nys doh apg-based weights history file (yellow highlight ......oct 1 2010 jan 1 2011 apr 1 2011 july...

7/7/2020

NYS DOH APG-Based Weights History File (yellow highlight indicates period with full reweighting) Revised for January 1, 2020 Updates:

Dec 1 2008

Jan 1 2010

Apr 1 2010

Jul 1 2010

Oct 1 2010

Jan 1 2011

Apr 1 2011

July 1 2011

Oct 1 2011

Jan 1 2012

Apr 1 2012

July 1 2012

Oct 1 2012

Jan 1 2013

April 4 2013APG APG Description

1 PHOTOCHEMOTHERAPY 0.4974 0.6402 0.6402 0.5526 0.5526 0.5526 0.5526 0.5526 0.5526 0.5526 0.5526 0.5526 0.5526 0.5526 0.5526 2 SUPERFICIAL NEEDLE BIOPSY AND ASPIRAT 5.7662 3.2448 3.2448 2.8086 2.8086 2.8086 2.8086 2.8086 2.8086 2.8086 2.8086 2.7636 2.7636 2.7636 2.7636 3 LEVEL I SKIN INCISION AND DRAINAGE, DE 2.2638 1.8962 1.8962 1.5061 1.5061 1.5061 1.5061 1.5197 1.5197 1.5197 1.5197 1.7565 1.7565 1.7565 1.7565 4 LEVEL II SKIN INCISION AND DRAINAGE, DE 6.3519 2.7968 2.7968 2.9590 2.9590 2.9590 2.9590 2.0377 2.0377 2.0377 2.0377 3.3245 3.3245 3.3245 3.3245 5 NAIL PROCEDURES 0.8389 0.7008 0.7008 0.7414 0.7414 0.7414 0.7414 0.5901 0.5901 0.5901 0.5901 0.5009 0.5009 0.5009 0.5009 6 LEVEL I SKIN DEBRIDEMENT AND DESTRUC 1.5306 1.3672 1.3672 1.4465 1.4465 1.4465 1.4465 1.3236 1.3236 1.3236 1.3236 1.2998 1.2998 1.2998 1.2998 7 LEVEL II SKIN DEBRIDEMENT AND DESTRUC 5.6395 2.6624 2.6624 4.0338 4.0338 4.0338 4.0338 4.3784 4.3784 4.3784 4.3784 4.3784 4.3784 4.3784 4.3784 8 LEVEL III SKIN DEBRIDEMENT AND DESTRU 6.0904 3.9132 3.9132 4.1402 4.1402 4.1402 4.1402 5.9044 5.9044 5.9044 5.9044 5.7434 5.7434 5.7434 5.7434 9 LEVEL I SKIN EXCISIONS, BIOPSIES, AND RE 4.1402 3.6788 3.6788 3.2478 3.2478 3.2478 3.2478 3.2478 3.2478 3.2478 3.2478 3.4361 3.4361 3.4361 3.4361

10 LEVEL II SKIN EXCISIONS, BIOPSIES, AND RE 7.7910 4.6370 4.6370 7.1495 7.1495 7.1495 7.1495 6.4547 6.4547 6.4547 6.4547 6.7476 6.7476 6.7476 6.7476 11 LEVEL III SKIN EXCISIONS, BIOPSIES, AND R 13.4426 7.9567 7.9567 12.7186 12.7186 12.7186 12.7186 9.9538 9.9538 9.9538 9.9538 11.3125 11.3125 11.3125 11.3125 12 LEVEL I SKIN REPAIR 2.0269 0.4352 0.4352 0.9985 0.9985 0.9985 0.9985 1.3110 1.3110 1.3110 1.3110 1.6991 1.6991 1.6991 1.6991 13 LEVEL II SKIN REPAIR 10.5571 3.1648 3.1648 3.1296 3.1296 3.1296 3.1296 3.7575 3.7575 3.7575 3.7575 4.1388 4.1388 4.1388 4.1388 14 LEVEL III SKIN REPAIR 10.5571 5.6896 5.6896 5.3798 5.3798 5.3798 5.3798 6.2866 6.2866 6.2866 6.2866 7.0338 7.0338 7.0338 7.0338 15 LEVEL IV SKIN REPAIR 10.8329 6.6746 6.6746 7.0617 7.0617 7.0617 7.0617 9.3960 9.3960 9.3960 9.3960 8.6250 8.6250 8.6250 8.6250

16 SIMPLE WOUND REPAIR AND TREATMENT - - - - - - - - - - - - - - -

17 INTERMEDIATE WOUND REPAIR AND TREATM - - - - - - - - - - - - - - -

18 COMPLEX WOUND REPAIR AND TREATMENT - - - - - - - - - - - - - - -

19 MOHS MICROGRAPHIC SURGERY - - - - - - - - - - - - - - -20 LEVEL I BREAST PROCEDURES 9.8221 5.7790 5.7790 6.1142 6.1142 6.1142 6.1142 7.6666 7.6666 7.6666 7.6666 8.5721 8.5721 8.5721 8.5721 21 LEVEL II BREAST PROCEDURES 12.7319 7.4250 7.4250 7.5861 7.5861 7.5861 7.5861 9.8812 9.8812 9.8812 9.8812 12.1046 12.1046 12.1046 12.1046 22 LEVEL III BREAST PROCEDURES 18.3671 8.2280 8.2280 10.7030 10.7030 10.7030 10.7030 14.0747 14.0747 14.0747 14.0747 17.3364 17.3364 17.3364 17.3364 23 LEVEL I FOREARM AND WRIST PROCEDURES 24 LEVEL II FOREARM AND WRIST PROCEDURES 25 SHOULDER AND UPPER ARM PROCEDURES 26 LEVEL I KNEE AND LOWER LEG PROCEDURES 27 PELVIS, FEMUR AND UPPER LEG PROCEDURES 28 LEVEL I SPINE PROCEDURES 29 LEVEL II SPINE PROCEDURES 30 GENERAL MUSCULOSKELETAL PROCEDURE 8.3113 6.7781 6.7781 7.1713 7.1713 7.1713 7.1713 8.0298 8.0298 8.0298 8.0298 9.4188 9.4188 9.4188 9.4188 31 LEVEL II MUSCULOSKELETAL PROCEDURES 10.3281 7.3495 7.3495 9.1805 9.1805 9.1805 9.1805 10.2397 10.2397 10.2397 10.2397 10.2397 10.2397 10.2397 10.2397 32 LEVEL III MUSCULOSKELETAL PROCEDURES 13.1830 8.8413 8.8413 12.3148 12.3148 12.3148 12.3148 13.3392 13.3392 13.3392 13.3392 15.0668 15.0668 15.0668 15.0668 33 LEVEL I HAND PROCEDURES 7.8928 5.4577 5.4577 5.7742 5.7742 5.7742 5.7742 6.4438 6.4438 6.4438 6.4438 6.9057 6.9057 6.9057 6.9057 34 LEVEL II HAND PROCEDURES 10.7450 7.5820 7.5820 9.1580 9.1580 9.1580 9.1580 11.4221 11.4221 11.4221 11.4221 11.4221 11.4221 11.4221 11.4221 35 LEVEL I FOOT PROCEDURES 10.1117 6.4428 6.4428 6.8165 6.8165 6.8165 6.8165 7.6554 7.6554 7.6554 7.6554 8.8955 8.8955 8.8955 8.8955 36 LEVEL II FOOT PROCEDURES 10.2147 6.9384 6.9384 10.3719 10.3719 10.3719 10.3719 11.3823 11.3823 11.3823 11.3823 11.3823 11.3823 11.3823 11.3823 37 LEVEL I ARTHROSCOPY 11.5379 10.3002 10.3002 9.0281 9.0281 9.0281 9.0281 8.6157 8.6157 8.6157 8.6157 9.9509 9.9509 9.9509 9.9509 38 LEVEL II ARTHROSCOPY 17.9246 26.6662 26.6662 19.3575 19.3575 19.3575 19.3575 17.0797 17.0797 17.0797 17.0797 18.9106 18.9106 18.9106 18.9106 39 CAST APPLICATION OR REPLACEMENT 1.6870 1.3745 1.3745 1.5815 1.5815 1.5815 1.5815 1.5815 1.5815 1.5815 1.5815 1.5815 1.5815 1.5815 1.5815 40 MINOR SPLINT AND STRAPPING APPLICATI 1.6166 0.9264 0.9264 0.9801 0.9801 0.9801 0.9801 0.9801 0.9801 0.9801 0.9801 1.1572 1.1572 1.1572 1.1572 41 CLOSED TREATMENT FX AND DISLOCATION 3.4623 1.3420 1.3420 2.0644 2.0644 2.0644 2.0644 2.2203 2.2203 2.2203 2.2203 2.7434 2.7434 2.7434 2.7434 42 CLOSED TREATMENT FX & DISLOCATION E 2.8556 1.3734 1.3734 2.2275 2.2275 2.2275 2.2275 2.4086 2.4086 2.4086 2.4086 2.8302 2.8302 2.8302 2.8302 43 OPEN OR PERCUTANEOUS TREATMENT OF 12.3224 10.6160 10.6160 11.2317 11.2317 11.2317 11.2317 13.2871 13.2871 13.2871 13.2871 16.1779 16.1779 16.1779 16.1779 44 BONE OR JOINT MANIPULATION UNDER A 6.5896 2.8085 2.8085 2.9714 2.9714 2.9714 2.9714 2.9714 2.9714 2.9714 2.9714 5.0556 5.0556 5.0556 5.0556 45 BUNION PROCEDURES 14.8239 9.6670 9.6670 10.2277 10.2277 10.2277 10.2277 11.5262 11.5262 11.5262 11.5262 12.2733 12.2733 12.2733 12.2733 46 LEVEL I ARTHROPLASTY 8.1577 6.4879 6.4879 11.5457 11.5457 11.5457 11.5457 13.4720 13.4720 13.4720 13.4720 16.5949 16.5949 16.5949 16.5949 47 LEVEL II ARTHROPLASTY 8.1597 7.9149 7.9149 14.1222 14.1222 14.1222 14.1222 14.1222 14.1222 14.1222 14.1222 19.0650 19.0650 19.0650 19.0650 48 HAND AND FOOT TENOTOMY 9.4465 4.5256 4.5256 3.5130 3.5130 3.5130 3.5130 3.1577 3.1577 3.1577 3.1577 3.7618 3.7618 3.7618 3.7618 49 LEVEL I JOINT, TENDON, OR LIGAMENT INJ 1.6853 1.7976 1.7976 1.3448 1.3448 1.3448 1.3448 1.3448 1.3448 1.3448 1.3448 1.5996 1.5996 1.5996 1.5996 50 LEVEL II JOINT, TENDON, OR LIGAMENT INJECTION PROCEDURES

51 MUSCULOSKELETAL EXCISIONS, BIOPSIES, AN - - - - - - - - - - - - - - -52 LEVEL II KNEE AND LOWER LEG PROCEDURES 53 SPINE INJECTIONS AND OTHER RELATED PROCEDURES

54 FIXATION DEVICE INSERTION OR REPLACEME - - - - - - - - - - - - - - -

56 SKIN AND CONNECTIVE TISSUE GRAFTING AN - - - - - - - - - - - - - - -

Final APG Based Weights Page 1 of 40

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59 ARTERIOVENOUS FISTULA CREATION OR REV - - - - - - - - - - - - - - -60 PULMONARY FUNCTION TESTS 1.0413 0.9756 0.9756 1.5150 1.5150 1.5150 1.5150 1.3870 1.3870 1.3870 1.3870 1.4912 1.4912 1.4912 1.4912 61 NEEDLE AND CATHETER BIOPSY, ASPIRATIO 5.8355 3.8018 3.8018 4.1065 4.1065 4.1065 4.1065 3.8204 3.8204 3.8204 3.8204 3.2899 3.2899 3.2899 3.2899 62 LEVEL I ENDOSCOPY OF THE UPPER AIRWA 2.2767 1.6063 1.6063 1.6995 1.6995 1.6995 1.6995 1.6995 1.6995 1.6995 1.6995 2.0823 2.0823 2.0823 2.0823 63 LEVEL II ENDOSCOPY OF THE UPPER AIRWA 11.1571 7.0115 7.0115 9.1971 9.1971 9.1971 9.1971 9.1971 9.1971 9.1971 9.1971 9.1971 9.1971 9.1971 9.1971 64 LEVEL I LOWER AIRWAY ENDOSCOPY 7.8804 6.9414 6.9414 7.3440 7.3440 7.3440 7.3440 6.4476 6.4476 6.4476 6.4476 6.3946 6.3946 6.3946 6.3946 65 RESPIRATORY THERAPY - - - - - - - - - - - - - - -66 PULMONARY REHABILITATION - - - - - - - - - - - - - - -67 VENTILATION ASSISTANCE AND MANAGEM 2.5126 0.9890 0.9890 1.0464 1.0464 1.0464 1.0464 1.2430 1.2430 1.2430 1.2430 1.0267 1.0267 1.0267 1.0267 68 THORACENTESIS, RELATED BIOPSY AND PLEURAL DRAINAGE PROCEDURES

69 LEVEL I THORACIC AND CHEST PROCEDURES - - - - - - - - - - - - - - -

70 LEVEL II THORACIC AND CHEST PROCEDURES - - - - - - - - - - - - - - -

71 LEVEL II LOWER AIRWAY ENDOSCOPY - - - - - - - - - - - - - - -

72 TRACHEOSTOMY AND RELATED TRACHEAL PR - - - - - - - - - - - - - - -

74 REVISION, REPLACEMENT OR REMOVAL OF CA - - - - - - - - - - - - - - -75 LEVEL I CENTRAL VENOUS ACCESS PROCEDURES 76 REVISION, REPAIR OR REMOVAL OF CENTRAL VENOUS ACCESS DEVICE 77 LEVEL I PERIPHERAL ENDOVASCULAR AND TRANSCATHETER PROCEDURES 78 LEVEL I PERIPHERAL VASCULAR REPAIR, LIGATION OR RECONSTRUCTION 79 LEVEL II PERIPHERAL ENDOVASCULAR AND TRANSCATHETER PROCEDURES 80 EXERCISE TOLERANCE TESTS 1.1689 0.9157 0.9157 0.9688 0.9688 0.9688 0.9688 0.9085 0.9085 0.9085 0.9085 0.9085 0.9085 0.9085 0.9085 81 ECHOCARDIOGRAPHY 2.6278 1.6428 1.6428 1.9381 1.9381 1.9381 1.9381 1.6079 1.6079 1.6079 1.6079 1.7687 1.7687 1.7687 1.7687 82 CARDIAC ELECTROPHYSIOLOGIC TESTS AN 11.5958 5.0790 5.0790 8.0131 8.0131 8.0131 8.0131 5.0296 5.0296 5.0296 5.0296 5.0296 5.0296 5.0296 5.0296 83 LEVEL II CENTRAL VENOUS ACCESS PROCED 9.5834 8.0168 8.0168 6.7333 6.7333 6.7333 6.7333 6.8735 6.8735 6.8735 6.8735 7.5690 7.5690 7.5690 7.5690 84 DIAGNOSTIC CARDIAC CATHETERIZATION 12.6153 10.8688 10.8688 11.4992 11.4992 11.4992 11.4992 10.6636 10.6636 10.6636 10.6636 9.8204 9.8204 9.8204 9.8204 85 LEVEL III PERIPHERAL ENDOVASCULAR AND 14.0636 14.1670 14.1670 11.3118 11.3118 11.3118 11.3118 12.1175 12.1175 12.1175 12.1175 14.5669 14.5669 14.5669 14.5669 86 PACEMAKER AND OTHER CARDIOVASCULA 32.3512 32.3317 32.3317 25.7335 25.7335 25.7335 25.7335 26.3230 26.3230 26.3230 26.3230 34.6743 34.6743 34.6743 34.6743 87 REMOVAL OR REVISION OF PACEMAKERS A 23.0197 8.0808 8.0808 10.0427 10.0427 10.0427 10.0427 10.0427 10.0427 10.0427 10.0427 12.3879 12.3879 12.3879 12.3879 88 LEVEL I CARDIOTHORACIC PROCEDURES W 10.8885 6.5873 6.5873 12.9732 12.9732 12.9732 12.9732 14.2213 14.2213 14.2213 14.2213 11.5643 11.5643 11.5643 11.5643 89 LEVEL II CARDIOTHORACIC PROCEDURES W 15.6179 14.0707 14.0707 15.3453 15.3453 15.3453 15.3453 15.0988 15.0988 15.0988 15.0988 15.7299 15.7299 15.7299 15.7299 90 LEVEL I VARICOSE VEIN AND RELATED PRO 2.8374 5.8693 5.8693 6.2097 6.2097 6.2097 6.2097 7.4931 7.4931 7.4931 7.4931 5.7167 5.7167 5.7167 5.7167 91 LEVEL II PERIPHERAL VASCULAR REPAIR, LI 13.4829 9.9140 9.9140 10.4890 10.4890 10.4890 10.4890 12.3823 12.3823 12.3823 12.3823 13.9477 13.9477 13.9477 13.9477 92 RESUSCITATION 2.1938 1.2138 1.2138 3.3235 3.3235 3.3235 3.3235 3.3235 3.3235 3.3235 3.3235 3.1285 3.1285 3.1285 3.1285 93 CARDIOVERSION 4.9369 2.5540 2.5540 4.1141 4.1141 4.1141 4.1141 4.1141 4.1141 4.1141 4.1141 2.9021 2.9021 2.9021 2.9021 94 CARDIAC REHABILITATION - 0.2075 0.2075 0.2075 0.2075 0.2075 0.2075 0.2075 0.2075 0.2075 0.2075 0.2075 0.2075 0.2075 0.2075 95 THROMBOLYSIS 1.6870 1.3001 1.3001 0.9474 0.9474 0.9474 0.9474 0.9474 0.9474 0.9474 0.9474 1.1450 1.1450 1.1450 1.1450 96 ATRIAL AND VENTRICULAR RECORDING AN 7.2120 5.5577 5.5577 2.2625 2.2625 2.2625 2.2625 2.5897 2.5897 2.5897 2.5897 2.9256 2.9256 2.9256 2.9256 97 AICD AND RELATED CARDIAC DEVICE INSE 39.6069 66.2866 66.2866 70.1312 70.1312 76.0817 76.0817 77.1746 77.1746 77.1746 77.1746 82.3742 82.3742 82.3742 82.3742 99 LEVEL I PERCUTANEOUS CORONARY AND INTRACARDIAC INTERVENTIONAL PROCEDURES

101 LEVEL III CARDIOTHORACIC PROCEDURES W OR W/O VASCULAR DEVICE

102 CONSULTATIVE TELEHEALTH ASSESSMENTS M - - - - - - - - - - - - - - -

103 LEVEL II VARICOSE VEIN AND RELATED PROCE - - - - - - - - - - - - - - -

109 ANCILLARY DRUG ADMINISTRATION - - - - - - - - - - - - - - -110 PHARMACOTHERAPY BY EXTENDED INFUS 2.1341 2.7427 2.7427 2.9018 2.9018 2.9018 2.9018 3.2356 3.2356 3.2356 3.2356 3.9048 3.9048 3.9048 3.9048 111 PHARMACOTHERAPY EXCEPT BY EXTENDE 1.7606 1.7078 1.7078 1.3423 1.3423 1.3423 1.3423 1.3423 1.3423 1.3423 1.3423 1.4624 1.4624 1.4624 1.4624 112 PHLEBOTOMY 0.9094 0.7423 0.7423 0.7853 0.7853 0.7853 0.7853 0.7853 0.7853 0.7853 0.7853 0.5657 0.5657 0.5657 0.5657 113 LEVEL I BLOOD AND BLOOD PRODUCT EXC 2.6812 2.5089 2.5089 3.1114 3.1114 3.1114 3.1114 3.1794 3.1794 3.1794 3.1794 2.9598 2.9598 2.9598 2.9598 114 LEVEL II BLOOD AND BLOOD PRODUCT EXC 3.3584 7.6143 7.6143 8.0560 8.0560 8.0560 8.0560 11.1540 11.1540 11.1540 11.1540 11.1540 11.1540 11.1540 11.1540 115 DEEP LYMPH STRUCTURE PROCEDURES 10.2770 4.9538 4.9538 5.2411 5.2411 5.2411 5.2411 6.4715 6.4715 6.4715 6.4715 7.8415 7.8415 7.8415 7.8415 116 ALLERGY TESTS 1.9176 1.3107 1.3107 1.8184 1.8184 1.8184 1.8184 1.3799 1.3799 1.3799 1.3799 1.3799 1.3799 1.3799 1.3799 117 HOME INFUSION - - - - - - - - - - - - - - -118 NUTRITION THERAPY - - - - - - - - - - - - - - -119 IMMUNOTHERAPY PREPARATION SERVICE - - - - - - - - - - - - - - -120 IMMUNOTHERAPY - - - - - - - - - - - - - - -

121 LEVEL II PERCUTANEOUS CORONARY AND INT - - - - - - - - - - - - - - -

122 PERCUTANEOUS INTRA-ABDOMINAL OR INTR - - - - - - - - - - - - - - -

123 PERIPHERAL VASCULAR BYPASS PROCEDURES - - - - - - - - - - - - - - -

124 BONE MARROW BIOPSIES - - - - - - - - - - - - - - -


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130 ALIMENTARY TESTS AND TUBE INSERTION 2.8788 2.6993 2.6993 2.8558 2.8558 2.8558 2.8558 2.8677 2.8677 2.8677 2.8677 2.7399 2.7399 2.7399 2.7399 131 ESOPHAGEAL DILATION WITHOUT ENDOSC 4.3770 2.7583 2.7583 2.9182 2.9182 2.9182 2.9182 3.3375 3.3375 3.3375 3.3375 3.3375 3.3375 3.3375 3.3375 132 ANOSCOPY WITH BIOPSY AND DIAGNOSTIC 4.8839 2.0351 2.0351 3.1008 3.1008 3.1008 3.1008 3.6013 3.6013 3.6013 3.6013 3.0084 3.0084 3.0084 3.0084 133 PROCTOSIGMOIDOSCOPY WITH EXCISION 6.5527 4.1000 4.1000 4.3378 4.3378 4.3378 4.3378 4.1099 4.1099 4.1099 4.1099 4.2463 4.2463 4.2463 4.2463 134 LEVEL I UPPER GI ENDOSCOPY 6.5767 4.0352 4.0352 4.2693 4.2693 4.2693 4.2693 4.1571 4.1571 4.1571 4.1571 4.3955 4.3955 4.3955 4.3955 135 LEVEL II UPPER GI ENDOSCOPY 6.2914 5.4853 5.4853 5.8034 5.8034 5.8034 5.8034 5.1885 5.1885 5.1885 5.1885 5.0274 5.0274 5.0274 5.0274 136 LEVEL I LOWER GI ENDOSCOPY 6.5160 4.1844 4.1844 4.4271 4.4271 4.4271 4.4271 4.2662 4.2662 4.2662 4.2662 4.2224 4.2224 4.2224 4.2224 137 LEVEL II LOWER GI ENDOSCOPY 7.1153 4.5928 4.5928 4.8592 4.8592 4.8592 4.8592 4.4524 4.4524 4.4524 4.4524 4.7839 4.7839 4.7839 4.7839 138 LEVEL I ERCP AND RELATED ENDOSCOPIC P 11.5255 6.4631 6.4631 6.8380 6.8380 6.8380 6.8380 5.6179 5.6179 5.6179 5.6179 7.1026 7.1026 7.1026 7.1026 139 HERNIA REPAIRS 11.6891 12.4526 12.4526 10.0007 10.0007 10.0007 10.0007 10.5706 10.5706 10.5706 10.5706 11.1445 11.1445 11.1445 11.1445 140 LEVEL II HERNIA REPAIR 11.7609 12.4526 12.4526 10.1181 10.1181 10.1181 10.1181 11.0670 11.0670 11.0670 11.0670 13.6513 13.6513 13.6513 13.6513 141 LEVEL I ANAL AND RECTAL PROCEDURES 6.3398 3.8551 3.8551 4.0787 4.0787 4.0787 4.0787 5.0387 5.0387 5.0387 5.0387 5.9480 5.9480 5.9480 5.9480 142 LEVEL II ANAL AND RECTAL PROCEDURES 10.0036 9.7035 9.7035 9.5788 9.5788 9.5788 9.5788 7.3039 7.3039 7.3039 7.3039 8.3716 8.3716 8.3716 8.3716 143 LEVEL I GASTROINTESTINAL PROCEDURES 5.7638 5.2580 5.2580 5.5630 5.5630 5.5630 5.5630 6.3918 6.3918 6.3918 6.3918 6.5720 6.5720 6.5720 6.5720 144 LEVEL II GASTROINTESTINAL PROCEDURES 12.9141 5.7503 5.7503 8.3903 8.3903 8.3903 8.3903 9.4580 9.4580 9.4580 9.4580 13.1905 13.1905 13.1905 13.1905 145 LEVEL I LAPAROSCOPY 9.9064 7.0638 7.0638 8.1624 8.1624 8.1624 8.1624 8.1624 8.1624 8.1624 8.1624 10.1423 10.1423 10.1423 10.1423 146 LEVEL II LAPAROSCOPY 11.3295 9.8872 9.8872 12.4996 12.4996 12.4996 12.4996 11.4778 11.4778 11.4778 11.4778 13.7456 13.7456 13.7456 13.7456 147 LEVEL III LAPAROSCOPY 14.1128 12.0727 12.0727 12.6160 12.6160 12.6160 12.6160 12.3343 12.3343 12.3343 12.3343 14.3530 14.3530 14.3530 14.3530 148 LEVEL III LAPAROSCOPY 14.1128 17.5662 17.5662 15.7699 15.7699 15.7699 15.7699 14.6699 14.6699 14.6699 14.6699 17.6039 17.6039 17.6039 17.6039 149 SCREENING COLORECTAL SERVICES 4.2224 4.2224 150 ABDOMINAL PARACENTESIS AND RELATED PERITONEAL DRAINAGE PROCEDURES 151 LEVEL I HEPATOBILIARY AND PANCREAS PROCEDURES 152 LEVEL II HEPATOBILIARY AND PANCREAS PROCEDURES 153 LEVEL II ERCP AND RELATED ENDOSCOPIC PROCEDURES 154 LEVEL III UPPER GI ENDOSCOPY

159 MINOR UROLOGY SERVICES - - - - - - - - - - - - - - -160 EXTRACORPOREAL SHOCK WAVE LITHOTR 21.4139 14.2444 14.2444 13.2611 13.2611 13.2611 13.2611 12.2328 12.2328 12.2328 12.2328 14.0419 14.0419 14.0419 14.0419 161 URINARY STUDIES AND PROCEDURES 2.5668 1.8084 1.8084 2.1090 2.1090 2.1090 2.1090 2.1090 2.1090 2.1090 2.1090 2.3199 2.3199 2.3199 2.3199 162 URINARY DILATATION 2.2016 0.9654 0.9654 1.1703 1.1703 1.1703 1.1703 1.5154 1.5154 1.5154 1.5154 1.7376 1.7376 1.7376 1.7376 163 LEVEL I BLADDER AND KIDNEY PROCEDUR 7.3162 3.7694 3.7694 3.9881 3.9881 3.9881 3.9881 4.4703 4.4703 4.4703 4.4703 4.9167 4.9167 4.9167 4.9167 164 LEVEL II BLADDER AND KIDNEY PROCEDUR 11.1336 6.3523 6.3523 8.2431 8.2431 8.2431 8.2431 9.0583 9.0583 9.0583 9.0583 10.7891 10.7891 10.7891 10.7891 165 LEVEL III BLADDER AND KIDNEY PROCEDUR 17.1732 9.0051 9.0051 10.3039 10.3039 10.3039 10.3039 10.3039 10.3039 10.3039 10.3039 11.3343 11.3343 11.3343 11.3343 166 LEVEL I URETHRAL PROCEDURES 4.2392 5.8862 5.8862 6.2277 6.2277 6.2277 6.2277 5.5248 5.5248 5.5248 5.5248 5.4761 5.4761 5.4761 5.4761 167 LEVEL II URETHRAL PROCEDURES 12.7219 7.4458 7.4458 10.8055 10.8055 10.8055 10.8055 12.0122 12.0122 12.0122 12.0122 13.8140 13.8140 13.8140 13.8140 168 DIALYSIS PROCEDURES 1.0803 1.1155 1.1155 1.2199 1.2199 1.2199 1.2199 1.2504 1.2504 1.3254 1.3254 1.3651 1.3651 1.3651 1.3651 169 PERITONEAL DIALYSIS 0.4644 0.4795 0.4795 0.5228 0.5228 0.5228 0.5228 0.5359 0.5359 0.5680 0.5680 0.5851 0.5851 0.5851 0.5851

170 LEVEL I KIDNEY AND URETERAL PROCEDURES - - - - - - - - - - - - - - -

171 LEVEL II KIDNEY AND URETERAL PROCEDURES - - - - - - - - - - - - - - -

172 LEVEL III KIDNEY AND URETERAL PROCEDURE - - - - - - - - - - - - - - -

173 LEVEL I BLADDER AND URETERAL PROCEDUR - - - - - - - - - - - - - - -

174 LEVEL II BLADDER AND URETERAL PROCEDUR - - - - - - - - - - - - - - -

176 LEVEL I PROSTATE PROCEDURES - - - - - - - - - - - - - - -

178 ANTEPARTUM PROCEDURES - - - - - - - - - - - - - - -

179 ECTOPIC PREGNANCY PROCEDURES - - - - - - - - - - - - - - -180 TESTICULAR AND EPIDIDYMAL PROCEDUR 9.0792 7.2405 7.2405 6.7450 6.7450 6.7450 6.7450 6.6134 6.6134 6.6134 6.6134 7.0959 7.0959 7.0959 7.0959 181 CIRCUMCISION 6.6820 4.3799 4.3799 5.3238 5.3238 5.3238 5.3238 5.3238 5.3238 5.3238 5.3238 6.4683 6.4683 6.4683 6.4683 182 INSERTION OF PENILE PROSTHESIS 20.4846 19.8701 19.8701 21.0226 21.0226 21.0226 21.0226 21.0226 21.0226 21.0226 21.0226 28.8569 28.8569 28.8569 28.8569 183 LEVEL I PENILE PROCEDURES 6.0136 7.4393 7.4393 4.0092 4.0092 4.0092 4.0092 4.0092 4.0092 4.0092 4.0092 5.1617 5.1617 5.1617 5.1617 184 LEVEL II PROSTATE PROCEDURES 9.5554 11.0816 11.0816 12.7489 12.7489 12.7489 12.7489 12.7489 12.7489 12.7489 12.7489 14.6991 14.6991 14.6991 14.6991 185 PROSTATE NEEDLE AND PUNCH BIOPSY 6.9950 4.4243 4.4243 4.6809 4.6809 4.6809 4.6809 4.6809 4.6809 4.6809 4.6809 5.6782 5.6782 5.6782 5.6782

187 LEVEL II PENILE PROCEDURES - - - - - - - - - - - - - - -

188 LEVEL I PERINEAL AND VAGINAL GYNECOLOG - - - - - - - - - - - - - - -

189 LEVEL II PERINEAL AND VAGINAL GYNECOLOG - - - - - - - - - - - - - - -190 ARTIFICIAL FERTILIZATION - - - - - - - - - - - - - - -191 LEVEL I FETAL PROCEDURES 1.4708 0.6073 0.6073 1.2969 1.2969 1.2969 1.2969 1.2969 1.2969 1.2969 1.2969 1.2969 1.2969 1.2969 1.2969 192 LEVEL II FETAL PROCEDURES 1.4708 1.1036 1.1036 1.2969 1.2969 1.2969 1.2969 1.7721 1.7721 1.7721 1.7721 3.8856 3.8856 3.8856 3.8856 193 TREATMENT OF INCOMPLETE ABORTION 8.9442 5.0348 5.0348 5.9290 5.9290 5.9290 5.9290 6.5883 6.5883 6.5883 6.5883 7.0004 7.0004 7.0004 7.0004 194 ABORTION AND MISCARRIAGE TREATMEN 6.4533 4.0229 4.0229 4.1476 4.1476 4.1476 4.1476 4.1476 4.1476 4.1476 4.1476 4.1476 4.1476 4.1476 4.1476


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195 VAGINAL DELIVERY PROCEDURES 5.2543 9.1031 9.1031 9.1031 9.1031 9.1031 9.1031 9.1031 9.1031 10.9091 10.9091 10.9091 10.9091 10.9091 10.9091 196 LEVEL I FEMALE REPRODUCTIVE PROCEDU 4.8933 2.2269 2.2269 4.8830 4.8830 4.8830 4.8830 4.8830 4.8830 4.8830 4.8830 5.5356 5.5356 5.5356 5.5356 197 LEVEL II FEMALE REPRODUCTIVE PROCEDU 10.7605 5.2127 5.2127 8.3792 8.3792 8.3792 8.3792 8.3792 8.3792 8.3792 8.3792 10.3847 10.3847 10.3847 10.3847 198 LEVEL III FEMALE REPRODUCTIVE PROCED 11.6407 8.4636 8.4636 9.4765 9.4765 9.4765 9.4765 10.1790 10.1790 10.1790 10.1790 12.7947 12.7947 12.7947 12.7947 199 DILATION AND CURETTAGE 7.5730 4.9685 4.9685 5.2567 5.2567 5.2567 5.2567 5.2567 5.2567 5.2567 5.2567 6.3004 6.3004 6.3004 6.3004 200 HYSTEROSCOPY 9.5395 6.7490 6.7490 7.6123 7.6123 7.6123 7.6123 7.6123 7.6123 7.6123 7.6123 8.9296 8.9296 8.9296 8.9296 201 COLPOSCOPY 2.1330 1.4842 1.4842 1.5703 1.5703 1.5703 1.5703 1.8582 1.8582 1.8582 1.8582 1.9113 1.9113 1.9113 1.9113 202 CESAREAN DELIVERY PROCEDURES 203 GLOBAL ANTEPARTUM AND POSTPARTUM VISITS

204 LEVEL I HYSTERECTOMY AND MYOMECTOMY - - - - - - - - - - - - - - -205 OBSTETRICAL PROCEDURES

206 LEVEL II HYSTERECTOMY AND MYOMECTOMY - - - - - - - - - - - - - - -

207 LEVEL I OTHER UTERINE AND ADNEXA GYNEC - - - - - - - - - - - - - - -

208 LEVEL II OTHER UTERINE AND ADNEXA GYNEC - - - - - - - - - - - - - - -

209 OTHER GYNECOLOGICAL PROCEDURES - - - - - - - - - - - - - - -210 EXTENDED EEG STUDIES 3.9568 1.8041 1.8041 1.9087 1.9087 1.9087 1.9087 1.7589 1.7589 1.7589 1.7589 1.7589 1.7589 1.7589 1.7589 211 ELECTROENCEPHALOGRAM 1.5873 1.0161 1.0161 1.0751 1.0751 1.0751 1.0751 0.9093 0.9093 0.9093 0.9093 0.9714 0.9714 0.9714 0.9714 212 ELECTROCONVULSIVE THERAPY 1.6691 1.5803 1.5803 2.0988 2.0988 2.0988 2.0988 2.0988 2.0988 2.0988 2.0988 2.0988 2.0988 2.0988 2.0988 213 NERVE AND MUSCLE TESTS 0.2671 0.7067 0.7067 0.7477 0.7477 0.7477 0.7477 0.7477 0.7477 0.7477 0.7477 0.7477 0.7477 0.7477 0.7477 214 LEVEL I NERVOUS SYSTEM INJECTIONS INC 4.4348 4.5475 4.5475 3.6211 3.6211 3.6211 3.6211 3.0056 3.0056 3.0056 3.0056 2.5273 2.5273 2.5273 2.5273 215 LEVEL I REVISION OR REMOVAL OF NEURO 15.6821 25.5981 25.5981 19.1376 19.1376 19.1376 19.1376 19.1376 19.1376 19.1376 19.1376 21.3064 21.3064 21.3064 21.3064 216 LEVEL II REVISION OR REMOVAL OF NEURO 22.3865 29.0071 29.0071 24.3616 24.3616 24.3616 24.3616 24.3616 24.3616 24.3616 24.3616 29.0512 29.0512 29.0512 29.0512 217 LEVEL I NERVE PROCEDURE W OR W/O NE 6.8137 8.5920 8.5920 6.4249 6.4249 7.0335 7.0335 6.3346 6.3346 6.3346 6.3346 7.2416 7.2416 7.2416 7.2416 218 LEVEL II NERVE PROCEDURE W OR W/O NE 33.9919 60.4926 60.4926 60.4926 60.4926 19.3408 19.3408 19.3408 19.3408 19.3408 19.3408 19.3408 19.3408 19.3408 19.3408 219 SPINAL TAP 5.7197 2.4132 2.4132 2.5532 2.5532 2.5532 2.5532 2.5532 2.5532 2.5532 2.5532 2.6151 2.6151 2.6151 2.6151 220 LEVEL II NERVOUS SYSTEM INJECTIONS INC 4.5493 3.5031 3.5031 2.8742 2.8742 2.8742 2.8742 2.6229 2.6229 2.6229 2.6229 3.0358 3.0358 3.0358 3.0358 221 LAMINOTOMY AND LAMINECTOMY 21.2239 8.3188 8.3188 15.0004 15.0004 15.0004 15.0004 15.8503 15.8503 15.8503 15.8503 19.4163 19.4163 19.4163 19.4163 222 SLEEP STUDIES ATTENDED 3.3322 4.5940 4.5940 4.8605 4.8605 4.8605 4.8605 4.8605 4.8605 4.8605 4.8605 4.6789 4.6789 4.6789 4.6789 223 LEVEL III NERVE PROCEDURE W OR W/O N - - - - - 77.4190 77.4190 77.4190 77.4190 77.4190 77.4190 77.4190 77.4190 77.4190 77.4190 224 LEVEL IV NERVE PROCEDURE W OR W/O N - - - - - - - - - - - - - 77.4190 77.4190 225 INTRACRANIAL AND OTHER NEUROSURGICAL PROCEDURES

226 SLEEP STUDIES UNATTENDED - - - - - - - - - - - - - - -

227 LEVEL I CRANIOFACIAL BONE PROCEDURES - - - - - - - - - - - - - - -

228 LEVEL II CRANIOFACIAL BONE PROCEDURES - - - - - - - - - - - - - - -

229 MINOR AUDIOMETRIC TESTS AND SCREENING - - - - - - - - - - - - - - -230 OPHTHALMOLOGICAL TESTS AND PROCED 0.8903 1.0119 1.0119 1.0706 1.0706 1.0706 1.0706 1.0706 1.0706 1.0706 1.0706 1.0706 1.0706 1.0706 1.0706 231 FITTING OF CONTACT LENSES 0.6789 0.6585 0.6585 0.5113 0.5113 0.5113 0.5113 0.6328 0.6328 0.6328 0.6328 0.6328 0.6328 0.6328 0.6328 232 LASER EYE PROCEDURES 2.5744 3.7703 3.7703 3.7703 3.7703 3.7703 3.7703 2.9509 2.9509 2.9509 2.9509 2.9509 2.9509 2.9509 2.9509 233 CATARACT PROCEDURES 11.3881 9.7756 9.7756 9.7756 9.7756 9.7756 9.7756 11.0466 11.0466 11.0466 11.0466 11.1217 11.1217 11.1217 11.1217 234 LEVEL I ANTERIOR SEGMENT EYE PROCEDU 8.9944 4.3076 4.3076 6.6744 6.6744 6.6744 6.6744 8.6668 8.6668 8.6668 8.6668 8.9310 8.9310 8.9310 8.9310 235 LEVEL II ANTERIOR SEGMENT EYE PROCED 11.4464 9.3164 9.3164 9.1418 9.1418 9.1418 9.1418 10.8447 10.8447 10.8447 10.8447 11.9679 11.9679 11.9679 11.9679 236 LEVEL III ANTERIOR SEGMENT EYE PROCED 11.6685 11.3184 11.3184 12.2092 12.2092 12.2092 12.2092 15.2937 15.2937 15.2937 15.2937 17.2468 17.2468 17.2468 17.2468 237 LEVEL I POSTERIOR SEGMENT EYE PROCED 5.9604 3.3451 3.3451 2.3897 2.3897 2.3897 2.3897 2.9001 2.9001 2.9001 2.9001 3.1707 3.1707 3.1707 3.1707 238 LEVEL II POSTERIOR SEGMENT EYE PROCED 13.4878 11.7830 11.7830 12.4664 12.4664 12.4664 12.4664 13.3194 13.3194 13.3194 13.3194 15.1553 15.1553 15.1553 15.1553 239 STRABISMUS AND MUSCLE EYE PROCEDUR 9.2203 6.9180 6.9180 7.3192 7.3192 7.3192 7.3192 9.3724 9.3724 9.3724 9.3724 9.4862 9.4862 9.4862 9.4862 240 LEVEL I REPAIR AND PLASTIC PROCEDURES 3.8145 3.2368 3.2368 3.4246 3.4246 3.4246 3.4246 4.0722 4.0722 4.0722 4.0722 4.1766 4.1766 4.1766 4.1766 241 LEVEL II REPAIR AND PLASTIC PROCEDURE 11.2306 8.7718 8.7718 9.2806 9.2806 9.2806 9.2806 9.2806 9.2806 9.2806 9.2806 10.4110 10.4110 10.4110 10.4110

243 CLASS I THERAPEUTIC RADIOPHARMACEUTIC - - - - - - - - - - - - - - -

244 CLASS II THERAPEUTIC RADIOPHARMACEUTIC - - - - - - - - - - - - - - -

245 CLASS III THERAPEUTIC RADIOPHARMACEUTI - - - - - - - - - - - - - - -

246 CLASS IV THERAPEUTIC RADIOPHARMACEUTI - - - - - - - - - - - - - - -249 MINOR EAR, NOSE, MOUTH AND THROAT PROCEDURES 250 COCHLEAR DEVICE IMPLANTATION 95.0639 130.1036 130.1036 140.9532 155.3196 168.4364 168.4364 168.4364 168.4364 168.4364 168.4364 168.4364 168.4364 168.4364 168.4364 251 OTORHINOLARYNGOLOGIC FUNCTION TES 0.8766 0.6581 0.6581 0.6963 0.6963 0.6963 0.6963 0.5467 0.5467 0.5467 0.5467 0.7380 0.7380 0.7380 0.7380 252 LEVEL I EAR, NOSE, MOUTH AND THROAT 5.7932 3.6978 3.6978 5.1205 5.1205 5.1205 5.1205 5.9643 5.9643 5.9643 5.9643 6.7963 6.7963 6.7963 6.7963 253 LEVEL II EAR, NOSE, MOUTH AND THROAT 7.3266 5.4026 5.4026 6.2265 6.2265 6.2265 6.2265 7.4378 7.4378 7.4378 7.4378 9.1426 9.1426 9.1426 9.1426 254 LEVEL III EAR, NOSE, MOUTH AND THROAT 11.3140 9.1044 9.1044 10.1500 10.1500 10.1500 10.1500 11.5891 11.5891 11.5891 11.5891 12.9583 12.9583 12.9583 12.9583 255 LEVEL IV EAR, NOSE, MOUTH AND THROAT 14.4004 10.5997 10.5997 15.1805 15.1805 15.1805 15.1805 16.7518 16.7518 16.7518 16.7518 18.6564 18.6564 18.6564 18.6564


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256 TONSIL AND ADENOID PROCEDURES 7.3579 5.8818 5.8818 6.2230 6.2230 6.2230 6.2230 6.7598 6.7598 6.7598 6.7598 7.8715 7.8715 7.8715 7.8715 257 AUDIOMETRY 0.5955 0.4211 0.4211 0.4211 0.4211 0.4211 0.4211 0.4211 0.4211 0.4211 0.4211 0.4211 0.4211 0.4211 0.4211 260 CASE MANAGEMENT AND CARE PLANNING - - - - - - - - - - - - - - -

261 ESRD CASE MANAGEMENT - - - - - - - - - - - - - - -

262 CLEFT LIP AND PALATE REPAIR - - - - - - - - - - - - - - -

263 THYROID AND PARATHYROID PROCEDURES - - - - - - - - - - - - - - -

269 LEVEL II ANCLLARY THERAPEUTIC SERVICES - - - - - - - - - - - - - - -270 OCCUPATIONAL THERAPY 0.6220 0.7241 0.7241 0.7241 0.7241 0.7241 0.7241 0.7241 0.7241 0.7241 0.7241 0.7241 0.7241 0.7241 0.7241 271 PHYSICAL THERAPY 0.3497 0.6827 0.6827 0.6827 0.6827 0.6827 0.6827 0.6827 0.6827 0.6827 0.6827 0.6827 0.6827 0.6827 0.6827 272 SPEECH THERAPY AND EVALUATION 0.3699 0.6620 0.6620 0.6620 0.6620 0.6620 0.6620 0.6620 0.6620 0.6620 0.6620 0.6620 0.6620 0.6620 0.6620 273 MANIPULATION THERAPY 0.3987 0.2765 0.2765 0.2765 0.2765 0.2765 0.2765 0.2765 0.2765 0.2765 0.2765 0.2765 0.2765 0.2765 0.2765 274 OCCUPATIONAL/PHYSICAL THERAPY, GRO - 0.2414 0.2414 0.2414 0.2414 0.2414 0.2414 0.2414 0.2414 0.2414 0.2414 0.2414 0.2414 0.2414 0.2414 275 SPEECH THERAPY & EVALUATION, GROUP - 0.1931 0.1931 0.1931 0.1931 0.1931 0.1931 0.1931 0.1931 0.1931 0.1931 0.1931 0.1931 0.1931 0.1931

277 LEVEL I VASCULAR RADIOLOGICAL PROCEDUR - - - - - - - - - - - - - - -278 INJECTION(S) FOR RADIOLOGICAL IMAGING 279 LEVEL II VASCULAR RADIOLOGICAL PROCEDURES 280 LEVEL III VASCULAR RADIOLOGICAL PROCE 10.7456 3.5374 3.5374 3.7426 3.7426 3.7426 3.7426 3.7426 3.7426 3.7426 3.7426 5.0525 5.0525 5.0525 5.0525 281 MAGNETIC RESONANCE ANGIOGRAPHY - H 1.9022 3.0749 3.0749 3.2533 3.2533 3.0248 3.0248 3.0248 3.0248 3.0248 3.0248 3.3282 3.3282 3.3282 3.3282 282 MAGNETIC RESONANCE ANGIOGRAPHY 2.5831 3.3887 3.3887 3.5853 3.5853 3.3334 3.3334 3.0012 3.0012 3.0012 3.0012 3.0499 3.0499 3.0499 3.0499 283 MAGNETIC RESONANCE ANGIOGRAPHY - O 2.3248 3.1315 3.1315 3.3132 3.3132 3.0805 3.0805 3.0805 3.0805 3.0805 3.0805 3.4539 3.4539 3.4539 3.4539 284 MYELOGRAPHY AND DISCOGRAPHY IMAG 7.9443 7.7060 7.7060 5.3654 5.3654 5.3654 5.3654 3.9562 3.9562 3.9562 3.9562 3.2525 3.2525 3.2525 3.2525 285 MISCELLANEOUS RADIOLOGICAL PROCEDU 1.7444 1.5734 1.5734 1.6646 1.6646 1.6646 1.6646 1.7890 1.7890 1.7890 1.7890 2.1453 2.1453 2.1453 2.1453 286 MAMMOGRAPHY & OTHER RELATED PROC 1.0933 0.6181 0.6181 0.7193 0.7193 0.6688 0.6688 0.6688 0.6688 0.6688 0.6688 0.6688 0.6688 0.6688 0.6688 287 DIGESTIVE RADIOLOGY 1.6779 0.8985 0.8985 1.1491 1.1491 1.0684 1.0684 0.9163 0.9163 0.9163 0.9163 1.0565 1.0565 1.0565 1.0565 288 LEVEL I DIAGNOSTIC ULTRASOUND 1.7234 0.7609 0.7609 0.8050 0.8050 0.8050 0.8050 0.8050 0.8050 0.8050 0.8050 0.8050 0.8050 0.8050 0.8050 289 LEVEL II DIAGNOSTIC ULTRASOUND 10.7832 3.8860 3.8860 3.1350 3.1350 3.1350 3.1350 2.9050 2.9050 2.9050 2.9050 3.4918 3.4918 3.4918 3.4918 290 PET SCANS 6.6637 7.4321 7.4321 7.8631 7.8631 7.3108 7.3108 7.3108 7.3108 7.3108 7.3108 8.2971 8.2971 8.2971 8.2971 291 BONE DENSITY AND RELATED PROCEDURE 0.2435 0.8629 0.8629 0.9129 0.9129 0.8488 0.8488 0.9103 0.9103 0.9103 0.9103 0.8986 0.8986 0.8986 0.8986 292 MRI- ABDOMEN 2.2816 3.1044 3.1044 3.2844 3.2844 3.0537 3.0537 2.6688 2.6688 2.6688 2.6688 2.8988 2.8988 2.8988 2.8988 293 MAGNETIC RESONANCE IMAGING WITHOU 2.1786 2.7686 2.7686 2.9292 2.9292 2.7235 2.7235 2.5063 2.5063 2.5063 2.5063 2.3817 2.3817 2.3817 2.3817 294 MRI- BACK 2.2816 2.6167 2.6167 2.7685 2.7685 2.5740 2.5740 2.4533 2.4533 2.4533 2.4533 2.5346 2.5346 2.5346 2.5346 295 MAGNETIC RESONANCE IMAGING WITH CO 2.2349 3.0422 3.0422 3.2186 3.2186 2.9925 2.9925 3.4891 3.4891 3.4891 3.4891 3.5921 3.5921 3.5921 3.5921 296 MRI- OTHER 2.1853 3.3155 3.3155 3.5078 3.5078 3.2614 3.2614 3.1608 3.1608 3.1608 3.1608 2.9048 2.9048 2.9048 2.9048 297 MAGNETOCEPHALOGRAPHY 2.2816 3.0822 3.0822 3.2610 3.2610 3.0319 3.0319 3.1297 3.1297 3.1297 3.1297 3.2318 3.2318 3.2318 3.2318 298 CAT SCAN BACK 1.3814 1.3976 1.3976 1.4786 1.4786 1.3748 1.3748 1.3748 1.3748 1.3748 1.3748 1.6652 1.6652 1.6652 1.6652 299 LEVEL I COMPUTED TOMOGRAPHY 1.3814 1.1525 1.1525 1.2194 1.2194 1.1337 1.1337 1.1337 1.1337 1.1337 1.1337 1.6274 1.6274 1.6274 1.6274 300 LEVEL II COMPUTED TOMOGRAPHY 1.3814 1.3393 1.3393 1.4170 1.4170 1.3175 1.3175 1.3175 1.3175 1.3175 1.3175 1.9449 1.9449 1.9449 1.9449 301 COMPUTED TOMOGRAPHY- OTHER 1.2983 1.4662 1.4662 1.5512 1.5512 1.4422 1.4422 1.4422 1.4422 1.4422 1.4422 1.4622 1.4622 1.4622 1.4622 302 COMPUTED TOMOGRAPHIC ANGIOGRAPH 1.6509 1.6385 1.6385 1.7335 1.7335 1.6118 1.6118 1.6118 1.6118 1.6118 1.6118 2.0636 2.0636 2.0636 2.0636 303 ANGIOGRAPHY, CEREBRAL 1.6509 1.9762 1.9762 2.0908 2.0908 1.9440 1.9440 1.9440 1.9440 1.9440 1.9440 1.9690 1.9690 1.9690 1.9690

304 MINOR SPECIMEN COLLECTION SERVICES - - - - - - - - - - - - - - -

307 INSERTION OR REMOVAL OF DRUG DELIVERY - - - - - - - - - - - - - - -308 LEVEL III PATHOLOGY TESTS 309 ADAPTIVE BEHAVIORAL HEALTH TREATME - - - - - - - - - - - - - - -310 DEVELOPMENTAL & NEUROPSYCHOLOGIC 0.8706 0.8275 0.8275 0.8275 0.8275 0.8275 0.8275 0.8275 0.8275 0.8275 0.8275 0.8275 0.8275 0.8275 0.8275 311 FULL DAY PARTIAL HOSPITALIZATION FOR - - - - - - - - - - - - - - -312 BEHAVIORAL AND SUBSTANCE ABUSE PAR - - - - - - - - - - - - - - -313 HALF DAY PARTIAL HOSPITALIZATION FOR - - - - - - - - - - - - - - -314 HALF DAY PARTIAL HOSPITALIZATION FOR - - - - - - - - - - - - - - -315 COUNSELLING OR INDIVIDUAL BRIEF PSYCH 0.3521 0.6206 0.6206 0.6206 0.6206 0.6206 0.6206 0.6206 0.6206 0.6206 0.6206 0.6206 0.6206 0.6206 0.6206 316 INDIVIDUAL COMPREHENSIVE PSYCHOTHE 0.7905 0.8275 0.8275 0.8275 0.8275 0.8275 0.8275 0.8275 0.8275 0.8275 0.8275 0.8275 0.8275 0.8275 0.8275 317 FAMILY PSYCHOTHERAPY 0.4979 0.6206 0.6206 0.6206 0.6206 0.6206 0.6206 0.6206 0.6206 0.6206 0.6206 0.6206 0.6206 0.6206 0.6206 318 GROUP PSYCHOTHERAPY 0.2828 0.3207 0.3207 0.3207 0.3207 0.3207 0.3207 0.3207 0.3207 0.3207 0.3207 0.3207 0.3207 0.3207 0.3207 319 ACTIVITY THERAPY - - - - - - - - - - - - - - -320 BEHAVIORAL HEALTH - CASE MANAGEMEN - - - - - - - - - - - - - - -321 CRISIS INTERVENTION - 0.8275 0.8275 0.8275 0.8275 0.8275 0.8275 0.8275 0.8275 0.8275 0.8275 0.8275 0.8275 0.8275 0.8275 322 MEDICATION ADMINISTRATION & OBSERV - 0.1483 0.1483 0.1483 0.1483 0.1483 0.1483 0.1483 0.2669 0.2669 0.2669 0.1335 0.1335 0.1335 0.1335 323 BEHAVIORAL HEATLH ASSESSMENT - 1.0344 1.0344 1.0344 1.0344 1.0344 1.0344 1.0344 1.0344 1.0344 1.0344 1.0344 1.0344 1.0344 1.0344


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324 SCREENING FOR BEHAVIORAL CHANGE OR - 0.2803 0.2803 0.2803 0.2803 0.2803 0.2803 0.2803 0.2803 0.2803 0.2803 0.2803 0.2803 0.2803 0.2803 325 PREVENTION COUNSELING - - - - - - - - - - - - - - -

326 OPIOID TREATMENT PROGRAM SERVICES - - - - - - - - - - - - - - -327 INTENSIVE OUTPATIENT PSYCHIATRIC TREA - - - - - 0.6093 0.6093 0.6093 0.6093 0.6093 0.6093 0.6093 0.6093 0.6093 0.6093 328 DAY REHABILITATION, HALF DAY - - - - - 0.5948 0.5948 0.5948 0.5948 0.5948 0.4937 0.4937 0.4937 0.4937 0.4937 329 DAY REHABILITATION, FULL DAY - - - - - 0.7931 0.7931 0.7931 0.7931 0.7931 0.6583 0.6583 0.6583 0.6583 0.6583 330 LEVEL I DIAGNOSTIC NUCLEAR MEDICINE 2.0592 1.6002 1.6002 1.6930 1.6930 1.6930 1.6930 1.6439 1.6439 1.6439 1.6439 1.6686 1.6686 1.6686 1.6686 331 LEVEL I DIAGNOSTIC NUCLEAR MEDICINE 2.8311 1.9801 1.9801 2.0949 2.0949 2.0949 2.0949 2.0412 2.0412 2.0412 2.0412 1.8648 1.8648 1.8648 1.8648 332 LEVEL II DIAGNOSTIC NUCLEAR MEDICINE 5.2893 3.0866 3.0866 3.2657 3.2657 3.2657 3.2657 3.3983 3.3983 3.3983 3.3983 4.0697 4.0697 4.0697 4.0697 333 BEHAVIORAL HEALTH RESIDENTIAL TREATMENT

334 LEVEL I DEVICE PLACEMENT FOR RADIATION T - - - - - - - - - - - - - - -335 LEVEL I BRACHYTHERAPY SOURCES 336 LEVEL II BRACHYTHERAPY SOURCES 337 LEVEL III BRACHYTHERAPY SOURCES

338 LEVEL II DEVICE PLACEMENT FOR RADIATION - - - - - - - - - - - - - - -

339 LEVEL III DEVICE PLACEMENT FOR RADIATION - - - - - - - - - - - - - - -340 THERAPEUTIC NUCLEAR MEDICINE 1.4501 1.1710 1.1710 1.2389 1.2389 1.2389 1.2389 1.6694 1.6694 1.6694 1.6694 2.1229 2.1229 2.1229 2.1229 341 RADIATION THERAPY AND HYPERTHERMIA 13.8980 1.2696 1.2696 0.5646 0.5646 0.5646 0.5646 0.6869 0.6869 0.6869 0.6869 0.7446 0.7446 0.7446 0.7446 342 AFTERLOADING BRACHYTHERAPY 9.1805 6.2542 6.2542 4.8902 4.8902 4.8902 4.8902 4.8902 4.8902 4.8902 4.8902 5.3792 5.3792 5.3792 5.3792 343 LEVEL I RADIATION THERAPY 2.1725 1.9298 1.9298 1.8318 1.8318 1.8318 1.8318 1.9028 1.9028 1.9028 1.9028 1.9028 1.9028 1.9028 1.9028 344 INSTILLATION OF RADIOELEMENT SOLUTIO 5.2725 2.4223 2.4223 2.5628 2.5628 2.5628 2.5628 2.5628 2.5628 2.5628 2.5628 2.5628 2.5628 2.5628 2.5628 345 HYPERTHERMIC THERAPIES 1.2275 0.9459 0.9459 0.9459 0.9459 0.9459 0.9459 0.8666 0.8666 0.8666 0.8666 0.8666 0.8666 0.8666 0.8666 346 RADIOSURGERY 60.9920 63.9723 63.9723 29.0289 29.0289 29.0289 29.0289 22.6902 22.6902 22.6902 22.6902 26.0937 26.0937 26.0937 26.0937 347 LEVEL II RADIATION THERAPY 1.0337 0.7966 0.7966 0.7966 0.7966 0.7966 0.7966 0.7298 0.7298 0.7298 0.7298 0.8758 0.8758 0.8758 0.8758 348 LEVEL III RADIATION THERAPY 5.9633 4.5955 4.5955 4.5955 4.5955 4.5955 4.5955 4.2101 4.2101 4.2101 4.2101 4.2101 4.2101 4.2101 4.2101 349 LEVEL II AFTERLOADING BRACHYTHERAPY - - - - - 63.3117 63.3117 70.9328 70.9328 70.9328 70.9328 78.4972 78.4972 78.4972 78.4972 350 LEVEL I ADJUNCTIVE GENERAL DENTAL SE 0.3754 0.4639 0.4639 0.4639 0.4639 0.4639 0.4639 0.4639 0.4639 0.4639 0.4639 0.4639 0.4639 0.4639 0.4639 351 LEVEL II ADJUNCTIVE GENERAL DENTAL SE 0.5753 1.3073 1.3073 1.3073 1.3073 1.3073 1.3073 1.3073 1.3073 1.3073 1.3073 1.3073 1.3073 1.3073 1.3073 352 LEVEL I PERIODONTICS 0.4817 0.8133 0.8133 0.8133 0.8133 0.8133 0.8133 0.8133 0.8133 0.8133 0.8133 0.8133 0.8133 0.8133 0.8133 353 LEVEL I PROSTHODONTICS, FIXED 0.3097 0.4550 0.4550 0.4550 0.4550 0.4550 0.4550 0.4550 0.4550 0.4550 0.4550 0.4550 0.4550 0.4550 0.4550 354 LEVEL II PROSTHODONTICS, FIXED 1.5945 1.7021 1.7021 1.7021 1.7021 1.7021 1.7021 1.7021 1.7021 1.7021 1.7021 1.7021 1.7021 1.7021 1.7021 355 LEVEL III PROSTHODONTICS, FIXED 1.8493 2.1055 2.1055 2.1055 2.1055 2.1055 2.1055 2.1055 2.1055 2.1055 2.1055 2.1055 2.1055 2.1055 2.1055 356 LEVEL I PROSTHODONTICS, REMOVABLE 0.4194 0.9221 0.9221 0.9221 0.9221 0.9221 0.9221 0.9221 0.9221 0.9221 0.9221 0.9221 0.9221 0.9221 0.9221 357 LEVEL II PROSTHODONTICS, REMOVABLE 1.4189 1.7644 1.7644 1.7644 1.7644 1.7644 1.7644 1.7644 1.7644 1.7644 1.7644 1.7644 1.7644 1.7644 1.7644 358 LEVEL III PROSTHODONTICS, REMOVABLE 1.8009 1.3580 1.3580 1.3580 1.3580 1.3580 1.3580 1.3580 1.3580 1.3580 1.3580 1.3580 1.3580 1.3580 1.3580 359 LEVEL I MAXILLOFACIAL PROSTHETICS 0.3188 0.2562 0.2562 0.2562 0.2562 0.2562 0.2562 0.2562 0.2562 0.2562 0.2562 0.2562 0.2562 0.2562 0.2562 360 LEVEL II MAXILLOFACIAL PROSTHETICS 0.3623 1.3379 1.3379 1.3379 1.3379 1.3379 1.3379 1.3379 1.3379 1.3379 1.3379 1.3379 1.3379 1.3379 1.3379 361 LEVEL I DENTAL RESTORATIONS 0.3385 0.6561 0.6561 0.6561 0.6561 0.6561 0.6561 0.6561 0.6561 0.6561 0.6561 0.6561 0.6561 0.6561 0.6561 362 LEVEL II DENTAL RESTORATIONS 0.4993 0.9844 0.9844 0.9844 0.9844 0.9844 0.9844 0.9844 0.9844 0.9844 0.9844 0.9844 0.9844 0.9844 0.9844 363 LEVEL III DENTAL RESTORATIONS 1.6216 2.3474 2.3474 2.3474 2.3474 2.3474 2.3474 2.3474 2.3474 2.3474 2.3474 2.3474 2.3474 2.3474 2.3474 364 LEVEL I ENDODONTICS 0.4874 0.6251 0.6251 0.6251 0.6251 0.6251 0.6251 0.6251 0.6251 0.6251 0.6251 0.6251 0.6251 0.6251 0.6251 365 LEVEL II ENDODONTICS 0.9627 1.1241 1.1241 1.1241 1.1241 1.1241 1.1241 1.1241 1.1241 1.1241 1.1241 1.1241 1.1241 1.1241 1.1241 366 LEVEL III ENDODONTICS 1.2303 1.1324 1.1324 1.1324 1.1324 1.1324 1.1324 1.1324 1.1324 1.1324 1.1324 1.1324 1.1324 1.1324 1.1324 367 LEVEL I ORAL AND MAXILLOFACIAL PROCE 0.7622 0.7491 0.7491 0.7491 0.7491 0.7491 0.7491 0.7491 0.7491 0.7491 0.7491 0.7491 0.7491 0.7491 0.7491 368 LEVEL II ORAL AND MAXILLOFACIAL PROCE 3.0174 2.0751 2.0751 2.0751 2.0751 2.0751 2.0751 2.0751 2.0751 2.0751 2.0751 2.0751 2.0751 2.0751 2.0751 369 LEVEL III ORAL AND MAXILLOFACIAL PROC 3.0174 2.0751 2.0751 2.0751 2.0751 2.0751 2.0751 2.0751 2.0751 2.0751 2.0751 2.0751 2.0751 2.0751 2.0751 370 LEVEL IV ORAL AND MAXILLOFACIAL PROC 3.0174 2.0751 2.0751 2.0751 2.0751 2.0751 2.0751 2.0751 2.0751 2.0751 2.0751 2.0751 2.0751 2.0751 2.0751 371 LEVEL I ORTHODONTICS - - - - - - - - - - - - - - -372 SEALANT 0.3287 0.2676 0.2676 0.2676 0.2676 0.2676 0.2676 0.2051 0.2051 0.2051 0.2051 0.2051 0.2051 0.2051 0.2051 373 LEVEL I DENTAL FILM 0.2624 0.1338 0.1338 0.1338 0.1338 0.1338 0.1338 0.1338 0.1338 0.1338 0.1338 0.1338 0.1338 0.1338 0.1338 374 LEVEL II DENTAL FILM 0.3182 0.4631 0.4631 0.4631 0.4631 0.4631 0.4631 0.4631 0.4631 0.4631 0.4631 0.4631 0.4631 0.4631 0.4631 375 DENTAL ANESTHESIA 1.2646 1.7348 1.7348 1.7348 1.7348 3.0457 5.1369 5.1369 5.1369 5.1369 5.1369 5.6506 5.6506 5.6506 5.6506 376 DIAGNOSTIC DENTAL PROCEDURES 0.2334 0.2264 0.2264 0.2264 0.2264 0.2264 0.2264 0.2264 0.2264 0.2264 0.2264 0.2332 0.2332 0.2332 0.2332 377 PREVENTIVE DENTAL PROCEDURES 0.2009 0.3168 0.3168 0.3168 0.3168 0.3168 0.3168 0.3168 0.3168 0.3168 0.3168 0.3263 0.3263 0.3263 0.3263 378 LEVEL II PERIODONTICS - - - - - - - - - - - - - - -379 LEVEL II ORTHODONTICS - - - - - - - - - - - - - - -380 ANESTHESIA 0.4324 1.3350 1.3350 0.7937 0.7937 - - - - - - - - - -381 LEVEL I DENTAL IMPLANTS - - - - - - - - - - - - - - -


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382 LEVEL II DENTAL IMPLANTS - - - - - - - - - - - - - - -384 LEVEL III CHEMISTRY TESTS 385 LEVEL I MOLECULAR PATHOLOGY AND GEN - - - - - - - - - - - - - - -386 LEVEL II MOLECULAR PATHOLOGY AND GE - - - - - - - - - - - - - - -387 LEVEL III MOLECULAR PATHOLOGY AND GE - - - - - - - - - - - - - - -388 LEVEL III MICROBIOLOGY TESTS 389 LEVEL II CONVENTIONAL RADIOLOGY 390 LEVEL I PATHOLOGY TESTS 0.3762 0.3956 0.3956 0.3395 0.3395 0.3156 0.3156 0.2464 0.2464 0.2464 0.2464 0.2324 0.2324 0.2324 0.2324 391 LEVEL II PATHOLOGY TESTS 0.6149 0.8844 0.8844 0.4652 0.4652 0.4325 0.4325 0.4325 0.4325 0.4325 0.4325 0.4325 0.4325 0.4325 0.4325 392 PAP SMEARS 0.1464 0.1782 0.1782 0.1885 0.1885 0.1753 0.1753 0.2279 0.2279 0.2279 0.2279 0.1808 0.1808 0.1808 0.1808 393 LEVEL II BLOOD AND TISSUE TYPING TESTS 0.1548 0.3199 0.3199 0.2074 0.2074 0.1928 0.1928 0.1928 0.1928 0.1928 0.1928 0.2567 0.2567 0.2567 0.2567 394 LEVEL I IMMUNOLOGY TESTS 0.1688 0.1492 0.1492 0.1243 0.1243 0.1156 0.1156 0.0982 0.0982 0.0982 0.0982 0.0654 0.0654 0.0654 0.0654 395 LEVEL II IMMUNOLOGY TESTS 0.3007 0.1626 0.1626 0.1560 0.1560 0.1451 0.1451 0.1798 0.1798 0.1798 0.1798 0.2338 0.2338 0.2338 0.2338 396 LEVEL I MICROBIOLOGY TESTS 0.1687 0.1137 0.1137 0.1016 0.1016 0.0945 0.0945 0.0945 0.0945 0.0945 0.0945 0.0604 0.0604 0.0604 0.0604 397 LEVEL II MICROBIOLOGY TESTS 0.2270 0.2141 0.2141 0.2340 0.2340 0.2175 0.2175 0.2175 0.2175 0.2175 0.2175 0.2393 0.2393 0.2393 0.2393 398 LEVEL I ENDOCRINOLOGY TESTS 0.1787 0.1526 0.1526 0.1598 0.1598 0.1486 0.1486 0.1653 0.1653 0.1653 0.1653 0.1577 0.1577 0.1577 0.1577 399 LEVEL II ENDOCRINOLOGY TESTS 0.2470 0.2258 0.2258 0.2388 0.2388 0.2221 0.2221 0.2221 0.2221 0.2221 0.2221 0.2221 0.2221 0.2221 0.2221 400 LEVEL I CHEMISTRY TESTS 0.1102 0.1150 0.1150 0.0952 0.0952 0.0885 0.0885 0.0772 0.0772 0.0772 0.0772 0.0672 0.0672 0.0672 0.0672 401 LEVEL II CHEMISTRY TESTS 0.2411 0.2952 0.2952 0.2615 0.2615 0.2432 0.2432 0.1748 0.1748 0.1748 0.1748 0.2097 0.2097 0.2097 0.2097 402 BASIC CHEMISTRY TESTS 0.0838 0.0857 0.0857 0.0473 0.0473 0.0440 0.0440 0.0406 0.0406 0.0406 0.0406 0.0417 0.0417 0.0417 0.0417 403 ORGAN OR DISEASE ORIENTED PANELS 0.3618 0.1367 0.1367 0.1447 0.1447 0.1345 0.1345 0.1345 0.1345 0.1345 0.1345 0.1614 0.1614 0.1614 0.1614 404 TOXICOLOGY TESTS 0.3917 0.3084 0.3084 0.3263 0.3263 0.0909 0.0909 0.0909 0.0909 0.0909 0.0909 0.1182 0.1182 0.1182 0.1182 405 THERAPEUTIC DRUG MONITORING 0.2152 0.1463 0.1463 0.1548 0.1548 0.1439 0.1439 0.1060 0.1060 0.1060 0.1060 0.1060 0.1060 0.1060 0.1060 406 LEVEL I CLOTTING TESTS 0.0895 0.0593 0.0593 0.0825 0.0825 0.0767 0.0767 0.0688 0.0688 0.0688 0.0688 0.0831 0.0831 0.0831 0.0831 407 LEVEL II CLOTTING TESTS 0.1904 0.2111 0.2111 0.2233 0.2233 0.2076 0.2076 0.2076 0.2076 0.2076 0.2076 0.2492 0.2492 0.2492 0.2492 408 LEVEL I HEMATOLOGY TESTS 0.0857 0.0831 0.0831 0.0743 0.0743 0.0691 0.0691 0.0691 0.0691 0.0691 0.0691 0.0691 0.0691 0.0691 0.0691 409 LEVEL II HEMATOLOGY TESTS 0.2557 0.1427 0.1427 0.1510 0.1510 0.1404 0.1404 0.1404 0.1404 0.1404 0.1404 0.1685 0.1685 0.1685 0.1685 410 URINALYSIS 0.1139 0.0669 0.0669 0.0590 0.0590 0.0549 0.0549 0.0549 0.0549 0.0549 0.0549 0.0659 0.0659 0.0659 0.0659 411 BLOOD AND URINE DIPSTICK TESTS 0.1899 0.0535 0.0535 0.0427 0.0427 0.0397 0.0397 0.0397 0.0397 0.0397 0.0397 0.0437 0.0437 0.0437 0.0437 412 MINOR PULMONARY TESTS AND SERVICES 0.2771 0.4482 0.4482 0.4341 0.4341 0.4341 0.4341 0.4239 0.4239 0.4239 0.4239 0.4035 0.4035 0.4035 0.4035 413 CARDIOGRAM 0.1870 0.2274 0.2274 0.2289 0.2289 0.2289 0.2289 0.2289 0.2289 0.2289 0.2289 0.2289 0.2289 0.2289 0.2289 414 LEVEL I IMMUNIZATION 0.1155 0.2475 0.2475 0.1929 0.1929 0.1793 0.1793 0.1793 0.1793 0.1793 0.1793 0.1793 0.1793 0.1793 0.1793 415 LEVEL II IMMUNIZATION 0.2358 0.3478 0.3478 0.4863 0.4863 0.4521 0.4521 0.3719 0.3719 0.3719 0.3719 0.3719 0.3719 0.3719 0.3719 416 LEVEL III IMMUNIZATION 0.4323 0.8428 0.8428 0.8135 0.8135 0.7563 0.7563 0.7563 0.7563 0.7563 0.7563 0.7563 0.7563 0.7563 0.7563 417 MINOR FEMALE REPRODUCTIVE PROCEDU 1.3550 0.8869 0.8869 0.6601 0.6601 0.6601 0.6601 0.6601 0.6601 0.6601 0.6601 0.8041 0.8041 0.8041 0.8041 418 AMBULATORY PATIENT MONITORING AND 1.5511 1.0853 1.0853 1.1402 1.1402 1.1402 1.1402 1.1402 1.1402 1.1402 1.1402 1.0129 1.0129 1.0129 1.0129 419 MINOR OPHTHALMOLOGICAL INJECTION, S 0.6102 0.5399 0.5399 0.5190 0.5190 0.5190 0.5190 0.5190 0.5190 0.5190 0.5190 0.4952 0.4952 0.4952 0.4952 420 ELECTRONIC ANALYSIS FOR PACEMAKERS A 0.6782 0.3735 0.3735 0.3952 0.3952 0.3952 0.3952 0.3952 0.3952 0.3952 0.3952 0.4544 0.4544 0.4544 0.4544 421 TUBE REPLACEMENT, REVISION OR REMOV 3.5313 2.4389 2.4389 1.8640 1.8640 1.8640 1.8640 1.9170 1.9170 1.9170 1.9170 1.9580 1.9580 1.9580 1.9580 422 PROVISION OF VISION AIDS 0.4068 0.4387 0.4387 0.4642 0.4642 0.4642 0.4642 0.4642 0.4642 0.4642 0.4642 0.4642 0.4642 0.4642 0.4642 423 VASCULAR ACCESS BY NEEDLE OR CATHET 0.9391 2.1414 2.1414 1.0383 1.0383 1.0383 1.0383 1.0383 1.0383 1.0383 1.0383 1.0383 1.0383 1.0383 1.0383 424 DRESSINGS AND OTHER MINOR PROCEDU 1.2969 0.6994 0.6994 0.3869 0.3869 0.3869 0.3869 0.3869 0.3869 0.3869 0.3869 0.3869 0.3869 0.3869 0.3869 425 LEVEL I OTHER MISCELLANEOUS ANCILLAR 1.0663 0.4347 0.4347 0.5356 0.5356 0.5356 0.5356 0.5356 0.5356 0.5356 0.5356 0.5356 0.5356 0.5356 0.5356 426 PSYCHOTROPIC MEDICATION MANAGEME 0.3535 0.3448 0.3448 0.3448 0.3448 0.3448 0.3448 0.3448 0.3448 0.3448 0.3448 0.3448 0.3448 0.3448 0.3448 427 BIOFEEDBACK AND OTHER TRAINING - - - - - - - - - - - - - - -428 PATIENT EDUCATION, INDIVIDUAL 0.1202 - - - - - - - - - - - - - -429 PATIENT EDUCATION, GROUP 0.0668 - - - - - - - - - - - - - -430 CLASS I CHEMOTHERAPY DRUGS - - - - - - - - - - - - - - -431 CLASS II CHEMOTHERAPY DRUGS - - - - - - - - - - - - - - -432 CLASS III CHEMOTHERAPY DRUGS - - - - - - - - - - - - - - -433 CLASS IV CHEMOTHERAPY DRUGS - - - - - - - - - - - - - - -434 CLASS V CHEMOTHERAPY DRUGS - - - - - - - - - - - - - - -435 CLASS I PHARMACOTHERAPY 0.1068 0.1061 0.1061 0.1061 0.1061 0.1879 0.1879 0.1879 0.1879 0.1879 0.1879 0.1879 0.1879 0.1879 0.1879 436 CLASS II PHARMACOTHERAPY 0.9989 1.2529 1.2529 1.2529 1.2529 0.5636 0.5636 0.5636 0.5636 0.5636 0.5636 0.5636 0.5636 0.5636 0.5636 437 CLASS III PHARMACOTHERAPY 2.1521 2.7208 2.7208 2.7208 2.7208 1.0121 1.0121 1.0121 1.0121 1.0121 1.0121 1.0121 1.0121 1.0121 1.0121 438 CLASS IV PHARMACOTHERAPY 6.3796 4.7852 4.7852 4.7852 4.7852 1.6970 1.6970 1.6970 1.6970 1.6970 1.6970 1.6970 1.6970 1.6970 1.6970 439 CLASS V PHARMACOTHERAPY 13.6454 12.2876 12.2876 12.2876 12.2876 2.7455 2.7455 2.7455 2.7455 2.7455 2.7455 2.7455 2.7455 2.7455 2.7455 440 CLASS VI PHARMACOTHERAPY - 20.0367 20.0367 20.0367 20.0367 4.2788 4.2788 4.2788 4.2788 4.2788 4.2788 4.2788 4.2788 4.2788 4.2788


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441 CLASS VI CHEMOTHERAPY DRUGS - - - - - - - - - - - - - - -442 CLASS VII COMBINED CHEMOTHERAPY & P - - - - - - - - - - - - - - -443 CLASS VII CHEMOTHERAPY DRUGS - - - - - - - - - - - - - - -444 CLASS VII PHARMACOTHERAPY - - - - - 6.4061 6.4061 6.4061 6.4061 6.4061 6.4061 6.4061 6.4061 6.4061 6.4061 448 EXPANDED HOURS ACCESS 0.0356 0.0759 0.0759 0.0759 0.0759 0.0759 0.0759 0.0759 0.0759 0.0759 0.0759 0.0759 0.0759 0.0759 0.0759 449 ADDITIONAL UNDIFFERENTIATED MEDICA - - - - - - - - - - - - - - -450 OBSERVATION - - - - - 1.6063 1.6063 2.1949 2.1949 2.1949 2.1949 2.1949 2.1949 2.1949 0.1563 451 SMOKING CESSATION TREATMENT 0.1090 0.1100 0.1100 0.1100 0.1100 0.1100 0.1100 0.1267 0.1267 0.1267 0.1267 0.1267 0.1267 0.1267 0.1267 452 DIABETES SUPPLIES - - - - - - - - - - - - - - -453 MOTORIZED WHEELCHAIR - - - - - - - - - - - - - - -454 TPN FORMULAE - - - - - - - - - - - - - - -455 IMPLANTED TISSUE OF ANY TYPE 4.8634 7.2736 7.2736 7.6954 7.6954 7.1549 7.1549 6.4572 6.4572 6.4572 6.4572 6.4572 6.4572 6.4572 6.4572 456 MOTORIZED WHEELCHAIR ACCESSORIES - - - - - - - - - - - - - - -457 VENIPUNCTURE 0.0675 0.0602 0.0602 0.0637 0.0637 0.0637 0.0637 0.0427 0.0427 0.0427 0.0427 0.0440 0.0440 0.0440 0.0440 458 ALLERGY THERAPY - - - - - - - - - - - - - 0.1793 0.1793 459 VACCINE ADMINISTRATION - - - - - - - - - - - - - 0.0827 0.0827 460 CLASS VIII COMBINED CHEMOTHERAPY AN - - - - - 9.2182 9.2182 9.2182 9.2182 9.2182 9.2182 9.2182 9.2182 9.2182 9.2182 461 CLASS IX COMBINED CHEMOTHERAPY AND - - - - - 12.7152 12.7152 12.7152 12.7152 12.7152 12.7152 12.7152 12.7152 12.7152 12.7152 462 CLASS X COMBINED CHEMOTHERAPY AND - - - - - 20.2000 20.2000 20.2000 20.2000 20.2000 20.2000 20.2000 20.2000 20.2000 20.2000 463 CLASS XI COMBINED CHEMOTHERAPY AND - - - - - 32.5818 32.5818 32.5818 32.5818 32.5818 32.5818 32.5818 32.5818 32.5818 32.5818 464 CLASS XII COMBINED CHEMOTHERAPY AN - - - - - 50.0061 50.0061 50.0061 50.0061 50.0061 50.0061 50.0061 50.0061 50.0061 50.0061 465 CLASS XIII COMBINED CHEMOTHERAPY AN - - - - - - - - - - - - - - -470 OBSTETRICAL ULTRASOUND 0.9504 0.9405 0.9405 0.9951 0.9951 0.9951 0.9951 0.8426 0.8426 0.8426 0.8426 0.6956 0.6956 0.6956 0.6956 471 LEVEL I CONVENTIONAL RADIOLOGY 0.6885 0.4758 0.4758 0.3223 0.3223 0.2997 0.2997 0.1724 0.1724 0.1724 0.1724 0.1896 0.1896 0.1896 0.1896 472 ULTRASOUND GUIDANCE 1.3612 1.2632 1.2632 0.8764 0.8764 0.8764 0.8764 1.0371 1.0371 1.0371 1.0371 1.1555 1.1555 1.1555 1.1555 473 CT GUIDANCE 0.8405 1.2002 1.2002 1.0718 1.0718 1.0718 1.0718 0.9856 0.9856 0.9856 0.9856 1.0641 1.0641 1.0641 1.0641 474 RADIOLOGICAL GUIDANCE FOR THERAPEU 2.9696 2.3045 2.3045 2.4382 2.4382 2.4382 2.4382 1.9346 1.9346 1.9346 1.9346 1.9346 1.9346 1.9346 1.9346 475 MRI GUIDANCE 1.5646 2.3306 2.3306 1.4302 1.4302 1.4302 1.4302 1.4302 1.4302 1.4302 1.4302 1.4302 1.4302 1.4302 1.4302 476 LEVEL I RADIATION TREATMENT PREPARAT 1.0796 2.3082 2.3082 2.4421 2.4421 2.4421 2.4421 2.5501 2.5501 2.5501 2.5501 2.5501 2.5501 2.5501 2.5501 477 LEVEL II RADIATION TREATMENT PREPARA 1.8461 2.3097 2.3097 2.4436 2.4436 2.4436 2.4436 2.4084 2.4084 2.4084 2.4084 2.4084 2.4084 2.4084 2.4084 478 LEVEL III RADIATION TREATMENT PREPARA 1.5197 0.7463 0.7463 0.7896 0.7896 0.7896 0.7896 0.8346 0.8346 0.8346 0.8346 0.9180 0.9180 0.9180 0.9180 479 TREATMENT DEVICE DESIGN AND CONSTR 4.4205 1.7071 1.7071 2.2975 2.2975 2.2975 2.2975 2.8379 2.8379 2.8379 2.8379 2.3515 2.3515 2.3515 2.3515 480 TELETHERAPY/BRACHYTHERAPY CALCULAT 2.4697 1.7080 1.7080 1.8071 1.8071 1.8071 1.8071 2.0718 2.0718 2.0718 2.0718 2.0249 2.0249 2.0249 2.0249 481 THERAPEUTIC RADIOLOGY SIMULATION FI 6.0354 4.1129 4.1129 4.1946 4.1946 4.1946 4.1946 4.9793 4.9793 4.9793 4.9793 3.8645 3.8645 3.8645 3.8645 482 RADIOELEMENT APPLICATION 1.8353 3.1301 3.1301 3.3116 3.3116 3.3116 3.3116 4.3517 4.3517 4.3517 4.3517 4.9484 4.9484 4.9484 4.9484 483 RADIATION THERAPY MANAGEMENT 2.4471 2.5251 2.5251 2.1130 2.1130 2.1130 2.1130 1.9669 1.9669 1.9669 1.9669 1.7169 1.7169 1.7169 1.7169 484 THERAPEUTIC RADIOLOGY TREATMENT PL 2.9833 1.7963 1.7963 1.9005 1.9005 1.9005 1.9005 1.7711 1.7711 1.7711 1.7711 2.0358 2.0358 2.0358 2.0358 485 CORNEAL TISSUE PROCESSING - - - - - - - - - - - - - 4.2224 4.2224 486 LEVEL I BLOOD AND TISSUE TYPING TESTS - - - - - - - - - - - - - - -487 MINOR CARDIAC MONITORING - - - - - - - - - - - - - - -488 MINOR DEVICE EVALUATION AND INTERRO - - - - - - - - - - - - - - -489 LEVEL II OTHER MISCELLANEOUS ANCILLAR - - - - - - - - - - - - - - -490 INCIDENTAL SERVICES FOR QUALITY OR PE - - - 0.0971 0.0971 - - - - - - - - - -491 MEDICAL VISIT INDICATOR 1.1276 0.7995 0.7995 0.8459 0.8459 0.8459 0.8459 0.8301 0.8301 0.8301 0.8301 - - - -492 ADMISSION FOR OBSERVATION INDICATO - - - - - - - - - - - - - - -493 LEVEL I ANCILLARY THERAPEUTIC SERVICES 494 COMPLEX BLOOD COLLECTION SERVICES 495 MINOR CHEMOTHERAPY DRUGS - - - - - - - - - - - - - - -496 MINOR PHARMACOTHERAPY - - - - - - - - - - - - - - -497 TELEHEALTH FACILITATION - - - - - - - - - - - - - - -498 PEN FORMULAE - - - - - - - - - - - - - - -499 BLOOD PROCESSING, STORAGE AND RELATED SERVICES 500 DIRECT ADMISSION FOR OBSERVATION - O - - - - - - - - - - - - - - -501 DIRECT ADMISSION FOR OBSERVATION - O - - - - - - - - - - - - - - -502 DIRECT REFERRAL FOR OBSERVATION - BE - - - - - - - - - - - - - - -510 MAJOR SIGNS, SYMPTOMS AND FINDINGS 0.9701 0.8466 0.8466 0.8661 0.8661 0.8661 0.8661 0.8979 0.8979 0.8979 0.8979 0.8103 0.8103 0.8103 0.8103 520 SPINAL DIAGNOSES AND INJURIES 0.6416 0.8689 0.8689 0.8153 0.8153 0.8153 0.8153 0.8304 0.8304 0.8304 0.8304 0.7778 0.7778 0.7778 0.7778 521 NERVOUS SYSTEM MALIGNANCY 1.4170 0.7216 0.7216 0.7832 0.7832 0.7832 0.7832 0.8179 0.8179 0.8179 0.8179 0.7228 0.7228 0.7228 0.7228


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522 DEGENERATIVE NERVOUS SYSTEM DIAGNO 0.6992 0.8448 0.8448 0.7869 0.7869 0.7869 0.7869 0.8154 0.8154 0.8154 0.8154 0.7227 0.7227 0.7227 0.7227 523 MULTIPLE SCLEROSIS AND OTHER DEMYEL 0.6393 0.7490 0.7490 0.6685 0.6685 0.6685 0.6685 0.6667 0.6667 0.6667 0.6667 0.6667 0.6667 0.6667 0.6667 524 OTHER CENTRAL NERVOUS SYSTEM DIAGN 0.6783 0.9420 0.9420 0.7727 0.7727 0.7727 0.7727 0.7840 0.7840 0.7840 0.7840 0.6804 0.6804 0.6804 0.6804 525 LEVEL II CNS DIAGNOSES 0.8319 0.8167 0.8167 0.8504 0.8504 0.8504 0.8504 0.8505 0.8505 0.8505 0.8505 0.7751 0.7751 0.7751 0.7751 526 TRANSIENT ISCHEMIA 1.4601 0.8838 0.8838 0.7649 0.7649 0.7649 0.7649 0.7456 0.7456 0.7456 0.7456 0.6656 0.6656 0.6656 0.6656 527 PERIPHERAL AND CRANIAL NERVE DIAGNO 0.7120 0.7377 0.7377 0.7677 0.7677 0.7677 0.7677 0.7703 0.7703 0.7703 0.7703 0.6914 0.6914 0.6914 0.6914 528 NONTRAUMATIC STUPOR & COMA 1.0393 0.8956 0.8956 0.8223 0.8223 0.8223 0.8223 0.8819 0.8819 0.8819 0.8819 0.8376 0.8376 0.8376 0.8376 529 SEIZURE 0.9756 0.9218 0.9218 0.9236 0.9236 0.9236 0.9236 0.9473 0.9473 0.9473 0.9473 0.7801 0.7801 0.7801 0.7801 530 HEADACHES OTHER THAN MIGRAINE 0.9609 0.8208 0.8208 0.8465 0.8465 0.8465 0.8465 0.7994 0.7994 0.7994 0.7994 0.7764 0.7764 0.7764 0.7764 531 MIGRAINE 0.8847 0.7556 0.7556 0.9208 0.9208 0.9208 0.9208 0.7855 0.7855 0.7855 0.7855 0.8010 0.8010 0.8010 0.8010 532 HEAD TRAUMA 1.7436 0.7274 0.7274 0.7963 0.7963 0.7963 0.7963 0.7158 0.7158 0.7158 0.7158 0.7425 0.7425 0.7425 0.7425 533 AFTEREFFECTS OF CEREBROVASCULAR ACC 0.7435 0.8360 0.8360 0.7337 0.7337 0.7337 0.7337 0.7821 0.7821 0.7821 0.7821 0.6855 0.6855 0.6855 0.6855 534 NONSPECIFIC CVA AND PRECEREBRAL OCC 0.9273 0.9246 0.9246 0.8129 0.8129 0.8129 0.8129 0.7987 0.7987 0.7987 0.7987 0.6827 0.6827 0.6827 0.6827 535 CVA AND PRECEREBRAL OCCLUSION W INF 0.7053 0.8058 0.8058 0.7915 0.7915 0.7915 0.7915 0.7651 0.7651 0.7651 0.7651 0.6813 0.6813 0.6813 0.6813 536 CEREBRAL PALSY - - - - - 0.7727 0.7727 0.8222 0.8222 0.8222 0.8222 0.8222 0.8222 0.8222 0.8222

537 MALFUNCTION, REACTION, COMPLICATION O - - - - - - - - - - - - - - -

545 PERIPHERAL, CRANIAL, AND AUTONOMIC NE - - - - - - - - - - - - - - -

548 PERIPHERAL AND OTHER VASCULAR RELATED - - - - - - - - - - - - - - -550 ACUTE MAJOR EYE INFECTIONS 0.6763 0.6374 0.6374 0.7669 0.7669 0.7669 0.7669 0.7346 0.7346 0.7346 0.7346 0.6522 0.6522 0.6522 0.6522 551 CATARACTS 0.6273 0.8106 0.8106 0.8243 0.8243 0.8243 0.8243 0.8028 0.8028 0.8028 0.8028 0.6833 0.6833 0.6833 0.6833 552 GLAUCOMA 0.6453 0.7766 0.7766 0.7978 0.7978 0.7978 0.7978 0.7605 0.7605 0.7605 0.7605 0.6761 0.6761 0.6761 0.6761 553 OTHER OPHTHALMIC SYSTEM DIAGNOSES 0.6725 0.7034 0.7034 0.8241 0.8241 0.8241 0.8241 0.7697 0.7697 0.7697 0.7697 0.7522 0.7522 0.7522 0.7522 554 LEVEL II OTHER OPHTHALMIC DIAGNOSES 0.8497 0.7757 0.7757 0.8241 0.8241 0.8241 0.8241 0.8454 0.8454 0.8454 0.8454 0.7533 0.7533 0.7533 0.7533 555 CONJUNCTIVITIS 0.7007 0.6301 0.6301 0.7021 0.7021 0.7021 0.7021 0.6348 0.6348 0.6348 0.6348 0.6348 0.6348 0.6348 0.6348

556 OCULAR AND PERIOCULAR MALIGNANCY - - - - - - - - - - - - - - -

557 OTHER EYE INFECTION DIAGNOSES - - - - - - - - - - - - - - -560 EAR, NOSE, MOUTH, THROAT, CRANIAL AN 1.7033 0.8000 0.8000 0.8167 0.8167 0.8167 0.8167 0.8409 0.8409 0.8409 0.8409 0.7514 0.7514 0.7514 0.7514 561 VERTIGINOUS DIAGNOSES EXCEPT FOR BE 1.1915 0.8235 0.8235 0.9032 0.9032 0.9032 0.9032 0.8547 0.8547 0.8547 0.8547 0.7555 0.7555 0.7555 0.7555 562 INFECTIONS OF UPPER RESPIRATORY TRAC 0.6893 0.6284 0.6284 0.7152 0.7152 0.7152 0.7152 0.6792 0.6792 0.6792 0.6792 0.6427 0.6427 0.6427 0.6427 563 DENTAL AND ORAL DIAGNOSES AND INJUR 0.4805 0.5307 0.5307 0.6064 0.6064 0.6064 0.6064 0.6407 0.6407 0.6407 0.6407 0.6215 0.6215 0.6215 0.6215 564 OTHER EAR, NOSE, MOUTH, THROAT AND 0.7397 0.7677 0.7677 0.7957 0.7957 0.7957 0.7957 0.7932 0.7932 0.7932 0.7932 0.7018 0.7018 0.7018 0.7018 565 LEVEL II OTHER EAR, NOSE, MOUTH,THROA 1.4495 0.8622 0.8622 0.9614 0.9614 0.9614 0.9614 0.8745 0.8745 0.8745 0.8745 0.8018 0.8018 0.8018 0.8018

568 TRAUMATIC INJURIES - - - - - - - - - - - - - - -570 CYSTIC FIBROSIS - PULMONARY DISEASE 0.9766 0.7880 0.7880 1.0257 1.0257 1.0257 1.0257 1.0289 1.0289 1.0289 1.0289 0.9653 0.9653 0.9653 0.9653 571 RESPIRATORY MALIGNANCY 1.8361 0.7905 0.7905 0.7860 0.7860 0.7860 0.7860 0.7561 0.7561 0.7561 0.7561 0.6859 0.6859 0.6859 0.6859 572 BRONCHIOLITIS AND RSV PNEUMONIA 0.8498 0.5136 0.5136 0.6372 0.6372 0.6372 0.6372 0.6407 0.6407 0.6407 0.6407 0.6199 0.6199 0.6199 0.6199 573 COMMUNITY ACQUIRED PNUEMONIA 1.3077 0.6791 0.6791 0.9560 0.9560 0.9560 0.9560 0.9145 0.9145 0.9145 0.9145 0.8336 0.8336 0.8336 0.8336 574 CHRONIC OBSTRUCTIVE PULMONARY DISE 0.6739 0.6893 0.6893 0.6792 0.6792 0.6792 0.6792 0.7438 0.7438 0.7438 0.7438 0.6631 0.6631 0.6631 0.6631 575 ASTHMA 0.9150 0.7979 0.7979 0.8845 0.8845 0.8845 0.8845 1.0361 1.0361 1.0361 1.0361 0.8962 0.8962 0.8962 0.8962 576 OTHER RESPIRATORY SYSTEM DIAGNOSES 1.0672 0.7013 0.7013 0.9150 0.9150 0.9150 0.9150 0.8926 0.8926 0.8926 0.8926 0.7727 0.7727 0.7727 0.7727 577 LEVEL II OTHER RESPIRATORY DIAGNOSES 0.7956 0.8384 0.8384 0.9150 0.9150 0.9150 0.9150 1.1682 1.1682 1.1682 1.1682 0.9412 0.9412 0.9412 0.9412 578 PNEUMONIA EXCEPT FOR COMMUNITY AC 0.8720 0.6586 0.6586 0.5165 0.5165 0.5165 0.5165 0.7681 0.7681 0.7681 0.7681 0.7648 0.7648 0.7648 0.7648 579 STATUS ASTHMATICUS 0.5124 0.9027 0.9027 0.7330 0.7330 0.7330 0.7330 0.8191 0.8191 0.8191 0.8191 0.7286 0.7286 0.7286 0.7286

580 MAJOR CHEST AND RESPIRATORY TRAUMA - - - - - - - - - - - - - - -

581 PULMONARY INFECTION DIAGNOSES INCLUD - - - - - - - - - - - - - - -

582 INTERSTITIAL AND ALVEOLAR LUNG DIAGNOS - - - - - - - - - - - - - - -

585 AFTERCARE, OPEN WOUNDS AND OTHER TRA - - - - - - - - - - - - - - -

589 MALFUNCTION, REACTION, OR COMPLICATIO - - - - - - - - - - - - - - -591 ACUTE MYOCARDIAL INFARCTION 5.7122 2.2552 2.2552 1.5488 1.5488 1.5488 1.5488 1.4044 1.4044 1.4044 1.4044 1.4738 1.4738 1.4738 1.4738 592 OTHER CARDIOVASCULAR SYSTEM DIAGNO 0.8157 0.7853 0.7853 0.8038 0.8038 0.8038 0.8038 0.8393 0.8393 0.8393 0.8393 0.7111 0.7111 0.7111 0.7111 593 LEVEL II CARDIOVASCULAR DIAGNOSES 0.8157 0.8735 0.8735 0.8918 0.8918 0.8918 0.8918 0.8673 0.8673 0.8673 0.8673 0.7396 0.7396 0.7396 0.7396 594 HEART FAILURE 0.7967 0.8490 0.8490 0.8584 0.8584 0.8584 0.8584 0.8907 0.8907 0.8907 0.8907 0.7543 0.7543 0.7543 0.7543 595 CARDIAC ARREST OR OTHER CAUSES OF M 3.6827 1.1669 1.1669 1.8677 1.8677 1.8677 1.8677 1.6341 1.6341 1.6341 1.6341 1.6299 1.6299 1.6299 1.6299 596 PERIPHERAL AND OTHER VASCULAR DIAGN 0.7664 0.8313 0.8313 0.7492 0.7492 0.7492 0.7492 0.7802 0.7802 0.7802 0.7802 0.7562 0.7562 0.7562 0.7562 597 PHLEBITIS 0.7434 0.5608 0.5608 0.7287 0.7287 0.7287 0.7287 0.7678 0.7678 0.7678 0.7678 0.6564 0.6564 0.6564 0.6564 598 ANGINA PECTORIS AND CORONARY ATHER 0.8736 0.7776 0.7776 0.7434 0.7434 0.7434 0.7434 0.8171 0.8171 0.8171 0.8171 0.6914 0.6914 0.6914 0.6914 599 HYPERTENSION 0.6952 0.7924 0.7924 0.7406 0.7406 0.7406 0.7406 0.7209 0.7209 0.7209 0.7209 0.6488 0.6488 0.6488 0.6488 600 CARDIAC STRUCTURAL AND VALVULAR DIA 1.0466 0.8305 0.8305 0.9975 0.9975 0.9975 0.9975 1.0593 1.0593 1.0593 1.0593 0.8643 0.8643 0.8643 0.8643


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601 CARDIAC ARRHYTHMIA AND CONDUCTION 1.1985 0.8097 0.8097 0.9291 0.9291 0.9291 0.9291 0.9740 0.9740 0.9740 0.9740 0.7759 0.7759 0.7759 0.7759 602 ATRIAL FIBRILLATION 0.9954 0.8178 0.8178 0.8270 0.8270 0.8270 0.8270 0.8060 0.8060 0.8060 0.8060 0.6975 0.6975 0.6975 0.6975 603 LEVEL II CARDIAC ARRHYTHMIA & CONDUC 0.9165 1.0425 1.0425 0.9476 0.9476 0.9476 0.9476 1.0276 1.0276 1.0276 1.0276 0.8501 0.8501 0.8501 0.8501 604 CHEST PAIN 2.0030 0.8151 0.8151 1.1736 1.1736 1.1736 1.1736 1.1033 1.1033 1.1033 1.1033 0.9139 0.9139 0.9139 0.9139 605 SYNCOPE AND COLLAPSE 1.8564 0.7943 0.7943 0.9988 0.9988 0.9988 0.9988 0.9381 0.9381 0.9381 0.9381 0.8221 0.8221 0.8221 0.8221

607 CARDIOMYOPATHY DIAGNOSES - - - - - - - - - - - - - - -

610 CONTUSIONS TO EXTERNAL ORGANS OTHER T - - - - - - - - - - - - - - -

616 DIVERTICULITIS AND DIVERTICULOSIS - - - - - - - - - - - - - - -

617 GASTROINTESTINAL HEMORRHAGE DIAGNOS - - - - - - - - - - - - - - -

618 INTESTINAL OBSTRUCTION DIAGNOSES - - - - - - - - - - - - - - -

619 GASTROINTESTINAL AND PERITONEAL INFECT - - - - - - - - - - - - - - -620 DIGESTIVE MALIGNANCY 2.1345 0.7214 0.7214 0.7036 0.7036 0.7036 0.7036 0.6808 0.6808 0.6808 0.6808 0.6278 0.6278 0.6278 0.6278 621 PEPTIC ULCER AND GASTRITIS 1.2964 1.0541 1.0541 1.0396 1.0396 1.0396 1.0396 0.9383 0.9383 0.9383 0.9383 0.8511 0.8511 0.8511 0.8511 623 ESOPHAGITIS AND OTHER ESOPHAGEAL D 0.6373 0.7081 0.7081 0.6757 0.6757 0.6757 0.6757 0.6757 0.6757 0.6757 0.6757 0.6757 0.6757 0.6757 0.6757 624 OTHER GASTROINTESTINAL SYSTEM DIAGN 0.8882 0.7720 0.7720 0.8018 0.8018 0.8018 0.8018 0.8485 0.8485 0.8485 0.8485 0.7344 0.7344 0.7344 0.7344 625 LEVEL II GASTROINTESTINAL DIAGNOSES 0.8004 0.7720 0.7720 0.8018 0.8018 0.8018 0.8018 0.8569 0.8569 0.8569 0.8569 0.7469 0.7469 0.7469 0.7469 626 INFLAMMATORY BOWEL DISEASE 0.6867 0.8255 0.8255 0.7505 0.7505 0.7505 0.7505 0.6994 0.6994 0.6994 0.6994 0.6164 0.6164 0.6164 0.6164 627 NON-BACTERIAL GASTROENTERITIS, NAUS 1.0670 0.7240 0.7240 0.8297 0.8297 0.8297 0.8297 0.7744 0.7744 0.7744 0.7744 0.7498 0.7498 0.7498 0.7498 628 ABDOMINAL PAIN 1.4513 0.8099 0.8099 0.8572 0.8572 0.8572 0.8572 0.8096 0.8096 0.8096 0.8096 0.7730 0.7730 0.7730 0.7730 629 MALFUNCTION, REACTION AND COMPLICA 1.4552 1.0179 1.0179 1.2239 1.2239 1.2239 1.2239 1.0342 1.0342 1.0342 1.0342 0.8849 0.8849 0.8849 0.8849 630 CONSTIPATION 0.9378 0.7712 0.7712 0.8929 0.8929 0.8929 0.8929 0.9052 0.9052 0.9052 0.9052 0.8488 0.8488 0.8488 0.8488 631 HERNIA 0.7912 0.8163 0.8163 0.7936 0.7936 0.7936 0.7936 0.7361 0.7361 0.7361 0.7361 0.6622 0.6622 0.6622 0.6622 632 IRRITABLE BOWEL SYNDROME 0.6018 0.6753 0.6753 0.6564 0.6564 0.6564 0.6564 0.6227 0.6227 0.6227 0.6227 0.5706 0.5706 0.5706 0.5706 633 ALCOHOLIC LIVER DISEASE 0.7923 0.8245 0.8245 0.7192 0.7192 0.7192 0.7192 0.7917 0.7917 0.7917 0.7917 0.6997 0.6997 0.6997 0.6997 634 MALIGNANCY OF HEPATOBILIARY SYSTEM 1.4269 0.8924 0.8924 0.8294 0.8294 0.8294 0.8294 0.8835 0.8835 0.8835 0.8835 0.7451 0.7451 0.7451 0.7451 635 PANCREAS DIAGNOSES EXCEPT MALIGNAN 1.5278 0.7530 0.7530 0.7756 0.7756 0.7756 0.7756 0.7295 0.7295 0.7295 0.7295 0.6838 0.6838 0.6838 0.6838 636 HEPATITIS WITHOUT COMA 0.7291 0.8736 0.8736 0.7931 0.7931 0.7931 0.7931 1.0382 1.0382 1.0382 1.0382 0.7899 0.7899 0.7899 0.7899 637 GALLBLADDER AND BILIARY TRACT DIAGN 0.8423 0.7058 0.7058 0.6097 0.6097 0.6097 0.6097 0.7469 0.7469 0.7469 0.7469 0.6404 0.6404 0.6404 0.6404 638 CHOLECYSTITIS 1.1519 0.7463 0.7463 0.6880 0.6880 0.6880 0.6880 0.6815 0.6815 0.6815 0.6815 0.6275 0.6275 0.6275 0.6275 639 OTHER HEPATOBILIARY SYSTEM DIAGNOS 0.9891 0.8765 0.8765 0.8023 0.8023 0.8023 0.8023 0.7575 0.7575 0.7575 0.7575 0.7214 0.7214 0.7214 0.7214 640 LEVEL II HEPATOBILIARY DIAGNOSES 0.6674 0.7030 0.7030 0.6771 0.6771 0.6771 0.6771 0.7133 0.7133 0.7133 0.7133 0.6923 0.6923 0.6923 0.6923

641 OTHER MAJOR LIVER DIAGNOSES - - - - - - - - - - - - - - -647 FRACTURES, DISLOCATIONS, SPRAINS, OTHER INJURIES OF THE SHOULDER AND UPPER ARM 648 FRACTURES, DISLOCATIONS AND SPRAINS OF THE SKULL, CRANIUM AND FACE 649 OTHER PATHOLOGICAL FRACTURES W/O MUSCULOSKELETAL MALIGNANCY 650 FRACTURES, DISLOCATIONS, OTHER INJUR 0.9813 0.7209 0.7209 1.2104 1.2104 1.2104 1.2104 1.0538 1.0538 1.0538 1.0538 1.1385 1.1385 1.1385 1.1385 651 FRACTURES, DISLOCATIONS, SPRAINS AND 0.9780 0.6540 0.6540 1.1561 1.1561 1.1561 1.1561 0.9599 0.9599 0.9599 0.9599 1.0449 1.0449 1.0449 1.0449 652 OTHER INJURIES AND DISORDERS OF THE M 1.1211 0.7464 0.7464 1.0804 1.0804 1.0804 1.0804 1.0484 1.0484 1.0484 1.0484 1.0470 1.0470 1.0470 1.0470 653 MUSCULOSKELETAL MALIGNANCY AND PA 1.4795 0.5615 0.5615 0.7423 0.7423 0.7423 0.7423 0.9205 0.9205 0.9205 0.9205 0.8529 0.8529 0.8529 0.8529 654 OSTEOMYELITIS, SEPTIC ARTHRITIS AND OT 0.6728 0.7358 0.7358 0.7790 0.7790 0.7790 0.7790 0.8841 0.8841 0.8841 0.8841 0.8245 0.8245 0.8245 0.8245 655 CONNECTIVE TISSUE DIAGNOSES 0.6743 0.7816 0.7816 0.7526 0.7526 0.7526 0.7526 0.7574 0.7574 0.7574 0.7574 0.6885 0.6885 0.6885 0.6885 656 FRACTURES, DISLOCATIONS & OTHER INJU 0.9519 0.7486 0.7486 0.8953 0.8953 0.8953 0.8953 0.8506 0.8506 0.8506 0.8506 0.8082 0.8082 0.8082 0.8082 657 FRACTURES, DISLOCATIONS, SPRAINS AND 0.8104 0.7188 0.7188 0.8468 0.8468 0.8468 0.8468 0.8530 0.8530 0.8530 0.8530 0.7947 0.7947 0.7947 0.7947 658 SCIATICA 1.0996 0.7287 0.7287 1.0187 1.0187 1.0187 1.0187 0.8826 0.8826 0.8826 0.8826 0.8401 0.8401 0.8401 0.8401 659 MALFUNCTION, REACTION, COMPLIC OF O 1.5171 0.6927 0.6927 0.9303 0.9303 0.9303 0.9303 0.8526 0.8526 0.8526 0.8526 0.8668 0.8668 0.8668 0.8668 660 OTHER MUSCULOSKELETAL SYSTEM AND C 0.8196 0.6864 0.6864 0.8636 0.8636 0.8636 0.8636 0.8178 0.8178 0.8178 0.8178 0.7618 0.7618 0.7618 0.7618 661 LEVEL II OTHER MUSCULOSKELETAL SYSTE 0.9314 0.7158 0.7158 0.9128 0.9128 0.9128 0.9128 0.9185 0.9185 0.9185 0.9185 0.8415 0.8415 0.8415 0.8415 662 OSTEOPOROSIS 0.4961 0.7418 0.7418 0.6327 0.6327 0.6327 0.6327 0.6395 0.6395 0.6395 0.6395 0.5743 0.5743 0.5743 0.5743 663 PAIN 0.8372 0.6247 0.6247 0.8481 0.8481 0.8481 0.8481 0.7440 0.7440 0.7440 0.7440 0.7593 0.7593 0.7593 0.7593 670 NON-PRESSURE CHRONIC SKIN ULCERS 0.7420 0.7083 0.7083 0.7204 0.7204 0.7204 0.7204 0.8057 0.8057 0.8057 0.8057 0.8593 0.8593 0.8593 0.8593 671 MAJOR SKIN DIAGNOSES 0.6644 0.7542 0.7542 0.7380 0.7380 0.7380 0.7380 0.7288 0.7288 0.7288 0.7288 0.6569 0.6569 0.6569 0.6569 672 MALIGNANT BREAST DIAGNOSES 1.7630 0.7032 0.7032 0.6827 0.6827 0.6827 0.6827 0.6588 0.6588 0.6588 0.6588 0.6478 0.6478 0.6478 0.6478 673 CELLULITIS AND OTHER BACTERIAL SKIN IN 0.9183 0.7130 0.7130 0.7865 0.7865 0.7865 0.7865 0.6702 0.6702 0.6702 0.6702 0.6663 0.6663 0.6663 0.6663 674 OPEN WOUNDS, PUNCTURES AND OTHER 1.3805 0.7721 0.7721 1.0307 1.0307 1.0307 1.0307 0.9485 0.9485 0.9485 0.9485 0.9660 0.9660 0.9660 0.9660 675 OTHER SKIN, SUBCUTANEOUS TISSUE AND 0.6997 0.7569 0.7569 0.7585 0.7585 0.7585 0.7585 0.7274 0.7274 0.7274 0.7274 0.6546 0.6546 0.6546 0.6546 676 PRESSURE ULCERS 0.7085 0.8081 0.8081 0.7264 0.7264 0.7264 0.7264 0.6915 0.6915 0.6915 0.6915 0.7964 0.7964 0.7964 0.7964 690 MALNUTRITION, FAILURE TO THRIVE AND 0.6268 0.7912 0.7912 0.7364 0.7364 0.7364 0.7364 0.7276 0.7276 0.7276 0.7276 0.7172 0.7172 0.7172 0.7172 691 INBORN ERRORS OF METABOLISM 0.5511 0.7457 0.7457 0.6455 0.6455 0.6455 0.6455 0.6103 0.6103 0.6103 0.6103 0.6103 0.6103 0.6103 0.6103


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692 OTHER ENDOCRINE SYSTEM DIAGNOSES 0.6921 0.7671 0.7671 0.7066 0.7066 0.7066 0.7066 0.7070 0.7070 0.7070 0.7070 0.6883 0.6883 0.6883 0.6883 693 LEVEL II ENDOCRINE DIAGNOSES 0.6921 0.7757 0.7757 0.7385 0.7385 0.7385 0.7385 0.7796 0.7796 0.7796 0.7796 0.6754 0.6754 0.6754 0.6754 694 ELECTROLYTE DISORDERS 1.6055 0.7607 0.7607 0.7508 0.7508 0.7508 0.7508 0.7962 0.7962 0.7962 0.7962 0.7342 0.7342 0.7342 0.7342 695 OBESITY 0.4691 0.6351 0.6351 0.6988 0.6988 0.6988 0.6988 0.7292 0.7292 0.7292 0.7292 0.6715 0.6715 0.6715 0.6715

696 THYROID AND PARATHYROID DIAGNOSES - - - - - - - - - - - - - - -710 DIABETES WITH OPHTHALMIC MANIFESTA 0.7201 0.7645 0.7645 0.7917 0.7917 0.7917 0.7917 0.7666 0.7666 0.7666 0.7666 0.7507 0.7507 0.7507 0.7507 711 DIABETES WITH OTHER MANIFESTATIONS 0.8197 0.8886 0.8886 0.7440 0.7440 0.7440 0.7440 0.7038 0.7038 0.7038 0.7038 0.6793 0.6793 0.6793 0.6793 712 DIABETES WITH NEUROLOGIC MANIFESTA 0.6362 0.8010 0.8010 0.8535 0.8535 0.8535 0.8535 0.8731 0.8731 0.8731 0.8731 0.7412 0.7412 0.7412 0.7412 713 DIABETES WITHOUT COMPLICATIONS 0.6435 0.7405 0.7405 0.7171 0.7171 0.7171 0.7171 0.7065 0.7065 0.7065 0.7065 0.6448 0.6448 0.6448 0.6448 714 DIABETES WITH RENAL MANIFESTATIONS 0.7749 0.7779 0.7779 0.7947 0.7947 0.7947 0.7947 0.7285 0.7285 0.7285 0.7285 0.6017 0.6017 0.6017 0.6017 720 RENAL FAILURE 0.8922 0.7758 0.7758 0.7625 0.7625 0.7625 0.7625 0.8186 0.8186 0.8186 0.8186 0.6680 0.6680 0.6680 0.6680 721 KIDNEY AND URINARY TRACT MALIGNANC 1.4204 0.7536 0.7536 0.8698 0.8698 0.8698 0.8698 0.8526 0.8526 0.8526 0.8526 0.7496 0.7496 0.7496 0.7496 722 NEPHRITIS AND NEPHROSIS 0.6984 1.0495 1.0495 1.0549 1.0549 1.0549 1.0549 0.9641 0.9641 0.9641 0.9641 0.7411 0.7411 0.7411 0.7411 723 COMPLEX KIDNEY AND URINARY TRACT IN 1.4546 0.6344 0.6344 0.8384 0.8384 0.8384 0.8384 0.8255 0.8255 0.8255 0.8255 0.7990 0.7990 0.7990 0.7990 724 URINARY STONES AND ACQUIRED UPPER U 1.8679 0.8226 0.8226 0.8528 0.8528 0.8528 0.8528 0.8045 0.8045 0.8045 0.8045 0.7640 0.7640 0.7640 0.7640 725 MALFUNCTION, REACTION, COMPLIC OF G 1.7307 0.9526 0.9526 1.2410 1.2410 1.2410 1.2410 1.2793 1.2793 1.2793 1.2793 1.1487 1.1487 1.1487 1.1487 726 OTHER KIDNEY AND URINARY TRACT DIAG 0.7469 0.8033 0.8033 0.7815 0.7815 0.7815 0.7815 0.8136 0.8136 0.8136 0.8136 0.7309 0.7309 0.7309 0.7309 727 ACUTE LOWER URINARY TRACT INFECTION 1.0652 0.8930 0.8930 0.8885 0.8885 0.8885 0.8885 0.7961 0.7961 0.7961 0.7961 0.7761 0.7761 0.7761 0.7761 740 MALE REPRODUCTIVE SYSTEM MALIGNAN 0.8480 0.7722 0.7722 0.7405 0.7405 0.7405 0.7405 0.7430 0.7430 0.7430 0.7430 0.6926 0.6926 0.6926 0.6926 741 OTHER MALE REPRODUCTIVE SYSTEM DIA 0.8631 0.8213 0.8213 0.7916 0.7916 0.7916 0.7916 0.7991 0.7991 0.7991 0.7991 0.7162 0.7162 0.7162 0.7162 742 NEOPLASMS OF THE MALE REPRODUCTIVE 0.5886 0.7359 0.7359 0.7748 0.7748 0.7748 0.7748 0.9072 0.9072 0.9072 0.9072 0.7660 0.7660 0.7660 0.7660 743 PROSTATITIS 0.7853 0.8646 0.8646 0.7649 0.7649 0.7649 0.7649 0.7141 0.7141 0.7141 0.7141 0.6519 0.6519 0.6519 0.6519 744 MALE REPRODUCTIVE SYSTEM INFECTIONS 0.9622 0.8231 0.8231 0.8954 0.8954 0.8954 0.8954 0.8617 0.8617 0.8617 0.8617 0.7586 0.7586 0.7586 0.7586 750 FEMALE REPRODUCTIVE SYSTEM MALIGNA 1.9785 0.7049 0.7049 0.6528 0.6528 0.6528 0.6528 0.6578 0.6578 0.6578 0.6578 0.6578 0.6578 0.6578 0.6578 751 FEMALE REPRODUCTIVE SYSTEM INFECTIO 0.8237 0.8056 0.8056 0.8569 0.8569 0.8569 0.8569 0.8393 0.8393 0.8393 0.8393 0.7227 0.7227 0.7227 0.7227 752 OTHER FEMALE REPRODUCTIVE SYSTEM A 0.7687 0.7361 0.7361 0.7464 0.7464 0.7464 0.7464 0.7258 0.7258 0.7258 0.7258 0.6479 0.6479 0.6479 0.6479 753 LEVEL II MENSTRUAL AND OTHER FEMALE 1.0479 0.8135 0.8135 0.8679 0.8679 0.8679 0.8679 0.8109 0.8109 0.8109 0.8109 0.7828 0.7828 0.7828 0.7828 760 LABOR AND DELIVERY RELATED DIAGNOSE 0.6670 0.7511 0.7511 0.7587 0.7587 0.7587 0.7587 0.7102 0.7102 0.7102 0.7102 0.6328 0.6328 0.6328 0.6328 761 POSTPARTUM AND POST ABORTION DIAG 0.8171 0.8639 0.8639 0.8410 0.8410 0.8410 0.8410 0.7917 0.7917 0.7917 0.7917 0.7208 0.7208 0.7208 0.7208 762 PRETERM LABOR DIAGNOSES 2.4096 0.9263 0.9263 1.0438 1.0438 1.0438 1.0438 1.0663 1.0663 1.0663 1.0663 0.9262 0.9262 0.9262 0.9262 763 ABORTION RELATED DIAGNOSES 1.6166 0.9720 0.9720 0.8924 0.8924 0.8924 0.8924 0.8654 0.8654 0.8654 0.8654 0.7388 0.7388 0.7388 0.7388 764 FALSE LABOR 1.8375 1.1301 1.1301 1.2006 1.2006 1.2006 1.2006 1.0558 1.0558 1.0558 1.0558 1.0955 1.0955 1.0955 1.0955 765 OTHER ANTEPARTUM DIAGNOSES 1.0761 0.8176 0.8176 0.8433 0.8433 0.8433 0.8433 0.8064 0.8064 0.8064 0.8064 0.7669 0.7669 0.7669 0.7669 766 ROUTINE PRENATAL CARE 0.7566 0.7961 0.7961 0.8058 0.8058 0.8058 0.8058 0.7636 0.7636 0.7636 0.7636 0.7359 0.7359 0.7359 0.7359

767 COMPLICATIONS OF TREATMENT AFFECTING - - - - - - - - - - - - - - -770 NORMAL NEONATE 0.4284 0.4722 0.4722 0.4447 0.4447 0.4447 0.4447 0.3554 0.3554 0.3554 0.3554 0.6194 0.6194 0.6194 0.6194 771 NEONATAL DIAGNOSES 1.0195 1.3476 1.3476 1.2575 1.2575 1.2575 1.2575 0.9792 0.9792 0.9792 0.9792 0.7731 0.7731 0.7731 0.7731 772 LEVEL II NEONATAL DIAGNOSES 0.6602 0.9587 0.9587 0.8896 0.8896 0.8896 0.8896 0.7987 0.7987 0.7987 0.7987 0.7153 0.7153 0.7153 0.7153

777 SUPERFICIAL INJURY TO SKIN AND SUBCUTAN - - - - - - - - - - - - - - -780 OTHER HEMATOLOGICAL DIAGNOSES 0.6816 0.9255 0.9255 0.9252 0.9252 0.9252 0.9252 1.0309 1.0309 1.0309 1.0309 0.7940 0.7940 0.7940 0.7940 781 COAGULATION AND PLATELET DISORDERS 0.6657 0.7856 0.7856 0.7657 0.7657 0.7657 0.7657 0.7837 0.7837 0.7837 0.7837 0.6776 0.6776 0.6776 0.6776 782 CONGENITAL FACTOR DEFICIENCIES 0.7194 0.9455 0.9455 0.9246 0.9246 0.9246 0.9246 0.9252 0.9252 0.9252 0.9252 0.9252 0.9252 0.9252 0.9252 783 SICKLE CELL ANEMIA CRISIS 1.7354 0.9420 0.9420 1.7087 1.7087 1.7087 1.7087 1.9446 1.9446 1.9446 1.9446 1.7409 1.7409 1.7409 1.7409 784 SICKLE CELL ANEMIA 0.6323 0.8978 0.8978 0.9882 0.9882 0.9882 0.9882 1.0994 1.0994 1.0994 1.0994 0.8986 0.8986 0.8986 0.8986 785 ANEMIA, BLOOD AND BLOOD-FORMING O 0.7141 0.7984 0.7984 0.7752 0.7752 0.7752 0.7752 0.7878 0.7878 0.7878 0.7878 0.6573 0.6573 0.6573 0.6573 786 IRON DEFICIENCY ANEMIA 0.6396 0.7968 0.7968 0.7413 0.7413 0.7413 0.7413 0.7407 0.7407 0.7407 0.7407 0.6527 0.6527 0.6527 0.6527 787 AFTERCARE, BURNS, CORROSIONS, OTHER IN - - - - - - - - - - - - - - -800 ACUTE LEUKEMIA 1.7166 0.7835 0.7835 0.9599 0.9599 0.9599 0.9599 1.0846 1.0846 1.0846 1.0846 1.0222 1.0222 1.0222 1.0222 801 LYMPHOMA, MYELOMA AND NON-ACUTE 2.0890 0.8165 0.8165 0.7460 0.7460 0.7460 0.7460 0.7764 0.7764 0.7764 0.7764 0.7678 0.7678 0.7678 0.7678 802 RADIOTHERAPY 0.7403 0.6563 0.6563 0.4464 0.4464 0.4464 0.4464 0.6098 0.6098 0.6098 0.6098 0.6042 0.6042 0.6042 0.6042 803 CHEMOTHERAPY 0.7997 2.0576 2.0576 1.3465 1.3465 1.3465 1.3465 0.8692 0.8692 0.8692 0.8692 0.8735 0.8735 0.8735 0.8735 804 LYMPHATIC AND OTHER MALIGNANCIES A 0.9222 0.8889 0.8889 0.7861 0.7861 0.7861 0.7861 0.7857 0.7857 0.7857 0.7857 0.7705 0.7705 0.7705 0.7705 805 SEPTICEMIA AND DISSEMINATED INFECTIO 1.0837 0.8668 0.8668 0.9895 0.9895 0.9895 0.9895 0.7810 0.7810 0.7810 0.7810 0.9227 0.9227 0.9227 0.9227 806 POST-OPERATIVE, POST-TRAUMATIC, OTH 1.0900 0.7795 0.7795 0.8719 0.8719 0.8719 0.8719 0.7744 0.7744 0.7744 0.7744 0.7790 0.7790 0.7790 0.7790 807 FEVER 1.3409 0.4439 0.4439 0.8929 0.8929 0.8929 0.8929 0.6658 0.6658 0.6658 0.6658 0.7154 0.7154 0.7154 0.7154 808 VIRAL ILLNESS 0.9073 0.8734 0.8734 0.8755 0.8755 0.8755 0.8755 0.7769 0.7769 0.7769 0.7769 0.7086 0.7086 0.7086 0.7086 809 OTHER INFECTIOUS AND PARASITIC DISEAS 0.7158 0.7634 0.7634 0.7794 0.7794 0.7794 0.7794 0.7683 0.7683 0.7683 0.7683 0.6714 0.6714 0.6714 0.6714 810 H. PYLORI INFECTION 0.6080 0.7593 0.7593 0.7787 0.7787 0.7787 0.7787 0.5885 0.5885 0.5885 0.5885 0.5403 0.5403 0.5403 0.5403 820 SCHIZOPHRENIA 1.2655 0.8969 0.8969 0.8969 0.8969 0.8969 0.8969 0.8969 0.8969 0.8969 0.8969 0.7953 0.7953 0.7953 0.7953 821 MAJOR DEPRESSIVE DIAGNOSES AND OTH 1.0514 0.9476 0.9476 0.9476 0.9476 0.9476 0.9476 0.9476 0.9476 0.9476 0.9476 0.7160 0.7160 0.7160 0.7160 822 PERSONALITY AND IMPULSE CONTROL DIA 0.9219 0.8945 0.8945 0.8945 0.8945 0.8945 0.8945 0.8945 0.8945 0.8945 0.8945 0.7720 0.7720 0.7720 0.7720


7/7/2020

Dec 1 2008

Jan 1 2010

Apr 1 2010

Jul 1 2010

Oct 1 2010

Jan 1 2011

Apr 1 2011

July 1 2011

Oct 1 2011

Jan 1 2012

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Jan 1 2013


823 BIPOLAR DISORDERS 1.0948 0.8574 0.8574 0.8574 0.8574 0.8574 0.8574 0.8574 0.8574 0.8574 0.8574 0.6784 0.6784 0.6784 0.6784 824 DEPRESSION EXCEPT MAJOR DEPRESSIVE D 0.7663 0.6982 0.6982 0.6982 0.6982 0.6982 0.6982 0.6982 0.6982 0.6982 0.6982 0.6083 0.6083 0.6083 0.6083 825 ADJUSTMENT DISORDERS AND NEUROSES 1.0154 0.8061 0.8061 0.8061 0.8061 0.8061 0.8061 0.8061 0.8061 0.8061 0.8061 0.7243 0.7243 0.7243 0.7243 826 ACUTE ANXIETY AND DELIRIUM STATES 0.9012 0.6352 0.6352 0.6352 0.6352 0.6352 0.6352 0.6352 0.6352 0.6352 0.6352 0.6110 0.6110 0.6110 0.6110 827 ORGANIC BEHAVIORAL HEALTH DISTURBA 0.7644 0.7817 0.7817 0.7817 0.7817 0.7817 0.7817 0.7817 0.7817 0.7817 0.7817 0.8078 0.8078 0.8078 0.8078 828 INTELLECTUAL DISABILITY 0.5493 0.7149 0.7149 0.7149 0.7149 0.7149 0.7149 0.7149 0.7149 0.7149 0.7149 0.6849 0.6849 0.6849 0.6849 829 CHILDHOOD BEHAVIORAL DIAGNOSES 0.5568 0.5939 0.6982 0.6982 0.6982 0.6982 0.6982 0.6982 0.6982 0.6982 0.6982 0.6846 0.6846 0.6846 0.6846 830 EATING DISORDERS 0.4825 0.9135 0.9135 0.9135 0.9135 0.9135 0.9135 0.9135 0.9135 0.9135 0.9135 0.6835 0.6835 0.6835 0.6835 831 OTHER BEHAVIORAL HEALTH DIAGNOSES 0.6736 0.7248 0.7248 0.7248 0.7248 0.7248 0.7248 0.7248 0.7248 0.7248 0.7248 0.6434 0.6434 0.6434 0.6434 840 OPIOID ABUSE AND DEPENDENCE 1.3467 0.7268 0.7268 0.7268 0.7268 0.7268 0.7268 0.7268 0.7268 0.7268 0.7268 0.6946 0.6946 0.6946 0.6946 841 COCAINE ABUSE AND DEPENDENCE 1.7477 0.7268 0.7268 0.7268 0.7268 0.7268 0.7268 0.7268 0.7268 0.7268 0.7268 0.7977 0.7977 0.7977 0.7977 842 ALCOHOL ABUSE AND DEPENDENCE 2.0693 1.0469 1.0469 1.0469 1.0469 1.0469 1.0469 1.0469 1.0469 1.0469 1.0469 0.8279 0.8279 0.8279 0.8279 843 OTHER DRUG ABUSE AND DEPENDENCE 1.7857 0.9946 0.9946 0.9946 0.9946 0.9946 0.9946 0.9946 0.9946 0.9946 0.9946 0.7517 0.7517 0.7517 0.7517 850 ALLERGIC REACTIONS 0.9385 0.9126 0.9126 0.9557 0.9557 0.9557 0.9557 0.8669 0.8669 0.8669 0.8669 0.8716 0.8716 0.8716 0.8716 851 POISONING OF MEDICINAL AGENTS 1.9830 0.9544 0.9544 1.2335 1.2335 1.2335 1.2335 1.0037 1.0037 1.0037 1.0037 1.0037 1.0037 1.0037 1.0037 852 OTHER COMPLICATIONS OF TREATMENT 1.2746 0.9691 0.9691 0.8866 0.8866 0.8866 0.8866 0.8281 0.8281 0.8281 0.8281 0.8616 0.8616 0.8616 0.8616 853 OTHER INJURY, POISONING AND TOXIC EF 1.3262 0.9800 0.9800 1.1020 1.1020 1.1020 1.1020 0.9504 0.9504 0.9504 0.9504 0.9005 0.9005 0.9005 0.9005 854 TOXIC EFFECTS OF NON-MEDICINAL SUBST 1.1333 0.7857 0.7857 0.8665 0.8665 0.8665 0.8665 0.8010 0.8010 0.8010 0.8010 0.7827 0.7827 0.7827 0.7827 860 EXTENSIVE 3RD DEGREE OR FULL THICKNE 0.7269 0.5979 0.5979 0.7916 0.7916 0.7916 0.7916 0.7979 0.7979 0.7979 0.7979 0.9008 0.9008 0.9008 0.9008 861 PARTIAL THICKNESS BURNS W OR W/O SK 0.8125 0.7094 0.7094 0.8556 0.8556 0.8556 0.8556 0.7974 0.7974 0.7974 0.7974 0.8632 0.8632 0.8632 0.8632 869 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE INJURIES 870 REHABILITATION 0.4118 0.4136 0.4136 0.4136 0.4136 0.4136 0.4136 0.5165 0.5165 0.5165 0.5165 0.6198 0.6198 0.6198 0.6198 871 SIGNS, SYMPTOMS AND OTHER FACTORS I 0.6547 0.7656 0.7656 0.7343 0.7343 0.7343 0.7343 0.7459 0.7459 0.7459 0.7459 0.6968 0.6968 0.6968 0.6968 872 OTHER AFTERCARE AND CONVALESCENCE 0.8845 0.8477 0.8477 0.8116 0.8116 0.8116 0.8116 0.8149 0.8149 0.8149 0.8149 0.6825 0.6825 0.6825 0.6825 873 NEONATAL AFTERCARE 0.9984 0.8308 0.8308 0.8242 0.8242 0.8242 0.8242 0.7569 0.7569 0.7569 0.7569 0.7426 0.7426 0.7426 0.7426 874 AFTERCARE FOR JOINT REPLACEMENT 0.5778 0.8105 0.8105 0.7972 0.7972 0.7972 0.7972 0.6740 0.6740 0.6740 0.6740 0.6549 0.6549 0.6549 0.6549 875 CONTRACEPTIVE MANAGEMENT - - - - - - - 1.1189 1.1189 1.1189 1.1189 1.1189 1.1189 1.2543 1.2543 876 ADULT PREVENTIVE MEDICINE - - - - - - - - - - - - - 0.6968 0.6968 877 CHILD PREVENTIVE MEDICINE - - - - - - - - - - - - - 0.6968 0.6968 878 GYNECOLOGIC PREVENTIVE MEDICINE - - - - - - - - - - - - - 0.6968 0.6968 879 PREVENTIVE OR SCREENING ENCOUNTER - - - - - - - - - - - - - 0.6968 0.6968 880 HIV INFECTION 0.9364 1.1427 1.1427 1.0424 1.0424 1.0424 1.0424 0.9529 0.9529 0.9529 0.9529 0.8023 0.8023 0.8023 0.8023 881 AIDS 0.9932 1.0495 1.0495 1.0312 1.0312 1.0312 1.0312 1.0855 1.0855 1.0855 1.0855 0.9139 0.9139 0.9139 0.9139 882 GENETIC COUNSELING - - - - - - - - - - - - - - -993 INPATIENT ONLY PROCEDURES - - - - - - - - - - - - - - -994 USER CUSTOMIZABLE INPATIENT PROCEDU - - - - - - - - - - - - - - -999 UNASSIGNED - - - - - - - - - - - - - - -

1001 DURABLE MEDICAL EQUIPMENT AND SUPP - - - - - - - - - - - - - - -1002 DURABLE MEDICAL EQUIPMENT AND SUP - - - - - - - - - - - - - - -1003 DURABLE MEDICAL EQUIPMENT AND SUP - - - - - - - - - - - - - - -1004 DURABLE MEDICAL EQUIPMENT - LEVEL 4 - - - - - - - - - - - - - - -1005 DURABLE MEDICAL EQUIPMENT - LEVEL 5 - - - - - - - - - - - - - - -1006 DURABLE MEDICAL EQUIPMENT - LEVEL 6 - - - - - - - - - - - - - - -1007 DURABLE MEDICAL EQUIPMENT - LEVEL 7 - - - - - - - - - - - - - - -1008 DURABLE MEDICAL EQUIPMENT - LEVEL 8 - - - - - - - - - - - - - - -1009 DURABLE MEDICAL EQUIPMENT - LEVEL 9 - - - - - - - - - - - - - - -1010 DURABLE MEDICAL EQUIPMENT - LEVEL 10 - - - - - - - - - - - - - - -1011 DURABLE MEDICAL EQUIPMENT - LEVEL 11 - - - - - - - - - - - - - - -1012 DURABLE MEDICAL EQUIPMENT - LEVEL 12 - - - - - - - - - - - - - - -1013 DURABLE MEDICAL EQUIPMENT - LEVEL 13 - - - - - - - - - - - - - - -1014 DURABLE MEDICAL EQUIPMENT - LEVEL 14 - - - - - - - - - - - - - - -1015 DURABLE MEDICAL EQUIPMENT - LEVEL 15 - - - - - - - - - - - - - - -1016 DURABLE MEDICAL EQUIPMENT - LEVEL 16 - - - - - - - - - - - - - - -1017 DURABLE MEDICAL EQUIPMENT - LEVEL 17 - - - - - - - - - - - - - - -1018 DURABLE MEDICAL EQUIPMENT - LEVEL 18 - - - - - - - - - - - - - - -1019 DURABLE MEDICAL EQUIPMENT - LEVEL 19 - - - - - - - - - - - - - - -1020 DURABLE MEDICAL EQUIPMENT - LEVEL 20 - - - - - - - - - - - - - - -1021 DURABLE MEDICAL EQUIPMENT - OXYGEN AN - - - - - - - - - - - - - - -1030 AMBULANCE SERVICES - - - - - - - - - - - - - - -1090 USER DEFINED 340B DRUGS - - - - - - - - - - - - - - -2000 DIAGNOSTIC RADIOPHARMACEUTICAL - - - - - - - - - - - - - - -2001 DIAGNOSTIC CONTRAST MEDIA - - - - - - - - - - - - - - -2002 INCIDENTAL IMAGING SERVICES - - - - - - - - - - - - - - -2003 INCIDENTAL PHYSICIAN REPORT OR TECHNICA - - - - - - - - - - - - - - -2004 INCIDENTAL MINOR DIAGNOSTIC TESTS - - - - - - - - - - - - - - -2005 INCIDENTAL MEDICAL VISIT SERVICES - - - - - - - - - - - - - - -2006 INCIDENTAL IMPLANTABLE OR OTHER RELATE - - - - - - - - - - - - - - -2007 INCIDENTAL BEHAVIORAL HEALTH SERVICES - - - - - - - - - - - - - - -2030 MINOR MUSCULOSKELETAL PROCEDURES - - - - - - - - - - - - - - -


7/7/2020

NYS DOH APG-Based Weights H Revised for January 1, 2020 Updates:

July 1 2013

Oct 1 2013

Jan 1 2014

July 1 2014

Jan 1 2015

Jan 1 2016

Jan 1 2018

Jan 1 2019

Jan 1 2020APG APG Description

1 PHOTOCHEMOTHERAPY 0.5526 0.5526 0.5526 0.5526 0.5526 0.5526 0.5526 0.5526 -2 SUPERFICIAL NEEDLE BIOPSY AND ASPIRAT 2.7636 2.7636 2.7636 2.7636 2.7636 2.7636 2.7636 2.7636 2.7636 3 LEVEL I SKIN INCISION AND DRAINAGE, DE 1.7565 1.7565 1.7565 1.7565 1.7565 1.7565 1.7565 1.7565 1.7565 4 LEVEL II SKIN INCISION AND DRAINAGE, DE 3.3245 3.3245 3.3245 3.3245 3.3245 3.3245 3.3245 3.3245 3.3245 5 NAIL PROCEDURES 0.5009 0.5009 0.5009 0.5009 0.5009 0.5009 0.5009 0.5009 0.5009 6 LEVEL I SKIN DEBRIDEMENT AND DESTRUC 1.2998 1.2998 1.2998 1.2998 1.2998 1.2998 1.2998 1.2998 -7 LEVEL II SKIN DEBRIDEMENT AND DESTRUC 4.3784 4.3784 4.3784 4.3784 4.3784 4.3784 4.3784 4.3784 -8 LEVEL III SKIN DEBRIDEMENT AND DESTRU 5.7434 5.7434 5.7434 5.7434 5.7434 5.7434 5.7434 5.7434 -9 LEVEL I SKIN EXCISIONS, BIOPSIES, AND RE 3.4361 3.4361 3.4361 3.4361 3.4361 3.4361 3.4361 3.4361 3.4361

10 LEVEL II SKIN EXCISIONS, BIOPSIES, AND RE 6.7476 6.7476 6.7476 6.7476 6.7476 6.7476 6.7476 6.7476 6.7476 11 LEVEL III SKIN EXCISIONS, BIOPSIES, AND R 11.3125 11.3125 11.3125 11.3125 11.3125 11.3125 11.3125 11.3125 11.3125 12 LEVEL I SKIN REPAIR 1.6991 1.6991 1.6991 1.6991 1.6991 1.6991 1.6991 1.6991 -13 LEVEL II SKIN REPAIR 4.1388 4.1388 4.1388 4.1388 4.1388 4.1388 4.1388 4.1388 -14 LEVEL III SKIN REPAIR 7.0338 7.0338 7.0338 7.0338 7.0338 7.0338 7.0338 7.0338 -15 LEVEL IV SKIN REPAIR 8.6250 8.6250 8.6250 8.6250 8.6250 8.6250 8.6250 8.6250 -16 SIMPLE WOUND REPAIR AND TREATMENT - - - - - - - - 2.4995 17 INTERMEDIATE WOUND REPAIR AND TREATM - - - - - - - - 3.8056 18 COMPLEX WOUND REPAIR AND TREATMENT - - - - - - - - 7.5779 19 MOHS MICROGRAPHIC SURGERY - - - - - - - - 6.7476 20 LEVEL I BREAST PROCEDURES 8.5721 8.5721 8.5721 8.5721 8.5721 8.5721 8.5721 8.5721 8.5721 21 LEVEL II BREAST PROCEDURES 12.1046 12.1046 12.1046 12.1046 12.1046 12.1046 12.1046 12.1046 12.1046 22 LEVEL III BREAST PROCEDURES 17.3364 17.3364 17.3364 17.3364 17.3364 17.3364 17.3364 17.3364 17.3364 23 LEVEL I FOREARM AND WRIST PROCEDURE 10.8422 10.8422 24 LEVEL II FOREARM AND WRIST PROCEDUR 12.3560 12.3560 25 SHOULDER AND UPPER ARM PROCEDURES 12.4333 12.4333 26 LEVEL I KNEE AND LOWER LEG PROCEDURE 9.5774 9.5774 27 PELVIS, FEMUR AND UPPER LEG PROCEDUR 11.9611 11.9611 28 LEVEL I SPINE PROCEDURES 17.6102 17.6102 29 LEVEL II SPINE PROCEDURES 21.3579 21.3579 30 GENERAL MUSCULOSKELETAL PROCEDURE 9.4188 9.4188 9.4188 9.4188 9.4188 9.4188 9.4188 9.4188 -31 LEVEL II MUSCULOSKELETAL PROCEDURES 10.2397 10.2397 10.2397 10.2397 10.2397 10.2397 10.2397 - -32 LEVEL III MUSCULOSKELETAL PROCEDURES 15.0668 15.0668 15.0668 15.0668 15.0668 15.0668 15.0668 - -33 LEVEL I HAND PROCEDURES 6.9057 6.9057 6.9057 6.9057 6.9057 6.9057 6.9057 6.9057 6.9057 34 LEVEL II HAND PROCEDURES 11.4221 11.4221 11.4221 11.4221 11.4221 11.4221 11.4221 11.4221 11.4221 35 LEVEL I FOOT PROCEDURES 8.8955 8.8955 8.8955 8.8955 8.8955 8.8955 8.8955 8.8955 8.8955 36 LEVEL II FOOT PROCEDURES 11.3823 11.3823 11.3823 11.3823 11.3823 11.3823 11.3823 11.3823 11.3823 37 LEVEL I ARTHROSCOPY 9.9509 9.9509 9.9509 9.9509 9.9509 9.9509 9.9509 9.9509 9.9509 38 LEVEL II ARTHROSCOPY 18.9106 18.9106 18.9106 18.9106 18.9106 18.9106 18.9106 18.9106 18.9106 39 CAST APPLICATION OR REPLACEMENT 1.5815 1.5815 1.5815 1.5815 1.5815 1.5815 1.5815 1.5815 1.5815 40 MINOR SPLINT AND STRAPPING APPLICATI 1.1572 1.1572 1.1572 1.1572 1.1572 1.1572 1.1572 1.1572 1.1572 41 CLOSED TREATMENT FX AND DISLOCATION 2.7434 2.7434 2.7434 2.7434 2.7434 2.7434 2.7434 2.7434 2.7434 42 CLOSED TREATMENT FX & DISLOCATION E 2.8302 2.8302 2.8302 2.8302 2.8302 2.8302 2.8302 - -43 OPEN OR PERCUTANEOUS TREATMENT OF 16.1779 16.1779 16.1779 16.1779 16.1779 16.1779 16.1779 16.1779 16.1779 44 BONE OR JOIN

nys doh apg-based weights history file (yellow highlight ......oct 1 2010 jan 1 2011 apr 1 2011 july...

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