[Federal Register: November 2, 1999 (Volume 64, Number 211)]
[Rules and Regulations]               
[Page 59529-59578]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr02no99-19]                         
 
[[pp. 59529-59578]] Medicare Program; Revisions to Payment Policies Under the 
Physician Fee Schedule for Calendar Year 2000
[[Continued from page 59528]]
[[Page 59528]]
79100..........  TC...........  A              Hematopoetic nuclear         0.00        2.63       2.67        2.63       2.67      0.12        2.75       2.79        2.75       2.79       XXX
                                                therapy.
79200..........  .............  A              Intracavitary nuclear        1.99        3.23       3.46        3.23       3.46      0.19        5.41       5.64        5.41       5.64       XXX
                                                trmt.
79200..........  26...........  A              Intracavitary nuclear        1.99        0.60       0.79        0.60       0.79      0.07        2.66       2.85        2.66       2.85       XXX
                                                trmt.
79200..........  TC...........  A              Intracavitary nuclear        0.00        2.63       2.67        2.63       2.67      0.12        2.75       2.79        2.75       2.79       XXX
                                                trmt.
79300..........  .............  C              Interstitial nuclear         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                therapy.
79300..........  26...........  A              Interstitial nuclear         1.60        0.49       0.63        0.49       0.63      0.06        2.15       2.29        2.15       2.29       XXX
                                                therapy.
79300..........  TC...........  C              Interstitial nuclear         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                therapy.
79400..........  .............  A              Nonhemato nuclear            1.96        3.21       3.43        3.21       3.43      0.19        5.36       5.58        5.36       5.58       XXX
                                                therapy.
79400..........  26...........  A              Nonhemato nuclear            1.96        0.58       0.76        0.58       0.76      0.07        2.61       2.79        2.61       2.79       XXX
                                                therapy.
79400..........  TC...........  A              Nonhemato nuclear            0.00        2.63       2.67        2.63       2.67      0.12        2.75       2.79        2.75       2.79       XXX
                                                therapy.
79420..........  .............  C              Intravascular nuclear        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ther.
79420..........  26...........  A              Intravascular nuclear        1.51        0.47       0.60        0.47       0.60      0.06        2.04       2.17        2.04       2.17       XXX
                                                ther.
79420..........  TC...........  C              Intravascular nuclear        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ther.
79440..........  .............  A              Nuclear joint therapy.       1.99        3.24       3.46        3.24       3.46      0.20        5.43       5.65        5.43       5.65       XXX
79440..........  26...........  A              Nuclear joint therapy.       1.99        0.61       0.79        0.61       0.79      0.08        2.68       2.86        2.68       2.86       XXX
79440..........  TC...........  A              Nuclear joint therapy.       0.00        2.63       2.67        2.63       2.67      0.12        2.75       2.79        2.75       2.79       XXX
79900..........  .............  C              Provide ther                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                radiopharm(s).
79999..........  .............  C              Nuclear medicine             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                therapy.
79999..........  26...........  C              Nuclear medicine             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                therapy.
79999..........  TC...........  C              Nuclear medicine             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                therapy.
80048..........  .............  X              Basic metabolic panel.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80049..........  .............  D              Metabolic panel, basic       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80050..........  .............  N              General health panel..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80051..........  .............  X              Electrolyte panel.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80053..........  .............  X              Comprehen metabolic          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                panel.
80054..........  .............  D              Comprehen metabolic          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                panel.
80055..........  .............  I              Obstetric panel.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80058..........  .............  D              Hepatic function panel       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80059..........  .............  D              Hepatitis panel.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80061..........  .............  X              Lipid panel...........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80069..........  .............  X              Renal function panel..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80072..........  .............  X              Arthritis panel.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80074..........  .............  X              Acute hepatitis panel.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80076..........  .............  X              Hepatic function panel       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80090..........  .............  X              Torch antibody panel..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80091..........  .............  D              Thyroid panel.........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80092..........  .............  D              Thyroid panel w/TSH...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80100..........  .............  X              Drug screen...........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80101..........  .............  X              Drug screen...........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80102..........  .............  X              Drug confirmation.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80103..........  .............  X              Drug analysis, tissue        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                prep.
80150..........  .............  X              Assay of amikacin.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80152..........  .............  X              Assay of amitriptyline       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80154..........  .............  X              Assay of                     0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                benzodiazepines.
80156..........  .............  X              Assay of carbamazepine       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80158..........  .............  X              Assay of cyclosporine.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80160..........  .............  X              Assay of desipramine..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80162..........  .............  X              Assay of digoxin......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80164..........  .............  X              Assay, dipropylacetic        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                acid.
80166..........  .............  X              Assay of doxepin......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80168..........  .............  X              Assay of ethosuximide.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80170..........  .............  X              Assay of gentamicin...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80172..........  .............  X              Assay of gold.........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80174..........  .............  X              Assay of imipramine...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80176..........  .............  X              Assay of lidocaine....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80178..........  .............  X              Assay of lithium......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80182..........  .............  X              Assay of nortriptyline       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80184..........  .............  X              Assay of phenobarbital       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80185..........  .............  X              Assay of phenytoin,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                total.
80186..........  .............  X              Assay of phenytoin,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                free.
80188..........  .............  X              Assay of primidone....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80190..........  .............  X              Assay of procainamide.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80192..........  .............  X              Assay of procainamide.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80194..........  .............  X              Assay of quinidine....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80196..........  .............  X              Assay of salicylate...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80197..........  .............  X              Assay of tacrolimus...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80198..........  .............  X              Assay of theophylline.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80200..........  .............  X              Assay of tobramycin...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80201..........  .............  X              Assay of topiramate...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80202..........  .............  X              Assay of vancomycin...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80299..........  .............  X              Quantitative assay,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                drug.
80400..........  .............  X              Acth stimulation panel       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80402..........  .............  X              Acth stimulation panel       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80406..........  .............  X              Acth stimulation panel       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80408..........  .............  X              Aldosterone                  0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                suppression eval.
80410..........  .............  X              Calcitonin stimul            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                panel.
80412..........  .............  X              CRH stimulation panel.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80414..........  .............  X              Testosterone response.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80415..........  .............  X              Estradiol response           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                panel.
80416..........  .............  X              Renin stimulation            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                panel.
80417..........  .............  X              Renin stimulation            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                panel.
[[Page 59529]]
80418..........  .............  X              Pituitary evaluation         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                panel.
80420..........  .............  X              Dexamethasone panel...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80422..........  .............  X              Glucagon tolerance           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                panel.
80424..........  .............  X              Glucagon tolerance           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                panel.
80426..........  .............  X              Gonadotropin hormone         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                panel.
80428..........  .............  X              Growth hormone panel..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80430..........  .............  X              Growth hormone panel..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80432..........  .............  X              Insulin suppression          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                panel.
80434..........  .............  X              Insulin tolerance            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                panel.
80435..........  .............  X              Insulin tolerance            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                panel.
80436..........  .............  X              Metyrapone panel......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80438..........  .............  X              TRH stimulation panel.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80439..........  .............  X              TRH stimulation panel.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80440..........  .............  X              TRH stimulation panel.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
80500..........  .............  A              Lab pathology                0.37        0.19       0.21        0.17       0.20      0.01        0.57       0.59        0.55       0.58       XXX
                                                consultation.
80502..........  .............  A              Lab pathology                1.33        0.64       0.50        0.60       0.48      0.04        2.01       1.87        1.97       1.85       XXX
                                                consultation.
81000..........  .............  X              Urinalysis, nonauto w/       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                scope.
81001..........  .............  X              Urinalysis, auto w/          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                scope.
81002..........  .............  X              Urinalysis nonauto w/o       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                scope.
81003..........  .............  X              Urinalysis, auto, w/o        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                scope.
81005..........  .............  X              Urinalysis............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
81007..........  .............  X              Urine screen for             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                bacteria.
81015..........  .............  X              Microscopic exam of          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                urine.
81020..........  .............  X              Urinalysis, glass test       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
81025..........  .............  X              Urine pregnancy test..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
81050..........  .............  X              Urinalysis, volume           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                measure.
81099..........  .............  X              Urinalysis test              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedure.
82000..........  .............  X              Assay of blood               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                acetaldehyde.
82003..........  .............  X              Assay of acetaminophen       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82009..........  .............  X              Test for acetone/            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ketones.
82010..........  .............  X              Acetone assay.........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82013..........  .............  X              Acetylcholinesterase         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                assay.
82016..........  .............  X              Acylcarnitines, qual..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82017..........  .............  X              Acylcarnitines, quant.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82024..........  .............  X              Assay of acth.........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82030..........  .............  X              Assay of adp & amp....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82040..........  .............  X              Assay of serum albumin       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82042..........  .............  X              Assay of urine albumin       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82043..........  .............  X              Microalbumin,                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                quantitative.
82044..........  .............  X              Microalbumin,                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                semiquant.
82055..........  .............  X              Assay of ethanol......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82075..........  .............  X              Assay of breath              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ethanol.
82085..........  .............  X              Assay of aldolase.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82088..........  .............  X              Assay of aldosterone..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82101..........  .............  X              Assay of urine               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                alkaloids.
82103..........  .............  X              Alpha-1-antitrypsin,         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                total.
82104..........  .............  X              Alpha-1-antitrypsin,         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                pheno.
82105..........  .............  X              Alpha-fetoprotein,           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                serum.
82106..........  .............  X              Alpha-fetoprotein,           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                amniotic.
82108..........  .............  X              Assay of aluminum.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82120..........  .............  X              Amines, vaginal fluid        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                qual.
82127..........  .............  X              Amino acid, single           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                qual.
82128..........  .............  X              Amino acids, mult qual       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82131..........  .............  X              Amino acids, single          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                quant.
82135..........  .............  X              Assay, aminolevulinic        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                acid.
82136..........  .............  X              Amino acids, quant, 2-       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                5.
82139..........  .............  X              Amino acids, quan, 6         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                or more.
82140..........  .............  X              Assay of ammonia......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82143..........  .............  X              Amniotic fluid scan...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82145..........  .............  X              Assay of amphetamines.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82150..........  .............  X              Assay of amylase......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82154..........  .............  X              Androstanediol               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                glucuronide.
82157..........  .............  X              Assay of                     0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                androstenedione.
82160..........  .............  X              Assay of androsterone.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82163..........  .............  X              Assay of angiotensin         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                II.
82164..........  .............  X              Angiotensin I enzyme         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
82172..........  .............  X              Assay of                     0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                apolipoprotein.
82175..........  .............  X              Assay of arsenic......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82180..........  .............  X              Assay of ascorbic acid       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82190..........  .............  X              Atomic absorption.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82205..........  .............  X              Assay of barbiturates.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82232..........  .............  X              Assay of beta-2              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                protein.
82239..........  .............  X              Bile acids, total.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82240..........  .............  X              Bile acids,                  0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                cholylglycine.
82247..........  .............  X              Bilirubin, total......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82248..........  .............  X              Bilirubin, direct.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82251..........  .............  I              Assay of bilirubin....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82252..........  .............  X              Fecal bilirubin test..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82261..........  .............  X              Assay of biotinidase..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82270..........  .............  X              Test for blood, feces.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82273..........  .............  X              Test for blood, other        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                source.
[[Page 59530]]
82286..........  .............  X              Assay of bradykinin...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82300..........  .............  X              Assay of cadmium......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82306..........  .............  X              Assay of vitamin D....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82307..........  .............  X              Assay of vitamin D....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82308..........  .............  X              Assay of calcitonin...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82310..........  .............  X              Assay of calcium......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82330..........  .............  X              Assay of calcium......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82331..........  .............  X              Calcium infusion test.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82340..........  .............  X              Assay of calcium in          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                urine.
82355..........  .............  X              Calculus (stone)             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                analysis.
82360..........  .............  X              Calculus (stone) assay       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82365..........  .............  X              Calculus (stone) assay       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82370..........  .............  X              X-ray assay, calculus.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82374..........  .............  X              Assay, blood carbon          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                dioxide.
82375..........  .............  X              Assay, blood carbon          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                monoxide.
82376..........  .............  X              Test for carbon              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                monoxide.
82378..........  .............  X              Carcinoembryonic             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                antigen.
82379..........  .............  X              Assay of carnitine....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82380..........  .............  X              Assay of carotene.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82382..........  .............  X              Assay, urine                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                catecholamines.
82383..........  .............  X              Assay, blood                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                catecholamines.
82384..........  .............  X              Assay, three                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                catecholamines.
82387..........  .............  X              Assay of cathepsin-d..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82390..........  .............  X              Assay of ceruloplasmin       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82397..........  .............  X              Chemiluminescent assay       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82415..........  .............  X              Assay of                     0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                chloramphenicol.
82435..........  .............  X              Assay of blood               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                chloride.
82436..........  .............  X              Assay of urine               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                chloride.
82438..........  .............  X              Assay, other fluid           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                chlorides.
82441..........  .............  X              Test for                     0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                chlorohydrocarbons.
82465..........  .............  X              Assay of serum               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                cholesterol.
82480..........  .............  X              Assay, serum                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                cholinesterase.
82482..........  .............  X              Assay, rbc                   0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                cholinesterase.
82485..........  .............  X              Assay, chondroitin           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sulfate.
82486..........  .............  X              Gas/liquid                   0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                chromatography.
82487..........  .............  X              Paper chromatography..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82488..........  .............  X              Paper chromatography..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82489..........  .............  X              Thin layer                   0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                chromatography.
82491..........  .............  X              Chromotography, quant,       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sing.
82492..........  .............  X              Chromotography, quant,       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mult.
82495..........  .............  X              Assay of chromium.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82507..........  .............  X              Assay of citrate......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82520..........  .............  X              Assay of cocaine......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82523..........  .............  X              Collagen crosslinks...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82525..........  .............  X              Assay of copper.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82528..........  .............  X              Assay of                     0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                corticosterone.
82530..........  .............  X              Cortisol, free........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82533..........  .............  X              Total cortisol........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82540..........  .............  X              Assay of creatine.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82541..........  .............  X              Column chromotography,       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                qual.
82542..........  .............  X              Column chromotography,       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                quant.
82543..........  .............  X              Column chromotograph/        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                isotope.
82544..........  .............  X              Column chromotograph/        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                isotope.
82550..........  .............  X              Assay of ck (cpk).....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82552..........  .............  X              Assay of cpk in blood.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82553..........  .............  X              Creatine, MB fraction.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82554..........  .............  X              Creatine, isoforms....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82565..........  .............  X              Assay of creatinine...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82570..........  .............  X              Assay of urine               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                creatinine.
82575..........  .............  X              Creatinine clearance         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
82585..........  .............  X              Assay of                     0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                cryofibrinogen.
82595..........  .............  X              Assay of cryoglobulin.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82600..........  .............  X              Assay of cyanide......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82607..........  .............  X              Vitamin B-12..........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82608..........  .............  X              B-12 binding capacity.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82615..........  .............  X              Test for urine               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                cystines.
82626..........  .............  X              Dehydroepiandrosterone       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82627..........  .............  X              Dehydroepiandrosterone       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82633..........  .............  X              Desoxycorticosterone..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82634..........  .............  X              Deoxycortisol.........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82638..........  .............  X              Assay of dibucaine           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                number.
82646..........  .............  X              Assay of                     0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                dihydrocodeinone.
82649..........  .............  X              Assay of                     0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                dihydromorphinone.
82651..........  .............  X              Assay of                     0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                dihydrotestosterone.
82652..........  .............  X              Assay of                     0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                dihydroxyvitamin d.
82654..........  .............  X              Assay of dimethadione.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82657..........  .............  X              Enzyme cell activity..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82658..........  .............  X              Enzyme cell activity,        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ra.
82664..........  .............  X              Electrophoretic test..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82666..........  .............  X              Assay of                     0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                epiandrosterone.
82668..........  .............  X              Assay of                     0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                erythropoietin.
[[Page 59531]]
82670..........  .............  X              Assay of estradiol....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82671..........  .............  X              Assay of estrogens....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82672..........  .............  X              Assay of estrogen.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82677..........  .............  X              Assay of estriol......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82679..........  .............  X              Assay of estrone......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82690..........  .............  X              Assay of ethchlorvynol       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82693..........  .............  X              Assay of ethylene            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                glycol.
82696..........  .............  X              Assay of                     0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                etiocholanolone.
82705..........  .............  X              Fats/lipids, feces,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                qual.
82710..........  .............  X              Fats/lipids, feces,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                quant.
82715..........  .............  X              Assay of fecal fat....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82725..........  .............  X              Assay of blood fatty         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                acids.
82726..........  .............  X              Long chain fatty acids       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82728..........  .............  X              Assay of ferritin.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82731..........  .............  X              Assay of fetal               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                fibronectin.
82735..........  .............  X              Assay of fluoride.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82742..........  .............  X              Assay of flurazepam...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82746..........  .............  X              Blood folic acid serum       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82747..........  .............  X              Assay of folic acid,         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                rbc.
82757..........  .............  X              Assay of semen               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                fructose.
82759..........  .............  X              Assay of rbc                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                galactokinase.
82760..........  .............  X              Assay of galactose....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82775..........  .............  X              Assay galactose              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                transferase.
82776..........  .............  X              Galactose transferase        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
82784..........  .............  X              Assay of gammaglobulin       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                igm.
82785..........  .............  X              Assay of gammaglobulin       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ige.
82787..........  .............  X              Igg 1, 2, 3 and 4.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82800..........  .............  X              Blood pH..............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82803..........  .............  X              Blood gases: pH, pO2 &       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                pCO2.
82805..........  .............  X              Blood gases W/02             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                saturation.
82810..........  .............  X              Blood gases, O2 sat          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                only.
82820..........  .............  X              Hemoglobin-oxygen            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                affinity.
82926..........  .............  X              Assay of gastric acid.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82928..........  .............  X              Assay of gastric acid.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82938..........  .............  X              Gastrin test..........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82941..........  .............  X              Assay of gastrin......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82943..........  .............  X              Assay of glucagon.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82946..........  .............  X              Glucagon tolerance           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
82947..........  .............  X              Assay of glucose,            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                quant.
82948..........  .............  X              Reagent strip/blood          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                glucose.
82950..........  .............  X              Glucose test..........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82951..........  .............  X              Glucose tolerance test       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                (GTT).
82952..........  .............  X              GTT-added samples.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82953..........  .............  X              Glucose-tolbutamide          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
82955..........  .............  X              Assay of g6pd enzyme..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82960..........  .............  X              Test for G6PD enzyme..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82962..........  .............  X              Glucose blood test....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82963..........  .............  X              Assay of glucosidase..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82965..........  .............  X              Assay of gdh enzyme...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82975..........  .............  X              Assay of glutamine....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82977..........  .............  X              Assay of GGT..........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82978..........  .............  X              Assay of glutathione..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82979..........  .............  X              Assay, rbc glutathione       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82980..........  .............  X              Assay of glutethimide.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
82985..........  .............  X              Glycated protein......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83001..........  .............  X              Gonadotropin (FSH)....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83002..........  .............  X              Gonadotropin (LH).....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83003..........  .............  X              Assay, growth hormone        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                (hgh).
83008..........  .............  X              Assay of guanosine....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83010..........  .............  X              Assay of haptoglobin,        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                quant.
83012..........  .............  X              Assay of haptoglobins.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83013..........  .............  X              H pylori breath tst          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                analysis.
83014..........  .............  X              H pylori drug admin/         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                collect.
83015..........  .............  X              Heavy metal screen....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83018..........  .............  X              Quantitative screen,         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                metals.
83020..........  .............  X              Hemoglobin                   0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                electrophoresis.
83020..........  26...........  A              Hemoglobin                   0.37        0.17       0.20        0.17       0.20      0.01        0.55       0.58        0.55       0.58       XXX
                                                electrophoresis.
83021..........  .............  X              Hemoglobin                   0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                chromotography.
83026..........  .............  X              Hemoglobin, copper           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sulfate.
83030..........  .............  X              Fetal hemoglobin assay       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83033..........  .............  X              Fetal fecal hemoglobin       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                assay.
83036..........  .............  X              Glycated hemoglobin          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
83045..........  .............  X              Blood methemoglobin          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
83050..........  .............  X              Blood methemoglobin          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                assay.
83051..........  .............  X              Assay of plasma              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                hemoglobin.
83055..........  .............  X              Blood sulfhemoglobin         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
83060..........  .............  X              Blood sulfhemoglobin         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                assay.
83065..........  .............  X              Assay of hemoglobin          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                heat.
83068..........  .............  X              Hemoglobin stability         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                screen.
83069..........  .............  X              Assay of urine               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                hemoglobin.
83070..........  .............  X              Assay of hemosiderin,        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                qual.
[[Page 59532]]
83071..........  .............  X              Assay of hemosiderin,        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                quant.
83080..........  .............  X              Assay of b                   0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                hexosaminidase.
83088..........  .............  X              Assay of histamine....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83150..........  .............  X              Assay of for hva......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83491..........  .............  X              Assay of                     0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                corticosteroids.
83497..........  .............  X              Assay of 5-hiaa.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83498..........  .............  X              Assay of progesterone.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83499..........  .............  X              Assay of progesterone.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83500..........  .............  X              Assay, free                  0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                hydroxyproline.
83505..........  .............  X              Assay, total                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                hydroxyproline.
83516..........  .............  X              Immunoassay,                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                nonantibody.
83518..........  .............  X              Immunoassay, dipstick.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83519..........  .............  X              Immunoassay,                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                nonantibody.
83520..........  .............  X              Immunoassay, RIA......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83525..........  .............  X              Assay of insulin......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83527..........  .............  X              Assay of insulin......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83528..........  .............  X              Assay of intrinsic           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                factor.
83540..........  .............  X              Assay of iron.........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83550..........  .............  X              Iron binding test.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83570..........  .............  X              Assay of idh enzyme...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83582..........  .............  X              Assay of ketogenic           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                steroids.
83586..........  .............  X              Assay 17- ketosteroids       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83593..........  .............  X              Fractionation,               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ketosteroids.
83605..........  .............  X              Assay of lactic acid..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83615..........  .............  X              Lactate (LD) (LDH)           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                enzyme.
83625..........  .............  X              Assay of ldh enzymes..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83632..........  .............  X              Placental lactogen....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83633..........  .............  X              Test urine for lactose       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83634..........  .............  X              Assay of urine for           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                lactose.
83655..........  .............  X              Assay of lead.........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83661..........  .............  X              Assay of l/s ratio....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83662..........  .............  X              L/S ratio, foam              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                stability.
83670..........  .............  X              Assay of lap enzyme...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83690..........  .............  X              Assay of lipase.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83715..........  .............  X              Assay of blood               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                lipoproteins.
83716..........  .............  X              Assay of blood               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                lipoproteins.
83718..........  .............  X              Assay of lipoprotein..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83719..........  .............  X              Assay of blood               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                lipoprotein.
83721..........  .............  X              Assay of blood               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                lipoprotein.
83727..........  .............  X              Assay of lrh hormone..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83735..........  .............  X              Assay of magnesium....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83775..........  .............  X              Assay of md enzyme....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83785..........  .............  X              Assay of manganese....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83788..........  .............  X              Mass spectrometry qual       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83789..........  .............  X              Mass spectrometry            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                quant.
83805..........  .............  X              Assay of meprobamate..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83825..........  .............  X              Assay of mercury......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83835..........  .............  X              Assay of metanephrines       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83840..........  .............  X              Assay of methadone....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83857..........  .............  X              Assay of methemalbumin       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83858..........  .............  X              Assay of methsuximide.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83864..........  .............  X              Mucopolysaccharides...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83866..........  .............  X              Mucopolysaccharides          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                screen.
83872..........  .............  X              Assay synovial fluid         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mucin.
83873..........  .............  X              Assay of csf protein..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83874..........  .............  X              Assay of myoglobin....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83883..........  .............  X              Assay, nephelometry          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                not spec.
83885..........  .............  X              Assay of nickel.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83887..........  .............  X              Assay of nicotine.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83890..........  .............  X              Molecule isolate......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83891..........  .............  X              Molecule isolate             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                nucleic.
83892..........  .............  X              Molecular diagnostics.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83893..........  .............  X              Molecule dot/slot/blot       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83894..........  .............  X              Molecule gel                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                electrophor.
83896..........  .............  X              Molecular diagnostics.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83897..........  .............  X              Molecule nucleic             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                transfer.
83898..........  .............  X              Molecule nucleic ampli       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83901..........  .............  X              Molecule nucleic ampli       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83902..........  .............  X              Molecular diagnostics.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83903..........  .............  X              Molecule mutation scan       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83904..........  .............  X              Molecule mutation            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                identify.
83905..........  .............  X              Molecule mutation            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                identify.
83906..........  .............  X              Molecule mutation            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                identify.
83912..........  .............  X              Genetic examination...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83912..........  26...........  A              Genetic examination...       0.37        0.18       0.20        0.16       0.19      0.01        0.56       0.58        0.54       0.57       XXX
83915..........  .............  X              Assay of nucleotidase.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83916..........  .............  X              Oligoclonal bands.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83918..........  .............  X              Assay, organic acids         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                quant.
83919..........  .............  X              Assay, organic acids         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                qual.
83925..........  .............  X              Assay of opiates......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83930..........  .............  X              Assay of blood               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                osmolality.
[[Page 59533]]
83935..........  .............  X              Assay of urine               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                osmolality.
83937..........  .............  X              Assay of osteocalcin..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83945..........  .............  X              Assay of oxalate......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83970..........  .............  X              Assay of parathormone.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
83986..........  .............  X              Assay of body fluid          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                acidity.
83992..........  .............  X              Assay for                    0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                phencyclidine.
84022..........  .............  X              Assay of phenothiazine       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84030..........  .............  X              Assay of blood pku....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84035..........  .............  X              Assay of phenylketones       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84060..........  .............  X              Assay acid phosphatase       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84061..........  .............  X              Phosphatase, forensic        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                exam.
84066..........  .............  X              Assay prostate               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                phosphatase.
84075..........  .............  X              Assay alkaline               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                phosphatase.
84078..........  .............  X              Assay alkaline               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                phosphatase.
84080..........  .............  X              Assay alkaline               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                phosphatases.
84081..........  .............  X              Amniotic fluid enzyme        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
84085..........  .............  X              Assay of rbc pg6d            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                enzyme.
84087..........  .............  X              Assay phosphohexose          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                enzymes.
84100..........  .............  X              Assay of phosphorus...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84105..........  .............  X              Assay of urine               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                phosphorus.
84106..........  .............  X              Test for                     0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                porphobilinogen.
84110..........  .............  X              Assay of                     0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                porphobilinogen.
84119..........  .............  X              Test urine for               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                porphyrins.
84120..........  .............  X              Assay of urine               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                porphyrins.
84126..........  .............  X              Assay of feces               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                porphyrins.
84127..........  .............  X              Assay of feces               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                porphyrins.
84132..........  .............  X              Assay of serum               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                potassium.
84133..........  .............  X              Assay of urine               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                potassium.
84134..........  .............  X              Assay of prealbumin...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84135..........  .............  X              Assay of pregnanediol.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84138..........  .............  X              Assay of pregnanetriol       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84140..........  .............  X              Assay of pregnenolone.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84143..........  .............  X              Assay of 17-                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                hydroxypregneno.
84144..........  .............  X              Assay of progesterone.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84146..........  .............  X              Assay of prolactin....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84150..........  .............  X              Assay of prostaglandin       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84153..........  .............  X              Assay of psa, total...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84154..........  .............  X              Assay of psa, free....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84155..........  .............  X              Assay of protein......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84160..........  .............  X              Assay of serum protein       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84165..........  .............  X              Assay of serum               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                proteins.
84165..........  26...........  A              Assay of serum               0.37        0.17       0.20        0.17       0.20      0.01        0.55       0.58        0.55       0.58       XXX
                                                proteins.
84181..........  .............  X              Western blot test.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84181..........  26...........  A              Western blot test.....       0.37        0.14       0.18        0.14       0.18      0.01        0.52       0.56        0.52       0.56       XXX
84182..........  .............  X              Protein, western blot        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
84182..........  26...........  A              Protein, western blot        0.37        0.14       0.18        0.14       0.18      0.01        0.52       0.56        0.52       0.56       XXX
                                                test.
84202..........  .............  X              Assay RBC                    0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                protoporphyrin.
84203..........  .............  X              Test RBC                     0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                protoporphyrin.
84206..........  .............  X              Assay of proinsulin...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84207..........  .............  X              Assay of vitamin b-6..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84210..........  .............  X              Assay of pyruvate.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84220..........  .............  X              Assay of pyruvate            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                kinase.
84228..........  .............  X              Assay of quinine......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84233..........  .............  X              Assay of estrogen.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84234..........  .............  X              Assay of progesterone.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84235..........  .............  X              Assay of endocrine           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                hormone.
84238..........  .............  X              Assay, nonendocrine          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                receptor.
84244..........  .............  X              Assay of renin........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84252..........  .............  X              Assay of vitamin b-2..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84255..........  .............  X              Assay of selenium.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84260..........  .............  X              Assay of serotonin....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84270..........  .............  X              Assay of sex hormone         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                globul.
84275..........  .............  X              Assay of sialic acid..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84285..........  .............  X              Assay of silica.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84295..........  .............  X              Assay of serum sodium.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84300..........  .............  X              Assay of urine sodium.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84305..........  .............  X              Assay of somatomedin..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84307..........  .............  X              Assay of somatostatin.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84311..........  .............  X              Spectrophotometry.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84315..........  .............  X              Body fluid specific          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                gravity.
84375..........  .............  X              Chromatogram assay,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sugars.
84376..........  .............  X              Sugars, single, qual..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84377..........  .............  X              Sugars, multiple, qual       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84378..........  .............  X              Sugars single quant...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84379..........  .............  X              Sugars multiple quant.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84392..........  .............  X              Assay of urine sulfate       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84402..........  .............  X              Assay of testosterone.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84403..........  .............  X              Assay of total               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                testosterone.
84425..........  .............  X              Assay of vitamin b-1..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84430..........  .............  X              Assay of thiocyanate..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84432..........  .............  X              Assay of thyroglobulin       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
[[Page 59534]]
84436..........  .............  X              Assay of total               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                thyroxine.
84437..........  .............  X              Assay of neonatal            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                thyroxine.
84439..........  .............  X              Assay of free                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                thyroxine.
84442..........  .............  X              Assay of thyroid             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                activity.
84443..........  .............  X              Assay thyroid stim           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                hormone.
84445..........  .............  X              Assay of tsi..........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84446..........  .............  X              Assay of vitamin e....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84449..........  .............  X              Assay of transcortin..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84450..........  .............  X              Transferase (AST)            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                (SGOT).
84460..........  .............  X              Alanine amino (ALT)          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                (SGPT).
84466..........  .............  X              Assay of transferrin..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84478..........  .............  X              Assay of triglycerides       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84479..........  .............  X              Assay of thyroid (t3         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                or t4).
84480..........  .............  X              Assay,                       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                triiodothyronine (t3).
84481..........  .............  X              Free assay (FT-3).....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84482..........  .............  X              T3 reverse............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84484..........  .............  X              Assay of troponin,           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                quant.
84485..........  .............  X              Assay duodenal fluid         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                trypsin.
84488..........  .............  X              Test feces for trypsin       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84490..........  .............  X              Assay of feces for           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                trypsin.
84510..........  .............  X              Assay of tyrosine.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84512..........  .............  X              Assay of troponin,           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                qual.
84520..........  .............  X              Assay of urea nitrogen       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84525..........  .............  X              Urea nitrogen semi-          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                quant.
84540..........  .............  X              Assay of urine/urea-n.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84545..........  .............  X              Urea-N clearance test.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84550..........  .............  X              Assay of blood/uric          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                acid.
84560..........  .............  X              Assay of urine/uric          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                acid.
84577..........  .............  X              Assay of feces/              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                urobilinogen.
84578..........  .............  X              Test urine                   0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                urobilinogen.
84580..........  .............  X              Assay of urine               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                urobilinogen.
84583..........  .............  X              Assay of urine               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                urobilinogen.
84585..........  .............  X              Assay of urine vma....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84586..........  .............  X              Assay of vip..........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84588..........  .............  X              Assay of vasopressin..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84590..........  .............  X              Assay of vitamin a....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84597..........  .............  X              Assay of vitamin k....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84600..........  .............  X              Assay of volatiles....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84620..........  .............  X              Xylose tolerance test.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84630..........  .............  X              Assay of zinc.........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84681..........  .............  X              Assay of c-peptide....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84702..........  .............  X              Chorionic gonadotropin       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
84703..........  .............  X              Chorionic gonadotropin       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                assay.
84830..........  .............  X              Ovulation tests.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
84999..........  .............  X              Clinical chemistry           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
85002..........  .............  X              Bleeding time test....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85007..........  .............  X              Differential WBC count       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85008..........  .............  X              Nondifferential WBC          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                count.
85009..........  .............  X              Differential WBC count       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85013..........  .............  X              Hematocrit............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85014..........  .............  X              Hematocrit............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85018..........  .............  X              Hemoglobin............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85021..........  .............  X              Automated hemogram....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85022..........  .............  X              Automated hemogram....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85023..........  .............  X              Automated hemogram....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85024..........  .............  X              Automated hemogram....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85025..........  .............  X              Automated hemogram....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85027..........  .............  X              Automated hemogram....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85031..........  .............  X              Manual hemogram, cbc..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85041..........  .............  X              Red blood cell (RBC)         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                count.
85044..........  .............  X              Reticulocyte count....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85045..........  .............  X              Reticulocyte count....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85046..........  .............  X              Reticyte/hgb                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                concentrate.
85048..........  .............  X              White blood cell (WBC)       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                count.
85060..........  .............  A              Blood smear                  0.45        0.20       0.22        0.20       0.22      0.01        0.66       0.68        0.66       0.68       XXX
                                                interpretation.
85095..........  .............  A              Bone marrow aspiration       1.08        4.29       2.51        0.44       0.59      0.03        5.40       3.62        1.55       1.70       XXX
85097..........  .............  A              Bone marrow                  0.94        0.41       0.47        0.41       0.47      0.03        1.38       1.44        1.38       1.44       XXX
                                                interpretation.
85102..........  .............  A              Bone marrow biopsy....       1.37        4.41       2.64        0.55       0.71      0.04        5.82       4.05        1.96       2.12       XXX
85130..........  .............  X              Chromogenic substrate        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                assay.
85170..........  .............  X              Blood clot retraction.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85175..........  .............  X              Blood clot lysis time.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85210..........  .............  X              Blood clot factor II         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
85220..........  .............  X              Blood clot factor V          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
85230..........  .............  X              Blood clot factor VII        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
85240..........  .............  X              Blood clot factor VIII       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
85244..........  .............  X              Blood clot factor VIII       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
85245..........  .............  X              Blood clot factor VIII       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
85246..........  .............  X              Blood clot factor VIII       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
85247..........  .............  X              Blood clot factor VIII       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
85250..........  .............  X              Blood clot factor IX         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
85260..........  .............  X              Blood clot factor X          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
[[Page 59535]]
85270..........  .............  X              Blood clot factor XI         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
85280..........  .............  X              Blood clot factor XII        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
85290..........  .............  X              Blood clot factor XIII       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
85291..........  .............  X              Blood clot factor XIII       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
85292..........  .............  X              Blood clot factor            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                assay.
85293..........  .............  X              Blood clot factor            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                assay.
85300..........  .............  X              Antithrombin III test.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85301..........  .............  X              Antithrombin III test.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85302..........  .............  X              Blood clot inhibitor         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                antigen.
85303..........  .............  X              Blood clot inhibitor         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
85305..........  .............  X              Blood clot inhibitor         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                assay.
85306..........  .............  X              Blood clot inhibitor         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
85335..........  .............  X              Factor inhibitor test.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85337..........  .............  X              Thrombomodulin........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85345..........  .............  X              Coagulation time......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85347..........  .............  X              Coagulation time......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85348..........  .............  X              Coagulation time......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85360..........  .............  X              Euglobulin lysis......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85362..........  .............  X              Fibrin degradation           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                products.
85366..........  .............  X              Fibrinogen test.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85370..........  .............  X              Fibrinogen test.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85378..........  .............  X              Fibrin degradation....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85379..........  .............  X              Fibrin degradation....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85384..........  .............  X              Fibrinogen............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85385..........  .............  X              Fibrinogen............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85390..........  .............  X              Fibrinolysins screen..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85390..........  26...........  A              Fibrinolysins screen..       0.37        0.12       0.17        0.12       0.17      0.01        0.50       0.55        0.50       0.55       XXX
85400..........  .............  X              Fibrinolytic plasmin..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85410..........  .............  X              Fibrinolytic                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                antiplasmin.
85415..........  .............  X              Fibrinolytic                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                plasminogen.
85420..........  .............  X              Fibrinolytic                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                plasminogen.
85421..........  .............  X              Fibrinolytic                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                plasminogen.
85441..........  .............  X              Heinz bodies, direct..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85445..........  .............  X              Heinz bodies, induced.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85460..........  .............  X              Hemoglobin, fetal.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85461..........  .............  X              Hemoglobin, fetal.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85475..........  .............  X              Hemolysin.............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85520..........  .............  X              Heparin assay.........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85525..........  .............  X              Heparin...............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85530..........  .............  X              Heparin-protamine            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                tolerance.
85535..........  .............  X              Iron stain, blood            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                cells.
85540..........  .............  X              Wbc alkaline                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                phosphatase.
85547..........  .............  X              RBC mechanical               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                fragility.
85549..........  .............  X              Muramidase............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85555..........  .............  X              RBC osmotic fragility.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85557..........  .............  X              RBC osmotic fragility.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85576..........  .............  X              Blood platelet               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                aggregation.
85576..........  26...........  A              Blood platelet               0.37        0.17       0.20        0.16       0.19      0.01        0.55       0.58        0.54       0.57       XXX
                                                aggregation.
85585..........  .............  X              Blood platelet               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                estimation.
85590..........  .............  X              Platelet count, manual       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85595..........  .............  X              Platelet count,              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                automated.
85597..........  .............  X              Platelet                     0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                neutralization.
85610..........  .............  X              Prothrombin time......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85611..........  .............  X              Prothrombin test......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85612..........  .............  X              Viper venom                  0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                prothrombin time.
85613..........  .............  X              Russell viper venom,         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                diluted.
85635..........  .............  X              Reptilase test........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85651..........  .............  X              Rbc sed rate,                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                nonautomated.
85652..........  .............  X              Rbc sed rate,                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                automated.
85660..........  .............  X              RBC sickle cell test..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85670..........  .............  X              Thrombin time, plasma.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85675..........  .............  X              Thrombin time, titer..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
85705..........  .............  X              Thromboplastin               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inhibition.
85730..........  .............  X              Thromboplastin time,         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                partial.
85732..........  .............  X              Thromboplastin time,         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                partial.
85810..........  .............  X              Blood viscosity              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                examination.
85999..........  .............  X              Hematology procedure..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86000..........  .............  X              Agglutinins, febrile..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86003..........  .............  X              Allergen specific IgE.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86005..........  .............  X              Allergen specific IgE.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86021..........  .............  X              WBC antibody                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                identification.
86022..........  .............  X              Platelet antibodies...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86023..........  .............  X              Immunoglobulin assay..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86038..........  .............  X              Antinuclear antibodies       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86039..........  .............  X              Antinuclear antibodies       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                (ANA).
86060..........  .............  X              Antistreptolysin o,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                titer.
86063..........  .............  X              Antistreptolysin o,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                screen.
86077..........  .............  A              Physician blood bank         0.94        0.51       0.42        0.42       0.38      0.03        1.48       1.39        1.39       1.35       XXX
                                                service.
86078..........  .............  A              Physician blood bank         0.94        0.54       0.46        0.42       0.40      0.02        1.50       1.42        1.38       1.36       XXX
                                                service.
86079..........  .............  A              Physician blood bank         0.94        0.53       0.45        0.43       0.40      0.02        1.49       1.41        1.39       1.36       XXX
                                                service.
86140..........  .............  X              C-reactive protein....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
[[Page 59536]]
86147..........  .............  X              Cardiolipin antibody..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86148..........  .............  X              Phospholipid antibody.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86155..........  .............  X              Chemotaxis assay......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86156..........  .............  X              Cold agglutinin,             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                screen.
86157..........  .............  X              Cold agglutinin, titer       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86160..........  .............  X              Complement, antigen...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86161..........  .............  X              Complement/function          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                activity.
86162..........  .............  X              Complement, total            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                (CH50).
86171..........  .............  X              Complement fixation,         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                each.
86185..........  .............  X              Counterimmunoelectroph       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                oresis.
86215..........  .............  X              Deoxyribonuclease,           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                antibody.
86225..........  .............  X              DNA antibody..........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86226..........  .............  X              DNA antibody, single         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                strand.
86235..........  .............  X              Nuclear antigen              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                antibody.
86243..........  .............  X              Fc receptor...........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86255..........  .............  X              Fluorescent antibody,        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                screen.
86255..........  26...........  A              Fluorescent antibody,        0.37        0.18       0.20        0.17       0.20      0.01        0.56       0.58        0.55       0.58       XXX
                                                screen.
86256..........  .............  X              Fluorescent antibody,        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                titer.
86256..........  26...........  A              Fluorescent antibody,        0.37        0.16       0.19        0.16       0.19      0.01        0.54       0.57        0.54       0.57       XXX
                                                titer.
86277..........  .............  X              Growth hormone               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                antibody.
86280..........  .............  X              Hemagglutination             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inhibition.
86308..........  .............  X              Heterophile antibodies       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86309..........  .............  X              Heterophile antibodies       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86310..........  .............  X              Heterophile antibodies       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86316..........  .............  X              Immunoassay, tumor           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                antigen.
86317..........  .............  X              Immunoassay,infectious       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                agent.
86318..........  .............  X              Immunoassay,infectious       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                agent.
86320..........  .............  X              Serum                        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                immunoelectrophoresis.
86320..........  26...........  A              Serum                        0.37        0.17       0.20        0.16       0.19      0.01        0.55       0.58        0.54       0.57       XXX
                                                immunoelectrophoresis.
86325..........  .............  X              Other                        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                immunoelectrophoresis.
86325..........  26...........  A              Other                        0.37        0.18       0.20        0.16       0.19      0.01        0.56       0.58        0.54       0.57       XXX
                                                immunoelectrophoresis.
86327..........  .............  X              Immunoelectrophoresis        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                assay.
86327..........  26...........  A              Immunoelectrophoresis        0.42        0.16       0.19        0.16       0.19      0.01        0.59       0.62        0.59       0.62       XXX
                                                assay.
86329..........  .............  X              Immunodiffusion.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86331..........  .............  X              Immunodiffusion              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ouchterlony.
86332..........  .............  X              Immune complex assay..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86334..........  .............  X              Immunofixation               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedure.
86334..........  26...........  A              Immunofixation               0.37        0.16       0.19        0.16       0.19      0.01        0.54       0.57        0.54       0.57       XXX
                                                procedure.
86337..........  .............  X              Insulin antibodies....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86340..........  .............  X              Intrinsic factor             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                antibody.
86341..........  .............  X              Islet cell antibody...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86343..........  .............  X              Leukocyte histamine          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                release.
86344..........  .............  X              Leukocyte phagocytosis       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86353..........  .............  X              Lymphocyte                   0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                transformation.
86359..........  .............  X              T cells, total count..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86360..........  .............  X              T cell, absolute count/      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ratio.
86361..........  .............  X              T cell, absolute count       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86376..........  .............  X              Microsomal antibody...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86378..........  .............  X              Migration inhibitory         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                factor.
86382..........  .............  X              Neutralization test,         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                viral.
86384..........  .............  X              Nitroblue tetrazolium        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                dye.
86403..........  .............  X              Particle agglutination       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
86406..........  .............  X              Particle agglutination       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
86430..........  .............  X              Rheumatoid factor test       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86431..........  .............  X              Rheumatoid factor,           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                quant.
86485..........  .............  C              Skin test, candida....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86490..........  .............  A              Coccidioidomycosis           0.00        0.29       0.30        0.29       0.30      0.02        0.31       0.32        0.31       0.32       XXX
                                                skin test.
86510..........  .............  A              Histoplasmosis skin          0.00        0.32       0.33        0.32       0.33      0.02        0.34       0.35        0.34       0.35       XXX
                                                test.
86580..........  .............  A              TB intradermal test...       0.00        0.25       0.26        0.25       0.26      0.02        0.27       0.28        0.27       0.28       XXX
86585..........  .............  A              TB tine test..........       0.00        0.20       0.21        0.20       0.21      0.01        0.21       0.22        0.21       0.22       XXX
86586..........  .............  C              Skin test, unlisted...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86588..........  .............  D              Streptocollus, direct        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                screen.
86590..........  .............  X              Streptokinase,               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                antibody.
86592..........  .............  X              Blood serology,              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                qualitative.
86593..........  .............  X              Blood serology,              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                quantitative.
86602..........  .............  X              Antinomyces antibody..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86603..........  .............  X              Adenovirus antibody...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86606..........  .............  X              Aspergillus antibody..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86609..........  .............  X              Bacterium antibody....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86612..........  .............  X              Blastomyces antibody..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86615..........  .............  X              Bordetella antibody...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86617..........  .............  X              Lyme disease antibody.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86618..........  .............  X              Lyme disease antibody.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86619..........  .............  X              Borrelia antibody.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86622..........  .............  X              Brucella antibody.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86625..........  .............  X              Campylobacter antibody       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86628..........  .............  X              Candida antibody......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86631..........  .............  X              Chlamydia antibody....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86632..........  .............  X              Chlamydia igm antibody       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86635..........  .............  X              Coccidioides antibody.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86638..........  .............  X              Q fever antibody......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
[[Page 59537]]
86641..........  .............  X              Cryptococcus antibody.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86644..........  .............  X              CMV antibody..........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86645..........  .............  X              CMV antibody, IgM.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86648..........  .............  X              Diphtheria antibody...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86651..........  .............  X              Encephalitis antibody.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86652..........  .............  X              Encephalitis antibody.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86653..........  .............  X              Encephalitis antibody.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86654..........  .............  X              Encephalitis antibody.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86658..........  .............  X              Enterovirus antibody..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86663..........  .............  X              Epstein-barr antibody.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86664..........  .............  X              Epstein-barr antibody.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86665..........  .............  X              Epstein-barr antibody.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86668..........  .............  X              Francisella tularensis       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86671..........  .............  X              Fungus antibody.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86674..........  .............  X              Giardia lamblia              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                antibody.
86677..........  .............  X              Helicobacter pylori...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86682..........  .............  X              Helminth antibody.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86684..........  .............  X              Hemophilus influenza..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86687..........  .............  X              Htlv-i antibody.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86688..........  .............  X              Htlv-ii antibody......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86689..........  .............  X              HTLV/HIV confirmatory        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
86692..........  .............  X              Hepatitis, delta agent       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86694..........  .............  X              Herpes simplex test...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86695..........  .............  X              Herpes simplex test...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86698..........  .............  X              Histoplasma...........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86701..........  .............  X              HIV-1.................       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86702..........  .............  X              HIV-2.................       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86703..........  .............  X              HIV-1/HIV-2, single          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                assay.
86704..........  .............  X              Hep b core antibody,         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                igg/igm.
86705..........  .............  X              Hep b core antibody,         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                igm.
86706..........  .............  X              Hep b surface antibody       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86707..........  .............  X              Hep be antibody.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86708..........  .............  X              Hep a antibody, igg/         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                igm.
86709..........  .............  X              Hep a antibody, igm...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86710..........  .............  X              Influenza virus              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                antibody.
86713..........  .............  X              Legionella antibody...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86717..........  .............  X              Leishmania antibody...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86720..........  .............  X              Leptospira antibody...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86723..........  .............  X              Listeria monocytogenes       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ab.
86727..........  .............  X              Lymph choriomeningitis       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ab.
86729..........  .............  X              Lympho venereum              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                antibody.
86732..........  .............  X              Mucormycosis antibody.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86735..........  .............  X              Mumps antibody........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86738..........  .............  X              Mycoplasma antibody...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86741..........  .............  X              Neisseria meningitidis       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86744..........  .............  X              Nocardia antibody.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86747..........  .............  X              Parvovirus antibody...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86750..........  .............  X              Malaria antibody......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86753..........  .............  X              Protozoa antibody nos.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86756..........  .............  X              Respiratory virus            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                antibody.
86759..........  .............  X              Rotavirus antibody....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86762..........  .............  X              Rubella antibody......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86765..........  .............  X              Rubeola antibody......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86768..........  .............  X              Salmonella antibody...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86771..........  .............  X              Shigella antibody.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86774..........  .............  X              Tetanus antibody......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86777..........  .............  X              Toxoplasma antibody...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86778..........  .............  X              Toxoplasma antibody,         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                igm.
86781..........  .............  X              Treponema pallidum,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                confirm.
86784..........  .............  X              Trichinella antibody..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86787..........  .............  X              Varicella-zoster             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                antibody.
86790..........  .............  X              Virus antibody nos....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86793..........  .............  X              Yersinia antibody.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86800..........  .............  X              Thyroglobulin antibody       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86803..........  .............  X              Hepatitis c ab test...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86804..........  .............  X              Hep c ab test, confirm       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86805..........  .............  X              Lymphocytotoxicity           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                assay.
86806..........  .............  X              Lymphocytotoxicity           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                assay.
86807..........  .............  X              Cytotoxic antibody           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                screening.
86808..........  .............  X              Cytotoxic antibody           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                screening.
86812..........  .............  X              HLA typing, A, B, or C       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86813..........  .............  X              HLA typing, A, B, or C       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86816..........  .............  X              HLA typing, DR/DQ.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86817..........  .............  X              HLA typing, DR/DQ.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86821..........  .............  X              Lymphocyte culture,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mixed.
86822..........  .............  X              Lymphocyte culture,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                primed.
86849..........  .............  X              Immunology procedure..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86850..........  .............  X              RBC antibody screen...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86860..........  .............  X              RBC antibody elution..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86870..........  .............  X              RBC antibody                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                identification.
86880..........  .............  X              Coombs test...........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
[[Page 59538]]
86885..........  .............  X              Coombs test...........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86886..........  .............  X              Coombs test...........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86890..........  .............  X              Autologous blood             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                process.
86891..........  .............  X              Autologous blood, op         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                salvage.
86900..........  .............  X              Blood typing, ABO.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86901..........  .............  X              Blood typing, Rh (D)..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86903..........  .............  X              Blood typing, antigen        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                screen.
86904..........  .............  X              Blood typing, patient        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                serum.
86905..........  .............  X              Blood typing, RBC            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                antigens.
86906..........  .............  X              Blood typing, Rh             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                phenotype.
86910..........  .............  N              Blood typing,                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                paternity test.
86911..........  .............  N              Blood typing, antigen        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                system.
86915..........  .............  X              Bone marrow/stem cell        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                prep.
86920..........  .............  X              Compatibility test....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86921..........  .............  X              Compatibility test....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86922..........  .............  X              Compatibility test....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86927..........  .............  X              Plasma, fresh frozen..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86930..........  .............  X              Frozen blood prep.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86931..........  .............  X              Frozen blood thaw.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86932..........  .............  X              Frozen blood freeze/         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                thaw.
86940..........  .............  X              Hemolysins/                  0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                agglutinins, auto.
86941..........  .............  X              Hemolysins/agglutinins       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86945..........  .............  X              Blood product/               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                irradiation.
86950..........  .............  X              Leukacyte transfusion.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86965..........  .............  X              Pooling blood                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                platelets.
86970..........  .............  X              RBC pretreatment......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86971..........  .............  X              RBC pretreatment......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86972..........  .............  X              RBC pretreatment......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
86975..........  .............  X              RBC pretreatment,            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                serum.
86976..........  .............  X              RBC pretreatment,            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                serum.
86977..........  .............  X              RBC pretreatment,            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                serum.
86978..........  .............  X              RBC pretreatment,            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                serum.
86985..........  .............  X              Split blood or               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                products.
86999..........  .............  X              Transfusion procedure.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87001..........  .............  X              Small animal                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inoculation.
87003..........  .............  X              Small animal                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inoculation.
87015..........  .............  X              Specimen concentration       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87040..........  .............  X              Blood culture for            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                bacteria.
87045..........  .............  X              Stool culture for            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                bacteria.
87060..........  .............  X              Nose/throat culture,         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                bact.
87070..........  .............  X              Culture specimen,            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                bacteria.
87072..........  .............  X              Culture of specimen by       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                kit.
87075..........  .............  X              Culture specimen,            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                bacteria.
87076..........  .............  X              Bacteria                     0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                identification.
87081..........  .............  X              Bacteria culture             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                screen.
87082..........  .............  X              Culture of specimen by       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                kit.
87083..........  .............  X              Culture of specimen by       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                kit.
87084..........  .............  X              Culture of specimen by       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                kit.
87085..........  .............  X              Culture of specimen by       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                kit.
87086..........  .............  X              Urine culture/colony         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                count.
87087..........  .............  X              Urine bacteria culture       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87088..........  .............  X              Urine bacteria culture       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87101..........  .............  X              Skin fungus culture...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87102..........  .............  X              Fungus isolation             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                culture.
87103..........  .............  X              Blood fungus culture..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87106..........  .............  X              Fungus identification.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87109..........  .............  X              Mycoplasma culture....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87110..........  .............  X              Culture, chlamydia....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87116..........  .............  X              Mycobacteria culture..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87117..........  .............  X              Mycobacteria culture..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87118..........  .............  X              Mycobacteria                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                identification.
87140..........  .............  X              Culture typing,              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                fluorescent.
87143..........  .............  X              Culture typing, GLC          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                method.
87145..........  .............  X              Culture typing, phage        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                method.
87147..........  .............  X              Culture typing,              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                serologic.
87151..........  .............  X              Culture typing,              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                serologic.
87155..........  .............  X              Culture typing,              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                precipitin.
87158..........  .............  X              Culture typing, added        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                method.
87163..........  .............  X              Special microbiology         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                culture.
87164..........  .............  X              Dark field examination       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87164..........  26...........  A              Dark field examination       0.37        0.14       0.18        0.14       0.18      0.01        0.52       0.56        0.52       0.56       XXX
87166..........  .............  X              Dark field examination       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87174..........  .............  X              Endotoxin, bacterial..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87175..........  .............  X              Assay, endotoxin,            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                bacterial.
87176..........  .............  X              Endotoxin, bacterial..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87177..........  .............  X              Ova and parasites            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                smears.
87181..........  .............  X              Antibiotic                   0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sensitivity, each.
87184..........  .............  X              Antibiotic                   0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sensitivity, each.
87186..........  .............  X              Antibiotic                   0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sensitivity, MIC.
87187..........  .............  X              Antibiotic                   0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sensitivity, MBC.
87188..........  .............  X              Antibiotic                   0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sensitivity, each.
[[Page 59539]]
87190..........  .............  X              TB antibiotic                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sensitivity.
87192..........  .............  X              Antibiotic                   0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sensitivity, each.
87197..........  .............  X              Bactericidal level,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                serum.
87205..........  .............  X              Smear, stain &               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                interpret.
87206..........  .............  X              Smear, stain &               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                interpret.
87207..........  .............  X              Smear, stain &               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                interpret.
87207..........  26...........  A              Smear, stain &               0.37        0.18       0.20        0.16       0.19      0.01        0.56       0.58        0.54       0.57       XXX
                                                interpret.
87208..........  .............  X              Smear, stain &               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                interpret.
87210..........  .............  X              Smear, stain &               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                interpret.
87211..........  .............  X              Smear, stain &               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                interpret.
87220..........  .............  X              Tissue exam for fungi.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87230..........  .............  X              Assay, toxin or              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                antitoxin.
87250..........  .............  X              Virus inoculation for        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
87252..........  .............  X              Virus inoculation for        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
87253..........  .............  X              Virus inoculation for        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
87260..........  .............  X              Adenovirus ag, dfa....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87265..........  .............  X              Pertussis ag, dfa.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87270..........  .............  X              Chylmd trach ag, dfa..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87272..........  .............  X              Cryptosporidum ag, dfa       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87274..........  .............  X              Herpes simplex ag, dfa       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87276..........  .............  X              Influenza ag, dfa.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87278..........  .............  X              Legion pneumo ag, dfa.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87280..........  .............  X              Resp syncytial ag, dfa       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87285..........  .............  X              Trepon pallidum ag,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                dfa.
87290..........  .............  X              Varicella ag, dfa.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87299..........  .............  X              Ag detection nos, dfa.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87301..........  .............  X              Adenovirus ag, eia....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87320..........  .............  X              Chylmd trach ag, eia..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87324..........  .............  X              Clostridium ag, eia...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87328..........  .............  X              Cryptospor ag, eia....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87332..........  .............  X              Cytomegalovirus ag,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eia.
87335..........  .............  X              E coli 0157 ag, eia...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87338..........  .............  X              Hpylori, stool, eia...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87340..........  .............  X              Hepatitis b surface          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ag, eia.
87350..........  .............  X              Hepatitis be ag, eia..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87380..........  .............  X              Hepatitis delta ag,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eia.
87385..........  .............  X              Histoplasma capsul ag,       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eia.
87390..........  .............  X              Hiv-1 ag, eia.........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87391..........  .............  X              Hiv-2 ag, eia.........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87420..........  .............  X              Resp syncytial ag, eia       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87425..........  .............  X              Rotavirus ag, eia.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87430..........  .............  X              Strep a ag, eia.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87449..........  .............  X              Ag detect nos, eia,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mult.
87450..........  .............  X              Ag detect nos, eia,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                single.
87470..........  .............  X              Bartonella, dna, dir         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87471..........  .............  X              Bartonella, dna, amp         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87472..........  .............  X              Bartonella, dna, quant       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87475..........  .............  X              Lyme dis, dna, dir           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87476..........  .............  X              Lyme dis, dna, amp           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87477..........  .............  X              Lyme dis, dna, quant..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87480..........  .............  X              Candida, dna, dir            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87481..........  .............  X              Candida, dna, amp            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87482..........  .............  X              Candida, dna, quant...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87485..........  .............  X              Chylmd pneum, dna, dir       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87486..........  .............  X              Chylmd pneum, dna, amp       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87487..........  .............  X              Chylmd pneum, dna,           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                quant.
87490..........  .............  X              Chylmd trach, dna, dir       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87491..........  .............  X              Chylmd trach, dna, amp       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87492..........  .............  X              Chylmd trach, dna,           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                quant.
87495..........  .............  X              Cytomeg, dna, dir            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87496..........  .............  X              Cytomeg, dna, amp            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87497..........  .............  X              Cytomeg, dna, quant...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87510..........  .............  X              Gardner vag, dna, dir        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87511..........  .............  X              Gardner vag, dna, amp        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87512..........  .............  X              Gardner vag, dna,            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                quant.
87515..........  .............  X              Hepatitis b, dna, dir        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87516..........  .............  X              Hepatitis b , dna, amp       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87517..........  .............  X              Hepatitis b , dna,           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                quant.
87520..........  .............  X              Hepatitis c , rna, dir       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87521..........  .............  X              Hepatitis c , rna, amp       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87522..........  .............  X              Hepatitis c, rna,            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                quant.
87525..........  .............  X              Hepatitis g , dna, dir       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87526..........  .............  X              Hepatitis g, dna, amp        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87527..........  .............  X              Hepatitis g, dna,            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                quant.
87528..........  .............  X              Hsv, dna, dir probe...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87529..........  .............  X              Hsv, dna, amp probe...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87530..........  .............  X              Hsv, dna, quant.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87531..........  .............  X              Hhv-6, dna, dir probe.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87532..........  .............  X              Hhv-6, dna, amp probe.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87533..........  .............  X              Hhv-6, dna, quant.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87534..........  .............  X              Hiv-1, dna, dir probe.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
[[Page 59540]]
87535..........  .............  X              Hiv-1, dna, amp probe.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87536..........  .............  X              Hiv-1, dna, quant.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87537..........  .............  X              Hiv-2, dna, dir probe.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87538..........  .............  X              Hiv-2, dna, amp probe.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87539..........  .............  X              Hiv-2, dna, quant.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87540..........  .............  X              Legion pneumo, dna,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                dir prob.
87541..........  .............  X              Legion pneumo, dna,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                amp prob.
87542..........  .............  X              Legion pneumo, dna,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                quant.
87550..........  .............  X              Mycobacteria, dna, dir       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87551..........  .............  X              Mycobacteria, dna, amp       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87552..........  .............  X              Mycobacteria, dna,           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                quant.
87555..........  .............  X              M.tuberculo, dna, dir        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87556..........  .............  X              M.tuberculo, dna, amp        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87557..........  .............  X              M.tuberculo, dna,            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                quant.
87560..........  .............  X              M.avium-intra, dna,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                dir prob.
87561..........  .............  X              M.avium-intra, dna,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                amp prob.
87562..........  .............  X              M.avium-intra, dna,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                quant.
87580..........  .............  X              M.pneumon, dna, dir          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87581..........  .............  X              M.pneumon, dna, amp          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87582..........  .............  X              M.pneumon, dna, quant.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87590..........  .............  X              N.gonorrhoeae, dna,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                dir prob.
87591..........  .............  X              N.gonorrhoeae, dna,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                amp prob.
87592..........  .............  X              N.gonorrhoeae, dna,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                quant.
87620..........  .............  X              Hpv, dna, dir probe...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87621..........  .............  X              Hpv, dna, amp probe...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87622..........  .............  X              Hpv, dna, quant.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87650..........  .............  X              Strep a, dna, dir            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87651..........  .............  X              Strep a, dna, amp            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
87652..........  .............  X              Strep a, dna, quant...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87797..........  .............  X              Detect agent nos, dna,       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                dir.
87798..........  .............  X              Detect agent nos, dna,       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                amp.
87799..........  .............  X              Detect agent nos, dna,       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                quant.
87810..........  .............  X              Chylmd trach assay w/        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                optic.
87850..........  .............  X              N. gonorrhoeae assay w/      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                optic.
87880..........  .............  X              Strep a assay w/optic.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
87899..........  .............  X              Agent nos assay w/           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                optic.
87999..........  .............  X              Microbiology procedure       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
88000..........  .............  N              Autopsy (necropsy),          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                gross.
88005..........  .............  N              Autopsy (necropsy),          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                gross.
88007..........  .............  N              Autopsy (necropsy),          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                gross.
88012..........  .............  N              Autopsy (necropsy),          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                gross.
88014..........  .............  N              Autopsy (necropsy),          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                gross.
88016..........  .............  N              Autopsy (necropsy),          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                gross.
88020..........  .............  N              Autopsy (necropsy),          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                complete.
88025..........  .............  N              Autopsy (necropsy),          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                complete.
88027..........  .............  N              Autopsy (necropsy),          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                complete.
88028..........  .............  N              Autopsy (necropsy),          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                complete.
88029..........  .............  N              Autopsy (necropsy),          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                complete.
88036..........  .............  N              Limited autopsy.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
88037..........  .............  N              Limited autopsy.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
88040..........  .............  N              Forensic autopsy             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                (necropsy).
88045..........  .............  N              Coroner's autopsy            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                (necropsy).
88099..........  .............  N              Necropsy (autopsy)           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedure.
88104..........  .............  A              Cytopathology, fluids.       0.56        0.87       0.68        0.87       0.68      0.03        1.46       1.27        1.46       1.27       XXX
88104..........  26...........  A              Cytopathology, fluids.       0.56        0.25       0.25        0.25       0.25      0.01        0.82       0.82        0.82       0.82       XXX
88104..........  TC...........  A              Cytopathology, fluids.       0.00        0.62       0.43        0.62       0.43      0.02        0.64       0.45        0.64       0.45       XXX
88106..........  .............  A              Cytopathology, fluids.       0.56        0.68       0.55        0.68       0.55      0.03        1.27       1.14        1.27       1.14       XXX
88106..........  26...........  A              Cytopathology, fluids.       0.56        0.25       0.24        0.25       0.24      0.01        0.82       0.81        0.82       0.81       XXX
88106..........  TC...........  A              Cytopathology, fluids.       0.00        0.43       0.31        0.43       0.31      0.02        0.45       0.33        0.45       0.33       XXX
88107..........  .............  A              Cytopathology, fluids.       0.76        1.13       0.82        1.13       0.82      0.04        1.93       1.62        1.93       1.62       XXX
88107..........  26...........  A              Cytopathology, fluids.       0.76        0.34       0.30        0.34       0.30      0.02        1.12       1.08        1.12       1.08       XXX
88107..........  TC...........  A              Cytopathology, fluids.       0.00        0.79       0.52        0.79       0.52      0.02        0.81       0.54        0.81       0.54       XXX
88108..........  .............  A              Cytopath, concentrate        0.56        1.02       0.77        1.02       0.77      0.03        1.61       1.36        1.61       1.36       XXX
                                                tech.
88108..........  26...........  A              Cytopath, concentrate        0.56        0.25       0.26        0.25       0.26      0.01        0.82       0.83        0.82       0.83       XXX
                                                tech.
88108..........  TC...........  A              Cytopath, concentrate        0.00        0.77       0.51        0.77       0.51      0.02        0.79       0.53        0.79       0.53       XXX
                                                tech.
88125..........  .............  A              Forensic cytopathology       0.26        0.26       0.19        0.26       0.19      0.02        0.54       0.47        0.54       0.47       XXX
88125..........  26...........  A              Forensic cytopathology       0.26        0.12       0.10        0.12       0.10      0.01        0.39       0.37        0.39       0.37       XXX
88125..........  TC...........  A              Forensic cytopathology       0.00        0.14       0.09        0.14       0.09      0.01        0.15       0.10        0.15       0.10       XXX
88130..........  .............  X              Sex chromatin                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                identification.
88140..........  .............  X              Sex chromatin                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                identification.
88141..........  .............  A              Cytopath, c/v,               0.42        0.20       0.28        0.20       0.28      0.01        0.63       0.71        0.63       0.71       XXX
                                                interpret.
88142..........  .............  X              Cytopath, c/v, thin          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                layer.
88143..........  .............  X              Cytopath c/v thin            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                layer redo.
88144..........  .............  X              Cytopath, c/v thin lyr       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                redo.
88145..........  .............  X              Cytopath, c/v thin lyr       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sel.
88147..........  .............  X              Cytopath, c/v,               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                automated.
88148..........  .............  X              Cytopath, c/v, auto          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                rescreen.
88150..........  .............  X              Cytopath, c/v, manual.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
88152..........  .............  X              Cytopath, c/v, auto          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                redo.
88153..........  .............  X              Cytopath, c/v, redo...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
88154..........  .............  X              Cytopath, c/v, select.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
[[Page 59541]]
88155..........  .............  X              Cytopath, c/v, index         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                add-on.
88160..........  .............  A              Cytopath smear, other        0.50        1.31       0.84        1.31       0.84      0.03        1.84       1.37        1.84       1.37       XXX
                                                source.
88160..........  26...........  A              Cytopath smear, other        0.50        0.23       0.21        0.23       0.21      0.01        0.74       0.72        0.74       0.72       XXX
                                                source.
88160..........  TC...........  A              Cytopath smear, other        0.00        1.08       0.63        1.08       0.63      0.02        1.10       0.65        1.10       0.65       XXX
                                                source.
88161..........  .............  A              Cytopath smear, other        0.50        0.59       0.51        0.59       0.51      0.03        1.12       1.04        1.12       1.04       XXX
                                                source.
88161..........  26...........  A              Cytopath smear, other        0.50        0.22       0.22        0.22       0.22      0.01        0.73       0.73        0.73       0.73       XXX
                                                source.
88161..........  TC...........  A              Cytopath smear, other        0.00        0.37       0.29        0.37       0.29      0.02        0.39       0.31        0.39       0.31       XXX
                                                source.
88162..........  .............  A              Cytopath smear, other        0.76        1.04       0.95        1.04       0.95      0.04        1.84       1.75        1.84       1.75       XXX
                                                source.
88162..........  26...........  A              Cytopath smear, other        0.76        0.34       0.39        0.34       0.39      0.02        1.12       1.17        1.12       1.17       XXX
                                                source.
88162..........  TC...........  A              Cytopath smear, other        0.00        0.70       0.56        0.70       0.56      0.02        0.72       0.58        0.72       0.58       XXX
                                                source.
88164..........  .............  X              Cytopath tbs, c/v,           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                manual.
88165..........  .............  X              Cytopath tbs, c/v,           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                redo.
88166..........  .............  X              Cytopath tbs, c/v,           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                auto redo.
88167..........  .............  X              Cytopath tbs, c/v,           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                select.
88170..........  .............  A              Fine needle aspiration       1.27        0.94       1.01        0.94       1.01      0.08        2.29       2.36        2.29       2.36       XXX
88170..........  26...........  A              Fine needle aspiration       1.27        0.55       0.56        0.55       0.56      0.05        1.87       1.88        1.87       1.88       XXX
88170..........  TC...........  A              Fine needle aspiration       0.00        0.39       0.45        0.39       0.45      0.03        0.42       0.48        0.42       0.48       XXX
88171..........  .............  A              Fine needle aspiration       1.27        0.79       1.13        0.79       1.13      0.07        2.13       2.47        2.13       2.47       XXX
88171..........  26...........  A              Fine needle aspiration       1.27        0.45       0.61        0.45       0.61      0.04        1.76       1.92        1.76       1.92       XXX
88171..........  TC...........  A              Fine needle aspiration       0.00        0.34       0.52        0.34       0.52      0.03        0.37       0.55        0.37       0.55       XXX
88172..........  .............  A              Evaluation of smear...       0.60        1.31       1.04        1.31       1.04      0.04        1.95       1.68        1.95       1.68       XXX
88172..........  26...........  A              Evaluation of smear...       0.60        0.27       0.33        0.27       0.33      0.02        0.89       0.95        0.89       0.95       XXX
88172..........  TC...........  A              Evaluation of smear...       0.00        1.04       0.71        1.04       0.71      0.02        1.06       0.73        1.06       0.73       XXX
88173..........  .............  A              Interpretation of            1.39        1.60       1.28        1.60       1.28      0.06        3.05       2.73        3.05       2.73       XXX
                                                smear.
88173..........  26...........  A              Interpretation of            1.39        0.63       0.56        0.63       0.56      0.04        2.06       1.99        2.06       1.99       XXX
                                                smear.
88173..........  TC...........  A              Interpretation of            0.00        0.97       0.72        0.97       0.72      0.02        0.99       0.74        0.99       0.74       XXX
                                                smear.
88180..........  .............  A              Cell marker study.....       0.36        0.87       0.61        0.87       0.61      0.03        1.26       1.00        1.26       1.00       XXX
88180..........  26...........  A              Cell marker study.....       0.36        0.16       0.17        0.16       0.17      0.01        0.53       0.54        0.53       0.54       XXX
88180..........  TC...........  A              Cell marker study.....       0.00        0.71       0.44        0.71       0.44      0.02        0.73       0.46        0.73       0.46       XXX
88182..........  .............  A              Cell marker study.....       0.77        1.37       1.17        1.37       1.17      0.05        2.19       1.99        2.19       1.99       XXX
88182..........  26...........  A              Cell marker study.....       0.77        0.35       0.42        0.35       0.42      0.02        1.14       1.21        1.14       1.21       XXX
88182..........  TC...........  A              Cell marker study.....       0.00        1.02       0.75        1.02       0.75      0.03        1.05       0.78        1.05       0.78       XXX
88199..........  .............  C              Cytopathology                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedure.
88199..........  26...........  C              Cytopathology                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedure.
88199..........  TC...........  C              Cytopathology                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedure.
88230..........  .............  X              Tissue culture,              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                lymphocyte.
88233..........  .............  X              Tissue culture, skin/        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                biopsy.
88235..........  .............  X              Tissue culture,              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                placenta.
88237..........  .............  X              Tissue culture, bone         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                marrow.
88239..........  .............  X              Tissue culture, tumor.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
88240..........  .............  X              Cell cryopreserve/           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                storage.
88241..........  .............  X              Frozen cell                  0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                preparation.
88245..........  .............  X              Chromosome analysis,         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                20-25.
88248..........  .............  X              Chromosome analysis,         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                50-100.
88249..........  .............  X              Chromosome analysis,         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                100.
88261..........  .............  X              Chromosome analysis, 5       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
88262..........  .............  X              Chromosome analysis,         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                15-20.
88263..........  .............  X              Chromosome analysis,         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                45.
88264..........  .............  X              Chromosome analysis,         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                20-25.
88267..........  .............  X              Chromosome analys,           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                placenta.
88269..........  .............  X              Chromosome analys,           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                amniotic.
88271..........  .............  X              Cytogenetics, dna            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
88272..........  .............  X              Cytogenetics, 3-5.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
88273..........  .............  X              Cytogenetics, 10-30...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
88274..........  .............  X              Cytogenetics, 25-99...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
88275..........  .............  X              Cytogenetics, 100-300.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
88280..........  .............  X              Chromosome karyotype         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                study.
88283..........  .............  X              Chromosome banding           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                study.
88285..........  .............  X              Chromosome count,            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                additional.
88289..........  .............  X              Chromosome study,            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                additional.
88291..........  .............  A              Cyto/molecular report.       0.52        0.23       0.23        0.23       0.23      0.01        0.76       0.76        0.76       0.76       XXX
88299..........  .............  C              Cytogenetic study.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
88300..........  .............  A              Surgical path, gross..       0.08        0.46       0.35        0.46       0.35      0.02        0.56       0.45        0.56       0.45       XXX
88300..........  26...........  A              Surgical path, gross..       0.08        0.04       0.08        0.04       0.08      0.01        0.13       0.17        0.13       0.17       XXX
88300..........  TC...........  A              Surgical path, gross..       0.00        0.42       0.27        0.42       0.27      0.01        0.43       0.28        0.43       0.28       XXX
88302..........  .............  A              Tissue exam by               0.13        1.44       0.94        1.44       0.94      0.03        1.60       1.10        1.60       1.10       XXX
                                                pathologist.
88302..........  26...........  A              Tissue exam by               0.13        0.06       0.12        0.06       0.12      0.01        0.20       0.26        0.20       0.26       XXX
                                                pathologist.
88302..........  TC...........  A              Tissue exam by               0.00        1.38       0.82        1.38       0.82      0.02        1.40       0.84        1.40       0.84       XXX
                                                pathologist.
88304..........  .............  A              Tissue exam by               0.22        0.77       0.70        0.77       0.70      0.03        1.02       0.95        1.02       0.95       XXX
                                                pathologist.
88304..........  26...........  A              Tissue exam by               0.22        0.10       0.18        0.10       0.18      0.01        0.33       0.41        0.33       0.41       XXX
                                                pathologist.
88304..........  TC...........  A              Tissue exam by               0.00        0.67       0.52        0.67       0.52      0.02        0.69       0.54        0.69       0.54       XXX
                                                pathologist.
88305..........  .............  A              Tissue exam by               0.75        1.43       1.28        1.43       1.28      0.05        2.23       2.08        2.23       2.08       XXX
                                                pathologist.
88305..........  26...........  A              Tissue exam by               0.75        0.34       0.46        0.34       0.46      0.02        1.11       1.23        1.11       1.23       XXX
                                                pathologist.
88305..........  TC...........  A              Tissue exam by               0.00        1.09       0.82        1.09       0.82      0.03        1.12       0.85        1.12       0.85       XXX
                                                pathologist.
88307..........  .............  A              Tissue exam by               1.59        3.39       2.53        3.39       2.53      0.09        5.07       4.21        5.07       4.21       XXX
                                                pathologist.
88307..........  26...........  A              Tissue exam by               1.59        0.72       0.79        0.72       0.79      0.04        2.35       2.42        2.35       2.42       XXX
                                                pathologist.
88307..........  TC...........  A              Tissue exam by               0.00        2.67       1.74        2.67       1.74      0.05        2.72       1.79        2.72       1.79       XXX
                                                pathologist.
88309..........  .............  A              Tissue exam by               2.28        5.00       3.54        5.00       3.54      0.11        7.39       5.93        7.39       5.93       XXX
                                                pathologist.
88309..........  26...........  A              Tissue exam by               2.28        1.03       1.05        1.03       1.05      0.06        3.37       3.39        3.37       3.39       XXX
                                                pathologist.
88309..........  TC...........  A              Tissue exam by               0.00        3.97       2.49        3.97       2.49      0.05        4.02       2.54        4.02       2.54       XXX
                                                pathologist.
88311..........  .............  A              Decalcify tissue......       0.24        0.21       0.23        0.21       0.23      0.02        0.47       0.49        0.47       0.49       XXX
[[Page 59542]]
88311..........  26...........  A              Decalcify tissue......       0.24        0.11       0.12        0.11       0.12      0.01        0.36       0.37        0.36       0.37       XXX
88311..........  TC...........  A              Decalcify tissue......       0.00        0.10       0.11        0.10       0.11      0.01        0.11       0.12        0.11       0.12       XXX
88312..........  .............  A              Special stains........       0.54        1.33       0.81        1.33       0.81      0.02        1.89       1.37        1.89       1.37       XXX
88312..........  26...........  A              Special stains........       0.54        0.24       0.20        0.24       0.20      0.01        0.79       0.75        0.79       0.75       XXX
88312..........  TC...........  A              Special stains........       0.00        1.09       0.61        1.09       0.61      0.01        1.10       0.62        1.10       0.62       XXX
88313..........  .............  A              Special stains........       0.24        2.05       1.15        2.05       1.15      0.02        2.31       1.41        2.31       1.41       XXX
88313..........  26...........  A              Special stains........       0.24        0.11       0.12        0.11       0.12      0.01        0.36       0.37        0.36       0.37       XXX
88313..........  TC...........  A              Special stains........       0.00        1.94       1.03        1.94       1.03      0.01        1.95       1.04        1.95       1.04       XXX
88314..........  .............  A              Histochemical stain...       0.45        3.93       2.30        3.93       2.30      0.03        4.41       2.78        4.41       2.78       XXX
88314..........  26...........  A              Histochemical stain...       0.45        0.20       0.29        0.20       0.29      0.01        0.66       0.75        0.66       0.75       XXX
88314..........  TC...........  A              Histochemical stain...       0.00        3.73       2.01        3.73       2.01      0.02        3.75       2.03        3.75       2.03       XXX
88318..........  .............  A              Chemical                     0.42        1.11       0.69        1.11       0.69      0.02        1.55       1.13        1.55       1.13       XXX
                                                histochemistry.
88318..........  26...........  A              Chemical                     0.42        0.19       0.16        0.19       0.16      0.01        0.62       0.59        0.62       0.59       XXX
                                                histochemistry.
88318..........  TC...........  A              Chemical                     0.00        0.92       0.53        0.92       0.53      0.01        0.93       0.54        0.93       0.54       XXX
                                                histochemistry.
88319..........  .............  A              Enzyme histochemistry.       0.53        3.79       2.16        3.79       2.16      0.03        4.35       2.72        4.35       2.72       XXX
88319..........  26...........  A              Enzyme histochemistry.       0.53        0.24       0.26        0.24       0.26      0.01        0.78       0.80        0.78       0.80       XXX
88319..........  TC...........  A              Enzyme histochemistry.       0.00        3.55       1.90        3.55       1.90      0.02        3.57       1.92        3.57       1.92       XXX
88321..........  .............  A              Microslide                   1.30        0.63       0.54        0.58       0.51      0.04        1.97       1.88        1.92       1.85       XXX
                                                consultation.
88323..........  .............  A              Microslide                   1.35        2.29       1.54        2.29       1.54      0.06        3.70       2.95        3.70       2.95       XXX
                                                consultation.
88323..........  26...........  A              Microslide                   1.35        0.62       0.52        0.62       0.52      0.04        2.01       1.91        2.01       1.91       XXX
                                                consultation.
88323..........  TC...........  A              Microslide                   0.00        1.67       1.02        1.67       1.02      0.02        1.69       1.04        1.69       1.04       XXX
                                                consultation.
88325..........  .............  A              Comprehensive review         2.22        0.99       0.75        0.99       0.75      0.06        3.27       3.03        3.27       3.03       XXX
                                                of data.
88329..........  .............  A              Pathology consult in         0.67        0.55       0.48        0.30       0.35      0.02        1.24       1.17        0.99       1.04       XXX
                                                surgery.
88331..........  .............  A              Pathology consult in         1.19        1.03       1.12        1.03       1.12      0.06        2.28       2.37        2.28       2.37       XXX
                                                surgery.
88331..........  26...........  A              Pathology consult in         1.19        0.54       0.58        0.54       0.58      0.03        1.76       1.80        1.76       1.80       XXX
                                                surgery.
88331..........  TC...........  A              Pathology consult in         0.00        0.49       0.54        0.49       0.54      0.03        0.52       0.57        0.52       0.57       XXX
                                                surgery.
88332..........  .............  A              Pathology consult in         0.59        0.52       0.56        0.52       0.56      0.04        1.15       1.19        1.15       1.19       XXX
                                                surgery.
88332..........  26...........  A              Pathology consult in         0.59        0.27       0.29        0.27       0.29      0.02        0.88       0.90        0.88       0.90       XXX
                                                surgery.
88332..........  TC...........  A              Pathology consult in         0.00        0.25       0.27        0.25       0.27      0.02        0.27       0.29        0.27       0.29       XXX
                                                surgery.
88342..........  .............  A              Immunocytochemistry...       0.85        2.04       1.37        2.04       1.37      0.04        2.93       2.26        2.93       2.26       XXX
88342..........  26...........  A              Immunocytochemistry...       0.85        0.38       0.37        0.38       0.37      0.02        1.25       1.24        1.25       1.24       XXX
88342..........  TC...........  A              Immunocytochemistry...       0.00        1.66       1.00        1.66       1.00      0.02        1.68       1.02        1.68       1.02       XXX
88346..........  .............  A              Immunofluorescent            0.86        2.05       1.34        2.05       1.34      0.04        2.95       2.24        2.95       2.24       XXX
                                                study.
88346..........  26...........  A              Immunofluorescent            0.86        0.38       0.36        0.38       0.36      0.02        1.26       1.24        1.26       1.24       XXX
                                                study.
88346..........  TC...........  A              Immunofluorescent            0.00        1.67       0.98        1.67       0.98      0.02        1.69       1.00        1.69       1.00       XXX
                                                study.
88347..........  .............  A              Immunofluorescent            0.86        1.17       0.81        1.17       0.81      0.04        2.07       1.71        2.07       1.71       XXX
                                                study.
88347..........  26...........  A              Immunofluorescent            0.86        0.34       0.25        0.34       0.25      0.02        1.22       1.13        1.22       1.13       XXX
                                                study.
88347..........  TC...........  A              Immunofluorescent            0.00        0.83       0.56        0.83       0.56      0.02        0.85       0.58        0.85       0.58       XXX
                                                study.
88348..........  .............  A              Electron microscopy...       1.51       11.84       7.16       11.84       7.16      0.10       13.45       8.77       13.45       8.77       XXX
88348..........  26...........  A              Electron microscopy...       1.51        0.67       0.98        0.67       0.98      0.04        2.22       2.53        2.22       2.53       XXX
88348..........  TC...........  A              Electron microscopy...       0.00       11.17       6.18       11.17       6.18      0.06       11.23       6.24       11.23       6.24       XXX
88349..........  .............  A              Scanning electron            0.76        6.24       3.96        6.24       3.96      0.07        7.07       4.79        7.07       4.79       XXX
                                                microscopy.
88349..........  26...........  A              Scanning electron            0.76        0.34       0.60        0.34       0.60      0.02        1.12       1.38        1.12       1.38       XXX
                                                microscopy.
88349..........  TC...........  A              Scanning electron            0.00        5.90       3.36        5.90       3.36      0.05        5.95       3.41        5.95       3.41       XXX
                                                microscopy.
88355..........  .............  A              Analysis, skeletal           1.85        2.60       2.25        2.60       2.25      0.10        4.55       4.20        4.55       4.20       XXX
                                                muscle.
88355..........  26...........  A              Analysis, skeletal           1.85        0.83       0.92        0.83       0.92      0.05        2.73       2.82        2.73       2.82       XXX
                                                muscle.
88355..........  TC...........  A              Analysis, skeletal           0.00        1.77       1.33        1.77       1.33      0.05        1.82       1.38        1.82       1.38       XXX
                                                muscle.
88356..........  .............  A              Analysis, nerve.......       3.02        3.62       3.26        3.62       3.26      0.15        6.79       6.43        6.79       6.43       XXX
88356..........  26...........  A              Analysis, nerve.......       3.02        1.26       1.39        1.26       1.39      0.09        4.37       4.50        4.37       4.50       XXX
88356..........  TC...........  A              Analysis, nerve.......       0.00        2.36       1.87        2.36       1.87      0.06        2.42       1.93        2.42       1.93       XXX
88358..........  .............  A              Analysis, tumor.......       2.82        2.71       2.62        2.71       2.62      0.13        5.66       5.57        5.66       5.57       XXX
88358..........  26...........  A              Analysis, tumor.......       2.82        1.28       1.27        1.28       1.27      0.07        4.17       4.16        4.17       4.16       XXX
88358..........  TC...........  A              Analysis, tumor.......       0.00        1.43       1.35        1.43       1.35      0.06        1.49       1.41        1.49       1.41       XXX
88362..........  .............  A              Nerve teasing                2.17        3.83       2.99        3.83       2.99      0.12        6.12       5.28        6.12       5.28       XXX
                                                preparations.
88362..........  26...........  A              Nerve teasing                2.17        0.94       1.02        0.94       1.02      0.07        3.18       3.26        3.18       3.26       XXX
                                                preparations.
88362..........  TC...........  A              Nerve teasing                0.00        2.89       1.97        2.89       1.97      0.05        2.94       2.02        2.94       2.02       XXX
                                                preparations.
88365..........  .............  A              Tissue hybridization..       0.93        2.80       1.81        2.80       1.81      0.04        3.77       2.78        3.77       2.78       XXX
88365..........  26...........  A              Tissue hybridization..       0.93        0.41       0.41        0.41       0.41      0.02        1.36       1.36        1.36       1.36       XXX
88365..........  TC...........  A              Tissue hybridization..       0.00        2.39       1.40        2.39       1.40      0.02        2.41       1.42        2.41       1.42       XXX
88371..........  .............  X              Protein, western blot        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                tissue.
88371..........  26...........  A              Protein, western blot        0.37        0.14       0.18        0.14       0.18      0.01        0.52       0.56        0.52       0.56       XXX
                                                tissue.
88372..........  .............  X              Protein analysis w/          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probe.
88372..........  26...........  A              Protein analysis w/          0.37        0.17       0.20        0.17       0.20      0.01        0.55       0.58        0.55       0.58       XXX
                                                probe.
88399..........  .............  C              Surgical pathology           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedure.
88399..........  26...........  C              Surgical pathology           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedure.
88399..........  TC...........  C              Surgical pathology           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedure.
89050..........  .............  X              Body fluid cell count.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
89051..........  .............  X              Body fluid cell count.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
89060..........  .............  X              Exam,synovial fluid          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                crystals.
89060..........  26...........  A              Exam,synovial fluid          0.37        0.18       0.20        0.17       0.20      0.01        0.56       0.58        0.55       0.58       XXX
                                                crystals.
89100..........  .............  A              Sample intestinal            0.60        1.56       1.01        0.21       0.34      0.02        2.18       1.63        0.83       0.96       XXX
                                                contents.
89105..........  .............  A              Sample intestinal            0.50        3.17       1.80        0.16       0.29      0.02        3.69       2.32        0.68       0.81       XXX
                                                contents.
89125..........  .............  X              Specimen fat stain....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
89130..........  .............  A              Sample stomach               0.45        1.72       1.08        0.14       0.29      0.02        2.19       1.55        0.61       0.76       XXX
                                                contents.
89132..........  .............  A              Sample stomach               0.19        1.73       0.97        0.07       0.14      0.01        1.93       1.17        0.27       0.34       XXX
                                                contents.
89135..........  .............  A              Sample stomach               0.79        1.91       1.27        0.24       0.44      0.03        2.73       2.09        1.06       1.26       XXX
                                                contents.
89136..........  .............  A              Sample stomach               0.21        1.80       1.02        0.08       0.16      0.01        2.02       1.24        0.30       0.38       XXX
                                                contents.
89140..........  .............  A              Sample stomach               0.94        1.87       1.38        0.33       0.61      0.04        2.85       2.36        1.31       1.59       XXX
                                                contents.
89141..........  .............  A              Sample stomach               0.85        3.71       2.25        0.33       0.56      0.03        4.59       3.13        1.21       1.44       XXX
                                                contents.
89160..........  .............  X              Exam feces for meat          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                fibers.
89190..........  .............  X              Nasal smear for              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eosinophils.
[[Page 59543]]
89250..........  .............  X              Fertilization of             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                oocyte.
89251..........  .............  X              Culture oocyte w/            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                embryos.
89252..........  .............  X              Assist oocyte                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                fertilization.
89253..........  .............  X              Embryo hatching.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
89254..........  .............  X              Oocyte identification.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
89255..........  .............  X              Prepare embryo for           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                transfer.
89256..........  .............  X              Prepare cryopreserved        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                embryo.
89257..........  .............  X              Sperm identification..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
89258..........  .............  X              Cryopreservation,            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                embryo.
89259..........  .............  X              Cryopreservation,            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sperm.
89260..........  .............  X              Sperm isolation,             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                simple.
89261..........  .............  X              Sperm isolation,             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                complex.
89264..........  .............  X              Identify sperm tissue.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
89300..........  .............  X              Semen analysis........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
89310..........  .............  X              Semen analysis........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
89320..........  .............  X              Semen analysis........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
89325..........  .............  X              Sperm antibody test...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
89329..........  .............  X              Sperm evaluation test.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
89330..........  .............  X              Evaluation, cervical         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mucus.
89350..........  .............  A              Sputum specimen              0.00        0.41       0.42        0.41       0.42      0.02        0.43       0.44        0.43       0.44       XXX
                                                collection.
89355..........  .............  X              Exam feces for starch.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
89360..........  .............  A              Collect sweat for test       0.00        0.46       0.47        0.46       0.47      0.02        0.48       0.49        0.48       0.49       XXX
89365..........  .............  X              Water load test.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
89399..........  .............  C              Pathology lab                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedure.
89399..........  26...........  C              Pathology lab                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedure.
89399..........  TC...........  C              Pathology lab                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedure.
90281..........  .............  I              Human ig, im..........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90283..........  .............  I              Human ig, iv..........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90287..........  .............  I              Botulinum antitoxin...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90288..........  .............  I              Botulism ig, iv.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90291..........  .............  I              Cmv ig, iv............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90296..........  .............  E              Diphtheria antitoxin..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90371..........  .............  E              Hep b ig, im..........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90375..........  .............  E              Rabies ig, im/sc......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90376..........  .............  E              Rabies ig, heat              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                treated.
90378..........  .............  X              Rsv ig, im............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90379..........  .............  E              Rsv ig, iv............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90384..........  .............  I              Rh ig, full-dose, im..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90385..........  .............  E              Rh ig, minidose, im...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90386..........  .............  I              Rh ig, iv.............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90389..........  .............  E              Tetanus ig, im........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90393..........  .............  E              Vaccina ig, im........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90396..........  .............  E              Varicella-zoster ig,         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                im.
90399..........  .............  I              Immune globulin.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90471..........  .............  X              Immunization admin....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90472..........  .............  X              Immunization admin,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                each add.
90476..........  .............  E              Adenovirus vaccine,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                type 4.
90477..........  .............  E              Adenovirus vaccine,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                type 7.
90581..........  .............  E              Anthrax vaccine, sc...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90585..........  .............  E              Bcg vaccine, percut...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90586..........  .............  E              Bcg vaccine,                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                intravesical.
90592..........  .............  D              Cholera vaccine, oral.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90632..........  .............  E              Hep a vaccine, adult         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                im.
90633..........  .............  E              Hep a vacc, ped/adol,        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                2 dose.
90634..........  .............  E              Hep a vacc, ped/adol,        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                3 dose.
90636..........  .............  E              Hep a/hep b vacc,            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                adult im.
90645..........  .............  E              Hib vaccine, hboc, im.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90646..........  .............  E              Hib vaccine, prp-d, im       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90647..........  .............  E              Hib vaccine, prp-omp,        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                im.
90648..........  .............  E              Hib vaccine, prp-t, im       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90657..........  .............  X              Flu vaccine, 6-35 mo,        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                im.
90658..........  .............  X              Flu vaccine, 3 yrs, im       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90659..........  .............  X              Flu vaccine, whole, im       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90660..........  .............  X              Flu vaccine, nasal....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90665..........  .............  E              Lyme disease vaccine,        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                im.
90669..........  .............  N              Pneumococcal vaccine,        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ped.
90675..........  .............  E              Rabies vaccine, im....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90676..........  .............  E              Rabies vaccine, id....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90680..........  .............  E              Rotovirus vaccine,           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                oral.
90690..........  .............  E              Typhoid vaccine, oral.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90691..........  .............  E              Typhoid vaccine, im...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90692..........  .............  E              Typhoid vaccine, h-p,        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sc/id.
90693..........  .............  E              Typhoid vaccine, akd,        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sc.
90700..........  .............  E              Dtap vaccine, im......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90701..........  .............  E              Dtp vaccine, im.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90702..........  .............  E              Dt vaccine, im........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90703..........  .............  E              Tetanus vaccine, im...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90704..........  .............  E              Mumps vaccine, sc.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90705..........  .............  E              Measles vaccine, sc...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90706..........  .............  E              Rubella vaccine, sc...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90707..........  .............  E              Mmr vaccine, sc.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
[[Page 59544]]
90708..........  .............  E              Measles-rubella              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                vaccine, sc.
90709..........  .............  E              Rubella & mumps              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                vaccine, sc.
90710..........  .............  E              Mmrv vaccine, sc......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90712..........  .............  E              Oral poliovirus              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                vaccine.
90713..........  .............  E              Poliovirus, ipv, sc...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90716..........  .............  E              Chicken pox vaccine,         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sc.
90717..........  .............  E              Yellow fever vaccine,        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sc.
90718..........  .............  E              Td vaccine, im........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90719..........  .............  E              Diphtheria vaccine, im       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90720..........  .............  E              Dtp/hib vaccine, im...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90721..........  .............  E              Dtap/hib vaccine, im..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90725..........  .............  E              Cholera vaccine,             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injectable.
90727..........  .............  E              Plague vaccine, im....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90732..........  .............  X              Pneumococcal vaccine,        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                adult.
90733..........  .............  E              Meningococcal vaccine,       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sc.
90735..........  .............  E              Encephalitis vaccine,        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sc.
90744..........  .............  X              Hep b vaccine, ped/          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                adol, im.
90745..........  .............  D              Hepb vaccine, adol/          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                risk, im.
90746..........  .............  X              Hep b vaccine, adult,        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                im.
90747..........  .............  X              Hep b vaccine, ill           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                pat, im.
90748..........  .............  E              Hep b/hib vaccine, im.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90749..........  .............  E              Vaccine toxoid........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90780..........  .............  A              IV infusion therapy, 1       0.00        1.12       1.14        1.12       1.14      0.06        1.18       1.20        1.18       1.20       XXX
                                                hour.
90781..........  .............  A              IV infusion,                 0.00        0.56       0.57        0.56       0.57      0.03        0.59       0.60        0.59       0.60       ZZZ
                                                additional hour.
90782..........  .............  T              Injection, sc/im......       0.00        0.11       0.11        0.11       0.11      0.01        0.12       0.12        0.12       0.12       XXX
90783..........  .............  T              Injection, ia.........       0.00        0.41       0.42        0.41       0.42      0.02        0.43       0.44        0.43       0.44       XXX
90784..........  .............  T              Injection, iv.........       0.00        0.48       0.49        0.48       0.49      0.03        0.51       0.52        0.51       0.52       XXX
90788..........  .............  T              Injection of                 0.00        0.12       0.12        0.12       0.12      0.01        0.13       0.13        0.13       0.13       XXX
                                                antibiotic.
90799..........  .............  C              Ther/prophylactic/dx         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inject.
90801..........  .............  A              Psy dx interview......       2.80        1.12       0.93        0.92       0.83      0.07        3.99       3.80        3.79       3.70       XXX
90802..........  .............  A              Intac psy dx interview       3.01        1.14       0.78        0.96       0.69      0.08        4.23       3.87        4.05       3.78       XXX
90804..........  .............  A              Psytx, office, 20-30         1.21        0.51       0.45        0.40       0.39      0.03        1.75       1.69        1.64       1.63       XXX
                                                min.
90805..........  .............  A              Psytx, off, 20-30 min        1.37        0.57       0.48        0.43       0.41      0.04        1.98       1.89        1.84       1.82       XXX
                                                w/e&m.
90806..........  .............  A              Psytx, off, 45-50 min.       1.86        0.76       0.68        0.65       0.62      0.05        2.67       2.59        2.56       2.53       XXX
90807..........  .............  A              Psytx, off, 45-50 min        2.02        0.76       0.68        0.64       0.62      0.05        2.83       2.75        2.71       2.69       XXX
                                                w/e&m.
90808..........  .............  A              Psytx, office, 75-80         2.79        1.10       1.12        0.98       1.06      0.07        3.96       3.98        3.84       3.92       XXX
                                                min.
90809..........  .............  A              Psytx, off, 75-80, w/        2.95        1.08       1.11        0.93       1.04      0.08        4.11       4.14        3.96       4.07       XXX
                                                e&m.
90810..........  .............  A              Intac psytx, off, 20-        1.32        0.55       0.60        0.43       0.54      0.03        1.90       1.95        1.78       1.89       XXX
                                                30 min.
90811..........  .............  A              Intac psytx, 20-30, w/       1.48        0.59       0.62        0.46       0.55      0.04        2.11       2.14        1.98       2.07       XXX
                                                e&m.
90812..........  .............  A              Intac psytx, off, 45-        1.97        0.83       0.74        0.68       0.66      0.05        2.85       2.76        2.70       2.68       XXX
                                                50 min.
90813..........  .............  A              Intac psytx, 45-50 min       2.13        0.82       0.73        0.67       0.66      0.05        3.00       2.91        2.85       2.84       XXX
                                                w/e&m.
90814..........  .............  A              Intac psytx, off, 75-        2.90        1.18       0.91        1.01       0.83      0.07        4.15       3.88        3.98       3.80       XXX
                                                80 min.
90815..........  .............  A              Intac psytx, 75-80 w/        3.06        1.18       0.91        0.94       0.79      0.08        4.32       4.05        4.08       3.93       XXX
                                                e&m.
90816..........  .............  A              Psytx, hosp, 20-30 min       1.25        0.58       0.48        0.43       0.41      0.03        1.86       1.76        1.71       1.69       XXX
90817..........  .............  A              Psytx, hosp, 20-30 min       1.41        0.60       0.49        0.44       0.41      0.04        2.05       1.94        1.89       1.86       XXX
                                                w/e&m.
90818..........  .............  A              Psytx, hosp, 45-50 min       1.89        0.80       0.70        0.66       0.63      0.05        2.74       2.64        2.60       2.57       XXX
90819..........  .............  A              Psytx, hosp, 45-50 min       2.05        0.80       0.70        0.63       0.61      0.05        2.90       2.80        2.73       2.71       XXX
                                                w/e&m.
90821..........  .............  A              Psytx, hosp, 75-80 min       2.83        1.15       1.15        0.97       1.06      0.07        4.05       4.05        3.87       3.96       XXX
90822..........  .............  A              Psytx, hosp, 75-80 min       2.99        1.10       1.12        0.93       1.04      0.08        4.17       4.19        4.00       4.11       XXX
                                                w/e&m.
90823..........  .............  A              Intac psytx, hosp, 20-       1.36        0.68       0.66        0.44       0.54      0.03        2.07       2.05        1.83       1.93       XXX
                                                30 min.
90824..........  .............  A              Intac psytx, hsp 20-30       1.52        0.66       0.65        0.47       0.56      0.04        2.22       2.21        2.03       2.12       XXX
                                                w/e&m.
90826..........  .............  A              Intac psytx, hosp, 45-       2.01        0.92       0.78        0.70       0.67      0.05        2.98       2.84        2.76       2.73       XXX
                                                50 min.
90827..........  .............  A              Intac psytx, hsp 45-50       2.16        0.88       0.76        0.67       0.66      0.06        3.10       2.98        2.89       2.88       XXX
                                                w/e&m.
90828..........  .............  A              Intac psytx, hosp, 75-       2.94        1.27       0.96        1.05       0.85      0.08        4.29       3.98        4.07       3.87       XXX
                                                80 min.
90829..........  .............  A              Intac psytx, hsp 75-80       3.10        1.17       0.91        0.96       0.80      0.08        4.35       4.09        4.14       3.98       XXX
                                                w/e&m.
90845..........  .............  A              Psychoanalysis........       1.79        0.68       0.56        0.56       0.50      0.05        2.52       2.40        2.40       2.34       XXX
90846..........  .............  R              Family psytx w/o             1.83        0.74       0.71        0.62       0.65      0.05        2.62       2.59        2.50       2.53       XXX
                                                patient.
90847..........  .............  R              Family psytx w/patient       2.21        0.85       0.74        0.74       0.69      0.06        3.12       3.01        3.01       2.96       XXX
90849..........  .............  R              Multiple family group        0.59        0.32       0.30        0.21       0.25      0.02        0.93       0.91        0.82       0.86       XXX
                                                psytx.
90853..........  .............  A              Group psychotherapy...       0.59        0.34       0.31        0.20       0.24      0.02        0.95       0.92        0.81       0.85       XXX
90857..........  .............  A              Intac group psytx.....       0.63        0.34       0.25        0.22       0.19      0.02        0.99       0.90        0.87       0.84       XXX
90862..........  .............  A              Medication management.       0.95        0.42       0.41        0.30       0.35      0.02        1.39       1.38        1.27       1.32       XXX
90865..........  .............  A              Narcosynthesis........       2.84        1.34       0.94        0.88       0.71      0.10        4.28       3.88        3.82       3.65       XXX
90870..........  .............  A              Electroconvulsive            1.88        0.70       0.65        0.58       0.59      0.05        2.63       2.58        2.51       2.52       000
                                                therapy.
90871..........  .............  A              Electroconvulsive            2.72          NA         NA        0.85       0.88      0.07          NA         NA        3.64       3.67       000
                                                therapy.
90875..........  .............  N              Psychophysiological         +1.20        0.81       0.81        0.46       0.46      0.03        2.04       2.04        1.69       1.69       XXX
                                                therapy.
90876..........  .............  N              Psychophysiological         +1.90        1.08       1.08        0.73       0.73      0.05        3.03       3.03        2.68       2.68       XXX
                                                therapy.
90880..........  .............  A              Hypnotherapy..........       2.19        0.88       0.79        0.70       0.70      0.06        3.13       3.04        2.95       2.95       XXX
90882..........  .............  N              Environmental                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                manipulation.
90885..........  .............  B              Psy evaluation of           +0.97        0.38       0.36        0.38       0.36      0.02        1.37       1.35        1.37       1.35       XXX
                                                records.
90887..........  .............  B              Consultation with           +1.48        0.77       0.57        0.57       0.47      0.04        2.29       2.09        2.09       1.99       XXX
                                                family.
90889..........  .............  B              Preparation of report.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
90899..........  .............  C              Psychiatric service/         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                therapy.
90901..........  .............  A              Biofeedback train, any       0.41        0.66       0.86        0.18       0.62      0.02        1.09       1.29        0.61       1.05       000
                                                meth.
90911..........  .............  A              Biofeedback peri/uro/        0.89        0.74       0.99        0.37       0.80      0.05        1.68       1.93        1.31       1.74       000
                                                rectal.
90918..........  .............  A              ESRD related services,      11.18        5.17       3.78        5.17       3.78      0.48       16.83      15.44       16.83      15.44       XXX
                                                month.
90919..........  .............  A              ESRD related services,       8.54        4.26       3.32        4.26       3.32      0.39       13.19      12.25       13.19      12.25       XXX
                                                month.
90920..........  .............  A              ESRD related services,       7.27        3.60       2.99        3.60       2.99      0.38       11.25      10.64       11.25      10.64       XXX
                                                month.
90921..........  .............  A              ESRD related services,       4.47        2.52       2.45        2.52       2.45      0.26        7.25       7.18        7.25       7.18       XXX
                                                month.
90922..........  .............  A              ESRD related services,       0.37        0.15       0.12        0.15       0.12      0.02        0.54       0.51        0.54       0.51       XXX
                                                day.
90923..........  .............  A              Esrd related services,       0.28        0.14       0.11        0.14       0.11      0.01        0.43       0.40        0.43       0.40       XXX
                                                day.
[[Page 59545]]
90924..........  .............  A              Esrd related services,       0.24        0.12       0.10        0.12       0.10      0.01        0.37       0.35        0.37       0.35       XXX
                                                day.
90925..........  .............  A              Esrd related services,       0.15        0.08       0.08        0.08       0.08      0.01        0.24       0.24        0.24       0.24       XXX
                                                day.
90935..........  .............  A              Hemodialysis, one            1.22          NA         NA        0.40       0.93      0.07          NA         NA        1.69       2.22       000
                                                evaluation.
90937..........  .............  A              Hemodialysis, repeated       2.11          NA         NA        0.69       1.61      0.11          NA         NA        2.91       3.83       000
                                                eval.
90945..........  .............  A              Dialysis, one                1.28          NA         NA        0.42       0.90      0.08          NA         NA        1.78       2.26       000
                                                evaluation.
90947..........  .............  A              Dialysis, repeated           2.16          NA         NA        0.71       1.49      0.12          NA         NA        2.99       3.77       000
                                                eval.
90989..........  .............  X              Dialysis training,           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                complete.
90993..........  .............  X              Dialysis training,           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                incompl.
90997..........  .............  A              Hemoperfusion.........       1.84          NA         NA        0.62       1.41      0.10          NA         NA        2.56       3.35       000
90999..........  .............  C              Dialysis procedure....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
91000..........  .............  A              Esophageal intubation.       0.73        0.33       0.53        0.33       0.53      0.03        1.09       1.29        1.09       1.29       000
91000..........  26...........  A              Esophageal intubation.       0.73        0.25       0.45        0.25       0.45      0.02        1.00       1.20        1.00       1.20       000
91000..........  TC...........  A              Esophageal intubation.       0.00        0.08       0.08        0.08       0.08      0.01        0.09       0.09        0.09       0.09       000
91010..........  .............  A              Esophagus motility           1.25        1.26       1.81        1.26       1.81      0.09        2.60       3.15        2.60       3.15       000
                                                study.
91010..........  26...........  A              Esophagus motility           1.25        0.43       0.97        0.43       0.97      0.04        1.72       2.26        1.72       2.26       000
                                                study.
91010..........  TC...........  A              Esophagus motility           0.00        0.83       0.84        0.83       0.84      0.05        0.88       0.89        0.88       0.89       000
                                                study.
91011..........  .............  A              Esophagus motility           1.50        1.55       2.21        1.55       2.21      0.10        3.15       3.81        3.15       3.81       000
                                                study.
91011..........  26...........  A              Esophagus motility           1.50        0.52       1.16        0.52       1.16      0.05        2.07       2.71        2.07       2.71       000
                                                study.
91011..........  TC...........  A              Esophagus motility           0.00        1.03       1.05        1.03       1.05      0.05        1.08       1.10        1.08       1.10       000
                                                study.
91012..........  .............  A              Esophagus motility           1.46        1.67       2.31        1.67       2.31      0.12        3.25       3.89        3.25       3.89       000
                                                study.
91012..........  26...........  A              Esophagus motility           1.46        0.51       1.13        0.51       1.13      0.06        2.03       2.65        2.03       2.65       000
                                                study.
91012..........  TC...........  A              Esophagus motility           0.00        1.16       1.18        1.16       1.18      0.06        1.22       1.24        1.22       1.24       000
                                                study.
91020..........  .............  A              Gastric motility......       1.44        1.26       1.88        1.26       1.88      0.11        2.81       3.43        2.81       3.43       000
91020..........  26...........  A              Gastric motility......       1.44        0.49       1.10        0.49       1.10      0.06        1.99       2.60        1.99       2.60       000
91020..........  TC...........  A              Gastric motility......       0.00        0.77       0.78        0.77       0.78      0.05        0.82       0.83        0.82       0.83       000
91030..........  .............  A              Acid perfusion of            0.91        0.54       0.58        0.54       0.58      0.05        1.50       1.54        1.50       1.54       000
                                                esophagus.
91030..........  26...........  A              Acid perfusion of            0.91        0.32       0.35        0.32       0.35      0.03        1.26       1.29        1.26       1.29       000
                                                esophagus.
91030..........  TC...........  A              Acid perfusion of            0.00        0.22       0.23        0.22       0.23      0.02        0.24       0.25        0.24       0.25       000
                                                esophagus.
91032..........  .............  A              Esophagus, acid reflux       1.21        1.17       1.65        1.17       1.65      0.09        2.47       2.95        2.47       2.95       000
                                                test.
91032..........  26...........  A              Esophagus, acid reflux       1.21        0.42       0.89        0.42       0.89      0.04        1.67       2.14        1.67       2.14       000
                                                test.
91032..........  TC...........  A              Esophagus, acid reflux       0.00        0.75       0.76        0.75       0.76      0.05        0.80       0.81        0.80       0.81       000
                                                test.
91033..........  .............  A              Prolonged acid reflux        1.30        1.80       2.37        1.80       2.37      0.14        3.24       3.81        3.24       3.81       000
                                                test.
91033..........  26...........  A              Prolonged acid reflux        1.30        0.45       1.00        0.45       1.00      0.05        1.80       2.35        1.80       2.35       000
                                                test.
91033..........  TC...........  A              Prolonged acid reflux        0.00        1.35       1.37        1.35       1.37      0.09        1.44       1.46        1.44       1.46       000
                                                test.
91052..........  .............  A              Gastric analysis test.       0.79        0.62       0.76        0.62       0.76      0.05        1.46       1.60        1.46       1.60       000
91052..........  26...........  A              Gastric analysis test.       0.79        0.28       0.41        0.28       0.41      0.03        1.10       1.23        1.10       1.23       000
91052..........  TC...........  A              Gastric analysis test.       0.00        0.34       0.35        0.34       0.35      0.02        0.36       0.37        0.36       0.37       000
91055..........  .............  A              Gastric intubation for       0.94        0.57       0.72        0.57       0.72      0.07        1.58       1.73        1.58       1.73       000
                                                smear.
91055..........  26...........  A              Gastric intubation for       0.94        0.27       0.41        0.27       0.41      0.05        1.26       1.40        1.26       1.40       000
                                                smear.
91055..........  TC...........  A              Gastric intubation for       0.00        0.30       0.31        0.30       0.31      0.02        0.32       0.33        0.32       0.33       000
                                                smear.
91060..........  .............  A              Gastric saline load          0.45        0.37       0.58        0.37       0.58      0.04        0.86       1.07        0.86       1.07       000
                                                test.
91060..........  26...........  A              Gastric saline load          0.45        0.15       0.35        0.15       0.35      0.02        0.62       0.82        0.62       0.82       000
                                                test.
91060..........  TC...........  A              Gastric saline load          0.00        0.22       0.23        0.22       0.23      0.02        0.24       0.25        0.24       0.25       000
                                                test.
91065..........  .............  A              Breath hydrogen test..       0.20        0.43       0.53        0.43       0.53      0.03        0.66       0.76        0.66       0.76       000
91065..........  26...........  A              Breath hydrogen test..       0.20        0.07       0.16        0.07       0.16      0.01        0.28       0.37        0.28       0.37       000
91065..........  TC...........  A              Breath hydrogen test..       0.00        0.36       0.37        0.36       0.37      0.02        0.38       0.39        0.38       0.39       000
91100..........  .............  A              Pass intestine               1.08          NA         NA        0.28       0.45      0.07          NA         NA        1.43       1.60       000
                                                bleeding tube.
91105..........  .............  A              Gastric intubation           0.37          NA         NA        0.09       0.27      0.02          NA         NA        0.48       0.66       000
                                                treatment.
91122..........  .............  A              Anal pressure record..       1.77        1.34       1.61        1.34       1.61      0.18        3.29       3.56        3.29       3.56       000
91122..........  26...........  A              Anal pressure record..       1.77        0.63       0.89        0.63       0.89      0.11        2.51       2.77        2.51       2.77       000
91122..........  TC...........  A              Anal pressure record..       0.00        0.71       0.72        0.71       0.72      0.07        0.78       0.79        0.78       0.79       000
91299..........  .............  C              Gastroenterology             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedure.
91299..........  26...........  C              Gastroenterology             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedure.
91299..........  TC...........  C              Gastroenterology             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedure.
92002..........  .............  A              Eye exam, new patient.       0.88        1.08       0.81        0.34       0.31      0.03        1.99       1.72        1.25       1.22       XXX
92004..........  .............  A              Eye exam, new patient.       1.67        1.67       1.15        0.69       0.50      0.06        3.40       2.88        2.42       2.23       XXX
92012..........  .............  A              Eye exam established         0.67        1.05       0.77        0.31       0.28      0.02        1.74       1.46        1.00       0.97       XXX
                                                pat.
92014..........  .............  A              Eye exam & treatment..       1.10        1.35       0.97        0.49       0.40      0.04        2.49       2.11        1.63       1.54       XXX
92015..........  .............  N              Refraction............      +0.38        1.47       0.91        0.15       0.25      0.01        1.86       1.30        0.54       0.64       XXX
92018..........  .............  A              New eye exam &               1.51          NA         NA        0.72       0.62      0.05          NA         NA        2.28       2.18       XXX
                                                treatment.
92019..........  .............  A              Eye exam & treatment..       1.31          NA         NA        0.60       0.43      0.05          NA         NA        1.96       1.79       XXX
92020..........  .............  A              Special eye evaluation       0.37        0.73       0.52        0.17       0.17      0.01        1.11       0.90        0.55       0.55       XXX
92060..........  .............  A              Special eye evaluation       0.69        1.24       0.84        1.24       0.84      0.03        1.96       1.56        1.96       1.56       XXX
92060..........  26...........  A              Special eye evaluation       0.69        0.29       0.26        0.29       0.26      0.02        1.00       0.97        1.00       0.97       XXX
92060..........  TC...........  A              Special eye evaluation       0.00        0.95       0.58        0.95       0.58      0.01        0.96       0.59        0.96       0.59       XXX
92065..........  .............  A              Orthoptic/pleoptic           0.37        0.75       0.58        0.75       0.58      0.02        1.14       0.97        1.14       0.97       XXX
                                                training.
92065..........  26...........  A              Orthoptic/pleoptic           0.37        0.15       0.19        0.15       0.19      0.01        0.53       0.57        0.53       0.57       XXX
                                                training.
92065..........  TC...........  A              Orthoptic/pleoptic           0.00        0.60       0.39        0.60       0.39      0.01        0.61       0.40        0.61       0.40       XXX
                                                training.
92070..........  .............  A              Fitting of contact           0.70        1.01       1.16        0.35       0.50      0.02        1.73       1.88        1.07       1.22       XXX
                                                lens.
92081..........  .............  A              Visual field                 0.36        1.50       0.92        1.50       0.92      0.02        1.88       1.30        1.88       1.30       XXX
                                                examination(s).
92081..........  26...........  A              Visual field                 0.36        0.16       0.17        0.16       0.17      0.01        0.53       0.54        0.53       0.54       XXX
                                                examination(s).
92081..........  TC...........  A              Visual field                 0.00        1.34       0.75        1.34       0.75      0.01        1.35       0.76        1.35       0.76       XXX
                                                examination(s).
92082..........  .............  A              Visual field                 0.44        1.49       1.02        1.49       1.02      0.02        1.95       1.48        1.95       1.48       XXX
                                                examination(s).
92082..........  26...........  A              Visual field                 0.44        0.21       0.27        0.21       0.27      0.01        0.66       0.72        0.66       0.72       XXX
                                                examination(s).
92082..........  TC...........  A              Visual field                 0.00        1.28       0.75        1.28       0.75      0.01        1.29       0.76        1.29       0.76       XXX
                                                examination(s).
92083..........  .............  A              Visual field                 0.50        1.23       1.07        1.23       1.07      0.03        1.76       1.60        1.76       1.60       XXX
                                                examination(s).
92083..........  26...........  A              Visual field                 0.50        0.24       0.42        0.24       0.42      0.02        0.76       0.94        0.76       0.94       XXX
                                                examination(s).
92083..........  TC...........  A              Visual field                 0.00        0.99       0.65        0.99       0.65      0.01        1.00       0.66        1.00       0.66       XXX
                                                examination(s).
92100..........  .............  A              Serial tonometry             0.92        0.76       0.52        0.37       0.26      0.03        1.71       1.47        1.32       1.21       XXX
                                                exam(s).
92120..........  .............  A              Tonography & eye             0.81        0.74       0.54        0.31       0.24      0.03        1.58       1.38        1.15       1.08       XXX
                                                evaluation.
92130..........  .............  A              Water provocation            0.81        0.84       0.69        0.31       0.29      0.03        1.68       1.53        1.15       1.13       XXX
                                                tonography.
[[Page 59546]]
92135..........  .............  A              Opthalmic dx imaging..       0.35        1.56       1.56        1.56       1.56      0.02        1.93       1.93        1.93       1.93       XXX
92135..........  26...........  A              Opthalmic dx imaging..       0.35        0.17       0.17        0.17       0.17      0.01        0.53       0.53        0.53       0.53       XXX
92135..........  TC...........  A              Opthalmic dx imaging..       0.00        1.39       1.39        1.39       1.39      0.01        1.40       1.40        1.40       1.40       XXX
92140..........  .............  A              Glaucoma provocative         0.50        0.87       0.60        0.23       0.20      0.02        1.39       1.12        0.75       0.72       XXX
                                                tests.
92225..........  .............  A              Special eye exam,            0.38        1.80       1.15        0.16       0.21      0.01        2.19       1.54        0.55       0.60       XXX
                                                initial.
92226..........  .............  A              Special eye exam,            0.33        1.92       1.18        0.16       0.19      0.01        2.26       1.52        0.50       0.53       XXX
                                                subsequent.
92230..........  .............  A              Eye exam with photos..       0.60        1.40       1.08        0.21       0.30      0.02        2.02       1.70        0.83       0.92       XXX
92235..........  .............  A              Eye exam with photos..       0.81        2.15       1.94        2.15       1.94      0.08        3.04       2.83        3.04       2.83       XXX
92235..........  26...........  A              Eye exam with photos..       0.81        0.41       0.53        0.41       0.53      0.03        1.25       1.37        1.25       1.37       XXX
92235..........  TC...........  A              Eye exam with photos..       0.00        1.74       1.41        1.74       1.41      0.05        1.79       1.46        1.79       1.46       XXX
92240..........  .............  A              Icg angiography.......       1.10        3.08       2.40        3.08       2.40      0.08        4.26       3.58        4.26       3.58       XXX
92240..........  26...........  A              Icg angiography.......       1.10        0.55       0.60        0.55       0.60      0.03        1.68       1.73        1.68       1.73       XXX
92240..........  TC...........  A              Icg angiography.......       0.00        2.53       1.80        2.53       1.80      0.05        2.58       1.85        2.58       1.85       XXX
92250..........  .............  A              Eye exam with photos..       0.44        1.94       1.20        1.94       1.20      0.02        2.40       1.66        2.40       1.66       XXX
92250..........  26...........  A              Eye exam with photos..       0.44        0.21       0.24        0.21       0.24      0.01        0.66       0.69        0.66       0.69       XXX
92250..........  TC...........  A              Eye exam with photos..       0.00        1.73       0.96        1.73       0.96      0.01        1.74       0.97        1.74       0.97       XXX
92260..........  .............  A              Ophthalmoscopy/              0.20        0.21       0.40        0.09       0.20      0.01        0.42       0.61        0.30       0.41       XXX
                                                dynamometry.
92265..........  .............  A              Eye muscle evaluation.       0.81        1.59       0.96        1.59       0.96      0.05        2.45       1.82        2.45       1.82       XXX
92265..........  26...........  A              Eye muscle evaluation.       0.81        0.30       0.19        0.30       0.19      0.03        1.14       1.03        1.14       1.03       XXX
92265..........  TC...........  A              Eye muscle evaluation.       0.00        1.29       0.77        1.29       0.77      0.02        1.31       0.79        1.31       0.79       XXX
92270..........  .............  A              Electro-oculography...       0.81        1.09       0.91        1.09       0.91      0.05        1.95       1.77        1.95       1.77       XXX
92270..........  26...........  A              Electro-oculography...       0.81        0.34       0.37        0.34       0.37      0.03        1.18       1.21        1.18       1.21       XXX
92270..........  TC...........  A              Electro-oculography...       0.00        0.75       0.54        0.75       0.54      0.02        0.77       0.56        0.77       0.56       XXX
92275..........  .............  A              Electroretinography...       1.01        0.73       0.85        0.73       0.85      0.06        1.80       1.92        1.80       1.92       XXX
92275..........  26...........  A              Electroretinography...       1.01        0.45       0.50        0.45       0.50      0.04        1.50       1.55        1.50       1.55       XXX
92275..........  TC...........  A              Electroretinography...       0.00        0.28       0.35        0.28       0.35      0.02        0.30       0.37        0.30       0.37       XXX
92283..........  .............  A              Color vision                 0.17        0.77       0.54        0.77       0.54      0.02        0.96       0.73        0.96       0.73       XXX
                                                examination.
92283..........  26...........  A              Color vision                 0.17        0.08       0.13        0.08       0.13      0.01        0.26       0.31        0.26       0.31       XXX
                                                examination.
92283..........  TC...........  A              Color vision                 0.00        0.69       0.41        0.69       0.41      0.01        0.70       0.42        0.70       0.42       XXX
                                                examination.
92284..........  .............  A              Dark adaptation eye          0.24        0.89       0.69        0.89       0.69      0.02        1.15       0.95        1.15       0.95       XXX
                                                exam.
92284..........  26...........  A              Dark adaptation eye          0.24        0.09       0.20        0.09       0.20      0.01        0.34       0.45        0.34       0.45       XXX
                                                exam.
92284..........  TC...........  A              Dark adaptation eye          0.00        0.80       0.49        0.80       0.49      0.01        0.81       0.50        0.81       0.50       XXX
                                                exam.
92285..........  .............  A              Eye photography.......       0.20        2.00       1.16        2.00       1.16      0.02        2.22       1.38        2.22       1.38       XXX
92285..........  26...........  A              Eye photography.......       0.20        0.10       0.15        0.10       0.15      0.01        0.31       0.36        0.31       0.36       XXX
92285..........  TC...........  A              Eye photography.......       0.00        1.90       1.01        1.90       1.01      0.01        1.91       1.02        1.91       1.02       XXX
92286..........  .............  A              Internal eye                 0.66        2.23       1.78        2.23       1.78      0.04        2.93       2.48        2.93       2.48       XXX
                                                photography.
92286..........  26...........  A              Internal eye                 0.66        0.32       0.61        0.32       0.61      0.02        1.00       1.29        1.00       1.29       XXX
                                                photography.
92286..........  TC...........  A              Internal eye                 0.00        1.91       1.17        1.91       1.17      0.02        1.93       1.19        1.93       1.19       XXX
                                                photography.
92287..........  .............  A              Internal eye                 0.81        2.08       1.87        0.37       0.60      0.03        2.92       2.71        1.21       1.44       XXX
                                                photography.
92310..........  .............  N              Contact lens fitting..      +1.17        0.97       1.19        0.45       0.93      0.00        2.14       2.36        1.62       2.10       XXX
92311..........  .............  A              Contact lens fitting..       1.08        1.04       1.01        0.39       0.44      0.04        2.16       2.13        1.51       1.56       XXX
92312..........  .............  A              Contact lens fitting..       1.26        0.99       1.13        0.66       0.65      0.04        2.29       2.43        1.96       1.95       XXX
92313..........  .............  A              Contact lens fitting..       0.92        0.94       0.95        0.27       0.38      0.03        1.89       1.90        1.22       1.33       XXX
92314..........  .............  N              Prescription of             +0.69        0.78       0.80        0.27       0.55      0.00        1.47       1.49        0.96       1.24       XXX
                                                contact lens.
92315..........  .............  A              Prescription of              0.45        0.73       0.73        0.17       0.27      0.02        1.20       1.20        0.64       0.74       XXX
                                                contact lens.
92316..........  .............  A              Prescription of              0.68        0.80       0.92        0.26       0.39      0.02        1.50       1.62        0.96       1.09       XXX
                                                contact lens.
92317..........  .............  A              Prescription of              0.45        0.93       0.68        0.17       0.19      0.01        1.39       1.14        0.63       0.65       XXX
                                                contact lens.
92325..........  .............  A              Modification of              0.00        0.36       0.39        0.14       0.28      0.01        0.37       0.40        0.15       0.29       XXX
                                                contact lens.
92326..........  .............  A              Replacement of contact       0.00        0.37       1.03        0.15       0.92      0.05        0.42       1.08        0.20       0.97       XXX
                                                lens.
92330..........  .............  A              Fitting of artificial        1.08        0.80       1.02        0.26       0.44      0.04        1.92       2.14        1.38       1.56       XXX
                                                eye.
92335..........  .............  A              Fitting of artificial        0.45        0.86       1.50        0.17       0.62      0.02        1.33       1.97        0.64       1.09       XXX
                                                eye.
92340..........  .............  N              Fitting of spectacles.      +0.37        0.58       0.52        0.14       0.29      0.00        0.95       0.89        0.51       0.66       XXX
92341..........  .............  N              Fitting of spectacles.      +0.47        0.62       0.60        0.18       0.37      0.00        1.09       1.07        0.65       0.84       XXX
92342..........  .............  N              Fitting of spectacles.      +0.53        0.65       0.65        0.20       0.42      0.00        1.18       1.18        0.73       0.95       XXX
92352..........  .............  B              Special spectacles          +0.37        0.58       0.46        0.14       0.24      0.01        0.96       0.84        0.52       0.62       XXX
                                                fitting.
92353..........  .............  B              Special spectacles          +0.50        0.63       0.53        0.19       0.31      0.02        1.15       1.05        0.71       0.83       XXX
                                                fitting.
92354..........  .............  B              Special spectacles          +0.00        0.52       4.84        0.18       4.67      0.08        0.60       4.92        0.26       4.75       XXX
                                                fitting.
92355..........  .............  B              Special spectacles          +0.00        0.52       2.50        0.18       2.33      0.01        0.53       2.51        0.19       2.34       XXX
                                                fitting.
92358..........  .............  B              Eye prosthesis service      +0.00        0.33       0.67        0.12       0.56      0.04        0.37       0.71        0.16       0.60       XXX
92370..........  .............  N              Repair & adjust             +0.32        0.45       0.42        0.12       0.25      0.00        0.77       0.74        0.44       0.57       XXX
                                                spectacles.
92371..........  .............  B              Repair & adjust             +0.00        0.33       0.49        0.12       0.38      0.02        0.35       0.51        0.14       0.40       XXX
                                                spectacles.
92390..........  .............  N              Supply of spectacles..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
92391..........  .............  N              Supply of contact            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                lenses.
92392..........  .............  I              Supply of low vision        +0.00        0.33       2.26        0.12       2.15      0.02        0.35       2.28        0.14       2.17       XXX
                                                aids.
92393..........  .............  I              Supply of artificial        +0.00        0.33       6.66        0.12       6.55      0.48        0.81       7.14        0.60       7.03       XXX
                                                eye.
92395..........  .............  I              Supply of spectacles..      +0.00        0.33       0.88        0.12       0.77      0.08        0.41       0.96        0.20       0.85       XXX
92396..........  .............  I              Supply of contact           +0.00        0.33       1.36        0.12       1.25      0.06        0.39       1.42        0.18       1.31       XXX
                                                lenses.
92499..........  .............  C              Eye service or               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedure.
92499..........  26...........  C              Eye service or               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedure.
92499..........  TC...........  C              Eye service or               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedure.
92502..........  .............  A              Ear and throat               1.51          NA         NA        1.18       1.20      0.05          NA         NA        2.74       2.76       000
                                                examination.
92504..........  .............  A              Ear microscopy               0.18        0.76       0.52        0.09       0.12      0.01        0.95       0.71        0.28       0.31       XXX
                                                examination.
92506..........  .............  A              Speech/hearing               0.86        1.14       0.85        0.41       0.35      0.03        2.03       1.74        1.30       1.24       XXX
                                                evaluation.
92507..........  .............  A              Speech/hearing therapy       0.52        1.06       0.71        0.26       0.22      0.02        1.60       1.25        0.80       0.76       XXX
92508..........  .............  A              Speech/hearing therapy       0.26        0.91       0.56        0.15       0.13      0.01        1.18       0.83        0.42       0.40       XXX
92510..........  .............  A              Rehab for ear implant.       1.50        1.58       1.53        0.68       0.71      0.05        3.13       3.08        2.23       2.26       XXX
92511..........  .............  A              Nasopharyngoscopy.....       0.84        0.98       0.95        0.44       0.45      0.03        1.85       1.82        1.31       1.32       000
92512..........  .............  A              Nasal function studies       0.55        0.86       0.69        0.25       0.26      0.02        1.43       1.26        0.82       0.83       XXX
92516..........  .............  A              Facial nerve function        0.43        0.70       0.56        0.23       0.22      0.01        1.14       1.00        0.67       0.66       XXX
                                                test.
92520..........  .............  A              Laryngeal function           0.76        0.46       0.52        0.45       0.37      0.03        1.25       1.31        1.24       1.16       XXX
                                                studies.
92525..........  .............  A              Oral function                1.50        1.47       1.29        0.76       0.66      0.05        3.02       2.84        2.31       2.21       XXX
                                                evaluation.
[[Page 59547]]
92526..........  .............  A              Oral function therapy.       0.55        1.17       0.84        0.21       0.24      0.02        1.74       1.41        0.78       0.81       XXX
92531..........  .............  B              Spontaneous nystagmus        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                study.
92532..........  .............  B              Positional nystagmus         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                study.
92533..........  .............  B              Caloric vestibular           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
92534..........  .............  B              Optokinetic nystagmus.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
92541..........  .............  A              Spontaneous nystagmus        0.40        0.43       0.59        0.43       0.59      0.03        0.86       1.02        0.86       1.02       XXX
                                                test.
92541..........  26...........  A              Spontaneous nystagmus        0.40        0.20       0.35        0.20       0.35      0.01        0.61       0.76        0.61       0.76       XXX
                                                test.
92541..........  TC...........  A              Spontaneous nystagmus        0.00        0.23       0.24        0.23       0.24      0.02        0.25       0.26        0.25       0.26       XXX
                                                test.
92542..........  .............  A              Positional nystagmus         0.33        0.42       0.55        0.42       0.55      0.03        0.78       0.91        0.78       0.91       XXX
                                                test.
92542..........  26...........  A              Positional nystagmus         0.33        0.16       0.28        0.16       0.28      0.01        0.50       0.62        0.50       0.62       XXX
                                                test.
92542..........  TC...........  A              Positional nystagmus         0.00        0.26       0.27        0.26       0.27      0.02        0.28       0.29        0.28       0.29       XXX
                                                test.
92543..........  .............  A              Caloric vestibular           0.10        0.16       0.20        0.16       0.20      0.02        0.28       0.32        0.28       0.32       XXX
                                                test.
92543..........  26...........  A              Caloric vestibular           0.10        0.05       0.09        0.05       0.09      0.01        0.16       0.20        0.16       0.20       XXX
                                                test.
92543..........  TC...........  A              Caloric vestibular           0.00        0.11       0.11        0.11       0.11      0.01        0.12       0.12        0.12       0.12       XXX
                                                test.
92544..........  .............  A              Optokinetic nystagmus        0.26        0.34       0.43        0.34       0.43      0.03        0.63       0.72        0.63       0.72       XXX
                                                test.
92544..........  26...........  A              Optokinetic nystagmus        0.26        0.13       0.21        0.13       0.21      0.01        0.40       0.48        0.40       0.48       XXX
                                                test.
92544..........  TC...........  A              Optokinetic nystagmus        0.00        0.21       0.22        0.21       0.22      0.02        0.23       0.24        0.23       0.24       XXX
                                                test.
92545..........  .............  A              Oscillating tracking         0.23        0.32       0.39        0.32       0.39      0.03        0.58       0.65        0.58       0.65       XXX
                                                test.
92545..........  26...........  A              Oscillating tracking         0.23        0.11       0.17        0.11       0.17      0.01        0.35       0.41        0.35       0.41       XXX
                                                test.
92545..........  TC...........  A              Oscillating tracking         0.00        0.21       0.22        0.21       0.22      0.02        0.23       0.24        0.23       0.24       XXX
                                                test.
92546..........  .............  A              Sinusoidal rotational        0.29        0.37       0.48        0.37       0.48      0.03        0.69       0.80        0.69       0.80       XXX
                                                test.
92546..........  26...........  A              Sinusoidal rotational        0.29        0.13       0.23        0.13       0.23      0.01        0.43       0.53        0.43       0.53       XXX
                                                test.
92546..........  TC...........  A              Sinusoidal rotational        0.00        0.24       0.25        0.24       0.25      0.02        0.26       0.27        0.26       0.27       XXX
                                                test.
92547..........  .............  A              Supplemental                 0.00        0.56       0.57        0.56       0.57      0.05        0.61       0.62        0.61       0.62       ZZZ
                                                electrical test.
92548..........  .............  A              Posturography.........       0.50        1.75       1.88        1.75       1.88      0.13        2.38       2.51        2.38       2.51       XXX
92548..........  26...........  A              Posturography.........       0.50        0.27       0.38        0.27       0.38      0.02        0.79       0.90        0.79       0.90       XXX
92548..........  TC...........  A              Posturography.........       0.00        1.48       1.50        1.48       1.50      0.11        1.59       1.61        1.59       1.61       XXX
92551..........  .............  N              Pure tone hearing            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test, air.
92552..........  .............  A              Pure tone audiometry,        0.00        0.45       0.46        0.45       0.46      0.03        0.48       0.49        0.48       0.49       XXX
                                                air.
92553..........  .............  A              Audiometry, air & bone       0.00        0.66       0.67        0.66       0.67      0.05        0.71       0.72        0.71       0.72       XXX
92555..........  .............  A              Speech threshold             0.00        0.38       0.39        0.38       0.39      0.03        0.41       0.42        0.41       0.42       XXX
                                                audiometry.
92556..........  .............  A              Speech audiometry,           0.00        0.57       0.58        0.57       0.58      0.05        0.62       0.63        0.62       0.63       XXX
                                                complete.
92557..........  .............  A              Comprehensive hearing        0.00        1.20       1.22        1.20       1.22      0.10        1.30       1.32        1.30       1.32       XXX
                                                test.
92559..........  .............  N              Group audiometric            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                testing.
92560..........  .............  N              Bekesy audiometry,           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                screen.
92561..........  .............  A              Bekesy audiometry,           0.00        0.72       0.73        0.72       0.73      0.05        0.77       0.78        0.77       0.78       XXX
                                                diagnosis.
92562..........  .............  A              Loudness balance test.       0.00        0.41       0.42        0.41       0.42      0.03        0.44       0.45        0.44       0.45       XXX
92563..........  .............  A              Tone decay hearing           0.00        0.38       0.39        0.38       0.39      0.03        0.41       0.42        0.41       0.42       XXX
                                                test.
92564..........  .............  A              Sisi hearing test.....       0.00        0.48       0.49        0.48       0.49      0.04        0.52       0.53        0.52       0.53       XXX
92565..........  .............  A              Stenger test, pure           0.00        0.40       0.41        0.40       0.31      0.03        0.43       0.44        0.43       0.34       XXX
                                                tone.
92567..........  .............  A              Tympanometry..........       0.00        0.52       0.53        0.52       0.53      0.05        0.57       0.58        0.57       0.58       XXX
92568..........  .............  A              Acoustic reflex              0.00        0.38       0.39        0.38       0.39      0.03        0.41       0.42        0.41       0.42       XXX
                                                testing.
92569..........  .............  A              Acoustic reflex decay        0.00        0.41       0.42        0.41       0.42      0.03        0.44       0.45        0.44       0.45       XXX
                                                test.
92571..........  .............  A              Filtered speech              0.00        0.39       0.40        0.39       0.30      0.03        0.42       0.43        0.42       0.33       XXX
                                                hearing test.
92572..........  .............  A              Staggered spondaic           0.00        0.09       0.09        0.09       0.09      0.01        0.10       0.10        0.10       0.10       XXX
                                                word test.
92573..........  .............  A              Lombard test..........       0.00        0.35       0.36        0.35       0.36      0.03        0.38       0.39        0.38       0.39       XXX
92575..........  .............  A              Sensorineural acuity         0.00        0.30       0.31        0.30       0.23      0.02        0.32       0.33        0.32       0.25       XXX
                                                test.
92576..........  .............  A              Synthetic sentence           0.00        0.45       0.46        0.45       0.34      0.04        0.49       0.50        0.49       0.38       XXX
                                                test.
92577..........  .............  A              Stenger test, speech..       0.00        0.72       0.73        0.72       0.55      0.06        0.78       0.79        0.78       0.61       XXX
92579..........  .............  A              Visual audiometry            0.00        0.73       0.74        0.73       0.74      0.05        0.78       0.79        0.78       0.79       XXX
                                                (vra).
92582..........  .............  A              Conditioning play            0.00        0.73       0.74        0.73       0.56      0.05        0.78       0.79        0.78       0.61       XXX
                                                audiometry.
92583..........  .............  A              Select picture               0.00        0.89       0.91        0.89       0.91      0.07        0.96       0.98        0.96       0.98       XXX
                                                audiometry.
92584..........  .............  A              Electrocochleography..       0.00        2.49       2.53        2.49       2.53      0.18        2.67       2.71        2.67       2.71       XXX
92585..........  .............  A              Auditory evoked              0.50        2.07       2.81        2.07       2.81      0.14        2.71       3.45        2.71       3.45       XXX
                                                potential.
92585..........  26...........  A              Auditory evoked              0.50        0.21       0.92        0.21       0.92      0.02        0.73       1.44        0.73       1.44       XXX
                                                potential.
92585..........  TC...........  A              Auditory evoked              0.00        1.86       1.89        1.86       1.89      0.12        1.98       2.01        1.98       2.01       XXX
                                                potential.
92587..........  .............  A              Evoked auditory test..       0.13        1.37       1.42        1.37       1.42      0.10        1.60       1.65        1.60       1.65       XXX
92587..........  26...........  A              Evoked auditory test..       0.13        0.06       0.09        0.06       0.09      0.01        0.20       0.23        0.20       0.23       XXX
92587..........  TC...........  A              Evoked auditory test..       0.00        1.31       1.33        1.31       1.33      0.09        1.40       1.42        1.40       1.42       XXX
92588..........  .............  A              Evoked auditory test..       0.36        1.63       1.74        1.63       1.74      0.12        2.11       2.22        2.11       2.22       XXX
92588..........  26...........  A              Evoked auditory test..       0.36        0.15       0.24        0.15       0.24      0.01        0.52       0.61        0.52       0.61       XXX
92588..........  TC...........  A              Evoked auditory test..       0.00        1.48       1.50        1.48       1.50      0.11        1.59       1.61        1.59       1.61       XXX
92589..........  .............  A              Auditory function            0.00        0.53       0.54        0.53       0.54      0.05        0.58       0.59        0.58       0.59       XXX
                                                test(s).
92590..........  .............  N              Hearing aid exam, one        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ear.
92591..........  .............  N              Hearing aid exam, both       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ears.
92592..........  .............  N              Hearing aid check, one       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ear.
92593..........  .............  N              Hearing aid check,           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                both ears.
92594..........  .............  N              Electro hearng aid           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test, one.
92595..........  .............  N              Electro hearng aid           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                tst, both.
92596..........  .............  A              Ear protector                0.00        0.59       0.60        0.59       0.60      0.05        0.64       0.65        0.64       0.65       XXX
                                                evaluation.
92597..........  .............  A              Oral speech device           1.35        1.54       1.32        0.77       0.94      0.04        2.93       2.71        2.16       2.33       XXX
                                                eval.
92598..........  .............  A              Modify oral speech           0.99        0.99       0.86        0.53       0.63      0.03        2.01       1.88        1.55       1.65       XXX
                                                device.
92599..........  .............  C              ENT procedure/service.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
92599..........  26...........  C              ENT procedure/service.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
92599..........  TC...........  C              ENT procedure/service.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
92950..........  .............  A              Heart/lung                   3.80        1.58       2.02        0.99       1.73      0.21        5.59       6.03        5.00       5.74       000
                                                resuscitation cpr.
92953..........  .............  A              Temporary external           0.23          NA         NA        0.07       0.17      0.01          NA         NA        0.31       0.41       000
                                                pacing.
92960..........  .............  A              Cardioversion                2.25        2.05       2.05        0.89       1.47      0.08        4.38       4.38        3.22       3.80       000
                                                electric, ext.
92961..........  .............  A              Cardioversion,               4.60        1.54       1.54        1.54       1.54      0.31        6.45       6.45        6.45       6.45       000
                                                electric, int.
92970..........  .............  A              Cardioassist, internal       3.52          NA         NA        1.04       2.41      0.17          NA         NA        4.73       6.10       000
92971..........  .............  A              Cardioassist, external       1.77          NA         NA        0.73       0.97      0.06          NA         NA        2.56       2.80       000
[[Page 59548]]
92975..........  .............  A              Dissolve clot, heart         7.25          NA         NA        3.07       4.64      0.22          NA         NA       10.54      12.11       000
                                                vessel.
92977..........  .............  A              Dissolve clot, heart         0.00          NA         NA        8.09       8.21      0.39          NA         NA        8.48       8.60       XXX
                                                vessel.
92978..........  .............  A              Intravasc us, heart          1.80        5.35       5.62        5.35       5.62      0.27        7.42       7.69        7.42       7.69       ZZZ
                                                add-on.
92978..........  26...........  A              Intravasc us, heart          1.80        0.76       0.96        0.76       0.96      0.06        2.62       2.82        2.62       2.82       ZZZ
                                                add-on.
92978..........  TC...........  A              Intravasc us, heart          0.00        4.59       4.66        4.59       4.66      0.21        4.80       4.87        4.80       4.87       ZZZ
                                                add-on.
92979..........  .............  A              Intravasc us, heart          1.44        2.91       3.11        2.91       3.11      0.15        4.50       4.70        4.50       4.70       ZZZ
                                                add-on.
92979..........  26...........  A              Intravasc us, heart          1.44        0.61       0.77        0.61       0.77      0.04        2.09       2.25        2.09       2.25       ZZZ
                                                add-on.
92979..........  TC...........  A              Intravasc us, heart          0.00        2.30       2.34        2.30       2.34      0.11        2.41       2.45        2.41       2.45       ZZZ
                                                add-on.
92980..........  .............  A              Insert intracoronary        14.84          NA         NA        6.32      12.02      2.00          NA         NA       23.16      28.86       000
                                                stent.
92981..........  .............  A              Insert intracoronary         4.17          NA         NA        1.77       3.38      0.56          NA         NA        6.50       8.11       ZZZ
                                                stent.
92982..........  .............  A              Coronary artery             10.98          NA         NA        4.68       8.90      1.48          NA         NA       17.14      21.36       000
                                                dilation.
92984..........  .............  A              Coronary artery              2.97          NA         NA        1.26       2.41      0.40          NA         NA        4.63       5.78       ZZZ
                                                dilation.
92986..........  .............  A              Revision of aortic          21.80          NA         NA       10.88      11.98      2.82          NA         NA       35.50      36.60       090
                                                valve.
92987..........  .............  A              Revision of mitral          22.70          NA         NA       11.22      12.23      2.99          NA         NA       36.91      37.92       090
                                                valve.
92990..........  .............  A              Revision of pulmonary       17.34          NA         NA        8.54       9.48      1.90          NA         NA       27.78      28.72       090
                                                valve.
92992..........  .............  C              Revision of heart            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       090
                                                chamber.
92993..........  .............  C              Revision of heart            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       090
                                                chamber.
92995..........  .............  A              Coronary atherectomy..      12.09          NA         NA        5.15       9.79      1.63          NA         NA       18.87      23.51       000
92996..........  .............  A              Coronary atherectomy         3.26          NA         NA        1.42       2.66      0.44          NA         NA        5.12       6.36       ZZZ
                                                add-on.
92997..........  .............  A              Pul art balloon repr,       12.00          NA         NA        5.10       9.72      1.45          NA         NA       18.55      23.17       000
                                                percut.
92998..........  .............  A              Pul art balloon repr,        6.00          NA         NA        2.46       3.29      0.73          NA         NA        9.19      10.02       ZZZ
                                                percut.
93000..........  .............  A              Electrocardiogram,           0.17        0.52       0.59        0.52       0.59      0.03        0.72       0.79        0.72       0.79       XXX
                                                complete.
93005..........  .............  A              Electrocardiogram,           0.00        0.46       0.47        0.46       0.47      0.02        0.48       0.49        0.48       0.49       XXX
                                                tracing.
93010..........  .............  A              Electrocardiogram            0.17        0.06       0.12        0.06       0.12      0.01        0.24       0.30        0.24       0.30       XXX
                                                report.
93012..........  .............  A              Transmission of ecg...       0.00        2.37       2.41        2.37       2.41      0.15        2.52       2.56        2.52       2.56       XXX
93014..........  .............  A              Report on transmitted        0.52        0.20       0.32        0.20       0.32      0.02        0.74       0.86        0.74       0.86       XXX
                                                ecg.
93015..........  .............  A              Cardiovascular stress        0.75        1.99       2.26        1.99       2.26      0.11        2.85       3.12        2.85       3.12       XXX
                                                test.
93016..........  .............  A              Cardiovascular stress        0.45        0.18       0.30        0.18       0.30      0.01        0.64       0.76        0.64       0.76       XXX
                                                test.
93017..........  .............  A              Cardiovascular stress        0.00        1.69       1.72        1.69       1.72      0.09        1.78       1.81        1.78       1.81       XXX
                                                test.
93018..........  .............  A              Cardiovascular stress        0.30        0.12       0.24        0.12       0.24      0.01        0.43       0.55        0.43       0.55       XXX
                                                test.
93024..........  .............  A              Cardiac drug stress          1.17        1.60       2.09        1.60       2.09      0.11        2.88       3.37        2.88       3.37       XXX
                                                test.
93024..........  26...........  A              Cardiac drug stress          1.17        0.47       0.94        0.47       0.94      0.04        1.68       2.15        1.68       2.15       XXX
                                                test.
93024..........  TC...........  A              Cardiac drug stress          0.00        1.13       1.15        1.13       1.15      0.07        1.20       1.22        1.20       1.22       XXX
                                                test.
93040..........  .............  A              Rhythm ECG with report       0.16        0.20       0.24        0.20       0.24      0.02        0.38       0.42        0.38       0.42       XXX
93041..........  .............  A              Rhythm ECG, tracing...       0.00        0.15       0.15        0.15       0.15      0.01        0.16       0.16        0.16       0.16       XXX
93042..........  .............  A              Rhythm ECG, report....       0.16        0.05       0.09        0.05       0.09      0.01        0.22       0.26        0.22       0.26       XXX
93224..........  .............  A              ECG monitor/report, 24       0.52        3.64       3.90        3.64       3.90      0.21        4.37       4.63        4.37       4.63       XXX
                                                hrs.
93225..........  .............  A              ECG monitor/record, 24       0.00        1.24       1.26        1.24       1.26      0.07        1.31       1.33        1.31       1.33       XXX
                                                hrs.
93226..........  .............  A              ECG monitor/report, 24       0.00        2.20       2.23        2.20       2.23      0.12        2.32       2.35        2.32       2.35       XXX
                                                hrs.
93227..........  .............  A              ECG monitor/review, 24       0.52        0.20       0.41        0.20       0.41      0.02        0.74       0.95        0.74       0.95       XXX
                                                hrs.
93230..........  .............  A              ECG monitor/report, 24       0.52        3.92       4.18        3.92       4.18      0.22        4.66       4.92        4.66       4.92       XXX
                                                hrs.
93231..........  .............  A              Ecg monitor/record, 24       0.00        1.53       1.55        1.53       1.55      0.09        1.62       1.64        1.62       1.64       XXX
                                                hrs.
93232..........  .............  A              ECG monitor/report, 24       0.00        2.19       2.22        2.19       2.22      0.11        2.30       2.33        2.30       2.33       XXX
                                                hrs.
93233..........  .............  A              ECG monitor/review, 24       0.52        0.20       0.41        0.20       0.41      0.02        0.74       0.95        0.74       0.95       XXX
                                                hrs.
93235..........  .............  A              ECG monitor/report, 24       0.45        2.81       3.03        2.81       3.03      0.13        3.39       3.61        3.39       3.61       XXX
                                                hrs.
93236..........  .............  A              ECG monitor/report, 24       0.00        2.63       2.67        2.63       2.67      0.12        2.75       2.79        2.75       2.79       XXX
                                                hrs.
93237..........  .............  A              ECG monitor/review, 24       0.45        0.18       0.36        0.18       0.36      0.01        0.64       0.82        0.64       0.82       XXX
                                                hrs.
93268..........  .............  A              ECG record/review.....       0.52        3.80       3.98        3.80       3.98      0.24        4.56       4.74        4.56       4.74       XXX
93270..........  .............  A              ECG recording.........       0.00        1.24       1.26        1.24       1.26      0.07        1.31       1.33        1.31       1.33       XXX
93271..........  .............  A              Ecg/monitoring and           0.00        2.37       2.41        2.37       2.41      0.15        2.52       2.56        2.52       2.56       XXX
                                                analysis.
93272..........  .............  A              Ecg/review,interpret         0.52        0.19       0.31        0.19       0.31      0.02        0.73       0.85        0.73       0.85       XXX
                                                only.
93278..........  .............  A              ECG/signal-averaged...       0.25        1.26       1.38        1.26       1.38      0.10        1.61       1.73        1.61       1.73       XXX
93278..........  26...........  A              ECG/signal-averaged...       0.25        0.10       0.20        0.10       0.20      0.01        0.36       0.46        0.36       0.46       XXX
93278..........  TC...........  A              ECG/signal-averaged...       0.00        1.16       1.18        1.16       1.18      0.09        1.25       1.27        1.25       1.27       XXX
93303..........  .............  A              Echo transthoracic....       1.30        4.35       4.72        4.35       4.72      0.24        5.89       6.26        5.89       6.26       XXX
93303..........  26...........  A              Echo transthoracic....       1.30        0.47       0.78        0.47       0.78      0.04        1.81       2.12        1.81       2.12       XXX
93303..........  TC...........  A              Echo transthoracic....       0.00        3.88       3.94        3.88       3.94      0.20        4.08       4.14        4.08       4.14       XXX
93304..........  .............  A              Echo transthoracic....       0.75        2.24       2.50        2.24       2.50      0.13        3.12       3.38        3.12       3.38       XXX
93304..........  26...........  A              Echo transthoracic....       0.75        0.29       0.52        0.29       0.52      0.02        1.06       1.29        1.06       1.29       XXX
93304..........  TC...........  A              Echo transthoracic....       0.00        1.95       1.98        1.95       1.98      0.11        2.06       2.09        2.06       2.09       XXX
93307..........  .............  A              Echo exam of heart....       0.92        4.26       4.68        4.26       4.68      0.23        5.41       5.83        5.41       5.83       XXX
93307..........  26...........  A              Echo exam of heart....       0.92        0.38       0.74        0.38       0.74      0.03        1.33       1.69        1.33       1.69       XXX
93307..........  TC...........  A              Echo exam of heart....       0.00        3.88       3.94        3.88       3.94      0.20        4.08       4.14        4.08       4.14       XXX
93308..........  .............  A              Echo exam of heart....       0.53        2.16       2.40        2.16       2.40      0.13        2.82       3.06        2.82       3.06       XXX
93308..........  26...........  A              Echo exam of heart....       0.53        0.21       0.42        0.21       0.42      0.02        0.76       0.97        0.76       0.97       XXX
93308..........  TC...........  A              Echo exam of heart....       0.00        1.95       1.98        1.95       1.98      0.11        2.06       2.09        2.06       2.09       XXX
93312..........  .............  A              Echo transesophageal..       2.20        4.66       5.03        4.66       5.03      0.34        7.20       7.57        7.20       7.57       XXX
93312..........  26...........  A              Echo transesophageal..       2.20        0.86       1.17        0.86       1.17      0.09        3.15       3.46        3.15       3.46       XXX
93312..........  TC...........  A              Echo transesophageal..       0.00        3.80       3.86        3.80       3.86      0.25        4.05       4.11        4.05       4.11       XXX
93313..........  .............  A              Echo transesophageal..       0.95        4.83       2.78        0.21       0.47      0.05        5.83       3.78        1.21       1.47       XXX
93314..........  .............  A              Echo transesophageal..       1.25        4.29       4.47        4.29       4.47      0.29        5.83       6.01        5.83       6.01       XXX
93314..........  26...........  A              Echo transesophageal..       1.25        0.49       0.61        0.49       0.61      0.04        1.78       1.90        1.78       1.90       XXX
93314..........  TC...........  A              Echo transesophageal..       0.00        3.80       3.86        3.80       3.86      0.25        4.05       4.11        4.05       4.11       XXX
93315..........  .............  A              Echo transesophageal..       2.78        4.87       5.13        4.87       5.13      0.36        8.01       8.27        8.01       8.27       XXX
93315..........  26...........  A              Echo transesophageal..       2.78        1.07       1.27        1.07       1.27      0.11        3.96       4.16        3.96       4.16       XXX
93315..........  TC...........  A              Echo transesophageal..       0.00        3.80       3.86        3.80       3.86      0.25        4.05       4.11        4.05       4.11       XXX
93316..........  .............  A              Echo transesophageal..       0.95        1.69       1.21        0.27       0.50      0.05        2.69       2.21        1.27       1.50       XXX
93317..........  .............  A              Echo transesophageal..       1.83        4.52       4.59        4.52       4.59      0.32        6.67       6.74        6.67       6.74       XXX
93317..........  26...........  A              Echo transesophageal..       1.83        0.72       0.73        0.72       0.73      0.07        2.62       2.63        2.62       2.63       XXX
93317..........  TC...........  A              Echo transesophageal..       0.00        3.80       3.86        3.80       3.86      0.25        4.05       4.11        4.05       4.11       XXX
93320..........  .............  A              Doppler echo exam,           0.38        1.88       2.06        1.88       2.06      0.11        2.37       2.55        2.37       2.55       ZZZ
                                                heart.
[[Page 59549]]
93320..........  26...........  A              Doppler echo exam,           0.38        0.16       0.31        0.16       0.31      0.01        0.55       0.70        0.55       0.70       ZZZ
                                                heart.
93320..........  TC...........  A              Doppler echo exam,           0.00        1.72       1.75        1.72       1.75      0.10        1.82       1.85        1.82       1.85       ZZZ
                                                heart.
93321..........  .............  A              Doppler echo exam,           0.15        1.18       1.26        1.18       1.26      0.08        1.41       1.49        1.41       1.49       ZZZ
                                                heart.
93321..........  26...........  A              Doppler echo exam,           0.15        0.06       0.12        0.06       0.12      0.01        0.22       0.28        0.22       0.28       ZZZ
                                                heart.
93321..........  TC...........  A              Doppler echo exam,           0.00        1.12       1.14        1.12       1.14      0.07        1.19       1.21        1.19       1.21       ZZZ
                                                heart.
93325..........  .............  A              Doppler color flow add-      0.07        2.94       3.00        2.94       3.00      0.19        3.20       3.26        3.20       3.26       ZZZ
                                                on.
93325..........  26...........  A              Doppler color flow add-      0.07        0.03       0.04        0.03       0.04      0.01        0.11       0.12        0.11       0.12       ZZZ
                                                on.
93325..........  TC...........  A              Doppler color flow add-      0.00        2.91       2.96        2.91       2.96      0.18        3.09       3.14        3.09       3.14       ZZZ
                                                on.
93350..........  .............  A              Echo transthoracic....       0.78        2.09       2.43        2.09       2.43      0.13        3.00       3.34        3.00       3.34       XXX
93350..........  26...........  A              Echo transthoracic....       0.78        0.32       0.63        0.32       0.63      0.02        1.12       1.43        1.12       1.43       XXX
93350..........  TC...........  A              Echo transthoracic....       0.00        1.77       1.80        1.77       1.80      0.11        1.88       1.91        1.88       1.91       XXX
93501..........  .............  A              Right heart                  3.02       17.92      19.51       17.92      19.51      1.27       22.21      23.80       22.21      23.80       000
                                                catheterization.
93501..........  26...........  A              Right heart                  3.02        1.23       2.42        1.23       2.42      0.37        4.62       5.81        4.62       5.81       000
                                                catheterization.
93501..........  TC...........  A              Right heart                  0.00       16.69      17.09       16.69      17.09      0.90       17.59      17.99       17.59      17.99       000
                                                catheterization.
93503..........  .............  A              Insert/place heart           2.91        1.02       1.80        0.71       1.64      0.22        4.15       4.93        3.84       4.77       000
                                                catheter.
93505..........  .............  A              Biopsy of heart lining       4.38        3.78       4.56        3.78       4.56      0.70        8.86       9.64        8.86       9.64       000
93505..........  26...........  A              Biopsy of heart lining       4.38        1.83       2.56        1.83       2.56      0.57        6.78       7.51        6.78       7.51       000
93505..........  TC...........  A              Biopsy of heart lining       0.00        1.95       2.00        1.95       2.00      0.13        2.08       2.13        2.08       2.13       000
93508..........  .............  A              Cath placement,              4.10       14.16      15.11       14.16      15.11      1.11       19.37      20.32       19.37      20.32       000
                                                angiography.
93508..........  26...........  A              Cath placement,              4.10        1.72       2.37        1.72       2.37      0.55        6.37       7.02        6.37       7.02       000
                                                angiography.
93508..........  TC...........  A              Cath placement,              0.00       12.44      12.74       12.44      12.74      0.56       13.00      13.30       13.00      13.30       000
                                                angiography.
93510..........  .............  A              Left heart                   4.33       38.29      39.92       38.29      39.92      2.55       45.17      46.80       45.17      46.80       000
                                                catheterization.
93510..........  26...........  A              Left heart                   4.33        1.83       2.58        1.83       2.58      0.58        6.74       7.49        6.74       7.49       000
                                                catheterization.
93510..........  TC...........  A              Left heart                   0.00       36.46      37.34       36.46      37.34      1.97       38.43      39.31       38.43      39.31       000
                                                catheterization.
93511..........  .............  A              Left heart                   5.03       37.61      38.83       37.61      38.83      2.59       45.23      46.45       45.23      46.45       000
                                                catheterization.
93511..........  26...........  A              Left heart                   5.03        2.12       2.48        2.12       2.48      0.68        7.83       8.19        7.83       8.19       000
                                                catheterization.
93511..........  TC...........  A              Left heart                   0.00       35.49      36.35       35.49      36.35      1.91       37.40      38.26       37.40      38.26       000
                                                catheterization.
93514..........  .............  A              Left heart                   7.05       38.38      40.27       38.38      40.27      2.87       48.30      50.19       48.30      50.19       000
                                                catheterization.
93514..........  26...........  A              Left heart                   7.05        2.89       3.92        2.89       3.92      0.96       10.90      11.93       10.90      11.93       000
                                                catheterization.
93514..........  TC...........  A              Left heart                   0.00       35.49      36.35       35.49      36.35      1.91       37.40      38.26       37.40      38.26       000
                                                catheterization.
93524..........  .............  A              Left heart                   6.95       49.27      51.48       49.27      51.48      3.45       59.67      61.88       59.67      61.88       000
                                                catheterization.
93524..........  26...........  A              Left heart                   6.95        2.90       3.98        2.90       3.98      0.95       10.80      11.88       10.80      11.88       000
                                                catheterization.
93524..........  TC...........  A              Left heart                   0.00       46.37      47.50       46.37      47.50      2.50       48.87      50.00       48.87      50.00       000
                                                catheterization.
93526..........  .............  A              Rt & Lt heart                5.99       50.17      53.02       50.17      53.02      3.37       59.53      62.38       59.53      62.38       000
                                                catheters.
93526..........  26...........  A              Rt & Lt heart                5.99        2.52       4.22        2.52       4.22      0.80        9.31      11.01        9.31      11.01       000
                                                catheters.
93526..........  TC...........  A              Rt & Lt heart                0.00       47.65      48.80       47.65      48.80      2.57       50.22      51.37       50.22      51.37       000
                                                catheters.
93527..........  .............  A              Rt & Lt heart                7.28       49.44      52.91       49.44      52.91      3.47       60.19      63.66       60.19      63.66       000
                                                catheters.
93527..........  26...........  A              Rt & Lt heart                7.28        3.07       5.41        3.07       5.41      0.97       11.32      13.66       11.32      13.66       000
                                                catheters.
93527..........  TC...........  A              Rt & Lt heart                0.00       46.37      47.50       46.37      47.50      2.50       48.87      50.00       48.87      50.00       000
                                                catheters.
93528..........  .............  A              Rt & Lt heart                9.00       50.21      51.83       50.21      51.83      3.73       62.94      64.56       62.94      64.56       000
                                                catheters.
93528..........  26...........  A              Rt & Lt heart                9.00        3.84       4.33        3.84       4.33      1.23       14.07      14.56       14.07      14.56       000
                                                catheters.
93528..........  TC...........  A              Rt & Lt heart                0.00       46.37      47.50       46.37      47.50      2.50       48.87      50.00       48.87      50.00       000
                                                catheters.
93529..........  .............  A              Rt, Lt heart                 4.80       48.28      50.05       48.28      50.05      3.08       56.16      57.93       56.16      57.93       000
                                                catheterization.
93529..........  26...........  A              Rt, Lt heart                 4.80        1.91       2.55        1.91       2.55      0.58        7.29       7.93        7.29       7.93       000
                                                catheterization.
93529..........  TC...........  A              Rt, Lt heart                 0.00       46.37      47.50       46.37      47.50      2.50       48.87      50.00       48.87      50.00       000
                                                catheterization.
93530..........  .............  A              Rt heart cath,               4.23       18.34      19.88       18.34      19.88      1.45       24.02      25.56       24.02      25.56       000
                                                congenital.
93530..........  26...........  A              Rt heart cath,               4.23        1.65       2.79        1.65       2.79      0.55        6.43       7.57        6.43       7.57       000
                                                congenital.
93530..........  TC...........  A              Rt heart cath,               0.00       16.69      17.09       16.69      17.09      0.90       17.59      17.99       17.59      17.99       000
                                                congenital.
93531..........  .............  A              R & l heart cath,            8.35       51.10      53.48       51.10      53.48      3.70       63.15      65.53       63.15      65.53       000
                                                congenital.
93531..........  26...........  A              R & l heart cath,            8.35        3.45       4.68        3.45       4.68      1.13       12.93      14.16       12.93      14.16       000
                                                congenital.
93531..........  TC...........  A              R & l heart cath,            0.00       47.65      48.80       47.65      48.80      2.57       50.22      51.37       50.22      51.37       000
                                                congenital.
93532..........  .............  A              R & l heart cath,           10.00       50.25      53.32       50.25      53.32      3.92       64.17      67.24       64.17      67.24       000
                                                congenital.
93532..........  26...........  A              R & l heart cath,           10.00        3.88       5.82        3.88       5.82      1.42       15.30      17.24       15.30      17.24       000
                                                congenital.
93532..........  TC...........  A              R & l heart cath,            0.00       46.37      47.50       46.37      47.50      2.50       48.87      50.00       48.87      50.00       000
                                                congenital.
93533..........  .............  A              R & l heart cath,            6.70       48.74      50.28       48.74      50.28      3.40       58.84      60.38       58.84      60.38       000
                                                congenital.
93533..........  26...........  A              R & l heart cath,            6.70        2.37       2.78        2.37       2.78      0.90        9.97      10.38        9.97      10.38       000
                                                congenital.
93533..........  TC...........  A              R & l heart cath,            0.00       46.37      47.50       46.37      47.50      2.50       48.87      50.00       48.87      50.00       000
                                                congenital.
93536..........  .............  A              Insert circulation           4.85          NA         NA        2.08       3.94      0.65          NA         NA        7.58       9.44       000
                                                assi.
93539..........  .............  A              Injection, cardiac           0.40        0.75       0.86        0.17       0.33      0.01        1.16       1.27        0.58       0.74       000
                                                cath.
93540..........  .............  A              Injection, cardiac           0.43        0.78       0.87        0.18       0.35      0.01        1.22       1.31        0.62       0.79       000
                                                cath.
93541..........  .............  A              Injection for lung           0.29          NA         NA        0.12       0.24      0.01          NA         NA        0.42       0.54       000
                                                angiogram.
93542..........  .............  A              Injection for heart x-       0.29          NA         NA        0.12       0.24      0.01          NA         NA        0.42       0.54       000
                                                rays.
93543..........  .............  A              Injection for heart x-       0.29        0.50       0.56        0.12       0.24      0.01        0.80       0.86        0.42       0.54       000
                                                rays.
93544..........  .............  A              Injection for                0.25        0.48       0.55        0.11       0.21      0.01        0.74       0.81        0.37       0.47       000
                                                aortography.
93545..........  .............  A              Inject for coronary x-       0.40        0.77       0.63        0.17       0.33      0.01        1.18       1.04        0.58       0.74       000
                                                rays.
93555..........  .............  A              Imaging, cardiac cath.       0.81        6.53       6.66        6.53       6.66      0.32        7.66       7.79        7.66       7.79       XXX
93555..........  26...........  A              Imaging, cardiac cath.       0.81        0.34       0.32        0.34       0.32      0.03        1.18       1.16        1.18       1.16       XXX
93555..........  TC...........  A              Imaging, cardiac cath.       0.00        6.19       6.34        6.19       6.34      0.29        6.48       6.63        6.48       6.63       XXX
93556..........  .............  A              Imaging, cardiac cath.       0.83       10.11      10.42       10.11      10.42      0.46       11.40      11.71       11.40      11.71       XXX
93556..........  26...........  A              Imaging, cardiac cath.       0.83        0.35       0.42        0.35       0.42      0.03        1.21       1.28        1.21       1.28       XXX
93556..........  TC...........  A              Imaging, cardiac cath.       0.00        9.76      10.00        9.76      10.00      0.43       10.19      10.43       10.19      10.43       XXX
93561..........  .............  A              Cardiac output               0.50        0.70       0.93        0.70       0.93      0.07        1.27       1.50        1.27       1.50       000
                                                measurement.
93561..........  26...........  A              Cardiac output               0.50        0.17       0.39        0.17       0.39      0.02        0.69       0.91        0.69       0.91       000
                                                measurement.
93561..........  TC...........  A              Cardiac output               0.00        0.53       0.54        0.53       0.54      0.05        0.58       0.59        0.58       0.59       000
                                                measurement.
93562..........  .............  A              Cardiac output               0.16        0.36       0.45        0.36       0.45      0.04        0.56       0.65        0.56       0.65       000
                                                measurement.
93562..........  26...........  A              Cardiac output               0.16        0.05       0.13        0.05       0.13      0.01        0.22       0.30        0.22       0.30       000
                                                measurement.
93562..........  TC...........  A              Cardiac output               0.00        0.31       0.32        0.31       0.32      0.03        0.34       0.35        0.34       0.35       000
                                                measurement.
93571..........  .............  A              Heart flow reserve           1.80        5.29       5.29        5.29       5.29      0.27        7.36       7.36        7.36       7.36       ZZZ
                                                measure.
93571..........  26...........  A              Heart flow reserve           1.80        0.70       0.70        0.70       0.70      0.06        2.56       2.56        2.56       2.56       ZZZ
                                                measure.
93571..........  TC...........  A              Heart flow reserve           0.00        4.59       4.59        4.59       4.59      0.21        4.80       4.80        4.80       4.80       ZZZ
                                                measure.
93572..........  .............  A              Heart flow reserve           1.44        5.15       5.15        5.15       5.15      0.15        6.74       6.74        6.74       6.74       ZZZ
                                                measure.
[[Page 59550]]
93572..........  26...........  A              Heart flow reserve           1.44        0.56       0.56        0.56       0.56      0.04        2.04       2.04        2.04       2.04       ZZZ
                                                measure.
93572..........  TC...........  A              Heart flow reserve           0.00        4.59       4.59        4.59       4.59      0.11        4.70       4.70        4.70       4.70       ZZZ
                                                measure.
93600..........  .............  A              Bundle of His                2.12        2.86       3.71        2.86       3.71      0.18        5.16       6.01        5.16       6.01       000
                                                recording.
93600..........  26...........  A              Bundle of His                2.12        0.90       1.72        0.90       1.72      0.07        3.09       3.91        3.09       3.91       000
                                                recording.
93600..........  TC...........  A              Bundle of His                0.00        1.96       1.99        1.96       1.99      0.11        2.07       2.10        2.07       2.10       000
                                                recording.
93602..........  .............  A              Intra-atrial recording       2.12        2.02       2.55        2.02       2.55      0.15        4.29       4.82        4.29       4.82       000
93602..........  26...........  A              Intra-atrial recording       2.12        0.90       1.41        0.90       1.41      0.09        3.11       3.62        3.11       3.62       000
93602..........  TC...........  A              Intra-atrial recording       0.00        1.12       1.14        1.12       1.14      0.06        1.18       1.20        1.18       1.20       000
93603..........  .............  A              Right ventricular            2.12        2.59       3.36        2.59       3.36      0.18        4.89       5.66        4.89       5.66       000
                                                recording.
93603..........  26...........  A              Right ventricular            2.12        0.90       1.64        0.90       1.64      0.09        3.11       3.85        3.11       3.85       000
                                                recording.
93603..........  TC...........  A              Right ventricular            0.00        1.69       1.72        1.69       1.72      0.09        1.78       1.81        1.78       1.81       000
                                                recording.
93607..........  .............  A              Left ventricular             3.26        2.90       3.42        2.90       3.42      0.19        6.35       6.87        6.35       6.87       000
                                                recording.
93607..........  26...........  A              Left ventricular             3.26        1.40       1.90        1.40       1.90      0.10        4.76       5.26        4.76       5.26       000
                                                recording.
93607..........  TC...........  A              Left ventricular             0.00        1.50       1.52        1.50       1.52      0.09        1.59       1.61        1.59       1.61       000
                                                recording.
93609..........  .............  A              Mapping of tachycardia      10.07        6.96       6.97        6.96       6.97      0.46       17.49      17.50       17.49      17.50       000
93609..........  26...........  A              Mapping of tachycardia      10.07        4.23       4.20        4.23       4.20      0.32       14.62      14.59       14.62      14.59       000
93609..........  TC...........  A              Mapping of tachycardia       0.00        2.73       2.77        2.73       2.77      0.14        2.87       2.91        2.87       2.91       000
93610..........  .............  A              Intra-atrial pacing...       3.02        2.63       3.27        2.63       3.27      0.19        5.84       6.48        5.84       6.48       000
93610..........  26...........  A              Intra-atrial pacing...       3.02        1.27       1.89        1.27       1.89      0.11        4.40       5.02        4.40       5.02       000
93610..........  TC...........  A              Intra-atrial pacing...       0.00        1.36       1.38        1.36       1.38      0.08        1.44       1.46        1.44       1.46       000
93612..........  .............  A              Intraventricular             3.02        2.89       3.56        2.89       3.56      0.21        6.12       6.79        6.12       6.79       000
                                                pacing.
93612..........  26...........  A              Intraventricular             3.02        1.27       1.91        1.27       1.91      0.12        4.41       5.05        4.41       5.05       000
                                                pacing.
93612..........  TC...........  A              Intraventricular             0.00        1.62       1.65        1.62       1.65      0.09        1.71       1.74        1.71       1.74       000
                                                pacing.
93615..........  .............  A              Esophageal recording..       0.99        0.64       0.68        0.64       0.68      0.08        1.71       1.75        1.71       1.75       000
93615..........  26...........  A              Esophageal recording..       0.99        0.32       0.35        0.32       0.35      0.06        1.37       1.40        1.37       1.40       000
93615..........  TC...........  A              Esophageal recording..       0.00        0.32       0.33        0.32       0.33      0.02        0.34       0.35        0.34       0.35       000
93616..........  .............  A              Esophageal recording..       1.49        0.68       1.25        0.68       1.25      0.10        2.27       2.84        2.27       2.84       000
93616..........  26...........  A              Esophageal recording..       1.49        0.36       0.92        0.36       0.92      0.08        1.93       2.49        1.93       2.49       000
93616..........  TC...........  A              Esophageal recording..       0.00        0.32       0.33        0.32       0.33      0.02        0.34       0.35        0.34       0.35       000
93618..........  .............  A              Heart rhythm pacing...       4.26        5.79       7.49        5.79       7.49      0.33       10.38      12.08       10.38      12.08       000
93618..........  26...........  A              Heart rhythm pacing...       4.26        1.81       3.45        1.81       3.45      0.12        6.19       7.83        6.19       7.83       000
93618..........  TC...........  A              Heart rhythm pacing...       0.00        3.98       4.04        3.98       4.04      0.21        4.19       4.25        4.19       4.25       000
93619..........  .............  A              Electrophysiology            7.32       10.84      13.78       10.84      13.78      0.62       18.78      21.72       18.78      21.72       000
                                                evaluation.
93619..........  26...........  A              Electrophysiology            7.32        3.10       5.92        3.10       5.92      0.22       10.64      13.46       10.64      13.46       000
                                                evaluation.
93619..........  TC...........  A              Electrophysiology            0.00        7.74       7.86        7.74       7.86      0.40        8.14       8.26        8.14       8.26       000
                                                evaluation.
93620..........  .............  A              Electrophysiology           11.59       13.83      18.47       13.83      18.47      0.79       26.21      30.85       26.21      30.85       000
                                                evaluation.
93620..........  26...........  A              Electrophysiology           11.59        4.82       9.33        4.82       9.33      0.34       16.75      21.26       16.75      21.26       000
                                                evaluation.
93620..........  TC...........  A              Electrophysiology            0.00        9.01       9.14        9.01       9.14      0.45        9.46       9.59        9.46       9.59       000
                                                evaluation.
93621..........  .............  C              Electrophysiology            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       000
                                                evaluation.
93621..........  26...........  A              Electrophysiology           12.66        5.36      10.24        5.36      10.24      0.41       18.43      23.31       18.43      23.31       000
                                                evaluation.
93621..........  TC...........  C              Electrophysiology            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       000
                                                evaluation.
93622..........  .............  C              Electrophysiology            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       000
                                                evaluation.
93622..........  26...........  A              Electrophysiology           12.74        5.23      10.22        5.23      10.22      0.39       18.36      23.35       18.36      23.35       000
                                                evaluation.
93622..........  TC...........  C              Electrophysiology            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       000
                                                evaluation.
93623..........  .............  C              Stimulation, pacing          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       ZZZ
                                                heart.
93623..........  26...........  A              Stimulation, pacing          2.85        1.20       2.11        1.20       2.11      0.10        4.15       5.06        4.15       5.06       ZZZ
                                                heart.
93623..........  TC...........  C              Stimulation, pacing          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       ZZZ
                                                heart.
93624..........  .............  A              Electrophysiologic           4.81        4.03       4.66        4.03       4.66      0.26        9.10       9.73        9.10       9.73       000
                                                study.
93624..........  26...........  A              Electrophysiologic           4.81        2.04       2.64        2.04       2.64      0.15        7.00       7.60        7.00       7.60       000
                                                study.
93624..........  TC...........  A              Electrophysiologic           0.00        1.99       2.02        1.99       2.02      0.11        2.10       2.13        2.10       2.13       000
                                                study.
93631..........  .............  A              Heart pacing, mapping.       7.60        9.32      10.97        9.32      10.97      0.95       17.87      19.52       17.87      19.52       000
93631..........  TC...........  A              Heart pacing, mapping.       0.00        6.18       6.27        6.18       6.27      0.53        6.71       6.80        6.71       6.80       000
93631..........  26...........  A              Heart pacing, mapping.       7.60        3.14       4.70        3.14       4.70      0.42       11.16      12.72       11.16      12.72       000
93640..........  .............  A              Evaluation heart             3.52        8.69      10.16        8.69      10.16      0.47       12.68      14.15       12.68      14.15       000
                                                device.
93640..........  26...........  A              Evaluation heart             3.52        1.48       2.84        1.48       2.84      0.11        5.11       6.47        5.11       6.47       000
                                                device.
93640..........  TC...........  A              Evaluation heart             0.00        7.21       7.32        7.21       7.32      0.36        7.57       7.68        7.57       7.68       000
                                                device.
93641..........  .............  A              Electrophysiology            5.93        9.70      12.11        9.70      12.11      0.54       16.17      18.58       16.17      18.58       000
                                                evaluation.
93641..........  26...........  A              Electrophysiology            5.93        2.49       4.79        2.49       4.79      0.18        8.60      10.90        8.60      10.90       000
                                                evaluation.
93641..........  TC...........  A              Electrophysiology            0.00        7.21       7.32        7.21       7.32      0.36        7.57       7.68        7.57       7.68       000
                                                evaluation.
93642..........  .............  A              Electrophysiology            4.89        9.21      11.24        9.21      11.24      0.50       14.60      16.63       14.60      16.63       000
                                                evaluation.
93642..........  26...........  A              Electrophysiology            4.89        2.00       3.92        2.00       3.92      0.14        7.03       8.95        7.03       8.95       000
                                                evaluation.
93642..........  TC...........  A              Electrophysiology            0.00        7.21       7.32        7.21       7.32      0.36        7.57       7.68        7.57       7.68       000
                                                evaluation.
93650..........  .............  A              Ablate heart dysrhythm      10.51          NA         NA        4.49       8.52      0.32          NA         NA       15.32      19.35       000
                                                focus.
93651..........  .............  A              Ablate heart dysrhythm      16.25          NA         NA        6.83      13.09      0.50          NA         NA       23.58      29.84       000
                                                focus.
93652..........  .............  A              Ablate heart dysrhythm      17.68          NA         NA        7.47      13.41      0.54          NA         NA       25.69      31.63       000
                                                focus.
93660..........  .............  C              Tilt table evaluation.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       000
93660..........  26...........  A              Tilt table evaluation.       1.89        0.79       1.18        0.79       1.18      0.06        2.74       3.13        2.74       3.13       000
93660..........  TC...........  C              Tilt table evaluation.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       000
93720..........  .............  A              Total body                   0.17        0.76       0.87        0.76       0.67      0.06        0.99       1.10        0.99       0.90       XXX
                                                plethysmography.
93721..........  .............  A              Plethysmography              0.00        0.71       0.72        0.71       0.54      0.05        0.76       0.77        0.76       0.59       XXX
                                                tracing.
93722..........  .............  A              Plethysmography report       0.17        0.05       0.15        0.05       0.13      0.01        0.23       0.33        0.23       0.31       XXX
93724..........  .............  A              Analyze pacemaker            4.89        6.06       6.65        6.06       6.65      0.35       11.30      11.89       11.30      11.89       000
                                                system.
93724..........  26...........  A              Analyze pacemaker            4.89        2.08       2.61        2.08       2.61      0.14        7.11       7.64        7.11       7.64       000
                                                system.
93724..........  TC...........  A              Analyze pacemaker            0.00        3.98       4.04        3.98       4.04      0.21        4.19       4.25        4.19       4.25       000
                                                system.
93727..........  .............  A              Analyze ilr system....       0.52        0.21       0.21        0.21       0.21      0.02        0.75       0.75        0.75       0.75       XXX
93731..........  .............  A              Analyze pacemaker            0.45        0.69       0.78        0.69       0.78      0.05        1.19       1.28        1.19       1.28       XXX
                                                system.
93731..........  26...........  A              Analyze pacemaker            0.45        0.19       0.27        0.19       0.27      0.02        0.66       0.74        0.66       0.74       XXX
                                                system.
93731..........  TC...........  A              Analyze pacemaker            0.00        0.50       0.51        0.50       0.51      0.03        0.53       0.54        0.53       0.54       XXX
                                                system.
93732..........  .............  A              Analyze pacemaker            0.92        0.89       0.94        0.89       0.94      0.06        1.87       1.92        1.87       1.92       XXX
                                                system.
93732..........  26...........  A              Analyze pacemaker            0.92        0.38       0.42        0.38       0.42      0.03        1.33       1.37        1.33       1.37       XXX
                                                system.
93732..........  TC...........  A              Analyze pacemaker            0.00        0.51       0.52        0.51       0.52      0.03        0.54       0.55        0.54       0.55       XXX
                                                system.
[[Page 59551]]
93733..........  .............  A              Telephone analy,             0.17        0.80       0.88        0.80       0.88      0.06        1.03       1.11        1.03       1.11       XXX
                                                pacemaker.
93733..........  26...........  A              Telephone analy,             0.17        0.07       0.14        0.07       0.14      0.01        0.25       0.32        0.25       0.32       XXX
                                                pacemaker.
93733..........  TC...........  A              Telephone analy,             0.00        0.73       0.74        0.73       0.74      0.05        0.78       0.79        0.78       0.79       XXX
                                                pacemaker.
93734..........  .............  A              Analyze pacemaker            0.38        0.51       0.61        0.51       0.61      0.03        0.92       1.02        0.92       1.02       XXX
                                                system.
93734..........  26...........  A              Analyze pacemaker            0.38        0.16       0.25        0.16       0.25      0.01        0.55       0.64        0.55       0.64       XXX
                                                system.
93734..........  TC...........  A              Analyze pacemaker            0.00        0.35       0.36        0.35       0.36      0.02        0.37       0.38        0.37       0.38       XXX
                                                system.
93735..........  .............  A              Analyze pacemaker            0.74        0.76       0.85        0.76       0.85      0.06        1.56       1.65        1.56       1.65       XXX
                                                system.
93735..........  26...........  A              Analyze pacemaker            0.74        0.31       0.39        0.31       0.39      0.03        1.08       1.16        1.08       1.16       XXX
                                                system.
93735..........  TC...........  A              Analyze pacemaker            0.00        0.45       0.46        0.45       0.46      0.03        0.48       0.49        0.48       0.49       XXX
                                                system.
93736..........  .............  A              Telephone analy,             0.15        0.70       0.77        0.70       0.77      0.06        0.91       0.98        0.91       0.98       XXX
                                                pacemaker.
93736..........  26...........  A              Telephone analy,             0.15        0.07       0.13        0.07       0.13      0.01        0.23       0.29        0.23       0.29       XXX
                                                pacemaker.
93736..........  TC...........  A              Telephone analy,             0.00        0.63       0.64        0.63       0.64      0.05        0.68       0.69        0.68       0.69       XXX
                                                pacemaker.
93737..........  .............  A              Analyze cardio/              0.45        0.69       0.75        0.69       0.75      0.04        1.18       1.24        1.18       1.24       XXX
                                                defibrillator.
93737..........  26...........  A              Analyze cardio/              0.45        0.19       0.24        0.19       0.24      0.01        0.65       0.70        0.65       0.70       XXX
                                                defibrillator.
93737..........  TC...........  A              Analyze cardio/              0.00        0.50       0.51        0.50       0.51      0.03        0.53       0.54        0.53       0.54       XXX
                                                defibrillator.
93738..........  .............  A              Analyze cardio/              0.92        0.90       0.93        0.90       0.93      0.06        1.88       1.91        1.88       1.91       XXX
                                                defibrillator.
93738..........  26...........  A              Analyze cardio/              0.92        0.39       0.41        0.39       0.41      0.03        1.34       1.36        1.34       1.36       XXX
                                                defibrillator.
93738..........  TC...........  A              Analyze cardio/              0.00        0.51       0.52        0.51       0.52      0.03        0.54       0.55        0.54       0.55       XXX
                                                defibrillator.
93740..........  .............  B              Temperature gradient        +0.16        0.20       0.35        0.20       0.35      0.02        0.38       0.53        0.38       0.53       XXX
                                                studies.
93740..........  26...........  B              Temperature gradient        +0.16        0.04       0.19        0.04       0.19      0.01        0.21       0.36        0.21       0.36       XXX
                                                studies.
93740..........  TC...........  B              Temperature gradient        +0.00        0.16       0.16        0.16       0.16      0.01        0.17       0.17        0.17       0.17       XXX
                                                studies.
93741..........  .............  A              Analyze ht pace device       0.64        1.18       1.18        1.18       1.18      0.05        1.87       1.87        1.87       1.87       XXX
                                                sngl.
93741..........  26...........  A              Analyze ht pace device       0.64        0.25       0.25        0.25       0.25      0.02        0.91       0.91        0.91       0.91       XXX
                                                sngl.
93741..........  TC...........  A              Analyze ht pace device       0.00        0.93       0.93        0.93       0.93      0.03        0.96       0.96        0.96       0.96       XXX
                                                sngl.
93742..........  .............  A              Analyze ht pace device       0.73        1.56       1.56        1.56       1.56      0.05        2.34       2.34        2.34       2.34       XXX
                                                sngl.
93742..........  26...........  A              Analyze ht pace device       0.73        0.28       0.28        0.28       0.28      0.02        1.03       1.03        1.03       1.03       XXX
                                                sngl.
93742..........  TC...........  A              Analyze ht pace device       0.00        1.28       1.28        1.28       1.28      0.03        1.31       1.31        1.31       1.31       XXX
                                                sngl.
93743..........  .............  A              Analyze ht pace device       0.83        1.25       1.25        1.25       1.25      0.05        2.13       2.13        2.13       2.13       XXX
                                                dual.
93743..........  26...........  A              Analyze ht pace device       0.83        0.32       0.32        0.32       0.32      0.02        1.17       1.17        1.17       1.17       XXX
                                                dual.
93743..........  TC...........  A              Analyze ht pace device       0.00        0.93       0.93        0.93       0.93      0.03        0.96       0.96        0.96       0.96       XXX
                                                dual.
93744..........  .............  A              Analyze ht pace device       0.95        1.65       1.65        1.65       1.65      0.05        2.65       2.65        2.65       2.65       XXX
                                                dual.
93744..........  26...........  A              Analyze ht pace device       0.95        0.37       0.37        0.37       0.37      0.02        1.34       1.34        1.34       1.34       XXX
                                                dual.
93744..........  TC...........  A              Analyze ht pace device       0.00        1.28       1.28        1.28       1.28      0.03        1.31       1.31        1.31       1.31       XXX
                                                dual.
93760..........  .............  N              Cephalic thermogram...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
93762..........  .............  N              Peripheral thermogram.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
93770..........  .............  B              Measure venous              +0.16        0.08       0.15        0.08       0.15      0.02        0.26       0.33        0.26       0.33       XXX
                                                pressure.
93770..........  26...........  B              Measure venous              +0.16        0.05       0.12        0.05       0.12      0.01        0.22       0.29        0.22       0.29       XXX
                                                pressure.
93770..........  TC...........  B              Measure venous              +0.00        0.03       0.03        0.03       0.03      0.01        0.04       0.04        0.04       0.04       XXX
                                                pressure.
93784..........  .............  N              Ambulatory BP                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                monitoring.
93786..........  .............  N              Ambulatory BP                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                recording.
93788..........  .............  N              Ambulatory BP analysis       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
93790..........  .............  N              Review/report BP             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                recording.
93797..........  .............  A              Cardiac rehab.........       0.18        0.36       0.29        0.07       0.09      0.01        0.55       0.48        0.26       0.28       000
93798..........  .............  A              Cardiac rehab/monitor.       0.28        0.44       0.48        0.11       0.19      0.01        0.73       0.77        0.40       0.48       000
93799..........  .............  C              Cardiovascular               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedure.
93799..........  26...........  C              Cardiovascular               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedure.
93799..........  TC...........  C              Cardiovascular               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedure.
93875..........  .............  A              Extracranial study....       0.22        1.19       1.30        1.19       1.30      0.10        1.51       1.62        1.51       1.62       XXX
93875..........  26...........  A              Extracranial study....       0.22        0.08       0.17        0.08       0.17      0.01        0.31       0.40        0.31       0.40       XXX
93875..........  TC...........  A              Extracranial study....       0.00        1.11       1.13        1.11       1.13      0.09        1.20       1.22        1.20       1.22       XXX
93880..........  .............  A              Extracranial study....       0.60        3.93       4.11        3.93       4.11      0.34        4.87       5.05        4.87       5.05       XXX
93880..........  26...........  A              Extracranial study....       0.60        0.19       0.31        0.19       0.31      0.04        0.83       0.95        0.83       0.95       XXX
93880..........  TC...........  A              Extracranial study....       0.00        3.74       3.80        3.74       3.80      0.30        4.04       4.10        4.04       4.10       XXX
93882..........  .............  A              Extracranial study....       0.40        2.63       2.74        2.63       2.74      0.22        3.25       3.36        3.25       3.36       XXX
93882..........  26...........  A              Extracranial study....       0.40        0.14       0.21        0.14       0.21      0.03        0.57       0.64        0.57       0.64       XXX
93882..........  TC...........  A              Extracranial study....       0.00        2.49       2.53        2.49       2.53      0.19        2.68       2.72        2.68       2.72       XXX
93886..........  .............  A              Intracranial study....       0.94        4.60       4.71        4.60       4.71      0.38        5.92       6.03        5.92       6.03       XXX
93886..........  26...........  A              Intracranial study....       0.94        0.36       0.41        0.36       0.41      0.05        1.35       1.40        1.35       1.40       XXX
93886..........  TC...........  A              Intracranial study....       0.00        4.24       4.30        4.24       4.30      0.33        4.57       4.63        4.57       4.63       XXX
93888..........  .............  A              Intracranial study....       0.62        3.06       3.14        3.06       3.14      0.27        3.95       4.03        3.95       4.03       XXX
93888..........  26...........  A              Intracranial study....       0.62        0.23       0.27        0.23       0.27      0.04        0.89       0.93        0.89       0.93       XXX
93888..........  TC...........  A              Intracranial study....       0.00        2.83       2.87        2.83       2.87      0.23        3.06       3.10        3.06       3.10       XXX
93922..........  .............  A              Extremity study.......       0.25        1.25       1.38        1.25       1.38      0.13        1.63       1.76        1.63       1.76       XXX
93922..........  26...........  A              Extremity study.......       0.25        0.09       0.20        0.09       0.20      0.02        0.36       0.47        0.36       0.47       XXX
93922..........  TC...........  A              Extremity study.......       0.00        1.16       1.18        1.16       1.18      0.11        1.27       1.29        1.27       1.29       XXX
93923..........  .............  A              Extremity study.......       0.45        2.36       2.58        2.36       2.58      0.23        3.04       3.26        3.04       3.26       XXX
93923..........  26...........  A              Extremity study.......       0.45        0.16       0.35        0.16       0.35      0.04        0.65       0.84        0.65       0.84       XXX
93923..........  TC...........  A              Extremity study.......       0.00        2.20       2.23        2.20       2.23      0.19        2.39       2.42        2.39       2.42       XXX
93924..........  .............  A              Extremity study.......       0.50        2.56       2.81        2.56       2.81      0.27        3.33       3.58        3.33       3.58       XXX
93924..........  26...........  A              Extremity study.......       0.50        0.18       0.39        0.18       0.39      0.05        0.73       0.94        0.73       0.94       XXX
93924..........  TC...........  A              Extremity study.......       0.00        2.38       2.42        2.38       2.42      0.22        2.60       2.64        2.60       2.64       XXX
93925..........  .............  A              Lower extremity study.       0.58        3.95       4.13        3.95       4.13      0.34        4.87       5.05        4.87       5.05       XXX
93925..........  26...........  A              Lower extremity study.       0.58        0.19       0.31        0.19       0.31      0.04        0.81       0.93        0.81       0.93       XXX
93925..........  TC...........  A              Lower extremity study.       0.00        3.76       3.82        3.76       3.82      0.30        4.06       4.12        4.06       4.12       XXX
93926..........  26...........  A              Lower extremity study.       0.39        0.13       0.21        0.13       0.21      0.03        0.55       0.63        0.55       0.63       XXX
93926..........  .............  A              Lower extremity study.       0.39        2.64       2.76        2.64       2.76      0.23        3.26       3.38        3.26       3.38       XXX
93926..........  TC...........  A              Lower extremity study.       0.00        2.51       2.55        2.51       2.55      0.20        2.71       2.75        2.71       2.75       XXX
93930..........  .............  A              Upper extremity study.       0.46        4.14       4.34        4.14       4.34      0.35        4.95       5.15        4.95       5.15       XXX
93930..........  26...........  A              Upper extremity study.       0.46        0.15       0.29        0.15       0.29      0.03        0.64       0.78        0.64       0.78       XXX
93930..........  TC...........  A              Upper extremity study.       0.00        3.99       4.05        3.99       4.05      0.32        4.31       4.37        4.31       4.37       XXX
93931..........  .............  A              Upper extremity study.       0.31        2.75       2.88        2.75       2.88      0.23        3.29       3.42        3.29       3.42       XXX
[[Page 59552]]
93931..........  26...........  A              Upper extremity study.       0.31        0.10       0.19        0.10       0.19      0.02        0.43       0.52        0.43       0.52       XXX
93931..........  TC...........  A              Upper extremity study.       0.00        2.65       2.69        2.65       2.69      0.21        2.86       2.90        2.86       2.90       XXX
93965..........  .............  A              Extremity study.......       0.35        1.22       1.39        1.22       1.39      0.12        1.69       1.86        1.69       1.86       XXX
93965..........  26...........  A              Extremity study.......       0.35        0.12       0.27        0.12       0.27      0.02        0.49       0.64        0.49       0.64       XXX
93965..........  TC...........  A              Extremity study.......       0.00        1.10       1.12        1.10       1.12      0.10        1.20       1.22        1.20       1.22       XXX
93970..........  .............  A              Extremity study.......       0.68        4.37       4.54        4.37       4.54      0.39        5.44       5.61        5.44       5.61       XXX
93970..........  26...........  A              Extremity study.......       0.68        0.22       0.33        0.22       0.33      0.05        0.95       1.06        0.95       1.06       XXX
93970..........  TC...........  A              Extremity study.......       0.00        4.15       4.21        4.15       4.21      0.34        4.49       4.55        4.49       4.55       XXX
93971..........  .............  A              Extremity study.......       0.45        2.90       3.02        2.90       3.02      0.26        3.61       3.73        3.61       3.73       XXX
93971..........  26...........  A              Extremity study.......       0.45        0.14       0.22        0.14       0.22      0.03        0.62       0.70        0.62       0.70       XXX
93971..........  TC...........  A              Extremity study.......       0.00        2.76       2.80        2.76       2.80      0.23        2.99       3.03        2.99       3.03       XXX
93975..........  .............  A              Vascular study........       1.80        5.27       5.30        5.27       5.30      0.47        7.54       7.57        7.54       7.57       XXX
93975..........  26...........  A              Vascular study........       1.80        0.55       0.51        0.55       0.51      0.10        2.45       2.41        2.45       2.41       XXX
93975..........  TC...........  A              Vascular study........       0.00        4.72       4.79        4.72       4.79      0.37        5.09       5.16        5.09       5.16       XXX
93976..........  .............  A              Vascular study........       1.21        3.50       3.53        3.50       3.53      0.32        5.03       5.06        5.03       5.06       XXX
93976..........  26...........  A              Vascular study........       1.21        0.35       0.33        0.35       0.33      0.06        1.62       1.60        1.62       1.60       XXX
93976..........  TC...........  A              Vascular study........       0.00        3.15       3.20        3.15       3.20      0.26        3.41       3.46        3.41       3.46       XXX
93978..........  .............  A              Vascular study........       0.65        4.09       4.25        4.09       4.25      0.37        5.11       5.27        5.11       5.27       XXX
93978..........  26...........  A              Vascular study........       0.65        0.22       0.32        0.22       0.32      0.05        0.92       1.02        0.92       1.02       XXX
93978..........  TC...........  A              Vascular study........       0.00        3.87       3.93        3.87       3.93      0.32        4.19       4.25        4.19       4.25       XXX
93979..........  .............  A              Vascular study........       0.44        2.73       2.83        2.73       2.83      0.24        3.41       3.51        3.41       3.51       XXX
93979..........  26...........  A              Vascular study........       0.44        0.16       0.22        0.16       0.22      0.03        0.63       0.69        0.63       0.69       XXX
93979..........  TC...........  A              Vascular study........       0.00        2.57       2.61        2.57       2.61      0.21        2.78       2.82        2.78       2.82       XXX
93980..........  .............  A              Penile vascular study.       1.25        3.92       4.21        3.92       4.21      0.37        5.54       5.83        5.54       5.83       XXX
93980..........  26...........  A              Penile vascular study.       1.25        0.41       0.65        0.41       0.65      0.08        1.74       1.98        1.74       1.98       XXX
93980..........  TC...........  A              Penile vascular study.       0.00        3.51       3.56        3.51       3.56      0.29        3.80       3.85        3.80       3.85       XXX
93981..........  .............  A              Penile vascular study.       0.44        3.38       3.58        3.38       3.58      0.30        4.12       4.32        4.12       4.32       XXX
93981..........  26...........  A              Penile vascular study.       0.44        0.14       0.29        0.14       0.29      0.03        0.61       0.76        0.61       0.76       XXX
93981..........  TC...........  A              Penile vascular study.       0.00        3.24       3.29        3.24       3.29      0.27        3.51       3.56        3.51       3.56       XXX
93990..........  .............  A              Doppler flow testing..       0.25        2.61       2.71        2.61       2.71      0.21        3.07       3.17        3.07       3.17       XXX
93990..........  26...........  A              Doppler flow testing..       0.25        0.10       0.16        0.10       0.16      0.01        0.36       0.42        0.36       0.42       XXX
93990..........  TC...........  A              Doppler flow testing..       0.00        2.51       2.55        2.51       2.55      0.20        2.71       2.75        2.71       2.75       XXX
94010..........  .............  A              Breathing capacity           0.17        0.47       0.61        0.47       0.61      0.03        0.67       0.81        0.67       0.81       XXX
                                                test.
94010..........  26...........  A              Breathing capacity           0.17        0.05       0.18        0.05       0.18      0.01        0.23       0.36        0.23       0.36       XXX
                                                test.
94010..........  TC...........  A              Breathing capacity           0.00        0.42       0.43        0.42       0.43      0.02        0.44       0.45        0.44       0.45       XXX
                                                test.
94014..........  .............  A              Patient recorded             0.52        0.62       0.62        0.62       0.62      0.03        1.17       1.17        1.17       1.17       XXX
                                                spirometry.
94015..........  .............  A              Patient recorded             0.00        0.42       0.42        0.42       0.42      0.01        0.43       0.43        0.43       0.43       XXX
                                                spirometry.
94016..........  .............  A              Review patient               0.52        0.20       0.20        0.20       0.20      0.02        0.74       0.74        0.74       0.74       XXX
                                                spirometry.
94060..........  .............  A              Evaluation of wheezing       0.31        1.03       1.19        1.03       1.19      0.06        1.40       1.56        1.40       1.56       XXX
94060..........  26...........  A              Evaluation of wheezing       0.31        0.09       0.23        0.09       0.23      0.01        0.41       0.55        0.41       0.55       XXX
94060..........  TC...........  A              Evaluation of wheezing       0.00        0.94       0.96        0.94       0.96      0.05        0.99       1.01        0.99       1.01       XXX
94070..........  .............  A              Evaluation of wheezing       0.60        1.65       1.79        1.65       1.79      0.10        2.35       2.49        2.35       2.49       XXX
94070..........  26...........  A              Evaluation of wheezing       0.60        0.18       0.30        0.18       0.30      0.02        0.80       0.92        0.80       0.92       XXX
94070..........  TC...........  A              Evaluation of wheezing       0.00        1.47       1.49        1.47       1.49      0.08        1.55       1.57        1.55       1.57       XXX
94150..........  .............  B              Vital capacity test...      +0.07        0.12       0.15        0.12       0.15      0.02        0.21       0.24        0.21       0.24       XXX
94150..........  26...........  B              Vital capacity test...      +0.07        0.03       0.06        0.03       0.06      0.01        0.11       0.14        0.11       0.14       XXX
94150..........  TC...........  B              Vital capacity test...      +0.00        0.09       0.09        0.09       0.09      0.01        0.10       0.10        0.10       0.10       XXX
94200..........  .............  A              Lung function test           0.11        0.28       0.34        0.28       0.34      0.03        0.42       0.48        0.42       0.48       XXX
                                                (MBC/MVV).
94200..........  26...........  A              Lung function test           0.11        0.03       0.08        0.03       0.08      0.01        0.15       0.20        0.15       0.20       XXX
                                                (MBC/MVV).
94200..........  TC...........  A              Lung function test           0.00        0.25       0.26        0.25       0.26      0.02        0.27       0.28        0.27       0.28       XXX
                                                (MBC/MVV).
94240..........  .............  A              Residual lung capacity       0.26        0.77       0.87        0.77       0.87      0.05        1.08       1.18        1.08       1.18       XXX
94240..........  26...........  A              Residual lung capacity       0.26        0.08       0.17        0.08       0.17      0.01        0.35       0.44        0.35       0.44       XXX
94240..........  TC...........  A              Residual lung capacity       0.00        0.69       0.70        0.69       0.70      0.04        0.73       0.74        0.73       0.74       XXX
94250..........  .............  A              Expired gas collection       0.11        0.17       0.22        0.17       0.22      0.02        0.30       0.35        0.30       0.35       XXX
94250..........  26...........  A              Expired gas collection       0.11        0.03       0.08        0.03       0.08      0.01        0.15       0.20        0.15       0.20       XXX
94250..........  TC...........  A              Expired gas collection       0.00        0.14       0.14        0.14       0.14      0.01        0.15       0.15        0.15       0.15       XXX
94260..........  .............  A              Thoracic gas volume...       0.13        0.58       0.65        0.58       0.65      0.04        0.75       0.82        0.75       0.82       XXX
94260..........  26...........  A              Thoracic gas volume...       0.13        0.04       0.10        0.04       0.10      0.01        0.18       0.24        0.18       0.24       XXX
94260..........  TC...........  A              Thoracic gas volume...       0.00        0.54       0.55        0.54       0.55      0.03        0.57       0.58        0.57       0.58       XXX
94350..........  .............  A              Lung nitrogen washout        0.26        0.62       0.71        0.62       0.71      0.04        0.92       1.01        0.92       1.01       XXX
                                                curve.
94350..........  26...........  A              Lung nitrogen washout        0.26        0.08       0.16        0.08       0.16      0.01        0.35       0.43        0.35       0.43       XXX
                                                curve.
94350..........  TC...........  A              Lung nitrogen washout        0.00        0.54       0.55        0.54       0.55      0.03        0.57       0.58        0.57       0.58       XXX
                                                curve.
94360..........  .............  A              Measure airflow              0.26        1.05       1.14        1.05       1.14      0.06        1.37       1.46        1.37       1.46       XXX
                                                resistance.
94360..........  26...........  A              Measure airflow              0.26        0.08       0.15        0.08       0.15      0.01        0.35       0.42        0.35       0.42       XXX
                                                resistance.
94360..........  TC...........  A              Measure airflow              0.00        0.97       0.99        0.97       0.99      0.05        1.02       1.04        1.02       1.04       XXX
                                                resistance.
94370..........  .............  A              Breath airway closing        0.26        0.35       0.40        0.35       0.40      0.03        0.64       0.69        0.64       0.69       XXX
                                                volume.
94370..........  26...........  A              Breath airway closing        0.26        0.08       0.12        0.08       0.12      0.01        0.35       0.39        0.35       0.39       XXX
                                                volume.
94370..........  TC...........  A              Breath airway closing        0.00        0.27       0.28        0.27       0.28      0.02        0.29       0.30        0.29       0.30       XXX
                                                volume.
94375..........  .............  A              Respiratory flow             0.31        0.58       0.66        0.58       0.66      0.03        0.92       1.00        0.92       1.00       XXX
                                                volume loop.
94375..........  26...........  A              Respiratory flow             0.31        0.09       0.16        0.09       0.16      0.01        0.41       0.48        0.41       0.48       XXX
                                                volume loop.
94375..........  TC...........  A              Respiratory flow             0.00        0.49       0.50        0.49       0.50      0.02        0.51       0.52        0.51       0.52       XXX
                                                volume loop.
94400..........  .............  A              CO2 breathing response       0.40        0.44       0.65        0.44       0.65      0.07        0.91       1.12        0.91       1.12       XXX
                                                curve.
94400..........  26...........  A              CO2 breathing response       0.40        0.12       0.32        0.12       0.32      0.02        0.54       0.74        0.54       0.74       XXX
                                                curve.
94400..........  TC...........  A              CO2 breathing response       0.00        0.32       0.33        0.32       0.33      0.05        0.37       0.38        0.37       0.38       XXX
                                                curve.
94450..........  .............  A              Hypoxia response curve       0.40        0.52       0.60        0.52       0.60      0.03        0.95       1.03        0.95       1.03       XXX
94450..........  26...........  A              Hypoxia response curve       0.40        0.13       0.20        0.13       0.20      0.01        0.54       0.61        0.54       0.61       XXX
94450..........  TC...........  A              Hypoxia response curve       0.00        0.39       0.40        0.39       0.40      0.02        0.41       0.42        0.41       0.42       XXX
94620..........  .............  A              Pulmonary stress test/       0.64        1.63       1.93        1.63       1.93      0.11        2.38       2.68        2.38       2.68       XXX
                                                simple.
94620..........  26...........  A              Pulmonary stress test/       0.64        0.20       0.48        0.20       0.48      0.03        0.87       1.15        0.87       1.15       XXX
                                                simple.
94620..........  TC...........  A              Pulmonary stress test/       0.00        1.43       1.45        1.43       1.45      0.08        1.51       1.53        1.51       1.53       XXX
                                                simple.
94621..........  .............  A              Pulm stress test/            1.42        1.87       2.05        1.87       2.05      0.11        3.40       3.58        3.40       3.58       XXX
                                                complex.
[[Page 59553]]
94621..........  26...........  A              Pulm stress test/            1.42        0.44       0.60        0.44       0.60      0.03        1.89       2.05        1.89       2.05       XXX
                                                complex.
94621..........  TC...........  A              Pulm stress test/            0.00        1.43       1.45        1.43       1.45      0.08        1.51       1.53        1.51       1.53       XXX
                                                complex.
94640..........  .............  A              Airway inhalation            0.00        0.62       0.52        0.20       0.31      0.02        0.64       0.54        0.22       0.33       XXX
                                                treatment.
94642..........  .............  C              Aerosol inhalation           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                treatment.
94650..........  .............  A              Pressure breathing           0.00        0.59       0.50        0.19       0.30      0.02        0.61       0.52        0.21       0.32       XXX
                                                (IPPB).
94651..........  .............  A              Pressure breathing           0.00        0.53       0.46        0.18       0.29      0.02        0.55       0.48        0.20       0.31       XXX
                                                (IPPB).
94652..........  .............  A              Pressure breathing           0.00        0.53       0.49        0.18       0.31      0.06        0.59       0.55        0.24       0.37       XXX
                                                (IPPB).
94656..........  .............  A              Initial ventilator           1.22          NA         NA        0.32       0.78      0.06          NA         NA        1.60       2.06       XXX
                                                mgmt.
94657..........  .............  A              Continued ventilator         0.83          NA         NA        0.25       0.46      0.03          NA         NA        1.11       1.32       XXX
                                                mgmt.
94660..........  .............  A              Pos airway pressure,         0.76        0.60       0.69        0.23       0.50      0.03        1.39       1.48        1.02       1.29       XXX
                                                CPAP.
94662..........  .............  A              Neg press ventilation,       0.76          NA         NA        0.24       0.29      0.02          NA         NA        1.02       1.07       XXX
                                                cnp.
94664..........  .............  A              Aerosol or vapor             0.00        0.46       0.50        0.15       0.35      0.03        0.49       0.53        0.18       0.38       XXX
                                                inhalations.
94665..........  .............  A              Aerosol or vapor             0.00        0.49       0.50        0.15       0.33      0.04        0.53       0.54        0.19       0.37       XXX
                                                inhalations.
94667..........  .............  A              Chest wall                   0.00        0.64       0.62        0.21       0.41      0.04        0.68       0.66        0.25       0.45       XXX
                                                manipulation.
94668..........  .............  A              Chest wall                   0.00        0.64       0.51        0.20       0.29      0.02        0.66       0.53        0.22       0.31       XXX
                                                manipulation.
94680..........  .............  A              Exhaled air analysis,        0.26        0.59       0.72        0.59       0.72      0.06        0.91       1.04        0.91       1.04       XXX
                                                o2.
94680..........  26...........  A              Exhaled air analysis,        0.26        0.08       0.20        0.08       0.20      0.01        0.35       0.47        0.35       0.47       XXX
                                                o2.
94680..........  TC...........  A              Exhaled air analysis,        0.00        0.51       0.52        0.51       0.52      0.05        0.56       0.57        0.56       0.57       XXX
                                                o2.
94681..........  .............  A              Exhaled air analysis,        0.20        1.45       1.56        1.45       1.56      0.11        1.76       1.87        1.76       1.87       XXX
                                                o2/co2.
94681..........  26...........  A              Exhaled air analysis,        0.20        0.06       0.15        0.06       0.15      0.01        0.27       0.36        0.27       0.36       XXX
                                                o2/co2.
94681..........  TC...........  A              Exhaled air analysis,        0.00        1.39       1.41        1.39       1.41      0.10        1.49       1.51        1.49       1.51       XXX
                                                o2/co2.
94690..........  .............  A              Exhaled air analysis..       0.07        0.55       0.58        0.55       0.58      0.04        0.66       0.69        0.66       0.69       XXX
94690..........  26...........  A              Exhaled air analysis..       0.07        0.02       0.04        0.02       0.04      0.01        0.10       0.12        0.10       0.12       XXX
94690..........  TC...........  A              Exhaled air analysis..       0.00        0.53       0.54        0.53       0.54      0.03        0.56       0.57        0.56       0.57       XXX
94720..........  .............  A              Monoxide diffusing           0.26        0.93       1.03        0.93       1.03      0.06        1.25       1.35        1.25       1.35       XXX
                                                capacity.
94720..........  26...........  A              Monoxide diffusing           0.26        0.08       0.17        0.08       0.17      0.01        0.35       0.44        0.35       0.44       XXX
                                                capacity.
94720..........  TC...........  A              Monoxide diffusing           0.00        0.85       0.86        0.85       0.86      0.05        0.90       0.91        0.90       0.91       XXX
                                                capacity.
94725..........  .............  A              Membrane diffusion           0.26        1.83       1.92        1.83       1.92      0.11        2.20       2.29        2.20       2.29       XXX
                                                capacity.
94725..........  26...........  A              Membrane diffusion           0.26        0.08       0.14        0.08       0.14      0.01        0.35       0.41        0.35       0.41       XXX
                                                capacity.
94725..........  TC...........  A              Membrane diffusion           0.00        1.75       1.78        1.75       1.78      0.10        1.85       1.88        1.85       1.88       XXX
                                                capacity.
94750..........  .............  A              Pulmonary compliance         0.23        0.65       0.76        0.65       0.76      0.04        0.92       1.03        0.92       1.03       XXX
                                                study.
94750..........  26...........  A              Pulmonary compliance         0.23        0.07       0.17        0.07       0.17      0.01        0.31       0.41        0.31       0.41       XXX
                                                study.
94750..........  TC...........  A              Pulmonary compliance         0.00        0.58       0.59        0.58       0.59      0.03        0.61       0.62        0.61       0.62       XXX
                                                study.
94760..........  .............  B              Measure blood oxygen        +0.00        0.08       0.18        0.08       0.18      0.02        0.10       0.20        0.10       0.20       XXX
                                                level.
94761..........  .............  B              Measure blood oxygen        +0.00        0.15       0.42        0.15       0.42      0.05        0.20       0.47        0.20       0.47       XXX
                                                level.
94762..........  .............  A              Measure blood oxygen         0.00        0.12       0.65        0.12       0.65      0.08        0.20       0.73        0.20       0.73       XXX
                                                level.
94770..........  .............  A              Exhaled carbon dioxide       0.15        0.34       0.39        0.34       0.39      0.07        0.56       0.61        0.56       0.61       XXX
                                                test.
94770..........  26...........  A              Exhaled carbon dioxide       0.15        0.04       0.08        0.04       0.08      0.01        0.20       0.24        0.20       0.24       XXX
                                                test.
94770..........  TC...........  A              Exhaled carbon dioxide       0.00        0.30       0.31        0.30       0.31      0.06        0.36       0.37        0.36       0.37       XXX
                                                test.
94772..........  .............  C              Breath recording,            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                infant.
94772..........  26...........  C              Breath recording,            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                infant.
94772..........  TC...........  C              Breath recording,            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                infant.
94799..........  .............  C              Pulmonary service/           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedure.
94799..........  26...........  C              Pulmonary service/           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedure.
94799..........  TC...........  C              Pulmonary service/           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedure.
95004..........  .............  A              Allergy skin tests....       0.00        0.10       0.10        0.10       0.10      0.01        0.11       0.11        0.11       0.11       XXX
95010..........  .............  A              Sensitivity skin tests       0.15        0.40       0.26        0.06       0.06      0.01        0.56       0.42        0.22       0.22       XXX
95015..........  .............  A              Sensitivity skin tests       0.15        0.43       0.28        0.07       0.07      0.01        0.59       0.44        0.23       0.23       XXX
95024..........  .............  A              Allergy skin tests....       0.00        0.15       0.15        0.15       0.15      0.01        0.16       0.16        0.16       0.16       XXX
95027..........  .............  A              Skin end point               0.00        0.15       0.15        0.15       0.15      0.01        0.16       0.16        0.16       0.16       XXX
                                                titration.
95028..........  .............  A              Allergy skin tests....       0.00        0.23       0.24        0.23       0.24      0.01        0.24       0.25        0.24       0.25       XXX
95044..........  .............  A              Allergy patch tests...       0.00        0.20       0.21        0.20       0.21      0.01        0.21       0.22        0.21       0.22       XXX
95052..........  .............  A              Photo patch test......       0.00        0.25       0.26        0.25       0.26      0.01        0.26       0.27        0.26       0.27       XXX
95056..........  .............  A              Photosensitivity tests       0.00        0.17       0.18        0.17       0.13      0.01        0.18       0.19        0.18       0.14       XXX
95060..........  .............  A              Eye allergy tests.....       0.00        0.35       0.36        0.35       0.36      0.02        0.37       0.38        0.37       0.38       XXX
95065..........  .............  A              Nose allergy test.....       0.00        0.20       0.21        0.20       0.16      0.01        0.21       0.22        0.21       0.17       XXX
95070..........  .............  A              Bronchial allergy            0.00        2.29       2.33        2.29       2.33      0.02        2.31       2.35        2.31       2.35       XXX
                                                tests.
95071..........  .............  A              Bronchial allergy            0.00        2.93       2.98        2.93       2.98      0.02        2.95       3.00        2.95       3.00       XXX
                                                tests.
95075..........  .............  A              Ingestion challenge          0.95        0.83       1.49        0.39       0.73      0.03        1.81       2.47        1.37       1.71       XXX
                                                test.
95078..........  .............  A              Provocative testing...       0.00        0.25       0.26        0.25       0.26      0.02        0.27       0.28        0.27       0.28       XXX
95115..........  .............  A              Immunotherapy, one           0.00        0.39       0.40        0.39       0.40      0.02        0.41       0.42        0.41       0.42       000
                                                injection.
95117..........  .............  A              Immunotherapy                0.00        0.51       0.52        0.51       0.52      0.02        0.53       0.54        0.53       0.54       000
                                                injections.
95120..........  .............  I              Immunotherapy, one           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
95125..........  .............  I              Immunotherapy, many          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                antigens.
95130..........  .............  I              Immunotherapy, insect        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                venom.
95131..........  .............  I              Immunotherapy, insect        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                venoms.
95132..........  .............  I              Immunotherapy, insect        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                venoms.
95133..........  .............  I              Immunotherapy, insect        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                venoms.
95134..........  .............  I              Immunotherapy, insect        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                venoms.
95144..........  .............  A              Antigen therapy              0.06        0.23       0.19        0.03       0.05      0.01        0.30       0.26        0.10       0.12       000
                                                services.
95145..........  .............  A              Antigen therapy              0.06        0.47       0.42        0.03       0.11      0.01        0.54       0.49        0.10       0.18       000
                                                services.
95146..........  .............  A              Antigen therapy              0.06        0.62       0.64        0.03       0.18      0.01        0.69       0.71        0.10       0.25       000
                                                services.
95147..........  .............  A              Antigen therapy              0.06        0.77       0.88        0.02       0.26      0.01        0.84       0.95        0.09       0.33       000
                                                services.
95148..........  .............  A              Antigen therapy              0.06        0.78       0.89        0.02       0.26      0.01        0.85       0.96        0.09       0.33       000
                                                services.
95149..........  .............  A              Antigen therapy              0.06        0.60       0.92        0.02       0.32      0.01        0.67       0.99        0.09       0.39       000
                                                services.
95165..........  .............  A              Antigen therapy              0.06        0.24       0.18        0.02       0.04      0.01        0.31       0.25        0.09       0.11       000
                                                services.
95170..........  .............  A              Antigen therapy              0.06        0.24       0.31        0.02       0.11      0.01        0.31       0.38        0.09       0.18       000
                                                services.
95180..........  .............  A              Rapid desensitization.       2.01        1.54       0.85        0.87       0.48      0.06        3.61       2.92        2.94       2.55       000
95199..........  .............  C              Allergy immunology           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       000
                                                services.
95805..........  .............  A              Multiple sleep latency       1.88        8.99       7.49        8.99       7.49      0.35       11.22       9.72       11.22       9.72       XXX
                                                test.
95805..........  26...........  A              Multiple sleep latency       1.88        0.65       0.63        0.65       0.63      0.06        2.59       2.57        2.59       2.57       XXX
                                                test.
[[Page 59554]]
95805..........  TC...........  A              Multiple sleep latency       0.00        8.34       6.86        8.34       6.86      0.29        8.63       7.15        8.63       7.15       XXX
                                                test.
95806..........  .............  A              Sleep study,                 1.66        2.30       5.05        2.30       4.71      0.32        4.28       7.03        4.28       6.69       XXX
                                                unattended.
95806..........  26...........  A              Sleep study,                 1.66        0.53       1.60        0.53       1.26      0.05        2.24       3.31        2.24       2.97       XXX
                                                unattended.
95806..........  TC...........  A              Sleep study,                 0.00        1.77       3.45        1.77       3.45      0.27        2.04       3.72        2.04       3.72       XXX
                                                unattended.
95807..........  .............  A              Sleep study, attended.       1.66        6.82       7.83        6.82       7.83      0.41        8.89       9.90        8.89       9.90       XXX
95807..........  26...........  A              Sleep study, attended.       1.66        0.52       1.26        0.52       1.26      0.05        2.23       2.97        2.23       2.97       XXX
95807..........  TC...........  A              Sleep study, attended.       0.00        6.30       6.57        6.30       6.57      0.36        6.66       6.93        6.66       6.93       XXX
95808..........  .............  A              Polysomnography, 1-3..       2.65        8.96       9.23        8.96       9.23      0.45       12.06      12.33       12.06      12.33       XXX
95808..........  26...........  A              Polysomnography, 1-3..       2.65        0.90       1.78        0.90       1.78      0.09        3.64       4.52        3.64       4.52       XXX
95808..........  TC...........  A              Polysomnography, 1-3..       0.00        8.06       7.45        8.06       7.45      0.36        8.42       7.81        8.42       7.81       XXX
95810..........  .............  A              Polysomnography, 4 or        3.53       15.92      12.71       15.92      12.71      0.47       19.92      16.71       19.92      16.71       XXX
                                                more.
95810..........  26...........  A              Polysomnography, 4 or        3.53        1.16       1.91        1.16       1.91      0.11        4.80       5.55        4.80       5.55       XXX
                                                more.
95810..........  TC...........  A              Polysomnography, 4 or        0.00       14.76      10.80       14.76      10.80      0.36       15.12      11.16       15.12      11.16       XXX
                                                more.
95811..........  .............  A              Polysomnography w/cpap       3.80       16.20      13.09       16.20      13.09      0.49       20.49      17.38       20.49      17.38       XXX
95811..........  26...........  A              Polysomnography w/cpap       3.80        1.26       2.03        1.26       2.03      0.12        5.18       5.95        5.18       5.95       XXX
95811..........  TC...........  A              Polysomnography w/cpap       0.00       14.94      11.06       14.94      11.06      0.37       15.31      11.43       15.31      11.43       XXX
95812..........  .............  A              Electroencephalogram         1.08        3.02       2.52        3.02       2.52      0.13        4.23       3.73        4.23       3.73       XXX
                                                (EEG).
95812..........  26...........  A              Electroencephalogram         1.08        0.43       0.49        0.43       0.49      0.04        1.55       1.61        1.55       1.61       XXX
                                                (EEG).
95812..........  TC...........  A              Electroencephalogram         0.00        2.59       2.03        2.59       2.03      0.09        2.68       2.12        2.68       2.12       XXX
                                                (EEG).
95813..........  .............  A              Electroencephalogram         1.73        4.54       3.28        4.54       3.28      0.16        6.43       5.17        6.43       5.17       XXX
                                                (EEG).
95813..........  26...........  A              Electroencephalogram         1.73        0.68       0.61        0.68       0.61      0.07        2.48       2.41        2.48       2.41       XXX
                                                (EEG).
95813..........  TC...........  A              Electroencephalogram         0.00        3.86       2.67        3.86       2.67      0.09        3.95       2.76        3.95       2.76       XXX
                                                (EEG).
95816..........  .............  A              Electroencephalogram         1.08        3.16       2.42        3.16       2.42      0.12        4.36       3.62        4.36       3.62       XXX
                                                (EEG).
95816..........  26...........  A              Electroencephalogram         1.08        0.44       0.37        0.44       0.37      0.04        1.56       1.49        1.56       1.49       XXX
                                                (EEG).
95816..........  TC...........  A              Electroencephalogram         0.00        2.72       2.05        2.72       2.05      0.08        2.80       2.13        2.80       2.13       XXX
                                                (EEG).
95819..........  .............  A              Electroencephalogram         1.08        1.87       1.91        1.87       1.91      0.12        3.07       3.11        3.07       3.11       XXX
                                                (EEG).
95819..........  26...........  A              Electroencephalogram         1.08        0.44       0.49        0.44       0.49      0.04        1.56       1.61        1.56       1.61       XXX
                                                (EEG).
95819..........  TC...........  A              Electroencephalogram         0.00        1.43       1.42        1.43       1.42      0.08        1.51       1.50        1.51       1.50       XXX
                                                (EEG).
95822..........  .............  A              Sleep                        1.08        2.06       2.27        2.06       2.27      0.15        3.29       3.50        3.29       3.50       XXX
                                                electroencephalogram.
95822..........  26...........  A              Sleep                        1.08        0.43       0.52        0.43       0.52      0.04        1.55       1.64        1.55       1.64       XXX
                                                electroencephalogram.
95822..........  TC...........  A              Sleep                        0.00        1.63       1.75        1.63       1.75      0.11        1.74       1.86        1.74       1.86       XXX
                                                electroencephalogram.
95824..........  .............  A              Electroencephalography       0.74        0.37       0.72        0.37       0.72      0.05        1.16       1.51        1.16       1.51       XXX
95824..........  26...........  A              Electroencephalography       0.74        0.30       0.47        0.30       0.47      0.03        1.07       1.24        1.07       1.24       XXX
95824..........  TC...........  A              Electroencephalography       0.00        0.07       0.25        0.07       0.25      0.02        0.09       0.27        0.09       0.27       XXX
95827..........  .............  A              Night                        1.08        2.67       3.01        2.67       3.01      0.16        3.91       4.25        3.91       4.25       XXX
                                                electroencephalogram.
95827..........  26...........  A              Night                        1.08        0.37       0.67        0.37       0.67      0.04        1.49       1.79        1.49       1.79       XXX
                                                electroencephalogram.
95827..........  TC...........  A              Night                        0.00        2.30       2.34        2.30       2.34      0.12        2.42       2.46        2.42       2.46       XXX
                                                electroencephalogram.
95829..........  .............  A              Surgery                      6.21        6.61       3.63        6.61       3.63      0.26       13.08      10.10       13.08      10.10       XXX
                                                electrocorticogram.
95829..........  26...........  A              Surgery                      6.21        2.36       1.43        2.36       1.43      0.24        8.81       7.88        8.81       7.88       XXX
                                                electrocorticogram.
95829..........  TC...........  A              Surgery                      0.00        4.25       2.20        4.25       2.20      0.02        4.27       2.22        4.27       2.22       XXX
                                                electrocorticogram.
95830..........  .............  A              Insert electrodes for        1.70        2.84       1.85        0.70       0.78      0.07        4.61       3.62        2.47       2.55       XXX
                                                EEG.
95831..........  .............  A              Limb muscle testing,         0.28        0.40       0.36        0.13       0.15      0.01        0.69       0.65        0.42       0.44       XXX
                                                manual.
95832..........  .............  A              Hand muscle testing,         0.29        0.34       0.31        0.13       0.14      0.01        0.64       0.61        0.43       0.44       XXX
                                                manual.
95833..........  .............  A              Body muscle testing,         0.47        0.51       0.46        0.22       0.22      0.02        1.00       0.95        0.71       0.71       XXX
                                                manual.
95834..........  .............  A              Body muscle testing,         0.60        0.55       0.61        0.28       0.31      0.02        1.17       1.23        0.90       0.93       XXX
                                                manual.
95851..........  .............  A              Range of motion              0.16        0.43       0.35        0.08       0.11      0.01        0.60       0.52        0.25       0.28       XXX
                                                measurements.
95852..........  .............  A              Range of motion              0.11        0.35       0.26        0.05       0.07      0.01        0.47       0.38        0.17       0.19       XXX
                                                measurements.
95857..........  .............  A              Tensilon test.........       0.53        0.60       0.57        0.22       0.25      0.02        1.15       1.12        0.77       0.80       XXX
95858..........  .............  A              Tensilon test &              1.56        1.05       1.08        1.05       1.08      0.09        2.70       2.73        2.70       2.73       XXX
                                                myogram.
95858..........  26...........  A              Tensilon test &              1.56        0.65       0.67        0.65       0.67      0.06        2.27       2.29        2.27       2.29       XXX
                                                myogram.
95858..........  TC...........  A              Tensilon test &              0.00        0.40       0.41        0.40       0.41      0.03        0.43       0.44        0.43       0.44       XXX
                                                myogram.
95860..........  .............  A              Muscle test, one limb.       0.96        0.79       0.99        0.79       0.99      0.06        1.81       2.01        1.81       2.01       XXX
95860..........  26...........  A              Muscle test, one limb.       0.96        0.41       0.60        0.41       0.60      0.04        1.41       1.60        1.41       1.60       XXX
95860..........  TC...........  A              Muscle test, one limb.       0.00        0.38       0.39        0.38       0.39      0.02        0.40       0.41        0.40       0.41       XXX
95861..........  .............  A              Muscle test, two limbs       1.54        1.40       1.77        1.40       1.77      0.11        3.05       3.42        3.05       3.42       XXX
95861..........  26...........  A              Muscle test, two limbs       1.54        0.66       1.02        0.66       1.02      0.06        2.26       2.62        2.26       2.62       XXX
95861..........  TC...........  A              Muscle test, two limbs       0.00        0.74       0.75        0.74       0.75      0.05        0.79       0.80        0.79       0.80       XXX
95863..........  .............  A              Muscle test, 3 limbs..       1.87        1.72       2.12        1.72       2.12      0.12        3.71       4.11        3.71       4.11       XXX
95863..........  26...........  A              Muscle test, 3 limbs..       1.87        0.78       1.16        0.78       1.16      0.07        2.72       3.10        2.72       3.10       XXX
95863..........  TC...........  A              Muscle test, 3 limbs..       0.00        0.94       0.96        0.94       0.96      0.05        0.99       1.01        0.99       1.01       XXX
95864..........  .............  A              Muscle test, 4 limbs..       1.99        2.64       3.20        2.64       3.20      0.18        4.81       5.37        4.81       5.37       XXX
95864..........  26...........  A              Muscle test, 4 limbs..       1.99        0.85       1.38        0.85       1.38      0.08        2.92       3.45        2.92       3.45       XXX
95864..........  TC...........  A              Muscle test, 4 limbs..       0.00        1.79       1.82        1.79       1.82      0.10        1.89       1.92        1.89       1.92       XXX
95867..........  .............  A              Muscle test, head or         0.79        0.92       1.08        0.92       1.08      0.06        1.77       1.93        1.77       1.93       XXX
                                                neck.
95867..........  26...........  A              Muscle test, head or         0.79        0.34       0.49        0.34       0.49      0.03        1.16       1.31        1.16       1.31       XXX
                                                neck.
95867..........  TC...........  A              Muscle test, head or         0.00        0.58       0.59        0.58       0.59      0.03        0.61       0.62        0.61       0.62       XXX
                                                neck.
95868..........  .............  A              Muscle test, head or         1.18        1.19       1.64        1.19       1.64      0.09        2.46       2.91        2.46       2.91       XXX
                                                neck.
95868..........  26...........  A              Muscle test, head or         1.18        0.49       0.93        0.49       0.93      0.05        1.72       2.16        1.72       2.16       XXX
                                                neck.
95868..........  TC...........  A              Muscle test, head or         0.00        0.70       0.71        0.70       0.71      0.04        0.74       0.75        0.74       0.75       XXX
                                                neck.
95869..........  .............  A              Muscle test, thor            0.37        0.37       0.48        0.37       0.48      0.03        0.77       0.88        0.77       0.88       XXX
                                                paraspinal.
95869..........  26...........  A              Muscle test, thor            0.37        0.16       0.26        0.16       0.26      0.01        0.54       0.64        0.54       0.64       XXX
                                                paraspinal.
95869..........  TC...........  A              Muscle test, thor            0.00        0.21       0.22        0.21       0.22      0.02        0.23       0.24        0.23       0.24       XXX
                                                paraspinal.
95870..........  .............  A              Muscle test,                 0.37        0.37       0.48        0.37       0.48      0.03        0.77       0.88        0.77       0.88       XXX
                                                nonparaspinal.
95870..........  26...........  A              Muscle test,                 0.37        0.16       0.26        0.16       0.26      0.01        0.54       0.64        0.54       0.64       XXX
                                                nonparaspinal.
95870..........  TC...........  A              Muscle test,                 0.00        0.21       0.22        0.21       0.22      0.02        0.23       0.24        0.23       0.24       XXX
                                                nonparaspinal.
95872..........  .............  A              Muscle test, one fiber       1.50        1.21       1.29        1.21       1.29      0.10        2.81       2.89        2.81       2.89       XXX
95872..........  26...........  A              Muscle test, one fiber       1.50        0.61       0.68        0.61       0.68      0.06        2.17       2.24        2.17       2.24       XXX
95872..........  TC...........  A              Muscle test, one fiber       0.00        0.60       0.61        0.60       0.61      0.04        0.64       0.65        0.64       0.65       XXX
95875..........  .............  A              Limb exercise test....       1.34        0.97       0.82        0.97       0.82      0.10        2.41       2.26        2.41       2.26       XXX
95875..........  26...........  A              Limb exercise test....       1.34        0.53       0.39        0.53       0.39      0.05        1.92       1.78        1.92       1.78       XXX
95875..........  TC...........  A              Limb exercise test....       0.00        0.44       0.43        0.44       0.43      0.05        0.49       0.48        0.49       0.48       XXX
[[Page 59555]]
95900..........  .............  A              Motor nerve conduction       0.42        0.46       0.57        0.46       0.57      0.04        0.92       1.03        0.92       1.03       XXX
                                                test.
95900..........  26...........  A              Motor nerve conduction       0.42        0.18       0.28        0.18       0.28      0.02        0.62       0.72        0.62       0.72       XXX
                                                test.
95900..........  TC...........  A              Motor nerve conduction       0.00        0.28       0.29        0.28       0.29      0.02        0.30       0.31        0.30       0.31       XXX
                                                test.
95903..........  .............  A              Motor nerve conduction       0.60        0.50       0.58        0.50       0.58      0.04        1.14       1.22        1.14       1.22       XXX
                                                test.
95903..........  26...........  A              Motor nerve conduction       0.60        0.25       0.32        0.25       0.32      0.02        0.87       0.94        0.87       0.94       XXX
                                                test.
95903..........  TC...........  A              Motor nerve conduction       0.00        0.25       0.26        0.25       0.26      0.02        0.27       0.28        0.27       0.28       XXX
                                                test.
95904..........  .............  A              Sense/mixed n                0.34        0.36       0.49        0.36       0.49      0.03        0.73       0.86        0.73       0.86       XXX
                                                conduction tst.
95904..........  26...........  A              Sense/mixed n                0.34        0.14       0.26        0.14       0.26      0.01        0.49       0.61        0.49       0.61       XXX
                                                conduction tst.
95904..........  TC...........  A              Sense/mixed n                0.00        0.22       0.23        0.22       0.23      0.02        0.24       0.25        0.24       0.25       XXX
                                                conduction tst.
95920..........  .............  A              Intraop nerve test add-      2.11        2.23       2.57        2.23       2.57      0.15        4.49       4.83        4.49       4.83       ZZZ
                                                on.
95920..........  26...........  A              Intraop nerve test add-      2.11        0.92       1.24        0.92       1.24      0.09        3.12       3.44        3.12       3.44       ZZZ
                                                on.
95920..........  TC...........  A              Intraop nerve test add-      0.00        1.31       1.33        1.31       1.33      0.06        1.37       1.39        1.37       1.39       ZZZ
                                                on.
95921..........  .............  A              Autonomic nerv               0.90        0.70       0.73        0.70       0.73      0.05        1.65       1.68        1.65       1.68       XXX
                                                function test.
95921..........  26...........  A              Autonomic nerv               0.90        0.32       0.34        0.32       0.34      0.03        1.25       1.27        1.25       1.27       XXX
                                                function test.
95921..........  TC...........  A              Autonomic nerv               0.00        0.38       0.39        0.38       0.39      0.02        0.40       0.41        0.40       0.41       XXX
                                                function test.
95922..........  .............  A              Autonomic nerv               0.96        0.76       0.77        0.76       0.77      0.06        1.78       1.79        1.78       1.79       XXX
                                                function test.
95922..........  26...........  A              Autonomic nerv               0.96        0.38       0.38        0.38       0.38      0.04        1.38       1.38        1.38       1.38       XXX
                                                function test.
95922..........  TC...........  A              Autonomic nerv               0.00        0.38       0.39        0.38       0.39      0.02        0.40       0.41        0.40       0.41       XXX
                                                function test.
95923..........  .............  A              Autonomic nerv               0.90        3.01       1.88        3.01       1.88      0.06        3.97       2.84        3.97       2.84       XXX
                                                function test.
95923..........  26...........  A              Autonomic nerv               0.90        0.36       0.36        0.36       0.36      0.04        1.30       1.30        1.30       1.30       XXX
                                                function test.
95923..........  TC...........  A              Autonomic nerv               0.00        2.65       1.52        2.65       1.52      0.02        2.67       1.54        2.67       1.54       XXX
                                                function test.
95925..........  .............  A              Somatosensory testing.       0.54        1.13       1.39        1.13       1.39      0.07        1.74       2.00        1.74       2.00       XXX
95925..........  26...........  A              Somatosensory testing.       0.54        0.22       0.46        0.22       0.46      0.02        0.78       1.02        0.78       1.02       XXX
95925..........  TC...........  A              Somatosensory testing.       0.00        0.91       0.93        0.91       0.93      0.05        0.96       0.98        0.96       0.98       XXX
95926..........  .............  A              Somatosensory testing.       0.54        1.14       1.39        1.14       1.39      0.07        1.75       2.00        1.75       2.00       XXX
95926..........  26...........  A              Somatosensory testing.       0.54        0.23       0.46        0.23       0.46      0.02        0.79       1.02        0.79       1.02       XXX
95926..........  TC...........  A              Somatosensory testing.       0.00        0.91       0.93        0.91       0.93      0.05        0.96       0.98        0.96       0.98       XXX
95927..........  .............  A              Somatosensory testing.       0.54        1.17       1.41        1.17       1.41      0.07        1.78       2.02        1.78       2.02       XXX
95927..........  26...........  A              Somatosensory testing.       0.54        0.26       0.48        0.26       0.48      0.02        0.82       1.04        0.82       1.04       XXX
95927..........  TC...........  A              Somatosensory testing.       0.00        0.91       0.93        0.91       0.93      0.05        0.96       0.98        0.96       0.98       XXX
95930..........  .............  A              Visual evoked                0.35        0.79       0.85        0.79       0.85      0.02        1.16       1.22        1.16       1.22       XXX
                                                potential test.
95930..........  26...........  A              Visual evoked                0.35        0.14       0.39        0.14       0.39      0.01        0.50       0.75        0.50       0.75       XXX
                                                potential test.
95930..........  TC...........  A              Visual evoked                0.00        0.65       0.46        0.65       0.46      0.01        0.66       0.47        0.66       0.47       XXX
                                                potential test.
95933..........  .............  A              Blink reflex test.....       0.59        1.01       1.18        1.01       1.18      0.07        1.67       1.84        1.67       1.84       XXX
95933..........  26...........  A              Blink reflex test.....       0.59        0.22       0.38        0.22       0.38      0.02        0.83       0.99        0.83       0.99       XXX
95933..........  TC...........  A              Blink reflex test.....       0.00        0.79       0.80        0.79       0.80      0.05        0.84       0.85        0.84       0.85       XXX
95934..........  .............  A              H-reflex test.........       0.51        0.43       0.52        0.43       0.52      0.04        0.98       1.07        0.98       1.07       XXX
95934..........  26...........  A              H-reflex test.........       0.51        0.22       0.30        0.22       0.30      0.02        0.75       0.83        0.75       0.83       XXX
95934..........  TC...........  A              H-reflex test.........       0.00        0.21       0.22        0.21       0.22      0.02        0.23       0.24        0.23       0.24       XXX
95936..........  .............  A              H-reflex test.........       0.55        0.44       0.52        0.44       0.52      0.04        1.03       1.11        1.03       1.11       XXX
95936..........  26...........  A              H-reflex test.........       0.55        0.23       0.30        0.23       0.30      0.02        0.80       0.87        0.80       0.87       XXX
95936..........  TC...........  A              H-reflex test.........       0.00        0.21       0.22        0.21       0.22      0.02        0.23       0.24        0.23       0.24       XXX
95937..........  .............  A              Neuromuscular junction       0.65        0.59       0.72        0.59       0.72      0.05        1.29       1.42        1.29       1.42       XXX
                                                test.
95937..........  26...........  A              Neuromuscular junction       0.65        0.25       0.37        0.25       0.37      0.03        0.93       1.05        0.93       1.05       XXX
                                                test.
95937..........  TC...........  A              Neuromuscular junction       0.00        0.34       0.35        0.34       0.35      0.02        0.36       0.37        0.36       0.37       XXX
                                                test.
95950..........  .............  A              Ambulatory eeg               1.51        3.68       5.77        3.68       5.77      0.44        5.63       7.72        5.63       7.72       XXX
                                                monitoring.
95950..........  26...........  A              Ambulatory eeg               1.51        0.61       0.96        0.61       0.96      0.07        2.19       2.54        2.19       2.54       XXX
                                                monitoring.
95950..........  TC...........  A              Ambulatory eeg               0.00        3.07       4.81        3.07       4.81      0.37        3.44       5.18        3.44       5.18       XXX
                                                monitoring.
95951..........  .............  A              EEG monitoring/              6.00       22.41      16.00       22.41      16.00      0.63       29.04      22.63       29.04      22.63       XXX
                                                videorecord.
95951..........  26...........  A              EEG monitoring/              6.00        2.43       2.03        2.43       2.03      0.24        8.67       8.27        8.67       8.27       XXX
                                                videorecord.
95951..........  TC...........  A              EEG monitoring/              0.00       19.98      13.97       19.98      13.97      0.39       20.37      14.36       20.37      14.36       XXX
                                                videorecord.
95953..........  .............  A              EEG monitoring/              3.08        7.61       7.74        7.61       7.74      0.49       11.18      11.31       11.18      11.31       XXX
                                                computer.
95953..........  26...........  A              EEG monitoring/              3.08        1.25       1.28        1.25       1.28      0.12        4.45       4.48        4.45       4.48       XXX
                                                computer.
95953..........  TC...........  A              EEG monitoring/              0.00        6.36       6.46        6.36       6.46      0.37        6.73       6.83        6.73       6.83       XXX
                                                computer.
95954..........  .............  A              EEG monitoring/giving        2.45        3.56       3.04        3.56       3.04      0.15        6.16       5.64        6.16       5.64       XXX
                                                drugs.
95954..........  TC...........  A              EEG monitoring/giving        0.00        2.55       1.52        2.55       1.52      0.05        2.60       1.57        2.60       1.57       XXX
                                                drugs.
95954..........  26...........  A              EEG monitoring/giving        2.45        1.01       1.52        1.01       1.52      0.10        3.56       4.07        3.56       4.07       XXX
                                                drugs.
95955..........  .............  A              EEG during surgery....       1.01        2.32       2.74        2.32       2.74      0.19        3.52       3.94        3.52       3.94       XXX
95955..........  26...........  A              EEG during surgery....       1.01        0.35       0.74        0.35       0.74      0.05        1.41       1.80        1.41       1.80       XXX
95955..........  TC...........  A              EEG during surgery....       0.00        1.97       2.00        1.97       2.00      0.14        2.11       2.14        2.11       2.14       XXX
95956..........  .............  A              Eeg monitoring, cable/       3.08       24.27      16.23       24.27      16.23      0.49       27.84      19.80       27.84      19.80       XXX
                                                radio.
95956..........  26...........  A              Eeg monitoring, cable/       3.08        1.25       1.44        1.25       1.44      0.12        4.45       4.64        4.45       4.64       XXX
                                                radio.
95956..........  TC...........  A              Eeg monitoring, cable/       0.00       23.02      14.79       23.02      14.79      0.37       23.39      15.16       23.39      15.16       XXX
                                                radio.
95957..........  .............  A              EEG digital analysis..       1.98        2.52       2.49        2.52       2.49      0.18        4.68       4.65        4.68       4.65       XXX
95957..........  26...........  A              EEG digital analysis..       1.98        0.81       0.75        0.81       0.75      0.08        2.87       2.81        2.87       2.81       XXX
95957..........  TC...........  A              EEG digital analysis..       0.00        1.71       1.74        1.71       1.74      0.10        1.81       1.84        1.81       1.84       XXX
95958..........  .............  A              EEG monitoring/              4.25        3.38       4.35        3.38       4.35      0.27        7.90       8.87        7.90       8.87       XXX
                                                function test.
95958..........  26...........  A              EEG monitoring/              4.25        1.63       2.57        1.63       2.57      0.16        6.04       6.98        6.04       6.98       XXX
                                                function test.
95958..........  TC...........  A              EEG monitoring/              0.00        1.75       1.78        1.75       1.78      0.11        1.86       1.89        1.86       1.89       XXX
                                                function test.
95961..........  .............  A              Electrode stimulation,       2.97        2.60       2.75        2.60       2.75      0.17        5.74       5.89        5.74       5.89       XXX
                                                brain.
95961..........  26...........  A              Electrode stimulation,       2.97        1.29       1.42        1.29       1.42      0.11        4.37       4.50        4.37       4.50       XXX
                                                brain.
95961..........  TC...........  A              Electrode stimulation,       0.00        1.31       1.33        1.31       1.33      0.06        1.37       1.39        1.37       1.39       XXX
                                                brain.
95962..........  .............  A              Electrode stim, brain        3.21        2.66       2.78        2.66       2.78      0.19        6.06       6.18        6.06       6.18       ZZZ
                                                add-on.
95962..........  26...........  A              Electrode stim, brain        3.21        1.35       1.45        1.35       1.45      0.13        4.69       4.79        4.69       4.79       ZZZ
                                                add-on.
95962..........  TC...........  A              Electrode stim, brain        0.00        1.31       1.33        1.31       1.33      0.06        1.37       1.39        1.37       1.39       ZZZ
                                                add-on.
95970..........  .............  A              Analyze neurostim, no        0.45        0.15       0.15        0.13       0.13      0.03        0.63       0.63        0.61       0.61       XXX
                                                prog.
95971..........  .............  A              Analyze neurostim,           0.78        0.27       0.27        0.22       0.22      0.05        1.10       1.10        1.05       1.05       XXX
                                                simple.
95972..........  .............  A              Analyze neurostim,           1.50        0.52       0.52        0.43       0.43      0.09        2.11       2.11        2.02       2.02       XXX
                                                complex.
95973..........  .............  A              Analyze neurostim,           0.92        0.32       0.32        0.26       0.26      0.06        1.30       1.30        1.24       1.24       ZZZ
                                                complex.
95974..........  .............  A              Cranial neurostim,           3.00        1.03       1.03        0.90       0.90      0.16        4.19       4.19        4.06       4.06       XXX
                                                complex.
95975..........  .............  A              Cranial neurostim,           1.70        0.60       0.60        0.55       0.55      0.09        2.39       2.39        2.34       2.34       ZZZ
                                                complex.
[[Page 59556]]
95999..........  .............  C              Neurological procedure       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
96100..........  .............  A              Psychological testing.       0.00        1.77       1.80        1.77       1.80      0.15        1.92       1.95        1.92       1.95       XXX
96105..........  .............  A              Assessment of aphasia.       0.00        1.77       1.80        1.77       1.80      0.15        1.92       1.95        1.92       1.95       XXX
96110..........  .............  C              Developmental test,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                lim.
96111..........  .............  A              Developmental test,          0.00        1.77       1.80        1.77       1.80      0.15        1.92       1.95        1.92       1.95       XXX
                                                extend.
96115..........  .............  A              Neurobehavior status         0.00        1.77       1.80        1.77       1.80      0.15        1.92       1.95        1.92       1.95       XXX
                                                exam.
96117..........  .............  A              Neuropsych test              0.00        1.77       1.80        1.77       1.80      0.15        1.92       1.95        1.92       1.95       XXX
                                                battery.
96400..........  .............  A              Chemotherapy, sc/im...       0.00        0.14       0.14        0.14       0.14      0.01        0.15       0.15        0.15       0.15       XXX
96405..........  .............  A              Intralesional chemo          0.52        1.71       1.06        0.24       0.23      0.02        2.25       1.60        0.78       0.77       000
                                                admin.
96406..........  .............  A              Intralesional chemo          0.80        2.15       1.38        0.25       0.28      0.02        2.97       2.20        1.07       1.10       000
                                                admin.
96408..........  .............  A              Chemotherapy, push           0.00        0.97       0.99        0.97       0.99      0.05        1.02       1.04        1.02       1.04       XXX
                                                technique.
96410..........  .............  A              Chemotherapy, infusion       0.00        1.55       1.58        1.55       1.58      0.07        1.62       1.65        1.62       1.65       XXX
                                                method.
96412..........  .............  A              Chemo, infuse method         0.00        1.16       1.18        1.16       1.18      0.06        1.22       1.24        1.22       1.24       ZZZ
                                                add-on.
96414..........  .............  A              Chemo, infuse method         0.00        1.34       1.36        1.34       1.36      0.07        1.41       1.43        1.41       1.43       XXX
                                                add-on.
96420..........  .............  A              Chemotherapy, push           0.00        1.25       1.27        1.25       1.27      0.07        1.32       1.34        1.32       1.34       XXX
                                                technique.
96422..........  .............  A              Chemotherapy, infusion       0.00        1.23       1.25        1.23       1.25      0.07        1.30       1.32        1.30       1.32       XXX
                                                method.
96423..........  .............  A              Chemo, infuse method         0.00        0.49       0.50        0.49       0.50      0.02        0.51       0.52        0.51       0.52       ZZZ
                                                add-on.
96425..........  .............  A              Chemotherapy, infusion       0.00        1.44       1.46        1.44       1.46      0.07        1.51       1.53        1.51       1.53       XXX
                                                method.
96440..........  .............  A              Chemotherapy,                2.37        7.08       3.98        0.82       0.85      0.09        9.54       6.44        3.28       3.31       000
                                                intracavitary.
96445..........  .............  A              Chemotherapy,                2.20        7.22       4.14        0.84       0.69      0.07        9.49       6.41        3.11       2.96       000
                                                intracavitary.
96450..........  .............  A              Chemotherapy, into CNS       1.89        5.54       3.24        0.72       0.60      0.06        7.49       5.19        2.67       2.55       000
96520..........  .............  A              Pump refilling,              0.00        0.89       0.91        0.89       0.91      0.05        0.94       0.96        0.94       0.96       XXX
                                                maintenance.
96530..........  .............  A              Pump refilling,              0.00        1.07       1.09        1.07       1.09      0.05        1.12       1.14        1.12       1.14       XXX
                                                maintenance.
96542..........  .............  A              Chemotherapy injection       1.42        3.46       2.32        0.54       0.57      0.04        4.92       3.78        2.00       2.03       XXX
96545..........  .............  B              Provide chemotherapy         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                agent.
96549..........  .............  C              Chemotherapy,                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                unspecified.
96570..........  .............  A              Photodynamic tx, 30          1.10        0.71       0.71        0.43       0.43      0.28        2.09       2.09        1.81       1.81       000
                                                min.
96571..........  .............  A              Photodynamic tx, addl        0.55        0.31       0.31        0.21       0.21      0.28        1.14       1.14        1.04       1.04       000
                                                15 min.
96900..........  .............  A              Ultraviolet light            0.00        0.40       0.41        0.40       0.41      0.02        0.42       0.43        0.42       0.43       XXX
                                                therapy.
96902..........  .............  B              Trichogram............      +0.41        0.23       0.27        0.16       0.24      0.01        0.65       0.69        0.58       0.66       XXX
96910..........  .............  A              Photochemotherapy with       0.00        0.58       0.59        0.58       0.59      0.03        0.61       0.62        0.61       0.62       XXX
                                                UV-B.
96912..........  .............  A              Photochemotherapy with       0.00        0.66       0.67        0.66       0.67      0.04        0.70       0.71        0.70       0.71       XXX
                                                UV-A.
96913..........  .............  A              Photochemotherapy, UV-       0.00        1.36       1.38        1.36       1.38      0.08        1.44       1.46        1.44       1.46       XXX
                                                A or B.
96999..........  .............  C              Dermatological               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedure.
97001..........  .............  A              Pt evaluation.........       1.20        0.50       0.44        0.49       0.44      0.05        1.75       1.69        1.74       1.69       XXX
97002..........  .............  A              Pt re-evaluation......       0.60        0.32       0.18        0.24       0.14      0.02        0.94       0.80        0.86       0.76       XXX
97003..........  .............  A              Ot evaluation.........       1.20        0.50       0.44        0.39       0.39      0.05        1.75       1.69        1.64       1.64       XXX
97004..........  .............  A              Ot re-evaluation......       0.60        0.29       0.17        0.19       0.12      0.02        0.91       0.79        0.81       0.74       XXX
97010..........  .............  B              Hot or cold packs           +0.06        0.21       0.22        0.01       0.12      0.01        0.28       0.29        0.08       0.19       XXX
                                                therapy.
97012..........  .............  A              Mechanical traction          0.25        0.23       0.22        0.04       0.13      0.01        0.49       0.48        0.30       0.39       XXX
                                                therapy.
97014..........  .............  A              Electric stimulation         0.18        0.22       0.22        0.03       0.13      0.01        0.41       0.41        0.22       0.32       XXX
                                                therapy.
97016..........  .............  A              Vasopneumatic device         0.18        0.22       0.25        0.03       0.15      0.01        0.41       0.44        0.22       0.34       XXX
                                                therapy.
97018..........  .............  A              Paraffin bath therapy.       0.06        0.20       0.23        0.01       0.14      0.01        0.27       0.30        0.08       0.21       XXX
97020..........  .............  A              Microwave therapy.....       0.06        0.21       0.22        0.01       0.12      0.01        0.28       0.29        0.08       0.19       XXX
97022..........  .............  A              Whirlpool therapy.....       0.17        0.25       0.23        0.02       0.12      0.01        0.43       0.41        0.20       0.30       XXX
97024..........  .............  A              Diathermy treatment...       0.06        0.21       0.22        0.01       0.12      0.01        0.28       0.29        0.08       0.19       XXX
97026..........  .............  A              Infrared therapy......       0.06        0.20       0.21        0.01       0.11      0.01        0.27       0.28        0.08       0.18       XXX
97028..........  .............  A              Ultraviolet therapy...       0.08        0.20       0.21        0.01       0.11      0.01        0.29       0.30        0.10       0.20       XXX
97032..........  .............  A              Electrical stimulation       0.25        0.25       0.20        0.04       0.10      0.01        0.51       0.46        0.30       0.36       XXX
97033..........  .............  A              Electric current             0.26        0.27       0.21        0.04       0.10      0.01        0.54       0.48        0.31       0.37       XXX
                                                therapy.
97034..........  .............  A              Contrast bath therapy.       0.21        0.24       0.18        0.03       0.07      0.01        0.46       0.40        0.25       0.29       XXX
97035..........  .............  A              Ultrasound therapy....       0.21        0.12       0.12        0.03       0.08      0.01        0.34       0.34        0.25       0.30       XXX
97036..........  .............  A              Hydrotherapy..........       0.28        0.30       0.27        0.04       0.14      0.01        0.59       0.56        0.33       0.43       XXX
97039..........  .............  A              Physical therapy             0.20        0.24       0.25        0.03       0.15      0.01        0.45       0.46        0.24       0.36       XXX
                                                treatment.
97110..........  .............  A              Therapeutic exercises.       0.45        0.19       0.17        0.06       0.10      0.02        0.66       0.64        0.53       0.57       XXX
97112..........  .............  A              Neuromuscular                0.45        0.26       0.20        0.06       0.10      0.02        0.73       0.67        0.53       0.57       XXX
                                                reeducation.
97113..........  .............  A              Aquatic therapy/             0.44        0.28       0.25        0.06       0.14      0.02        0.74       0.71        0.52       0.60       XXX
                                                exercises.
97116..........  .............  A              Gait training therapy.       0.40        0.26       0.19        0.06       0.09      0.01        0.67       0.60        0.47       0.50       XXX
97124..........  .............  A              Massage therapy.......       0.35        0.25       0.19        0.05       0.09      0.01        0.61       0.55        0.41       0.45       XXX
97139..........  .............  A              Physical medicine            0.21        0.23       0.20        0.03       0.10      0.01        0.45       0.42        0.25       0.32       XXX
                                                procedure.
97140..........  .............  A              Manual therapy........       0.43        0.28       0.28        0.06       0.06      0.02        0.73       0.73        0.51       0.51       XXX
97150..........  .............  A              Group therapeutic            0.27        0.23       0.23        0.04       0.13      0.02        0.52       0.52        0.33       0.42       XXX
                                                procedures.
97504..........  .............  A              Orthotic training.....       0.45        0.24       0.20        0.06       0.11      0.03        0.72       0.68        0.54       0.59       XXX
97520..........  .............  A              Prosthetic training...       0.45        0.26       0.21        0.06       0.11      0.02        0.73       0.68        0.53       0.58       XXX
97530..........  .............  A              Therapeutic activities       0.44        0.16       0.17        0.06       0.12      0.02        0.62       0.63        0.52       0.58       XXX
97535..........  .............  A              Self care mngment            0.45        0.26       0.22        0.06       0.12      0.02        0.73       0.69        0.53       0.59       XXX
                                                training.
97537..........  .............  A              Community/work               0.45        0.26       0.22        0.06       0.12      0.01        0.72       0.68        0.52       0.58       XXX
                                                reintegration.
97542..........  .............  A              Wheelchair mngment           0.25        0.23       0.21        0.04       0.11      0.01        0.49       0.47        0.30       0.37       XXX
                                                training.
97545..........  .............  R              Work hardening........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
97546..........  .............  R              Work hardening add-on.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       ZZZ
97703..........  .............  A              Prosthetic checkout...       0.25        0.12       0.16        0.04       0.12      0.01        0.38       0.42        0.30       0.38       XXX
97750..........  .............  A              Physical performance         0.45        0.22       0.24        0.06       0.16      0.02        0.69       0.71        0.53       0.63       XXX
                                                test.
97770..........  .............  A              Cognitive skills             0.44        0.23       0.27        0.06       0.18      0.01        0.68       0.72        0.51       0.63       XXX
                                                development.
97780..........  .............  N              Acupuncture w/o stimul       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
97781..........  .............  N              Acupuncture w/stimul..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
97799..........  .............  C              Physical medicine            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedure.
98925..........  .............  A              Osteopathic                  0.45        0.35       0.31        0.15       0.21      0.02        0.82       0.78        0.62       0.68       000
                                                manipulation.
98926..........  .............  A              Osteopathic                  0.65        0.41       0.42        0.25       0.34      0.02        1.08       1.09        0.92       1.01       000
                                                manipulation.
98927..........  .............  A              Osteopathic                  0.87        0.50       0.46        0.30       0.36      0.03        1.40       1.36        1.20       1.26       000
                                                manipulation.
98928..........  .............  A              Osteopathic                  1.03        0.56       0.51        0.34       0.40      0.03        1.62       1.57        1.40       1.46       000
                                                manipulation.
98929..........  .............  A              Osteopathic                  1.19        0.63       0.53        0.37       0.40      0.04        1.86       1.76        1.60       1.63       000
                                                manipulation.
[[Page 59557]]
98940..........  .............  A              Chiropractic                 0.45        0.24       0.28        0.12       0.14      0.01        0.70       0.74        0.58       0.60       000
                                                manipulation.
98941..........  .............  A              Chiropractic                 0.65        0.29       0.30        0.17       0.17      0.02        0.96       0.97        0.84       0.84       000
                                                manipulation.
98942..........  .............  A              Chiropractic                 0.87        0.35       0.33        0.23       0.20      0.03        1.25       1.23        1.13       1.10       000
                                                manipulation.
98943..........  .............  N              Chiropractic                +0.40        0.35       0.33        0.15       0.23      0.01        0.76       0.74        0.56       0.64       XXX
                                                manipulation.
99000..........  .............  B              Specimen handling.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
99001..........  .............  B              Specimen handling.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
99002..........  .............  B              Device handling.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
99024..........  .............  B              Postop follow-up visit       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
99025..........  .............  B              Initial surgical             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                evaluation.
99050..........  .............  B              Medical services after       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                hrs.
99052..........  .............  B              Medical services at          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                night.
99054..........  .............  B              Medical servcs,              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                unusual hrs.
99056..........  .............  B              Non-office medical           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                services.
99058..........  .............  B              Office emergency care.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
99070..........  .............  B              Special supplies......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
99071..........  .............  B              Patient education            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                materials.
99075..........  .............  N              Medical testimony.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
99078..........  .............  B              Group health education       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
99080..........  .............  B              Special reports or           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                forms.
99082..........  .............  C              Unusual physician            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                travel.
99090..........  .............  B              Computer data analysis       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
99100..........  .............  B              Special anesthesia           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       ZZZ
                                                service.
99116..........  .............  B              Anesthesia with              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       ZZZ
                                                hypothermia.
99135..........  .............  B              Special anesthesia           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       ZZZ
                                                procedure.
99140..........  .............  B              Emergency anesthesia..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       ZZZ
99141..........  .............  B              Sedation, iv/im or          +0.80        1.77       1.34        0.31       0.61      0.05        2.62       2.19        1.16       1.46       XXX
                                                inhalant.
99142..........  .............  B              Sedation, oral/rectal/      +0.60        1.69       1.18        0.23       0.45      0.04        2.33       1.82        0.87       1.09       XXX
                                                nasal.
99170..........  .............  A              Anogenital exam, child       1.75        1.82       1.82        0.68       0.68      0.11        3.68       3.68        2.54       2.54       000
99173..........  .............  N              Visual screening test.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
99175..........  .............  A              Induction of vomiting.       0.00        1.40       1.42        1.40       1.42      0.08        1.48       1.50        1.48       1.50       XXX
99183..........  .............  A              Hyperbaric oxygen            2.34        0.73       1.27        0.73       1.27      0.12        3.19       3.73        3.19       3.73       XXX
                                                therapy.
99185..........  .............  A              Regional hypothermia..       0.00          NA         NA        0.64       0.65      0.03          NA         NA        0.67       0.68       XXX
99186..........  .............  A              Total body hypothermia       0.00          NA         NA        1.79       1.82      0.38          NA         NA        2.17       2.20       XXX
99190..........  .............  X              Special pump services.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
99191..........  .............  X              Special pump services.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
99192..........  .............  X              Special pump services.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
99195..........  .............  A              Phlebotomy............       0.00        0.45       0.46        0.45       0.46      0.02        0.47       0.48        0.47       0.48       XXX
99199..........  .............  C              Special service/proc/        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                report.
99201..........  .............  A              Office/outpatient            0.45        0.81       0.64        0.16       0.18      0.02        1.28       1.11        0.63       0.65       XXX
                                                visit, new.
99202..........  .............  A              Office/outpatient            0.88        1.06       0.81        0.32       0.29      0.04        1.98       1.73        1.24       1.21       XXX
                                                visit, new.
99203..........  .............  A              Office/outpatient            1.34        1.39       1.02        0.49       0.39      0.07        2.80       2.43        1.90       1.80       XXX
                                                visit, new.
99204..........  .............  A              Office/outpatient            2.00        1.88       1.42        0.72       0.58      0.09        3.97       3.51        2.81       2.67       XXX
                                                visit, new.
99205..........  .............  A              Office/outpatient            2.67        2.12       1.58        0.93       0.70      0.11        4.90       4.36        3.71       3.48       XXX
                                                visit, new.
99211..........  .............  A              Office/outpatient            0.17        0.51       0.37        0.06       0.09      0.01        0.69       0.55        0.24       0.27       XXX
                                                visit, est.
99212..........  .............  A              Office/outpatient            0.45        0.59       0.47        0.16       0.16      0.02        1.06       0.94        0.63       0.63       XXX
                                                visit, est.
99213..........  .............  A              Office/outpatient            0.67        0.72       0.60        0.23       0.22      0.02        1.41       1.29        0.92       0.91       XXX
                                                visit, est.
99214..........  .............  A              Office/outpatient            1.10        1.07       0.85        0.39       0.33      0.04        2.21       1.99        1.53       1.47       XXX
                                                visit, est.
99215..........  .............  A              Office/outpatient            1.77        1.32       1.13        0.63       0.52      0.07        3.16       2.97        2.47       2.36       XXX
                                                visit, est.
99217..........  .............  A              Observation care             1.28          NA         NA        0.44       0.50      0.05          NA         NA        1.77       1.83       XXX
                                                discharge.
99218..........  .............  A              Observation care......       1.28          NA         NA        0.44       0.59      0.05          NA         NA        1.77       1.92       XXX
99219..........  .............  A              Observation care......       2.14          NA         NA        0.72       0.93      0.08          NA         NA        2.94       3.15       XXX
99220..........  .............  A              Observation care......       2.99          NA         NA        1.02       1.13      0.11          NA         NA        4.12       4.23       XXX
99221..........  .............  A              Initial hospital care.       1.28          NA         NA        0.45       0.59      0.05          NA         NA        1.78       1.92       XXX
99222..........  .............  A              Initial hospital care.       2.14          NA         NA        0.74       0.94      0.08          NA         NA        2.96       3.16       XXX
99223..........  .............  A              Initial hospital care.       2.99          NA         NA        1.03       1.13      0.11          NA         NA        4.13       4.23       XXX
99231..........  .............  A              Subsequent hospital          0.64          NA         NA        0.23       0.32      0.02          NA         NA        0.89       0.98       XXX
                                                care.
99232..........  .............  A              Subsequent hospital          1.06          NA         NA        0.37       0.43      0.04          NA         NA        1.47       1.53       XXX
                                                care.
99233..........  .............  A              Subsequent hospital          1.51          NA         NA        0.52       0.59      0.05          NA         NA        2.08       2.15       XXX
                                                care.
99234..........  .............  A              Observ/hosp same date.       2.56          NA         NA        0.88       0.81      0.10          NA         NA        3.54       3.47       XXX
99235..........  .............  A              Observ/hosp same date.       3.42          NA         NA        1.16       1.15      0.12          NA         NA        4.70       4.69       XXX
99236..........  .............  A              Observ/hosp same date.       4.27          NA         NA        1.46       1.35      0.14          NA         NA        5.87       5.76       XXX
99238..........  .............  A              Hospital discharge day       1.28          NA         NA        0.44       0.50      0.04          NA         NA        1.76       1.82       XXX
99239..........  .............  A              Hospital discharge day       1.75          NA         NA        0.60       0.58      0.06          NA         NA        2.41       2.39       XXX
99241..........  .............  A              Office consultation...       0.64        0.99       0.84        0.22       0.29      0.04        1.67       1.52        0.90       0.97       XXX
99242..........  .............  A              Office consultation...       1.29        1.41       1.13        0.47       0.45      0.08        2.78       2.50        1.84       1.82       XXX
99243..........  .............  A              Office consultation...       1.72        1.70       1.38        0.64       0.59      0.09        3.51       3.19        2.45       2.40       XXX
99244..........  .............  A              Office consultation...       2.58        2.13       1.73        0.92       0.80      0.11        4.82       4.42        3.61       3.49       XXX
99245..........  .............  A              Office consultation...       3.43        2.50       2.17        1.23       1.08      0.14        6.07       5.74        4.80       4.65       XXX
99251..........  .............  A              Initial inpatient            0.66          NA         NA        0.29       0.51      0.04          NA         NA        0.99       1.21       XXX
                                                consult.
99252..........  .............  A              Initial inpatient            1.32          NA         NA        0.56       0.69      0.08          NA         NA        1.96       2.09       XXX
                                                consult.
99253..........  .............  A              Initial inpatient            1.82          NA         NA        0.75       0.89      0.09          NA         NA        2.66       2.80       XXX
                                                consult.
99254..........  .............  A              Initial inpatient            2.64          NA         NA        1.04       1.17      0.11          NA         NA        3.79       3.92       XXX
                                                consult.
99255..........  .............  A              Initial inpatient            3.65          NA         NA        1.40       1.55      0.15          NA         NA        5.20       5.35       XXX
                                                consult.
99261..........  .............  A              Follow-up inpatient          0.42          NA         NA        0.20       0.28      0.02          NA         NA        0.64       0.72       XXX
                                                consult.
99262..........  .............  A              Follow-up inpatient          0.85          NA         NA        0.36       0.43      0.03          NA         NA        1.24       1.31       XXX
                                                consult.
99263..........  .............  A              Follow-up inpatient          1.27          NA         NA        0.51       0.62      0.05          NA         NA        1.83       1.94       XXX
                                                consult.
99271..........  .............  A              Confirmatory                 0.45        0.59       0.61        0.19       0.26      0.02        1.06       1.08        0.66       0.73       XXX
                                                consultation.
99272..........  .............  A              Confirmatory                 0.84        0.78       0.78        0.36       0.38      0.05        1.67       1.67        1.25       1.27       XXX
                                                consultation.
99273..........  .............  A              Confirmatory                 1.19        1.02       1.07        0.50       0.53      0.07        2.28       2.33        1.76       1.79       XXX
                                                consultation.
99274..........  .............  A              Confirmatory                 1.73        1.33       1.33        0.71       0.69      0.09        3.15       3.15        2.53       2.51       XXX
                                                consultation.
99275..........  .............  A              Confirmatory                 2.31        1.54       1.72        0.88       1.39      0.10        3.95       4.13        3.29       3.80       XXX
                                                consultation.
[[Page 59558]]
99281..........  .............  A              Emergency dept visit..       0.33          NA         NA        0.09       0.20      0.02          NA         NA        0.44       0.55       XXX
99282..........  .............  A              Emergency dept visit..       0.55          NA         NA        0.15       0.28      0.03          NA         NA        0.73       0.86       XXX
99283..........  .............  A              Emergency dept visit..       1.24          NA         NA        0.32       0.43      0.08          NA         NA        1.64       1.75       XXX
99284..........  .............  A              Emergency dept visit..       1.95          NA         NA        0.48       0.62      0.12          NA         NA        2.55       2.69       XXX
99285..........  .............  A              Emergency dept visit..       3.06          NA         NA        0.73       0.98      0.19          NA         NA        3.98       4.23       XXX
99288..........  .............  B              Direct advanced life         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                support.
99291..........  .............  A              Critical care, first         3.60        1.38       1.47        1.15       1.35      0.14        5.12       5.21        4.89       5.09       XXX
                                                hour.
99292..........  .............  A              Critical care, addl 30       1.80        0.76       0.72        0.57       0.63      0.08        2.64       2.60        2.45       2.51       ZZZ
                                                min.
99295..........  .............  A              Neonatal critical care      16.00          NA         NA        4.85       5.18      0.62          NA         NA       21.47      21.80       XXX
99296..........  .............  A              Neonatal critical care       8.00          NA         NA        2.60       2.64      0.24          NA         NA       10.84      10.88       XXX
99297..........  .............  A              Neonatal critical care       4.00          NA         NA        1.34       1.34      0.11          NA         NA        5.45       5.45       XXX
99298..........  .............  A              Neonatal critical care       2.75        0.94       0.94        0.92       0.92      0.09        3.78       3.78        3.76       3.76       XXX
99301..........  .............  A              Nursing facility care.       1.20          NA         NA        0.41       0.45      0.04          NA         NA        1.65       1.69       XXX
99302..........  .............  A              Nursing facility care.       1.61          NA         NA        0.54       0.54      0.06          NA         NA        2.21       2.21       XXX
99303..........  .............  A              Nursing facility care.       2.01          NA         NA        0.66       0.85      0.07          NA         NA        2.74       2.93       XXX
99311..........  .............  A              Nursing fac care,            0.60          NA         NA        0.20       0.29      0.02          NA         NA        0.82       0.91       XXX
                                                subseq.
99312..........  .............  A              Nursing fac care,            1.00          NA         NA        0.33       0.39      0.03          NA         NA        1.36       1.42       XXX
                                                subseq.
99313..........  .............  A              Nursing fac care,            1.42          NA         NA        0.47       0.49      0.05          NA         NA        1.94       1.96       XXX
                                                subseq.
99315..........  .............  A              Nursing fac discharge        1.13          NA         NA        0.37       0.46      0.04          NA         NA        1.54       1.63       XXX
                                                day.
99316..........  .............  A              Nursing fac discharge        1.50          NA         NA        0.51       0.53      0.05          NA         NA        2.06       2.08       XXX
                                                day.
99321..........  .............  A              Rest home visit, new         0.71        0.41       0.41        0.32       0.36      0.03        1.15       1.15        1.06       1.10       XXX
                                                patient.
99322..........  .............  A              Rest home visit, new         1.01        0.64       0.60        0.44       0.50      0.04        1.69       1.65        1.49       1.55       XXX
                                                patient.
99323..........  .............  A              Rest home visit, new         1.28        0.87       0.83        0.54       0.67      0.05        2.20       2.16        1.87       2.00       XXX
                                                patient.
99331..........  .............  A              Rest home visit, est         0.60        0.44       0.37        0.31       0.31      0.02        1.06       0.99        0.93       0.93       XXX
                                                pat.
99332..........  .............  A              Rest home visit, est         0.80        0.55       0.47        0.37       0.38      0.03        1.38       1.30        1.20       1.21       XXX
                                                pat.
99333..........  .............  A              Rest home visit, est         1.00        0.67       0.58        0.45       0.47      0.03        1.70       1.61        1.48       1.50       XXX
                                                pat.
99341..........  .............  A              Home visit, new              1.01        0.51       0.55        0.48       0.53      0.04        1.56       1.60        1.53       1.58       XXX
                                                patient.
99342..........  .............  A              Home visit, new              1.52        0.79       0.72        0.59       0.62      0.06        2.37       2.30        2.17       2.20       XXX
                                                patient.
99343..........  .............  A              Home visit, new              2.27        1.21       1.03        1.14       0.99      0.08        3.56       3.38        3.49       3.34       XXX
                                                patient.
99344..........  .............  A              Home visit, new              3.03        1.48       1.20        1.11       1.02      0.10        4.61       4.33        4.24       4.15       XXX
                                                patient.
99345..........  .............  A              Home visit, new              3.79        1.74       1.33        1.34       1.13      0.12        5.65       5.24        5.25       5.04       XXX
                                                patient.
99347..........  .............  A              Home visit, est              0.76        0.45       0.47        0.36       0.43      0.03        1.24       1.26        1.15       1.22       XXX
                                                patient.
99348..........  .............  A              Home visit, est              1.26        0.68       0.63        0.52       0.55      0.04        1.98       1.93        1.82       1.85       XXX
                                                patient.
99349..........  .............  A              Home visit, est              2.02        1.00       0.83        0.79       0.73      0.07        3.09       2.92        2.88       2.82       XXX
                                                patient.
99350..........  .............  A              Home visit, est              3.03        1.36       1.09        1.10       0.96      0.10        4.49       4.22        4.23       4.09       XXX
                                                patient.
99354..........  .............  A              Prolonged service,           1.77        1.27       1.05        0.60       0.51      0.06        3.10       2.88        2.43       2.34       ZZZ
                                                office.
99355..........  .............  A              Prolonged service,           1.77        1.14       0.98        0.58       0.50      0.06        2.97       2.81        2.41       2.33       ZZZ
                                                office.
99356..........  .............  A              Prolonged service,           1.71          NA         NA        0.58       0.75      0.06          NA         NA        2.35       2.52       ZZZ
                                                inpatient.
99357..........  .............  A              Prolonged service,           1.71          NA         NA        0.60       0.76      0.07          NA         NA        2.38       2.54       ZZZ
                                                inpatient.
99358..........  .............  B              Prolonged serv, w/o          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       ZZZ
                                                contact.
99359..........  .............  B              Prolonged serv, w/o          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       ZZZ
                                                contact.
99360..........  .............  X              Physician standby            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                services.
99361..........  .............  B              Physician/team               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                conference.
99362..........  .............  B              Physician/team               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                conference.
99371..........  .............  B              Physician phone              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                consultation.
99372..........  .............  B              Physician phone              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                consultation.
99373..........  .............  B              Physician phone              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                consultation.
99374..........  .............  B              Home health care            +1.10        1.29       0.92        0.43       0.49      0.04        2.43       2.06        1.57       1.63       XXX
                                                supervision.
99375..........  .............  A              Home health care             1.73        1.30       0.93        0.60       0.58      0.06        3.09       2.72        2.39       2.37       XXX
                                                supervision.
99377..........  .............  B              Hospice care                +1.10        1.29       0.92        0.43       0.49      0.04        2.43       2.06        1.57       1.63       XXX
                                                supervision.
99378..........  .............  A              Hospice care                 1.73        1.50       1.03        0.58       0.57      0.06        3.29       2.82        2.37       2.36       XXX
                                                supervision.
99379..........  .............  B              Nursing fac care            +1.10        1.29       0.92        0.43       0.49      0.04        2.43       2.06        1.57       1.63       XXX
                                                supervision.
99380..........  .............  B              Nursing fac care            +1.73        1.53       1.04        0.67       0.61      0.06        3.32       2.83        2.46       2.40       XXX
                                                supervision.
99381..........  .............  N              Prev visit, new,            +1.19        1.33       1.33        0.46       0.90      0.18        2.70       2.70        1.83       2.27       XXX
                                                infant.
99382..........  .............  N              Prev visit, new, age 1-     +1.36        1.37       1.45        0.53       1.03      0.04        2.77       2.85        1.93       2.43       XXX
                                                4.
99383..........  .............  N              Prev visit, new, age 5-     +1.36        1.33       1.43        0.53       1.03      0.04        2.73       2.83        1.93       2.43       XXX
                                                11.
99384..........  .............  N              Prev visit, new, age        +1.53        1.40       1.57        0.59       1.16      0.05        2.98       3.15        2.17       2.74       XXX
                                                12-17.
99385..........  .............  N              Prev visit, new, age        +1.53        1.41       1.47        0.59       1.06      0.05        2.99       3.05        2.17       2.64       XXX
                                                18-39.
99386..........  .............  N              Prev visit, new, age        +1.88        1.59       1.73        0.73       1.30      0.06        3.53       3.67        2.67       3.24       XXX
                                                40-64.
99387..........  .............  N              Prev visit, new, 65 &       +2.06        1.71       1.88        0.80       1.42      0.06        3.83       4.00        2.92       3.54       XXX
                                                over.
99391..........  .............  N              Prev visit, est,            +1.02        0.91       1.03        0.39       0.77      0.15        2.08       2.20        1.56       1.94       XXX
                                                infant.
99392..........  .............  N              Prev visit, est, age 1-     +1.19        0.98       1.16        0.46       0.90      0.04        2.21       2.39        1.69       2.13       XXX
                                                4.
99393..........  .............  N              Prev visit, est, age 5-     +1.19        0.96       1.15        0.46       0.90      0.04        2.19       2.38        1.69       2.13       XXX
                                                11.
99394..........  .............  N              Prev visit, est, age        +1.36        1.04       1.29        0.53       1.03      0.04        2.44       2.69        1.93       2.43       XXX
                                                12-17.
99395..........  .............  N              Prev visit, est, age        +1.36        1.07       1.22        0.53       0.95      0.04        2.47       2.62        1.93       2.35       XXX
                                                18-39.
99396..........  .............  N              Prev visit, est, age        +1.53        1.16       1.34        0.59       1.06      0.05        2.74       2.92        2.17       2.64       XXX
                                                40-64.
99397..........  .............  N              Prev visit, est, 65 &       +1.71        1.25       1.47        0.66       1.18      0.05        3.01       3.23        2.42       2.94       XXX
                                                over.
99401..........  .............  N              Preventive counseling,      +0.48        0.55       0.52        0.19       0.34      0.01        1.04       1.01        0.68       0.83       XXX
                                                indiv.
99402..........  .............  N              Preventive counseling,      +0.98        0.78       0.88        0.38       0.68      0.03        1.79       1.89        1.39       1.69       XXX
                                                indiv.
99403..........  .............  N              Preventive counseling,      +1.46        1.01       1.23        0.56       1.01      0.04        2.51       2.73        2.06       2.51       XXX
                                                indiv.
99404..........  .............  N              Preventive counseling,      +1.95        1.24       1.59        0.75       1.34      0.05        3.24       3.59        2.75       3.34       XXX
                                                indiv.
99411..........  .............  N              Preventive counseling,      +0.15        0.16       0.16        0.06       0.11      0.01        0.32       0.32        0.22       0.27       XXX
                                                group.
99412..........  .............  N              Preventive counseling,      +0.25        0.22       0.24        0.10       0.18      0.01        0.48       0.50        0.36       0.44       XXX
                                                group.
99420..........  .............  N              Health risk assessment       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
99429..........  .............  N              Unlisted preventive          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                service.
99431..........  .............  A              Initial care, normal         1.17          NA         NA        0.39       0.85      0.04          NA         NA        1.60       2.06       XXX
                                                newborn.
99432..........  .............  A              Newborn care, not in         1.26        0.72       1.07        0.40       0.91      0.04        2.02       2.37        1.70       2.21       XXX
                                                hosp.
99433..........  .............  A              Normal newborn care/         0.62          NA         NA        0.22       0.46      0.02          NA         NA        0.86       1.10       XXX
                                                hospital.
99435..........  .............  A              Newborn discharge day        1.50          NA         NA        0.50       1.09      0.05          NA         NA        2.05       2.64       XXX
                                                hosp.
99436..........  .............  A              Attendance, birth.....       1.50        0.46       1.07        0.46       1.07      0.05        2.01       2.62        2.01       2.62       XXX
99440..........  .............  A              Newborn resuscitation.       2.93          NA         NA        0.98       2.14      0.09          NA         NA        4.00       5.16       XXX
[[Page 59559]]
99450..........  .............  N              Life/disability              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                evaluation.
99455..........  .............  R              Disability examination       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
99456..........  .............  R              Disability examination       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
99499..........  .............  C              Unlisted e&m service..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A0021..........  .............  I              Outside state                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ambulance serv.
A0030..........  .............  X              Air ambulance service.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A0040..........  .............  X              Helicopter ambulance         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                service.
A0050..........  .............  X              Water amb service            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                emergency.
A0080..........  .............  I              Noninterest escort in        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                non er.
A0090..........  .............  I              Interest escort in non       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                er.
A0100..........  .............  I              Nonemergency transport       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                taxi.
A0110..........  .............  I              Nonemergency transport       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                bus.
A0120..........  .............  I              Noner transport mini-        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                bus.
A0130..........  .............  I              Noner transport              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                wheelch van.
A0140..........  .............  I              Nonemergency transport       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                air.
A0160..........  .............  I              Noner transport case         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                worker.
A0170..........  .............  I              Noner transport              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                parking fees.
A0180..........  .............  I              Noner transport lodgng       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                recip.
A0190..........  .............  I              Noner transport meals        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                recip.
A0200..........  .............  I              Noner transport lodgng       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                escrt.
A0210..........  .............  I              Noner transport meals        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                escort.
A0225..........  .............  X              Neonatal emergency           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                transport.
A0300..........  .............  X              Ambulance basic non-         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                emer all.
A0302..........  .............  X              Ambulance basic              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                emergeny all.
A0304..........  .............  X              Amb adv non-er no serv       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                all.
A0306..........  .............  X              Amb adv non-er spec          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                serv all.
A0308..........  .............  X              Amb adv er no spec           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                serv all.
A0310..........  .............  X              Amb adv er spec serv         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                all.
A0320..........  .............  X              Amb basic non-er +           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                supplies.
A0322..........  .............  X              Amb basic emerg +            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                supplies.
A0324..........  .............  X              Adv non-er serv sep          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mileage.
A0326..........  .............  X              Adv non-er no serv sep       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mile.
A0328..........  .............  X              Adv er no serv sep           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mileage.
A0330..........  .............  X              Adv er spec serv sep         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mile.
A0340..........  .............  X              Amb basic non-er +           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mileage.
A0342..........  .............  X              Ambul basic emer +           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mileage.
A0344..........  .............  X              Amb adv non-er no serv       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                +mile.
A0346..........  .............  X              Amb adv non-er serv +        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mile.
A0348..........  .............  X              Adv emer no spec serv        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                + mile.
A0350..........  .............  X              Adv emer spec serv +         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mileage.
A0360..........  .............  X              Basic non-er sep mile        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                & supp.
A0362..........  .............  X              Basic emer sep mile &        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                supply.
A0364..........  .............  X              Adv non-er no serv sep       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mi&su.
A0366..........  .............  X              Adv non-er serv sep          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mil&supp.
A0368..........  .............  X              Adv er no serv sep           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mile&supp.
A0370..........  .............  X              Adv er spec serv sep         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mi&supp.
A0380..........  .............  X              Basic life support           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mileage.
A0382..........  .............  X              Basic support routine        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                suppls.
A0384..........  .............  X              Bls defibrillation           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                supplies.
A0390..........  .............  X              Advanced life support        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mileag.
A0392..........  .............  X              Als defibrillation           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                supplies.
A0394..........  .............  X              Als IV drug therapy          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                supplies.
A0396..........  .............  X              Als esophageal intub         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                suppls.
A0398..........  .............  X              Als routine disposble        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                suppls.
A0420..........  .............  X              Ambulance waiting 1/2        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                hr.
A0422..........  .............  X              Ambulance 02 life            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sustaining.
A0424..........  .............  X              Extra ambulance              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                attendant.
A0888..........  .............  N              Noncovered ambulance         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mileage.
A0999..........  .............  X              Unlisted ambulance           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                service.
A4206..........  .............  I              1 CC sterile                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                syringe&needle.
A4207..........  .............  I              2 CC sterile                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                syringe&needle.
A4208..........  .............  I              3 CC sterile                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                syringe&needle.
A4209..........  .............  I              5+ CC sterile                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                syringe&needle.
A4210..........  .............  N              Nonneedle injection          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                device.
A4211..........  .............  P              Supp for self-adm            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injections.
A4212..........  .............  P              Non coring needle or         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                stylet.
A4213..........  .............  I              20+ CC syringe only...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4214..........  .............  P              30 CC sterile water/         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                saline.
A4215..........  .............  I              Sterile needle........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4220..........  .............  P              Infusion pump refill         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                kit.
A4221..........  .............  X              Maint drug infus cath        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                per wk.
A4222..........  .............  X              Drug infusion pump           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                supplies.
A4230..........  .............  X              Infus insulin pump non       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                needl.
A4231..........  .............  X              Infusion insulin pump        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                needle.
A4232..........  .............  X              Syringe w/needle             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                insulin 3cc.
A4244..........  .............  I              Alcohol or peroxide          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                per pint.
A4245..........  .............  I              Alcohol wipes per box.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4246..........  .............  I              Betadine/phisohex            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                solution.
A4247..........  .............  I              Betadine/iodine swabs/       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                wipes.
A4250..........  .............  N              Urine reagent strips/        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                tablets.
A4253..........  .............  P              Blood glucose/reagent        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                strips.
[[Page 59560]]
A4254..........  .............  X              Battery for glucose          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                monitor.
A4255..........  .............  X              Glucose monitor              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                platforms.
A4256..........  .............  P              Calibrator solution/         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                chips.
A4258..........  .............  P              Lancet device each....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4259..........  .............  P              Lancets per box.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4260..........  .............  N              Levonorgestrel implant       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4261..........  .............  N              Cervical cap                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                contraceptive.
A4262..........  .............  B              Temporary tear duct          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                plug.
A4263..........  .............  A              Permanent tear duct          0.00        0.00       0.52        0.00       0.52      0.00        0.00       0.52        0.00       0.52       XXX
                                                plug.
A4265..........  .............  P              Paraffin..............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4270..........  .............  B              Disposable endoscope         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sheath.
A4280..........  .............  X              Brst prsths adhsv            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                attchmnt.
A4300..........  .............  A              Cath impl vasc access        0.00        0.00       0.52        0.00       0.52      0.00        0.00       0.52        0.00       0.52       XXX
                                                portal.
A4301..........  .............  P              Implantable access           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                syst perc.
A4305..........  .............  P              Drug delivery system         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                <ls-thn-eq>=50 ML.
A4306..........  .............  P              Drug delivery system         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                <=5 ML.
A4310..........  .............  P              Insert tray w/o bag/         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                cath.
A4311..........  .............  P              Catheter w/o bag 2-way       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                latex.
A4312..........  .............  P              Cath w/o bag 2-way           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                silicone.
A4313..........  .............  P              Catheter w/bag 3-way..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4314..........  .............  P              Cath w/drainage 2-way        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                latex.
A4315..........  .............  P              Cath w/drainage 2-way        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                silcne.
A4316..........  .............  P              Cath w/drainage 3-way.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4320..........  .............  P              Irrigation tray.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4321..........  .............  X              Cath therapeutic irrig       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                agent.
A4322..........  .............  P              Irrigation syringe....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4323..........  .............  P              Saline irrigation            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                solution.
A4326..........  .............  P              Male external catheter       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4327..........  .............  P              Fem urinary collect          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                dev cup.
A4328..........  .............  P              Fem urinary collect          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                pouch.
A4329..........  .............  P              External catheter            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                start set.
A4330..........  .............  P              Stool collection pouch       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4335..........  .............  P              Incontinence supply...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4338..........  .............  P              Indwelling catheter          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                latex.
A4340..........  .............  P              Indwelling catheter          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                special.
A4344..........  .............  P              Cath indw foley 2 way        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                silicn.
A4346..........  .............  P              Cath indw foley 3 way.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4347..........  .............  P              Male external catheter       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4351..........  .............  P              Straight tip urine           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                catheter.
A4352..........  .............  P              Coude tip urinary            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                catheter.
A4353..........  .............  X              Intermittent urinary         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                cath.
A4354..........  .............  P              Cath insertion tray w/       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                bag.
A4355..........  .............  P              Bladder irrigation           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                tubing.
A4356..........  .............  P              Ext ureth clmp or            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                compr dvc.
A4357..........  .............  P              Bedside drainage bag..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4358..........  .............  P              Urinary leg bag.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4359..........  .............  P              Urinary suspensory w/o       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                leg b.
A4361..........  .............  P              Ostomy face plate.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4362..........  .............  P              Solid skin barrier....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4363..........  .............  D              Liquid skin barrier...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4364..........  .............  P              Ostomy/cath adhesive..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4365..........  .............  X              Ostomy adhesive              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                remover wipe.
A4367..........  .............  P              Ostomy belt...........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4368..........  .............  X              Ostomy filter.........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4369..........  .............  X              Skin barrier liquid          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                per oz.
A4370..........  .............  X              Skin barrier paste per       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                oz.
A4371..........  .............  X              Skin barrier powder          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                per oz.
A4372..........  .............  X              Skin barrier solid 4x4       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                equiv.
A4373..........  .............  X              Skin barrier with            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                flange.
A4374..........  .............  X              Skin barrier extended        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                wear.
A4375..........  .............  X              Drainable plastic pch        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                w fcpl.
A4376..........  .............  X              Drainable rubber pch w       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                fcplt.
A4377..........  .............  X              Drainable plstic pch w/      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                o fp.
A4378..........  .............  X              Drainable rubber pch w/      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                o fp.
A4379..........  .............  X              Urinary plastic pouch        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                w fcpl.
A4380..........  .............  X              Urinary rubber pouch w       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                fcplt.
A4381..........  .............  X              Urinary plastic pouch        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                w/o fp.
A4382..........  .............  X              Urinary hvy plstc pch        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                w/o fp.
A4383..........  .............  X              Urinary rubber pouch w/      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                o fp.
A4384..........  .............  X              Ostomy faceplt/              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                silicone ring.
A4385..........  .............  X              Ost skn barrier sld          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ext wear.
A4386..........  .............  X              Ost skn barrier w flng       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ex wr.
A4387..........  .............  X              Ost clsd pouch w att         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                st barr.
A4388..........  .............  X              Drainable pch w ex           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                wear barr.
A4389..........  .............  X              Drainable pch w st           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                wear barr.
A4390..........  .............  X              Drainable pch ex wear        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                convex.
A4391..........  .............  X              Urinary pouch w ex           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                wear barr.
A4392..........  .............  X              Urinary pouch w st           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                wear barr.
A4393..........  .............  X              Urine pch w ex wear          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                bar conv.
A4394..........  .............  X              Ostomy pouch liq             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                deodorant.
A4395..........  .............  X              Ostomy pouch solid           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                deodorant.
[[Page 59561]]
A4397..........  .............  P              Irrigation supply            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sleeve.
A4398..........  .............  P              Ostomy irrigation bag.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4399..........  .............  P              Ostomy irrig cone/cath       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                w brs.
A4400..........  .............  P              Ostomy irrigation set.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4402..........  .............  P              Lubricant per ounce...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4404..........  .............  P              Ostomy ring each......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4421..........  .............  P              Ostomy supply misc....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4454..........  .............  P              Tape all types all           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sizes.
A4455..........  .............  P              Adhesive remover per         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ounce.
A4460..........  .............  P              Elastic compression          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                bandage.
A4462..........  .............  X              Abdmnl drssng holder/        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                binder.
A4465..........  .............  P              Non-elastic extremity        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                binder.
A4470..........  .............  P              Gravlee jet washer....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4480..........  .............  P              Vabra aspirator.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4481..........  .............  X              Tracheostoma filter...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4483..........  .............  X              Moisture exchanger....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4490..........  .............  N              Above knee surgical          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                stocking.
A4495..........  .............  N              Thigh length surg            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                stocking.
A4500..........  .............  N              Below knee surgical          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                stocking.
A4510..........  .............  N              Full length surg             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                stocking.
A4550..........  .............  A              Surgical trays........       0.00        0.00       0.52        0.00       0.52      0.00        0.00       0.52        0.00       0.52       XXX
A4554..........  .............  N              Disposable underpads..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4556..........  .............  P              Electrodes, pair......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4557..........  .............  P              Lead wires, pair......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4558..........  .............  P              Conductive paste or          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                gel.
A4560..........  .............  X              Pessary...............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4565..........  .............  X              Slings................       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4570..........  .............  X              Splint................       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4572..........  .............  X              Rib belt..............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4575..........  .............  N              Hyperbaric o2 chamber        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                disps.
A4580..........  .............  X              Cast supplies                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                (plaster).
A4590..........  .............  X              Special casting              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                material.
A4595..........  .............  X              TENS suppl 2 lead per        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                month.
A4611..........  .............  X              Heavy duty battery....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4612..........  .............  X              Battery cables........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4613..........  .............  X              Battery charger.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4614..........  .............  X              Hand-held PEFR meter..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4615..........  .............  X              Cannula nasal.........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4616..........  .............  X              Tubing (oxygen) per          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                foot.
A4617..........  .............  X              Mouth piece...........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4618..........  .............  X              Breathing circuits....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4619..........  .............  X              Face tent.............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4620..........  .............  X              Variable concentration       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mask.
A4621..........  .............  X              Tracheotomy mask or          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                collar.
A4622..........  .............  X              Tracheostomy or              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                larngectomy.
A4623..........  .............  X              Tracheostomy inner           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                cannula.
A4624..........  .............  X              Tracheal suction tube.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4625..........  .............  X              Trach care kit for new       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                trach.
A4626..........  .............  X              Tracheostomy cleaning        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                brush.
A4627..........  .............  N              Spacer bag/reservoir..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4628..........  .............  X              Oropharyngeal suction        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                cath.
A4629..........  .............  X              Tracheostomy care kit.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4630..........  .............  X              Repl bat t.e.n.s. own        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                by pt.
A4631..........  .............  X              Wheelchair battery....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4635..........  .............  X              Underarm crutch pad...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4636..........  .............  X              Handgrip for cane etc.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4637..........  .............  X              Repl tip cane/crutch/        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                walker.
A4640..........  .............  X              Alternating pressure         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                pad.
A4641..........  .............  E              Diagnostic imaging           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                agent.
A4642..........  .............  E              Satumomab pendetide          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                per dose.
A4643..........  .............  E              High dose contrast MRI       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4644..........  .............  E              Contrast 100-199 MGs         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                iodine.
A4645..........  .............  E              Contrast 200-299 MGs         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                iodine.
A4646..........  .............  E              Contrast 300-399 MGs         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                iodine.
A4647..........  .............  B              Supp- paramagnetic           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                contr mat.
A4649..........  .............  P              Surgical supplies.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4650..........  .............  X              Supp esrd centrifuge..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4655..........  .............  X              Esrd syringe/needle...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4660..........  .............  X              Esrd blood pressure          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                device.
A4663..........  .............  X              Esrd blood pressure          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                cuff.
A4670..........  .............  N              Auto blood pressure          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                monitor.
A4680..........  .............  X              Activated carbon             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                filters.
A4690..........  .............  X              Dialyzers.............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4700..........  .............  X              Standard dialysate           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                solution.
A4705..........  .............  X              Bicarb dialysate             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                solution.
A4712..........  .............  X              Sterile water.........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4714..........  .............  X              Treated water for            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                dialysis.
A4730..........  .............  X              Fistula cannulation          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                set dial.
A4735..........  .............  X              Local/topical                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                anesthetics.
A4740..........  .............  X              Esrd shunt accessory..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4750..........  .............  X              Arterial or venous           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                tubing.
[[Page 59562]]
A4755..........  .............  X              Arterial and venous          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                tubing.
A4760..........  .............  X              Standard testing             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                solution.
A4765..........  .............  X              Dialysate concentrate.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4770..........  .............  X              Blood testing supplies       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4771..........  .............  X              Blood clotting time          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                tube.
A4772..........  .............  X              Dextrostick/glucose          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                strips.
A4773..........  .............  X              Hemostix..............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4774..........  .............  X              Ammonia test paper....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4780..........  .............  X              Esrd sterilizing agent       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4790..........  .............  X              Esrd cleansing agents.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4800..........  .............  X              Heparin/antidote             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                dialysis.
A4820..........  .............  X              Supplies hemodialysis        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                kit.
A4850..........  .............  X              Rubber tipped                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                hemostats.
A4860..........  .............  X              Disposable catheter          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                caps.
A4870..........  .............  X              Plumbing/electrical          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                work.
A4880..........  .............  X              Water storage tanks...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4890..........  .............  R              Contracts/repair/            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                maintenance.
A4900..........  .............  X              Capd supply kit.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4901..........  .............  X              Ccpd supply kit.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4905..........  .............  X              Ipd supply kit........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4910..........  .............  X              Esrd nonmedical              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                supplies.
A4912..........  .............  X              Gomco drain bottle....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4913..........  .............  X              Esrd supply...........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4914..........  .............  X              Preparation kit.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4918..........  .............  X              Venous pressure clamp.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4919..........  .............  X              Supp dialysis dialyzer       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                holde.
A4920..........  .............  X              Harvard pressure clamp       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4921..........  .............  X              Measuring cylinder....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A4927..........  .............  X              Gloves................       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A5051..........  .............  P              Pouch clsd w barr            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                attached.
A5052..........  .............  P              Clsd ostomy pouch w/o        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                barr.
A5053..........  .............  P              Clsd ostomy pouch            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                faceplate.
A5054..........  .............  P              Clsd ostomy pouch w/         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                flange.
A5055..........  .............  P              Stoma cap.............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A5061..........  .............  P              Pouch drainable w            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                barrier at.
A5062..........  .............  P              Drnble ostomy pouch w/       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                o barr.
A5063..........  .............  P              Drain ostomy pouch w/        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                flange.
A5064..........  .............  I              Drain ostomy pouch w/        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                fceplte.
A5065..........  .............  I              Drain ostomy pouch on        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                fcplte.
A5071..........  .............  P              Urinary pouch w/             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                barrier.
A5072..........  .............  P              Urinary pouch w/o            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                barrier.
A5073..........  .............  P              Urinary pouch on barr        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                w/flng.
A5074..........  .............  I              Urinary pouch w/             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                faceplate.
A5075..........  .............  I              Urinary pouch on             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                faceplate.
A5081..........  .............  P              Continent stoma plug..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A5082..........  .............  P              Continent stoma              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                catheter.
A5093..........  .............  P              Ostomy accessory             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                convex inse.
A5102..........  .............  P              Bedside drain btl w/wo       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                tube.
A5105..........  .............  P              Urinary suspensory....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A5112..........  .............  P              Urinary leg bag.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A5113..........  .............  P              Latex leg strap.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A5114..........  .............  P              Foam/fabric leg strap.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A5119..........  .............  P              Skin barrier wipes box       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                pr 50.
A5121..........  .............  P              Solid skin barrier 6x6       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A5122..........  .............  P              Solid skin barrier 8x8       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A5123..........  .............  P              Skin barrier with            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                flange.
A5126..........  .............  P              Disk/foam pad +or-           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                adhesive.
A5131..........  .............  P              Appliance cleaner.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A5149..........  .............  P              Incontinence/ostomy          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                supply.
A5200..........  .............  X              Percutaneous catheter        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                anchor.
A5500..........  .............  X              Diab shoe for density        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                insert.
A5501..........  .............  X              Diabetic custom molded       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                shoe.
A5502..........  .............  X              Diabetic shoe density        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                insert.
A5503..........  .............  X              Diabetic shoe w/roller/      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                rockr.
A5504..........  .............  X              Diabetic shoe with           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                wedge.
A5505..........  .............  X              Diab shoe w/metatarsal       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                bar.
A5506..........  .............  X              Diabetic shoe w/off          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                set heel.
A5507..........  .............  X              Modification diabetic        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                shoe.
A5508..........  .............  X              Diabetic deluxe shoe..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A6020..........  .............  P              Collagen wound               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                dressing.
A6025..........  .............  I              Silicone gel sheet,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                each.
A6154..........  .............  P              Wound pouch each......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A6196..........  .............  P              Alginate dressing <=16       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sq in.
A6197..........  .............  P              Alginate drsg <ls-thn-       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq>16 <=48 sq in.
A6198..........  .............  P              alginate dressing <ls-       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                thn-eq> 48 sq in.
A6199..........  .............  P              Alginate drsg wound          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                filler.
A6200..........  .............  X              Compos drsg <=16 no          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                border.
A6201..........  .............  X              Compos drsg <ls-thn-         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq>16<=48 no bdr.
A6202..........  .............  X              Compos drsg <ls-thn-         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq>48 no border.
A6203..........  .............  P              Composite drsg <= 16         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sq in.
A6204..........  .............  P              Composite drsg <ls-thn-      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq>16<=48 sq in.
[[Page 59563]]
A6205..........  .............  P              Composite drsg <ls-thn-      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq> 48 sq in.
A6206..........  .............  P              Contact layer <= 16 sq       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                in.
A6207..........  .............  P              Contact layer <ls-thn-       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq>16<= 48 sq in.
A6208..........  .............  P              Contact layer <ls-thn-       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq> 48 sq in.
A6209..........  .............  P              Foam drsg <=16 sq in w/      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                o bdr.
A6210..........  .............  P              Foam drg <ls-thn-            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq>16<=48 sq in w/o b.
A6211..........  .............  P              Foam drg <ls-thn-eq>         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                48 sq in w/o brdr.
A6212..........  .............  P              Foam drg <=16 sq in w/       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                border.
A6213..........  .............  P              Foam drg <ls-thn-            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq>16<=48 sq in w/bdr.
A6214..........  .............  P              Foam drg <ls-thn-eq>         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                48 sq in w/border.
A6215..........  .............  P              Foam dressing wound          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                filler.
A6216..........  .............  P              Non-sterile gauze<=16        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sq in.
A6217..........  .............  P              Non-sterile gauze<ls-        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                thn-eq>16<=48 sq.
A6218..........  .............  P              Non-sterile gauze <ls-       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                thn-eq> 48 sq in.
A6219..........  .............  P              Gauze <= 16 sq in w/         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                border.
A6220..........  .............  P              Gauze <ls-thn-eq>16          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                <=48 sq in w/bordr.
A6221..........  .............  P              Gauze <ls-thn-eq> 48         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sq in w/border.
A6222..........  .............  P              Gauze <=16 in no w/sal       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                w/o b.
A6223..........  .............  P              Gauze <ls-thn-               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq>16<=48 no w/sal w/
                                                o b.
A6224..........  .............  P              Gauze <ls-thn-eq> 48         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                in no w/sal w/o b.
A6228..........  .............  P              Gauze <= 16 sq in            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                water/sal.
A6229..........  .............  P              Gauze <ls-thn-               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq>16<=48 sq in watr/
                                                sal.
A6230..........  .............  P              Gauze <ls-thn-eq> 48         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sq in water/salne.
A6234..........  .............  P              Hydrocolld drg <=16 w/       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                o bdr.
A6235..........  .............  P              Hydrocolld drg <ls-thn-      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq>16<=48 w/o b.
A6236..........  .............  P              Hydrocolld drg <ls-thn-      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq> 48 in w/o b.
A6237..........  .............  P              Hydrocolld drg <=16 in       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                w/bdr.
A6238..........  .............  P              Hydrocolld drg <ls-thn-      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq>16<=48 w/bdr.
A6239..........  .............  P              Hydrocolld drg <ls-thn-      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq> 48 in w/bdr.
A6240..........  .............  P              Hydrocolld drg filler        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                paste.
A6241..........  .............  P              Hydrocolloid drg             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                filler dry.
A6242..........  .............  P              Hydrogel drg <=16 in w/      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                o bdr.
A6243..........  .............  P              Hydrogel drg <ls-thn-        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq>16<=48 w/o bdr.
A6244..........  .............  P              Hydrogel drg <ls-thn-        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq>48 in w/o bdr.
A6245..........  .............  P              Hydrogel drg <= 16 in        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                w/bdr.
A6246..........  .............  P              Hydrogel drg <ls-thn-        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq>16<=48 in w/b.
A6247..........  .............  P              Hydrogel drg <ls-thn-        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq> 48 sq in w/b.
A6248..........  .............  P              Hydrogel drsg gel            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                filler.
A6250..........  .............  P              Skin seal protect            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                moisturizr.
A6251..........  .............  P              Absorpt drg <=16 sq in       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                w/o b.
A6252..........  .............  P              Absorpt drg <ls-thn-         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq>16 <=48 w/o bdr.
A6253..........  .............  P              Absorpt drg <ls-thn-         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq> 48 sq in w/o b.
A6254..........  .............  P              Absorpt drg <=16 sq in       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                w/bdr.
A6255..........  .............  P              Absorpt drg <ls-thn-         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq>16<=48 in w/bdr.
A6256..........  .............  P              Absorpt drg <ls-thn-         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq> 48 sq in w/bdr.
A6257..........  .............  P              Transparent film <= 16       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sq in.
A6258..........  .............  P              Transparent film <ls-        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                thn-eq>16<=48 in.
A6259..........  .............  P              Transparent film <ls-        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                thn-eq> 48 sq in.
A6260..........  .............  P              Wound cleanser any           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                type/size.
A6261..........  .............  P              Wound filler gel/paste       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                /oz.
A6262..........  .............  P              Wound filler dry form /      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                 gram.
A6263..........  .............  P              Non-sterile elastic          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                gauze/yd.
A6264..........  .............  P              Non-sterile no elastic       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                gauze.
A6265..........  .............  P              Tape per 18 sq inches.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A6266..........  .............  P              Impreg gauze no h20/         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sal/yard.
A6402..........  .............  P              Sterile gauze <= 16 sq       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                in.
A6403..........  .............  P              Sterile gauze<ls-thn-        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq>16 <= 48 sq in.
A6404..........  .............  P              Sterile gauze <ls-thn-       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq> 48 sq in.
A6405..........  .............  P              Sterile elastic gauze /      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                yd.
A6406..........  .............  P              Sterile non-elastic          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                gauze/yd.
A7000..........  .............  X              Disposable canister          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                for pump.
A7001..........  .............  X              Nondisposable pump           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                canister.
A7002..........  .............  X              Tubing used w suction        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                pump.
A7003..........  .............  X              Nebulizer                    0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                administration set.
A7004..........  .............  X              Disposable nebulizer         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sml vol.
A7005..........  .............  X              Nondisposable                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                nebulizer set.
A7006..........  .............  X              Filtered nebulizer           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                admin set.
A7007..........  .............  X              Lg vol nebulizer             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                disposable.
A7008..........  .............  X              Disposable nebulizer         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                prefill.
A7009..........  .............  X              Nebulizer reservoir          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                bottle.
A7010..........  .............  X              Disposable corrugated        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                tubing.
A7011..........  .............  X              Nondispos corrugated         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                tubing.
A7012..........  .............  X              Nebulizer water collec       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                devic.
A7013..........  .............  X              Disposable compressor        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                filter.
A7014..........  .............  X              Compressor nondispos         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                filter.
A7015..........  .............  X              Aerosol mask used w          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                nebulize.
A7016..........  .............  X              Nebulizer dome &             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mouthpiece.
A7017..........  .............  X              Nebulizer not used w         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                oxygen.
A9150..........  .............  E              Misc/exper non-              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                prescript dru.
A9160..........  .............  N              Podiatrist non-covered       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                servi.
A9170..........  .............  N              Chiropractor non-            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                covered ser.
[[Page 59564]]
A9190..........  .............  N              Misc/expe personal           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                comfort i.
A9270..........  .............  N              Non-covered item or          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                service.
A9300..........  .............  N              Exercise equipment....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A9500..........  .............  E              Technetium TC 99m            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sestamibi.
A9502..........  .............  X              Technetium TC99M             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                tetrofosmin.
A9503..........  .............  E              Technetium TC 99m            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                medronate.
A9504..........  .............  X              Technetium tc 99m            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                apcitide.
A9505..........  .............  E              Thallous chloride TL         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                201/mci.
A9507..........  .............  X              Indium/111 capromab          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                pendetid.
A9600..........  .............  X              Strontium-89 chloride.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
A9605..........  .............  X              Samarium sm153               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                lexidronamm.
A9900..........  .............  X              Supply/accessory/            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                service.
A9901..........  .............  X              Delivery/set up/             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                dispensing.
D0120..........  .............  N              Periodic oral                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                evaluation.
D0140..........  .............  N              Limit oral eval problm       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                focus.
D0150..........  .............  R              Comprehensve oral            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                evaluation.
D0160..........  .............  N              Extensv oral eval prob       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                focus.
D0170..........  .............  N              Re-eval,est pt,problem       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                focus.
D0210..........  .............  I              Intraor complete film        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                series.
D0220..........  .............  I              Intraoral periapical         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                first f.
D0230..........  .............  I              Intraoral periapical         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ea add.
D0240..........  .............  R              Intraoral occlusal           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                film.
D0250..........  .............  R              Extraoral first film..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
D0260..........  .............  R              Extraoral ea                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                additional film.
D0270..........  .............  R              Dental bitewing single       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                film.
D0272..........  .............  R              Dental bitewings two         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                films.
D0274..........  .............  R              Dental bitewings four        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                films.
D0277..........  .............  R              Vert bitewings-sev to        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eight.
D0290..........  .............  I              Dental film skull/           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                facial bon.
D0310..........  .............  I              Dental saliography....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D0320..........  .............  I              Dental tmj arthrogram        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                incl i.
D0321..........  .............  I              Dental other tmj films       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D0322..........  .............  I              Dental tomographic           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                survey.
D0330..........  .............  I              Dental panoramic film.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D0340..........  .............  I              Dental cephalometric         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                film.
D0350..........  .............  I              Oral/facial images....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D0415..........  .............  N              Bacteriologic study...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D0425..........  .............  N              Caries susceptibility        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
D0460..........  .............  R              Pulp vitality test....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
D0470..........  .............  N              Diagnostic casts......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D0471..........  .............  D              Diagnostic photographs       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
D0472..........  .............  R              Gross exam, prep &           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                report.
D0473..........  .............  R              Micro exam, prep &           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                report.
D0474..........  .............  R              Micro w exam of surg         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                margins.
D0480..........  .............  R              Cytopath smear prep &        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                report.
D0501..........  .............  R              Histopathologic              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                examinations.
D0502..........  .............  R              Other oral pathology         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                procedu.
D0999..........  .............  R              Unspecified diagnostic       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                proce.
D1110..........  .............  N              Dental prophylaxis           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                adult.
D1120..........  .............  N              Dental prophylaxis           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                child.
D1201..........  .............  N              Topical fluor w prophy       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                child.
D1203..........  .............  N              Topical fluor w/o            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                prophy chi.
D1204..........  .............  N              Topical fluor w/o            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                prophy adu.
D1205..........  .............  N              Topical fluoride w/          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                prophy a.
D1310..........  .............  N              Nutri counsel-control        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                caries.
D1320..........  .............  N              Tobacco counseling....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D1330..........  .............  N              Oral hygiene                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                instruction.
D1351..........  .............  N              Dental sealant per           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                tooth.
D1510..........  .............  R              Space maintainer fxd         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                unilat.
D1515..........  .............  R              Fixed bilat space            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                maintainer.
D1520..........  .............  R              Remove unilat space          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                maintain.
D1525..........  .............  R              Remove bilat space           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                maintain.
D1550..........  .............  R              Recement space               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                maintainer.
D2110..........  .............  N              Amalgam one surface          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                primary.
D2120..........  .............  N              Amalgam two surfaces         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                primary.
D2130..........  .............  N              Amalgam three surfaces       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                prima.
D2131..........  .............  N              Amalgam four/more surf       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                prima.
D2140..........  .............  N              Amalgam one surface          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                permanen.
D2150..........  .............  N              Amalgam two surfaces         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                permane.
D2160..........  .............  N              Amalgam three surfaces       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                perma.
D2161..........  .............  N              Amalgam 4 or <ls-thn-        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq> surfaces perm.
D2210..........  .............  D              Silcate cement per           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                restorat.
D2330..........  .............  N              Resin one surface-           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                anterior.
D2331..........  .............  N              Resin two surfaces-          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                anterior.
D2332..........  .............  N              Resin three surfaces-        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                anterio.
D2335..........  .............  N              Resin 4/<ls-thn-eq>          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                surf or w incis an.
D2336..........  .............  N              Composite resin crown.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D2337..........  .............  N              Compo resin crown ant-       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                perm.
D2380..........  .............  N              Resin one surf poster        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                primar.
D2381..........  .............  N              Resin two surf poster        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                primar.
D2382..........  .............  N              Resin three/more surf        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                post p.
[[Page 59565]]
D2385..........  .............  N              Resin one surf poster        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                perman.
D2386..........  .............  N              Resin two surf poster        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                perman.
D2387..........  .............  N              Resin three/more surf        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                post p.
D2388..........  .............  N              Resin four/more, post        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                perm.
D2410..........  .............  N              Dental gold foil one         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                surface.
D2420..........  .............  N              Dental gold foil two         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                surface.
D2430..........  .............  N              Dental gold foil three       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                surfa.
D2510..........  .............  N              Dental inlay metalic 1       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                surf.
D2520..........  .............  N              Dental inlay metallic        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                2 surf.
D2530..........  .............  N              Dental inlay metl 3/         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                more sur.
D2542..........  .............  N              Dental onlay metallic        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                2 surf.
D2543..........  .............  N              Dental onlay metallic        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                3 surf.
D2544..........  .............  N              Dental onlay metl 4/         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                more sur.
D2610..........  .............  N              Inlay porcelain/             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ceramic 1 su.
D2620..........  .............  N              Inlay porcelain/             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ceramic 2 su.
D2630..........  .............  N              Dental onlay porc 3/         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                more sur.
D2642..........  .............  N              Dental onlay porcelin        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                2 surf.
D2643..........  .............  N              Dental onlay porcelin        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                3 surf.
D2644..........  .............  N              Dental onlay porc 4/         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                more sur.
D2650..........  .............  N              Inlay composite/resin        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                one su.
D2651..........  .............  N              Inlay composite/resin        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                two su.
D2652..........  .............  N              Dental inlay resin 3/        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mre sur.
D2662..........  .............  N              Dental onlay resin 2         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                surface.
D2663..........  .............  N              Dental onlay resin 3         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                surface.
D2664..........  .............  N              Dental onlay resin 4/        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mre sur.
D2710..........  .............  N              Crown resin laboratory       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D2720..........  .............  N              Crown resin w/ high          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                noble me.
D2721..........  .............  N              Crown resin w/ base          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                metal.
D2722..........  .............  N              Crown resin w/ noble         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                metal.
D2740..........  .............  N              Crown porcelain/             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ceramic subs.
D2750..........  .............  N              Crown porcelain w/ h         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                noble m.
D2751..........  .............  N              Crown porcelain fused        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                base m.
D2752..........  .............  N              Crown porcelain w/           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                noble met.
D2780..........  .............  N              Crown 3/4 cast hi            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                noble met.
D2781..........  .............  N              Crown 3/4 cast base          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                metal.
D2782..........  .............  N              Crown 3/4 cast noble         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                metal.
D2783..........  .............  N              Crown 3/4 porcelain/         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ceramic.
D2790..........  .............  N              Crown full cast high         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                noble m.
D2791..........  .............  N              Crown full cast base         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                metal.
D2792..........  .............  N              Crown full cast noble        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                metal.
D2799..........  .............  N              Provisional crown.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D2810..........  .............  D              Crown 3/4 cast               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                metallic.
D2910..........  .............  N              Dental recement inlay.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D2920..........  .............  N              Dental recement crown.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D2930..........  .............  N              Prefab stnlss steel          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                crwn pri.
D2931..........  .............  N              Prefab stnlss steel          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                crown pe.
D2932..........  .............  N              Prefabricated resin          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                crown.
D2933..........  .............  N              Prefab stainless steel       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                crown.
D2940..........  .............  N              Dental sedative              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                filling.
D2950..........  .............  N              Core build-up incl any       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                pins.
D2951..........  .............  N              Tooth pin retention...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D2952..........  .............  N              Post and core cast +         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                crown.
D2953..........  .............  N              Each addtnl cast post.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D2954..........  .............  N              Prefab post/core +           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                crown.
D2955..........  .............  N              Post removal..........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D2957..........  .............  N              Each addtnl prefab           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                post.
D2960..........  .............  N              Laminate labial veneer       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D2961..........  .............  N              Lab labial veneer            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                resin.
D2962..........  .............  N              Lab labial veneer            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                porcelain.
D2970..........  .............  R              Temporary- fractured         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                tooth.
D2980..........  .............  N              Crown repair..........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D2999..........  .............  R              Dental unspec                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                restorative pr.
D3110..........  .............  N              Pulp cap direct.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D3120..........  .............  N              Pulp cap indirect.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D3220..........  .............  N              Therapeutic pulpotomy.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D3221..........  .............  N              Gross pulpal                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                debridement.
D3230..........  .............  N              Pulpal therapy               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                anterior prim.
D3240..........  .............  N              Pulpal therapy               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                posterior pri.
D3310..........  .............  N              Anterior..............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D3320..........  .............  N              Root canal therapy 2         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                canals.
D3330..........  .............  N              Root canal therapy 3         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                canals.
D3331..........  .............  N              Non-surg tx root canal       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                obs.
D3332..........  .............  N              Incomplete endodontic        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                tx.
D3333..........  .............  N              Internal root repair..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D3346..........  .............  N              Retreat root canal           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                anterior.
D3347..........  .............  N              Retreat root canal           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                bicuspid.
D3348..........  .............  N              Retreat root canal           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                molar.
D3351..........  .............  N              Apexification/recalc         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                initial.
D3352..........  .............  N              Apexification/recalc         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                interim.
D3353..........  .............  N              Apexification/recalc         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                final.
D3410..........  .............  N              Apicoect/perirad surg        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                anter.
[[Page 59566]]
D3421..........  .............  N              Root surgery bicuspid.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D3425..........  .............  N              Root surgery molar....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D3426..........  .............  N              Root surgery ea add          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                root.
D3430..........  .............  N              Retrograde filling....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D3450..........  .............  N              Root amputation.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D3460..........  .............  R              Endodontic endosseous        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                implan.
D3470..........  .............  N              Intentional                  0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                replantation.
D3910..........  .............  N              Isolation- tooth w           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                rubb dam.
D3920..........  .............  N              Tooth splitting.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D3950..........  .............  N              Canal prep/fitting of        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                dowel.
D3960..........  .............  D              Bleaching of                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                discolored toot.
D3999..........  .............  R              Endodontic procedure..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
D4210..........  .............  I              Gingivectomy/plasty          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                per quad.
D4211..........  .............  I              Gingivectomy/plasty          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                per toot.
D4220..........  .............  N              Gingival curettage per       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                quadr.
D4240..........  .............  N              Gingival flap proc w/        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                planin.
D4245..........  .............  N              Apically positioned          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                flap.
D4249..........  .............  N              Crown lengthen hard          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                tissue.
D4250..........  .............  D              Mucogingival surg per        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                quadra.
D4260..........  .............  R              Osseous surgery per          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                quadrant.
D4263..........  .............  R              Bone replce graft            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                first site.
D4264..........  .............  R              Bone replce graft each       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                add.
D4266..........  .............  N              Guided tiss regen            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                resorble.
D4267..........  .............  N              Guided tiss regen            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                nonresorb.
D4268..........  .............  R              Surgical revision            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedure.
D4270..........  .............  R              Pedicle soft tissue          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                graft pr.
D4271..........  .............  R              Free soft tissue graft       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                proc.
D4273..........  .............  R              Subepithelial tissue         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                graft.
D4274..........  .............  N              Distal/proximal wedge        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                proc.
D4320..........  .............  N              Provision splnt              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                intracoronal.
D4321..........  .............  N              Provisional splint           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                extracoro.
D4341..........  .............  N              Periodontal scaling &        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                root.
D4355..........  .............  R              Full mouth debridement       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
D4381..........  .............  R              Localized chemo              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                delivery.
D4910..........  .............  N              Periodontal maint            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                procedures.
D4920..........  .............  N              Unscheduled dressing         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                change.
D4999..........  .............  N              Unspecified                  0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                periodontal proc.
D5110..........  .............  N              Dentures complete            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                maxillary.
D5120..........  .............  N              Dentures complete            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mandible.
D5130..........  .............  N              Dentures immediat            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                maxillary.
D5140..........  .............  N              Dentures immediat            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mandible.
D5211..........  .............  N              Dentures maxill part         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                resin.
D5212..........  .............  N              Dentures mand part           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                resin.
D5213..........  .............  N              Dentures maxill part         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                metal.
D5214..........  .............  N              Dentures mandibl part        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                metal.
D5281..........  .............  N              Removable partial            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                denture.
D5410..........  .............  N              Dentures adjust cmplt        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                maxil.
D5411..........  .............  N              Dentures adjust cmplt        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mand.
D5421..........  .............  N              Dentures adjust part         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                maxill.
D5422..........  .............  N              Dentures adjust part         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mandbl.
D5510..........  .............  N              Dentur repr broken           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                compl bas.
D5520..........  .............  N              Replace denture teeth        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                complt.
D5610..........  .............  N              Dentures repair resin        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                base.
D5620..........  .............  N              Rep part denture cast        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                frame.
D5630..........  .............  N              Rep partial denture          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                clasp.
D5640..........  .............  N              Replace part denture         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                teeth.
D5650..........  .............  N              Add tooth to partial         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                denture.
D5660..........  .............  N              Add clasp to partial         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                denture.
D5710..........  .............  N              Dentures rebase cmplt        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                maxil.
D5711..........  .............  N              Dentures rebase cmplt        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mand.
D5720..........  .............  N              Dentures rebase part         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                maxill.
D5721..........  .............  N              Dentures rebase part         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mandbl.
D5730..........  .............  N              Denture reln cmplt           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                maxil ch.
D5731..........  .............  N              Denture reln cmplt           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mand chr.
D5740..........  .............  N              Denture reln part            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                maxil chr.
D5741..........  .............  N              Denture reln part mand       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                chr.
D5750..........  .............  N              Denture reln cmplt max       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                lab.
D5751..........  .............  N              Denture reln cmplt           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mand lab.
D5760..........  .............  N              Denture reln part            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                maxil lab.
D5761..........  .............  N              Denture reln part mand       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                lab.
D5810..........  .............  N              Denture interm cmplt         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                maxill.
D5811..........  .............  N              Denture interm cmplt         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mandbl.
D5820..........  .............  N              Denture interm part          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                maxill.
D5821..........  .............  N              Denture interm part          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mandbl.
D5850..........  .............  N              Denture tiss conditn         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                maxill.
D5851..........  .............  N              Denture tiss condtin         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mandbl.
D5860..........  .............  N              Overdenture complete..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D5861..........  .............  N              Overdenture partial...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D5862..........  .............  N              Precision attachment..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D5867..........  .............  N              Replacement of               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                precision att.
D5875..........  .............  N              Prosthesis                   0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                modification.
[[Page 59567]]
D5899..........  .............  N              Removable                    0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                prosthodontic proc.
D5911..........  .............  R              Facial moulage               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                sectional.
D5912..........  .............  R              Facial moulage               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                complete.
D5913..........  .............  I              Nasal prosthesis......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D5914..........  .............  I              Auricular prosthesis..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D5915..........  .............  I              Orbital prosthesis....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D5916..........  .............  I              Ocular prosthesis.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D5919..........  .............  I              Facial prosthesis.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D5922..........  .............  I              Nasal septal                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                prosthesis.
D5923..........  .............  I              Ocular prosthesis            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                interim.
D5924..........  .............  I              Cranial prosthesis....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D5925..........  .............  I              Facial augmentation          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                implant.
D5926..........  .............  I              Replacement nasal            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                prosthesis.
D5927..........  .............  I              Auricular replacement.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D5928..........  .............  I              Orbital replacement...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D5929..........  .............  I              Facial replacement....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D5931..........  .............  I              Surgical obturator....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D5932..........  .............  I              Postsurgical obturator       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D5933..........  .............  I              Refitting of obturator       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D5934..........  .............  I              Mandibular flange            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                prosthesis.
D5935..........  .............  I              Mandibular denture           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                prosth.
D5936..........  .............  I              Temp obturator               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                prosthesis.
D5937..........  .............  I              Trismus appliance.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D5951..........  .............  R              Feeding aid...........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
D5952..........  .............  I              Pediatric speech aid..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D5953..........  .............  I              Adult speech aid......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D5954..........  .............  I              Superimposed                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                prosthesis.
D5955..........  .............  I              Palatal lift                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                prosthesis.
D5958..........  .............  I              Intraoral con def            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inter plt.
D5959..........  .............  I              Intraoral con def mod        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                palat.
D5960..........  .............  I              Modify speech aid            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                prosthesis.
D5982..........  .............  I              Surgical stent........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D5983..........  .............  R              Radiation applicator..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
D5984..........  .............  R              Radiation shield......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
D5985..........  .............  R              Radiation cone locator       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
D5986..........  .............  N              Fluoride applicator...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D5987..........  .............  R              Commissure splint.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
D5988..........  .............  I              Surgical splint.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D5999..........  .............  I              Maxillofacial                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                prosthesis.
D6010..........  .............  I              Odontics endosteal           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                implant.
D6020..........  .............  I              Odontics abutment            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                placement.
D6040..........  .............  I              Odontics eposteal            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                implant.
D6050..........  .............  I              Odontics transosteal         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                implnt.
D6055..........  .............  I              Implant connecting bar       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D6056..........  .............  N              Prefabricated abutment       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D6057..........  .............  N              Custom abutment.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D6058..........  .............  N              Abutment supported           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                crown.
D6059..........  .............  N              Abutment supported mtl       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                crown.
D6060..........  .............  N              Abutment supported mtl       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                crown.
D6061..........  .............  N              Abutment supported mtl       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                crown.
D6062..........  .............  N              Abutment supported mtl       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                crown.
D6063..........  .............  N              Abutment supported mtl       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                crown.
D6064..........  .............  N              Abutment supported mtl       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                crown.
D6065..........  .............  N              Implant supported            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                crown.
D6066..........  .............  N              Implant supported mtl        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                crown.
D6067..........  .............  N              Implant supported mtl        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                crown.
D6068..........  .............  N              Abutment supported           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                retainer.
D6069..........  .............  N              Abutment supported           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                retainer.
D6070..........  .............  N              Abutment supported           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                retainer.
D6071..........  .............  N              Abutment supported           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                retainer.
D6072..........  .............  N              Abutment supported           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                retainer.
D6073..........  .............  N              Abutment supported           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                retainer.
D6074..........  .............  N              Abutment supported           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                retainer.
D6075..........  .............  N              Implant supported            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                retainer.
D6076..........  .............  N              Implant supported            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                retainer.
D6077..........  .............  N              Implant supported            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                retainer.
D6078..........  .............  N              Implnt/abut suprtd           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                fixd dent.
D6079..........  .............  N              Implnt/abut suprtd           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                fixd dent.
D6080..........  .............  I              Implant maintenance...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D6090..........  .............  I              Repair implant........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D6095..........  .............  I              Odontics repr abutment       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D6100..........  .............  I              Removal of implant....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D6199..........  .............  I              Implant procedure.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D6210..........  .............  N              Prosthodont high noble       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                metal.
D6211..........  .............  N              Bridge base metal cast       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D6212..........  .............  N              Bridge noble metal           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                cast.
D6240..........  .............  N              Bridge porcelain high        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                noble.
D6241..........  .............  N              Bridge porcelain base        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                metal.
D6242..........  .............  N              Bridge porcelain nobel       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                metal.
D6245..........  .............  N              Bridge porcelain/            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ceramic.
D6250..........  .............  N              Bridge resin w/high          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                noble.
[[Page 59568]]
D6251..........  .............  N              Bridge resin base            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                metal.
D6252..........  .............  N              Bridge resin w/noble         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                metal.
D6519..........  .............  N              Inlay/onlay porce/           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ceramic.
D6520..........  .............  N              Dental retainer two          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                surfaces.
D6530..........  .............  N              Retainer metallic 3+         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                surface.
D6543..........  .............  N              Dental retainr onlay 3       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                surf.
D6544..........  .............  N              Dental retainr onlay 4/      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                more.
D6545..........  .............  N              Dental retainr cast          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                metl.
D6548..........  .............  N              Porcelain/ceramic            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                retainer.
D6720..........  .............  N              Retain crown resin w         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                hi nble.
D6721..........  .............  N              Crown resin w/base           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                metal.
D6722..........  .............  N              Crown resin w/noble          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                metal.
D6740..........  .............  N              Crown porcelain/             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ceramic.
D6750..........  .............  N              Crown porcelain high         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                noble.
D6751..........  .............  N              Crown porcelain base         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                metal.
D6752..........  .............  N              Crown porcelain noble        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                metal.
D6780..........  .............  N              Crown 3/4 high noble         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                metal.
D6781..........  .............  N              Crown 3/4 cast based         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                metal.
D6782..........  .............  N              Crown 3/4 cast noble         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                metal.
D6783..........  .............  N              Crown 3/4 porcelain/         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ceramic.
D6790..........  .............  N              Crown full high noble        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                metal.
D6791..........  .............  N              Crown full base metal        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                cast.
D6792..........  .............  N              Crown full noble metal       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                cast.
D6920..........  .............  R              Dental connector bar..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
D6930..........  .............  N              Dental recement bridge       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D6940..........  .............  N              Stress breaker........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D6950..........  .............  N              Precision attachment..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D6970..........  .............  N              Post & core plus             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                retainer.
D6971..........  .............  N              Cast post bridge             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                retainer.
D6972..........  .............  N              Prefab post & core           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                plus reta.
D6973..........  .............  N              Core build up for            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                retainer.
D6975..........  .............  N              Coping metal..........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D6976..........  .............  N              Each addtnl cast post.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D6977..........  .............  N              Each addtl prefab post       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D6980..........  .............  N              Bridge repair.........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D6999..........  .............  N              Fixed prosthodontic          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                proc.
D7110..........  .............  R              Oral surgery single          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                tooth.
D7120..........  .............  R              Each add tooth               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                extraction.
D7130..........  .............  R              Tooth root removal....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
D7210..........  .............  R              Rem imp tooth w              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                mucoper flp.
D7220..........  .............  R              Impact tooth remov           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                soft tiss.
D7230..........  .............  R              Impact tooth remov           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                part bony.
D7240..........  .............  R              Impact tooth remov           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                comp bony.
D7241..........  .............  R              Impact tooth rem bony        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                w/comp.
D7250..........  .............  R              Tooth root removal....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
D7260..........  .............  R              Oral antral fistula          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                closure.
D7270..........  .............  N              Tooth reimplantation..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D7272..........  .............  N              Tooth transplantation.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D7280..........  .............  N              Exposure impact tooth        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                orthod.
D7281..........  .............  N              Exposure tooth aid           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eruption.
D7285..........  .............  I              Biopsy of oral tissue        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                hard.
D7286..........  .............  I              Biopsy of oral tissue        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                soft.
D7290..........  .............  N              Repositioning of teeth       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D7291..........  .............  R              Transseptal fiberotomy       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
D7310..........  .............  I              Alveoplasty w/               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                extraction.
D7320..........  .............  I              Alveoplasty w/o              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                extraction.
D7340..........  .............  I              Vestibuloplasty ridge        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                extens.
D7350..........  .............  I              Vestibuloplasty exten        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                graft.
D7410..........  .............  I              Rad exc lesion up to         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                1.25 cm.
D7420..........  .............  I              Lesion <ls-thn-eq>           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                1.25 cm.
D7430..........  .............  I              Exc benign tumor to          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                1.25 cm.
D7431..........  .............  I              Benign tumor exc <ls-        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                thn-eq> 1.25 cm.
D7440..........  .............  I              Malig tumor exc to           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                1.25 cm.
D7441..........  .............  I              Malig tumor <ls-thn-         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq> 1.25 cm.
D7450..........  .............  I              Rem odontogen cyst to        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                1.25cm.
D7451..........  .............  I              Rem odontogen cyst <ls-      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                thn-eq> 1.25 cm.
D7460..........  .............  I              Rem nonodonto cyst to        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                1.25cm.
D7461..........  .............  I              Rem nonodonto cyst <ls-      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                thn-eq> 1.25 cm.
D7465..........  .............  I              Lesion destruction....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D7470..........  .............  D              Rem exostosis maxilla/       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mandib.
D7471..........  .............  I              Rem exostosis any site       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D7480..........  .............  I              Partial ostectomy.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D7490..........  .............  I              Mandible resection....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D7510..........  .............  I              I&d absc intraoral           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                soft tiss.
D7520..........  .............  I              I&d abscess extraoral.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D7530..........  .............  I              Removal fb skin/             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                areolar tiss.
D7540..........  .............  I              Removal of fb reaction       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D7550..........  .............  I              Removal of sloughed          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                off bone.
D7560..........  .............  I              Maxillary sinusotomy..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D7610..........  .............  I              Maxilla open reduct          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                simple.
D7620..........  .............  I              Clsd reduct simpl            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                maxilla fx.
[[Page 59569]]
D7630..........  .............  I              Open red simpl               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mandible fx.
D7640..........  .............  I              Clsd red simpl               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mandible fx.
D7650..........  .............  I              Open red simp malar/         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                zygom fx.
D7660..........  .............  I              Clsd red simp malar/         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                zygom fx.
D7670..........  .............  I              Closd rductn splint          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                alveolus.
D7680..........  .............  I              Reduct simple facial         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                bone fx.
D7710..........  .............  I              Maxilla open reduct          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                compound.
D7720..........  .............  I              Clsd reduct compd            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                maxilla fx.
D7730..........  .............  I              Open reduct compd            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mandble fx.
D7740..........  .............  I              Clsd reduct compd            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mandble fx.
D7750..........  .............  I              Open red comp malar/         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                zygma fx.
D7760..........  .............  I              Clsd red comp malar/         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                zygma fx.
D7770..........  .............  I              Open reduc compd             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                alveolus fx.
D7780..........  .............  I              Reduct compnd facial         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                bone fx.
D7810..........  .............  I              Tmj open reduct-             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                dislocation.
D7820..........  .............  I              Closed tmp                   0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                manipulation.
D7830..........  .............  I              Tmj manipulation under       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                anest.
D7840..........  .............  I              Removal of tmj condyle       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D7850..........  .............  I              Tmj meniscectomy......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D7852..........  .............  I              Tmj repair of joint          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                disc.
D7854..........  .............  I              Tmj excisn of joint          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                membrane.
D7856..........  .............  I              Tmj cutting of a             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                muscle.
D7858..........  .............  I              Tmj reconstruction....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D7860..........  .............  I              Tmj cutting into joint       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D7865..........  .............  I              Tmj reshaping                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                components.
D7870..........  .............  I              Tmj aspiration joint         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                fluid.
D7871..........  .............  N              Lysis + lavage w             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                catheters.
D7872..........  .............  I              Tmj diagnostic               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                arthroscopy.
D7873..........  .............  I              Tmj arthroscopy lysis        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                adhesn.
D7874..........  .............  I              Tmj arthroscopy disc         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                reposit.
D7875..........  .............  I              Tmj arthroscopy              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                synovectomy.
D7876..........  .............  I              Tmj arthroscopy              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                discectomy.
D7877..........  .............  I              Tmj arthroscopy              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                debridement.
D7880..........  .............  I              Occlusal orthotic            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                appliance.
D7899..........  .............  I              Tmj unspecified              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                therapy.
D7910..........  .............  I              Dent sutur recent wnd        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                to 5cm.
D7911..........  .............  I              Dental suture wound to       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                5 cm.
D7912..........  .............  I              Suture complicate wnd        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                <ls-thn-eq> 5 cm.
D7920..........  .............  I              Dental skin graft.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D7940..........  .............  R              Reshaping bone               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                orthognathic.
D7941..........  .............  I              Bone cutting ramus           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                closed.
D7942..........  .............  D              Bone cutting ramus           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                open.
D7943..........  .............  I              Cutting ramus open w/        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                graft.
D7944..........  .............  I              Bone cutting segmented       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D7945..........  .............  I              Bone cutting body            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mandible.
D7946..........  .............  I              Reconstruction maxilla       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                total.
D7947..........  .............  I              Reconstruct maxilla          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                segment.
D7948..........  .............  I              Reconstruct midface no       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                graft.
D7949..........  .............  I              Reconstruct midface w/       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                graft.
D7950..........  .............  I              Mandible graft........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D7955..........  .............  I              Repair maxillofacial         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                defects.
D7960..........  .............  I              Frenulectomy/                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                frenulotomy.
D7970..........  .............  I              Excision hyperplastic        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                tissue.
D7971..........  .............  I              Excision pericoronal         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                gingiva.
D7980..........  .............  I              Sialolithotomy........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D7981..........  .............  I              Excision of salivary         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                gland.
D7982..........  .............  I              Sialodochoplasty......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D7983..........  .............  I              Closure of salivary          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                fistula.
D7990..........  .............  I              Emergency tracheotomy.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D7991..........  .............  I              Dental coronoidectomy.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D7995..........  .............  I              Synthetic graft facial       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                bones.
D7996..........  .............  I              Implant mandible for         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                augment.
D7997..........  .............  N              Appliance removal.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D7999..........  .............  I              Oral surgery procedure       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D8010..........  .............  N              Limited dental tx            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                primary.
D8020..........  .............  N              Limited dental tx            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                transition.
D8030..........  .............  N              Limited dental tx            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                adolescent.
D8040..........  .............  N              Limited dental tx            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                adult.
D8050..........  .............  N              Intercep dental tx           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                primary.
D8060..........  .............  N              Intercep dental tx           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                transitn.
D8070..........  .............  N              Compre dental tx             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                transition.
D8080..........  .............  N              Compre dental tx             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                adolescent.
D8090..........  .............  N              Compre dental tx adult       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D8210..........  .............  N              Orthodontic rem              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                appliance tx.
D8220..........  .............  N              Fixed appliance              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                therapy habt.
D8660..........  .............  N              Preorthodontic tx            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                visit.
D8670..........  .............  N              Periodic orthodontc tx       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                visit.
D8680..........  .............  N              Orthodontic retention.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D8690..........  .............  N              Orthodontic treatment.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D8691..........  .............  N              Repair ortho appliance       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D8692..........  .............  N              Replacement retainer..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
[[Page 59570]]
D8999..........  .............  N              Orthodontic procedure.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D9110..........  .............  R              Tx dental pain minor         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                proc.
D9210..........  .............  I              Dent anesthesia w/o          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                surgery.
D9211..........  .............  I              Regional block               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                anesthesia.
D9212..........  .............  I              Trigeminal block             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                anesthesia.
D9215..........  .............  I              Local anesthesia......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D9220..........  .............  I              General anesthesia....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D9221..........  .............  I              General anesthesia ea        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ad 15m.
D9230..........  .............  R              Analgesia.............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
D9240..........  .............  D              Intravenous sedation..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D9241..........  .............  I              Intravenous sedation..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D9242..........  .............  I              IV sedation ea ad 30 m       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D9248..........  .............  R              Sedation (non-iv).....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D9310..........  .............  I              Dental consultation...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D9410..........  .............  I              Dental house call.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D9420..........  .............  I              Hospital call.........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D9430..........  .............  I              Office visit during          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                hours.
D9440..........  .............  I              Office visit after           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                hours.
D9610..........  .............  I              Dent therapeutic drug        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inject.
D9630..........  .............  R              Other drugs/                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                medicaments.
D9910..........  .............  N              Dent appl                    0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                desensitizing med.
D9911..........  .............  N              Appl desensitizing           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                resin.
D9920..........  .............  N              Behavior management...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D9930..........  .............  R              Treatment of                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                complications.
D9940..........  .............  R              Dental occlusal guard.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
D9941..........  .............  N              Fabrication athletic         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                guard.
D9950..........  .............  R              Occlusion analysis....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
D9951..........  .............  R              Limited occlusal             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                adjustment.
D9952..........  .............  R              Complete occlusal            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       YYY
                                                adjustment.
D9970..........  .............  N              Enamel microabrasion..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D9971..........  .............  N              Odontoplasty 1-2 teeth       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
D9972..........  .............  N              Extrnl bleaching per         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                arch.
D9973..........  .............  N              Extrnl bleaching per         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                tooth.
D9974..........  .............  N              Intrnl bleaching per         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                tooth.
D9999..........  .............  I              Adjunctive procedure..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
G0001..........  .............  X              Drawing blood for            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                specimen.
G0002..........  .............  A              Temporary urinary            0.50        3.06       1.91        0.17       0.47      0.03        3.59       2.44        0.70       1.00       000
                                                catheter.
G0004..........  .............  A              ECG transm phys review       0.52        7.48       7.71        7.48       7.71      0.46        8.46       8.69        8.46       8.69       XXX
                                                & int.
G0005..........  .............  A              ECG 24 hour recording.       0.00        1.24       1.26        1.24       1.26      0.07        1.31       1.33        1.31       1.33       XXX
G0006..........  .............  A              ECG transmission &           0.00        6.04       6.13        6.04       6.13      0.37        6.41       6.50        6.41       6.50       XXX
                                                analysis.
G0007..........  .............  A              ECG phy review &             0.52        0.20       0.32        0.20       0.32      0.02        0.74       0.86        0.74       0.86       XXX
                                                interpret.
G0008..........  .............  X              Admin influenza virus        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                vac.
G0009..........  .............  X              Admin pneumococcal           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                vaccine.
G0010..........  .............  X              Admin hepatitis b            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                vaccine.
G0015..........  .............  A              Post symptom ECG             0.00        6.04       6.13        6.04       6.13      0.37        6.41       6.50        6.41       6.50       XXX
                                                tracing.
G0016..........  .............  A              Post symptom ECG md          0.52        0.26       0.35        0.26       0.35      0.02        0.80       0.89        0.80       0.89       XXX
                                                review.
G0025..........  .............  A              Collagen skin test kit       0.00        0.00       0.52        0.00       0.52      0.00        0.00       0.52        0.00       0.52       XXX
G0026..........  .............  X              Fecal leukocyte              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                examination.
G0027..........  .............  X              Semen analysis........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
G0030..........  .............  C              PET imaging prev PET         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                single.
G0030..........  26...........  A              PET imaging prev PET         1.50        0.52       0.52        0.52       0.52      0.05        2.07       2.07        2.07       2.07       XXX
                                                single.
G0030..........  TC...........  C              PET imaging prev PET         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                single.
G0031..........  .............  C              PET imaging prev PET         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                multple.
G0031..........  26...........  A              PET imaging prev PET         1.87        0.70       0.71        0.70       0.71      0.07        2.64       2.65        2.64       2.65       XXX
                                                multple.
G0031..........  TC...........  C              PET imaging prev PET         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                multple.
G0032..........  .............  C              PET follow SPECT 78464       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                singl.
G0032..........  26...........  A              PET follow SPECT 78464       1.50        0.52       0.52        0.52       0.52      0.05        2.07       2.07        2.07       2.07       XXX
                                                singl.
G0032..........  TC...........  C              PET follow SPECT 78464       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                singl.
G0033..........  .............  C              PET follow SPECT 78464       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mult.
G0033..........  26...........  A              PET follow SPECT 78464       1.87        0.70       0.71        0.70       0.71      0.06        2.63       2.64        2.63       2.64       XXX
                                                mult.
G0033..........  TC...........  C              PET follow SPECT 78464       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mult.
G0034..........  .............  C              PET follow SPECT 76865       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                singl.
G0034..........  TC...........  C              PET follow SPECT 76865       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                singl.
G0034..........  26...........  A              PET follow SPECT 76865       1.50        0.52       0.52        0.52       0.52      0.05        2.07       2.07        2.07       2.07       XXX
                                                singl.
G0035..........  .............  C              PET follow SPECT 78465       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mult.
G0035..........  26...........  A              PET follow SPECT 78465       1.87        0.70       0.71        0.70       0.71      0.07        2.64       2.65        2.64       2.65       XXX
                                                mult.
G0035..........  TC...........  C              PET follow SPECT 78465       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mult.
G0036..........  .............  C              PET follow cornry            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                angio sing.
G0036..........  26...........  A              PET follow cornry            1.50        0.52       0.52        0.52       0.52      0.06        2.08       2.08        2.08       2.08       XXX
                                                angio sing.
G0036..........  TC...........  C              PET follow cornry            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                angio sing.
G0037..........  .............  C              PET follow cornry            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                angio mult.
G0037..........  26...........  A              PET follow cornry            1.87        0.70       0.71        0.70       0.71      0.07        2.64       2.65        2.64       2.65       XXX
                                                angio mult.
G0037..........  TC...........  C              PET follow cornry            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                angio mult.
G0038..........  .............  C              PET follow myocard           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                perf sing.
G0038..........  26...........  A              PET follow myocard           1.50        0.52       0.52        0.52       0.52      0.05        2.07       2.07        2.07       2.07       XXX
                                                perf sing.
G0038..........  TC...........  C              PET follow myocard           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                perf sing.
G0039..........  .............  C              PET follow myocard           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                perf mult.
G0039..........  26...........  A              PET follow myocard           1.87        0.70       0.71        0.70       0.71      0.06        2.63       2.64        2.63       2.64       XXX
                                                perf mult.
G0039..........  TC...........  C              PET follow myocard           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                perf mult.
G0040..........  .............  C              PET follow stress echo       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                singl.
G0040..........  26...........  A              PET follow stress echo       1.50        0.52       0.52        0.52       0.52      0.05        2.07       2.07        2.07       2.07       XXX
                                                singl.
[[Page 59571]]
G0040..........  TC...........  C              PET follow stress echo       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                singl.
G0041..........  .............  C              PET follow stress echo       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mult.
G0041..........  26...........  A              PET follow stress echo       1.87        0.70       0.71        0.70       0.71      0.06        2.63       2.64        2.63       2.64       XXX
                                                mult.
G0041..........  TC...........  C              PET follow stress echo       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mult.
G0042..........  .............  C              PET follow                   0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ventriculogm sing.
G0042..........  26...........  A              PET follow                   1.50        0.52       0.52        0.52       0.52      0.05        2.07       2.07        2.07       2.07       XXX
                                                ventriculogm sing.
G0042..........  TC...........  C              PET follow                   0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ventriculogm sing.
G0043..........  .............  C              PET follow                   0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ventriculogm mult.
G0043..........  26...........  A              PET follow                   1.87        0.70       0.71        0.70       0.71      0.06        2.63       2.64        2.63       2.64       XXX
                                                ventriculogm mult.
G0043..........  TC...........  C              PET follow                   0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ventriculogm mult.
G0044..........  .............  C              PET following rest ECG       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                singl.
G0044..........  26...........  A              PET following rest ECG       1.50        0.52       0.52        0.52       0.52      0.05        2.07       2.07        2.07       2.07       XXX
                                                singl.
G0044..........  TC...........  C              PET following rest ECG       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                singl.
G0045..........  .............  C              PET following rest ECG       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mult.
G0045..........  26...........  A              PET following rest ECG       1.87        0.70       0.71        0.70       0.71      0.06        2.63       2.64        2.63       2.64       XXX
                                                mult.
G0045..........  TC...........  C              PET following rest ECG       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mult.
G0046..........  .............  C              PET follow stress ECG        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                singl.
G0046..........  26...........  A              PET follow stress ECG        1.50        0.52       0.52        0.52       0.52      0.05        2.07       2.07        2.07       2.07       XXX
                                                singl.
G0046..........  TC...........  C              PET follow stress ECG        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                singl.
G0047..........  .............  C              PET follow stress ECG        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mult.
G0047..........  26...........  A              PET follow stress ECG        1.87        0.70       0.71        0.70       0.71      0.06        2.63       2.64        2.63       2.64       XXX
                                                mult.
G0047..........  TC...........  C              PET follow stress ECG        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mult.
G0050..........  .............  A              Residual urine by            0.00        0.85       0.87        0.85       0.87      0.04        0.89       0.91        0.89       0.91       XXX
                                                ultrasound.
G0101..........  .............  A              CA screen;pelvic/            0.45        0.57       0.44        0.17       0.24      0.02        1.04       0.91        0.64       0.71       XXX
                                                breast exam.
G0102..........  .............  A              Prostate ca screening;       0.17        0.07       0.07        0.07       0.07      0.02        0.26       0.26        0.26       0.26       XXX
                                                dre.
G0103..........  .............  X              Psa, total screening..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
G0104..........  .............  A              CA screen;flexi              0.96        1.88       1.61        0.32       0.45      0.04        2.88       2.61        1.32       1.45       000
                                                sigmoidscope.
G0105..........  .............  A              Colorectal scrn; hi          3.70        5.98       5.23        1.29       2.86      0.13        9.81       9.06        5.12       6.69       000
                                                risk ind.
G0106..........  .............  A              Colon CA screen;barium       0.99        2.53       2.67        2.53       2.67      0.15        3.67       3.81        3.67       3.81       XXX
                                                enema.
G0106..........  26...........  A              Colon CA screen;barium       0.99        0.29       0.39        0.29       0.39      0.04        1.32       1.42        1.32       1.42       XXX
                                                enema.
G0106..........  TC...........  A              Colon CA screen;barium       0.00        2.24       2.28        2.24       2.28      0.11        2.35       2.39        2.35       2.39       XXX
                                                enema.
G0107..........  .............  X              CA screen; fecal blood       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                test.
G0108..........  .............  A              Diab manage trn per          0.00        1.64       1.64        1.64       1.64      0.01        1.65       1.65        1.65       1.65       XXX
                                                indiv.
G0109..........  .............  A              Diab manage trn ind/         0.00        0.96       0.97        0.96       0.97      0.01        0.97       0.98        0.97       0.98       XXX
                                                group.
G0110..........  .............  R              Nett pulm-rehab educ;        0.90        0.70       0.49        0.35       0.32      0.03        1.63       1.42        1.28       1.25       XXX
                                                ind.
G0111..........  .............  R              Nett pulm-rehab educ;        0.27        0.28       0.25        0.13       0.18      0.01        0.56       0.53        0.41       0.46       XXX
                                                group.
G0112..........  .............  R              Nett;nutrition guid,         1.72        1.48       1.27        0.67       0.86      0.07        3.27       3.06        2.46       2.65       XXX
                                                initial.
G0113..........  .............  R              Nett;nutrition               1.29        1.02       0.93        0.40       0.62      0.05        2.36       2.27        1.74       1.96       XXX
                                                guid,subseqnt.
G0114..........  .............  R              Nett; psychosocial           1.20        0.49       0.44        0.37       0.38      0.03        1.72       1.67        1.60       1.61       XXX
                                                consult.
G0115..........  .............  R              Nett; psychological          1.20        0.56       0.47        0.46       0.42      0.03        1.79       1.70        1.69       1.65       XXX
                                                testing.
G0116..........  .............  R              Nett; psychosocial           1.11        0.65       0.52        0.33       0.36      0.03        1.79       1.66        1.47       1.50       XXX
                                                counsel.
G0120..........  .............  A              Colon ca scrn; barium        0.99        2.53       2.67        2.53       2.67      0.15        3.67       3.81        3.67       3.81       XXX
                                                enema.
G0120..........  26...........  A              Colon ca scrn; barium        0.99        0.29       0.39        0.29       0.39      0.04        1.32       1.42        1.32       1.42       XXX
                                                enema.
G0120..........  TC...........  A              Colon ca scrn; barium        0.00        2.24       2.28        2.24       2.28      0.11        2.35       2.39        2.35       2.39       XXX
                                                enema.
G0121..........  .............  N              Colon ca scrn not hi        +3.70        6.18       5.33        1.43       2.93      0.13       10.01       9.16        5.26       6.76       XXX
                                                rsk ind.
G0122..........  .............  N              Colon ca scrn; barium       +0.99        2.62       2.72        2.62       2.72      0.15        3.76       3.86        3.76       3.86       XXX
                                                enema.
G0122..........  26...........  N              Colon ca scrn; barium       +0.99        0.38       0.44        0.38       0.44      0.04        1.41       1.47        1.41       1.47       XXX
                                                enema.
G0122..........  TC...........  N              Colon ca scrn; barium       +0.00        2.24       2.28        2.24       2.28      0.11        2.35       2.39        2.35       2.39       XXX
                                                enema.
G0123..........  .............  X              Screen cerv/vag thin         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                layer.
G0124..........  .............  A              Screen c/v thin layer        0.42        0.20       0.28        0.20       0.28      0.01        0.63       0.71        0.63       0.71       XXX
                                                by MD.
G0125..........  .............  A              Lung image (PET)......       1.50       56.15      56.15       56.15      56.15      2.06       59.71      59.71       59.71      59.71       XXX
G0125..........  26...........  A              Lung image (PET)......       1.50        0.52       0.52        0.52       0.52      0.05        2.07       2.07        2.07       2.07       XXX
G0125..........  TC...........  A              Lung image (PET)......       0.00       55.63      55.63       55.63      55.63      2.01       57.64      57.64       57.64      57.64       XXX
G0126..........  .............  A              Lung image (PET)             1.87       56.33      56.34       56.33      56.34      2.07       60.27      60.28       60.27      60.28       XXX
                                                staging.
G0126..........  26...........  A              Lung image (PET)             1.87        0.70       0.71        0.70       0.71      0.06        2.63       2.64        2.63       2.64       XXX
                                                staging.
G0126..........  TC...........  A              Lung image (PET)             0.00       55.63      55.63       55.63      55.63      2.01       57.64      57.64       57.64      57.64       XXX
                                                staging.
G0127..........  .............  R              Trim nail(s)..........       0.11        0.47       0.37        0.04       0.09      0.01        0.59       0.49        0.16       0.21       000
G0128..........  .............  R              CORF skilled nursing         0.08        0.03       0.03        0.03       0.03      0.01        0.12       0.12        0.12       0.12       XXX
                                                service.
G0130..........  .............  A              Single energy x-ray          0.22        0.90       0.90        0.90       0.90      0.05        1.17       1.17        1.17       1.17       XXX
                                                study.
G0130..........  26...........  A              Single energy x-ray          0.22        0.11       0.11        0.11       0.11      0.01        0.34       0.34        0.34       0.34       XXX
                                                study.
G0130..........  TC...........  A              Single energy x-ray          0.00        0.79       0.79        0.79       0.79      0.04        0.83       0.83        0.83       0.83       XXX
                                                study.
G0131..........  .............  A              CT scan, bone density        0.25        3.18       3.18        3.18       3.18      0.14        3.57       3.57        3.57       3.57       XXX
                                                study.
G0131..........  26...........  A              CT scan, bone density        0.25        0.13       0.13        0.13       0.13      0.01        0.39       0.39        0.39       0.39       XXX
                                                study.
G0131..........  TC...........  A              CT scan, bone density        0.00        3.05       3.05        3.05       3.05      0.13        3.18       3.18        3.18       3.18       XXX
                                                study.
G0132..........  .............  A              CT scan, bone density        0.22        0.90       0.90        0.90       0.90      0.05        1.17       1.17        1.17       1.17       XXX
                                                study.
G0132..........  26...........  A              CT scan, bone density        0.22        0.11       0.11        0.11       0.11      0.01        0.34       0.34        0.34       0.34       XXX
                                                study.
G0132..........  TC...........  A              CT scan, bone density        0.00        0.79       0.79        0.79       0.79      0.04        0.83       0.83        0.83       0.83       XXX
                                                study.
G0141..........  .............  A              Scr c/v cyto, autosys        0.42        0.20       0.28        0.20       0.28      0.01        0.63       0.71        0.63       0.71       XXX
                                                and md.
G0143..........  .............  X              Scr c/v cyto,                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                thinlayer, rescr.
G0144..........  .............  X              Scr c/v cyto,                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                thinlayer, rescr.
G0145..........  .............  X              Scr c/v cyto,                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                thinlayer, rescr.
G0147..........  .............  X              Scr c/v cyto,                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                automated sys.
G0148..........  .............  X              Scr c/v cyto, autosys,       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                rescr.
G0159..........  .............  C              Perc declot dialysis         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                graft.
G0160..........  .............  C              Cryo. ablation,              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       090
                                                prostate.
G0161..........  .............  C              Echo guide for cryo          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probes.
G0161..........  26...........  C              Echo guide for cryo          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probes.
G0161..........  TC...........  C              Echo guide for cryo          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                probes.
G0163..........  .............  A              Pet for rec of               1.50       52.64      52.64       52.64      52.64      0.00       54.14      54.14       54.14      54.14       XXX
                                                colorectal ca.
G0163..........  26...........  A              Pet for rec of               1.50        0.58       0.58        0.58       0.58      0.00        2.08       2.08        2.08       2.08       XXX
                                                colorectal ca.
G0163..........  TC...........  A              Pet for rec of               0.00       52.06      52.06       52.06      52.06      0.00       52.06      52.06       52.06      52.06       XXX
                                                colorectal ca.
[[Page 59572]]
G0164..........  .............  A              Pet for lymphoma             1.87       52.78      52.78       52.78      52.78      0.00       54.65      54.65       54.65      54.65       XXX
                                                staging.
G0164..........  26...........  A              Pet for lymphoma             1.87        0.72       0.72        0.72       0.72      0.00        2.59       2.59        2.59       2.59       XXX
                                                staging.
G0164..........  TC...........  A              Pet for lymphoma             0.00       52.06      52.06       52.06      52.06      0.00       52.06      52.06       52.06      52.06       XXX
                                                staging.
G0165..........  .............  A              Pet,rec of melanoma/         1.50       52.64      52.64       52.64      52.64      0.00       54.14      54.14       54.14      54.14       XXX
                                                met ca.
G0165..........  TC...........  A              Pet,rec of melanoma/         0.00       52.06      52.06       52.06      52.06      0.00       52.06      52.06       52.06      52.06       XXX
                                                met ca.
G0165..........  26...........  A              Pet,rec of melanoma/         1.50        0.58       0.58        0.58       0.58      0.00        2.08       2.08        2.08       2.08       XXX
                                                met ca.
G0166..........  .............  A              Extrnl counterpulse,         0.07        3.40       3.40        0.03       0.03      0.01        3.48       3.48        0.11       0.11       XXX
                                                per tx.
G0167..........  .............  A              Hyperbaric oz tx;no md       0.00        0.73       0.73        0.73       0.73      0.02        0.75       0.75        0.75       0.75       XXX
                                                reqrd.
G0168..........  .............  A              Wound closure by             0.45        1.12       1.12        0.25       0.25      0.02        1.59       1.59        0.72       0.72       010
                                                adhesive.
G0169..........  .............  A              Removal tissue; no           0.50        0.36       0.36        0.36       0.36      0.04        0.90       0.90        0.90       0.90       XXX
                                                anesthsia.
G0170..........  .............  A              Skin biograft.........       1.50        1.50       1.50        0.38       0.38      0.39        3.39       3.39        2.27       2.27       010
G0171..........  .............  A              Skin biograft add-on..       0.38        2.87       2.87        1.03       1.03      0.39        3.64       3.64        1.80       1.80       ZZZ
J0120..........  .............  E              Tetracyclin injection.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J0130..........  .............  E              Abciximab injection...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J0150..........  .............  E              Injection adenosine 6        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                MG.
J0151..........  .............  E              Adenosine injection...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J0170..........  .............  E              Adrenalin epinephrin         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inject.
J0190..........  .............  E              Inj biperiden lactate/       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                5 mg.
J0200..........  .............  E              Alatrofloxacin               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mesylate.
J0205..........  .............  E              Alglucerase injection.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J0207..........  .............  E              Amifostine............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J0210..........  .............  E              Methyldopate hcl             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J0256..........  .............  E              Alpha 1 proteinase           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inhibitor.
J0270..........  .............  E              Alprostadil for              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J0275..........  .............  E              Alprostadil urethral         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                suppos.
J0280..........  .............  E              Aminophyllin 250 MG          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J0285..........  .............  E              Amphotericin B........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J0286..........  .............  E              Amphotericin B lipid         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                complex.
J0290..........  .............  E              Ampicillin 500 MG inj.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J0295..........  .............  E              Ampicillin sodium per        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                1.5 gm.
J0300..........  .............  E              Amobarbital 125 MG inj       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J0330..........  .............  E              Succinycholine               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                chloride inj.
J0340..........  .............  E              Nandrolon                    0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                phenpropionate inj.
J0350..........  .............  E              Injection anistreplase       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                30 u.
J0360..........  .............  E              Hydralazine hcl              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J0380..........  .............  E              Inj metaraminol              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                bitartrate.
J0390..........  .............  E              Chloroquine injection.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J0395..........  .............  E              Arbutamine HCl               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J0400..........  .............  E              Inj trimethaphan             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                camsylate.
J0456..........  .............  E              Azithromycin..........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J0460..........  .............  E              Atropine sulfate             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J0470..........  .............  E              Dimecaprol injection..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J0475..........  .............  E              Baclofen 10 MG               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J0476..........  .............  E              Baclofen intrathecal         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                trial.
J0500..........  .............  E              Dicyclomine injection.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J0510..........  .............  E              Benzquinamide                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J0515..........  .............  E              Inj benztropine              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mesylate.
J0520..........  .............  E              Bethanechol chloride         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inject.
J0530..........  .............  E              Penicillin g                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                benzathine inj.
J0540..........  .............  E              Penicillin g                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                benzathine inj.
J0550..........  .............  E              Penicillin g                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                benzathine inj.
J0560..........  .............  E              Penicillin g                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                benzathine inj.
J0570..........  .............  E              Penicillin g                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                benzathine inj.
J0580..........  .............  E              Penicillin g                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                benzathine inj.
J0585..........  .............  E              Botulinum toxin a per        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                unit.
J0590..........  .............  E              Ethylnorepinephrine          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                hcl inj.
J0600..........  .............  E              Edetate calcium              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                disodium inj.
J0610..........  .............  E              Calcium gluconate            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J0620..........  .............  E              Calcium glycer & lact/       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                10 ML.
J0630..........  .............  E              Calcitonin salmon            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J0635..........  .............  E              Calcitriol injection..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J0640..........  .............  E              Leucovorin calcium           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J0670..........  .............  E              Inj mepivacaine HCL/10       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ml.
J0690..........  .............  E              Cefazolin sodium             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J0694..........  .............  E              Cefoxitin sodium             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J0695..........  .............  E              Cefonocid sodium             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J0696..........  .............  E              Ceftriaxone sodium           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J0697..........  .............  E              Sterile cefuroxime           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J0698..........  .............  E              Cefotaxime sodium            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J0702..........  .............  E              Betamethasone acet&sod       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                phosp.
J0704..........  .............  E              Betamethasone sod            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                phosp/4 MG.
J0710..........  .............  E              Cephapirin sodium            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J0713..........  .............  E              Inj ceftazidime per          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                500 mg.
J0715..........  .............  E              Ceftizoxime sodium /         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                500 MG.
J0720..........  .............  E              Chloramphenicol sodium       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injec.
J0725..........  .............  E              Chorionic gonadotropin/      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                1000u.
J0730..........  .............  E              Chlorpheniramin              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                maleate inj.
J0735..........  .............  E              Clonidine                    0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                hydrochloride.
J0740..........  .............  E              Cidofovir injection...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J0743..........  .............  E              Cilastatin sodium            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J0745..........  .............  E              Inj codeine phosphate /      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                30 MG.
[[Page 59573]]
J0760..........  .............  E              Colchicine injection..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J0770..........  .............  E              Colistimethate sodium        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J0780..........  .............  E              Prochlorperazine             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J0800..........  .............  E              Corticotropin                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J0810..........  .............  E              Cortisone injection...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J0835..........  .............  E              Inj cosyntropin per          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                0.25 MG.
J0850..........  .............  E              Cytomegalovirus imm IV       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                /vial.
J0895..........  .............  E              Deferoxamine mesylate        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J0900..........  .............  E              Testosterone enanthate       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J0945..........  .............  E              Brompheniramine              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                maleate inj.
J0970..........  .............  E              Estradiol valerate           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J1000..........  .............  E              Depo-estradiol               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                cypionate inj.
J1020..........  .............  E              Methylprednisolone 20        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                MG inj.
J1030..........  .............  E              Methylprednisolone 40        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                MG inj.
J1040..........  .............  E              Methylprednisolone 80        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                MG inj.
J1050..........  .............  E              Medroxyprogesterone          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J1055..........  .............  N              Medrxyprogester              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                acetate inj.
J1060..........  .............  E              Testosterone cypionate       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                1 ML.
J1070..........  .............  E              Testosterone cypionat        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                100 MG.
J1080..........  .............  E              Testosterone cypionat        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                200 MG.
J1090..........  .............  E              Testosterone cypionate       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                50 MG.
J1095..........  .............  E              Inj dexamethasone            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                acetate.
J1100..........  .............  E              Dexamethasone sodium         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                phos.
J1110..........  .............  E              Inj dihydroergotamine        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mesylt.
J1120..........  .............  E              Acetazolamid sodium          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injectio.
J1160..........  .............  E              Digoxin injection.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1165..........  .............  E              Phenytoin sodium             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J1170..........  .............  E              Hydromorphone                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J1180..........  .............  E              Dyphylline injection..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1190..........  .............  E              Dexrazoxane HCl              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J1200..........  .............  E              Diphenhydramine hcl          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injectio.
J1205..........  .............  E              Chlorothiazide sodium        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J1212..........  .............  E              Dimethyl sulfoxide 50%       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                50 ML.
J1230..........  .............  E              Methadone injection...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1240..........  .............  E              Dimenhydrinate               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J1245..........  .............  E              Dipyridamole injection       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1250..........  .............  E              Inj dobutamine HCL/250       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mg.
J1260..........  .............  E              Dolasetron mesylate...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1320..........  .............  E              Amitriptyline                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J1325..........  .............  E              Epoprostenol injection       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1327..........  .............  E              Eptifibatide injection       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1330..........  .............  E              Ergonovine maleate           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J1362..........  .............  E              Erythromycin glucep /        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                250 MG.
J1364..........  .............  E              Erythro lactobionate /       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                500 MG.
J1380..........  .............  E              Estradiol valerate 10        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                MG inj.
J1390..........  .............  E              Estradiol valerate 20        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                MG inj.
J1410..........  .............  E              Inj estrogen conjugate       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                25 MG.
J1435..........  .............  E              Injection estrone per        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                1 MG.
J1436..........  .............  E              Etidronate disodium          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J1438..........  .............  E              Etanercept injection..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1440..........  .............  E              Filgrastim 300 mcg           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injeciton.
J1441..........  .............  E              Filgrastim 480 mcg           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J1450..........  .............  E              Fluconazole...........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1455..........  .............  E              Foscarnet sodium             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J1460..........  .............  E              Gamma globulin 1 CC          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J1470..........  .............  E              Gamma globulin 2 CC          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J1480..........  .............  E              Gamma globulin 3 CC          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J1490..........  .............  E              Gamma globulin 4 CC          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J1500..........  .............  E              Gamma globulin 5 CC          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J1510..........  .............  E              Gamma globulin 6 CC          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J1520..........  .............  E              Gamma globulin 7 CC          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J1530..........  .............  E              Gamma globulin 8 CC          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J1540..........  .............  E              Gamma globulin 9 CC          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J1550..........  .............  E              Gamma globulin 10 CC         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J1560..........  .............  E              Gamma globulin <ls-thn-      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                eq> 10 CC inj.
J1561..........  .............  E              Immune globulin 500 mg       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1562..........  .............  E              Immune globulin 5 gms.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1565..........  .............  E              RSV-ivig..............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1570..........  .............  E              Ganciclovir sodium           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J1580..........  .............  E              Garamycin gentamicin         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J1600..........  .............  E              Gold sodium                  0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                thiomaleate inj.
J1610..........  .............  E              Glucagon hydrochloride/      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                1 MG.
J1620..........  .............  E              Gonadorelin hydroch/         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                100 mcg.
J1626..........  .............  E              Granisetron HCl              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J1630..........  .............  E              Haloperidol injection.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1631..........  .............  E              Haloperidol decanoate        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J1642..........  .............  E              Inj heparin sodium per       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                10 u.
J1644..........  .............  E              Inj heparin sodium per       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                1000u.
J1645..........  .............  E              Dalteparin sodium.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1650..........  .............  E              Inj enoxaparin sodium.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1670..........  .............  E              Tetanus immune               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                globulin inj.
[[Page 59574]]
J1690..........  .............  E              Prednisolone tebutate        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J1700..........  .............  E              Hydrocortisone acetate       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J1710..........  .............  E              Hydrocortisone sodium        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ph inj.
J1720..........  .............  E              Hydrocortisone sodium        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                succ i.
J1730..........  .............  E              Diazoxide injection...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1739..........  .............  E              Hydroxyprogesterone          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                cap 125.
J1741..........  .............  E              Hydroxyprogesterone          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                cap 250.
J1742..........  .............  E              Ibutilide fumarate           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J1745..........  .............  E              Infliximab injection..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1750..........  .............  E              Iron dextran..........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1760..........  .............  D              Iron dextran 2 CC inj.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1770..........  .............  D              Iron dextran 5 CC inj.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1780..........  .............  D              Iron dextran 10 CC inj       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1785..........  .............  E              Injection imiglucerase       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                /unit.
J1790..........  .............  E              Droperidol injection..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1800..........  .............  E              Propranolol injection.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1810..........  .............  E              Droperidol/fentanyl          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J1820..........  .............  E              Insulin injection.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1825..........  .............  E              Interferon beta-1a....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1830..........  .............  E              Interferon beta-1b /         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                .25 MG.
J1840..........  .............  E              Kanamycin sulfate 500        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                MG inj.
J1850..........  .............  E              Kanamycin sulfate 75         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                MG inj.
J1885..........  .............  E              Ketorolac tromethamine       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J1890..........  .............  E              Cephalothin sodium           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J1910..........  .............  E              Kutapressin injection.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1930..........  .............  E              Propiomazine injection       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1940..........  .............  E              Furosemide injection..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1950..........  .............  E              Leuprolide acetate /         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                3.75 MG.
J1955..........  .............  E              Inj levocarnitine per        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                1 gm.
J1956..........  .............  E              Levofloxacin injection       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J1960..........  .............  E              Levorphanol tartrate         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J1970..........  .............  E              Methotrimeprazine            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J1980..........  .............  E              Hyoscyamine sulfate          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J1990..........  .............  E              Chlordiazepoxide             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J2000..........  .............  E              Lidocaine injection...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J2010..........  .............  E              Lincomycin injection..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J2060..........  .............  E              Lorazepam injection...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J2150..........  .............  E              Mannitol injection....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J2175..........  .............  E              Meperidine hydrochl /        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                100 MG.
J2180..........  .............  E              Meperidine/                  0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                promethazine inj.
J2210..........  .............  E              Methylergonovin              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                maleate inj.
J2240..........  .............  E              Metocurine iodide            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J2250..........  .............  E              Inj midazolam                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                hydrochloride.
J2260..........  .............  E              Inj milrinone lactate /      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                 5 ML.
J2270..........  .............  E              Morphine sulfate             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J2271..........  .............  E              Morphine so4 injection       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                100mg.
J2275..........  .............  E              Morphine sulfate             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J2300..........  .............  E              Inj nalbuphine               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                hydrochloride.
J2310..........  .............  E              Inj naloxone                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                hydrochloride.
J2320..........  .............  E              Nandrolone decanoate         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                50 MG.
J2321..........  .............  E              Nandrolone decanoate         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                100 MG.
J2322..........  .............  E              Nandrolone decanoate         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                200 MG.
J2330..........  .............  E              Thiothixene injection.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J2350..........  .............  E              Niacinamide/niacin           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J2352..........  .............  E              Octreotide acetate           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J2355..........  .............  E              Oprelvekin injection..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J2360..........  .............  E              Orphenadrine injection       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J2370..........  .............  E              Phenylephrine hcl            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J2400..........  .............  E              Chloroprocaine hcl           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J2405..........  .............  E              Ondansetron hcl              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J2410..........  .............  E              Oxymorphone hcl              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J2430..........  .............  E              Pamidronate disodium /       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                30 MG.
J2440..........  .............  E              Papaverin hcl                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J2460..........  .............  E              Oxytetracycline              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J2480..........  .............  E              Hydrochlorides of            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                opium inj.
J2500..........  .............  E              Paricalcitol..........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J2510..........  .............  E              Penicillin g procaine        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J2512..........  .............  E              Inj pentagastrin per 2       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                ML.
J2515..........  .............  E              Pentobarbital sodium         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J2540..........  .............  E              Penicillin g potassium       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J2543..........  .............  E              Piperacillin/                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                tazobactam.
J2545..........  .............  E              Pentamidine isethionte/      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                300mg.
J2550..........  .............  E              Promethazine hcl             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J2560..........  .............  E              Phenobarbital sodium         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J2590..........  .............  E              Oxytocin injection....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J2597..........  .............  E              Inj desmopressin             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                acetate.
J2640..........  .............  E              Prednisolone sodium ph       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J2650..........  .............  E              Prednisolone acetate         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J2670..........  .............  E              Totazoline hcl               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J2675..........  .............  E              Inj progesterone per         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                50 MG.
J2680..........  .............  E              Fluphenazine decanoate       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                25 MG.
[[Page 59575]]
J2690..........  .............  E              Procainamide hcl             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J2700..........  .............  E              Oxacillin sodium             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injeciton.
J2710..........  .............  E              Neostigmine                  0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                methylslfte inj.
J2720..........  .............  E              Inj protamine sulfate/       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                10 MG.
J2725..........  .............  E              Inj protirelin per 250       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mcg.
J2730..........  .............  E              Pralidoxime chloride         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J2760..........  .............  E              Phentolaine mesylate         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J2765..........  .............  E              Metoclopramide hcl           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J2780..........  .............  E              Ranitidine                   0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                hydrochloride inj.
J2790..........  .............  E              Rho d immune globulin        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J2792..........  .............  E              Rho(D) immune globulin       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                h, sd.
J2800..........  .............  E              Methocarbamol                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J2810..........  .............  E              Inj theophylline per         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                40 MG.
J2820..........  .............  E              Sargramostim injection       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J2860..........  .............  E              Secobarbital sodium          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J2910..........  .............  E              Aurothioglucose              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injeciton.
J2912..........  .............  E              Sodium chloride              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J2920..........  .............  E              Methylprednisolone           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J2930..........  .............  E              Methylprednisolone           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J2950..........  .............  E              Promazine hcl                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injeciton.
J2970..........  .............  E              Methicillin sodium           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J2994..........  .............  E              Reteplase double bolus       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J2995..........  .............  E              Inj streptokinase /          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                250000 IU.
J2996..........  .............  E              Alteplase recombinant        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J3000..........  .............  E              Streptomycin injection       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J3010..........  .............  E              Fentanyl citrate             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injeciton.
J3030..........  .............  E              Sumatriptan succinate /      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                 6 MG.
J3070..........  .............  E              Pentazocine hcl              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injeciton.
J3080..........  .............  E              Chlorprothixene              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J3105..........  .............  E              Terbutaline sulfate          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J3120..........  .............  E              Testosterone enanthate       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J3130..........  .............  E              Testosterone enanthate       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J3140..........  .............  E              Testosterone                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                suspension inj.
J3150..........  .............  E              Testosteron propionate       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J3230..........  .............  E              Chlorpromazine hcl           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J3240..........  .............  E              Thyrotropin injection.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J3245..........  .............  E              Tirofiban                    0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                hydrochloride.
J3250..........  .............  E              Trimethobenzamide hcl        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J3260..........  .............  E              Tobramycin sulfate           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J3265..........  .............  E              Injection torsemide 10       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mg/ml.
J3270..........  .............  E              Imipramine hcl               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J3280..........  .............  E              Thiethylperazine             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                maleate inj.
J3301..........  .............  E              Triamcinolone                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                acetonide inj.
J3302..........  .............  E              Triamcinolone                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                diacetate inj.
J3303..........  .............  E              Triamcinolone                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                hexacetonl inj.
J3305..........  .............  E              Inj trimetrexate             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                glucoronate.
J3310..........  .............  E              Perphenazine injeciton       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J3320..........  .............  E              Spectinomycn di-hcl          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J3350..........  .............  E              Urea injection........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J3360..........  .............  E              Diazepam injection....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J3364..........  .............  E              Urokinase 5000 IU            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J3365..........  .............  E              Urokinase 250,000 IU         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J3370..........  .............  R              Vancomycin hcl               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injeciton.
J3390..........  .............  E              Methoxamine injection.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J3400..........  .............  E              Triflupromazine hcl          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J3410..........  .............  E              Hydroxyzine hcl              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injeciton.
J3420..........  .............  E              Vitamin b12 injection.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J3430..........  .............  E              Vitamin k phytonadione       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J3450..........  .............  E              Mephentermine sulfate        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J3470..........  .............  E              Hyaluronidase                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J3475..........  .............  E              Inj magnesium sulfate.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J3480..........  .............  E              Inj potassium chloride       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J3490..........  .............  E              Drugs unclassified           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J3520..........  .............  N              Edetate disodium per         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                150 mg.
J3530..........  .............  E              Nasal vaccine                0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inhalation.
J3535..........  .............  N              Metered dose inhaler         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                drug.
J3570..........  .............  N              Laetrile amygdalin vit       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                B17.
J7030..........  .............  E              Normal saline solution       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                infus.
J7040..........  .............  E              Normal saline solution       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                infus.
J7042..........  .............  E              5% dextrose/normal           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                saline.
J7050..........  .............  E              Normal saline solution       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                infus.
J7051..........  .............  E              Sterile saline/water..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J7060..........  .............  E              5% dextrose/water.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J7070..........  .............  E              D5w infusion..........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J7100..........  .............  E              Dextran 40 infusion...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J7110..........  .............  E              Dextran 75 infusion...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J7120..........  .............  E              Ringers lactate              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                infusion.
J7130..........  .............  E              Hypertonic saline            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                solution.
J7190..........  .............  X              Factor viii...........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J7191..........  .............  X              Factor VIII (porcine).       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J7192..........  .............  X              Factor viii                  0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                recombinant.
[[Page 59576]]
J7194..........  .............  X              Factor ix complex.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J7196..........  .............  D              Othr hemophilia clot         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                factors.
J7197..........  .............  X              Antithrombin iii             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J7198..........  .............  E              Anti-inhibitor........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J7199..........  .............  E              Hemophilia clot factor       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                noc.
J7300..........  .............  N              Intraut copper               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                contraceptive.
J7310..........  .............  E              Ganciclovir long act         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                implant.
J7315..........  .............  E              Sodium hyaluronate           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J7320..........  .............  E              Hylan G-F 20 injection       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J7500..........  .............  X              Azathioprine oral 50mg       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J7501..........  .............  X              Azathioprine                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                parenteral.
J7502..........  .............  E              Cyclosporine oral 100        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mg.
J7503..........  .............  D              Cyclosporine                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                parenteral.
J7504..........  .............  X              Lymphocyte immune            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                globulin.
J7505..........  .............  X              Monoclonal antibodies.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J7506..........  .............  X              Prednisone oral.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J7507..........  .............  E              Tacrolimus oral per 1        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                MG.
J7508..........  .............  E              Tacrolimus oral per 5        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                MG.
J7509..........  .............  X              Methylprednisolone           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                oral.
J7510..........  .............  X              Prednisolone oral per        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                5 mg.
J7513..........  .............  E              Daclizumab, parenteral       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J7515..........  .............  E              Cyclosporine oral 25         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                mg.
J7516..........  .............  E              Cyclosporin parenteral       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                250mg.
J7517..........  .............  E              Mycophenolate mofetil        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                oral.
J7599..........  .............  X              Immunosuppressive drug       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                noc.
J7608..........  .............  E              Acetylcysteine inh sol       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                u d.
J7610..........  .............  E              Acetylcysteine 10%           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J7615..........  .............  E              Acetylcysteine 20%           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J7618..........  .............  E              Albuterol inh sol con.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J7619..........  .............  E              Albuterol inh sol u d.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J7620..........  .............  E              Albuterol sulfate            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                .083%/ml.
J7625..........  .............  E              Albuterol sulfate .5%        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J7627..........  .............  E              Bitolterolmesylate           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inhal sol.
J7628..........  .............  E              Bitolterol mes inhal         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sol con.
J7629..........  .............  E              Bitolterol mes inh sol       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                u d.
J7630..........  .............  E              Cromolyn sodium              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injeciton.
J7631..........  .............  E              Cromolyn sodium inh          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sol u d.
J7635..........  .............  E              Atropine inhal sol con       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J7636..........  .............  E              Atropine inhal sol           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                unit dose.
J7637..........  .............  E              Dexamethasone inhal          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sol con.
J7638..........  .............  E              Dexamethasone inhal          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sol u d.
J7639..........  .............  E              Dornase alpha inhal          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sol u d.
J7640..........  .............  E              Epinephrine injection.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J7642..........  .............  E              Glycopyrrolate inhal         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sol con.
J7643..........  .............  E              Glycopyrrolate inhal         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sol u d.
J7644..........  .............  E              Ipratropium brom inh         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sol u d.
J7645..........  .............  E              Ipratropium bromide          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                .02%/ml.
J7648..........  .............  E              Isoetharine hcl inh          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sol con.
J7649..........  .............  E              Isoetharine hcl inh          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sol u d.
J7650..........  .............  E              Isoetharine hcl .1%          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J7651..........  .............  E              Isoetharine hcl .125%        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J7652..........  .............  E              Isoetharine hcl .167%        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J7653..........  .............  E              Isoetharine hcl .2%/         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J7654..........  .............  E              Isoetharine hcl .25%         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J7655..........  .............  E              Isoetharine hcl 1% inj       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J7658..........  .............  E              Isoproterenolhcl inh         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sol con.
J7659..........  .............  E              Isoproterenol hcl inh        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sol ud.
J7660..........  .............  E              Isoproterenol hcl .5%        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J7665..........  .............  E              Isoproterenol hcl 1%         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J7668..........  .............  E              Metaproterenol inh sol       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                con.
J7669..........  .............  E              Metaproterenol inh sol       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                u d.
J7670..........  .............  E              Metaproterenol sulfate       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                .4%.
J7672..........  .............  E              Metaproterenol sulfate       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                .6%.
J7675..........  .............  E              Metaproterenol sulfate       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                5%.
J7680..........  .............  E              Terbutaline so4 inh          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sol con.
J7681..........  .............  E              Terbutaline so4 inh          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sol u d.
J7682..........  .............  E              Tobramycin inhalation        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                sol.
J7683..........  .............  E              Triamcinolone inh sol        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                con.
J7684..........  .............  E              Triamcinolone inh sol        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                u d.
J7699..........  .............  E              Inhalation solution          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                for DME.
J7799..........  .............  E              Non-inhalation drug          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                for DME.
J8499..........  .............  N              Oral prescrip drug non       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                chemo.
J8510..........  .............  E              Oral busulfan.........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J8520..........  .............  E              Capecitabine, oral,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                150 mg.
J8521..........  .............  E              Capecitabine, oral,          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                500 mg.
J8530..........  .............  E              Cyclophosphamide oral        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                25 MG.
J8560..........  .............  E              Etoposide oral 50 MG..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J8600..........  .............  E              Melphalan oral 2 MG...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J8610..........  .............  E              Methotrexate oral 2.5        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                MG.
J8999..........  .............  E              Oral prescription drug       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                chemo.
J9000..........  .............  E              Doxorubic hcl 10 MG vl       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                chemo.
[[Page 59577]]
J9001..........  .............  E              Doxorubicin hcl              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                liposome inj.
J9015..........  .............  E              Aldesleukin/single use       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                vial.
J9020..........  .............  E              Asparaginase injection       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9031..........  .............  E              Bcg live intravesical        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                vac.
J9040..........  .............  E              Bleomycin sulfate            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J9045..........  .............  E              Carboplatin injection.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9050..........  .............  E              Carmus bischl nitro          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J9060..........  .............  E              Cisplatin 10 MG              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injeciton.
J9062..........  .............  E              Cisplatin 50 MG              0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injeciton.
J9065..........  .............  E              Inj cladribine per 1         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                MG.
J9070..........  .............  E              Cyclophosphamide 100         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                MG inj.
J9080..........  .............  E              Cyclophosphamide 200         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                MG inj.
J9090..........  .............  E              Cyclophosphamide 500         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                MG inj.
J9091..........  .............  E              Cyclophosphamide 1.0         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                grm inj.
J9092..........  .............  E              Cyclophosphamide 2.0         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                grm inj.
J9093..........  .............  E              Cyclophosphamide             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                lyophilized.
J9094..........  .............  E              Cyclophosphamide             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                lyophilized.
J9095..........  .............  E              Cyclophosphamide             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                lyophilized.
J9096..........  .............  E              Cyclophosphamide             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                lyophilized.
J9097..........  .............  E              Cyclophosphamide             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                lyophilized.
J9100..........  .............  E              Cytarabine hcl 100 MG        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J9110..........  .............  E              Cytarabine hcl 500 MG        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J9120..........  .............  E              Dactinomycin                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                actinomycin d.
J9130..........  .............  E              Dacarbazine 10 MG inj.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9140..........  .............  E              Dacarbazine 200 MG inj       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9150..........  .............  E              Daunorubicin..........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9151..........  .............  E              Daunorubicin citrate         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                liposom.
J9165..........  .............  E              Diethylstilbestrol           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injection.
J9170..........  .............  E              Docetaxel.............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9181..........  .............  E              Etoposide 10 MG inj...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9182..........  .............  E              Etoposide 100 MG inj..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9185..........  .............  E              Fludarabine phosphate        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J9190..........  .............  E              Fluorouracil injection       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9200..........  .............  E              Floxuridine injection.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9201..........  .............  E              Gemcitabine HCl.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9202..........  .............  E              Goserelin acetate            0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                implant.
J9206..........  .............  E              Irinotecan injection..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9208..........  .............  E              Ifosfomide injection..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9209..........  .............  E              Mesna injection.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9211..........  .............  E              Idarubicin hcl               0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injeciton.
J9212..........  .............  E              Interferon alfacon-1..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9213..........  .............  E              Interferon alfa-2a inj       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9214..........  .............  E              Interferon alfa-2b inj       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9215..........  .............  E              Interferon alfa-n3 inj       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9216..........  .............  E              Interferon gamma 1-b         0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J9217..........  .............  E              Leuprolide acetate           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                suspnsion.
J9218..........  .............  E              Leuprolide acetate           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                injeciton.
J9230..........  .............  E              Mechlorethamine hcl          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J9245..........  .............  E              Inj melphalan hydrochl       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                50 MG.
J9250..........  .............  E              Methotrexate sodium          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J9260..........  .............  E              Methotrexate sodium          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J9265..........  .............  E              Paclitaxel injection..       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9266..........  .............  E              Pegaspargase/singl           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                dose vial.
J9268..........  .............  E              Pentostatin injection.       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9270..........  .............  E              Plicamycin                   0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                (mithramycin) inj.
J9280..........  .............  E              Mitomycin 5 MG inj....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9290..........  .............  E              Mitomycin 20 MG inj...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9291..........  .............  E              Mitomycin 40 MG inj...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9293..........  .............  E              Mitoxantrone hydrochl /      0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                 5 MG.
J9310..........  .............  E              Rituximab cancer             0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                treatment.
J9320..........  .............  E              Streptozocin injection       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9340..........  .............  E              Thiotepa injection....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9350..........  .............  E              Topotecan.............       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9355..........  .............  E              Trastuzumab...........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9357..........  .............  E              Valrubicin, 200 mg....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9360..........  .............  E              Vinblastine sulfate          0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                inj.
J9370..........  .............  E              Vincristine sulfate 1        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                MG inj.
J9375..........  .............  E              Vincristine sulfate 2        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                MG inj.
J9380..........  .............  E              Vincristine sulfate 5        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                MG inj.
J9390..........  .............  E              Vinorelbine tartrate/        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                10 mg.
J9600..........  .............  E              Porfimer sodium.......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
J9999..........  .............  E              Chemotherapy drug.....       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
M0064..........  .............  A              Visit for drug               0.37        0.26       0.24        0.12       0.17      0.01        0.64       0.62        0.50       0.55       XXX
                                                monitoring.
M0075..........  .............  N              Cellular therapy......       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
M0076..........  .............  N              Prolotherapy..........       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
M0100..........  .............  N              Intragastric                 0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                hypothermia.
M0300..........  .............  N              IV chelationtherapy...       0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
M0301..........  .............  N              Fabric wrapping of           0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                aneurysm.
M0302..........  .............  C              Assessment of cardiac        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                output.
M0302..........  26...........  C              Assessment of cardiac        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                output.
M0302..........  TC...........  C              Assessment of cardiac        0.00        0.00       0.00        0.00       0.00      0.00        0.00       0.00        0.00       0.00       XXX
                                                output.
[[Continued on page 59579]]