test      0.24           0.00   0.00      190.00      45.60
92533   Caloric vestibular test        0.38           0.00   0.00        7.00       2.66
92534   Optokinetic nystagmus test     0.17           0.00   0.00        1.00       0.17
92541   Spontaneous nystagmus test     0.40           0.40   0.97       98.00      39.20
92542   Positional nystagmus test      0.33           0.00   0.90       44.00      14.52



                                              Page 126
                                                 CPT1


92543   Caloric vestibular test          0.10           0.10   0.53       135.00       13.50
92544   Optokinetic nystagmus test       0.26           0.00   0.72        24.00        6.24
92545   Oscillating tracking test        0.23           0.23   0.79        68.00       15.64
92546   Sinusoidal rotational test       0.29           0.00   1.67       122.00       35.38
92547   Supplemental electrical test     0.00           0.00   1.15         5.00        0.00
92548   Posturography                    0.50           0.50   3.19        23.00       11.50
92551   "Pure tone hearing test, air"    0.09           0.00   0.00    41,977.00    3,777.93
92552   "Pure tone audiometry, air"      0.44           0.00   0.44   185,149.00   81,465.56
92553   "Audiometry, air & bone"         0.66           0.00   0.66     2,097.00    1,384.02
92555   Speech threshold audiometry      0.37           0.00   0.37     1,503.00      556.11
92556   "Speech audiometry, complete"    0.57           0.00   0.57       592.00      337.44
92557   Comprehensive hearing test       1.19           0.00   1.19    24,587.00   29,258.53
92559   Group audiometric testing        0.30           0.00   0.00    18,488.00    5,546.40
92560   "Bekesy audiometry, screen"      0.18           0.00   0.00       211.00       37.98
92561   "Bekesy audiometry, diagnosis"   0.00           0.00   0.72         3.00        0.00
92562   Loudness balance test            0.00           0.00   0.40         6.00        0.00
92563   Tone decay hearing test          0.00           0.00   0.37        11.00        0.00
92564   Sisi hearing test                0.00           0.00   0.47         1.00        0.00
92565   "Stenger test, pure tone"        0.00           0.00   0.39         5.00        0.00
92567   Tympanometry                     0.52           0.00   0.52     9,058.00    4,710.16
92568   Acoustic reflex testing          0.37           0.00   0.37     2,475.00      915.75
92569   Acoustic reflex decay test       0.40           0.00   0.40     1,832.00      732.80
92571   Filtered speech hearing test     0.00           0.00   0.38        87.00        0.00
92575   Sensorineural acuity test        0.00           0.00   0.30         9.00        0.00
92577   "Stenger test, speech"           0.00           0.00   0.72        24.00        0.00
92579   Visual audiometry (vra)          0.00           0.00   0.73     1,030.00        0.00
92582   Conditioning play audiometry     0.00           0.00   0.73       966.00        0.00
92583   Select picture audiometry        0.00           0.00   0.89        60.00        0.00
92584   Electrocochleography             0.00           0.00   2.49        40.00        0.00
92585   "Auditor evoke potent, compre"   0.50           0.50   2.08     1,400.00      700.00
92586   "Auditor evoke potent, limit"    0.00           0.00   1.86       256.00        0.00
92587   Evoked auditory test             0.13           0.13   1.38    11,568.00    1,503.84
92588   Evoked auditory test             0.36           0.00   1.47     2,143.00      771.48
92589   Auditory function test(s)        0.00           0.00   0.53       136.00        0.00
92590   "Hearing aid exam, one ear"      0.35           0.00   0.00       617.00      215.95
92591   "Hearing aid exam, both ears"    0.53           0.00   0.00     1,759.00      932.27
92592   "Hearing aid check, one ear"     0.16           0.00   0.00     1,684.00      269.44



                                                Page 127
                                                  CPT1


92593   "Hearing aid check, both ears"    0.23         0.00    0.00    3,048.00      701.04
92594   "Electro hearng aid test, one"    0.17         0.00    0.00      238.00       40.46
92595   "Electro hearng aid tst, both"    0.26         0.00    0.00      615.00      159.90
92596   Ear protector evaluation          0.59         0.00    0.59   19,563.00   11,542.17
92597   Oral speech device eval           0.86         0.86    1.69       41.00       35.26
92601   Cochlear implt f/up exam < 7      0.00         0.00    3.41        8.00        0.00
92602   Reprogram cochlear implt < 7      0.00         0.00    2.36       12.00        0.00
92603   Cochlear implt f/up exam 7 >      0.00         0.00    2.23       28.00        0.00
92604   Reprogram cochlear implt 7 >      0.00         0.00    1.47       37.00        0.00
92605   Eval for nonspeech device rx      0.00         0.00    0.00        2.00        0.00
92606   Non-speech device service         0.00         0.00    0.00        3.00        0.00
92607   "Ex for speech device rx, 1hr"    0.00         0.00    3.22        6.00        0.00
92609   Use of speech device service      0.00         0.00    1.60        9.00        0.00
92610   Evaluate swallowing function      0.00         0.00    3.44    1,021.00        0.00
92611   Motion fluoroscopy/swallow        0.00         0.00    3.44      438.00        0.00
92612   Endoscopy swallow tst (fees)      1.27         1.27    2.71      154.00      195.58
92613   Endoscopy swallow tst (fees)      0.71         0.71    0.39        1.00        0.71
92614   Laryngoscopic sensory test        1.27         1.27    2.41       41.00       52.07
92615   Eval laryngoscopy sense tst       0.63         0.63    0.36        3.00        1.89
92616   Fees w/laryngeal sense test       1.88         1.88    3.29        2.00        3.76
92700   Ent procedure/service             0.00         0.00    0.00    2,408.00        0.00
92950   Heart/lung resuscitation cpr      3.79         3.79    0.98      114.00      432.06
92953   Temporary external pacing         0.23         0.23    0.23        1.00        0.23
92960   "Cardioversion electric, ext"     2.25         2.25    6.66       81.00      182.25
92961   "Cardioversion, electric, int"    4.59         4.59    2.09        2.00        9.18
92977   "Dissolve clot, heart vessel"     0.00         0.00    8.08        6.00        0.00
92978   "Intravasc us, heart add-on"      1.80         1.80    5.29        1.00        1.80
92980   Insert intracoronary stent       14.82        14.82    6.07       31.00      459.42
92981   Insert intracoronary stent        4.16         4.16    1.64        1.00        4.16
92982   Coronary artery dilation         10.96        10.96    4.55       89.00      975.44
92984   Coronary artery dilation          2.97         2.97    1.16        3.00        8.91
92987   Revision of mitral valve         22.67        22.67   12.01        5.00      113.35
92992   Revision of heart chamber         9.65         0.00    0.00        2.00       19.30
93000   "Electrocardiogram, complete"     0.17         0.17    0.51   78,102.00   13,277.34
93005   "Electrocardiogram, tracing"      0.00         0.00    0.45   33,324.00        0.00
93010   Electrocardiogram report          0.17         0.17    0.06   32,744.00    5,566.48
93012   Transmission of ecg               0.00         0.00    6.04      239.00        0.00



                                                 Page 128
                                               CPT1


93014   Report on transmitted ecg      0.52           0.52   0.19       25.00       13.00
93015   Cardiovascular stress test     0.75           0.75   1.98   12,530.00    9,397.50
93016   Cardiovascular stress test     0.45           0.45   0.17      863.00      388.35
93017   Cardiovascular stress test     0.00           0.00   1.69    1,728.00        0.00
93018   Cardiovascular stress test     0.30           0.30   0.12    1,527.00      458.10
93024   Cardiac drug stress test       1.17           1.17   1.57      105.00      122.85
93040   Rhythm ECG with report         0.16           0.16   0.20      688.00      110.08
93041   "Rhythm ECG, tracing"          0.00           0.00   0.15      376.00        0.00
93042   "Rhythm ECG, report"           0.16           0.16   0.05       97.00       15.52
93224   "ECG monitor/report, 24 hrs"   0.52           0.52   3.63    2,005.00    1,042.60
93225   "ECG monitor/record, 24 hrs"   0.00           0.00   1.24      969.00        0.00
93226   "ECG monitor/report, 24 hrs"   0.00           0.00   2.19      307.00        0.00
93227   "ECG monitor/review, 24 hrs"   0.52           0.52   0.20      686.00      356.72
93230   "ECG monitor/report, 24 hrs"   0.52           0.52   3.90      790.00      410.80
93231   "Ecg monitor/record, 24 hrs"   0.00           0.00   1.52      141.00        0.00
93232   "ECG monitor/report, 24 hrs"   0.00           0.00   2.18       48.00        0.00
93233   "ECG monitor/review, 24 hrs"   0.52           0.52   0.20      132.00       68.64
93235   "ECG monitor/report, 24 hrs"   0.45           0.45   2.79       24.00       10.80
93236   "ECG monitor/report, 24 hrs"   0.00           0.00   2.62       64.00        0.00
93237   "ECG monitor/review, 24 hrs"   0.45           0.45   0.17        6.00        2.70
93268   ECG record/review              0.52           0.52   7.47      686.00      356.72
93270   ECG recording                  0.00           0.00   1.24      327.00        0.00
93271   Ecg/monitoring and analysis    0.00           0.00   6.04       67.00        0.00
93272   "Ecg/review, interpret only"   0.52           0.52   0.19      207.00      107.64
93278   ECG/signal-averaged            0.25           0.25   1.25       52.00       13.00
93303   Echo transthoracic             1.30           0.00   3.87      894.00    1,162.20
93304   Echo transthoracic             0.75           0.75   2.23      457.00      342.75
93307   Echo exam of heart             0.92           0.00   3.87   14,858.00   13,669.36
93308   Echo exam of heart             0.53           0.53   2.16      454.00      240.62
93312   Echo transesophageal           2.20           0.00   3.79      324.00      712.80
93314   Echo transesophageal           1.25           1.25   4.26       62.00       77.50
93315   Echo transesophageal           6.18           0.00   0.00       68.00      420.24
93317   Echo transesophageal           4.58           0.00   0.00        4.00       18.32
93318   Echo transesophageal intraop   4.89           0.00   0.00       73.00      356.97
93320   "Doppler echo exam, heart"     0.38           0.38   1.87      898.00      341.24
93321   "Doppler echo exam, heart"     0.15           0.00   1.12       11.00        1.65
93325   Doppler color flow add-on      3.16           0.07   2.94    2,981.00    9,419.96



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                                                  CPT1


93350   Echo transthoracic                1.48         0.00    1.77   501.00     741.48
93501   Right heart catheterization       3.02         3.02   18.11    15.00      45.30
93503   Insert/place heart catheter       2.91         2.91    0.68     3.00       8.73
93508   "Cath placement, angiography"     4.09         4.09    2.09    12.00      49.08
93510   Left heart catheterization        4.32         4.32   39.26   824.00   3,559.68
93514   Left heart catheterization        7.04         7.04   39.24     1.00       7.04
93526   Rt & Lt heart catheters           5.98         5.98   51.28   134.00     801.32
93528   Rt & Lt heart catheters           8.99         8.99   51.22     1.00       8.99
93530   "Rt heart cath, congenital"       4.22         4.22   18.90     2.00       8.44
93531   "R & l heart cath, congenital"    8.34         8.34    3.59    10.00      83.40
93540   "Injection, cardiac cath"         0.43         0.43    0.17     1.00       0.43
93541   Injection for lung angiogram      0.29         0.29    0.11     1.00       0.29
93543   Injection for heart x-rays        0.29         0.29    0.12     6.00       1.74
93544   Injection for aortography         0.25         0.25    0.10     2.00       0.50
93545   Inject for coronary x-rays        0.40         0.40    0.16    11.00       4.40
93555   "Imaging, cardiac cath"           0.81         0.81    6.62    20.00      16.20
93556   "Imaging, cardiac cath"           0.83         0.83    0.33     8.00       6.64
93561   Cardiac output measurement        0.50         0.50    0.68     1.00       0.50
93571   Heart flow reserve measure        1.80         1.80    5.26     3.00       5.40
93580   Transcath closure of asd         17.97        17.97    7.21     4.00      71.88
93600   Bundle of His recording           2.12         2.12    2.79     4.00       8.48
93609   "Map tachycardia, add-on"         4.99         4.99    1.95     1.00       4.99
93619   Electrophysiology evaluation      7.31         7.31    3.20     9.00      65.79
93620   Electrophysiology evaluation     21.04         0.00    0.00    35.00     736.40
93621   Electrophysiology evaluation      3.82         2.10    0.82     4.00      15.28
93640   Evaluation heart device           3.51         3.51    8.56     2.00       7.02
93641   Electrophysiology evaluation      5.92         5.92    2.32     2.00      11.84
93642   Electrophysiology evaluation      4.88         4.88    9.42     1.00       4.88
93650   Ablate heart dysrhythm focus     10.49        10.49    4.45     3.00      31.47
93651   Ablate heart dysrhythm focus     16.23        16.23    6.35    32.00     519.36
93652   Ablate heart dysrhythm focus     17.65        17.65    6.91     4.00      70.60
93660   Tilt table evaluation             1.89         1.89    2.43   246.00     464.94
93662   Intracardiac ecg (ice)            5.09         0.00    0.00     4.00      20.36
93701   "Bioimpedance, thoracic"          0.17         0.17    1.02    24.00       4.08
93720   Total body plethysmography        0.17         0.17    0.76   118.00      20.06
93727   Analyze ilr system                0.52         0.52    0.20     8.00       4.16
93731   Analyze pacemaker system          0.45         0.45    0.67   878.00     395.10



                                                 Page 130
                                                CPT1


93732   Analyze pacemaker system        0.92           0.00   0.51      593.00      545.56
93733   "Telephone analy, pacemaker"    0.17           0.17   0.80      385.00       65.45
93734   Analyze pacemaker system        0.38           0.00   0.35      218.00       82.84
93735   Analyze pacemaker system        0.74           0.74   0.73      155.00      114.70
93736   "Telephonic analy, pacemaker"   0.15           0.00   0.63       89.00       13.35
93740   Temperature gradient studies    0.16           0.16   0.20        1.00        0.16
93741   Analyze ht pace device sngl     0.80           0.00   0.67      180.00      144.00
93742   Analyze ht pace device sngl     0.91           0.91   1.03      166.00      151.06
93743   Analyze ht pace device dual     1.03           0.00   0.74      140.00      144.20
93744   Analyze ht pace device dual     1.18           1.18   1.13      181.00      213.58
93760   Cephalic thermogram             0.52           0.00   0.00        2.00        1.04
93770   Measure venous pressure         0.16           0.16   0.08   14,220.00    2,275.20
93784   Ambulatory BP monitoring        0.38           0.38   1.55   10,287.00    3,909.06
93786   Ambulatory BP recording         0.00           0.00   0.91   14,230.00        0.00
93788   Ambulatory BP analysis          0.43           0.00   0.51       42.00       18.06
93790   Review/report BP recording      0.38           0.38   0.13      609.00      231.42
93797   Cardiac rehab                   0.18           0.18   0.37    2,897.00      521.46
93798   Cardiac rehab/monitor           0.28           0.28   0.49    1,925.00      539.00
93799   Cardiovascular procedure        0.00           0.00   0.00      214.00        0.00
93875   Extracranial study              0.22           0.00   1.58       19.00        4.18
93880   Extracranial study              4.85           0.60   4.18    2,075.00   10,063.75
93882   Extracranial study              3.23           0.00   2.87       73.00      235.79
93886   Intracranial study              5.89           0.94   4.47       22.00      129.58
93888   Intracranial study              3.92           0.00   2.79        2.00        7.84
93922   Extremity study                 0.25           0.25   1.93      644.00      161.00
93923   Extremity study                 0.45           0.00   2.85      340.00      153.00
93924   Extremity study                 0.50           0.50   3.76      259.00      129.50
93925   Lower extremity study           4.84           0.00   4.67      124.00      600.16
93926   Lower extremity study           3.23           0.39   3.49      335.00    1,082.05
93930   Upper extremity study           4.92           0.00   3.69       13.00       63.96
93931   Upper extremity study           3.26           0.31   2.82       57.00      185.82
93965   Extremity study                 0.35           0.00   1.74       82.00       28.70
93970   Extremity study                 5.41           0.68   3.97      252.00    1,363.32
93971   Extremity study                 3.59           0.00   2.71      458.00    1,644.22
93975   Vascular study                  7.59           1.80   5.82      250.00    1,897.50
93976   Vascular study                  5.06           0.00   3.06       70.00      354.20
93978   Vascular study                  5.07           0.65   3.58      178.00      902.46



                                               Page 131
                                                 CPT1


93979   Vascular study                   3.39           0.00   2.50       16.00      54.24
93980   Penile vascular study            5.52           1.25   4.78        2.00      11.04
93990   Doppler flow testing             3.04           0.25   3.42       28.00      85.12
94010   Breathing capacity test          0.17           0.00   0.62   19,565.00   3,326.05
94014   Patient recorded spirometry      0.52           0.52   0.77      166.00      86.32
94015   Patient recorded spirometry      0.00           0.00   0.60        9.00       0.00
94016   Review patient spirometry        0.52           0.52   0.17    3,132.00   1,628.64
94060   Evaluation of wheezing           0.31           0.31   1.12    8,574.00   2,657.94
94070   Evaluation of wheezing           0.60           0.00   2.80    1,765.00   1,059.00
94150   Vital capacity test              0.07           0.07   0.48    5,472.00     383.04
94200   Lung function test (MBC/MVV)     0.11           0.00   0.41    1,444.00     158.84
94240   Residual lung capacity           0.26           0.26   0.65       56.00      14.56
94250   Expired gas collection           0.11           0.00   0.62      286.00      31.46
94260   Thoracic gas volume              0.13           0.13   0.57      103.00      13.39
94350   Lung nitrogen washout curve      0.26           0.00   0.67       13.00       3.38
94360   Measure airflow resistance       0.26           0.26   0.69      211.00      54.86
94370   Breath airway closing volume     0.26           0.00   0.64      186.00      48.36
94375   Respiratory flow volume loop     0.31           0.31   0.61    3,059.00     948.29
94400   CO2 breathing response curve     0.40           0.00   0.72        5.00       2.00
94450   Hypoxia response curve           0.40           0.40   0.68       48.00      19.20
94620   Pulmonary stress test/simple     0.64           0.00   2.22      598.00     382.72
94621   Pulm stress test/complex         1.42           1.42   2.06       99.00     140.58
94640   Airway inhalation treatment      0.32           0.00   0.32   21,328.00   6,824.96
94642   Aerosol inhalation treatment     0.54           0.00   0.00      279.00     150.66
94656   Initial ventilator mgmt          1.22           1.22   1.18       52.00      63.44
94657   Continued ventilator mgmt        0.83           0.83   1.00       38.00      31.54
94660   "Pos airway pressure, CPAP"      0.76           0.76   0.66      401.00     304.76
94662   "Neg press ventilation, cnp"     0.76           0.76   0.24        1.00       0.76
94664   Evaluate pt use of inhaler       0.32           0.00   0.32    3,204.00   1,025.28
94667   Chest wall manipulation          0.00           0.00   0.54       20.00       0.00
94668   Chest wall manipulation          0.00           0.00   0.46        1.00       0.00
94680   "Exhaled air analysis, o2"       0.26           0.26   1.89       15.00       3.90
94681   "Exhaled air analysis, o2/co2"   0.20           0.20   0.07        8.00       1.60
94690   Exhaled air analysis             0.07           0.07   1.97        4.00       0.28
94720   Monoxide diffusing capacity      0.26           0.26   0.08    1,350.00     351.00
94725   Membrane diffusion capacity      0.26           0.26   2.92      228.00      59.28
94750   Pulmonary compliance study       0.23           0.23   0.07      192.00      44.16



                                                Page 132
                                                 CPT1


94760   Measure blood oxygen level       0.04           0.00   0.04   164,443.00   6,577.72
94761   Measure blood oxygen level       0.07           0.00   0.07     8,361.00     585.27
94762   Measure blood oxygen level       0.40           0.00   0.40       256.00     102.40
94770   Exhaled carbon dioxide test      0.15           0.15   1.67        15.00       2.25
94799   Pulmonary service/procedure      0.00           0.00   0.00     1,133.00       0.00
95004   Percut allergy skin tests        0.10           0.00   0.10     6,321.00     632.10
95010   Percut allergy titrate test      0.15           0.15   0.33       359.00      53.85
95015   Id allergy titrate-drug/bug      0.15           0.15   0.15        71.00      10.65
95024   "Id allergy test, drug/bug"      0.15           0.00   0.15       349.00      52.35
95027   Id allergy titrate-airborne      0.00           0.00   0.15        12.00       0.00
95028   Id allergy test-delayed type     0.00           0.00   0.24     1,398.00       0.00
95044   Allergy patch tests              0.00           0.00   0.21     1,001.00       0.00
95052   Photo patch test                 0.00           0.00   0.26         8.00       0.00
95060   Eye allergy tests                0.00           0.00   0.35        13.00       0.00
95070   Bronchial allergy tests          0.00           0.00   2.29       164.00       0.00
95071   Bronchial allergy tests          0.00           0.00   2.93         1.00       0.00
95075   Ingestion challenge test         0.95           0.95   0.83        82.00      77.90
95078   Provocative testing              0.00           0.00   0.26       190.00       0.00
95115   "Immunotherapy, one injection"   0.17           0.00   0.38    25,510.00   4,336.70
95117   Immunotherapy injections         0.17           0.00   0.50    28,875.00   4,908.75
95120   "Immunotherapy, one injection"   0.16           0.00   0.00    12,722.00   2,035.52
95125   "Immunotherapy, many antigens"   0.19           0.00   0.00    14,386.00   2,733.34
95130   "Immunotherapy, insect venom"    0.27           0.00   0.00       323.00      87.21
95131   "Immunotherapy, insect venoms"   0.34           0.00   0.00       204.00      69.36
95132   "Immunotherapy, insect venoms"   0.41           0.00   0.00        87.00      35.67
95133   "Immunotherapy, insect venoms"   0.50           0.00   0.00        48.00      24.00
95134   "Immunotherapy, insect venoms"   0.60           0.00   0.00        16.00       9.60
95144   Antigen therapy services         0.06           0.06   0.15        33.00       1.98
95145   Antigen therapy services         0.06           0.06   0.33       164.00       9.84
95146   Antigen therapy services         0.06           0.06   0.44        80.00       4.80
95147   Antigen therapy services         0.06           0.06   0.42        49.00       2.94
95148   Antigen therapy services         0.06           0.06   0.58        13.00       0.78
95149   Antigen therapy services         0.06           0.06   0.81         6.00       0.36
95165   Antigen therapy services         0.06           0.06   0.20     2,023.00     121.38
95170   Antigen therapy services         0.06           0.06   0.14        85.00       5.10
95180   Rapid desensitization            2.01           2.01   1.52        38.00      76.38
95199   Allergy immunology services      0.00           0.00   0.00     4,585.00       0.00



                                                Page 133
                                                 CPT1


95250   "Glucose monitoring, cont"       0.00           0.00    3.82      212.00       0.00
95805   Multiple sleep latency test      1.88           1.88   16.26       89.00     167.32
95806   "Sleep study, unattended"        1.66           0.00    3.28      178.00     295.48
95807   "Sleep study, attended"          1.66           1.66   11.67      228.00     378.48
95808   "Polysomnography, 1-3"           2.65           0.00   11.98       35.00      92.75
95810   "Polysomnography, 4 or more"     3.52           3.52   17.02    1,858.00   6,540.16
95811   Polysomnography w/cpap           3.79           0.00   17.18      936.00   3,547.44
95812   "Eeg, 41-60 minutes"             1.08           1.08    3.91       21.00      22.68
95813   "Eeg, over 1 hour"               1.73           0.00    4.23       12.00      20.76
95816   "Eeg, awake and drowsy"          1.08           1.08    3.14    1,064.00   1,149.12
95819   "Eeg, awake and asleep"          1.08           0.00    3.23    1,889.00   2,040.12
95822   "Eeg, coma or sleep only"        1.08           1.08    4.35       77.00      83.16
95824   "Eeg, cerebral death only"       1.85           0.00    0.00        1.00       1.85
95827   "Eeg, all night recording"       1.08           1.08    2.70        1.00       1.08
95829   Surgery electrocorticogram       6.20           0.00   28.97        1.00       6.20
95830   Insert electrodes for EEG        1.70           1.70    3.37        7.00      11.90
95831   "Limb muscle testing, manual"    0.28           0.28    0.34    4,646.00   1,300.88
95832   "Hand muscle testing, manual"    0.29           0.29    0.25      455.00     131.95
95833   "Body muscle testing, manual"    0.47           0.47    0.45      105.00      49.35
95834   "Body muscle testing, manual"    0.60           0.60    0.50        4.00       2.40
95851   Range of motion measurements     0.16           0.16    0.37   10,385.00   1,661.60
95852   Range of motion measurements     0.11           0.11    0.26    1,148.00     126.28
95857   Tensilon test                    0.53           0.53    0.61        9.00       4.77
95860   "Muscle test, one limb"          0.96           0.00    1.03    1,939.00   1,861.44
95861   "Muscle test, 2 limbs"           1.54           1.54    1.42      513.00     790.02
95863   "Muscle test, 3 limbs"           1.87           0.00    0.94       52.00      97.24
95864   "Muscle test, 4 limbs"           1.99           1.99    2.66       14.00      27.86
95867   Muscle test cran nerv unilat     0.79           0.00    0.58       10.00       7.90
95868   Muscle test cran nerve bilat     1.18           1.18    1.21       13.00      15.34
95869   "Muscle test, thor paraspinal"   0.37           0.00    0.22       47.00      17.39
95870   "Muscle test, nonparaspinal"     0.37           0.37    0.38       52.00      19.24
95872   "Muscle test, one fiber"         1.50           0.00    0.60        3.00       4.50
95875   Limb exercise test               1.10           1.10    1.46        1.00       1.10
95900   Motor nerve conduction test      0.42           0.00    1.10    2,272.00     954.24
95903   Motor nerve conduction test      0.60           0.60    1.21    1,104.00     662.40
95904   Sense nerve conduction test      0.34           0.00    0.96      724.00     246.16
95920   Intraop nerve test add-on        2.11           2.11    2.25       13.00      27.43



                                                Page 134
                                                  CPT1


95921   Autonomic nerv function test      0.90           0.00   0.37       1.00       0.90
95925   Somatosensory testing             0.54           0.54   1.14      33.00      17.82
95926   Somatosensory testing             0.54           0.00   0.91      17.00       9.18
95930   Visual evoked potential test      0.35           0.00   1.28      43.00      15.05
95933   Blink reflex test                 0.59           0.59   1.03       5.00       2.95
95934   H-reflex test                     0.51           0.00   0.22      51.00      26.01
95936   H-reflex test                     0.55           0.55   0.46       2.00       1.10
95937   Neuromuscular junction test       0.65           0.00   0.34      76.00      49.40
95950   Ambulatory eeg monitoring         1.51           1.51   4.47      14.00      21.14
95951   EEG monitoring/videorecord       14.98           0.00   0.00      79.00   1,183.42
95957   EEG digital analysis              1.98           1.98   2.56      33.00      65.34
95958   EEG monitoring/function test      4.24           0.00   1.75       2.00       8.48
95961   "Electrode stimulation, brain"    2.97           2.97   2.63       5.00      14.85
95962   "Electrode stim, brain add-on"    3.21           0.00   1.31       1.00       3.21
95970   "Analyze neurostim, no prog"      0.45           0.45   0.17      13.00       5.85
95971   "Analyze neurostim, simple"       0.78           0.78   0.28       3.00       2.34
95972   "Analyze neurostim, complex"      1.50           1.50   0.59      12.00      18.00
95974   "Cranial neurostim, complex"      3.00           3.00   1.29      17.00      51.00
95990   Spin/brain pump refil & main      0.00           0.00   1.50      10.00       0.00
95999   Neurological procedure            0.00           0.00   0.00     192.00       0.00
96000   "Motion analysis, video/3d"       1.80           1.80   0.55      15.00      27.00
96002   Dynamic surface emg               0.41           0.41   0.15       9.00       3.69
96003   Dynamic fine wire emg             0.37           0.37   0.14       1.00       0.37
96004   Phys review of motion tests       2.14           2.14   0.95       1.00       2.14
96100   Psychological testing             1.77           0.00   1.77   4,454.00   7,883.58
96105   Assessment of aphasia             1.77           0.00   1.77      77.00     136.29
96110   "Developmental test, lim"         0.54           0.00   0.19   2,344.00   1,265.76
96111   "Developmental test, extend"      2.60           2.60   1.07   2,436.00   6,333.60
96115   Neurobehavior status exam         1.77           0.00   1.77   1,421.00   2,515.17
96117   Neuropsych test battery           1.77           0.00   1.77   1,637.00   2,897.49
96150   "Assess lth/behave, init"         0.50           0.50   0.19   4,374.00   2,187.00
96151   "Assess hlth/behave, subseq"      0.48           0.48   0.18   1,186.00     569.28
96152   "Intervene hlth/behave, indiv"    0.46           0.46   0.17   5,144.00   2,366.24
96153   "Intervene hlth/behave, group"    0.10           0.10   0.04   6,848.00     684.80
96154   "Interv hlth/behav, fam w/pt"     0.45           0.45   0.17     728.00     327.60
96155   Interv hlth/behav fam no pt       0.44           0.44   0.18     129.00      56.76
96400   "Chemotherapy, sc/im"             0.17           0.17   1.12     593.00     100.81



                                                 Page 135
                                                 CPT1


96405   Intralesional chemo admin        0.52           0.52   2.35        11.00         5.72
96406   Intralesional chemo admin        0.80           0.80   3.10        30.00        24.00
96408   "Chemotherapy, push technique"   0.17           0.17   2.91       659.00       112.03
96410   "Chemotherapy,infusion method"   0.17           0.17   4.16     2,984.00       507.28
96412   "Chemo, infuse method add-on"    0.12           0.12   0.74       680.00        81.60
96414   "Chemo, infuse method add-on"    0.17           0.17   5.22        70.00        11.90
96420   "Chemotherapy, push technique"   0.17           0.17   2.81        29.00         4.93
96422   "Chemotherapy,infusion method"   0.17           0.17   5.19       224.00        38.08
96423   "Chemo, infuse method add-on"    0.17           0.17   1.96        20.00         3.40
96425   "Chemotherapy,infusion method"   0.17           0.17   4.73         1.00         0.17
96450   "Chemotherapy, into CNS"         1.89           1.89   7.32        29.00        54.81
96520   Port pump refill & main          0.17           0.17   3.94       128.00        21.76
96530   Syst pump refill & main          0.17           0.17   2.86       526.00        89.42
96542   Chemotherapy injection           1.42           1.42   4.43         1.00         1.42
96545   Provide chemotherapy agent       0.00           0.00   0.00       624.00         0.00
96549   "Chemotherapy, unspecified"      0.00           0.00   0.00        65.00         0.00
96567   "Photodynamic tx, skin"          0.00           0.00   0.98        17.00         0.00
96570   "Photodynamic tx, 30 min"        1.10           1.10   0.37         1.00         1.10
96900   Ultraviolet light therapy        0.00           0.00   0.48     4,774.00         0.00
96902   Trichogram                       0.41           0.41   0.25        15.00         6.15
96910   Photochemotherapy with UV-B      0.00           0.00   1.07     5,469.00         0.00
96912   Photochemotherapy with UV-A      0.00           0.00   1.34       609.00         0.00
96920   "Laser tx, skin < 250 sq cm"     1.15           1.15   7.67       720.00       828.00
96921   "Laser tx, skin 250-500 sq cm"   1.17           1.17   7.74       170.00       198.90
96922   "Laser tx, skin > 500 sq cm"     2.10           2.10   8.48        96.00       201.60
96999   Dermatological procedure         0.00           0.00   0.00     1,198.00         0.00
97001   Pt evaluation                    1.20           1.20   0.73   116,978.00   140,373.60
97002   Pt re-evaluation                 0.60           0.60   0.43   123,873.00    74,323.80
97003   Ot evaluation                    1.20           1.20   0.86    15,431.00    18,517.20
97004   Ot re-evaluation                 0.60           0.60   0.60    16,334.00     9,800.40
97005   Athletic train eval              0.50           0.00   0.00     1,542.00       771.00
97006   Athletic train reeval            0.25           0.00   0.00     2,430.00       607.50
97010   Hot or cold packs therapy        0.06           0.06   0.05   126,699.00     7,601.94
97012   Mechanical traction therapy      0.25           0.25   0.14    23,488.00     5,872.00
97014   Electric stimulation therapy     0.18           0.18   0.19    31,096.00     5,597.28
97016   Vasopneumatic device therapy     0.18           0.18   0.19       183.00        32.94
97018   Paraffin bath therapy            0.06           0.06   0.11     2,019.00       121.14



                                                Page 136
                                                 CPT1


97020   Microwave therapy                0.06           0.06   0.06        58.00         3.48
97022   Whirlpool therapy                0.17           0.17   0.22     3,825.00       650.25
97024   Diathermy treatment              0.06           0.06   0.09       255.00        15.30
97026   Infrared therapy                 0.06           0.06   0.06       857.00        51.42
97028   Ultraviolet therapy              0.08           0.08   0.07        38.00         3.04
97032   Electrical stimulation           0.25           0.25   0.16     7,313.00     1,828.25
97033   Electric current therapy         0.26           0.26   0.28    17,411.00     4,526.86
97034   Contrast bath therapy            0.21           0.21   0.16       323.00        67.83
97035   Ultrasound therapy               0.21           0.21   0.11    39,845.00     8,367.45
97036   Hydrotherapy                     0.28           0.28   0.33        26.00         7.28
97039   Physical therapy treatment       0.20           0.20   0.10     6,904.00     1,380.80
97110   Therapeutic exercises            0.45           0.45   0.28   222,244.00   100,009.80
97112   Neuromuscular reeducation        0.45           0.45   0.30     4,891.00     2,200.95
97113   Aquatic therapy/exercises        0.44           0.44   0.40     9,917.00     4,363.48
97116   Gait training therapy            0.40           0.40   0.24    14,500.00     5,800.00
97124   Massage therapy                  0.35           0.35   0.23     3,797.00     1,328.95
97139   Physical medicine procedure      0.21           0.21   0.20     1,715.00       360.15
97140   Manual therapy                   0.43           0.43   0.26    19,224.00     8,266.32
97150   Group therapeutic procedures     0.27           0.27   0.18    37,394.00    10,096.38
97504   Orthotic training                0.45           0.45   0.33    21,421.00     9,639.45
97520   Prosthetic training              0.45           0.45   0.28       542.00       243.90
97530   Therapeutic activities           0.44           0.44   0.32    23,672.00    10,415.68
97532   Cognitive skills development     0.44           0.44   0.21     1,276.00       561.44
97533   Sensory integration              0.44           0.44   0.24       101.00        44.44
97535   Self care mngment training       0.45           0.45   0.33    19,657.00     8,845.65
97537   Community/work reintegration     0.45           0.45   0.27       151.00        67.95
97542   Wheelchair mngment training      0.45           0.45   0.28        82.00        36.90
97545   Work hardening                   0.97           0.00   0.00        60.00        58.20
97601   "Wound(s) care, selective"       0.50           0.50   0.49     1,637.00       818.50
97602   Wound(s) care non-selective      0.14           0.00   0.00     5,017.00       702.38
97703   Prosthetic checkout              0.25           0.25   0.41       747.00       186.75
97750   Physical performance test        0.45           0.45   0.30     5,864.00     2,638.80
97755   Assistive technology assess      0.62           0.62   0.29         3.00         1.86
97780   Acupuncture w/o stimul           0.35           0.00   0.00     1,357.00       474.95
97781   Acupuncture w/stimul             0.43           0.00   0.00     2,226.00       957.18
97799   Physical medicine procedure      0.00           0.00   0.00     1,356.00         0.00
97802   "Medical nutrition, indiv, in"   0.67           0.00   0.47    17,132.00    11,478.44



                                                Page 137
                                                 CPT1


97803   "Med nutrition, indiv, subseq"   0.67           0.00   0.47     9,446.00    6,328.82
97804   "Medical nutrition, group"       0.22           0.00   0.19    35,603.00    7,832.66
98925   Osteopathic manipulation         0.45           0.45   0.33     4,190.00    1,885.50
98926   Osteopathic manipulation         0.65           0.65   0.42     2,020.00    1,313.00
98927   Osteopathic manipulation         0.87           0.87   0.51       416.00      361.92
98928   Osteopathic manipulation         1.03           1.03   0.60       267.00      275.01
98929   Osteopathic manipulation         1.19           1.19   0.68        19.00       22.61
98940   Chiropractic manipulation        0.45           0.45   0.24    43,431.00   19,543.95
98941   Chiropractic manipulation        0.65           0.65   0.30    30,467.00   19,803.55
98942   Chiropractic manipulation        0.87           0.87   0.36     2,215.00    1,927.05
98943   Chiropractic manipulation        0.40           0.40   0.24       104.00       41.60
99000   Specimen handling                0.06           0.00   0.00    18,955.00    1,137.30
99001   Specimen handling                0.07           0.00   0.00     6,706.00      469.42
99002   Device handling                  0.10           0.00   0.00       712.00       71.20
99024   Postop follow-up visit           0.00           0.00   0.00    76,543.00        0.00
99026   In-hospital on call service      0.00           0.00   0.00         2.00        0.00
99027   Out-of-hosp on call service      0.00           0.00   0.00         8.00        0.00
99050   Medical services after hrs       0.18           0.00   0.00        55.00        9.90
99052   Medical services at night        0.18           0.00   0.00        41.00        7.38
99054   "Medical servcs, unusual hrs"    0.18           0.00   0.00       170.00       30.60
99056   Non-office medical services      0.24           0.00   0.00       273.00       65.52
99058   Office emergency care            0.25           0.00   0.00       380.00       95.00
99070   Special supplies                 0.00           0.00   0.00    35,254.00        0.00
99071   Patient education materials      0.00           0.00   0.00   161,230.00        0.00
99075   Medical testimony                0.00           0.00   0.00        45.00        0.00
99078   Group health education           0.00           0.00   0.00    86,554.00        0.00
99080   Special reports or forms         0.00           0.00   0.00    29,165.00        0.00
99082   Unusual physician travel         0.00           0.00   0.00        17.00        0.00
99090   Computer data analysis           0.00           0.00   0.00    34,910.00        0.00
99091   Collect/review data from pt      0.00           0.00   0.00     1,236.00        0.00
99100   Special anesthesia service       0.00           0.00   0.00         2.00        0.00
99135   Special anesthesia procedure     0.00           0.00   0.00         1.00        0.00
99140   Emergency anesthesia             0.00           0.00   0.00         1.00        0.00
99141   "Sedation, iv/im or inhalant"    0.80           0.80   1.92     2,005.00    1,604.00
99142   "Sedation, oral/rectal/nasal"    0.60           0.60   0.99       110.00       66.00
99170   "Anogenital exam, child"         1.75           1.75   1.72         2.00        3.50
99172   Ocular function screen           0.21           0.00   0.00    11,335.00    2,380.35



                                                Page 138
                                                 CPT1


99173   Visual acuity screen             0.11           0.00   0.00   51,351.00   5,648.61
99175   Induction of vomiting            0.00           0.00   1.40       16.00       0.00
99183   Hyperbaric oxygen therapy        2.34           2.34   4.75      273.00     638.82
99190   Special pump services            4.86           0.00   0.00        2.00       9.72
99195   Phlebotomy                       0.21           0.00   0.44    2,501.00     525.21
99199   Special service/proc/report      0.00           0.00   0.00   29,762.00       0.00
99371   Physician phone consultation     0.23           0.00   0.00        2.00       0.46
99385   "Prev visit, new, age 18-39"     1.53           1.53   1.55       39.00      59.67
99500   "Home visit, prenatal"           0.00           0.00   0.00        1.00       0.00
99503   "Home visit, resp therapy"       0.00           0.00   0.00        6.00       0.00
99504   Home visit mech ventilator       0.00           0.00   0.00       22.00       0.00
99506   "Home visit, im injection"       0.00           0.00   0.00        2.00       0.00
99509   Home visit day life activity     0.00           0.00   0.00    1,372.00       0.00
99510   "Home visit, sing/m/fam couns"   0.00           0.00   0.00        5.00       0.00
99511   "Home visit, fecal/enema mgmt"   0.00           0.00   0.00        3.00       0.00
99600   Home visit nos                   0.00           0.00   0.00        4.00       0.00
99601   "Home infusion/visit, 2 hrs"     0.00           0.00   0.00        3.00       0.00
99602   "Home infusion, each addtl hr"   0.00           0.00   0.00        1.00       0.00
A0100   Nonemergency transport taxi      0.00           0.00   0.00        1.00       0.00
A0110   Nonemergency transport bus       0.00           0.00   0.00        1.00       0.00
A0330                                    0.00           0.00               8.00       0.00
A0340                                    0.00           0.00               1.00       0.00
A0380   Basic life support mileage       0.00           0.00   0.00        6.00       0.00
A0382   Basic support routine suppls     0.00           0.00   0.00        2.00       0.00
A0392   Als defibrillation supplies      0.00           0.00   0.00        1.00       0.00
A0396   Als esophageal intub suppls      0.00           0.00   0.00        3.00       0.00
A0420   Ambulance waiting 1/2 hr         0.00           0.00   0.00        2.00       0.00
A0424   Extra ambulance attendant        0.00           0.00   0.00        1.00       0.00
A0426   Als 1                            0.00           0.00   0.00        3.00       0.00
A0427   ALS1-emergency                   0.00           0.00   0.00        8.00       0.00
A0428   bls                              0.00           0.00   0.00       20.00       0.00
A0429   BLS-emergency                    0.00           0.00   0.00       47.00       0.00
A0434   Specialty care transport         0.00           0.00   0.00        7.00       0.00
A0800   Amb trans 7pm-7am                0.00           0.00   0.00        2.00       0.00
A0999   Unlisted ambulance service       0.00           0.00   0.00    1,013.00       0.00
A4206   1 CC sterile syringe&needle      0.00           0.00   0.00        8.00       0.00
A4207   2 CC sterile syringe&needle      0.00           0.00   0.00        1.00       0.00



                                                Page 139
                                                 CPT1


A4208   3 CC sterile syringe&needle      0.00           0.00   0.00     7.00   0.00
A4209   5+ CC sterile syringe&needle     0.00           0.00   0.00    27.00   0.00
A4211   Supp for self-adm injections     0.00           0.00   0.00     3.00   0.00
A4212   Non coring needle or stylet      0.00           0.00   0.00    14.00   0.00
A4213   20+ CC syringe only              0.00           0.00   0.00     1.00   0.00
A4215   Sterile needle                   0.00           0.00   0.00    30.00   0.00
A4216   "Sterile water/saline, 10 ml"    0.00           0.00   0.00     5.00   0.00
A4217   "Sterile water/saline, 500 ml"   0.00           0.00   0.00   116.00   0.00
A4220   Infusion pump refill kit         0.00           0.00   0.00     8.00   0.00
A4222   Drug infusion pump supplies      0.00           0.00   0.00     2.00   0.00
A4230   Infus insulin pump non needl     0.00           0.00   0.00     1.00   0.00
A4231   Infusion insulin pump needle     0.00           0.00   0.00     4.00   0.00
A4244   Alcohol or peroxide per pint     0.00           0.00   0.00     2.00   0.00
A4246   Betadine/phisohex solution       0.00           0.00   0.00    19.00   0.00
A4247   Betadine/iodine swabs/wipes      0.00           0.00   0.00    17.00   0.00
A4250   Urine reagent strips/tablets     0.00           0.00   0.00   343.00   0.00
A4253   Blood glucose/reagent strips     0.00           0.00   0.00   767.00   0.00
A4258   Lancet device each               0.00           0.00   0.00   294.00   0.00
A4259   Lancets per box                  0.00           0.00   0.00    15.00   0.00
A4261   Cervical cap contraceptive       0.00           0.00   0.00     1.00   0.00
A4262   Temporary tear duct plug         0.00           0.00   0.00    13.00   0.00
A4263   Permanent tear duct plug         0.00           0.00   0.00    22.00   0.00
A4266   Diaphragm                        0.00           0.00   0.00    11.00   0.00
A4267   Male condom                      0.00           0.00   0.00     1.00   0.00
A4268   Female condom                    0.00           0.00   0.00     3.00   0.00
A4281   Replacement breastpump tube      0.00           0.00   0.00     5.00   0.00
A4284   Replcmnt breast pump shield      0.00           0.00   0.00    10.00   0.00
A4285   Replcmnt breast pump bottle      0.00           0.00   0.00     1.00   0.00
A4300   Cath impl vasc access portal     0.00           0.00   0.00     1.00   0.00
A4301   Implantable access syst perc     0.00           0.00   0.00   150.00   0.00
A4306   Drug delivery system <=5 ML      0.00           0.00   0.00     1.00   0.00
A4310   Insert tray w/o bag/cath         0.00           0.00   0.00     2.00   0.00
A4311   Catheter w/o bag 2-way latex     0.00           0.00   0.00     5.00   0.00
A4312   Cath w/o bag 2-way silicone      0.00           0.00   0.00     3.00   0.00
A4313   Catheter w/bag 3-way             0.00           0.00   0.00    20.00   0.00
A4314   Cath w/drainage 2-way latex      0.00           0.00   0.00    10.00   0.00
A4320   Irrigation tray                  0.00           0.00   0.00   298.00   0.00



                                                Page 140
                                               CPT1


A4321   Cath therapeutic irrig agent   0.00           0.00   0.00    3.00   0.00
A4322   Irrigation syringe             0.00           0.00   0.00   68.00   0.00
A4323   Saline irrigation solution     0.00           0.00   0.00    1.00   0.00
A4325   Male ext cath w/adh strip      0.00           0.00   0.00    3.00   0.00
A4326   Male external catheter         0.00           0.00   0.00    1.00   0.00
A4328   Fem urinary collect pouch      0.00           0.00   0.00    7.00   0.00
A4330   Stool collection pouch         0.00           0.00   0.00    9.00   0.00
A4331   Extension drainage tubing      0.00           0.00   0.00    3.00   0.00
A4333   Urinary cath anchor device     0.00           0.00   0.00    2.00   0.00
A4334   Urinary cath leg strap         0.00           0.00   0.00    1.00   0.00
A4338   Indwelling catheter latex      0.00           0.00   0.00   10.00   0.00
A4340   Indwelling catheter special    0.00           0.00   0.00   26.00   0.00
A4344   Cath indw foley 2 way silicn   0.00           0.00   0.00   47.00   0.00
A4346   Cath indw foley 3 way          0.00           0.00   0.00    1.00   0.00
A4348   Male ext cath extended wear    0.00           0.00   0.00    1.00   0.00
A4351   Straight tip urine catheter    0.00           0.00   0.00   90.00   0.00
A4352   Coude tip urinary catheter     0.00           0.00   0.00    2.00   0.00
A4353   Intermittent urinary cath      0.00           0.00   0.00   19.00   0.00
A4356   Ext ureth clmp or compr dvc    0.00           0.00   0.00    2.00   0.00
A4358   Urinary leg or abdomen bag     0.00           0.00   0.00    6.00   0.00
A4361   Ostomy face plate              0.00           0.00   0.00    3.00   0.00
A4362   Solid skin barrier             0.00           0.00   0.00    7.00   0.00
A4364   "Adhesive, liquid or equal"    0.00           0.00   0.00   11.00   0.00
A4365   Adhesive remover wipes         0.00           0.00   0.00    2.00   0.00
A4367   Ostomy belt                    0.00           0.00   0.00    3.00   0.00
A4369   Skin barrier liquid per oz     0.00           0.00   0.00    1.00   0.00
A4371   Skin barrier powder per oz     0.00           0.00   0.00    4.00   0.00
A4372   Skin barrier solid 4x4 equiv   0.00           0.00   0.00    1.00   0.00
A4373   Skin barrier with flange       0.00           0.00   0.00    1.00   0.00
A4375   Drainable plastic pch w fcpl   0.00           0.00   0.00    5.00   0.00
A4377   Drainable plstic pch w/o fp    0.00           0.00   0.00   14.00   0.00
A4384   Ostomy faceplt/silicone ring   0.00           0.00   0.00    1.00   0.00
A4388   Drainable pch w ex wear barr   0.00           0.00   0.00    2.00   0.00
A4389   Drainable pch w st wear barr   0.00           0.00   0.00    1.00   0.00
A4390   Drainable pch ex wear convex   0.00           0.00   0.00    1.00   0.00
A4392   Urinary pouch w st wear barr   0.00           0.00   0.00    1.00   0.00
A4393   Urine pch w ex wear bar conv   0.00           0.00   0.00    2.00   0.00



                                              Page 141
                                                  CPT1


A4394   Ostomy pouch liq deodorant        0.00           0.00   0.00       4.00   0.00
A4397   Irrigation supply sleeve          0.00           0.00   0.00       2.00   0.00
A4398   Ostomy irrigation bag             0.00           0.00   0.00       1.00   0.00
A4402   Lubricant per ounce               0.00           0.00   0.00       3.00   0.00
A4405   Nonpectin based ostomy paste      0.00           0.00   0.00       5.00   0.00
A4406   Pectin based ostomy paste         0.00           0.00   0.00       1.00   0.00
A4407   "Ext wear ost skn barr <=4sq"""   0.00           0.00   0.00       1.00   0.00
A4409   "Ost skn barr w flng <=4 sq"""    0.00           0.00   0.00       5.00   0.00
A4414   "Ostomy sknbarr w flng <=4sq"""   0.00           0.00   0.00       1.00   0.00
A4416   Ost pch clsd w barrier/filtr      0.00           0.00   0.00       2.00   0.00
A4421   Ostomy supply misc                0.00           0.00   0.00       4.00   0.00
A4430   Ost urine pch w b/bltin conv      0.00           0.00   0.00       1.00   0.00
A4450   Non-waterproof tape               0.00           0.00   0.00      77.00   0.00
A4452   Waterproof tape                   0.00           0.00   0.00      65.00   0.00
A4455   Adhesive remover per ounce        0.00           0.00   0.00       1.00   0.00
A4458   Reusable enema bag                0.00           0.00   0.00      21.00   0.00
A4462   Abdmnl drssng holder/binder       0.00           0.00   0.00      15.00   0.00
A4465   Non-elastic extremity binder      0.00           0.00   0.00      52.00   0.00
A4490   Above knee surgical stocking      0.00           0.00   0.00       4.00   0.00
A4495   Thigh length surg stocking        0.00           0.00   0.00       4.00   0.00
A4500   Below knee surgical stocking      0.00           0.00   0.00       8.00   0.00
A4510   Full length surg stocking         0.00           0.00   0.00       2.00   0.00
A4550   Surgical trays                    0.00           0.00   0.00     209.00   0.00
A4554   Disposable underpads              0.00           0.00   0.00      76.00   0.00
A4556   "Electrodes, pair"                0.00           0.00   0.00      94.00   0.00
A4558   Conductive paste or gel           0.00           0.00   0.00       3.00   0.00
A4561   "Pessary rubber, any type"        0.00           0.00   0.00       9.00   0.00
A4562   "Pessary, non rubber,any type"    0.00           0.00   0.00       6.00   0.00
A4565   Slings                            0.00           0.00   0.00   1,446.00   0.00
A4570   Splint                            0.00           0.00   0.00   2,739.00   0.00
A4580   Cast supplies (plaster)           0.00           0.00   0.00   2,183.00   0.00
A4590   Special casting material          0.00           0.00   0.00      52.00   0.00
A4606   Oxygen probe used w oximeter      0.00           0.00   0.00     255.00   0.00
A4614   Hand-held PEFR meter              0.00           0.00   0.00     496.00   0.00
A4615   Cannula nasal                     0.00           0.00   0.00     511.00   0.00
A4617   Mouth piece                       0.00           0.00   0.00      12.00   0.00
A4620   Variable concentration mask       0.00           0.00   0.00      50.00   0.00



                                                 Page 142
                                                 CPT1


A4626   Tracheostomy cleaning brush      0.00           0.00   0.00       1.00   0.00
A4627   Spacer bag/reservoir             0.00           0.00   0.00     106.00   0.00
A4630   Repl bat t.e.n.s. own by pt      0.00           0.00   0.00       2.00   0.00
A4633   Uvl replacement bulb             0.00           0.00   0.00       4.00   0.00
A4635   Underarm crutch pad              0.00           0.00   0.00      14.00   0.00
A4636   Handgrip for cane etc            0.00           0.00   0.00       1.00   0.00
A4637   Repl tip cane/crutch/walker      0.00           0.00   0.00      11.00   0.00
A4641   Diagnostic imaging agent         0.00           0.00   0.00       1.00   0.00
A4649   Surgical supplies                0.00           0.00   0.00     122.00   0.00
A4656   Needle any size                  0.00           0.00   0.00       5.00   0.00
A4657   Syringe w/wo needle              0.00           0.00   0.00       6.00   0.00
A4660   Sphyg/bp app w cuff and stet     0.00           0.00   0.00      61.00   0.00
A4663   Dialysis blood pressure cuff     0.00           0.00   0.00   3,249.00   0.00
A4670   "Automatic bp monitor, dial"     0.00           0.00   0.00   4,156.00   0.00
A4706   Bicarbonate conc sol per gal     0.00           0.00   0.00       6.00   0.00
A4714   Treated water per gallon         0.00           0.00   0.00       3.00   0.00
A4721   Dialysat sol fld vol > 999cc     0.00           0.00   0.00       1.00   0.00
A4736   "Topical anesthetic, per gram"   0.00           0.00   0.00       1.00   0.00
A4760   "Dialysate sol test kit, each"   0.00           0.00   0.00       3.00   0.00
A4770   Blood collection tube/vacuum     0.00           0.00   0.00     167.00   0.00
A4772   Blood glucose test strips        0.00           0.00   0.00       2.00   0.00
A4773   Occult blood test strips         0.00           0.00   0.00     460.00   0.00
A4913   Misc dialysis supplies noc       0.00           0.00   0.00       1.00   0.00
A4927   Non-sterile gloves               0.00           0.00   0.00       1.00   0.00
A4930   "Sterile, gloves per pair"       0.00           0.00   0.00       1.00   0.00
A4931   Reusable oral thermometer        0.00           0.00   0.00      56.00   0.00
A5054   Clsd ostomy pouch w/flange       0.00           0.00   0.00       1.00   0.00
A5061   Pouch drainable w barrier at     0.00           0.00   0.00       1.00   0.00
A5063   Drain ostomy pouch w/flange      0.00           0.00   0.00       4.00   0.00
A5093   Ostomy accessory convex inse     0.00           0.00   0.00       4.00   0.00
A5102   Bedside drain btl w/wo tube      0.00           0.00   0.00       2.00   0.00
A5105   Urinary suspensory               0.00           0.00   0.00       1.00   0.00
A5112   Urinary leg bag                  0.00           0.00   0.00       1.00   0.00
A5119   Skin barrier wipes box pr 50     0.00           0.00   0.00      16.00   0.00
A5122   Solid skin barrier 8x8           0.00           0.00   0.00       2.00   0.00
A5126   Disk/foam pad +or- adhesive      0.00           0.00   0.00       3.00   0.00
A5200   Percutaneous catheter anchor     0.00           0.00   0.00       1.00   0.00



                                                Page 143
                                               CPT1


A5500   Diab shoe for density insert   0.00           0.00   0.00    13.00   0.00
A5501   Diabetic custom molded shoe    0.00           0.00   0.00     1.00   0.00
A5503   Diabetic shoe w/roller/rockr   0.00           0.00   0.00     1.00   0.00
A5507   Modification diabetic shoe     0.00           0.00   0.00     6.00   0.00
A5508   Diabetic deluxe shoe           0.00           0.00   0.00     1.00   0.00
A5509   Direct heat form shoe insert   0.00           0.00   0.00     5.00   0.00
A5510   Compression form shoe insert   0.00           0.00   0.00     2.00   0.00
A5511   Custom fab molded shoe inser   0.00           0.00   0.00    72.00   0.00
A6010   Collagen based wound filler    0.00           0.00   0.00     2.00   0.00
A6011   Collagen gel/paste wound fil   0.00           0.00   0.00     1.00   0.00
A6021   Collagen dressing <=16 sq in   0.00           0.00   0.00    19.00   0.00
A6022   Collagen drsg>6<=48 sq in      0.00           0.00   0.00    11.00   0.00
A6023   Collagen dressing >48 sq in    0.00           0.00   0.00    17.00   0.00
A6024   Collagen dsg wound filler      0.00           0.00   0.00     2.00   0.00
A6025   "Silicone gel sheet, each"     0.00           0.00   0.00     7.00   0.00
A6154   Wound pouch each               0.00           0.00   0.00    14.00   0.00
A6196   Alginate dressing <=16 sq in   0.00           0.00   0.00   136.00   0.00
A6198   alginate dressing > 48 sq in   0.00           0.00   0.00     2.00   0.00
A6199   Alginate drsg wound filler     0.00           0.00   0.00   103.00   0.00
A6200   Compos drsg <=16 no border     0.00           0.00   0.00   103.00   0.00
A6201   Compos drsg >16<=48 no bdr     0.00           0.00   0.00    28.00   0.00
A6202   Compos drsg >48 no border      0.00           0.00   0.00     7.00   0.00
A6203   Composite drsg <= 16 sq in     0.00           0.00   0.00    18.00   0.00
A6204   Composite drsg >16<=48 sq in   0.00           0.00   0.00     1.00   0.00
A6205   Composite drsg > 48 sq in      0.00           0.00   0.00     1.00   0.00
A6206   Contact layer <= 16 sq in      0.00           0.00   0.00    18.00   0.00
A6207   Contact layer >16<= 48 sq in   0.00           0.00   0.00     1.00   0.00
A6209   Foam drsg <=16 sq in w/o bdr   0.00           0.00   0.00    35.00   0.00
A6210   Foam drg >16<=48 sq in w/o b   0.00           0.00   0.00    23.00   0.00
A6212   Foam drg <=16 sq in w/border   0.00           0.00   0.00    21.00   0.00
A6213   Foam drg >16<=48 sq in w/bdr   0.00           0.00   0.00     2.00   0.00
A6215   Foam dressing wound filler     0.00           0.00   0.00    30.00   0.00
A6216   Non-sterile gauze<=16 sq in    0.00           0.00   0.00    69.00   0.00
A6217   Non-sterile gauze>16<=48 sq    0.00           0.00   0.00     2.00   0.00
A6218   Non-sterile gauze > 48 sq in   0.00           0.00   0.00     3.00   0.00
A6219   Gauze <= 16 sq in w/border     0.00           0.00   0.00   508.00   0.00
A6220   Gauze >16 <=48 sq in w/bordr   0.00           0.00   0.00     1.00   0.00



                                              Page 144
                                               CPT1


A6222   Gauze <=16 in no w/sal w/o b   0.00           0.00   0.00      15.00   0.00
A6223   Gauze >16<=48 no w/sal w/o b   0.00           0.00   0.00      12.00   0.00
A6228   Gauze <= 16 sq in water/sal    0.00           0.00   0.00       1.00   0.00
A6229   Gauze >16<=48 sq in watr/sal   0.00           0.00   0.00       1.00   0.00
A6234   Hydrocolld drg <=16 w/o bdr    0.00           0.00   0.00      42.00   0.00
A6235   Hydrocolld drg >16<=48 w/o b   0.00           0.00   0.00       3.00   0.00
A6236   Hydrocolld drg > 48 in w/o b   0.00           0.00   0.00       1.00   0.00
A6238   Hydrocolld drg >16<=48 w/bdr   0.00           0.00   0.00     136.00   0.00
A6241   Hydrocolloid drg filler dry    0.00           0.00   0.00       2.00   0.00
A6242   Hydrogel drg <=16 in w/o bdr   0.00           0.00   0.00      27.00   0.00
A6243   Hydrogel drg >16<=48 w/o bdr   0.00           0.00   0.00       3.00   0.00
A6245   Hydrogel drg <= 16 in w/bdr    0.00           0.00   0.00      10.00   0.00
A6248   Hydrogel drsg gel filler       0.00           0.00   0.00     106.00   0.00
A6250   Skin seal protect moisturizr   0.00           0.00   0.00     201.00   0.00
A6251   Absorpt drg <=16 sq in w/o b   0.00           0.00   0.00       3.00   0.00
A6252   Absorpt drg >16 <=48 w/o bdr   0.00           0.00   0.00       1.00   0.00
A6253   Absorpt drg > 48 sq in w/o b   0.00           0.00   0.00       7.00   0.00
A6254   Absorpt drg <=16 sq in w/bdr   0.00           0.00   0.00       1.00   0.00
A6255   Absorpt drg >16<=48 in w/bdr   0.00           0.00   0.00       2.00   0.00
A6257   Transparent film <= 16 sq in   0.00           0.00   0.00       9.00   0.00
A6258   Transparent film >16<=48 in    0.00           0.00   0.00       7.00   0.00
A6259   Transparent film > 48 sq in    0.00           0.00   0.00       1.00   0.00
A6260   Wound cleanser any type/size   0.00           0.00   0.00   1,495.00   0.00
A6261   Wound filler gel/paste /oz     0.00           0.00   0.00      65.00   0.00
A6262   Wound filler dry form / gram   0.00           0.00   0.00      19.00   0.00
A6266   Impreg gauze no h20/sal/yard   0.00           0.00   0.00      12.00   0.00
A6402   Sterile gauze <= 16 sq in      0.00           0.00   0.00      34.00   0.00
A6404   Sterile gauze > 48 sq in       0.00           0.00   0.00       2.00   0.00
A6407   "Packing strips, non-impreg"   0.00           0.00   0.00      54.00   0.00
A6410   Sterile eye pad                0.00           0.00   0.00       7.00   0.00
A6411   Non-sterile eye pad            0.00           0.00   0.00       3.00   0.00
A6412   Occlusive eye patch            0.00           0.00   0.00      14.00   0.00
A6430   Lt compres bdg >=3<5”w /roll   0.00           0.00   0.00       1.00   0.00
A6441   Pad band w>=3” <5”/yd          0.00           0.00   0.00       3.00   0.00
A6442   Conform band n/s w<3”/yd       0.00           0.00   0.00      27.00   0.00
A6443   Conform band n/s w>=3”<5”/yd   0.00           0.00   0.00      25.00   0.00
A6444   Conform band n/s w>=5”/yd      0.00           0.00   0.00      52.00   0.00



                                              Page 145
                                                 CPT1


A6445   Conform band s w <3”/yd          0.00           0.00   0.00       1.00   0.00
A6446   Conform band s w>=3” <5”/yd      0.00           0.00   0.00       3.00   0.00
A6447   Conform band s w >=5”/yd         0.00           0.00   0.00       2.00   0.00
A6448   Lt compres band <3”/yd           0.00           0.00   0.00      52.00   0.00
A6449   Lt compres band >=3” <5”/yd      0.00           0.00   0.00     142.00   0.00
A6450   Lt compres band >=5”/yd          0.00           0.00   0.00      23.00   0.00
A6451   Mod compres band w>=3”<5”/yd     0.00           0.00   0.00      86.00   0.00
A6452   High compres band w>=3”<5”yd     0.00           0.00   0.00       1.00   0.00
A6453   Self-adher band w <3”/yd         0.00           0.00   0.00      16.00   0.00
A6454   Self-adher band w>=3” <5”/yd     0.00           0.00   0.00      10.00   0.00
A6456   Zinc paste band w >=3”<5”/yd     0.00           0.00   0.00       1.00   0.00
A6506   Cmprsburngrmnt glove-axilla      0.00           0.00   0.00       1.00   0.00
A6512   "Compres burn garment, noc"      0.00           0.00   0.00       1.00   0.00
A6550   Neg pres wound ther drsg set     0.00           0.00   0.00      43.00   0.00
A6551   Neg press wound ther canistr     0.00           0.00   0.00      20.00   0.00
A7002   Tubing used w suction pump       0.00           0.00   0.00       1.00   0.00
A7003   Nebulizer administration set     0.00           0.00   0.00     113.00   0.00
A7004   Disposable nebulizer sml vol     0.00           0.00   0.00      28.00   0.00
A7005   Nondisposable nebulizer set      0.00           0.00   0.00      21.00   0.00
A7006   Filtered nebulizer admin set     0.00           0.00   0.00      56.00   0.00
A7008   Disposable nebulizer prefill     0.00           0.00   0.00       4.00   0.00
A7010   Disposable corrugated tubing     0.00           0.00   0.00       1.00   0.00
A7012   Nebulizer water collec devic     0.00           0.00   0.00       4.00   0.00
A7015   Aerosol mask used w nebulize     0.00           0.00   0.00      67.00   0.00
A7016   Nebulizer dome & mouthpiece      0.00           0.00   0.00      41.00   0.00
A7018   Water distilled w/nebulizer      0.00           0.00   0.00       2.00   0.00
A7042   Implanted pleural catheter       0.00           0.00   0.00       4.00   0.00
A7509   Heat & moisture exchange sys     0.00           0.00   0.00       9.00   0.00
A7526   Tracheostomy tube collar         0.00           0.00   0.00       2.00   0.00
A9150   Misc/exper non-prescript dru     0.00           0.00   0.00   2,664.00   0.00
A9270   Non-covered item or service      0.00           0.00   0.00     249.00   0.00
A9300   Exercise equipment               0.00           0.00   0.00     296.00   0.00
A9502   Technetium TC99M tetrofosmin     0.00           0.00   0.00       1.00   0.00
A9510   Technetium TC99m Disofenin       0.00           0.00   0.00       1.00   0.00
A9700   Echocardiography Contrast        0.00           0.00   0.00       2.00   0.00
A9900   Supply/accessory/service         0.00           0.00   0.00       6.00   0.00
A9999   "DME supply or accessory, nos"   0.00           0.00   0.00       1.00   0.00



                                                Page 146
                                                 CPT1


B4081                                    0.00           0.00            3.00     0.00
B4082                                    0.00           0.00            5.00     0.00
B4086                                    0.00           0.00            1.00     0.00
B4154                                    0.00           0.00            7.00     0.00
C1031                                    0.00           0.00           31.00     0.00
C1079                                    0.00           0.00           12.00     0.00
C1083                                    0.00           0.00            3.00     0.00
C1170                                    0.00           0.00            1.00     0.00
C1178                                    0.00           0.00            1.00     0.00
C1300                                    0.00           0.00          100.00     0.00
C1321                                    0.00           0.00            2.00     0.00
C1368                                    0.00           0.00            2.00     0.00
C1758                                    0.00           0.00            2.00     0.00
C1764                                    0.00           0.00            3.00     0.00
C1765                                    0.00           0.00            4.00     0.00
C1817                                    0.00           0.00            1.00     0.00
C2614                                    0.00           0.00            1.00     0.00
C2618                                    0.00           0.00            9.00     0.00
C9003                                    0.00           0.00          293.00     0.00
C9105                                    0.00           0.00           47.00     0.00
C9113                                    0.00           0.00            3.00     0.00
C9202                                    0.00           0.00            1.00     0.00
C9208                                    0.00           0.00            1.00     0.00
C9704                                    0.00           0.00            5.00     0.00
D0120   Periodic oral evaluation         0.29           0.00   0.00   128.00    37.12
D0140   Limit oral eval problm focus     0.48           0.00   0.00   463.00   222.24
D0150   Comprehensve oral evaluation     0.50           0.00   0.00    92.00    46.00
D0160   Extensv oral eval prob focus     1.40           0.00   0.00     3.00     4.20
D0170   "Re-eval,est pt,problem focus"   0.35           0.00   0.00    65.00    22.75
D0210   Intraor complete film series     0.20           0.00   0.00    11.00     2.20
D0220   Intraoral periapical first f     0.04           0.00   0.00    10.00     0.40
D0240   Intraoral occlusal film          0.05           0.00   0.00    14.00     0.70
D0270   Dental bitewing single film      0.04           0.00   0.00     2.00     0.08
D0272   Dental bitewings two films       0.06           0.00   0.00    20.00     1.20
D0290   Dental film skull/facial bon     0.31           0.00   0.00     2.00     0.62
D0330   Dental panoramic film            0.18           0.00   0.00    68.00    12.24
D0415   Bacteriologic study              0.00           0.00   0.00     1.00     0.00



                                                Page 147
                                               CPT1


D0460   Pulp vitality test             0.00           0.00   0.00     2.00    0.00
D0470   Diagnostic casts               0.00           0.00   0.00    11.00    0.00
D0999   Unspecified diagnostic proce   0.00           0.00   0.00    12.00    0.00
D1110   Dental prophylaxis adult       0.30           0.00   0.00    64.00   19.20
D1120   Dental prophylaxis child       0.21           0.00   0.00     7.00    1.47
D1201   Topical fluor w prophy child   0.30           0.00   0.00    65.00   19.50
D1204   Topical fluor w/o prophy adu   0.12           0.00   0.00     6.00    0.72
D1205   Topical fluoride w/ prophy a   0.35           0.00   0.00     1.00    0.35
D1310   Nutri counsel-control caries   0.16           0.00   0.00    20.00    3.20
D1320   Tobacco counseling             0.15           0.00   0.00   500.00   75.00
D1330   Oral hygiene instruction       0.22           0.00   0.00    11.00    2.42
D1351   Dental sealant per tooth       0.16           0.00   0.00    21.00    3.36
D1510   Space maintainer fxd unilat    1.06           0.00   0.00     2.00    2.12
D1515   Fixed bilat space maintainer   1.40           0.00   0.00     1.00    1.40
D1520   Remove unilat space maintain   1.32           0.00   0.00     1.00    1.32
D2140   Amalgam one surface permanen   0.63           0.00   0.00    38.00   23.94
D2150   Amalgam two surfaces permane   0.81           0.00   0.00    19.00   15.39
D2160   Amalgam three surfaces perma   0.99           0.00   0.00     5.00    4.95
D2161   Amalgam 4 or > surfaces perm   1.20           0.00   0.00     9.00   10.80
D2330   Resin one surface-anterior     0.78           0.00   0.00     2.00    1.56
D2331   Resin two surfaces-anterior    0.99           0.00   0.00     1.00    0.99
D2332   Resin three surfaces-anterio   1.22           0.00   0.00     1.00    1.22
D2335   Resin 4/> surf or w incis an   1.44           0.00   0.00     4.00    5.76
D2390   Ant resin-based cmpst crown    1.59           0.00   0.00     1.00    1.59
D2391   Post 1 srfc resinbased cmpst   0.91           0.00   0.00     5.00    4.55
D2392   Post 2 srfc resinbased cmpst   1.19           0.00   0.00     1.00    1.19
D2720   Crown resin w/ high noble me   6.48           0.00   0.00     1.00    6.48
D2740   Crown porcelain/ceramic subs   6.66           0.00   0.00     1.00    6.66
D2752   Crown porcelain w/ noble met   6.26           0.00   0.00     3.00   18.78
D2790   Crown full cast high noble m   6.34           0.00   0.00     5.00   31.70
D2920   Dental recement crown          0.54           0.00   0.00     1.00    0.54
D2930   Prefab stnlss steel crwn pri   1.48           0.00   0.00    26.00   38.48
D2931   Prefab stnlss steel crown pe   1.67           0.00   0.00     2.00    3.34
D2932   Prefabricated resin crown      1.81           0.00   0.00     2.00    3.62
D2933   Prefab stainless steel crown   2.04           0.00   0.00     2.00    4.08
D2940   Dental sedative filling        0.56           0.00   0.00     1.00    0.56
D2955   Post removal                   1.34           0.00   0.00     2.00    2.68



                                              Page 148
                                                CPT1


D2961   Lab labial veneer resin         4.88           0.00   0.00       1.00     4.88
D2970   Temporary- fractured tooth      1.26           0.00   0.00       1.00     1.26
D2999   Dental unspec restorative pr    0.00           0.00   0.00      10.00     0.00
D3220   Therapeutic pulpotomy           0.91           0.00   0.00       2.00     1.82
D3221   Gross pulpal debridement        1.00           0.00   0.00       8.00     8.00
D3310   Anterior                        3.86           0.00   0.00       1.00     3.86
D3320   Root canal therapy 2 canals     4.71           0.00   0.00       1.00     4.71
D3332   Incomplete endodontic tx        3.33           0.00   0.00       2.00     6.66
D3430   Retrograde filling              1.34           0.00   0.00       7.00     9.38
D3460   Endodontic endosseous implan   12.99           0.00   0.00       2.00    25.98
D4211   Gingivectomy/plasty per toot    1.60           0.00   0.00       1.00     1.60
D4260   Osseous surgery per quadrant    7.11           0.00   0.00       1.00     7.11
D4263   Bone replce graft first site    2.15           0.00   0.00       2.00     4.30
D4276   Con tissue w dble ped graft     6.24           0.00   0.00       1.00     6.24
D4321   Provisional splint extracoro    2.34           0.00   0.00       1.00     2.34
D4341   Periodontal scaling & root      1.44           0.00   0.00       1.00     1.44
D4920   Unscheduled dressing change     0.74           0.00   0.00   1,225.00   906.50
D5410   Dentures adjust cmplt maxil     0.45           0.00   0.00       2.00     0.90
D5899   Removable prosthodontic proc    0.00           0.00   0.00       1.00     0.00
D5922   Nasal septal prosthesis         0.00           0.00   0.00       4.00     0.00
D5927   Auricular replacement           0.00           0.00   0.00       1.00     0.00
D5951   Feeding aid                     6.36           0.00   0.00       1.00     6.36
D5959   Intraoral con def mod palat     0.00           0.00   0.00       2.00     0.00
D5982   Surgical stent                  4.04           0.00   0.00       2.00     8.08
D6010   Odontics endosteal implant     13.57           0.00   0.00      22.00   298.54
D6020   Odontics abutment placement     1.66           0.00   0.00       2.00     3.32
D6040   Odontics eposteal implant      62.43           0.00   0.00       1.00    62.43
D6100   Removal of implant              0.00           0.00   0.00       3.00     0.00
D6199   Implant procedure               0.00           0.00   0.00       1.00     0.00
D6241   Bridge porcelain base metal     5.38           0.00   0.00       1.00     5.38
D6242   Bridge porcelain nobel metal    5.67           0.00   0.00       1.00     5.67
D6780   Crown 3/4 high noble metal      6.26           0.00   0.00      92.00   575.92
D7111   Coronal remnants deciduous t    0.61           0.00   0.00       2.00     1.22
D7140   Extraction erupted tooth/exr    0.81           0.00   0.00     174.00   140.94
D7210   Rem imp tooth w mucoper flp     1.43           0.00   0.00     291.00   416.13
D7220   Impact tooth remov soft tiss    1.79           0.00   0.00     386.00   690.94
D7230   Impact tooth remov part bony    2.38           0.00   0.00      27.00    64.26



                                               Page 149
                                                CPT1


D7240   Impact tooth remov comp bony    2.80           0.00   0.00   129.00     361.20
D7241   Impact tooth rem bony w/comp    3.52           0.00   0.00     6.00      21.12
D7250   Tooth root removal              1.51           0.00   0.00     4.00       6.04
D7270   Tooth reimplantation            3.07           0.00   0.00     1.00       3.07
D7280   Exposure impact tooth orthod    3.37           0.00   0.00     2.00       6.74
D7281   Exposure tooth aid eruption     2.85           0.00   0.00     4.00      11.40
D7285   Biopsy of oral tissue hard      5.97           0.00   0.00     1.00       5.97
D7286   Biopsy of oral tissue soft      2.44           0.00   0.00     8.00      19.52
D7287   Cytology sample collection      0.74           0.00   0.00    46.00      34.04
D7310   Alveoplasty w/ extraction       1.67           0.00   0.00    10.00      16.70
D7320   Alveoplasty w/o extraction      7.45           0.00   0.00     9.00      67.05
D7340   Vestibuloplasty ridge extens   13.34           0.00   0.00     1.00      13.34
D7410   Rad exc lesion up to 1.25 cm    5.32           0.00   0.00   341.00   1,814.12
D7411   Excision benign lesion>1.25c    9.08           0.00   0.00    72.00     653.76
D7412   Excision benign lesion compl   10.10           0.00   0.00     3.00      30.30
D7413   Excision malig lesion<=1.25c    6.86           0.00   0.00     2.00      13.72
D7414   Excision malig lesion>1.25cm   10.19           0.00   0.00     2.00      20.38
D7451   Rem odontogen cyst > 1.25 cm    8.35           0.00   0.00     1.00       8.35
D7460   Rem nonodonto cyst to 1.25cm    5.32           0.00   0.00     2.00      10.64
D7461   Rem nonodonto cyst > 1.25 cm    8.56           0.00   0.00     2.00      17.12
D7465   Lesion destruction              3.03           0.00   0.00    41.00     124.23
D7471   Rem exostosis any site          5.51           0.00   0.00     1.00       5.51
D7473   Remove torus mandibularis       6.18           0.00   0.00     1.00       6.18
D7510   I&d absc intraoral soft tiss    1.59           0.00   0.00    29.00      46.11
D7520   I&d abscess extraoral           7.59           0.00   0.00    56.00     425.04
D7560   Maxillary sinusotomy           15.01           0.00   0.00     6.00      90.06
D7610   Maxilla open reduct simple     24.28           0.00   0.00     1.00      24.28
D7740   Clsd reduct compd mandble fx   20.42           0.00   0.00     1.00      20.42
D7820   Closed tmp manipulation         4.37           0.00   0.00     2.00       8.74
D7870   Tmj aspiration joint fluid      1.71           0.00   0.00     9.00      15.39
D7871   Lysis + lavage w catheters      3.41           0.00   0.00     2.00       6.82
D7873   Tmj arthroscopy lysis adhesn   21.91           0.00   0.00     1.00      21.91
D7880   Occlusal orthotic appliance     4.09           0.00   0.00     3.00      12.27
D7899   Tmj unspecified therapy         0.00           0.00   0.00     2.00       0.00
D7910   Dent sutur recent wnd to 5cm    2.43           0.00   0.00   123.00     298.89
D7911   Dental suture wound to 5 cm     6.07           0.00   0.00     4.00      24.28
D7912   Suture complicate wnd > 5 cm   10.93           0.00   0.00    28.00     306.04



                                               Page 150
                                                CPT1


D7940   Reshaping bone orthognathic     0.00           0.00   0.00     1.00     0.00
D7941   Bone cutting ramus closed      53.59           0.00   0.00     1.00    53.59
D7943   Cutting ramus open w/graft     55.82           0.00   0.00     2.00   111.64
D7945   Bone cutting body mandible     55.23           0.00   0.00     1.00    55.23
D7947   Reconstruct maxilla segment    57.49           0.00   0.00     1.00    57.49
D7948   Reconstruct midface no graft   89.52           0.00   0.00     2.00   179.04
D7950   Mandible graft                  0.00           0.00   0.00     3.00     0.00
D7960   Frenulectomy/frenulotomy        3.51           0.00   0.00     4.00    14.04
D7970   Excision hyperplastic tissue    3.62           0.00   0.00     1.00     3.62
D7972   Surg redct fibrous tuberosit    4.26           0.00   0.00     1.00     4.26
D7980   Sialolithotomy                  5.15           0.00   0.00     1.00     5.15
D7996   Implant mandible for augment    0.00           0.00   0.00     1.00     0.00
D7997   Appliance removal               1.86           0.00   0.00     7.00    13.02
D7999   Oral surgery procedure          0.00           0.00   0.00     1.00     0.00
D8040   Limited dental tx adult         0.00           0.00   0.00     1.00     0.00
D8080   Compre dental tx adolescent     0.00           0.00   0.00    17.00     0.00
D8660   Preorthodontic tx visit         0.23           0.00   0.00     1.00     0.23
D8690   Orthodontic treatment           1.17           0.00   0.00     1.00     1.17
D9110   Tx dental pain minor proc       0.33           0.00   0.00     2.00     0.66
D9210   Dent anesthesia w/o surgery     0.10           0.00   0.00     1.00     0.10
D9211   Regional block anesthesia       0.15           0.00   0.00    18.00     2.70
D9215   Local anesthesia                0.10           0.00   0.00   122.00    12.20
D9220   General anesthesia              1.32           0.00   0.00    12.00    15.84
D9241   Intravenous sedation            1.04           0.00   0.00    96.00    99.84
D9242   IV sedation ea ad 30 m          0.43           0.00   0.00     1.00     0.43
D9310   Dental consultation             0.69           0.00   0.00     2.00     1.38
D9430   Office visit during hours       0.23           0.00   0.00    19.00     4.37
D9440   Office visit after hours        0.42           0.00   0.00     5.00     2.10
D9450   Case presentation tx plan       0.17           0.00   0.00     1.00     0.17
D9610   Dent therapeutic drug inject    0.00           0.00   0.00     5.00     0.00
D9630   Other drugs/medicaments         0.00           0.00   0.00    23.00     0.00
D9910   Dent appl desensitizing med     0.15           0.00   0.00     1.00     0.15
D9920   Behavior management             0.00           0.00   0.00   840.00     0.00
D9940   Dental occlusal guard           0.00           0.00   0.00     1.00     0.00
D9941   Fabrication athletic guard      0.52           0.00   0.00     2.00     1.04
D9971   Odontoplasty 1-2 teeth          0.22           0.00   0.00     2.00     0.44
D9999   Adjunctive procedure            0.00           0.00   0.00   572.00     0.00



                                               Page 151
                CPT1


E0100   0.00           0.00     398.00   0.00
E0105   0.00           0.00       5.00   0.00
E0110   0.00           0.00     470.00   0.00
E0111   0.00           0.00     122.00   0.00
E0112   0.00           0.00   3,407.00   0.00
E0113   0.00           0.00   1,133.00   0.00
E0114   0.00           0.00   1,408.00   0.00
E0116   0.00           0.00     317.00   0.00
E0117   0.00           0.00       1.00   0.00
E0118   0.00           0.00       1.00   0.00
E0130   0.00           0.00      23.00   0.00
E0135   0.00           0.00       6.00   0.00
E0141   0.00           0.00       1.00   0.00
E0143   0.00           0.00       2.00   0.00
E0148   0.00           0.00       1.00   0.00
E0149   0.00           0.00       3.00   0.00
E0157   0.00           0.00      14.00   0.00
E0160   0.00           0.00       9.00   0.00
E0163   0.00           0.00       1.00   0.00
E0168   0.00           0.00       1.00   0.00
E0176   0.00           0.00       3.00   0.00
E0178   0.00           0.00       3.00   0.00
E0179   0.00           0.00       1.00   0.00
E0180   0.00           0.00       8.00   0.00
E0181   0.00           0.00       1.00   0.00
E0182   0.00           0.00       6.00   0.00
E0189   0.00           0.00       1.00   0.00
E0190   0.00           0.00       1.00   0.00
E0191   0.00           0.00      60.00   0.00
E0200   0.00           0.00       1.00   0.00
E0202   0.00           0.00      35.00   0.00
E0203   0.00           0.00       4.00   0.00
E0205   0.00           0.00       2.00   0.00
E0210   0.00           0.00       1.00   0.00
E0215   0.00           0.00       5.00   0.00
E0217   0.00           0.00       1.00   0.00
E0218   0.00           0.00      20.00   0.00



               Page 152
                CPT1


E0220   0.00           0.00     1.00   0.00
E0225   0.00           0.00     2.00   0.00
E0230   0.00           0.00    59.00   0.00
E0231   0.00           0.00     1.00   0.00
E0235   0.00           0.00    29.00   0.00
E0238   0.00           0.00    99.00   0.00
E0239   0.00           0.00    10.00   0.00
E0249   0.00           0.00     1.00   0.00
E0277   0.00           0.00    19.00   0.00
E0304   0.00           0.00     4.00   0.00
E0371   0.00           0.00     1.00   0.00
E0430   0.00           0.00     1.00   0.00
E0431   0.00           0.00     4.00   0.00
E0434   0.00           0.00     4.00   0.00
E0440   0.00           0.00     1.00   0.00
E0444   0.00           0.00     1.00   0.00
E0445   0.00           0.00   182.00   0.00
E0459   0.00           0.00     1.00   0.00
E0481   0.00           0.00     1.00   0.00
E0500   0.00           0.00    16.00   0.00
E0555   0.00           0.00     1.00   0.00
E0570   0.00           0.00   109.00   0.00
E0571   0.00           0.00    55.00   0.00
E0572   0.00           0.00     1.00   0.00
E0574   0.00           0.00    28.00   0.00
E0575   0.00           0.00     2.00   0.00
E0580   0.00           0.00    51.00   0.00
E0590   0.00           0.00    14.00   0.00
E0602   0.00           0.00    16.00   0.00
E0603   0.00           0.00     1.00   0.00
E0604   0.00           0.00    17.00   0.00
E0607   0.00           0.00   152.00   0.00
E0618   0.00           0.00     1.00   0.00
E0619   0.00           0.00     2.00   0.00
E0620   0.00           0.00    17.00   0.00
E0621   0.00           0.00    21.00   0.00
E0700   0.00           0.00     2.00   0.00



               Page 153
                CPT1


E0720   0.00           0.00    39.00   0.00
E0730   0.00           0.00    25.00   0.00
E0731   0.00           0.00     2.00   0.00
E0746   0.00           0.00     5.00   0.00
E0749   0.00           0.00     2.00   0.00
E0760   0.00           0.00     1.00   0.00
E0784   0.00           0.00     1.00   0.00
E0840   0.00           0.00     4.00   0.00
E0855   0.00           0.00     2.00   0.00
E0860   0.00           0.00    16.00   0.00
E0890   0.00           0.00     3.00   0.00
E0900   0.00           0.00     1.00   0.00
E0910   0.00           0.00     1.00   0.00
E0935   0.00           0.00     1.00   0.00
E0942   0.00           0.00     5.00   0.00
E0944   0.00           0.00     5.00   0.00
E0945   0.00           0.00     1.00   0.00
E0951   0.00           0.00     2.00   0.00
E0960   0.00           0.00     3.00   0.00
E0994   0.00           0.00     3.00   0.00
E1037   0.00           0.00     3.00   0.00
E1038   0.00           0.00    16.00   0.00
E1100   0.00           0.00     2.00   0.00
E1340   0.00           0.00     1.00   0.00
E1390   0.00           0.00    18.00   0.00
E1399   0.00           0.00   242.00   0.00
E1405   0.00           0.00     1.00   0.00
E1406   0.00           0.00     1.00   0.00
E1637   0.00           0.00     1.00   0.00
E1800   0.00           0.00     2.00   0.00
E1802   0.00           0.00     2.00   0.00
E1805   0.00           0.00    25.00   0.00
E1810   0.00           0.00    21.00   0.00
E1815   0.00           0.00    11.00   0.00
E1820   0.00           0.00     1.00   0.00
E1825   0.00           0.00     3.00   0.00
E1830   0.00           0.00     2.00   0.00



               Page 154
                                                 CPT1


E2101                                    0.00           0.00              11.00       0.00
E2120                                    0.00           0.00               2.00       0.00
E2402                                    0.00           0.00              72.00       0.00
G0001   Drawing blood for specimen       0.00           0.00   0.00    5,377.00       0.00
G0008   Admin influenza virus vac        0.00           0.00   0.00    3,221.00       0.00
G0009   Admin pneumococcal vaccine       0.00           0.00   0.00      140.00       0.00
G0010   Admin hepatitis b vaccine        0.00           0.00   0.00    1,004.00       0.00
G0101   CA screen;pelvic/breast exam     0.45           0.45   0.52   20,887.00   9,399.15
G0102   Prostate ca screening; dre       0.17           0.17   0.39    1,598.00     271.66
G0103   "Psa, total screening"           0.00           0.00   0.00       97.00       0.00
G0104   CA screen;flexi sigmoidscope     0.96           0.96   2.20      152.00     145.92
G0105   Colorectal scrn; hi risk ind     3.69           3.69   6.04      203.00     749.07
G0107   CA screen; fecal blood test      0.00           0.00   0.00       67.00       0.00
G0108   Diab manage trn per indiv        0.00           0.00   0.84      818.00       0.00
G0109   Diab manage trn ind/group        0.00           0.00   0.48    2,459.00       0.00
G0110   Nett pulm-rehab educ; ind        0.90           0.90   0.70        1.00       0.90
G0112   "Nett;nutrition guid, initial"   1.72           1.72   1.20        2.00       3.44
G0117   Glaucoma scrn hgh risk direc     0.45           0.45   0.71       67.00      30.15
G0118   Glaucoma scrn hgh risk direc     0.17           0.17   0.52        1.00       0.17
G0120   Colon ca scrn; barium enema      0.99           0.99   2.57        1.00       0.99
G0121   Colon ca scrn not hi rsk ind     3.69           0.96   2.20      680.00   2,509.20
G0122   Colon ca scrn; barium enema      0.99           0.99   2.57        2.00       1.98
G0123   Screen cerv/vag thin layer       0.00           0.00   0.00        1.00       0.00
G0127   Trim nail(s)                     0.17           0.17   0.25      237.00      40.29
G0128   CORF skilled nursing service     0.08           0.08   0.03        1.00       0.08
G0130   Single energy x-ray study        0.22           0.22   0.88        3.00       0.66
G0141   "Scr c/v cyto,autosys and md"    0.42           0.42   0.18       95.00      39.90
G0154                                    0.00           0.00               1.00       0.00
G0156                                    0.00           0.00              36.00       0.00
G0168   Wound closure by adhesive        0.45           0.45   1.92      420.00     189.00
G0175   "OPPS Service,sched team conf"   0.00           0.00   0.00      306.00       0.00
G0177   OPPS/PHP; train & educ serv      0.00           0.00   0.00        1.00       0.00
G0180   MD certification HHA patient     0.67           0.67   1.29        1.00       0.67
G0237   Therapeutic procd strg endur     0.00           0.00   0.47        8.00       0.00
G0238   "Oth resp proc, indiv"           0.00           0.00   0.00        2.00       0.00
G0239   "Oth resp proc, group"           0.00           0.00   0.00        5.00       0.00
G0243   Multisour photon stero treat     0.00           0.00   0.00        5.00       0.00



                                                Page 155
                                                CPT1


G0244   Observ care by facility topt    0.00           0.00   0.00       15.00     0.00
G0245   Initial foot exam pt lops       0.88           0.88   0.79       47.00    41.36
G0246   Followup eval of foot pt lop    0.45           0.45   0.54       75.00    33.75
G0247   Routine footcare pt w lops      0.50           0.50   0.51      153.00    76.50
G0250   MD review interpret of test     0.18           0.18   0.06      120.00    21.60
G0258   IV infusion during obs stay     0.00           0.00   0.00        1.00     0.00
G0264   "Assmt otr CHF, CP, asthma"     0.00           0.00   0.00        1.00     0.00
G0268   Removal of impacted wax md      0.61           0.61   0.63      803.00   489.83
G0269   Occlusive device in vein art    0.00           0.00   0.00        1.00     0.00
G0270   MNT subs tx for change dx       0.00           0.00   0.47        6.00     0.00
G0282   Elect stim wound care not pd    0.00           0.00   0.00        1.00     0.00
G0283   Elec stim other than wound      0.18           0.18   0.11      102.00    18.36
G0302   Pre-op service LVRS complete    0.00           0.00   0.00        5.00     0.00
G0303   Pre-op service LVRS 10-15dos    0.00           0.00   0.00        2.00     0.00
G0304   Pre-op service LVRS 1-9 dos     0.00           0.00   0.00        9.00     0.00
G0306   CBC/diffwbc w/o platelet        0.00           0.00   0.00       81.00     0.00
G0328   Fecal blood scrn immunoassay    0.00           0.00   0.00        1.00     0.00
G9001   "MCCD, initial rate"            0.00           0.00   0.00        1.00     0.00
G9007   "MCCD, sch team conf"           0.00           0.00   0.00      187.00     0.00
G9008   "Mccd,phys coor-care ovrsght"   0.00           0.00   0.00        1.00     0.00
G9012   Other Specified Case Mgmt       0.00           0.00   0.00       67.00     0.00
G9016   Demo-smoking cessation coun     0.00           0.00   0.00       43.00     0.00
H0001   Alcohol and/or drug assess      0.00           0.00   0.00    5,843.00     0.00
H0002   Alcohol and/or drug screenin    0.00           0.00   0.00    7,219.00     0.00
H0003   Alcohol and/or drug screenin    0.00           0.00   0.00      242.00     0.00
H0004   Alcohol and/or drug services    0.00           0.00   0.00   12,905.00     0.00
H0005   Alcohol and/or drug services    0.00           0.00   0.00   20,407.00     0.00
H0006   Alcohol and/or drug services    0.00           0.00   0.00    5,373.00     0.00
H0007   Alcohol and/or drug services    0.00           0.00   0.00       90.00     0.00
H0008   Alcohol and/or drug services    0.00           0.00   0.00       11.00     0.00
H0009   Alcohol and/or drug services    0.00           0.00   0.00        2.00     0.00
H0010   Alcohol and/or drug services    0.00           0.00   0.00       25.00     0.00
H0011   Alcohol and/or drug services    0.00           0.00   0.00        1.00     0.00
H0012   Alcohol and/or drug services    0.00           0.00   0.00        1.00     0.00
H0014   Alcohol and/or drug services    0.00           0.00   0.00        3.00     0.00
H0015   Alcohol and/or drug services    0.00           0.00   0.00    4,456.00     0.00
H0016   Alcohol and/or drug services    0.00           0.00   0.00      437.00     0.00



                                               Page 156
                                                 CPT1


H0017   Alcohol and/or drug services     0.00           0.00   0.00      10.00   0.00
H0018   Alcohol and/or drug services     0.00           0.00   0.00   5,163.00   0.00
H0020   Alcohol and/or drug services     0.00           0.00   0.00       7.00   0.00
H0021   Alcohol and/or drug training     0.00           0.00   0.00     103.00   0.00
H0022   Alcohol and/or drug interven     0.00           0.00   0.00     727.00   0.00
H0023   Alcohol and/or drug outreach     0.00           0.00   0.00      55.00   0.00
H0024   Alcohol and/or drug preventi     0.00           0.00   0.00     375.00   0.00
H0025   Alcohol and/or drug preventi     0.00           0.00   0.00   3,949.00   0.00
H0027   Alcohol and/or drug preventi     0.00           0.00   0.00       6.00   0.00
H0028   Alcohol and/or drug preventi     0.00           0.00   0.00      23.00   0.00
H0029   Alcohol and/or drug preventi     0.00           0.00   0.00      46.00   0.00
H0030   Alcohol and/or drug hotline      0.00           0.00   0.00       2.00   0.00
H0031   MH health assess by non-md       0.00           0.00   0.00     180.00   0.00
H0032   MH svc plan dev by non-md        0.00           0.00   0.00      14.00   0.00
H0033   Oral med adm direct observe      0.00           0.00   0.00   1,483.00   0.00
H0034   Med trng & support per 15min     0.00           0.00   0.00     761.00   0.00
H0043   "Supported housing, per diem"    0.00           0.00   0.00      15.00   0.00
H0046   "Mental health service, nos"     0.00           0.00   0.00      47.00   0.00
H0047   Alcohol/drug abuse svc nos       0.00           0.00   0.00     433.00   0.00
H0048   Spec coll non-blood:a/d test     0.00           0.00   0.00       3.00   0.00
H1000   Prenatal care atrisk assessm     0.00           0.00   0.00      88.00   0.00
H1001   Antepartum management            0.00           0.00   0.00       2.00   0.00
H1002   Carecoordination prenatal        0.00           0.00   0.00       2.00   0.00
H1003   Prenatal at risk education       0.00           0.00   0.00   1,623.00   0.00
H1010   Nonmed family planning ed        0.00           0.00   0.00      89.00   0.00
H1011   Family assessment                0.00           0.00   0.00       1.00   0.00
H2000   Comp multidisipln evaluation     0.00           0.00   0.00      12.00   0.00
H2010   Comprehensive med svc 15 min     0.00           0.00   0.00       3.00   0.00
H2011   "Crisis interven svc, 15 min"    0.00           0.00   0.00       1.00   0.00
H2012   "Behav hlth day treat, per hr"   0.00           0.00   0.00     197.00   0.00
H2013   "Psych hlth fac svc, per diem"   0.00           0.00   0.00      80.00   0.00
H2021   "Com wrap-around sv, 15 min"     0.00           0.00   0.00       2.00   0.00
H2035   "A/D tx program, per hour"       0.00           0.00   0.00      13.00   0.00
H2036   "A/D tx program, per diem"       0.00           0.00   0.00       2.00   0.00
J0120   Tetracyclin injection            0.00           0.00   0.00       1.00   0.00
J0130   Abciximab injection              0.00           0.00   0.00       1.00   0.00
J0150   Injection adenosine 6 MG         0.00           0.00   0.00      31.00   0.00



                                                Page 157
                                               CPT1


J0152   Adenosine injection            0.00           0.00   0.00       7.00   0.00
J0170   Adrenalin epinephrin inject    0.00           0.00   0.00     115.00   0.00
J0215   Alefacept                      0.00           0.00   0.00      40.00   0.00
J0256   Alpha 1 proteinase inhibitor   0.00           0.00   0.00       8.00   0.00
J0270   Alprostadil for injection      0.00           0.00   0.00      10.00   0.00
J0275   Alprostadil urethral suppos    0.00           0.00   0.00       3.00   0.00
J0290   Ampicillin 500 MG inj          0.00           0.00   0.00       9.00   0.00
J0295   Ampicillin sodium per 1.5 gm   0.00           0.00   0.00      67.00   0.00
J0330   Succinycholine chloride inj    0.00           0.00   0.00       2.00   0.00
J0360   Hydralazine hcl injection      0.00           0.00   0.00       1.00   0.00
J0380   Inj metaraminol bitartrate     0.00           0.00   0.00       1.00   0.00
J0395   Arbutamine HCl injection       0.00           0.00   0.00       1.00   0.00
J0456   Azithromycin                   0.00           0.00   0.00      49.00   0.00
J0460   Atropine sulfate injection     0.00           0.00   0.00       6.00   0.00
J0476   Baclofen intrathecal trial     0.00           0.00   0.00       1.00   0.00
J0500   Dicyclomine injection          0.00           0.00   0.00      13.00   0.00
J0530   Penicillin g benzathine inj    0.00           0.00   0.00      53.00   0.00
J0540   Penicillin g benzathine inj    0.00           0.00   0.00   4,999.00   0.00
J0550   Penicillin g benzathine inj    0.00           0.00   0.00      19.00   0.00
J0560   Penicillin g benzathine inj    0.00           0.00   0.00      58.00   0.00
J0570   Penicillin g benzathine inj    0.00           0.00   0.00   3,783.00   0.00
J0580   Penicillin g benzathine inj    0.00           0.00   0.00      95.00   0.00
J0585   Botulinum toxin a per unit     0.00           0.00   0.00     164.00   0.00
J0587   Botulinum toxin type B         0.00           0.00   0.00       6.00   0.00
J0592   Buprenorphine hydrochloride    0.00           0.00   0.00       1.00   0.00
J0595   Butorphanol tartrate 1 mg      0.00           0.00   0.00       3.00   0.00
J0600   Edetate calcium disodium inj   0.00           0.00   0.00       1.00   0.00
J0610   Calcium gluconate injection    0.00           0.00   0.00       2.00   0.00
J0630   Calcitonin salmon injection    0.00           0.00   0.00       1.00   0.00
J0640   Leucovorin calcium injection   0.00           0.00   0.00      10.00   0.00
J0690   Cefazolin sodium injection     0.00           0.00   0.00     200.00   0.00
J0692   Cefepime HCl for injection     0.00           0.00   0.00       2.00   0.00
J0694   Cefoxitin sodium injection     0.00           0.00   0.00      10.00   0.00
J0696   Ceftriaxone sodium injection   0.00           0.00   0.00   2,059.00   0.00
J0697   Sterile cefuroxime injection   0.00           0.00   0.00       3.00   0.00
J0698   Cefotaxime sodium injection    0.00           0.00   0.00       3.00   0.00
J0702   Betamethasone acet&sod phosp   0.00           0.00   0.00      17.00   0.00



                                              Page 158
                                               CPT1


J0704   Betamethasone sod phosp/4 MG   0.00           0.00   0.00      32.00   0.00
J0706   Caffeine citrate injection     0.00           0.00   0.00       4.00   0.00
J0710   Cephapirin sodium injection    0.00           0.00   0.00       3.00   0.00
J0713   Inj ceftazidime per 500 mg     0.00           0.00   0.00       1.00   0.00
J0715   Ceftizoxime sodium / 500 MG    0.00           0.00   0.00       5.00   0.00
J0725   Chorionic gonadotropin/1000u   0.00           0.00   0.00       1.00   0.00
J0735   Clonidine hydrochloride        0.00           0.00   0.00      19.00   0.00
J0744   Ciprofloxacin iv               0.00           0.00   0.00       2.00   0.00
J0770   Colistimethate sodium inj      0.00           0.00   0.00       1.00   0.00
J0780   Prochlorperazine injection     0.00           0.00   0.00      12.00   0.00
J0800   Corticotropin injection        0.00           0.00   0.00      60.00   0.00
J0835   Inj cosyntropin per 0.25 MG    0.00           0.00   0.00       3.00   0.00
J0850   Cytomegalovirus imm IV /vial   0.00           0.00   0.00       5.00   0.00
J0880   Darbepoetin alfa injection     0.00           0.00   0.00      70.00   0.00
J0895   Deferoxamine mesylate inj      0.00           0.00   0.00       2.00   0.00
J0900   Testosterone enanthate inj     0.00           0.00   0.00      60.00   0.00
J0970   Estradiol valerate injection   0.00           0.00   0.00      23.00   0.00
J1000   Depo-estradiol cypionate inj   0.00           0.00   0.00     510.00   0.00
J1020   Methylprednisolone 20 MG inj   0.00           0.00   0.00      63.00   0.00
J1030   Methylprednisolone 40 MG inj   0.00           0.00   0.00      86.00   0.00
J1040   Methylprednisolone 80 MG inj   0.00           0.00   0.00      31.00   0.00
J1051   Medroxyprogesterone inj        0.00           0.00   0.00     257.00   0.00
J1055   Medrxyprogester acetate inj    0.00           0.00   0.00   7,210.00   0.00
J1056   MA/EC contraceptiveinjection   0.00           0.00   0.00     140.00   0.00
J1060   Testosterone cypionate 1 ML    0.00           0.00   0.00      27.00   0.00
J1070   Testosterone cypionat 100 MG   0.00           0.00   0.00      42.00   0.00
J1080   Testosterone cypionat 200 MG   0.00           0.00   0.00     210.00   0.00
J1094   Inj dexamethasone acetate      0.00           0.00   0.00     127.00   0.00
J1100   Dexamethasone sodium phos      0.00           0.00   0.00     469.00   0.00
J1110   Inj dihydroergotamine mesylt   0.00           0.00   0.00       8.00   0.00
J1120   Acetazolamid sodium injectio   0.00           0.00   0.00       2.00   0.00
J1160   Digoxin injection              0.00           0.00   0.00       1.00   0.00
J1165   Phenytoin sodium injection     0.00           0.00   0.00       8.00   0.00
J1170   Hydromorphone injection        0.00           0.00   0.00     103.00   0.00
J1190   Dexrazoxane HCl injection      0.00           0.00   0.00       1.00   0.00
J1200   Diphenhydramine hcl injectio   0.00           0.00   0.00     475.00   0.00
J1212   Dimethyl sulfoxide 50% 50 ML   0.00           0.00   0.00       7.00   0.00



                                              Page 159
                                               CPT1


J1240   Dimenhydrinate injection       0.00           0.00   0.00       2.00   0.00
J1250   Inj dobutamine HCL/250 mg      0.00           0.00   0.00       1.00   0.00
J1260   Dolasetron mesylate            0.00           0.00   0.00       4.00   0.00
J1335   Ertapenem injection            0.00           0.00   0.00       3.00   0.00
J1364   Erythro lactobionate /500 MG   0.00           0.00   0.00       2.00   0.00
J1380   Estradiol valerate 10 MG inj   0.00           0.00   0.00      11.00   0.00
J1390   Estradiol valerate 20 MG inj   0.00           0.00   0.00       8.00   0.00
J1410   Inj estrogen conjugate 25 MG   0.00           0.00   0.00       1.00   0.00
J1435   Injection estrone per 1 MG     0.00           0.00   0.00       2.00   0.00
J1438   Etanercept injection           0.00           0.00   0.00     142.00   0.00
J1440   Filgrastim 300 mcg injection   0.00           0.00   0.00      10.00   0.00
J1550   Gamma globulin 10 CC inj       0.00           0.00   0.00       1.00   0.00
J1563   IV immune globulin             0.00           0.00   0.00      42.00   0.00
J1564   Immune globulin 10 mg          0.00           0.00   0.00       4.00   0.00
J1565   RSV-ivig                       0.00           0.00   0.00      14.00   0.00
J1580   Garamycin gentamicin inj       0.00           0.00   0.00       6.00   0.00
J1590   Gatifloxacin injection         0.00           0.00   0.00      30.00   0.00
J1600   Gold sodium thiomaleate inj    0.00           0.00   0.00       1.00   0.00
J1610   Glucagon hydrochloride/1 MG    0.00           0.00   0.00       6.00   0.00
J1630   Haloperidol injection          0.00           0.00   0.00      14.00   0.00
J1631   Haloperidol decanoate inj      0.00           0.00   0.00       6.00   0.00
J1642   Inj heparin sodium per 10 u    0.00           0.00   0.00   1,660.00   0.00
J1644   Inj heparin sodium per 1000u   0.00           0.00   0.00     132.00   0.00
J1645   Dalteparin sodium              0.00           0.00   0.00       1.00   0.00
J1650   Inj enoxaparin sodium          0.00           0.00   0.00      60.00   0.00
J1652   Fondaparinux sodium            0.00           0.00   0.00       1.00   0.00
J1655   Tinzaparin sodium injection    0.00           0.00   0.00       1.00   0.00
J1670   Tetanus immune globulin inj    0.00           0.00   0.00     275.00   0.00
J1700   Hydrocortisone acetate inj     0.00           0.00   0.00       1.00   0.00
J1710   Hydrocortisone sodium ph inj   0.00           0.00   0.00       6.00   0.00
J1720   Hydrocortisone sodium succ i   0.00           0.00   0.00       5.00   0.00
J1730   Diazoxide injection            0.00           0.00   0.00       2.00   0.00
J1745   Infliximab injection           0.00           0.00   0.00      45.00   0.00
J1750   Iron dextran                   0.00           0.00   0.00      34.00   0.00
J1785   Injection imiglucerase /unit   0.00           0.00   0.00       8.00   0.00
J1790   Droperidol injection           0.00           0.00   0.00       6.00   0.00
J1815   Insulin injection              0.00           0.00   0.00      34.00   0.00



                                              Page 160
                                                 CPT1


J1817   Insulin for insulin pump use     0.00           0.00   0.00       8.00   0.00
J1825   Interferon beta-1a               0.00           0.00   0.00      80.00   0.00
J1830   Interferon beta-1b / .25 MG      0.00           0.00   0.00      11.00   0.00
J1850   Kanamycin sulfate 75 MG inj      0.00           0.00   0.00       3.00   0.00
J1885   Ketorolac tromethamine inj       0.00           0.00   0.00   4,927.00   0.00
J1890   Cephalothin sodium injection     0.00           0.00   0.00       2.00   0.00
J1940   Furosemide injection             0.00           0.00   0.00      89.00   0.00
J1950   Leuprolide acetate /3.75 MG      0.00           0.00   0.00     231.00   0.00
J1955   Inj levocarnitine per 1 gm       0.00           0.00   0.00       1.00   0.00
J1956   Levofloxacin injection           0.00           0.00   0.00      66.00   0.00
J1990   Chlordiazepoxide injection       0.00           0.00   0.00       3.00   0.00
J2000   Lidocaine injection              0.00           0.00   0.00       2.00   0.00
J2001   Lidocaine injection              0.00           0.00   0.00     349.00   0.00
J2060   Lorazepam injection              0.00           0.00   0.00     141.00   0.00
J2150   Mannitol injection               0.00           0.00   0.00       8.00   0.00
J2175   Meperidine hydrochl /100 MG      0.00           0.00   0.00     588.00   0.00
J2180   Meperidine/promethazine inj      0.00           0.00   0.00     110.00   0.00
J2185   Meropenem                        0.00           0.00   0.00       1.00   0.00
J2250   Inj midazolam hydrochloride      0.00           0.00   0.00      65.00   0.00
J2260   Inj milrinone lactate / 5 MG     0.00           0.00   0.00       1.00   0.00
J2270   Morphine sulfate injection       0.00           0.00   0.00     578.00   0.00
J2271   Morphine so4 injection 100mg     0.00           0.00   0.00      14.00   0.00
J2275   Morphine sulfate injection       0.00           0.00   0.00       1.00   0.00
J2300   Inj nalbuphine hydrochloride     0.00           0.00   0.00      23.00   0.00
J2310   Inj naloxone hydrochloride       0.00           0.00   0.00       9.00   0.00
J2322   Nandrolone decanoate 200 MG      0.00           0.00   0.00       1.00   0.00
J2353   "Octreotide injection, depot"    0.00           0.00   0.00       8.00   0.00
J2354   "Octreotide inj, non-depot"      0.00           0.00   0.00       1.00   0.00
J2360   Orphenadrine injection           0.00           0.00   0.00       1.00   0.00
J2370   Phenylephrine hcl injection      0.00           0.00   0.00       2.00   0.00
J2405   Ondansetron hcl injection        0.00           0.00   0.00      90.00   0.00
J2430   Pamidronate disodium /30 MG      0.00           0.00   0.00       7.00   0.00
J2440   Papaverin hcl injection          0.00           0.00   0.00       4.00   0.00
J2505   "Injection, pegfilgrastim 6mg"   0.00           0.00   0.00       5.00   0.00
J2510   Penicillin g procaine inj        0.00           0.00   0.00       4.00   0.00
J2515   Pentobarbital sodium inj         0.00           0.00   0.00       1.00   0.00
J2540   Penicillin g potassium inj       0.00           0.00   0.00       2.00   0.00



                                                Page 161
                                                 CPT1


J2543   Piperacillin/tazobactam          0.00           0.00   0.00      22.00   0.00
J2545   Pentamidine isethionte/300mg     0.00           0.00   0.00       3.00   0.00
J2550   Promethazine hcl injection       0.00           0.00   0.00   1,382.00   0.00
J2560   Phenobarbital sodium inj         0.00           0.00   0.00       1.00   0.00
J2590   Oxytocin injection               0.00           0.00   0.00      35.00   0.00
J2597   Inj desmopressin acetate         0.00           0.00   0.00       2.00   0.00
J2675   Inj progesterone per 50 MG       0.00           0.00   0.00      67.00   0.00
J2680   Fluphenazine decanoate 25 MG     0.00           0.00   0.00       4.00   0.00
J2700   Oxacillin sodium injeciton       0.00           0.00   0.00       4.00   0.00
J2730   Pralidoxime chloride inj         0.00           0.00   0.00       1.00   0.00
J2765   Metoclopramide hcl injection     0.00           0.00   0.00     258.00   0.00
J2770   Quinupristin/dalfopristin        0.00           0.00   0.00       3.00   0.00
J2780   Ranitidine hydrochloride inj     0.00           0.00   0.00      73.00   0.00
J2788   Rho d immune globulin 50 mcg     0.00           0.00   0.00       9.00   0.00
J2790   Rho d immune globulin inj        0.00           0.00   0.00     237.00   0.00
J2792   "Rho(D) immune globulin h, sd"   0.00           0.00   0.00       2.00   0.00
J2795   Ropivacaine HCl injection        0.00           0.00   0.00       1.00   0.00
J2800   Methocarbamol injection          0.00           0.00   0.00      12.00   0.00
J2820   Sargramostim injection           0.00           0.00   0.00       1.00   0.00
J2910   Aurothioglucose injeciton        0.00           0.00   0.00      40.00   0.00
J2912   Sodium chloride injection        0.00           0.00   0.00      21.00   0.00
J2916   Na ferric gluconate complex      0.00           0.00   0.00      35.00   0.00
J2920   Methylprednisolone injection     0.00           0.00   0.00      93.00   0.00
J2930   Methylprednisolone injection     0.00           0.00   0.00     247.00   0.00
J2950   Promazine hcl injection          0.00           0.00   0.00      29.00   0.00
J2997   Alteplase recombinant            0.00           0.00   0.00       3.00   0.00
J3000   Streptomycin injection           0.00           0.00   0.00       1.00   0.00
J3010   Fentanyl citrate injeciton       0.00           0.00   0.00     141.00   0.00
J3030   Sumatriptan succinate / 6 MG     0.00           0.00   0.00     141.00   0.00
J3070   Pentazocine injection            0.00           0.00   0.00       3.00   0.00
J3100   Tenecteplase injection           0.00           0.00   0.00       1.00   0.00
J3105   Terbutaline sulfate inj          0.00           0.00   0.00       4.00   0.00
J3120   Testosterone enanthate inj       0.00           0.00   0.00      12.00   0.00
J3130   Testosterone enanthate inj       0.00           0.00   0.00     212.00   0.00
J3140   Testosterone suspension inj      0.00           0.00   0.00      35.00   0.00
J3150   Testosteron propionate inj       0.00           0.00   0.00      51.00   0.00
J3230   Chlorpromazine hcl injection     0.00           0.00   0.00       4.00   0.00



                                                Page 162
                                               CPT1


J3240   Thyrotropin injection          0.00           0.00   0.00      38.00   0.00
J3250   Trimethobenzamide hcl inj      0.00           0.00   0.00      18.00   0.00
J3260   Tobramycin sulfate injection   0.00           0.00   0.00       1.00   0.00
J3265   Injection torsemide 10 mg/ml   0.00           0.00   0.00       1.00   0.00
J3301   Triamcinolone acetonide inj    0.00           0.00   0.00   1,176.00   0.00
J3302   Triamcinolone diacetate inj    0.00           0.00   0.00      33.00   0.00
J3303   Triamcinolone hexacetonl inj   0.00           0.00   0.00       5.00   0.00
J3310   Perphenazine injeciton         0.00           0.00   0.00       2.00   0.00
J3360   Diazepam injection             0.00           0.00   0.00     109.00   0.00
J3370   Vancomycin hcl injection       0.00           0.00   0.00      10.00   0.00
J3400   Triflupromazine hcl inj        0.00           0.00   0.00       2.00   0.00
J3410   Hydroxyzine hcl injection      0.00           0.00   0.00      25.00   0.00
J3411   Thiamine hcl 100 mg            0.00           0.00   0.00       1.00   0.00
J3420   Vitamin b12 injection          0.00           0.00   0.00   3,631.00   0.00
J3430   Vitamin k phytonadione inj     0.00           0.00   0.00      87.00   0.00
J3470   Hyaluronidase injection        0.00           0.00   0.00       1.00   0.00
J3475   Inj magnesium sulfate          0.00           0.00   0.00      16.00   0.00
J3480   Inj potassium chloride         0.00           0.00   0.00       4.00   0.00
J3487   Zoledronic acid                0.00           0.00   0.00      49.00   0.00
J3490   Drugs unclassified injection   0.00           0.00   0.00     447.00   0.00
J3535   Metered dose inhaler drug      0.00           0.00   0.00      64.00   0.00
J3590   Unclassified biologics         0.00           0.00   0.00       8.00   0.00
J7030   Normal saline solution infus   0.00           0.00   0.00   5,123.00   0.00
J7040   Normal saline solution infus   0.00           0.00   0.00     477.00   0.00
J7042   5% dextrose/normal saline      0.00           0.00   0.00      16.00   0.00
J7050   Normal saline solution infus   0.00           0.00   0.00     452.00   0.00
J7051   Sterile saline/water           0.00           0.00   0.00     128.00   0.00
J7060   5% dextrose/water              0.00           0.00   0.00       4.00   0.00
J7070   D5w infusion                   0.00           0.00   0.00      10.00   0.00
J7100   Dextran 40 infusion            0.00           0.00   0.00       1.00   0.00
J7120   Ringers lactate infusion       0.00           0.00   0.00     350.00   0.00
J7130   Hypertonic saline solution     0.00           0.00   0.00       9.00   0.00
J7195   Factor IX recombinant          0.00           0.00   0.00       1.00   0.00
J7197   Antithrombin iii injection     0.00           0.00   0.00       1.00   0.00
J7198   Anti-inhibitor                 0.00           0.00   0.00       1.00   0.00
J7300   Intraut copper contraceptive   0.00           0.00   0.00      76.00   0.00
J7302   Levonorgestrel iu contracept   0.00           0.00   0.00      25.00   0.00



                                              Page 163
                                                CPT1


J7303   Contraceptive vaginal ring      0.00           0.00   0.00       9.00   0.00
J7317   Sodium hyaluronate injection    0.00           0.00   0.00      53.00   0.00
J7320   Hylan G-F 20 injection          0.00           0.00   0.00     229.00   0.00
J7501   Azathioprine parenteral         0.00           0.00   0.00       1.00   0.00
J7502   Cyclosporine oral 100 mg        0.00           0.00   0.00       1.00   0.00
J7506   Prednisone oral                 0.00           0.00   0.00     193.00   0.00
J7510   Prednisolone oral per 5 mg      0.00           0.00   0.00     141.00   0.00
J7511   Antithymocyte globuln rabbit    0.00           0.00   0.00       1.00   0.00
J7513   "Daclizumab, parenteral"        0.00           0.00   0.00       1.00   0.00
J7599   Immunosuppressive drug noc      0.00           0.00   0.00      20.00   0.00
J7618   Albuterol inh sol con           0.00           0.00   0.00     619.00   0.00
J7619   Albuterol inh sol u d           0.00           0.00   0.00   1,769.00   0.00
J7621   (Levo)albuterol/Ipra-bromide    0.00           0.00   0.00      41.00   0.00
J7624   Betamethasone inhalation sol    0.00           0.00   0.00       1.00   0.00
J7626   Budesonide inhalation sol       0.00           0.00   0.00       1.00   0.00
J7637   Dexamethasone inhal sol con     0.00           0.00   0.00       5.00   0.00
J7638   Dexamethasone inhal sol u d     0.00           0.00   0.00       2.00   0.00
J7639   Dornase alpha inhal sol u d     0.00           0.00   0.00       1.00   0.00
J7641   "Flunisolide, inhalation sol"   0.00           0.00   0.00       1.00   0.00
J7644   Ipratropium brom inh sol u d    0.00           0.00   0.00      70.00   0.00
J7699   Inhalation solution for DME     0.00           0.00   0.00      28.00   0.00
J7799   Non-inhalation drug for DME     0.00           0.00   0.00       4.00   0.00
J8499   Oral prescrip drug non chemo    0.00           0.00   0.00   2,977.00   0.00
J8521   "Capecitabine, oral, 500 mg"    0.00           0.00   0.00       4.00   0.00
J8530   Cyclophosphamide oral 25 MG     0.00           0.00   0.00       4.00   0.00
J8560   Etoposide oral 50 MG            0.00           0.00   0.00       1.00   0.00
J8700   Temozolomide                    0.00           0.00   0.00       2.00   0.00
J8999   Oral prescription drug chemo    0.00           0.00   0.00     172.00   0.00
J9000   Doxorubic hcl 10 MG vl chemo    0.00           0.00   0.00       7.00   0.00
J9001   Doxorubicin hcl liposome inj    0.00           0.00   0.00       2.00   0.00
J9010   Alemtuzumab injection           0.00           0.00   0.00      20.00   0.00
J9020   Asparaginase injection          0.00           0.00   0.00       4.00   0.00
J9031   Bcg live intravesical vac       0.00           0.00   0.00      56.00   0.00
J9040   Bleomycin sulfate injection     0.00           0.00   0.00      14.00   0.00
J9045   Carboplatin injection           0.00           0.00   0.00      12.00   0.00
J9050   Carmus bischl nitro inj         0.00           0.00   0.00       7.00   0.00
J9062   Cisplatin 50 MG injection       0.00           0.00   0.00       1.00   0.00



                                               Page 164
                                               CPT1


J9070   Cyclophosphamide 100 MG inj    0.00           0.00   0.00     2.00   0.00
J9090   Cyclophosphamide 500 MG inj    0.00           0.00   0.00     6.00   0.00
J9091   Cyclophosphamide 1.0 grm inj   0.00           0.00   0.00     1.00   0.00
J9096   Cyclophosphamide lyophilized   0.00           0.00   0.00     2.00   0.00
J9097   Cyclophosphamide lyophilized   0.00           0.00   0.00     1.00   0.00
J9110   Cytarabine hcl 500 MG inj      0.00           0.00   0.00     4.00   0.00
J9140   Dacarbazine 200 MG inj         0.00           0.00   0.00    25.00   0.00
J9150   Daunorubicin                   0.00           0.00   0.00     3.00   0.00
J9170   Docetaxel                      0.00           0.00   0.00    39.00   0.00
J9178   "Inj, epirubicin hcl, 2 mg"    0.00           0.00   0.00     1.00   0.00
J9181   Etoposide 10 MG inj            0.00           0.00   0.00     3.00   0.00
J9182   Etoposide 100 MG inj           0.00           0.00   0.00     3.00   0.00
J9185   Fludarabine phosphate inj      0.00           0.00   0.00     4.00   0.00
J9190   Fluorouracil injection         0.00           0.00   0.00    19.00   0.00
J9201   Gemcitabine HCl                0.00           0.00   0.00    18.00   0.00
J9202   Goserelin acetate implant      0.00           0.00   0.00   123.00   0.00
J9206   Irinotecan injection           0.00           0.00   0.00     6.00   0.00
J9213   Interferon alfa-2a inj         0.00           0.00   0.00     2.00   0.00
J9214   Interferon alfa-2b inj         0.00           0.00   0.00     5.00   0.00
J9216   Interferon gamma 1-b inj       0.00           0.00   0.00     1.00   0.00
J9217   Leuprolide acetate suspnsion   0.00           0.00   0.00   156.00   0.00
J9218   Leuprolide acetate injeciton   0.00           0.00   0.00    65.00   0.00
J9219   Leuprolide acetate implant     0.00           0.00   0.00     1.00   0.00
J9250   Methotrexate sodium inj        0.00           0.00   0.00    25.00   0.00
J9260   Methotrexate sodium inj        0.00           0.00   0.00    59.00   0.00
J9263   Oxaliplatin                    0.00           0.00   0.00    13.00   0.00
J9265   Paclitaxel injection           0.00           0.00   0.00    15.00   0.00
J9268   Pentostatin injection          0.00           0.00   0.00     1.00   0.00
J9280   Mitomycin 5 MG inj             0.00           0.00   0.00     1.00   0.00
J9293   Mitoxantrone hydrochl / 5 MG   0.00           0.00   0.00     1.00   0.00
J9310   Rituximab cancer treatment     0.00           0.00   0.00    25.00   0.00
J9320   Streptozocin injection         0.00           0.00   0.00     1.00   0.00
J9355   Trastuzumab                    0.00           0.00   0.00    25.00   0.00
J9370   Vincristine sulfate 1 MG inj   0.00           0.00   0.00     4.00   0.00
J9375   Vincristine sulfate 2 MG inj   0.00           0.00   0.00     3.00   0.00
J9390   Vinorelbine tartrate/10 mg     0.00           0.00   0.00     7.00   0.00
J9395   "Injection, Fulvestrant"       0.00           0.00   0.00     3.00   0.00



                                              Page 165
                                    CPT1


J9999   Chemotherapy drug   0.00           0.00   0.00    17.00   0.00
K0004                       0.00           0.00            1.00   0.00
K0019                       0.00           0.00            1.00   0.00
K0023                       0.00           0.00            1.00   0.00
K0038                       0.00           0.00            2.00   0.00
K0056                       0.00           0.00            7.00   0.00
K0064                       0.00           0.00            3.00   0.00
K0102                       0.00           0.00            4.00   0.00
K0415                       0.00           0.00            7.00   0.00
K0416                       0.00           0.00            1.00   0.00
K0455                       0.00           0.00           34.00   0.00
K0606                       0.00           0.00           44.00   0.00
K0620                       0.00           0.00           40.00   0.00
L0100                       0.00           0.00            3.00   0.00
L0120                       0.00           0.00          310.00   0.00
L0130                       0.00           0.00           24.00   0.00
L0140                       0.00           0.00           11.00   0.00
L0150                       0.00           0.00           29.00   0.00
L0170                       0.00           0.00            8.00   0.00
L0172                       0.00           0.00           49.00   0.00
L0174                       0.00           0.00           38.00   0.00
L0190                       0.00           0.00            1.00   0.00
L0200                       0.00           0.00            1.00   0.00
L0210                       0.00           0.00            9.00   0.00
L0220                       0.00           0.00            1.00   0.00
L0450                       0.00           0.00            8.00   0.00
L0452                       0.00           0.00            1.00   0.00
L0454                       0.00           0.00            7.00   0.00
L0458                       0.00           0.00            2.00   0.00
L0460                       0.00           0.00            2.00   0.00
L0462                       0.00           0.00           17.00   0.00
L0468                       0.00           0.00            1.00   0.00
L0470                       0.00           0.00            1.00   0.00
L0472                       0.00           0.00           21.00   0.00
L0474                       0.00           0.00            3.00   0.00
L0476                       0.00           0.00            2.00   0.00
L0480                       0.00           0.00           15.00   0.00



                                   Page 166
                CPT1


L0482   0.00           0.00     3.00   0.00
L0486   0.00           0.00     2.00   0.00
L0488   0.00           0.00     1.00   0.00
L0500   0.00           0.00   301.00   0.00
L0510   0.00           0.00    38.00   0.00
L0515   0.00           0.00    85.00   0.00
L0520   0.00           0.00     1.00   0.00
L0540   0.00           0.00    10.00   0.00
L0560   0.00           0.00     1.00   0.00
L0561   0.00           0.00     9.00   0.00
L0565   0.00           0.00     2.00   0.00
L0600   0.00           0.00    17.00   0.00
L0620   0.00           0.00     1.00   0.00
L0700   0.00           0.00     1.00   0.00
L0710   0.00           0.00     3.00   0.00
L0960   0.00           0.00     2.00   0.00
L0970   0.00           0.00     3.00   0.00
L0972   0.00           0.00    11.00   0.00
L0976   0.00           0.00     9.00   0.00
L0978   0.00           0.00     2.00   0.00
L0982   0.00           0.00     1.00   0.00
L0999   0.00           0.00     3.00   0.00
L1005   0.00           0.00    15.00   0.00
L1010   0.00           0.00     4.00   0.00
L1030   0.00           0.00     6.00   0.00
L1070   0.00           0.00     7.00   0.00
L1090   0.00           0.00     1.00   0.00
L1230   0.00           0.00     2.00   0.00
L1270   0.00           0.00     1.00   0.00
L1300   0.00           0.00     1.00   0.00
L1310   0.00           0.00     1.00   0.00
L1499   0.00           0.00     2.00   0.00
L1620   0.00           0.00     3.00   0.00
L1650   0.00           0.00     4.00   0.00
L1660   0.00           0.00     1.00   0.00
L1685   0.00           0.00     3.00   0.00
L1686   0.00           0.00     5.00   0.00



               Page 167
                CPT1


L1800   0.00           0.00   622.00   0.00
L1810   0.00           0.00   442.00   0.00
L1815   0.00           0.00   435.00   0.00
L1820   0.00           0.00   149.00   0.00
L1825   0.00           0.00   505.00   0.00
L1830   0.00           0.00   712.00   0.00
L1831   0.00           0.00     7.00   0.00
L1832   0.00           0.00   390.00   0.00
L1834   0.00           0.00     2.00   0.00
L1836   0.00           0.00    12.00   0.00
L1840   0.00           0.00    63.00   0.00
L1843   0.00           0.00    11.00   0.00
L1844   0.00           0.00     9.00   0.00
L1845   0.00           0.00   201.00   0.00
L1846   0.00           0.00    14.00   0.00
L1850   0.00           0.00     3.00   0.00
L1858   0.00           0.00    26.00   0.00
L1900   0.00           0.00     4.00   0.00
L1901   0.00           0.00    68.00   0.00
L1902   0.00           0.00   640.00   0.00
L1904   0.00           0.00     5.00   0.00
L1906   0.00           0.00   409.00   0.00
L1907   0.00           0.00     4.00   0.00
L1910   0.00           0.00    10.00   0.00
L1920   0.00           0.00     8.00   0.00
L1930   0.00           0.00   399.00   0.00
L1940   0.00           0.00    68.00   0.00
L1945   0.00           0.00     2.00   0.00
L1950   0.00           0.00     2.00   0.00
L1951   0.00           0.00     2.00   0.00
L1960   0.00           0.00    29.00   0.00
L1970   0.00           0.00    13.00   0.00
L1971   0.00           0.00     2.00   0.00
L1980   0.00           0.00     1.00   0.00
L1990   0.00           0.00    87.00   0.00
L2020   0.00           0.00     7.00   0.00
L2030   0.00           0.00    12.00   0.00



               Page 168
                CPT1


L2038   0.00           0.00       2.00   0.00
L2112   0.00           0.00     139.00   0.00
L2114   0.00           0.00     229.00   0.00
L2116   0.00           0.00       3.00   0.00
L2200   0.00           0.00       3.00   0.00
L2210   0.00           0.00       2.00   0.00
L2220   0.00           0.00       2.00   0.00
L2250   0.00           0.00       1.00   0.00
L2260   0.00           0.00       1.00   0.00
L2265   0.00           0.00       6.00   0.00
L2270   0.00           0.00       1.00   0.00
L2275   0.00           0.00      30.00   0.00
L2280   0.00           0.00       1.00   0.00
L2320   0.00           0.00      11.00   0.00
L2360   0.00           0.00       1.00   0.00
L2397   0.00           0.00       9.00   0.00
L2405   0.00           0.00      26.00   0.00
L2425   0.00           0.00       1.00   0.00
L2435   0.00           0.00      42.00   0.00
L2680   0.00           0.00       7.00   0.00
L2760   0.00           0.00       1.00   0.00
L2795   0.00           0.00      14.00   0.00
L2800   0.00           0.00       1.00   0.00
L2850   0.00           0.00       1.00   0.00
L2999   0.00           0.00     452.00   0.00
L3000   0.00           0.00     407.00   0.00
L3001   0.00           0.00     241.00   0.00
L3002   0.00           0.00     201.00   0.00
L3003   0.00           0.00     125.00   0.00
L3010   0.00           0.00   2,862.00   0.00
L3020   0.00           0.00   1,371.00   0.00
L3030   0.00           0.00   1,130.00   0.00
L3031   0.00           0.00       2.00   0.00
L3040   0.00           0.00   1,736.00   0.00
L3050   0.00           0.00     343.00   0.00
L3060   0.00           0.00     985.00   0.00
L3070   0.00           0.00      23.00   0.00



               Page 169
                CPT1


L3080   0.00           0.00      20.00   0.00
L3090   0.00           0.00      31.00   0.00
L3100   0.00           0.00      38.00   0.00
L3140   0.00           0.00       1.00   0.00
L3160   0.00           0.00       5.00   0.00
L3170   0.00           0.00      48.00   0.00
L3201   0.00           0.00       3.00   0.00
L3202   0.00           0.00       1.00   0.00
L3203   0.00           0.00       1.00   0.00
L3209   0.00           0.00       1.00   0.00
L3211   0.00           0.00       3.00   0.00
L3215   0.00           0.00      14.00   0.00
L3216   0.00           0.00      11.00   0.00
L3217   0.00           0.00       1.00   0.00
L3219   0.00           0.00      26.00   0.00
L3221   0.00           0.00      21.00   0.00
L3222   0.00           0.00       2.00   0.00
L3224   0.00           0.00      12.00   0.00
L3225   0.00           0.00      29.00   0.00
L3230   0.00           0.00      37.00   0.00
L3250   0.00           0.00       5.00   0.00
L3252   0.00           0.00       1.00   0.00
L3253   0.00           0.00     211.00   0.00
L3257   0.00           0.00      90.00   0.00
L3260   0.00           0.00   1,105.00   0.00
L3265   0.00           0.00      69.00   0.00
L3300   0.00           0.00      84.00   0.00
L3310   0.00           0.00      37.00   0.00
L3320   0.00           0.00      12.00   0.00
L3330   0.00           0.00      12.00   0.00
L3332   0.00           0.00     254.00   0.00
L3334   0.00           0.00     133.00   0.00
L3340   0.00           0.00      22.00   0.00
L3350   0.00           0.00      76.00   0.00
L3370   0.00           0.00       4.00   0.00
L3390   0.00           0.00       1.00   0.00
L3400   0.00           0.00      20.00   0.00



               Page 170
                CPT1


L3410   0.00           0.00     6.00   0.00
L3420   0.00           0.00     7.00   0.00
L3430   0.00           0.00    12.00   0.00
L3440   0.00           0.00    56.00   0.00
L3450   0.00           0.00    48.00   0.00
L3455   0.00           0.00     1.00   0.00
L3460   0.00           0.00    71.00   0.00
L3465   0.00           0.00     1.00   0.00
L3470   0.00           0.00     2.00   0.00
L3480   0.00           0.00   108.00   0.00
L3485   0.00           0.00   267.00   0.00
L3500   0.00           0.00     1.00   0.00
L3510   0.00           0.00    73.00   0.00
L3520   0.00           0.00     7.00   0.00
L3530   0.00           0.00    12.00   0.00
L3540   0.00           0.00    55.00   0.00
L3550   0.00           0.00     6.00   0.00
L3580   0.00           0.00    27.00   0.00
L3600   0.00           0.00     2.00   0.00
L3610   0.00           0.00     3.00   0.00
L3620   0.00           0.00     2.00   0.00
L3649   0.00           0.00    36.00   0.00
L3650   0.00           0.00    19.00   0.00
L3651   0.00           0.00     9.00   0.00
L3652   0.00           0.00     1.00   0.00
L3660   0.00           0.00   157.00   0.00
L3670   0.00           0.00   197.00   0.00
L3675   0.00           0.00     5.00   0.00
L3677   0.00           0.00     3.00   0.00
L3700   0.00           0.00   125.00   0.00
L3701   0.00           0.00   286.00   0.00
L3710   0.00           0.00     1.00   0.00
L3720   0.00           0.00    17.00   0.00
L3730   0.00           0.00     5.00   0.00
L3740   0.00           0.00     1.00   0.00
L3760   0.00           0.00    21.00   0.00
L3762   0.00           0.00     3.00   0.00



               Page 171
                CPT1


L3800   0.00           0.00     219.00   0.00
L3805   0.00           0.00      65.00   0.00
L3807   0.00           0.00     200.00   0.00
L3810   0.00           0.00       2.00   0.00
L3830   0.00           0.00       2.00   0.00
L3840   0.00           0.00       1.00   0.00
L3845   0.00           0.00       1.00   0.00
L3890   0.00           0.00       1.00   0.00
L3900   0.00           0.00       1.00   0.00
L3902   0.00           0.00       5.00   0.00
L3904   0.00           0.00       1.00   0.00
L3906   0.00           0.00      70.00   0.00
L3907   0.00           0.00     219.00   0.00
L3908   0.00           0.00   2,279.00   0.00
L3909   0.00           0.00      32.00   0.00
L3911   0.00           0.00       6.00   0.00
L3912   0.00           0.00      10.00   0.00
L3914   0.00           0.00     599.00   0.00
L3916   0.00           0.00      32.00   0.00
L3917   0.00           0.00       4.00   0.00
L3918   0.00           0.00       1.00   0.00
L3923   0.00           0.00      41.00   0.00
L3924   0.00           0.00       6.00   0.00
L3928   0.00           0.00       3.00   0.00
L3930   0.00           0.00       4.00   0.00
L3932   0.00           0.00      14.00   0.00
L3934   0.00           0.00       1.00   0.00
L3938   0.00           0.00       3.00   0.00
L3940   0.00           0.00       2.00   0.00
L3942   0.00           0.00       7.00   0.00
L3944   0.00           0.00       1.00   0.00
L3946   0.00           0.00      11.00   0.00
L3948   0.00           0.00       1.00   0.00
L3954   0.00           0.00       3.00   0.00
L3963   0.00           0.00       1.00   0.00
L3964   0.00           0.00       1.00   0.00
L3969   0.00           0.00      11.00   0.00



               Page 172
                CPT1


L3980   0.00           0.00    26.00   0.00
L3982   0.00           0.00     1.00   0.00
L3985   0.00           0.00     6.00   0.00
L3986   0.00           0.00    19.00   0.00
L3995   0.00           0.00     3.00   0.00
L3999   0.00           0.00   179.00   0.00
L4050   0.00           0.00     1.00   0.00
L4205   0.00           0.00   182.00   0.00
L4210   0.00           0.00    94.00   0.00
L4350   0.00           0.00   888.00   0.00
L4360   0.00           0.00   429.00   0.00
L4370   0.00           0.00     7.00   0.00
L4380   0.00           0.00    51.00   0.00
L4386   0.00           0.00   166.00   0.00
L4392   0.00           0.00     5.00   0.00
L4394   0.00           0.00     5.00   0.00
L4396   0.00           0.00   104.00   0.00
L4398   0.00           0.00   114.00   0.00
L5000   0.00           0.00    27.00   0.00
L5020   0.00           0.00     1.00   0.00
L5050   0.00           0.00     1.00   0.00
L5100   0.00           0.00     2.00   0.00
L5105   0.00           0.00     1.00   0.00
L5301   0.00           0.00    11.00   0.00
L5321   0.00           0.00     6.00   0.00
L5430   0.00           0.00    23.00   0.00
L5450   0.00           0.00     3.00   0.00
L5500   0.00           0.00     1.00   0.00
L5620   0.00           0.00     5.00   0.00
L5624   0.00           0.00     2.00   0.00
L5637   0.00           0.00     1.00   0.00
L5668   0.00           0.00     2.00   0.00
L5673   0.00           0.00     4.00   0.00
L5674   0.00           0.00     1.00   0.00
L5675   0.00           0.00     4.00   0.00
L5695   0.00           0.00    15.00   0.00
L5699   0.00           0.00     2.00   0.00



               Page 173
                CPT1


L5700   0.00           0.00    21.00   0.00
L5701   0.00           0.00    15.00   0.00
L5702   0.00           0.00     7.00   0.00
L5705   0.00           0.00     1.00   0.00
L5826   0.00           0.00     1.00   0.00
L5910   0.00           0.00     1.00   0.00
L5970   0.00           0.00     1.00   0.00
L5981   0.00           0.00     2.00   0.00
L5987   0.00           0.00     1.00   0.00
L6010   0.00           0.00     1.00   0.00
L6250   0.00           0.00     2.00   0.00
L6388   0.00           0.00     4.00   0.00
L6400   0.00           0.00     3.00   0.00
L6500   0.00           0.00     2.00   0.00
L6809   0.00           0.00     3.00   0.00
L7360   0.00           0.00    29.00   0.00
L7499   0.00           0.00     2.00   0.00
L7510   0.00           0.00   412.00   0.00
L7520   0.00           0.00     1.00   0.00
L7900   0.00           0.00     1.00   0.00
L8100   0.00           0.00   447.00   0.00
L8110   0.00           0.00   125.00   0.00
L8120   0.00           0.00     3.00   0.00
L8130   0.00           0.00    98.00   0.00
L8140   0.00           0.00    46.00   0.00
L8150   0.00           0.00     1.00   0.00
L8160   0.00           0.00     6.00   0.00
L8170   0.00           0.00     1.00   0.00
L8190   0.00           0.00    30.00   0.00
L8195   0.00           0.00    11.00   0.00
L8210   0.00           0.00     7.00   0.00
L8220   0.00           0.00     4.00   0.00
L8230   0.00           0.00    12.00   0.00
L8239   0.00           0.00   123.00   0.00
L8300   0.00           0.00     1.00   0.00
L8310   0.00           0.00     2.00   0.00
L8420   0.00           0.00     6.00   0.00



               Page 174
                                                CPT1


L8430                                   0.00           0.00                1.00        0.00
L8440                                   0.00           0.00               18.00        0.00
L8460                                   0.00           0.00                8.00        0.00
L8465                                   0.00           0.00                1.00        0.00
L8499                                   0.00           0.00               16.00        0.00
L8500                                   0.00           0.00                5.00        0.00
L8501                                   0.00           0.00               35.00        0.00
L8507                                   0.00           0.00               17.00        0.00
L8509                                   0.00           0.00               16.00        0.00
L8510                                   0.00           0.00                4.00        0.00
L8603                                   0.00           0.00                2.00        0.00
L8619                                   0.00           0.00                2.00        0.00
L8658                                   0.00           0.00                2.00        0.00
L9900                                   0.00           0.00              196.00        0.00
M0064   Visit for drug monitoring       0.37           0.37   0.34         1.00        0.37
M0076   Prolotherapy                    0.00           0.00   0.00        53.00        0.00
P2031   Hair analysis                   0.00           0.00   0.00         3.00        0.00
P3000   Screen pap by tech w md supv    0.00           0.00   0.00       241.00        0.00
P3001   Screening pap smear by phys     0.42           0.42   0.18       972.00      408.24
P7001   Culture bacterial urine         0.00           0.00   0.00        70.00        0.00
P9021   Red blood cells unit            0.00           0.00   0.00        12.00        0.00
P9033   Platelets leukoreduced irrad    0.00           0.00   0.00         1.00        0.00
P9040   RBC leukoreduced irradiated     0.00           0.00   0.00         1.00        0.00
P9046   "Albumin (human), 25%, 20 ml"   0.00           0.00   0.00         1.00        0.00
P9052   "Platelets, hla-m, l/r, unit"   0.00           0.00   0.00         8.00        0.00
P9060   Fr frz plasma donor retested    0.00           0.00   0.00         1.00        0.00
P9612   Catheterize for urine spec      0.00           0.00   0.00       143.00        0.00
P9615   Urine specimen collect mult     0.00           0.00   0.00        21.00        0.00
Q0081                                   0.00           0.00              665.00        0.00
Q0083                                   0.00           0.00               72.00        0.00
Q0084                                   0.00           0.00              250.00        0.00
Q0085                                   0.00           0.00              120.00        0.00
Q0091   Obtaining screen pap smear      0.37           0.37   0.66   162,570.00   60,150.90
Q0092   Set up port xray equipment      0.00           0.00   0.32        14.00        0.00
Q0111   Wet mounts/ w preparations      0.00           0.00   0.00     7,841.00        0.00
Q0112   Potassium hydroxide preps       0.00           0.00   0.00     1,935.00        0.00
Q0113   Pinworm examinations            0.00           0.00   0.00         6.00        0.00



                                               Page 175
                                                 CPT1


Q0114   Fern test                        0.00           0.00   0.00   210.00   0.00
Q0115   Post-coital mucous exam          0.00           0.00   0.00     1.00   0.00
Q0136   Non esrd epoetin alpha inj       0.00           0.00   0.00   233.00   0.00
Q0137   "Darbepoetin alfa, non-esrd"     0.00           0.00   0.00    13.00   0.00
Q0144   "Azithromycin dihydrate, oral"   0.00           0.00   0.00    87.00   0.00
Q0163   Diphenhydramine HCl 50mg         0.00           0.00   0.00   236.00   0.00
Q0164   Prochlorperazine maleate 5mg     0.00           0.00   0.00     2.00   0.00
Q0165   Prochlorperazine maleate10mg     0.00           0.00   0.00     1.00   0.00
Q0166   Granisetron HCl 1 mg oral        0.00           0.00   0.00     7.00   0.00
Q0168   Dronabinol 5mg oral              0.00           0.00   0.00     2.00   0.00
Q0169   Promethazine HCl 12.5mg oral     0.00           0.00   0.00    46.00   0.00
Q0170   Promethazine HCl 25 mg oral      0.00           0.00   0.00    29.00   0.00
Q0173   Trimethobenzamide HCl 250mg      0.00           0.00   0.00    26.00   0.00
Q0178   Hydroxyzine pamoate 50mg         0.00           0.00   0.00     4.00   0.00
Q0179   Ondansetron HCl 8mg oral         0.00           0.00   0.00     6.00   0.00
Q0181   Unspecified oral anti-emetic     0.00           0.00   0.00    43.00   0.00
Q1001   Ntiol category 1                 0.00           0.00   0.00    14.00   0.00
Q1002   Ntiol category 2                 0.00           0.00   0.00     8.00   0.00
Q2009   "Fosphenytoin, 50 mg"            0.00           0.00   0.00     1.00   0.00
Q3019   ALS emer trans no ALS serv       0.00           0.00   0.00    17.00   0.00
Q3020   ALS nonemer trans no ALS ser     0.00           0.00   0.00     4.00   0.00
Q3021                                    0.00           0.00           12.00   0.00
Q3022                                    0.00           0.00            1.00   0.00
Q3025   IM inj interferon beta 1-a       0.00           0.00   0.00     6.00   0.00
Q3026   Subc inj interferon beta-1a      0.00           0.00   0.00     1.00   0.00
Q3031   Collagen skin test               0.00           0.00   0.00     7.00   0.00
Q4005   Cast sup long arm adult plst     0.00           0.00   0.00     6.00   0.00
Q4006   Cast sup long arm adult fbrg     0.00           0.00   0.00    39.00   0.00
Q4007   Cast sup long arm ped plster     0.00           0.00   0.00     5.00   0.00
Q4008   Cast sup long arm ped fbrgls     0.00           0.00   0.00    29.00   0.00
Q4009   Cast sup sht arm adult plstr     0.00           0.00   0.00     8.00   0.00
Q4010   Cast sup sht arm adult fbrgl     0.00           0.00   0.00   206.00   0.00
Q4011   Cast sup sht arm ped plaster     0.00           0.00   0.00     6.00   0.00
Q4012   Cast sup sht arm ped fbrglas     0.00           0.00   0.00    18.00   0.00
Q4013   Cast sup gauntlet plaster        0.00           0.00   0.00    10.00   0.00
Q4014   Cast sup gauntlet fiberglass     0.00           0.00   0.00     3.00   0.00
Q4017   Cast sup lng arm splint plst     0.00           0.00   0.00    12.00   0.00



                                                Page 176
                                                 CPT1


Q4018   Cast sup lng arm splint fbrg     0.00           0.00   0.00      13.00   0.00
Q4019   Cast sup lng arm splnt ped p     0.00           0.00   0.00       3.00   0.00
Q4020   Cast sup lng arm splnt ped f     0.00           0.00   0.00       5.00   0.00
Q4021   Cast sup sht arm splint plst     0.00           0.00   0.00      75.00   0.00
Q4022   Cast sup sht arm splint fbrg     0.00           0.00   0.00      48.00   0.00
Q4023   Cast sup sht arm splnt ped p     0.00           0.00   0.00       5.00   0.00
Q4024   Cast sup sht arm splnt ped f     0.00           0.00   0.00       9.00   0.00
Q4030   Cast sup long leg fiberglass     0.00           0.00   0.00       4.00   0.00
Q4032   Cast sup lng leg ped fbrgls      0.00           0.00   0.00       5.00   0.00
Q4034   Cast sup lng leg cylinder fb     0.00           0.00   0.00       3.00   0.00
Q4037   Cast sup shrt leg plaster        0.00           0.00   0.00       5.00   0.00
Q4038   Cast sup shrt leg fiberglass     0.00           0.00   0.00      91.00   0.00
Q4039   Cast sup shrt leg ped plster     0.00           0.00   0.00       4.00   0.00
Q4040   Cast sup shrt leg ped fbrgls     0.00           0.00   0.00       6.00   0.00
Q4041   Cast sup lng leg splnt plstr     0.00           0.00   0.00       2.00   0.00
Q4042   Cast sup lng leg splnt fbrgl     0.00           0.00   0.00       4.00   0.00
Q4043   Cast sup lng leg splnt ped p     0.00           0.00   0.00       3.00   0.00
Q4044   Cast sup lng leg splnt ped f     0.00           0.00   0.00       5.00   0.00
Q4045   Cast sup sht leg splnt plstr     0.00           0.00   0.00      39.00   0.00
Q4046   Cast sup sht leg splnt fbrgl     0.00           0.00   0.00      37.00   0.00
Q4047   Cast sup sht leg splnt ped p     0.00           0.00   0.00       1.00   0.00
Q4048   Cast sup sht leg splnt ped f     0.00           0.00   0.00       2.00   0.00
Q4049   "Finger splint, static"          0.00           0.00   0.00     220.00   0.00
Q4050   Cast supplies unlisted           0.00           0.00   0.00      91.00   0.00
Q4051   Splint supplies misc             0.00           0.00   0.00   2,900.00   0.00
Q4054   "Darbepoetin alfa, esrd use"     0.00           0.00   0.00       2.00   0.00
Q4055   "Epoetin alfa, esrd use"         0.00           0.00   0.00      19.00   0.00
Q4075   "Acyclovir, 5 mg"                0.00           0.00   0.00       1.00   0.00
R0076   Transport portable EKG           0.00           0.00   0.00   1,553.00   0.00
S0020   "Injection, bupivicaine hydro"   0.00           0.00   0.00     118.00   0.00
S0021   "Injection, cefoperazone sod"    0.00           0.00   0.00       2.00   0.00
S0023   "Injection, cimetidine hydroc"   0.00           0.00   0.00      14.00   0.00
S0028   "Injection, famotidine, 20 mg"   0.00           0.00   0.00      16.00   0.00
S0030   "Injection, metronidazole"       0.00           0.00   0.00       4.00   0.00
S0032   "Injection, nafcillin sodium"    0.00           0.00   0.00       7.00   0.00
S0071   "Injection, acyclovir sodium"    0.00           0.00   0.00       1.00   0.00
S0074   "Injection, cefotetan disodiu"   0.00           0.00   0.00       2.00   0.00



                                                Page 177
                                                 CPT1


S0077   "Injection, clindamycin phosp"   0.00           0.00   0.00      24.00   0.00
S0078   "Injection, fosphenytoin sodi"   0.00           0.00   0.00       2.00   0.00
S0080   "Injection, pentamidine iseth"   0.00           0.00   0.00       1.00   0.00
S0081   "Injection, piperacillin sodi"   0.00           0.00   0.00       5.00   0.00
S0091   Granisetron 1mg                  0.00           0.00   0.00      13.00   0.00
S0092   Hydromorphone 250 mg             0.00           0.00   0.00       1.00   0.00
S0107   "Inj, omalizumab 25 mg"          0.00           0.00   0.00      11.00   0.00
S0108   Mercaptopurine 50 mg             0.00           0.00   0.00       1.00   0.00
S0132   Inj ganirelix acetat 250 mcg     0.00           0.00   0.00       1.00   0.00
S0157   "Becaplermin gel 1%, 0.5 gm"     0.00           0.00   0.00      13.00   0.00
S0173   Dexamethasone 4 mg               0.00           0.00   0.00      20.00   0.00
S0178   Lomustine 10 mg                  0.00           0.00   0.00       2.00   0.00
S0191   "Misoprostol, oral, 200 mcg"     0.00           0.00   0.00       2.00   0.00
S0199   Med abortion inc all ex drug     0.00           0.00   0.00       1.00   0.00
S0201   Partial hospitalization serv     0.00           0.00   0.00       1.00   0.00
S0220   Medical conference by physic     0.00           0.00   0.00     420.00   0.00
S0221   "Medical conference, 60 min"     0.00           0.00   0.00      32.00   0.00
S0255   Hospice refer visit nonmd        0.00           0.00   0.00      13.00   0.00
S0260   H&P for surgery                  0.00           0.00   0.00     609.00   0.00
S0302   Completed EPSDT                  0.00           0.00   0.00       8.00   0.00
S0315   Disease management program       0.00           0.00   0.00      59.00   0.00
S0316   Follow-up/reassessment           0.00           0.00   0.00     485.00   0.00
S0320   RN telephone calls to DMP        0.00           0.00   0.00       3.00   0.00
S0341   Lifestyle mod 2 or 3 stage       0.00           0.00   0.00      12.00   0.00
S0390   Rout foot care per visit         0.00           0.00   0.00      32.00   0.00
S0395   Impression casting ft            0.00           0.00   0.00     595.00   0.00
S0400   Global eswl kidney               0.00           0.00   0.00      44.00   0.00
S0500   Dispos cont lens                 0.00           0.00   0.00       3.00   0.00
S0516   Safety frames                    0.00           0.00   0.00       1.00   0.00
S0581   Nonstnd lens                     0.00           0.00   0.00       1.00   0.00
S0601   Screening proctoscopy            0.00           0.00   0.00      10.00   0.00
S0605   "Digital rectal examination,"    0.00           0.00   0.00   1,374.00   0.00
S0610   Annual gynecological examina     0.00           0.00   0.00     953.00   0.00
S0612   Annual gynecological examina     0.00           0.00   0.00   1,929.00   0.00
S0620   Routine ophthalmological exa     0.00           0.00   0.00      34.00   0.00
S0621   Routine ophthalmological exa     0.00           0.00   0.00     591.00   0.00
S0622   Phys exam for college            0.00           0.00   0.00       4.00   0.00



                                                Page 178
                                               CPT1


S0630   Removal of sutures             0.00           0.00   0.00   1,218.00   0.00
S0800   Laser in situ keratomileusis   0.00           0.00   0.00     900.00   0.00
S0810   Photorefractive keratectomy    0.00           0.00   0.00   4,300.00   0.00
S0812   Phototherap keratect           0.00           0.00   0.00       5.00   0.00
S0820   Computerized corneal topogra   0.00           0.00   0.00   1,527.00   0.00
S0830   Ultrasound pachymetry          0.00           0.00   0.00     119.00   0.00
S1002   Custom item                    0.00           0.00   0.00     105.00   0.00
S1015   IV tubing extension set        0.00           0.00   0.00      78.00   0.00
S2085   Laparoscop gastric bypass      0.00           0.00   0.00       4.00   0.00
S2135   Neurolysis interspace foot     0.00           0.00   0.00       1.00   0.00
S2211   Transv carotid stent placemt   0.00           0.00   0.00       1.00   0.00
S2225   Myringotomy laser-assist       0.00           0.00   0.00       5.00   0.00
S2341   Chemodenerv adduct vocal       0.00           0.00   0.00       1.00   0.00
S2342   Nasal endoscop po debrid       0.00           0.00   0.00       1.00   0.00
S2370   Intradiscal electrothermal     0.00           0.00   0.00       4.00   0.00
S2405   Fetal surg sacrococ teratoma   0.00           0.00   0.00       1.00   0.00
S3000   Bilat dil retinal exam         0.00           0.00   0.00       6.00   0.00
S3600   Stat lab                       0.00           0.00   0.00      38.00   0.00
S3601   Stat lab home/nf               0.00           0.00   0.00       2.00   0.00
S3620   Newborn metabolic screening    0.00           0.00   0.00      24.00   0.00
S3645   HIV-1 antibody testing of or   0.00           0.00   0.00       2.00   0.00
S3834   Sing mutation APC              0.00           0.00   0.00       1.00   0.00
S3835   Gene test cystic fibrosis      0.00           0.00   0.00       1.00   0.00
S3837   Gene test hemochromato         0.00           0.00   0.00       6.00   0.00
S3850   Gene test sickle cell          0.00           0.00   0.00       1.00   0.00
S3900   Surface EMG                    0.00           0.00   0.00       5.00   0.00
S4005   Interim labor facility globa   0.00           0.00   0.00       1.00   0.00
S4011   IVF package                    0.00           0.00   0.00       3.00   0.00
S4018   F EMB trns canc case rate      0.00           0.00   0.00       6.00   0.00
S4028   Microsurg epi sperm asp        0.00           0.00   0.00       3.00   0.00
S4030   Sperm procure init visit       0.00           0.00   0.00       1.00   0.00
S4035   Stimulated IUI case rate       0.00           0.00   0.00      36.00   0.00
S4036   Intravag cult case rate        0.00           0.00   0.00      55.00   0.00
S4981   Insert levonorgestrel ius      0.00           0.00   0.00       8.00   0.00
S4989   Contracept IUD                 0.00           0.00   0.00     194.00   0.00
S4990   Nicotine patch legend          0.00           0.00   0.00      44.00   0.00
S4991   Nicotine patch nonlegend       0.00           0.00   0.00       3.00   0.00



                                              Page 179
                                                 CPT1


S4993   Contraceptive pills for bc       0.00           0.00   0.00       9.00   0.00
S5000   "Prescription drug, generic"     0.00           0.00   0.00   3,098.00   0.00
S5001   "Prescription drug,brand name"   0.00           0.00   0.00   1,459.00   0.00
S5010   5% dextrose and 0.45% saline     0.00           0.00   0.00      11.00   0.00
S5011   5% dextrose in lactated ring     0.00           0.00   0.00       9.00   0.00
S5012   5% dextrose with potassium       0.00           0.00   0.00       1.00   0.00
S5014   D5W/0.45NS w KCl and MGS04       0.00           0.00   0.00       1.00   0.00
S5190   Wellness assessment by nonph     0.00           0.00   0.00     902.00   0.00
S5501   HIT complex cath care            0.00           0.00   0.00       1.00   0.00
S5520   HIT picc insert kit              0.00           0.00   0.00       3.00   0.00
S5522   HIT picc insert no supp          0.00           0.00   0.00       4.00   0.00
S5550   Insulin rapid 5 u                0.00           0.00   0.00       3.00   0.00
S5551   Insulin most rapid 5 u           0.00           0.00   0.00       1.00   0.00
S5552   Insulin intermed 5 u             0.00           0.00   0.00       2.00   0.00
S5553   Insulin long acting 5 u          0.00           0.00   0.00       2.00   0.00
S8004   Wholebody radiopharm trgcell     0.00           0.00   0.00       1.00   0.00
S8030   Tantalum ring application        0.00           0.00   0.00       1.00   0.00
S8040   Topographic brain mapping        0.00           0.00   0.00       1.00   0.00
S8096   Portable peak flow meter         0.00           0.00   0.00     407.00   0.00
S8097   Asthma kit                       0.00           0.00   0.00      64.00   0.00
S8100   Spacer without mask              0.00           0.00   0.00      23.00   0.00
S8101   Spacer with mask                 0.00           0.00   0.00      32.00   0.00
S8110   Peak expiratory flow rate (p     0.00           0.00   0.00     643.00   0.00
S8120   O2 contents gas cubic ft         0.00           0.00   0.00       2.00   0.00
S8121   O2 contents liquid lb            0.00           0.00   0.00      18.00   0.00
S8182   Humidifier non-servo             0.00           0.00   0.00       1.00   0.00
S8189   Trach supply noc                 0.00           0.00   0.00       2.00   0.00
S8190   Electronic spirometer            0.00           0.00   0.00     311.00   0.00
S8262   Mandib ortho repos device        0.00           0.00   0.00       1.00   0.00
S8421   Ready gradient sleev/glov        0.00           0.00   0.00       2.00   0.00
S8424   Ready gradient sleeve            0.00           0.00   0.00       2.00   0.00
S8429   Gradient pressure wrap           0.00           0.00   0.00      91.00   0.00
S8430   Padding for comprssn bdg         0.00           0.00   0.00       1.00   0.00
S8431   Compression bandage              0.00           0.00   0.00     565.00   0.00
S8450   Splint digit                     0.00           0.00   0.00     255.00   0.00
S8451   Splint wrist or ankle            0.00           0.00   0.00   1,532.00   0.00
S8452   Splint elbow                     0.00           0.00   0.00     183.00   0.00



                                                Page 180
                                                 CPT1


S8948   Low-level laser trmt 15 min      0.00           0.00   0.00       13.00   0.00
S8950   "Complex lymphedema therapy,"    0.00           0.00   0.00       86.00   0.00
S8990   Pt or manip for maint            0.00           0.00   0.00       94.00   0.00
S9061   Medical supplies and equipme     0.00           0.00   0.00        8.00   0.00
S9075   Smoking cessation treatment      0.00           0.00   0.00       63.00   0.00
S9092   Canolith repositioning           0.00           0.00   0.00        8.00   0.00
S9109   CHF telemonitoring month         0.00           0.00   0.00        1.00   0.00
S9117   Back school visit                0.00           0.00   0.00       20.00   0.00
S9127   "Social work visit, in the ho"   0.00           0.00   0.00        5.00   0.00
S9128   "Speech therapy, in the home,"   0.00           0.00   0.00        1.00   0.00
S9140   "Diabetic Management Program,"   0.00           0.00   0.00      528.00   0.00
S9141   "Diabetic Management Program,"   0.00           0.00   0.00      312.00   0.00
S9145   Insulin pump initiation          0.00           0.00   0.00       40.00   0.00
S9211   Home mgmt gest hypertension      0.00           0.00   0.00        1.00   0.00
S9212   Hm postpar hyper per diem        0.00           0.00   0.00       16.00   0.00
S9214   Hm gest dm per diem              0.00           0.00   0.00        1.00   0.00
S9330   HIT cont chem diem               0.00           0.00   0.00        1.00   0.00
S9339   HIT periton dialysis diem        0.00           0.00   0.00        8.00   0.00
S9353   HIT cont insulin diem            0.00           0.00   0.00        6.00   0.00
S9374   HIT hydra 1 liter diem           0.00           0.00   0.00        7.00   0.00
S9401   Anticoag clinic per session      0.00           0.00   0.00      353.00   0.00
S9430   Pharmacy comp/disp serv          0.00           0.00   0.00       81.00   0.00
S9436   Lamaze class                     0.00           0.00   0.00      161.00   0.00
S9441   Asthma education                 0.00           0.00   0.00      320.00   0.00
S9442   Birthing class                   0.00           0.00   0.00      575.00   0.00
S9443   Lactation class                  0.00           0.00   0.00      838.00   0.00
S9444   Parenting class                  0.00           0.00   0.00      297.00   0.00
S9445   PT education noc individ         0.00           0.00   0.00   37,474.00   0.00
S9446   PT education noc group           0.00           0.00   0.00   12,352.00   0.00
S9447   Infant safety class              0.00           0.00   0.00       39.00   0.00
S9449   Weight mgmt class                0.00           0.00   0.00      682.00   0.00
S9451   Exercise class                   0.00           0.00   0.00      603.00   0.00
S9452   Nutrition class                  0.00           0.00   0.00      168.00   0.00
S9453   Smoking cessation class          0.00           0.00   0.00      636.00   0.00
S9454   Stress mgmt class                0.00           0.00   0.00        8.00   0.00
S9455   "Diabetic Management Program,"   0.00           0.00   0.00      481.00   0.00
S9460   "Diabetic Management Program,"   0.00           0.00   0.00    1,064.00   0.00



                                                Page 181
                                                 CPT1


S9465   "Diabetic Management Program,"   0.00           0.00   0.00   811.00   0.00
S9470   "Nutritional counseling, diet"   0.00           0.00   0.00   893.00   0.00
S9472   Cardiac rehabilitation progr     0.00           0.00   0.00    68.00   0.00
S9475   Ambulatory setting substance     0.00           0.00   0.00    70.00   0.00
S9484   Crisis intervention per hour     0.00           0.00   0.00     9.00   0.00
S9485   Crisis intervention mental h     0.00           0.00   0.00     7.00   0.00
S9494   HIT antibiotic total diem        0.00           0.00   0.00     4.00   0.00
S9500   HIT antibiotic q24h diem         0.00           0.00   0.00     1.00   0.00
S9501   HIT antibiotic q12h diem         0.00           0.00   0.00     1.00   0.00
S9503   HIT antibiotic q6h diem          0.00           0.00   0.00     1.00   0.00
S9529   Venipuncture home/snf            0.00           0.00   0.00    13.00   0.00
S9558   HT inj growth horm diem          0.00           0.00   0.00     1.00   0.00
S9560   HT inj hormone diem              0.00           0.00   0.00     1.00   0.00
S9810   HT pharm per hour                0.00           0.00   0.00     2.00   0.00
S9981   Med record copy admin            0.00           0.00   0.00   691.00   0.00
S9982   Med record copy per page         0.00           0.00   0.00     9.00   0.00
T1000   Private duty/independent nsg     0.00           0.00   0.00     1.00   0.00
T1001   Nursing assessment/evaluatn      0.00           0.00   0.00   961.00   0.00
T1002   RN services up to 15 minutes     0.00           0.00   0.00     5.00   0.00
T1003   LPN/LVN services up to 15min     0.00           0.00   0.00     3.00   0.00
T1004   Nsg aide service up to 15min     0.00           0.00   0.00   169.00   0.00
T1006   Family/Couple Counseling         0.00           0.00   0.00    65.00   0.00
T1007   Treatment Plan Development       0.00           0.00   0.00   698.00   0.00
T1012   Alcohol/Substance Abuse Skil     0.00           0.00   0.00    11.00   0.00
T1013   Sign Lang/Oral Interpreter       0.00           0.00   0.00     2.00   0.00
T1014   "Telehealth transmit, per min"   0.00           0.00   0.00    70.00   0.00
T1015   Clinic service                   0.00           0.00   0.00    10.00   0.00
T1016   Case management                  0.00           0.00   0.00    88.00   0.00
T1017   Targeted case management         0.00           0.00   0.00     9.00   0.00
T1023   Program intake assessment        0.00           0.00   0.00    37.00   0.00
T1024   Team evaluation & management     0.00           0.00   0.00     3.00   0.00
T1027   Family training & counseling     0.00           0.00   0.00     1.00   0.00
T1500   Reusable diaper/pant             0.00           0.00   0.00     2.00   0.00
T1502   Medication admin visit           0.00           0.00   0.00    76.00   0.00
T2012   "Habil ed waiver, per diem"      0.00           0.00   0.00     2.00   0.00
T2013   Habil ed waiver per hour         0.00           0.00   0.00     5.00   0.00
T2025   "Waiver service, nos"            0.00           0.00   0.00    10.00   0.00



                                                Page 182
                                                 CPT1


T2029   "Special med equip, noswaiver"   0.00           0.00   0.00       1.00   0.00
T5999   "Supply, nos"                    0.00           0.00   0.00      30.00   0.00
V2100   Lens spher single plano 4.00     0.00           0.00   0.00      48.00   0.00
V2102   Singl visn sphere 7.12-20.00     0.00           0.00   0.00       6.00   0.00
V2114   Spherocylinder over 12.00d       0.00           0.00   0.00       6.00   0.00
V2199   Lens single vision not oth c     0.00           0.00   0.00     160.00   0.00
V2200   Lens spher bifoc plano 4.00d     0.00           0.00   0.00      14.00   0.00
V2211   Lens sphcy bifo 7.25-12/.25-     0.00           0.00   0.00       6.00   0.00
V2221   "Lenticular lens, bifocal"       0.00           0.00   0.00       1.00   0.00
V2500   Contact lens pmma spherical      0.00           0.00   0.00       1.00   0.00
V2501   Cntct lens pmma-toric/prism      0.00           0.00   0.00       1.00   0.00
V2503   Cntct lens pmma color vision     0.00           0.00   0.00       1.00   0.00
V2510   Cntct gas permeable sphericl     0.00           0.00   0.00       1.00   0.00
V2512   Cntct lens gas permbl bifocl     0.00           0.00   0.00       1.00   0.00
V2513   Contact lens extended wear       0.00           0.00   0.00       1.00   0.00
V2520   Contact lens hydrophilic         0.00           0.00   0.00       9.00   0.00
V2599   Contact lens/es other type       0.00           0.00   0.00       2.00   0.00
V2610   Single lens spectacle mount      0.00           0.00   0.00       1.00   0.00
V2715   Prism lens/es                    0.00           0.00   0.00       1.00   0.00
V2718   Fresnell prism press-on lens     0.00           0.00   0.00       2.00   0.00
V2756   Eye glass case                   0.00           0.00   0.00       1.00   0.00
V2761   Mirror coating                   0.00           0.00   0.00       1.00   0.00
V2786   Occupational multifocal lens     0.00           0.00   0.00       2.00   0.00
V2790   Amniotic membrane                0.00           0.00   0.00       1.00   0.00
V2799   Miscellaneous vision service     0.00           0.00   0.00   2,370.00   0.00
V5008   Hearing screening                0.00           0.00   0.00   1,963.00   0.00
V5010   Assessment for hearing aid       0.00           0.00   0.00     170.00   0.00
V5011   Hearing aid fitting/checking     0.00           0.00   0.00     915.00   0.00
V5014   Hearing aid repair/modifying     0.00           0.00   0.00     719.00   0.00
V5020   Conformity evaluation            0.00           0.00   0.00       1.00   0.00
V5090   Hearing aid dispensing fee       0.00           0.00   0.00       7.00   0.00
V5130   In ear binaural hearing aid      0.00           0.00   0.00      14.00   0.00
V5140   Behind ear binaur hearing ai     0.00           0.00   0.00       1.00   0.00
V5241   "Dispensing fee, monaural"       0.00           0.00   0.00       2.00   0.00
V5244   "Hearing aid, prog, mon, cic"    0.00           0.00   0.00      21.00   0.00
V5245   "Hearing aid, prog, mon, itc"    0.00           0.00   0.00       4.00   0.00
V5246   "Hearing aid, prog, mon, ite"    0.00           0.00   0.00       8.00   0.00



                                                Page 183
                                                 CPT1


V5247   "Hearing aid, prog, mon, bte"    0.00           0.00   0.00     1.00           0.00
V5249   "Hearing aid, binaural, itc"     0.00           0.00   0.00     1.00           0.00
V5252   "Hearing aid, prog, bin, ite"    0.00           0.00   0.00    31.00           0.00
V5253   "Hearing aid, prog, bin, bte"    0.00           0.00   0.00     6.00           0.00
V5254   "Hearing id, digit, mon, cic"    0.00           0.00   0.00     2.00           0.00
V5256   "Hearing aid, digit, mon, ite"   0.00           0.00   0.00     3.00           0.00
V5258   "Hearing aid, digit, bin, cic"   0.00           0.00   0.00     6.00           0.00
V5260   "Hearing aid, digit, bin, ite"   0.00           0.00   0.00     4.00           0.00
V5261   "Hearing aid, digit, bin, bte"   0.00           0.00   0.00     3.00           0.00
V5262   "Hearing aid, disp, monaural"    0.00           0.00   0.00     1.00           0.00
V5263   "Hearing aid, disp, binaural"    0.00           0.00   0.00     3.00           0.00
V5264   Ear mold/insert                  0.00           0.00   0.00    82.00           0.00
V5265   "Ear mold/insert, disp"          0.00           0.00   0.00    37.00           0.00
V5266   Battery for hearing device       0.00           0.00   0.00   101.00           0.00
V5267   Hearing aid supply/accessory     0.00           0.00   0.00    74.00           0.00
V5272   Tdd                              0.00           0.00   0.00     7.00           0.00
V5275   Ear impression                   0.00           0.00   0.00   380.00           0.00
V5298   Hearing aid noc                  0.00           0.00   0.00     4.00           0.00
V5299   Hearing service                  0.00           0.00   0.00    96.00           0.00
V5336   Repair communication device      0.00           0.00   0.00     1.00           0.00
V5362   Speech screening                 0.00           0.00   0.00     5.00           0.00
V5363   Language screening               0.00           0.00   0.00     1.00           0.00
V5364   Dysphagia screening              0.00           0.00   0.00     2.00           0.00
                                                                               3,827,379.12




                                                Page 184
                                                  CPT1


CMSWorkRVUTotal   M2CMSDiff
             0.00             0.00
             0.00             0.00
                                     Please see those at the end of
                                     this list too and the EM tab
              0.00            0.00   below.
              0.00            0.00
              0.00            0.00
              0.00            0.00
              0.00            0.00
              0.00            0.00
              0.00            0.00
              0.00            0.00
              0.00            0.00
                              0.00
                              0.00
              0.00            0.00
                              0.00
                              0.00
                              0.00
              0.00            0.00
              0.00            0.00
                              0.00
                              0.00
                              0.00
                              0.00
              0.00            0.00
                              0.00
                              0.00
              0.00            0.00
                              0.00
                              0.00
              0.00            0.00
                              0.00
                              0.00
              0.00            0.00


                                                Page 185
               CPT1


0.00   0.00
0.00   0.00
0.00   0.00
       0.00
0.00   0.00
       0.00
       0.00
0.00   0.00
0.00   0.00
       0.00
       0.00
       0.00
0.00   0.00
0.00   0.00
       0.00
0.00   0.00
0.00   0.00
       0.00
       0.00
       0.00
0.00   0.00
       0.00
       0.00
       0.00
       0.00
       0.00
       0.00
       0.00
       0.00
       0.00
       0.00
       0.00
       0.00
       0.00
       0.00
       0.00
       0.00



              Page 186
        CPT1


0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00



       Page 187
                   CPT1


           0.00
           0.00
           0.00
           0.00
           0.00
           0.00
           0.00
           0.00
           0.00
           0.00
           0.00
           0.00
           0.00
           0.00
           0.00
           0.00
           0.00
           0.00
           0.00
           0.00
           0.00
           0.00
           0.00
           0.00
           0.00
  930.91   0.00
  148.59   0.00
  446.04   0.00
6,908.85   0.00
1,344.00   0.00
  398.97   0.00
   66.15   0.00
1,049.20   0.00
  156.02   0.00
  616.59   0.00
  744.00   0.00
  486.00   0.00



                  Page 188
                    CPT1


   391.80   0.00
     5.40   0.00
   305.87   0.00
    98.80   0.00
   103.05   0.00
   936.50   0.00
   320.62   0.00
 1,036.00   0.00
   128.52   0.00
    79.56   0.00
   743.47   0.00
   660.02   0.00
   252.01   0.00
10,247.31   0.00
   161.95   0.00
 3,153.92   0.00
    21.46   0.00
 1,448.91   0.00
 1,005.55   0.00
   313.95   0.00
   168.64   0.00
   536.00   0.00
   344.52   0.00
   134.52   0.00
    80.37   0.00
   985.50   0.00
   432.60   0.00
   114.00   0.00
    66.42   0.00
 2,071.45   0.00
 1,928.64   0.00
 2,209.13   0.00
 1,156.34   0.00
   578.86   0.00
 1,200.60   0.00
   675.22   0.00
   728.46   0.00



                   Page 189
                   CPT1


  624.29   0.00
  383.91   0.00
  179.82   0.00
  354.38   0.00
  661.44   0.00
  637.88   0.00
  541.80   0.00
  217.55   0.00
  100.48   0.00
  156.80   0.00
   60.06   0.00
    3.94   0.00
   10.04   0.00
   19.50   0.00
    8.80   0.00
  100.87   0.00
  226.80   0.00
  505.05   0.00
  332.88   0.00
  146.40   0.00
  287.28   0.00
   35.70   0.00
  105.60   0.00
  173.47   0.00
   91.35   0.00
   52.02   0.00
  107.25   0.00
  112.05   0.00
  278.64   0.00
  401.45   0.00
  201.50   0.00
  108.54   0.00
  196.02   0.00
  192.27   0.00
  362.56   0.00
1,501.74   0.00
3,489.44   0.00



                  Page 190
                    CPT1


    27.36   0.00
    98.79   0.00
 6,937.80   0.00
    29.37   0.00
   117.90   0.00
    85.32   0.00
     8.67   0.00
   465.06   0.00
   866.52   0.00
   429.75   0.00
   104.55   0.00
 1,892.28   0.00
   132.80   0.00
    56.35   0.00
    27.02   0.00
     0.98   0.00
    25.20   0.00
     5.95   0.00
     3.38   0.00
   435.36   0.00
    35.25   0.00
    10.65   0.00
    10.36   0.00
   181.56   0.00
    66.60   0.00
   128.76   0.00
    37.38   0.00
    39.60   0.00
10,997.30   0.00
 2,711.88   0.00
   199.36   0.00
    60.06   0.00
    18.30   0.00
    20.55   0.00
 5,068.80   0.00
   784.06   0.00
    73.80   0.00



                   Page 191
                   CPT1


   31.90   0.00
    7.84   0.00
    9.40   0.00
    5.52   0.00
1,129.22   0.00
1,346.88   0.00
  406.35   0.00
  355.68   0.00
   64.24   0.00
   13.68   0.00
    8.08   0.00
    9.32   0.00
  319.95   0.00
  197.28   0.00
   12.56   0.00
    3.63   0.00
    4.64   0.00
  348.27   0.00
  213.29   0.00
   18.72   0.00
   24.15   0.00
    8.84   0.00
    5.95   0.00
   65.52   0.00
   82.11   0.00
    3.72   0.00
   99.00   0.00
  168.48   0.00
   11.52   0.00
  189.00   0.00
  225.72   0.00
    4.38   0.00
   79.80   0.00
   53.28   0.00
   25.28   0.00
    7.14   0.00
  313.80   0.00



                  Page 192
                 CPT1


 70.56   0.00
 33.84   0.00
 59.22   0.00
 40.16   0.00
133.62   0.00
 57.35   0.00
203.76   0.00
 49.08   0.00
117.40   0.00
  9.60   0.00
 71.82   0.00
  1.00   0.00
  8.58   0.00
244.08   0.00
 58.92   0.00
  8.02   0.00
 23.58   0.00
 60.24   0.00
  2.00   0.00
 15.96   0.00
  9.20   0.00
 29.61   0.00
  8.68   0.00
 11.46   0.00
  2.42   0.00
  5.88   0.00
 19.62   0.00
 11.88   0.00
 17.81   0.00
 16.25   0.00
 11.39   0.00
105.54   0.00
 17.46   0.00
371.28   0.00
242.00   0.00
 47.41   0.00
329.56   0.00



                Page 193
                    CPT1


   44.66    0.00
1,410.75    0.00
  220.95    0.00
   31.62    0.00
    7.46    0.00
   70.95    0.00
   26.90    0.00
   28.11    0.00
  164.48    0.00
  188.43    0.00
  812.52    0.00
  725.12    0.00
    0.00   10.59
    0.00   12.10
    0.00   27.99
    0.00   31.02
3,033.10    0.00
  185.12    0.00
   42.48    0.00
   43.32    0.00
   58.25    0.00
  270.57    0.00
   42.10    0.00
   56.96    0.00
  862.04    0.00
  813.54    0.00
  339.70    0.00
2,206.76    0.00
    1.95    0.00
    0.00    0.00
    0.00    0.00
    0.00    0.00
    0.00    0.00
  155.75    0.00
   54.81    0.00
    9.40    0.00
  537.60    0.00



                   Page 194
                    CPT1


   188.70   0.00
    72.80   0.00
    14.96   0.00
16,709.40   0.00
   454.65   0.00
 5,298.21   0.00
 4,039.56   0.00
 1,894.05   0.00
 1,278.46   0.00
 5,718.70   0.00
   151.80   0.00
   383.00   0.00
    78.26   0.00
   160.29   0.00
   189.60   0.00
    57.28   0.00
    13.58   0.00
    25.74   0.00
    31.68   0.00
    38.74   0.00
    23.01   0.00
    10.25   0.00
     2.59   0.00
     6.40   0.00
    21.06   0.00
    34.40   0.00
    18.36   0.00
     5.28   0.00
    22.15   0.00
 7,476.15   0.00
    99.75   0.00
    37.05   0.00
    14.25   0.00
     1.90   0.00
 2,937.40   0.00
    84.37   0.00
     0.00   1.08



                   Page 195
                    CPT1


    0.00    0.00
  248.64    0.37
    1.68    0.18
  124.60    0.00
    3.06    0.61
  360.68    0.56
1,049.40    0.00
  228.00    0.81
  143.91   -0.38
   94.38    0.00
   10.98    0.00
5,944.05    0.00
2,728.55    0.00
    2.93    0.00
  918.27    0.00
  125.58    0.00
  256.69    0.00
  465.87    0.00
  293.36    0.00
   46.41    0.00
  687.14    0.00
  123.36    0.00
   37.74    0.00
   58.42    0.51
    0.00    0.95
  586.85    0.00
3,322.80    0.00
   64.24    0.00
  624.56    0.00
   73.71    0.00
   68.22    0.00
   25.28    0.00
  190.06    0.00
  365.31    0.00
    7.56    0.00
1,813.00    0.00
   19.23    0.00



                   Page 196
                   CPT1


   40.94   0.00
  127.50   0.00
  154.14   0.00
   72.36   0.00
  214.82   0.00
  346.94   0.00
    4.34   0.00
    0.00   0.00
  265.00   0.00
   37.51   0.00
   30.18   0.00
   35.37   0.00
  137.54   0.00
   54.68   0.00
   17.52   0.00
   28.20   0.00
    2.97   0.42
   27.94   2.93
   11.22   2.96
   32.30   0.00
   38.85   0.00
    5.02   4.80
    9.84   0.00
  172.05   0.00
   59.33   0.00
  127.84   0.00
2,199.75   0.00
  246.75   0.00
  846.78   0.00
  240.00   0.00
  911.46   0.33
1,763.24   0.33
9,073.15   0.63
  331.80   0.00
  100.32   0.00
   86.97   0.00
    5.02   0.00



                  Page 197
                   CPT1


    4.88   0.00
   18.18   0.00
   10.84   0.00
    1.31   0.00
  816.06   0.00
2,474.94   0.00
   14.04   0.00
   17.55   0.00
  112.05   0.00
   61.78   0.00
   25.55   0.00
   26.37   0.00
   44.56   0.00
   10.66   0.00
    6.34   0.00
   19.41   0.00
   22.08   0.00
    0.00   1.49
   51.66   0.00
   39.21   0.00
   39.21   0.00
    3.72   0.00
   14.54   0.00
    0.00   0.00
   21.12   0.00
   40.16   0.00
    9.68   0.00
   15.40   0.00
   44.90   0.00
   22.68   0.00
    3.24   0.00
   16.15   0.00
   67.35   0.00
   64.90   0.00
   18.72   0.00
   26.96   0.00
   35.94   0.00



                  Page 198
                 CPT1


 21.50   0.00
 30.63   0.00
 89.92   0.00
116.87   0.00
348.32   0.00
  0.00   0.00
  8.42   0.00
 26.00   0.00
 68.88   0.00
 22.89   0.00
 25.53   0.00
 11.14   0.00
 10.60   0.00
 11.10   0.00
343.33   0.00
206.58   0.00
156.40   0.00
 59.73   0.00
124.08   0.00
108.70   0.00
 30.47   0.00
 68.80   0.00
185.48   0.00
 27.76   0.00
 32.14   0.00
 85.60   0.00
 59.43   0.00
137.68   0.00
547.52   0.00
282.80   0.00
 79.90   0.00
225.28   0.00
 30.63   0.00
  6.71   0.00
173.57   0.00
 43.00   0.00
 10.75   0.00



                Page 199
                 CPT1


 20.13   0.00
 28.06   0.00
 94.72   0.00
 45.20   0.00
114.60   0.00
104.94   0.00
 16.17   0.00
 10.21   0.00
 12.04   0.00
  0.00   0.00
  1.44   0.00
 15.66   0.00
 52.85   0.00
164.65   0.00
 17.20   0.00
 70.20   0.00
  6.45   0.00
 38.79   0.00
 59.07   0.00
 40.75   0.00
  7.52   0.00
 28.98   0.00
  6.45   0.00
209.02   0.00
 64.05   0.00
181.98   0.00
 12.66   0.00
 14.00   0.00
  5.13   0.00
  8.31   0.00
  5.94   0.00
  4.86   0.00
 27.65   0.00
 19.35   0.00
 32.32   0.00
166.26   0.00
 35.67   0.00



                Page 200
                   CPT1


   76.60   0.00
    9.76   0.00
    3.98   0.00
    0.00   0.00
  163.40   0.00
   14.22   0.00
  175.10   0.00
  177.94   0.00
  116.76   0.00
   17.74   0.00
   14.59   0.00
    9.86   0.00
   28.77   0.00
   16.48   0.00
    4.80   0.00
    0.00   0.00
  191.58   0.00
   53.76   0.00
  384.23   0.00
   35.86   0.00
    9.80   0.00
   23.78   0.00
   77.68   0.00
  405.46   0.00
  838.11   0.00
    2.05   0.00
   15.66   0.00
   17.66   0.00
    3.74   0.00
   53.40   4.85
   33.32   4.57
   46.18   0.00
   77.34   0.00
1,115.40   0.00
   23.42   0.00
  200.25   0.00
   20.48   0.00



                  Page 201
                 CPT1


 64.48   0.00
 32.00   0.00
167.76   0.00
437.01   0.00
 18.22   0.00
 61.66   0.00
 26.23   0.00
 32.65   0.00
 10.83   0.00
 12.56   0.00
 12.40   0.00
 18.48   0.00
 19.02   0.00
  6.70   0.00
 15.11   0.00
  0.00   0.00
 92.64   0.00
  0.00   0.00
  8.70   0.00
 35.68   0.00
 37.62   0.00
  8.22   0.00
 27.57   0.00
 14.22   0.00
 74.91   0.00
 20.75   0.00
 62.14   0.00
 38.10   0.00
 12.04   0.00
 16.71   0.00
 17.22   0.00
965.60   0.00
 18.76   0.00
399.62   0.00
 41.28   0.00
  7.82   0.00
 13.70   0.00



                Page 202
                   CPT1


  102.24   0.00
   16.28   0.00
   12.06   0.00
   12.47   0.00
   11.10   0.00
   22.11   0.00
    3.00   0.41
   33.64   0.00
   16.72   0.00
  385.33   0.00
  837.27   0.00
  219.12   0.00
  491.36   0.00
   79.76   0.00
   10.46   0.00
  321.12   0.00
1,219.75   0.00
   30.70   0.00
  158.30   0.00
  284.00   0.00
  102.72   0.00
  105.35   0.00
  100.44   0.00
  120.69   0.00
  303.68   0.00
   55.20   0.00
  347.80   0.00
    4.32   0.00
    7.18   0.00
   14.60   0.00
   22.30   0.00
   16.25   0.00
  260.28   0.00
   59.08   0.00
   13.38   0.00
   12.15   0.00
   17.90   0.00



                  Page 203
                 CPT1


 99.62   0.00
 34.02   0.00
102.74   0.00
 16.80   0.00
 36.70   0.00
422.50   0.00
191.52   0.00
  7.48   0.00
  7.89   0.00
  6.04   0.00
 40.32   0.00
 28.28   0.00
 14.59   0.00
  0.00   0.00
 61.74   0.00
 28.64   0.00
 18.24   0.00
 34.86   0.00
 43.68   0.00
 10.40   0.00
 89.93   0.00
 18.87   0.00
 55.08   0.00
 72.00   0.00
  7.38   0.00
  9.62   0.00
 53.12   0.00
  7.88   0.00
 24.96   0.00
 18.34   0.00
  7.57   0.00
 60.24   0.00
 28.36   0.00
 11.71   0.00
 54.74   0.00
 52.80   0.00
 40.95   0.00



                Page 204
                 CPT1


  1.31   0.55
 18.70   0.00
 20.36   0.00
 15.76   0.00
126.24   0.00
159.00   0.00
 27.96   0.00
330.12   0.00
 53.10   0.00
 46.69   0.00
 36.96   0.00
 18.46   0.00
  9.12   0.00
 38.37   0.00
 13.15   0.00
109.14   0.00
113.52   0.00
 46.52   0.00
 34.89   0.00
160.54   0.00
 48.02   0.00
160.14   0.00
 31.32   0.00
 15.67   0.00
 25.20   0.00
 53.20   0.00
 20.02   0.00
 11.56   0.00
 81.06   0.00
  8.54   0.00
 60.76   0.00
270.08   0.00
 21.64   0.00
585.48   0.00
 65.85   0.00
237.60   0.00
190.08   0.00



                Page 205
                   CPT1


   61.46   0.00
  113.82   0.00
    9.48   0.00
   22.86   0.00
  263.70   0.00
    9.59   0.00
    7.06   0.00
    0.00   0.00
  168.50   0.00
   11.82   0.00
   25.88   0.00
   33.04   0.00
   31.44   0.00
   12.39   0.00
   35.85   0.00
   55.72   0.00
   12.36   0.00
  119.36   0.00
   19.64   0.00
    9.75   0.00
    5.49   0.00
   28.08   0.00
   17.52   0.00
   38.52   0.00
   66.47   0.00
1,571.70   0.00
  271.20   0.00
   26.43   0.00
   34.88   0.00
   12.18   0.00
   47.25   0.00
    6.88   0.00
    6.36   0.00
    7.08   0.00
    7.38   0.00
   53.46   0.00
   55.16   0.00



                  Page 206
                 CPT1


 15.66   0.00
 25.80   0.00
  4.35   0.59
 61.56   0.00
  3.74   0.00
 62.32   0.00
  5.99   0.00
 59.43   0.00
  7.21   0.00
 21.12   0.00
104.64   0.00
  8.39   0.00
 16.26   0.00
  9.56   0.00
236.50   0.00
 45.56   0.00
 71.05   0.00
 43.85   0.00
 33.68   0.00
 51.90   0.00
 98.10   0.00
143.60   0.00
 26.66   0.00
 16.31   0.00
 31.26   0.00
395.96   0.00
 19.36   0.00
124.20   0.00
 28.94   0.00
 19.06   0.00
129.85   0.00
192.40   0.00
119.21   0.00
 56.25   0.00
 12.22   0.00
 64.80   0.00
 56.43   0.00



                Page 207
                   CPT1


   35.91   0.00
   97.79   0.00
  641.72   0.00
  472.08   0.00
   35.00   0.00
  104.30   0.00
2,156.60   0.00
  678.60   0.00
  457.84   0.00
  879.62   0.00
  287.10   0.00
   49.72   0.00
  623.08   0.00
   80.64   0.00
   30.66   0.00
   51.85   0.00
   22.77   0.00
    4.75   0.00
    7.91   0.00
    5.99   0.00
   23.30   0.00
    8.03   0.00
  382.72   0.00
   19.54   0.00
    5.49   0.00
    8.33   0.00
   78.00   0.00
  116.05   0.00
   37.20   0.00
   64.82   0.00
   50.20   0.00
    9.11   0.00
    7.79   0.00
    8.95   0.00
   17.05   0.00
    8.67   0.00
   15.16   0.00



                  Page 208
                 CPT1


  7.80   0.00
  0.00   0.00
144.76   0.00
 39.42   0.00
 46.60   0.00
 43.54   0.00
 19.00   0.00
 29.97   0.00
 49.95   0.00
747.82   0.00
 11.24   0.00
 99.36   0.00
 94.50   0.00
 59.22   0.00
 10.98   0.00
 14.80   0.00
 31.68   0.00
257.95   0.00
149.04   0.00
 37.65   0.00
278.40   0.00
  5.41   0.00
 31.55   0.00
604.80   0.00
 20.68   0.00
 10.48   0.00
 60.50   0.00
 97.66   0.00
 14.18   0.00
 18.96   0.00
  6.18   0.00
 10.62   0.00
  7.54   0.00
 12.41   0.00
  7.02   0.00
 27.79   0.00
 20.00   0.00



                Page 209
                 CPT1


 83.72   0.00
 15.34   0.00
161.20   0.00
 25.71   0.00
  9.13   0.00
113.60   0.00
 17.50   0.00
 24.45   0.00
  9.18   0.00
 60.06   0.00
 16.66   0.00
144.16   0.00
 13.52   0.00
 55.26   0.00
  7.20   0.00
 48.12   0.00
 22.75   0.00
 70.14   0.00
 90.30   0.00
  6.99   0.00
  3.66   0.00
  3.63   0.00
 11.44   0.00
  5.31   0.00
  6.68   0.00
 49.68   0.00
  9.54   0.00
 25.20   0.00
  9.58   0.00
 19.12   0.00
 26.91   0.00
 29.75   0.00
 14.26   0.00
 30.00   0.00
 16.26   0.00
  7.14   0.00
 31.74   0.00



                Page 210
                 CPT1


 26.60   0.00
 60.12   0.00
 39.50   0.00
104.60   0.00
 12.72   0.00
263.22   0.00
198.03   0.00
 20.31   0.00
 27.64   0.00
106.92   0.00
 72.18   0.00
 42.42   0.00
 16.61   0.00
 16.11   0.00
 21.80   0.00
 26.92   0.00
 13.62   0.00
 18.14   0.00
 18.15   0.00
 84.18   0.00
 17.93   0.00
 26.82   0.00
980.00   0.00
581.40   0.00
 80.25   0.00
321.00   0.00
404.32   0.00
 47.16   0.00
 26.40   0.00
 79.94   0.00
106.26   0.00
 47.84   0.00
  9.26   0.00
 27.55   0.00
 13.94   0.00
 15.86   0.00
 95.68   0.00



                Page 211
                 CPT1


 29.26   0.00
  5.11   0.00
 22.92   0.00
683.92   0.00
319.68   0.00
151.38   0.00
256.71   0.00
 87.30   0.00
 42.24   0.00
104.40   0.00
282.20   0.00
 43.40   0.00
 91.98   0.00
 74.88   0.00
187.24   0.00
 33.30   0.00
 19.16   0.00
 21.00   0.00
 28.48   0.00
 24.69   0.00
 22.80   0.00
 17.44   0.00
 97.44   0.00
 25.35   0.00
159.12   0.00
 29.44   0.00
  3.89   0.00
 22.77   0.00
109.92   0.00
 50.40   0.00
  0.00   0.00
 97.11   0.00
 22.28   0.00
 12.99   0.00
 66.85   0.00
 38.58   0.00
 31.57   0.00



                Page 212
                 CPT1


 59.28   0.00
 44.64   0.00
 12.48   0.00
 13.64   0.00
  6.22   0.00
 21.44   0.00
 29.45   0.00
 30.93   0.00
 32.10   0.00
 22.88   0.00
 12.76   0.00
  7.48   0.00
 11.13   0.00
  5.20   0.60
  6.00   0.63
152.60   0.00
  8.79   0.00
 17.98   0.00
 14.96   0.00
117.36   0.00
622.79   0.00
 46.54   0.00
113.92   0.00
 42.28   0.00
 22.14   0.00
 12.22   0.00
 52.20   0.00
 44.96   0.00
 24.59   0.00
 35.76   0.00
 16.05   0.00
 12.03   0.00
 30.12   0.00
  9.17   0.00
 13.52   0.00
 44.40   0.00
  9.64   0.00



                Page 213
                 CPT1


 10.03   0.00
 15.17   0.00
 82.35   0.00
 21.32   0.00
133.54   0.00
140.22   0.00
  5.51   0.00
 79.60   0.00
 40.56   0.00
 10.43   0.00
  6.94   0.00
  5.21   0.00
 22.44   0.00
  2.27   0.00
  0.00   0.00
220.32   0.00
 24.81   0.00
 23.64   0.00
  5.79   0.00
138.90   0.00
  6.96   0.00
 27.36   0.00
 73.35   0.00
 80.28   0.00
 72.28   0.00
 19.84   0.00
 76.31   0.00
214.76   0.00
  7.29   0.00
 17.38   0.00
 58.38   0.00
 53.19   0.00
 86.55   0.00
 48.96   0.00
 84.04   0.00
 21.02   0.00
115.28   0.00



                Page 214
                   CPT1


   32.50   0.00
    1.92   0.41
   96.14   0.00
  171.60   0.00
   20.64   0.00
    7.75   0.00
    5.32   0.00
    6.38   0.00
    8.49   0.00
   11.71   0.00
   54.95   0.00
    9.01   0.00
  149.76   0.00
  120.96   0.00
1,641.60   0.00
  167.44   0.00
  108.30   0.00
   78.56   0.00
   68.39   0.00
   19.60   0.00
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  363.48   0.00
   15.50   0.00
   57.96   0.00
    9.48   0.00
   42.25   0.00
   22.42   0.00
   10.41   0.00
   21.60   0.00
   35.61   0.00
   21.82   0.00
  105.90   0.00
   79.10   0.00
1,544.40   0.00
   11.04   0.00
   55.84   0.00



                  Page 215
                 CPT1


 17.53   0.00
179.20   0.00
 40.29   0.00
 55.40   0.00
 16.31   0.00
 32.10   0.00
  9.84   0.00
  8.83   0.00
 76.96   0.00
100.92   0.00
 15.72   0.00
  6.10   0.00
  7.16   0.00
 39.90   0.00
 29.55   0.00
  5.91   0.00
232.32   0.00
 31.68   0.00
 52.26   0.00
 11.64   0.00
 15.40   0.00
  9.12   0.00
 13.62   0.00
 34.54   0.00
  5.36   0.00
 17.54   0.00
 42.90   0.00
129.87   0.00
 94.25   0.00
 21.87   0.00
160.72   0.00
 15.63   0.00
  4.86   0.00
 13.08   0.00
 34.50   0.00
 23.67   0.00
 16.74   0.00



                Page 216
                   CPT1


   17.69   0.00
   87.63   0.00
   12.21   0.00
   43.50   0.00
   19.34   0.00
   72.06   0.00
    6.91   0.00
   10.51   0.00
    0.00   0.00
  344.04   0.00
   16.89   0.00
  242.22   0.00
  142.97   0.00
   44.60   0.00
   20.09   0.00
   33.04   0.00
   31.84   0.00
   49.98   0.00
   87.84   0.00
   84.63   0.00
   28.25   0.00
   71.12   0.00
   25.17   0.00
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    8.29   0.00
   26.70   0.00
  134.12   0.00
  139.86   0.00
   39.36   0.00
  158.90   0.00
   73.84   0.00
   12.64   0.00
   12.22   0.00
    1.92   0.40
1,490.72   0.00
   30.93   0.00
   40.00   0.00



                  Page 217
                 CPT1


 63.84   0.00
 13.74   0.00
157.74   0.00
 84.10   0.00
 22.92   0.00
 84.37   0.00
 29.80   0.00
 93.45   0.00
 34.80   0.00
119.40   0.00
500.50   0.00
181.72   0.00
523.60   0.00
501.12   0.00
 54.60   0.00
 15.85   0.00
106.54   0.00
 72.52   0.00
  8.72   0.00
 19.88   0.00
 47.08   0.00
 23.60   0.00
 54.51   0.00
 31.14   0.00
 30.15   0.00
252.01   0.00
711.26   0.00
 54.16   0.00
151.45   0.00
219.84   0.00
165.55   0.00
 31.44   0.00
267.20   0.00
193.45   0.00
 30.73   0.00
 78.10   0.00
897.44   0.00



                Page 218
                 CPT1


 71.04   0.00
986.85   0.00
 84.90   0.00
266.24   0.00
564.98   0.00
118.49   0.00
 71.37   0.00
472.14   0.00
 51.92   0.00
 57.80   0.00
 34.12   0.00
 84.24   0.00
 48.63   0.00
 82.20   0.00
 11.34   0.00
 36.56   0.00
 18.60   0.00
 39.12   0.00
100.62   0.00
 16.38   0.00
125.01   0.00
 27.48   0.00
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  9.31   0.00
  9.97   0.00
 36.90   0.00
 73.29   0.00
  0.00   0.00
 10.92   0.00
  4.61   0.00
 52.02   0.00
248.64   0.00
  2.84   0.00
 25.00   0.00
 32.62   0.00
 21.85   0.00
 73.68   0.00



                Page 219
                 CPT1


 76.20   0.00
183.56   0.00
 32.97   0.00
 10.16   0.00
  3.93   0.00
  3.44   0.00
125.28   0.00
  6.51   0.00
  4.57   0.00
346.29   0.00
 14.31   0.00
  7.70   0.00
347.60   0.00
 72.60   0.00
 84.75   0.00
127.75   0.00
  5.55   0.00
 45.65   0.00
 36.63   0.00
 30.00   0.00
 35.84   0.00
 28.68   0.00
 19.56   0.00
 54.18   0.00
142.80   0.00
279.76   0.00
150.92   0.00
182.00   0.00
 57.60   0.00
 14.04   0.00
 27.60   0.00
 24.48   0.00
 43.80   0.00
 41.03   0.00
292.04   0.00
 78.71   0.00
 11.44   0.00



                Page 220
                   CPT1


   45.90   0.00
   34.88   0.00
   19.02   0.00
    9.04   0.00
   11.22   0.00
    3.65   0.00
    4.23   0.00
   20.28   0.00
   13.44   0.00
  131.24   0.00
    4.35   0.00
  112.29   0.00
   47.70   0.00
   63.24   0.00
   90.25   0.00
   26.53   0.00
   10.36   0.00
1,039.66   0.00
   68.25   0.00
  335.83   0.00
  857.66   0.00
  593.25   0.00
  731.12   0.00
   82.26   0.00
    8.55   0.00
6,960.03   0.00
  320.95   0.00
  388.57   0.00
  528.00   0.00
  171.54   0.00
   19.08   0.00
   54.90   0.00
   10.48   0.00
  263.25   0.00
    6.32   0.00
  190.08   0.00
   16.26   0.00



                  Page 221
                 CPT1


  9.08   0.00
 45.00   0.00
116.40   0.00
 27.51   0.00
116.62   0.00
 13.94   0.00
 21.25   0.00
  5.91   0.00
 13.32   0.00
 84.24   0.00
 31.92   0.00
  6.30   0.00
 31.90   0.00
 33.24   0.00
 56.43   0.00
  9.40   0.00
109.20   0.00
157.70   0.00
 12.36   0.00
 56.00   0.00
811.92   0.00
163.35   0.00
 43.81   0.00
330.60   0.00
 58.86   0.00
  9.48   0.00
  4.66   0.00
 22.80   0.00
139.52   0.00
 36.50   0.00
 23.24   0.00
  1.06   0.00
 11.75   0.00
  4.08   0.00
  1.66   0.00
  1.89   0.00
 54.32   0.00



                Page 222
                   CPT1


    3.40   0.00
   16.84   0.00
   18.45   0.00
    3.84   0.00
    2.92   0.00
   18.77   0.00
   39.24   0.00
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   75.18   0.00
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   57.78   0.00
   72.09   0.00
  313.47   0.00
   61.49   0.00
    7.74   0.00
    8.38   0.00
   55.80   0.00
   22.00   0.00
   17.90   0.00
    0.00   0.00
    4.50   0.00
   19.28   0.00
    3.54   0.00
    2.12   0.00
    8.01   0.00
   12.46   0.00
   10.48   0.00
1,189.29   0.00
3,050.74   0.00
  403.68   0.00
  179.80   0.00
  955.26   0.00
4,007.87   0.00
  463.54   0.00
1,963.00   0.00
  173.25   0.00
    4.55   0.00



                  Page 223
                   CPT1


  163.20   0.00
  205.19   0.00
  900.90   0.00
  247.86   0.00
    6.09   0.00
    6.96   0.00
  393.40   0.00
   73.44   0.00
  201.63   0.00
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2,082.06   0.00
1,356.43   0.00
   31.86   0.00
   27.36   0.00
   19.58   0.00
  187.20   0.00
  300.84   0.00
2,662.31   0.00
    4.86   0.00
  954.18   0.00
1,410.66   0.00
  126.43   0.00
  320.34   0.00
1,537.48   0.00
  658.92   0.00
1,503.28   0.00
   18.76   0.00
    6.58   0.00
    6.80   0.00
    4.50   0.00
    8.96   0.00
   10.08   0.00
    0.00   0.00
   25.68   0.00
   65.04   0.00
  552.72   0.00
3,228.75   0.00



                  Page 224
                   CPT1


5,107.84   0.00
  175.03   0.00
   56.48   0.00
   15.42   0.00
  994.28   0.00
  408.00   0.00
  832.24   0.00
  114.15   0.00
5,298.20   0.00
2,009.54   0.00
   34.50   0.00
  125.40   0.00
   19.41   0.00
   68.60   0.00
   61.60   0.00
   99.54   0.00
   42.00   0.00
   82.68   0.00
   15.02   0.00
  620.08   0.00
   28.28   0.00
   54.30   0.00
   16.36   0.00
   13.08   0.00
   31.80   0.00
   32.16   0.00
  356.04   0.00
    9.89   0.00
1,518.00   0.00
  137.34   0.00
  527.12   0.00
1,140.48   0.00
1,310.40   0.00
  229.39   0.00
5,292.14   0.00
1,043.90   0.00
1,129.17   0.00



                  Page 225
                    CPT1


10,578.75   0.00
 2,030.40   0.00
   209.57   0.00
    80.52   0.00
    81.72   0.00
    90.36   0.00
    45.15   0.00
 9,951.96   0.00
   383.52   0.00
   629.25   0.00
   125.86   0.00
    57.31   0.00
   165.60   0.00
   139.60   0.00
   408.69   0.00
   490.29   0.00
    83.34   0.00
    12.24   0.00
    20.07   0.00
     0.00   0.00
    17.16   0.00
     2.86   0.00
    28.20   0.00
    16.30   0.00
    26.04   0.00
    44.24   0.00
    19.36   0.00
     5.26   0.00
   158.10   0.00
    84.25   0.00
   106.02   0.00
     9.13   0.00
     3.90   0.00
    61.56   0.00
    10.78   0.00
   236.08   0.00
     7.84   0.00



                   Page 226
                   CPT1


    4.51   0.00
  982.00   0.00
  272.16   0.00
3,806.40   0.00
  187.20   0.00
  233.80   0.00
  428.26   0.00
   69.65   0.00
   69.72   0.00
5,320.15   0.00
   23.22   0.00
   12.60   0.00
   26.72   0.00
   24.04   0.00
   17.88   0.00
   85.32   0.00
   70.85   0.00
   60.90   0.00
  505.78   0.00
   64.68   0.00
   41.37   0.00
    9.80   0.00
   18.90   0.00
    0.00   0.00
    9.20   0.00
   32.34   0.00
   17.73   0.00
    6.56   0.00
   10.54   0.00
   14.20   0.00
    8.54   0.00
   18.30   0.00
   11.40   0.00
   19.04   0.00
   19.84   0.00
   16.72   0.00
   20.44   0.00



                  Page 227
                   CPT1


   38.40   0.00
2,357.30   0.00
   58.86   0.00
   15.84   0.00
  756.92   0.00
   61.94   0.00
   60.83   0.00
   15.66   0.00
  366.56   0.00
  576.85   0.00
  361.90   0.00
  436.00   0.00
  335.92   0.00
   39.10   0.00
   50.27   0.00
  152.24   0.00
    0.00   0.00
   14.27   0.00
   34.10   0.00
   24.12   0.00
   20.18   0.00
   10.29   0.00
  419.40   0.00
   19.50   0.00
  169.58   0.00
   28.80   0.00
    4.32   0.00
    8.28   0.00
   16.80   0.00
   41.40   0.00
    2.56   0.00
   94.68   0.00
   28.27   0.00
    4.74   0.00
    8.04   0.00
   30.42   0.00
   10.74   0.00



                  Page 228
                   CPT1


  202.24   0.00
  110.05   0.00
   53.56   0.00
   76.84   0.00
   10.90   0.00
   34.74   0.00
   25.56   0.00
3,428.70   0.70
    7.88   0.00
   17.04   0.00
1,719.86   0.00
   43.18   0.00
    4.63   0.00
   52.36   0.00
    6.96   0.00
    0.00   0.00
   43.02   0.00
    4.14   0.00
    3.57   0.00
   45.04   0.00
    7.28   0.00
   18.32   0.00
    7.11   0.00
   25.08   0.00
  639.40   0.00
  103.68   0.00
  319.68   0.00
  325.92   0.00
  326.80   0.00
  147.84   0.00
   45.72   0.00
    4.36   0.00
    1.03   0.00
    1.32   0.00
    7.34   0.00
    4.93   0.00
   25.10   0.00



                  Page 229
                 CPT1


 10.47   0.00
  6.32   0.00
  2.72   0.00
 93.31   1.02
  1.06   0.00
  5.70   0.00
 23.50   0.00
 13.44   0.00
 17.96   0.00
  0.00   0.00
277.20   0.57
 48.18   0.00
301.72   0.00
  8.66   0.00
 25.05   0.00
 30.44   0.00
 22.97   0.00
 13.91   0.00
 14.19   0.00
 18.58   0.00
  3.99   0.00
 21.12   0.65
 82.99   0.77
  2.18   0.00
 24.96   0.00
260.81   0.00
 20.66   0.00
 23.88   0.00
 65.91   0.00
  5.45   0.00
 35.70   0.00
 16.78   0.00
 21.46   0.00
 26.16   0.00
 13.63   0.00
 16.42   0.00
 55.32   0.00



                Page 230
                 CPT1


184.34   0.00
 60.72   0.00
 20.72   0.00
  1.84   0.00
 11.98   0.00
  0.00   0.00
  8.96   1.16
 24.14   0.00
 37.36   0.00
 12.46   0.00
 19.98   0.00
 56.21   0.00
138.04   0.00
  3.30   1.55
 77.14   0.00
 82.68   0.00
  7.74   0.00
 23.08   0.00
 17.22   0.00
  5.43   0.00
  4.95   0.00
 18.08   0.00
 16.45   0.00
 53.13   0.00
  3.24   0.00
 14.28   0.00
 20.68   0.00
 85.26   0.00
 12.48   0.00
  5.00   0.00
 28.50   0.00
384.45   0.00
112.32   0.00
129.64   0.00
 45.34   0.00
 65.90   0.00
 22.22   0.00



                Page 231
                  CPT1


 86.88    0.00
 31.75    0.00
 95.85    0.00
 65.40    0.00
  9.68    0.00
 49.77    0.00
209.72    0.00
 32.15    0.00
103.35    0.00
 37.44    0.00
 35.52    0.00
 67.90    0.00
 85.44    0.00
 29.96    0.00
 45.46    0.00
 20.62    0.00
  4.84    0.00
 20.22    0.00
  9.99    0.00
  9.99    0.00
 49.92    0.00
 10.01    0.00
 16.48    0.00
 23.96    0.00
 20.32    0.00
 29.55    0.00
 37.84    0.00
 82.88   11.24
 22.97   12.30
  6.74    0.00
 19.61    0.00
 17.54    0.00
 55.94    0.00
 30.71    0.00
 29.96    0.00
 24.96    0.00
 19.97    0.00



                 Page 232
                 CPT1


 25.58   0.00
 17.97   0.00
 50.92   0.00
 10.13   0.00
 24.35   0.00
 17.77   0.00
317.39   0.00
 14.70   0.00
 15.79   0.00
  3.00   0.00
 10.05   4.77
 12.06   3.73
 14.68   4.39
 18.96   5.49
  8.62   4.60
100.50   5.30
 13.80   3.86
 48.24   3.42
 66.15   4.01
 28.44   4.74
  6.03   3.22
  6.64   3.80
 22.17   0.00
 51.00   0.00
 21.54   0.00
 65.19   0.00
 26.88   0.00
 85.05   0.00
 27.96   0.00
 24.96   0.00
 39.00   0.00
 22.16   0.00
  8.49   0.00
  7.17   0.00
  5.36   0.00
 14.02   0.00
 12.86   0.00



                Page 233
                    CPT1


   29.28    0.00
    5.54    0.00
2,484.18    0.06
    1.96    0.00
   10.45    0.38
   46.17    1.04
  138.16    1.33
   21.06    1.47
    3.02    1.25
    3.51    1.46
  138.92    1.44
    4.02    0.84
   62.31    0.84
   64.32    0.85
  135.90    1.26
  154.11    1.95
  131.75    2.20
   50.32    2.69
  154.11    2.10
  184.45    2.25
  144.67    2.66
    1.01    0.48
   38.80    6.72
   12.03    3.02
    0.00    0.00
   85.50   -0.14
   10.54   -0.06
  274.50    0.06
1,108.08    0.06
    0.00    0.09
    0.00    0.09
   21.21    0.41
   81.32    0.22
    0.00    2.10
   44.60    0.89
   13.16    3.00
    0.00    0.00



                   Page 234
                  CPT1


  0.00    0.00
 81.75    0.51
282.60    0.75
153.56    3.29
  2.50   -0.52
 17.55    1.47
 19.62    0.67
  5.22    0.00
  3.48    0.00
  6.96    0.00
 52.20    0.00
  3.48    0.00
  2.27    2.19
  0.00    0.34
  0.00    0.00
 32.16    0.00
437.50    0.00
 25.45    0.00
263.45    0.00
 81.12    0.00
946.42    0.00
 43.33    0.00
 17.97    0.00
 19.47    0.00
 26.88    0.00
274.82    0.00
 26.55    0.00
327.98    0.00
  2.01    0.00
  6.38    0.00
 27.92    0.00
  9.17    0.00
 13.72    0.00
  5.19    0.00
  9.60    0.00
  9.58    0.00
224.73    0.00



                 Page 235
                 CPT1


313.50   0.00
  3.59   0.00
  1.21   0.00
161.92   0.00
  8.05   0.00
  4.20   0.00
  1.40   0.00
 21.60   0.00
279.45   0.00
  2.62   0.00
237.66   0.00
 83.88   0.00
410.32   0.00
 39.32   0.00
143.76   0.00
 47.94   0.00
146.72   0.00
 83.51   0.00
 20.60   0.00
  7.56   0.00
 41.20   0.00
  0.00   8.37
  9.10   1.85
  4.99   2.84
 73.71   3.66
 10.04   2.86
398.42   7.21
 99.24   4.42
  6.81   0.00
  1.60   0.77
 21.96   0.00
 18.45   0.00
 78.00   0.00
 22.03   0.00
 14.49   0.00
274.04   6.37
 20.97   0.00



                Page 236
                 CPT1


171.12   0.00
813.60   0.00
 73.20   0.00
 31.53   0.00
 94.05   0.00
587.20   0.00
 18.58   0.00
 22.98   0.00
130.22   0.00
 21.98   0.00
  8.33   0.00
  0.00   0.00
 57.92   0.00
 15.29   0.00
 31.60   0.00
152.73   0.00
  2.64   1.10
  3.00   0.00
  1.50   0.00
  0.00   0.98
220.32   0.00
295.92   0.00
  9.06   0.00
  6.72   0.00
 26.88   0.00
  1.71   0.00
 19.90   0.00
  5.99   0.00
542.30   0.00
 35.34   0.00
327.42   0.00
363.60   0.00
  7.97   0.00
 17.70   0.00
 27.64   0.00
 20.94   0.00
 10.81   0.00



                Page 237
                 CPT1


 27.72   0.00
  0.00   0.00
  8.23   0.00
 27.18   0.00
 29.04   0.00
 90.09   0.00
117.72   0.00
  4.88   0.00
  4.88   0.00
116.37   0.00
 19.95   0.00
 33.14   0.00
  1.29   0.57
  2.08   0.00
  0.00   0.00
  6.09   0.00
 35.31   0.00
  5.60   0.00
 65.24   0.00
 16.08   0.00
 68.32   0.00
  8.54   0.00
 28.14   0.00
  9.32   0.00
 15.08   0.00
 25.41   0.00
  8.50   0.00
229.86   0.00
 54.12   0.00
 29.40   0.00
  0.00   0.00
  8.19   0.00
  5.06   0.00
 12.40   0.00
  1.55   0.00
 28.80   0.00
 24.89   0.00



                Page 238
                CPT1


30.03   0.00
 6.82   0.00
 7.32   0.00
91.58   0.00
 2.56   0.00
 8.80   0.00
26.16   0.00
 3.90   0.00
 3.36   0.00
31.80   0.00
 7.90   0.00
 4.06   0.00
63.57   0.00
11.36   0.00
14.70   0.00
28.69   0.00
21.84   0.00
 9.57   0.00
26.10   0.00
 7.32   0.00
19.52   0.00
11.13   0.00
23.06   0.00
 9.55   0.00
 2.27   0.00
 3.41   0.00
35.49   0.00
 0.00   0.00
16.38   0.00
 9.90   0.00
 3.93   0.00
 4.62   0.00
 0.00   1.45
 0.00   3.64
52.53   0.00
 0.00   0.00
 1.23   0.00



               Page 239
                   CPT1


   22.27   0.00
    9.84   0.00
    6.30   0.00
   18.48   0.00
   58.32   0.00
2,395.92   0.00
   21.60   0.00
   71.88   0.00
   28.96   0.00
    8.81   0.00
    9.53   0.00
   19.98   0.00
    9.51   0.00
    7.86   0.00
    0.00   0.00
    7.72   0.00
    2.75   0.00
   15.47   0.00
    6.62   0.00
    4.59   0.00
    6.24   0.00
   29.61   0.00
   36.24   0.00
   11.24   0.00
  177.27   0.00
  320.34   0.00
  156.48   0.00
   13.00   0.00
   21.23   0.00
  180.96   0.00
   13.83   0.00
    4.29   0.00
    4.81   0.00
    1.54   0.00
    2.26   0.00
    0.00   0.00
  262.44   0.00



                  Page 240
                   CPT1


   21.64   0.00
   10.70   0.00
   30.58   0.00
   22.32   0.00
    1.58   0.00
   16.10   0.00
   28.96   0.00
   55.25   0.00
   35.30   0.00
3,268.20   0.00
  761.84   0.00
  511.50   0.00
3,417.18   0.00
  580.82   0.00
  105.69   0.00
   27.60   0.00
    4.44   0.00
   26.95   0.00
   10.48   0.00
   16.18   0.00
    8.95   0.00
   53.59   0.00
   16.74   0.00
   28.52   0.00
   21.68   0.00
    0.00   0.00
    8.08   0.00
   30.72   0.00
   11.73   0.00
  131.97   0.00
    6.27   0.00
   90.72   0.00
    3.76   0.00
    7.56   0.00
   46.80   1.42
    4.80   0.00
    2.90   0.00



                  Page 241
                    CPT1


     8.40   0.00
   128.10   1.21
     9.36   0.00
    10.77   0.00
     7.52   0.00
     6.38   0.00
     4.47   0.00
    70.35   0.00
 7,088.74   0.00
    23.36   0.00
    11.94   0.00
    30.12   0.00
11,353.72   0.00
    13.70   0.00
    25.90   0.00
    94.90   0.00
    45.60   0.00
   110.88   0.00
   289.38   0.00
   164.16   2.05
   108.16   1.68
   929.25   0.00
   391.50   0.00
    64.00   0.00
   173.43   1.81
   144.30   1.55
     4.34   0.00
    40.86   2.15
   212.79   2.04
   678.30   2.70
    37.56   2.83
   309.96   3.29
   471.17   3.90
    20.00   2.80
   125.46   3.29
   328.00   0.57
    66.42   3.28



                   Page 242
                   CPT1


2,755.20   0.00
  184.86   0.00
   39.48   0.00
   40.20   0.00
   19.58   0.00
   20.82   0.00
   74.52   0.00
    6.04   0.00
    2.57   1.19
   39.78   1.41
    0.00   0.00
   11.03   0.00
   69.86   0.00
   29.16   0.00
   30.68   0.00
   45.12   0.00
  157.92   0.00
  138.42   0.00
   23.16   0.00
  188.16   2.95
   46.92   0.00
  123.20   0.53
   18.09   0.93
   13.67   0.00
   58.52   0.00
   15.35   0.00
    7.83   0.00
   77.70   0.00
   18.62   0.00
1,968.82   0.00
   80.64   0.00
   29.35   0.00
   49.92   0.00
    9.68   0.00
   24.61   0.00
    0.00   0.00
  226.94   0.00



                  Page 243
                   CPT1


    2.62   1.24
   13.97   0.00
   28.12   0.00
   28.02   0.00
   21.97   0.00
   11.79   0.00
   50.91   0.00
   14.47   0.00
    2.23   0.00
1,111.41   0.00
   38.96   0.00
  183.68   0.00
  193.50   0.00
   26.38   0.00
   55.00   0.00
   82.72   0.00
   83.37   0.00
   30.74   0.00
  130.13   0.00
  360.50   0.00
    9.77   0.00
  110.05   0.00
  600.96   0.00
   22.20   0.00
   29.96   0.00
   27.96   0.00
   69.90   0.00
    0.00   0.00
    0.00   0.00
   47.79   0.00
   16.02   0.00
   15.03   0.00
   21.06   0.00
   35.22   0.00
   11.96   0.00
   23.13   0.00
   30.82   0.00



                  Page 244
                   CPT1


   20.72   0.00
    2.87   0.00
    7.46   0.00
    4.40   0.00
    3.49   0.00
    7.12   0.00
    1.05   0.00
    3.64   0.00
   59.22   0.00
   34.43   0.00
    3.82   0.00
   22.86   0.00
   13.26   0.00
    0.49   0.37
   80.05   0.00
   64.04   0.00
   19.50   0.00
   15.91   0.00
  109.62   0.00
   75.15   0.00
  126.60   0.00
   64.86   0.00
   24.77   0.00
    0.00   0.00
   22.42   0.00
   40.48   0.00
    3.37   0.00
2,107.89   0.00
  381.92   0.00
2,137.74   0.00
   22.55   0.00
   33.83   0.00
    9.42   0.00
   62.39   0.00
   23.75   0.00
   30.49   0.00
   30.53   0.00



                  Page 245
                    CPT1


    61.58   0.00
    24.56   0.00
    16.42   0.00
   103.23   0.00
    36.10   0.00
     1.32   0.32
     9.09   0.00
     1.66   0.00
     1.40   0.00
     1.17   0.00
 2,520.00   0.00
   573.85   0.00
     7.16   0.00
    57.28   0.00
    21.84   0.00
     5.84   0.00
    60.84   0.00
    34.54   0.00
     7.56   0.00
    65.00   0.00
     5.84   0.00
    10.53   0.00
36,970.11   0.00
   140.40   0.00
15,974.58   0.00
    12.57   0.00
   119.28   0.00
 2,109.60   0.00
 5,862.50   0.00
12,857.80   0.00
    22.85   0.00
    41.30   0.00
     7.57   0.00
    45.94   0.00
   105.60   0.00
    18.45   0.00
    41.40   0.00



                   Page 246
                 CPT1


  5.60   0.00
  3.14   0.00
  0.00   0.00
 40.60   0.00
  9.84   0.00
361.35   0.00
 30.17   0.00
 95.20   0.00
 62.48   0.00
  2.71   0.00
169.32   0.00
217.00   0.00
 54.56   0.00
  2.67   0.00
 12.72   0.00
 51.48   0.00
361.08   0.00
 64.25   0.00
407.40   0.00
959.31   0.00
  5.39   0.00
324.36   0.00
  7.07   0.00
 14.98   0.00
274.54   0.00
 22.75   0.00
125.37   0.00
  8.16   0.00
 56.96   0.00
 74.06   0.00
  6.44   0.00
739.00   0.00
  9.17   0.00
 12.96   0.00
  3.02   0.00
 11.88   0.00
 34.39   0.00



                Page 247
                 CPT1


 11.70   0.00
 42.21   0.00
  5.36   0.00
  6.89   0.00
 23.90   0.00
 20.46   0.00
 46.20   0.00
 21.01   0.00
 40.92   0.00
 74.40   0.00
  3.72   0.00
 61.38   0.00
 13.80   0.00
147.00   0.00
 43.74   0.00
 18.40   0.00
 13.45   0.00
  9.28   0.00
 62.56   0.00
 38.70   0.00
  0.00   0.00
672.60   0.77
 15.99   0.00
  3.69   0.00
 30.18   0.00
 81.55   0.00
212.70   0.00
106.54   0.00
 18.48   0.00
 19.66   0.00
  0.00   0.00
 45.94   0.00
464.80   0.00
 15.17   0.00
  0.00   0.00
 36.02   0.00
 43.20   0.00



                Page 248
                     CPT1


    43.32    7.76
     9.80    0.78
    15.96    0.30
    15.64    9.18
    31.44   10.57
    72.02    3.55
     6.03    0.00
     6.34    0.00
    14.64    0.00
    36.19    0.00
15,664.05    0.00
 2,169.44    0.00
   284.20    0.00
    87.92    0.00
     0.00    0.00
   379.68    0.00
   190.71    5.44
    56.37    0.00
    20.61    0.00
    15.60    0.00
    18.77    0.00
   129.15    0.00
    21.31    0.00
    79.48    0.00
     0.00    0.00
    24.42    0.00
    15.83    0.00
    91.64    0.00
    95.86    0.00
    15.26    0.00
   757.90    0.00
    94.23    0.00
    73.56    0.00
   342.15    0.00
    33.70    0.00
    54.00    4.09
     7.38    6.33



                    Page 249
                    CPT1


   114.75   0.68
    11.34   0.00
    24.24   0.00
    19.03   0.69
   245.52   0.00
    14.82   0.00
    14.86   0.00
    58.38   0.00
    44.48   0.00
 1,633.89   0.00
   226.38   0.00
   130.87   0.00
     0.00   0.00
     6.66   0.00
    16.59   0.00
    31.20   0.00
     7.30   0.76
     0.76   0.47
    11.35   0.00
    55.55   0.00
    28.02   0.00
   129.36   0.00
   475.89   0.00
    17.74   0.00
13,525.38   0.00
   516.24   0.00
 1,375.66   0.00
    59.75   0.00
   239.68   0.00
    10.37   0.00
   120.68   0.00
    56.58   0.00
    45.10   0.00
 2,552.55   0.00
   526.51   0.00
   508.20   0.00
    86.28   0.00



                   Page 250
                    CPT1


  141.52    0.00
  369.20    0.00
   53.76    0.00
  319.80    0.00
   53.12    0.00
4,179.84    0.00
  445.45    0.00
   42.65    0.00
   10.94    0.00
   75.89    0.00
   10.48    0.00
2,372.54    0.00
  584.33    0.00
    0.00    0.00
   98.08    0.00
    0.00    0.00
   29.28   13.97
    3.37   11.80
   44.76    0.00
   38.54    0.00
   25.30    0.00
  132.21   11.24
  217.70   13.78
   16.07    0.00
  181.47    1.06
   11.29    0.00
   68.48    0.00
   88.16    0.00
   24.82    0.00
  109.85    0.00
   22.18    0.00
   31.48    0.00
   15.68    0.78
   26.96    1.35
   29.05    1.65
   19.76    0.31
    8.76    0.58



                   Page 251
                   CPT1


  116.82   0.00
   23.89   0.00
   19.54   0.00
   39.94   0.00
   50.92   0.00
   22.37   0.00
  167.72   0.00
   61.35   0.00
   24.36   0.00
   11.18   0.00
    5.98   0.00
    6.52   0.00
   10.33   0.00
   13.96   0.00
   11.84   0.00
2,115.64   5.56
  262.48   0.00
   15.90   0.00
   59.68   0.00
   19.52   0.00
    2.28   0.30
    2.34   1.77
    6.96   0.00
   30.38   0.00
   18.87   0.00
   12.00   0.00
   73.32   0.00
   19.51   0.00
   29.00   0.00
   20.86   0.00
  171.22   0.00
    0.00   0.00
   12.46   0.00
  277.84   0.00
    6.84   0.00
    3.90   0.00
    5.10   0.00



                  Page 252
                   CPT1


  221.76   0.00
   26.34   0.00
   27.04   0.00
   91.08   0.00
    9.28   0.00
   13.95   0.00
   12.36   0.00
   12.55   0.00
   31.28   0.00
   43.18   0.00
  193.60   0.00
   32.61   0.00
   57.20   0.35
    1.28   0.26
   61.95   0.41
  353.76   0.00
1,091.50   0.00
  699.00   0.00
   92.61   0.00
  105.06   0.00
   17.88   0.00
  164.12   0.00
  750.68   0.00
  338.24   0.00
    0.00   1.71
  243.39   0.00
    0.00   1.14
    3.22   0.00
    0.00   1.53
    9.18   0.00
  298.35   0.00
    0.00   1.60
    0.00   0.00
   52.17   0.00
   35.72   0.00
   21.38   0.00
   48.60   0.00



                  Page 253
                   CPT1


   12.00   0.00
   15.02   0.00
    7.65   0.00
   23.58   0.00
   15.56   0.00
   45.96   0.00
   11.34   0.00
   12.48   0.00
  181.87   0.00
9,953.52   0.00
  130.56   0.00
  364.98   0.00
   72.48   0.00
  438.45   0.00
   51.80   0.00
  138.16   0.00
  438.90   0.00
  168.64   0.00
  116.52   0.00
   26.94   1.78
  140.76   0.00
   11.76   0.00
   23.45   0.00
  229.54   0.00
   18.48   0.00
  201.60   0.00
  223.65   0.00
   26.11   0.00
    3.60   0.00
   18.32   0.00
    5.30   0.00
  750.27   0.00
   72.80   0.00
   40.26   0.00
   18.36   0.00
  103.18   1.86
   98.40   2.43



                  Page 254
                   CPT1


  113.96   0.00
   10.06   1.99
  441.48   1.12
   62.66   1.91
   47.92   0.00
   19.47   0.00
   76.90   0.00
   32.76   0.00
    5.27   0.00
  245.70   0.00
  968.67   0.00
1,775.08   0.00
   95.29   0.00
   35.24   0.00
   19.34   0.00
   76.30   0.00
  389.16   0.00
  802.75   0.00
   64.96   0.00
  135.49   0.00
   20.49   0.00
    6.60   0.00
   46.27   0.00
   31.02   0.00
  111.90   0.00
    9.12   0.00
    3.63   0.00
   74.34   0.00
    5.65   0.00
   12.78   0.00
    5.26   0.00
    5.18   0.00
   12.55   0.00
    6.99   0.00
    9.57   0.00
    3.09   0.00
   38.25   0.00



                  Page 255
                   CPT1


   14.46   0.00
   65.68   0.00
   96.90   0.00
   19.86   0.00
   13.60   0.00
   23.10   0.00
   42.12   0.00
   10.21   0.00
   53.88   0.00
   21.12   0.00
    9.69   0.00
   24.52   0.00
   48.76   0.00
    6.05   0.57
    0.98   0.48
    1.28   0.51
    4.86   0.64
    2.84   0.00
    2.88   0.00
    0.76   0.00
   18.88   0.00
   29.61   0.00
    0.00   0.00
    8.76   0.00
    5.31   0.00
   70.68   0.00
    9.76   0.00
1,014.32   0.00
    2.48   0.00
   38.60   0.00
   53.24   0.00
   47.50   0.00
   10.11   0.00
    6.14   0.00
    9.96   0.00
2,874.28   0.00
  364.98   0.00



                  Page 256
                   CPT1


  766.32   0.00
1,788.69   0.00
  126.00   0.00
  135.00   0.00
   15.00   0.00
   31.68   0.00
  113.05   0.47
    0.00   5.89
  114.29   0.00
   37.41   0.00
   13.55   0.00
  220.83   0.00
  146.61   0.00
   62.80   0.00
   62.52   0.00
   17.05   0.00
   20.01   0.00
   31.84   0.00
   17.12   0.00
   49.40   0.00
   47.64   0.00
   13.16   0.00
   35.92   0.00
   51.30   0.00
  187.74   0.00
   48.32   0.00
   25.46   0.00
   77.40   0.00
   21.70   0.00
   22.80   0.00
    0.00   8.35
   52.64   0.00
   19.65   0.00
   37.95   2.75
   25.71   0.00
  140.94   0.00
   66.43   0.00



                  Page 257
                    CPT1


   317.09   0.00
    54.39   0.00
    84.00   0.00
   647.66   0.00
   148.59   0.00
    15.30   0.00
     6.40   0.00
    43.76   0.00
    64.30   0.00
    95.76   0.00
     2.33   0.00
    20.52   0.00
    16.11   0.00
   233.55   0.00
   145.13   0.00
    26.67   0.00
    13.18   0.00
    17.91   0.00
    27.17   0.00
   481.50   0.00
    61.84   0.00
    93.67   0.00
    23.43   0.00
   108.11   0.00
    20.32   0.00
    28.84   0.00
    20.92   0.00
    76.14   0.00
14,584.57   0.00
    14.00   1.64
 1,526.40   0.00
   456.21   0.00
   340.38   0.00
    78.26   0.00
   802.30   0.00
    26.20   0.00
   214.48   0.00



                   Page 258
                   CPT1


   39.36   0.00
    0.00   0.00
   11.78   0.00
1,766.25   0.63
   77.52   0.00
  135.30   0.00
   27.47   0.00
   14.23   0.00
   46.80   0.00
  793.10   0.00
  267.74   0.00
  199.57   0.00
   37.50   8.03
   28.86   0.00
  116.64   0.00
    0.00   0.00
   61.92   0.00
  215.45   0.00
  124.96   0.00
    9.85   0.00
  665.55   0.00
  187.68   0.00
  423.50   0.00
   13.75   0.00
  126.82   0.00
   16.78   0.00
   12.34   0.00
   22.68   0.00
    2.04   0.00
  173.28   0.00
   15.52   0.00
   82.40   0.00
   45.00   0.00
   94.30   0.00
    5.94   0.00
   12.04   0.00
    5.12   0.00



                  Page 259
                   CPT1


   14.22   0.00
  352.50   0.00
   33.93   0.00
  129.60   0.00
   33.80   0.00
   25.40   0.00
   22.97   0.00
   28.54   0.00
   29.60   0.00
   75.33   0.00
   98.79   0.00
   25.85   0.00
   31.30   0.00
  376.47   0.00
  132.86   0.00
   47.40   0.00
    7.86   0.00
   20.64   0.00
   72.72   0.00
  104.88   0.00
   99.12   0.00
   33.96   0.00
   12.09   0.00
   30.04   0.00
   35.40   0.00
   88.76   0.00
  235.18   0.00
1,729.00   0.00
   22.80   0.00
   19.86   0.00
    8.00   0.00
   12.33   0.00
   18.70   0.00
   20.43   0.00
1,923.25   0.00
   80.29   0.00
  630.40   0.00



                  Page 260
                    CPT1


 1,144.00   0.00
    62.92   0.00
 9,453.00   0.00
23,798.62   0.00
 3,952.14   0.00
 3,724.05   0.00
 3,376.19   0.00
 1,361.71   0.00
   697.43   0.00
   471.96   0.00
    76.00   0.00
   769.50   0.00
     7.60   0.00
   600.47   0.00
   881.05   0.00
    61.00   0.00
    39.03   0.00
     5.52   0.00
    17.70   0.00
   154.00   0.00
    16.70   0.00
 5,940.99   0.00
   582.06   0.00
   145.80   0.00
    32.12   0.00
    94.85   0.00
 3,805.00   0.00
   185.13   0.00
   320.67   0.00
   150.92   0.00
   115.24   0.00
   114.99   0.00
 1,568.16   0.00
   811.25   0.00
   176.44   0.00
    68.04   0.00
   185.12   0.00



                   Page 261
                   CPT1


  236.10   0.00
   16.98   0.00
   22.23   0.00
   56.91   0.00
  103.80   0.00
   23.03   0.00
2,757.30   0.00
1,228.09   0.00
   38.64   0.00
  557.70   0.00
    3.45   0.00
  279.84   0.41
   37.20   2.17
   19.19   0.00
  177.50   0.00
    6.35   0.00
  160.38   0.00
   18.97   0.00
  524.29   0.00
  463.42   0.00
  131.82   0.00
  536.13   0.00
2,516.94   0.00
   92.40   0.00
   34.95   0.00
  199.80   0.00
   10.40   0.00
  733.04   0.00
    0.00   0.00
    0.00   0.00
  218.01   0.00
  129.74   0.00
    5.80   0.00
  132.26   0.00
1,791.93   0.00
1,775.83   0.00
1,930.28   0.00



                  Page 262
                   CPT1


1,201.85   0.00
3,231.02   0.00
   64.30   0.00
  274.40   0.00
    0.00   0.00
  180.45   0.00
  464.94   0.00
  223.68   0.00
  577.98   0.00
   14.82   0.00
   13.95   0.00
   16.52   0.00
    5.87   0.00
    4.21   3.56
    6.74   3.33
   11.96   0.00
   11.34   0.00
  453.60   0.00
   36.40   0.00
   18.40   0.00
   24.97   0.00
   31.95   0.00
   43.89   0.00
  704.00   2.17
    0.00   1.95
    0.00   0.00
  278.20   0.84
   15.00   0.00
    6.88   0.00
   17.60   0.00
   48.84   0.00
    0.00   0.53
  427.20   0.00
  127.28   0.00
   52.40   0.00
    5.24   0.00
   24.66   0.00



                  Page 263
                      CPT1


   114.70     0.00
    46.60     0.00
    14.20     0.00
     5.45     0.00
    58.25     0.00
   539.09     0.00
    81.30     0.00
    34.76     0.00
   103.63     0.00
   138.88     0.00
41,292.79   -23.03
27,323.96     0.00
 6,169.68   -14.76
    73.53     0.00
    11.27     0.00
 4,473.60    -4.80
 6,392.71    -8.27
 1,169.37     0.00
 7,906.36   -26.18
 8,581.10     0.00
 2,358.24   -17.34
   417.86   -24.58
   496.32     0.00
   261.12   -16.32
   138.70   -27.74
   280.00     0.00
    75.60   -18.90
 1,020.00     0.00
 2,200.00     0.00
   115.96     0.00
    12.20     0.00
   102.34     0.00
    52.30     0.00
     5.92     0.00
    24.44     0.00
     7.47     0.00
   138.00     0.00



                     Page 264
                    CPT1


   48.99    0.00
    0.00    0.00
    8.80    0.00
    6.79    0.00
  112.32   -0.19
  104.94    0.00
  597.30    0.00
   96.06    0.00
  700.92    0.00
   14.17    0.00
1,780.44    0.00
  164.32    0.00
   26.95    0.00
  226.72    0.00
   20.24    0.00
   33.60    0.00
  111.34    0.00
    8.52    0.00
  372.83    0.00
   40.64    0.00
    4.44    0.00
   33.56    0.00
   23.06    0.00
   85.00    0.00
   19.97    0.00
    0.00    0.00
    1.58    0.00
    2.67    1.25
    5.13    0.00
    4.99    0.00
   17.50    0.00
   12.40    0.00
   44.91    0.00
   73.59    0.00
    2.78    0.00
   29.46    0.00
   23.29    0.00



                   Page 265
                   CPT1


   27.91   0.00
   18.24   0.00
   29.73   0.00
   27.25   0.00
   25.62   0.00
   53.67   0.00
   56.82   0.00
   70.08   0.00
   37.26   0.00
   41.33   0.00
   64.50   0.00
   22.23   0.00
   39.58   0.00
   29.63   0.00
   40.24   8.55
   61.32   0.00
   17.44   0.00
   51.63   0.00
   31.29   0.00
   25.02   0.00
   19.78   0.00
   22.00   0.00
   21.55   0.00
   10.77   0.00
   43.94   0.00
   25.70   0.00
    5.40   0.00
    2.22   0.00
   55.17   0.00
1,052.03   0.52
   44.55   0.00
   81.70   0.00
    2.66   0.00
   34.95   0.00
    4.62   0.80
   80.70   0.00
  270.00   1.47



                  Page 266
                    CPT1


   11.64    1.33
   47.10    5.40
  607.38    0.54
2,534.84    0.00
    8.16    0.00
   26.18    0.00
   27.44    0.00
  250.24    0.00
    7.86    0.00
    5.41    0.00
   14.06    0.00
   10.82    0.00
    0.00    0.00
   45.75   -0.75
   31.60    0.00
   31.86    0.00
  163.90    0.00
   30.76    0.00
   19.32    0.00
   31.84    0.00
  295.80    0.00
1,701.16    0.00
  225.36    0.00
  575.52    0.00
    0.00    7.48
   16.48    0.00
  131.31    0.00
  775.20    0.00
   94.76    0.00
   35.52    0.00
   28.12    0.00
   19.80    0.00
   38.30    0.00
   17.92    0.00
   20.53    0.00
   26.35    0.00
   35.95    0.00



                   Page 267
                 CPT1


 17.44   0.00
 40.38   0.00
 10.27   0.00
 24.60   0.00
 28.12   0.00
 26.90   0.00
 21.15   0.00
 11.24   0.00
 11.34   0.00
 57.72   0.00
 21.25   0.00
 95.04   0.00
  8.46   0.00
  2.80   0.00
 42.92   0.00
 38.39   0.00
  8.64   0.00
  5.28   0.00
 15.34   0.00
 43.68   0.00
115.50   0.00
 23.20   0.00
 22.20   0.00
 24.00   0.00
  6.00   0.00
  6.00   0.00
805.18   0.00
 62.90   0.00
 27.09   0.00
303.15   0.00
160.72   0.00
 94.60   0.00
731.50   0.00
 48.80   0.00
256.50   0.37
 14.22   0.45
489.96   0.00



                Page 268
                   CPT1


    2.27   0.00
   13.46   0.00
    1.76   0.00
    7.49   0.00
    4.61   0.00
   13.48   0.00
    4.12   0.00
    7.20   0.00
    3.46   0.00
  774.20   0.00
  294.00   0.00
  305.80   0.00
    8.52   0.00
  201.00   0.00
   64.35   0.00
   36.08   0.00
   44.08   0.00
    3.00   0.00
  505.08   0.00
   16.88   0.00
   36.48   0.00
   73.32   0.00
    7.74   0.00
   32.94   0.00
   10.31   0.00
  603.98   0.00
  164.56   0.00
3,659.40   0.00
   42.21   0.00
    4.17   0.00
    6.20   0.00
    5.72   0.00
    5.23   0.00
   34.75   0.00
    6.40   0.00
   30.96   0.00
   51.10   0.00



                  Page 269
                 CPT1


 87.08   0.00
  9.81   0.00
  9.20   0.00
  6.02   0.00
 14.62   0.00
 13.65   0.00
 20.56   0.00
 10.35   0.00
  8.74   0.00
150.88   0.00
 20.34   0.00
 27.56   0.00
 15.13   0.00
 14.63   0.00
 19.47   0.00
  0.00   0.00
 13.72   0.00
  7.02   0.00
 22.68   0.00
  8.48   0.00
  6.25   0.00
  6.27   0.00
245.66   0.00
 47.04   0.00
 76.68   0.00
451.98   0.00
120.96   0.00
 12.57   0.00
  5.70   0.00
  3.81   0.00
  5.33   0.00
 30.60   0.00
 42.35   0.00
  4.41   0.00
145.60   0.00
398.24   0.00
 41.16   0.00



                Page 270
                  CPT1


 18.40    0.00
  4.18    0.00
 65.40    0.00
 49.32    0.00
184.99    0.00
 14.98    0.00
 89.22    0.00
  0.00   18.30
  0.00   19.77
 70.12    0.00
  0.00   10.76
  8.56    0.00
 44.94    0.00
  9.55    0.00
  5.73    0.00
  4.86    0.00
  5.04    0.00
  8.12    0.00
 42.00    0.00
276.48    0.00
 13.06    0.00
 21.82    0.00
  8.39    0.00
  1.59    0.00
 17.50    0.00
 23.04    0.00
  8.29    0.00
 10.15    0.00
291.36    0.00
150.20    0.00
217.95    0.00
 32.52    0.00
137.31    0.00
  5.12    0.00
  6.15    0.00
 10.86    0.00
  9.54    0.00



                 Page 271
                    CPT1


     9.54   0.00
   147.87   0.00
     4.77   0.00
   678.02   0.00
    22.85   0.00
   815.45   0.00
    98.64   0.00
    49.14   0.00
    15.80   0.00
   118.30   0.00
    39.84   0.00
    20.32   0.00
    17.84   0.00
   835.76   0.00
   422.06   0.00
23,748.46   0.00
   134.08   0.00
   134.86   0.00
     1.51   0.00
     0.00   0.00
    22.76   0.00
    13.72   0.00
    48.37   0.00
    35.28   0.00
     4.83   0.00
     3.66   0.00
   261.14   0.00
   699.93   0.00
   130.50   0.00
   980.40   0.00
     7.52   0.00
   111.00   0.00
   222.30   0.00
   790.02   0.00
   228.80   0.00
    50.49   0.00
    23.88   0.00



                   Page 272
                   CPT1


    5.19   0.00
  182.24   0.00
  872.19   0.00
  144.21   0.00
  212.00   0.00
  111.69   0.00
1,424.64   0.00
    8.65   0.00
    0.00   0.00
  929.60   0.00
  733.58   0.00
  172.73   0.00
   86.85   0.00
   78.40   0.00
    4.32   0.00
    4.05   0.00
   72.21   0.00
    7.34   0.00
   59.20   0.00
    0.00   0.00
    9.75   0.00
   37.96   0.00
   19.98   0.00
   11.11   0.00
   15.84   0.00
   13.49   0.00
    7.90   0.00
    0.82   0.00
   18.91   0.00
   10.17   0.00
   13.56   0.00
   28.35   0.00
    4.08   0.00
    2.44   0.00
  361.56   0.00
   41.36   0.00
   62.16   0.00



                  Page 273
                 CPT1


 60.64   0.00
156.88   0.00
 98.79   0.00
 23.46   0.00
287.64   0.00
 15.21   0.00
 14.85   0.00
  7.58   0.00
845.94   0.00
111.36   0.00
 42.12   0.00
 76.32   0.00
287.50   0.00
 20.34   0.00
107.52   0.00
  5.39   0.00
 21.04   0.00
 11.34   0.00
 18.35   0.00
 26.50   0.00
 90.15   0.00
 30.51   0.00
 35.22   0.00
 46.24   0.00
 25.20   0.00
 68.31   0.00
 33.25   0.00
 52.29   0.00
 73.84   0.00
 13.12   0.00
 12.82   0.00
  0.00   0.00
 17.81   0.00
  2.55   0.00
 17.55   0.00
 37.17   0.00
  4.92   0.00



                Page 274
                   CPT1


    3.68   0.00
    1.96   0.00
    5.36   0.00
    0.00   0.00
    5.07   0.00
    6.90   0.00
    7.52   0.00
    4.60   0.00
    7.50   0.00
   25.55   0.00
   10.58   0.00
   13.18   0.00
    2.06   0.00
   71.60   0.00
   95.15   0.00
   41.52   0.00
  306.00   0.00
   59.22   0.00
   64.60   0.00
  218.55   0.00
   70.40   0.00
   18.75   0.00
    0.00   0.00
  120.35   0.00
   16.88   0.00
   11.84   0.00
    0.00   0.35
   27.54   0.00
    4.25   0.00
   41.16   0.00
   32.32   0.00
   15.92   0.00
   52.40   0.00
  629.86   0.00
   44.40   0.00
8,925.52   0.00
  146.08   0.00



                  Page 275
                   CPT1


    4.20   0.00
  565.15   0.00
   43.08   0.00
   33.86   0.00
    0.00   0.00
   21.04   0.00
  167.58   0.00
  638.37   0.00
  163.20   0.00
  217.36   0.00
3,504.48   0.00
  151.20   0.00
   16.68   0.00
   18.12   0.00
   24.72   0.00
   25.94   0.00
    6.00   0.00
   26.44   0.00
   13.56   0.00
   70.00   0.00
   18.46   0.00
  442.00   0.00
  411.60   0.00
1,211.55   0.00
  330.98   0.00
  362.40   0.00
  319.44   0.00
  152.00   0.00
  286.71   0.00
  913.68   0.00
  403.44   0.00
   91.80   0.00
   50.82   0.00
   81.80   0.00
  107.76   0.00
    9.65   0.00
  190.08   0.00



                  Page 276
                 CPT1


172.92   0.00
200.46   0.00
  9.74   0.00
 11.49   0.00
  9.51   0.00
  0.00   0.00
708.56   0.00
181.74   0.00
 18.22   0.00
 29.92   0.00
 18.47   0.00
 28.72   0.00
  0.00   0.00
  8.55   0.00
 13.80   0.00
 12.33   0.00
 10.24   0.00
318.82   0.00
  0.00   0.00
 27.00   0.00
  0.00   0.00
 38.06   0.00
  1.19   1.91
  3.06   0.50
  0.90   0.61
  0.50   0.74
  0.18   0.71
  1.52   0.72
  2.34   0.92
  4.93   0.61
  1.96   0.93
  5.10   0.71
  7.00   0.92
  2.64   0.74
  1.36   1.06
  2.40   0.33
  0.24   0.98



                Page 277
                  CPT1


  0.68    0.46
  7.00    0.68
  2.21    0.50
  0.32    1.48
  6.72    2.52
  0.76    2.01
 66.30    5.24
 11.30    6.31
  6.35    7.83
439.04    5.41
  6.84    5.36
  1.30    6.38
  1.42    7.88
  4.14    6.41
  1.45    7.90
  3.50    8.25
  2.70   11.47
  2.40   12.12
  1.20   12.12
  3.60   23.45
 26.64   12.22
 16.02   14.64
 14.16   26.74
  0.00   14.50
  3.20   12.80
  0.00   16.00
164.16    0.56
  1.26    0.63
407.00    0.73
 63.45    0.88
  1.86    0.90
  2.66    0.98
  9.92    0.94
  0.92    1.70
  2.52    0.61
  6.38    0.69
  4.59    0.80



                 Page 278
                 CPT1


 4.86    0.93
 0.96    1.05
 0.40    0.75
 0.44    0.82
 6.96    6.58
 4.96    7.81
 5.76    8.91
 7.20    1.26
 3.15    0.49
26.84    0.72
20.46    1.06
 7.20    1.32
 4.62    0.61
 6.16    0.76
 1.54    0.86
 0.66    1.04
33.66    0.79
 3.36    0.81
26.40    0.79
17.36    1.08
16.20    1.39
 5.06    1.03
 4.64    6.58
 2.44    7.80
 1.22    7.80
 2.54    9.67
 4.64    6.58
 1.22    7.81
 8.00   12.26
10.36   13.49
 3.56   14.66
 2.57   26.83
 2.57   26.83
 9.44   26.75
15.30    0.61
 3.15    0.78
 3.62    8.67



                Page 279
                 CPT1


 1.09    6.56
 5.80    7.55
 5.19   13.85
 0.68    0.61
 0.57    0.72
 2.72    0.67
 9.10    5.28
 2.73    4.81
11.62    4.53
 1.33    6.83
45.60   -0.76
10.79    8.46
 7.20    0.61
 0.51    0.61
11.10    0.55
71.82    0.67
 5.40    2.40
 2.40    0.78
 7.48    0.67
13.95    0.60
20.91    0.67
 0.54    2.41
29.12    0.61
 0.80    0.58
26.08    0.59
68.17    0.62
 1.62    1.88
40.32    0.58
72.93    0.62
59.15    0.49
 1.22    8.19
 3.62    7.61
 4.05   11.47
 6.45   25.46
17.55   11.47
 8.10   13.74
 2.15   25.46



                Page 280
                  CPT1


  1.73   12.39
  5.44    0.56
 28.77    0.70
  5.98    0.80
  0.54    2.40
  1.74    0.65
  0.80    0.69
  4.72    2.42
  6.63    0.67
 70.72    0.62
 60.12    0.69
 32.12    0.74
  6.12    0.60
 14.58    2.94
 41.65    0.61
  3.36    0.58
 65.28    0.58
192.61    0.62
  2.70    2.41
 50.40    0.58
160.82    0.62
  6.56    0.56
 12.09    0.49
  5.45    5.58
 21.50   25.45
 56.70   11.47
  5.46   12.35
162.36    0.61
 24.15    0.69
 11.34    0.75
 19.52    0.89
 19.04    6.33
 29.21    7.60
  7.00    9.35
 19.08    1.57
  1.19    3.19
  1.38    1.79



                 Page 281
                  CPT1


  6.21    1.82
  0.69    1.98
  3.45    2.04
  0.50    1.75
  3.45    2.05
  6.06    3.48
  0.00    0.00
  0.42    0.99
  0.90    3.63
  0.76    3.57
535.57    1.95
 17.15    2.22
 22.05    2.39
 15.12    2.87
 19.80    1.51
  7.04    1.23
  0.76    1.32
 19.14    1.66
 20.13    1.79
  0.54    1.51
  6.48    4.43
  3.78    4.43
  7.60    1.52
  1.60   12.26
  2.94   13.28
  0.00   14.68
 10.26   13.51
  0.00   16.16
 19.20    9.05
  0.00   15.14
  1.31   13.64
  0.00   14.91
  0.00   14.91
 26.56   13.73
  0.00   14.91
  6.64   13.73
  0.00   14.89



                 Page 282
                 CPT1


 0.00   14.67
 1.31   13.58
 0.00   14.68
 5.96   13.72
 0.00   14.65
 3.42   13.51
 0.00   14.89
 1.66   13.71
 3.68    2.16
 0.00    1.97
 1.06    1.97
 0.00   14.66
 2.28   13.50
 3.93   25.55
 3.30    1.77
 3.78   13.27
 0.00    5.31
 0.00    0.00
 1.64   15.79
 0.00   16.83
 0.00   17.06
 0.00    8.33
 2.88    2.31
 0.00    4.93
 1.31   16.88
 0.00    0.38
58.31    1.42
 4.32    1.57
 0.00    2.18
11.89    0.23
 0.18    0.61
 1.89    0.95
 0.00    1.16
 0.00    3.42
 0.22   -0.22
 0.00    3.63
14.30    0.88



                Page 283
                    CPT1


   14.04    1.31
    0.00    0.06
    0.12    0.00
    3.50    1.22
    0.00    2.33
   35.70    1.53
    0.00   20.53
    0.00    9.67
    1.12    1.59
    0.58    1.54
    0.00    1.64
    0.27    0.93
    0.00    0.00
    4.64    9.00
    3.99   -3.99
   18.70    3.40
    3.92    4.02
    0.00    0.00
    0.00    0.00
    0.00    0.00
    0.00    0.00
   61.10    1.86
   22.44    1.95
   20.57    0.00
    4.86    1.43
  201.96    1.58
  104.16    1.70
    1.65    1.58
   63.72    1.32
  289.17    2.38
  241.31    1.72
    4.44    2.34
   12.76    1.72
    3.39    1.85
2,330.46   -0.99
   44.82   -0.83
8,328.87    2.58



                   Page 284
                    CPT1


  314.58    6.14
2,504.20   -1.90
   21.36   -1.78
9,416.55    1.74
2,266.10    1.11
4,211.25   -0.75
  825.30    1.86
  385.77    1.81
  243.82    2.72
   13.28    1.07
3,329.78    2.05
1,979.60    1.41
5,246.76    1.87
   99.36    1.88
  212.52    1.87
  270.18    1.25
   10.88    1.85
  230.46    1.87
   20.15   -1.55
    9.44    1.72
    1.34    1.89
    1.99    7.35
    0.60    0.00
  107.20    1.86
    0.67    1.86
    3.42    1.74
   67.28    1.59
   32.40    1.26
    3.00    1.48
   12.00    3.22
    0.00    0.00
   41.70    0.61
   40.09    0.91
  838.38    1.34
  116.20    3.88
    4.20    6.18
  611.52    7.36



                   Page 285
                    CPT1


1,044.24   30.76
    0.00    0.00
   66.96    1.65
  143.82   -7.99
    1.40    2.21
   24.15    2.84
  137.28    3.37
    2.85    4.56
    0.93    2.82
    8.36    5.97
   24.36    0.87
   26.04    3.86
    0.00    3.09
    0.00    3.62
    0.00    1.85
    0.00    1.85
    0.00    1.85
    0.00    2.18
    0.00    2.18
    0.00    2.18
    0.00    2.43
    0.00    2.43
    0.00    2.43
    0.00    2.43
    0.00    0.62
    0.00    0.00
4,226.87   -3.31
    1.81    0.80
    7.92    3.55
   58.52   12.38
    0.00    0.00
    3.12    3.79
    3.80    4.03
    0.00   11.72
    0.00    8.31
    0.00   20.89
    1.66   21.70



                   Page 286
                    CPT1


    0.00   24.51
    0.00   28.84
    0.26    1.47
    0.00    2.27
    0.00    0.00
    0.00    2.91
    0.19    1.08
    0.00    3.73
    0.00    4.55
    0.84    4.14
    3.70    3.28
    0.68    4.70
    0.00    0.00
    0.00    0.00
    0.20    1.70
    0.00    1.99
    1.86    2.84
    0.00    4.96
    0.86    4.78
    0.00    1.10
    0.00    0.00
    0.00    3.66
  279.21    5.42
    0.00    8.86
  370.84   12.84
    0.00    6.71
  109.76    6.13
    2.48    1.90
    0.00    0.00
    0.00    4.60
    0.99    3.71
    0.00    7.37
    0.80    2.85
2,136.14    7.83
    0.00    0.00
    1.59    3.75
    0.00    0.00



                   Page 287
                 CPT1


 2.10    4.17
 4.08    5.51
 4.27    5.06
 6.30    3.34
 0.66    6.39
 0.38    2.01
20.52    1.67
 2.85    2.42
 0.73    3.83
 1.81    3.43
 0.00    1.30
 0.00    5.60
 0.00    1.10
 0.00    1.40
 0.00    7.50
 0.00    2.80
 0.00    1.30
 0.00    9.90
 0.00    1.20
 0.00    2.30
 0.00    2.10
 0.00    1.50
 0.00    2.50
 0.00    2.30
 0.00    2.40
 0.00    4.90
 0.00   19.70
 0.00   16.50
 0.00   50.50
 0.00    7.90
 0.00    7.30
 0.00   85.70
 0.00   10.80
 0.00    7.00
 0.00   22.30
 0.00   10.40
 0.00   15.20



                Page 288
                 CPT1


 0.00   15.80
32.93    1.63
 1.33    4.37
 0.00    0.50
 0.00    0.40
 0.00    0.40
 0.00    0.30
 0.00    0.30
 0.00    0.40
 0.00    0.50
 0.00    0.60
 0.00    1.00
 0.00    0.50
 0.00    0.50
 0.00    3.30
 0.00    1.30
 0.00    1.70
 0.00    5.90
 0.00    0.90
 0.00    1.70
 0.00    1.80
 0.00    1.60
 0.00    2.50
 0.00    2.50
 0.00    4.00
 0.00    0.60
 0.00    0.90
 0.00    1.00
 0.00    1.70
 0.00    0.70
 0.00    0.70
 0.00    0.40
 0.00    0.50
 0.00    0.00
 0.00    0.50
 0.00    0.80
 0.00    0.50



                Page 289
               CPT1


0.00   2.80
0.00   3.10
0.00   2.30
0.00   0.50
0.00   2.00
0.00   0.50
0.00   1.30
0.00   1.00
0.00   2.30
0.00   3.90
0.00   3.40
0.00   3.30
0.00   0.80
0.00   2.10
0.00   5.10
0.00   3.00
0.00   4.20
0.00   1.40
0.00   1.50
0.00   2.30
0.00   0.50
0.00   0.50
0.00   0.70
0.00   2.00
0.00   1.50
0.00   0.90
0.00   0.50
0.00   2.90
0.00   2.60
0.00   0.00
0.00   2.90
0.00   2.00
0.00   1.50
0.00   1.10
0.00   1.30
0.00   4.30
0.00   2.33



              Page 290
               CPT1


0.00   2.80
0.00   2.00
0.00   1.70
0.00   1.70
0.00   1.00
0.00   1.30
0.00   2.20
0.00   1.90
0.00   3.30
0.00   1.40
0.00   1.10
0.00   1.70
0.00   1.30
0.00   0.90
0.00   3.60
0.00   0.60
0.00   3.20
0.00   6.30
0.00   0.60
0.00   0.80
0.00   0.50
0.00   1.60
0.00   0.50
0.00   3.00
0.00   2.54
0.00   2.80
0.00   0.50
0.00   1.70
0.00   3.40
0.00   3.00
0.00   1.60
0.00   4.00
0.00   4.00
0.00   3.30
0.00   1.00
0.00   1.40
0.00   2.60



              Page 291
                 CPT1


  0.00   0.50
  0.00   0.50
  0.00   1.40
  0.00   1.10
  0.00   0.70
  0.00   0.50
  0.00   1.00
  0.00   0.50
  0.00   0.70
  0.00   1.10
  0.00   2.10
  0.00   2.30
  0.00   1.10
  0.00   2.30
  0.00   0.00
  0.00   0.50
  0.00   0.40
  0.00   0.40
  0.00   0.40
  0.00   1.20
  0.00   1.00
  0.00   0.00
  0.00   0.60
  0.00   0.00
112.95   1.85
  1.88   3.96
  0.00   1.80
  0.00   1.70
  0.00   1.70
  0.00   0.60
  0.00   0.60
  0.00   0.60
  0.00   0.60
  0.00   0.50
  0.00   0.50
  0.00   0.80
  0.00   0.90



                Page 292
               CPT1


0.00   0.90
0.00   1.00
0.00   1.60
0.00   0.72
0.00   7.50
0.00   2.00
0.00   1.90
0.00   1.10
0.00   0.90
0.00   0.80
0.00   3.52
0.00   2.10
0.00   1.80
0.00   0.80
0.00   2.30
0.00   2.00
0.00   3.40
0.00   2.20
0.00   2.60
0.00   1.70
0.00   2.30
0.00   0.90
0.00   0.00
0.00   1.10
0.00   0.90
0.00   0.00
0.00   0.00
0.00   1.70
0.00   0.70
0.00   0.70
0.00   2.00
0.00   2.60
0.00   1.90
0.00   2.00
0.00   2.00
0.00   2.40
0.00   2.00



              Page 293
               CPT1


0.00   2.00
0.00   2.80
0.00   2.30
0.00   2.40
0.00   1.30
0.00   2.90
0.00   2.20
0.00   2.00
0.00   2.68
0.00   1.40
0.00   2.20
0.00   1.90
0.00   1.70
0.00   1.90
0.00   1.70
0.00   2.10
0.00   2.00
0.00   2.00
0.00   1.90
0.00   2.00
0.00   2.00
0.00   2.00
0.00   2.30
0.00   2.20
0.00   3.80
0.00   8.90
0.00   8.70
0.00   5.30
0.00   2.30
0.00   0.90
0.00   0.40
0.00   3.00
0.00   0.50
0.00   0.10
0.00   1.40
0.00   0.60
0.00   0.60



              Page 294
               CPT1


0.00   5.50
0.00   0.00
0.00   0.90
0.00   1.60
0.00   1.50
0.00   0.33
0.00   1.30
0.00   0.65
0.00   0.65
0.00   1.50
0.00   2.00
0.00   1.12
0.00   1.00
0.00   1.30
0.00   1.20
0.00   1.20
0.00   1.20
0.00   1.30
0.00   1.60
0.00   1.43
0.00   2.30
0.00   3.00
0.00   1.70
0.00   0.90
0.00   2.77
0.00   0.80
0.00   1.70
0.00   0.59
0.00   1.30
0.00   0.80
0.00   0.70
0.00   0.80
0.00   0.90
0.00   0.70
0.00   0.70
0.00   2.90
0.00   3.00



              Page 295
               CPT1


0.00   4.00
0.00   2.70
0.00   0.68
0.00   0.00
0.00   1.90
0.00   0.00
0.00   1.90
0.00   1.66
0.00   1.90
0.00   1.66
0.00   1.90
0.00   2.30
0.00   2.30
0.00   2.30
0.00   2.30
0.00   0.83
0.00   2.30
0.00   2.30
0.00   2.30
0.00   2.30
0.00   2.00
0.00   1.33
0.00   2.60
0.00   2.60
0.00   2.60
0.00   2.60
0.00   2.60
0.00   2.60
0.00   2.60
0.00   2.60
0.00   2.60
0.00   2.60
0.00   2.60
0.00   2.60
0.00   2.60
0.00   2.60
0.00   2.60



              Page 296
                 CPT1


 0.00    2.60
 0.00    2.60
 0.00    2.60
 0.00    0.00
 0.00    2.60
 0.00    2.77
 0.00    4.85
 0.00    0.00
 0.00    2.60
 0.00    2.60
 0.00    2.60
 0.00   67.53
 0.00    1.50
 2.80    2.84
 0.76    3.54
54.18    0.28
 0.00    0.80
 0.00    0.80
 0.00    0.70
 0.00    2.60
 0.00    0.90
36.00    2.40
 0.00    0.80
 5.40    4.00
 2.78    6.41
 1.08    2.04
 0.00    3.30
 0.00   16.50
 0.00   20.00
 0.00   20.90
 0.00    1.40
 0.00    2.60
 0.00   19.00
 0.00   17.40
 0.48    0.92
 0.00    2.00
 9.24    2.68



                Page 297
                 CPT1


  0.00   6.30
  3.18   9.31
  0.00   2.70
  0.96   1.36
  3.90   4.60
  1.35   5.85
961.26   6.98
  0.67   2.93
  1.19   6.81
  2.58   4.14
  2.28   7.44
  0.00   0.35
  0.00   0.70
  0.00   0.80
  0.00   0.00
  0.00   1.00
  2.40   3.00
  0.90   2.55
  0.00   0.70
  0.00   0.00
  0.00   0.00
  0.00   0.00
  0.00   0.00
  0.00   0.00
  0.00   0.00
  0.00   1.30
  0.00   1.20
  0.00   1.70
  0.00   1.67
  0.00   1.50
  0.00   0.00
  0.00   0.00
  0.00   0.00
  0.00   0.00
  0.00   0.00
  0.00   0.75
  0.00   0.00



                Page 298
               CPT1


0.00   1.02
0.00   0.00
0.00   0.00
0.00   0.00
0.00   0.17
0.00   0.17
0.00   0.14
0.00   0.14
0.00   0.00
0.00   0.00
0.00   0.88
0.00   0.00
0.00   1.48
0.00   0.00
0.00   0.00
0.00   0.00
0.00   0.62
0.00   0.00
0.00   0.00
0.00   0.21
0.00   0.21
0.00   0.10
       0.10
0.00   0.07
0.00   0.00
0.00   0.00
0.00   0.00
0.00   0.00
0.00   0.49
0.00   0.00
0.00   0.00
0.00   0.00
0.00   0.27
0.00   0.00
0.00   0.00
0.00   0.00
0.00   0.00



              Page 299
                    CPT1


     0.00   0.00
     0.00   0.00
     0.00   0.09
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.33
     0.00   0.00
     0.00   0.55
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
 8,913.27   0.00
   280.50   0.00
14,865.31   0.00
    21.76   0.00
 2,340.73   0.00



                   Page 300
                     CPT1


  1,258.34   0.00
      0.00   0.00
248,080.00   0.00
 11,326.63   0.00
 51,553.26   0.00
 29,642.69   0.00
194,578.32   0.00
 43,401.72   0.00
 40,360.14   0.00
  4,003.15   0.00
  2,588.52   0.00
    229.40   0.00
  5,754.37   0.00
    519.72   0.00
  1,238.30   0.00
     55.08   0.00
  7,327.50   0.00
    672.57   0.00
  5,120.01   0.00
    760.55   0.00
  2,498.89   0.00
     62.79   0.00
     57.12   0.00
    690.08   0.00
     86.43   0.00
     36.72   0.00
     41.16   0.00
     24.80   0.00
  1,773.89   0.00
  6,692.31   0.00
 63,754.08   0.00
    692.66   0.00
 39,784.88   0.00
 10,359.09   0.00
 37,992.40   0.00
    389.08   0.00
    214.32   0.00



                    Page 301
                    CPT1


    57.12   0.00
   348.00   0.00
 4,575.20   0.00
 2,187.81   0.00
     0.00   0.71
 6,113.91   0.00
20,240.48   0.00
     0.00   0.61
     0.00   0.00
   321.44   0.00
   122.82   0.00
    17.06   0.00
 8,986.90   0.00
     0.28   0.00
     0.72   0.00
   129.75   0.00
 2,619.34   0.00
 1,502.32   0.00
     0.00   0.69
   327.68   0.00
    34.56   0.00
     0.00   4.49
     0.00   0.76
     9.20   0.00
     0.00   0.00
     2.19   0.00
   278.75   0.00
    11.68   0.00
    33.12   0.00
    76.23   0.00
    84.50   0.00
     0.45   0.00
     0.60   0.00
     3.24   0.00
   120.25   0.00
    17.70   0.00
     0.00   0.00



                   Page 302
                     CPT1


      0.00   0.00
 43,749.20   0.00
174,292.89   0.00
 64,629.54   0.00
 75,522.70   0.00
 37,003.26   0.00
    452.50   0.00
  1,511.74   0.00
    560.18   0.00
  1,353.09   0.00
      0.00   0.37
  1,036.00   0.00
  3,188.52   0.00
      0.00   0.44
  5,227.50   0.00
  1,965.12   0.00
    156.33   0.00
      4.05   0.00
    218.40   1.21
     68.04   0.00
      5.00   0.00
  2,102.92   0.00
    873.84   0.00
    148.20   0.00
    195.21   0.00
  1,327.92   0.00
      0.60   0.00
      0.81   0.00
      0.00   0.81
     11.11   0.00
      0.00   0.17
      0.00   0.20
    120.78   0.00
    283.50   0.00
  6,457.23   0.00
     24.84   0.00
     12.60   0.00



                    Page 303
                   CPT1


  201.48   0.00
    3.60   0.00
    2.72   0.00
    0.90   0.00
    0.00   0.00
    0.00   0.00
   52.92   0.00
    1.35   0.00
6,892.36   0.00
2,447.76   0.00
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   17.76   0.00
    2.50   0.00
    0.00   0.00
1,465.28   0.00
    0.00   0.00
    0.00   0.00
    0.00   0.00
    0.00   0.00
    0.00   0.00
    0.00   0.00
   22.65   0.00
1,317.96   0.00
5,070.56   0.00
3,090.36   0.00
   77.22   0.00
  109.50   0.00
4,751.04   0.00
    0.43   0.00
   31.16   0.00
  611.05   0.00
    0.00   0.20
    0.00   0.24
    0.00   0.38
    0.00   0.17
   39.20   0.00
    0.00   0.33



                  Page 304
                   CPT1


   13.50   0.00
    0.00   0.26
   15.64   0.00
    0.00   0.29
    0.00   0.00
   11.50   0.00
    0.00   0.09
    0.00   0.44
    0.00   0.66
    0.00   0.37
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    0.00   1.19
    0.00   0.30
    0.00   0.18
    0.00   0.00
    0.00   0.00
    0.00   0.00
    0.00   0.00
    0.00   0.00
    0.00   0.52
    0.00   0.37
    0.00   0.40
    0.00   0.00
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    0.00   0.00
    0.00   0.00
    0.00   0.00
    0.00   0.00
    0.00   0.00
  700.00   0.00
    0.00   0.00
1,503.84   0.00
    0.00   0.36
    0.00   0.00
    0.00   0.35
    0.00   0.53
    0.00   0.16



                  Page 305
                    CPT1


     0.00   0.23
     0.00   0.17
     0.00   0.26
     0.00   0.59
    35.26   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
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     0.00   0.00
     0.00   0.00
     0.00   0.00
   195.58   0.00
     0.71   0.00
    52.07   0.00
     1.89   0.00
     3.76   0.00
     0.00   0.00
   432.06   0.00
     0.23   0.00
   182.25   0.00
     9.18   0.00
     0.00   0.00
     1.80   0.00
   459.42   0.00
     4.16   0.00
   975.44   0.00
     8.91   0.00
   113.35   0.00
     0.00   9.65
13,277.34   0.00
     0.00   0.00
 5,566.48   0.00
     0.00   0.00



                   Page 306
                   CPT1


   13.00   0.00
9,397.50   0.00
  388.35   0.00
    0.00   0.00
  458.10   0.00
  122.85   0.00
  110.08   0.00
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   15.52   0.00
1,042.60   0.00
    0.00   0.00
    0.00   0.00
  356.72   0.00
  410.80   0.00
    0.00   0.00
    0.00   0.00
   68.64   0.00
   10.80   0.00
    0.00   0.00
    2.70   0.00
  356.72   0.00
    0.00   0.00
    0.00   0.00
  107.64   0.00
   13.00   0.00
    0.00   1.30
  342.75   0.00
    0.00   0.92
  240.62   0.00
    0.00   2.20
   77.50   0.00
    0.00   6.18
    0.00   4.58
    0.00   4.89
  341.24   0.00
    0.00   0.15
  208.67   3.09



                  Page 307
                    CPT1


    0.00    1.48
   45.30    0.00
    8.73    0.00
   49.08    0.00
3,559.68    0.00
    7.04    0.00
  801.32    0.00
    8.99    0.00
    8.44    0.00
   83.40    0.00
    0.43    0.00
    0.29    0.00
    1.74    0.00
    0.50    0.00
    4.40    0.00
   16.20    0.00
    6.64    0.00
    0.50    0.00
    5.40    0.00
   71.88    0.00
    8.48    0.00
    4.99    0.00
   65.79    0.00
    0.00   21.04
    8.40    1.72
    7.02    0.00
   11.84    0.00
    4.88    0.00
   31.47    0.00
  519.36    0.00
   70.60    0.00
  464.94    0.00
    0.00    5.09
    4.08    0.00
   20.06    0.00
    4.16    0.00
  395.10    0.00



                   Page 308
                   CPT1


    0.00   0.92
   65.45   0.00
    0.00   0.38
  114.70   0.00
    0.00   0.15
    0.16   0.00
    0.00   0.80
  151.06   0.00
    0.00   1.03
  213.58   0.00
    0.00   0.52
2,275.20   0.00
3,909.06   0.00
    0.00   0.00
    0.00   0.43
  231.42   0.00
  521.46   0.00
  539.00   0.00
    0.00   0.00
    0.00   0.22
1,245.00   4.25
    0.00   3.23
   20.68   4.95
    0.00   3.92
  161.00   0.00
    0.00   0.45
  129.50   0.00
    0.00   4.84
  130.65   2.84
    0.00   4.92
   17.67   2.95
    0.00   0.35
  171.36   4.73
    0.00   3.59
  450.00   5.79
    0.00   5.06
  115.70   4.42



                  Page 309
                   CPT1


    0.00   3.39
    2.50   4.27
    7.00   2.79
    0.00   0.17
   86.32   0.00
    0.00   0.00
1,628.64   0.00
2,657.94   0.00
    0.00   0.60
  383.04   0.00
    0.00   0.11
   14.56   0.00
    0.00   0.11
   13.39   0.00
    0.00   0.26
   54.86   0.00
    0.00   0.26
  948.29   0.00
    0.00   0.40
   19.20   0.00
    0.00   0.64
  140.58   0.00
    0.00   0.32
    0.00   0.54
   63.44   0.00
   31.54   0.00
  304.76   0.00
    0.76   0.00
    0.00   0.32
    0.00   0.00
    0.00   0.00
    3.90   0.00
    1.60   0.00
    0.28   0.00
  351.00   0.00
   59.28   0.00
   44.16   0.00



                  Page 310
                 CPT1


  0.00   0.04
  0.00   0.07
  0.00   0.40
  2.25   0.00
  0.00   0.00
  0.00   0.10
 53.85   0.00
 10.65   0.00
  0.00   0.15
  0.00   0.00
  0.00   0.00
  0.00   0.00
  0.00   0.00
  0.00   0.00
  0.00   0.00
  0.00   0.00
 77.90   0.00
  0.00   0.00
  0.00   0.17
  0.00   0.17
  0.00   0.16
  0.00   0.19
  0.00   0.27
  0.00   0.34
  0.00   0.41
  0.00   0.50
  0.00   0.60
  1.98   0.00
  9.84   0.00
  4.80   0.00
  2.94   0.00
  0.78   0.00
  0.36   0.00
121.38   0.00
  5.10   0.00
 76.38   0.00
  0.00   0.00



                Page 311
                   CPT1


    0.00   0.00
  167.32   0.00
    0.00   1.66
  378.48   0.00
    0.00   2.65
6,540.16   0.00
    0.00   3.79
   22.68   0.00
    0.00   1.73
1,149.12   0.00
    0.00   1.08
   83.16   0.00
    0.00   1.85
    1.08   0.00
    0.00   6.20
   11.90   0.00
1,300.88   0.00
  131.95   0.00
   49.35   0.00
    2.40   0.00
1,661.60   0.00
  126.28   0.00
    4.77   0.00
    0.00   0.96
  790.02   0.00
    0.00   1.87
   27.86   0.00
    0.00   0.79
   15.34   0.00
    0.00   0.37
   19.24   0.00
    0.00   1.50
    1.10   0.00
    0.00   0.42
  662.40   0.00
    0.00   0.34
   27.43   0.00



                  Page 312
                    CPT1


    0.00    0.90
   17.82    0.00
    0.00    0.54
    0.00    0.35
    2.95    0.00
    0.00    0.51
    1.10    0.00
    0.00    0.65
   21.14    0.00
    0.00   14.98
   65.34    0.00
    0.00    4.24
   14.85    0.00
    0.00    3.21
    5.85    0.00
    2.34    0.00
   18.00    0.00
   51.00    0.00
    0.00    0.00
    0.00    0.00
   27.00    0.00
    3.69    0.00
    0.37    0.00
    2.14    0.00
    0.00    1.77
    0.00    1.77
    0.00    0.54
6,333.60    0.00
    0.00    1.77
    0.00    1.77
2,187.00    0.00
  569.28    0.00
2,366.24    0.00
  684.80    0.00
  327.60    0.00
   56.76    0.00
  100.81    0.00



                   Page 313
                     CPT1


      5.72   0.00
     24.00   0.00
    112.03   0.00
    507.28   0.00
     81.60   0.00
     11.90   0.00
      4.93   0.00
     38.08   0.00
      3.40   0.00
      0.17   0.00
     54.81   0.00
     21.76   0.00
     89.42   0.00
      1.42   0.00
      0.00   0.00
      0.00   0.00
      0.00   0.00
      1.10   0.00
      0.00   0.00
      6.15   0.00
      0.00   0.00
      0.00   0.00
    828.00   0.00
    198.90   0.00
    201.60   0.00
      0.00   0.00
140,373.61   0.00
 74,323.80   0.00
 18,517.20   0.00
  9,800.40   0.00
      0.00   0.50
      0.00   0.25
  7,601.94   0.00
  5,872.00   0.00
  5,597.28   0.00
     32.94   0.00
    121.14   0.00



                    Page 314
                     CPT1


      3.48   0.00
    650.25   0.00
     15.30   0.00
     51.42   0.00
      3.04   0.00
  1,828.25   0.00
  4,526.86   0.00
     67.83   0.00
  8,367.45   0.00
      7.28   0.00
  1,380.80   0.00
100,009.80   0.00
  2,200.95   0.00
  4,363.48   0.00
  5,800.00   0.00
  1,328.95   0.00
    360.15   0.00
  8,266.32   0.00
 10,096.38   0.00
  9,639.45   0.00
    243.90   0.00
 10,415.68   0.00
    561.44   0.00
     44.44   0.00
  8,845.65   0.00
     67.95   0.00
     36.90   0.00
      0.00   0.97
    818.50   0.00
      0.00   0.14
    186.75   0.00
  2,638.80   0.00
      1.86   0.00
      0.00   0.35
      0.00   0.43
      0.00   0.00
      0.00   0.67



                    Page 315
                    CPT1


     0.00   0.67
     0.00   0.22
 1,885.50   0.00
 1,313.00   0.00
   361.92   0.00
   275.01   0.00
    22.61   0.00
19,543.95   0.00
19,803.55   0.00
 1,927.05   0.00
    41.60   0.00
     0.00   0.06
     0.00   0.07
     0.00   0.10
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.18
     0.00   0.18
     0.00   0.18
     0.00   0.24
     0.00   0.25
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
     0.00   0.00
 1,604.00   0.00
    66.00   0.00
     3.50   0.00
     0.00   0.21



                   Page 316
                 CPT1


  0.00   0.11
  0.00   0.00
638.82   0.00
  0.00   4.86
  0.00   0.21
  0.00   0.00
  0.00   0.23
 59.67   0.00
  0.00   0.00
  0.00   0.00
  0.00   0.00
  0.00   0.00
  0.00   0.00
  0.00   0.00
  0.00   0.00
  0.00   0.00
  0.00   0.00
  0.00   0.00
  0.00   0.00
  0.00   0.00
         0.00
         0.00
  0.00   0.00
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