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sq cm","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A2019":["Kerecis marigen shld sq cm","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A2020":["Ac5 wound system","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A2021":["Neomatrix per sq cm","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A2022":["Innovabrn/innovamatx xl sqcm","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A2023":["Innovamatrix pd, 1 mg","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A2024":["Resolve matrix per sq cm","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A2025":["Miro3d per cubic cm","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4100":["Skin sub fda clrd as dev nos","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4206":["1 cc sterile syringe&needle","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4207":["2 cc sterile syringe&needle","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4208":["3 cc sterile syringe&needle","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4209":["5+ cc sterile syringe&needle","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4210":["Nonneedle injection device","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4211":["Supp for self-adm 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strips/tablets","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4252":["Blood ketone test or strip","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4253":["Blood glucose/reagent strips","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4255":["Glucose monitor platforms","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4256":["Calibrator solution/chips","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4257":["Replace lensshield cartridge","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4258":["Lancet device each","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4259":["Lancets per box","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4261":["Cervical cap contraceptive","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4262":["Temporary tear duct plug","B",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4263":["Permanent tear duct plug","B",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4264":["Intratubal occlusion device","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4265":["Paraffin","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4266":["Diaphragm","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4267":["Male condom","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4268":["Female condom","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4269":["Spermicide","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4270":["Disposable endoscope sheath","B",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4280":["Brst prsths adhsv attchmnt","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4281":["Replacement breastpump tube","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4282":["Replacement breastpump adpt","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4283":["Replacement breastpump cap","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4284":["Replcmnt breast pump shield","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4285":["Replcmnt breast pump bottle","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4286":["Replcmnt breastpump lok ring","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4287":["Disp col sto bag breast milk","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4290":["Sacral nerve stim test lead","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4300":["Cath impl vasc access portal","B",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4301":["Implantable access syst perc","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4305":["Drug delivery system >=50 ml","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4306":["Drug delivery system <=50 ml","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4310":["Insert tray w/o bag/cath","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4311":["Catheter w/o bag 2-way latex","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4312":["Cath w/o bag 2-way silicone","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4313":["Catheter w/bag 3-way","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4314":["Cath w/drainage 2-way latex","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4315":["Cath w/drainage 2-way silcne","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4316":["Cath w/drainage 3-way","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4320":["Irrigation tray","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4321":["Cath therapeutic irrig agent","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4322":["Irrigation syringe","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4326":["Male external catheter","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4327":["Fem urinary collect dev cup","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4328":["Fem urinary collect pouch","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4330":["Stool collection pouch","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4331":["Extension drainage tubing","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4332":["Lube sterile packet","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4333":["Urinary cath anchor device","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4334":["Urinary cath leg strap","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4335":["Incontinence supply","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4336":["Urethral insert","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4337":["Incontinent rectal insert","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4338":["Indwelling catheter latex","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4340":["Indwelling catheter special","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4341":["Iduc valve pat inst repl","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4342":["Iduc valve sply repl","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4344":["Cath indw foley 2 way silicn","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4346":["Cath indw foley 3 way","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4349":["Disposable male external cat","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4351":["Straight tip urine catheter","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4352":["Coude tip urinary catheter","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4353":["Intermittent urinary cath","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4354":["Cath insertion tray w/bag","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4355":["Bladder irrigation tubing","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4356":["Ext ureth clmp or compr dvc","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4357":["Bedside drainage bag","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4358":["Urinary leg or abdomen bag","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4360":["Disposable ext urethral dev","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4361":["Ostomy face plate","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4362":["Solid skin barrier","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4363":["Ostomy clamp, replacement","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4364":["Adhesive, liquid or equal","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4366":["Ostomy vent","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4367":["Ostomy belt","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4368":["Ostomy filter","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4369":["Skin barrier liquid per oz","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4371":["Skin barrier powder per oz","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4372":["Skin barrier solid 4x4 equiv","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4373":["Skin barrier with flange","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4375":["Drainable plastic pch w fcpl","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4376":["Drainable rubber pch w fcplt","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4377":["Drainable plstic pch w/o fp","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4378":["Drainable rubber pch w/o fp","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4379":["Urinary plastic pouch w fcpl","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4380":["Urinary rubber pouch w fcplt","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4381":["Urinary plastic pouch w/o fp","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4382":["Urinary hvy plstc pch w/o fp","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4383":["Urinary rubber pouch w/o fp","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4384":["Ostomy faceplt/silicone ring","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4385":["Ost skn barrier sld ext wear","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4387":["Ost clsd pouch w att st barr","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4388":["Drainable pch w ex wear barr","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4389":["Drainable pch w st wear barr","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4390":["Drainable pch ex wear convex","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4391":["Urinary pouch w ex wear barr","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4392":["Urinary pouch w st wear barr","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4393":["Urine pch w ex wear bar conv","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4394":["Ostomy pouch liq deodorant","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4395":["Ostomy pouch solid deodorant","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4396":["Peristomal hernia supprt blt","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4398":["Ostomy irrigation bag","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4399":["Ostomy irrig cone/cath w brs","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4400":["Ostomy irrigation set","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4402":["Lubricant per ounce","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4404":["Ostomy ring each","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4405":["Nonpectin based ostomy paste","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4406":["Pectin based ostomy paste","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4407":["Ext wear ost skn barr <=4sq\"","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4408":["Ext wear ost skn barr >4sq\"","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4409":["Ost skn barr convex <=4 sq i","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4410":["Ost skn barr extnd >4 sq","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4411":["Ost skn barr extnd =4sq","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4412":["Ost pouch drain high output","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4413":["2 pc drainable ost pouch","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4414":["Ost sknbar w/o conv<=4 sq in","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4415":["Ost skn barr w/o conv >4 sqi","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4416":["Ost pch clsd w barrier/filtr","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4417":["Ost pch w bar/bltinconv/fltr","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4418":["Ost pch clsd w/o bar w filtr","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4419":["Ost pch for bar w flange/flt","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4420":["Ost pch clsd for bar w lk fl","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4421":["Ostomy supply misc","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4422":["Ost pouch absorbent material","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4423":["Ost pch for bar w lk fl/fltr","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4424":["Ost pch drain w bar & filter","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4425":["Ost pch drain for barrier fl","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4426":["Ost pch drain 2 piece system","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4427":["Ost pch drain/barr lk flng/f","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4428":["Urine ost pouch w faucet/tap","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4429":["Urine ost pouch w bltinconv","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4430":["Ost urine pch w b/bltin conv","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4431":["Ost pch urine w barrier/tapv","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4432":["Os pch urine w bar/fange/tap","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4433":["Urine ost pch bar w lock fln","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4434":["Ost pch urine w lock flng/ft","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4435":["1pc ost pch drain hgh output","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4436":["Irr supply sleev reus per mo","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4437":["Irr supply sleev disp per mo","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4450":["Non-waterproof tape","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4452":["Waterproof tape","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4453":["Rec cath man pump enema repl","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4455":["Adhesive remover per ounce","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4456":["Adhesive remover, wipes","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4457":["Enema tube any type repl","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4458":["Reusable enema bag","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4459":["Manual pump enema, reusable","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4461":["Surgicl dress hold non-reuse","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4463":["Surgical dress holder reuse","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4465":["Non-elastic extremity binder","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4467":["Belt strap sleev grmnt cover","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4468":["Exsuff belt incl all sup acc","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4470":["Gravlee jet washer","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4480":["Vabra aspirator","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4481":["Tracheostoma filter","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4483":["Moisture exchanger","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4490":["Above knee surgical stocking","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4495":["Thigh length surg stocking","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4500":["Below knee surgical stocking","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4510":["Full length surg stocking","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4520":["Incontinence garment anytype","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4540":["Trans elec nerv periph nerv","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4541":["Monthly supp use with e0733","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4542":["Supp ext up limb tremor stim","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4550":["Surgical trays","B",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4553":["Nondisp underpads, all sizes","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4554":["Disposable underpads","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4555":["Ca tx e-stim electr/transduc","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4556":["Electrodes, pair","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4557":["Lead wires, pair","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4558":["Conductive gel or paste","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4559":["Coupling gel or paste","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4560":["Nmes disposable","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4561":["Pessary rubber, any type","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4562":["Pessary, non rubber,any type","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4563":["Vag inser rectal control sys","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4565":["Slings","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4566":["Should sling/vest/abrestrain","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4570":["Splint","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4575":["Hyperbaric o2 chamber disps","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4580":["Cast supplies (plaster)","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4590":["Special casting material","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4595":["Tens suppl 2 lead per month","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4596":["Ces system monthly supp","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4600":["Sleeve, inter limb comp dev","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4601":["Lith ion non prosth recharge","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4602":["Replace lithium battery 1.5v","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4604":["Tubing with heating element","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4605":["Trach suction cath close sys","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4606":["Oxygen probe used w oximeter","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4608":["Transtracheal oxygen cath","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4611":["Heavy duty battery","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4612":["Battery cables","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4613":["Battery charger","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4614":["Hand-held pefr meter","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4615":["Cannula nasal","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4616":["Tubing (oxygen) per foot","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4617":["Mouth piece","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4618":["Breathing circuits","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4619":["Face tent","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4620":["Variable concentration mask","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4623":["Tracheostomy inner cannula","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4624":["Tracheal suction tube","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4625":["Trach care kit for new trach","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4626":["Tracheostomy cleaning brush","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4627":["Spacer bag/reservoir","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4628":["Oropharyngeal suction cath","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4629":["Tracheostomy care kit","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4630":["Repl bat t.e.n.s. own by pt","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4633":["Uvl replacement bulb","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4634":["Replacement bulb th lightbox","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4635":["Underarm crutch pad","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4636":["Handgrip for cane etc","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4637":["Repl tip cane/crutch/walker","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4638":["Repl batt pulse gen sys","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4639":["Infrared ht sys replcmnt pad","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4640":["Alternating pressure pad","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4641":["Radiopharm dx agent noc","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4642":["In111 satumomab","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4648":["Implantable tissue marker","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4649":["Surgical supplies","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4650":["Implant radiation dosimeter","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4651":["Calibrated microcap tube","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4652":["Microcapillary tube sealant","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4653":["Pd catheter anchor belt","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4657":["Syringe w/wo needle","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4660":["Sphyg/bp app w cuff and stet","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4663":["Dialysis blood pressure cuff","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4670":["Automatic bp monitor, dial","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4671":["Disposable cycler set","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4672":["Drainage ext line, dialysis","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4673":["Ext line w easy lock connect","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4674":["Chem/antisept solution, 8oz","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4680":["Activated carbon filter, ea","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4690":["Dialyzer, each","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4706":["Bicarbonate conc sol per gal","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4707":["Bicarbonate conc pow per pac","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4708":["Acetate conc sol per gallon","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4709":["Acid conc sol per gallon","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4714":["Treated water per gallon","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4719":["\"y set\" tubing","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4720":["Dialysat sol fld vol > 249cc","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4721":["Dialysat sol fld vol > 999cc","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4722":["Dialys sol fld vol > 1999cc","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4723":["Dialys sol fld vol > 2999cc","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4724":["Dialys sol fld vol > 3999cc","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4725":["Dialys sol fld vol > 4999cc","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4726":["Dialys sol fld vol > 5999cc","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4728":["Dialysate solution, non-dex","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4730":["Fistula cannulation set, ea","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4736":["Topical anesthetic, per gram","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4737":["Inj anesthetic per 10 ml","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4740":["Shunt accessory","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4750":["Art or venous blood tubing","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4755":["Comb art/venous blood tubing","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4760":["Dialysate sol test kit, each","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4765":["Dialysate conc pow per pack","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4766":["Dialysate conc sol add 10 ml","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4770":["Blood collection tube/vacuum","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4771":["Serum clotting time tube","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4772":["Blood glucose test strips","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4773":["Occult blood test strips","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4774":["Ammonia test strips","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4802":["Protamine sulfate per 50 mg","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4860":["Disposable catheter tips","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4870":["Plumb/elec wk hm hemo equip","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4890":["Repair/maint cont hemo equip","R",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4911":["Drain bag/bottle","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4913":["Misc dialysis supplies noc","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4918":["Venous pressure clamp","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4927":["Non-sterile gloves","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4928":["Surgical mask","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4929":["Tourniquet for dialysis, ea","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4930":["Sterile, gloves per pair","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4931":["Reusable oral thermometer","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A4932":["Reusable rectal thermometer","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5051":["Pouch clsd w barr attached","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5052":["Clsd ostomy pouch w/o barr","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5053":["Clsd ostomy pouch faceplate","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5054":["Clsd ostomy pouch w/flange","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5055":["Stoma cap","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5056":["1 pc ost pouch w filter","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5057":["1 pc ost pou w built-in conv","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5061":["Pouch drainable w barrier at","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5062":["Drnble ostomy pouch w/o barr","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5063":["Drain ostomy pouch w/flange","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5071":["Urinary pouch w/barrier","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5072":["Urinary pouch w/o barrier","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5073":["Urinary pouch on barr w/flng","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5081":["Stoma plug or seal, any type","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5082":["Continent stoma catheter","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5083":["Stoma absorptive cover","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5093":["Ostomy accessory convex inse","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5102":["Bedside drain btl w/wo tube","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5105":["Urinary suspensory","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5112":["Urinary leg bag","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5113":["Latex leg strap","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5114":["Foam/fabric leg strap","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5120":["Skin barrier, wipe or swab","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5121":["Solid skin barrier 6x6","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5122":["Solid skin barrier 8x8","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5126":["Disk/foam pad +or- adhesive","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5131":["Appliance cleaner","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5200":["Percutaneous catheter anchor","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5500":["Diab shoe for density insert","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5501":["Diabetic custom molded shoe","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5503":["Diabetic shoe w/roller/rockr","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5504":["Diabetic shoe with wedge","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5505":["Diab shoe w/metatarsal bar","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5506":["Diabetic shoe w/off set heel","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5507":["Modification diabetic shoe","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5508":["Diabetic deluxe shoe","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5510":["Compression form shoe insert","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5512":["Multi den insert direct form","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5513":["Multi den insert custom mold","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A5514":["Mult den insert dir carv/cam","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6000":["Wound warming wound cover","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6010":["Collagen based wound filler","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6011":["Collagen gel/paste wound fil","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6021":["Collagen dressing <=16 sq in","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6022":["Collagen drsg>16<=48 sq in","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6023":["Collagen dressing >48 sq in","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6024":["Collagen dsg wound filler","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6025":["Silicone gel sheet, each","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6154":["Wound pouch each","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6196":["Alginate dressing <=16 sq in","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6197":["Alginate drsg >16 <=48 sq in","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6198":["Alginate dressing > 48 sq in","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6199":["Alginate drsg wound filler","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6203":["Composite drsg <= 16 sq in","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6204":["Composite drsg >16<=48 sq in","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6205":["Composite drsg > 48 sq in","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6206":["Contact layer <= 16 sq in","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6207":["Contact layer >16<= 48 sq in","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6208":["Contact layer > 48 sq in","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6209":["Foam drsg <=16 sq in w/o bdr","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6210":["Foam drg >16<=48 sq in w/o b","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6211":["Foam drg > 48 sq in w/o brdr","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6212":["Foam drg <=16 sq in w/border","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6213":["Foam drg >16<=48 sq in w/bdr","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6214":["Foam drg > 48 sq in w/border","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6215":["Foam dressing wound filler","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6216":["Non-sterile gauze<=16 sq in","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6217":["Non-sterile gauze>16<=48 sq","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6218":["Non-sterile gauze > 48 sq in","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6219":["Gauze <= 16 sq in w/border","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6220":["Gauze >16 <=48 sq in w/bordr","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6221":["Gauze > 48 sq in w/border","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6222":["Gauze <=16 in no w/sal w/o b","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6223":["Gauze >16<=48 no w/sal w/o b","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6224":["Gauze > 48 in no w/sal w/o b","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6228":["Gauze <= 16 sq in water/sal","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6229":["Gauze >16<=48 sq in watr/sal","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6230":["Gauze > 48 sq in water/salne","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6231":["Hydrogel dsg<=16 sq in","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6232":["Hydrogel dsg>16<=48 sq in","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6233":["Hydrogel dressing >48 sq in","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6234":["Hydrocolld drg <=16 w/o bdr","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6235":["Hydrocolld drg >16<=48 w/o b","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6236":["Hydrocolld drg > 48 in w/o b","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6237":["Hydrocolld drg <=16 in w/bdr","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6238":["Hydrocolld drg >16<=48 w/bdr","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6239":["Hydrocolld drg > 48 in w/bdr","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6240":["Hydrocolld drg filler paste","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6241":["Hydrocolloid drg filler dry","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6242":["Hydrogel drg <=16 in w/o bdr","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6243":["Hydrogel drg >16<=48 w/o bdr","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6244":["Hydrogel drg >48 in w/o bdr","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6245":["Hydrogel drg <= 16 in w/bdr","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6246":["Hydrogel drg >16<=48 in w/b","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6247":["Hydrogel drg > 48 sq in w/b","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6248":["Hydrogel drsg gel filler","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"A6250":["Skin seal protect 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pump","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7003":["Nebulizer administration set","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7004":["Disposable nebulizer sml vol","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7005":["Nondisposable nebulizer set","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7006":["Filtered nebulizer admin set","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7007":["Lg vol nebulizer disposable","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7008":["Disposable nebulizer prefill","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7009":["Nebulizer reservoir bottle","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7010":["Disposable corrugated tubing","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7012":["Nebulizer water collec devic","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7013":["Disposable compressor filter","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7014":["Compressor nondispos filter","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7015":["Aerosol mask used w nebulize","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7016":["Nebulizer dome & mouthpiece","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7017":["Nebulizer not used w oxygen","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7018":["Water distilled w/nebulizer","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7020":["Interface, cough stim device","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7023":["Mech allergen parti barrier","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7025":["Replace chest compress vest","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7026":["Replace chst cmprss sys hose","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7027":["Combination oral/nasal mask","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7028":["Repl oral cushion combo mask","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7029":["Repl nasal pillow comb mask","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7030":["Cpap full face mask","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7031":["Replacement facemask interfa","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7032":["Replacement nasal cushion","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7033":["Replacement nasal pillows","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7034":["Nasal application device","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7035":["Pos airway press headgear","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7036":["Pos airway press chinstrap","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7037":["Pos airway pressure tubing","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7038":["Pos airway pressure filter","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7039":["Filter, non disposable w pap","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7040":["One way chest drain valve","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7041":["Water seal drain container","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7044":["Pap oral interface","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7045":["Repl exhalation port for pap","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7046":["Repl water chamber, pap dev","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7047":["Resp suction oral interface","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7048":["Vacuum drain bottle/tube kit","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7049":["Epap nasal valve","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7501":["Tracheostoma valve w diaphra","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7502":["Replacement diaphragm/fplate","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7503":["Hmes filter holder or cap","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7504":["Tracheostoma hmes filter","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7505":["Hmes or trach valve housing","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7506":["Hmes/trachvalve adhesivedisk","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7507":["Integrated filter & holder","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7508":["Housing & integrated adhesiv","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7509":["Heat & moisture exchange sys","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7520":["Trach/laryn tube non-cuffed","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7521":["Trach/laryn tube cuffed","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7522":["Trach/laryn tube stainless","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7523":["Tracheostomy shower protect","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7524":["Tracheostoma stent/stud/bttn","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7525":["Tracheostomy mask","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7526":["Tracheostomy tube collar","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A7527":["Trach/laryn tube plug/stop","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A8000":["Soft protect helmet prefab","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A8001":["Hard protect helmet prefab","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A8002":["Soft protect helmet custom","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A8003":["Hard protect helmet custom","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A8004":["Repl soft interface, helmet","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9150":["Misc/exper non-prescript dru","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9152":["Single vitamin nos","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9153":["Multi-vitamin nos","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9155":["Artificial saliva","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9156":["Oral mucoadhesive per 1 ml","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9180":["Lice treatment, topical","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9268":["Programmer orally ingest cap","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9269":["Programable ingest capsule","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9270":["Non-covered item or service","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9272":["Disp wound suct, drsg/access","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9273":["Hot/cold botle/cap/col/wrap","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9274":["Ext amb insulin delivery sys","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9275":["Disp home glucose monitor","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9276":["Disposable sensor, cgm sys","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9277":["External transmitter, cgm","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9278":["External receiver, cgm sys","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9279":["Monitoring feature/devicenoc","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9280":["Alert device, noc","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9281":["Reaching/grabbing device","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9282":["Wig any type","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9283":["Foot press off load supp dev","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9284":["Non-electronic spirometer","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9285":["Inversion eversion cor devic","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9286":["Any hygienic item, device","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9291":["Pres dig cog behav thera fda","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9292":["Pres dig visual therapy fda","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9300":["Exercise equipment","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9500":["Tc99m sestamibi","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9501":["Technetium tc-99m teboroxime","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9502":["Tc99m tetrofosmin","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9503":["Tc99m medronate","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9504":["Tc99m apcitide","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9505":["Tl201 thallium","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9507":["In111 capromab","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9508":["I131 iodobenguate, dx","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9509":["Iodine i-123 sod iodide mil","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9510":["Tc99m disofenin","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9512":["Tc99m pertechnetate","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9513":["Lutetium lu 177 dotatat ther","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9515":["Choline c-11","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9516":["Iodine i-123 sod iodide mic","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9517":["I131 iodide cap, rx","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9520":["Tc99 tilmanocept diag 0.5mci","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9521":["Tc99m exametazime","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9524":["I131 serum albumin, dx","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9526":["Nitrogen n-13 ammonia","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9527":["Iodine i-125 sodium iodide","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9528":["Iodine i-131 iodide cap, dx","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9529":["I131 iodide sol, dx","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9530":["I131 iodide sol, rx","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9531":["I131 max 100uci","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9532":["I125 serum albumin, dx","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9536":["Tc99m depreotide","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9537":["Tc99m mebrofenin","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9538":["Tc99m pyrophosphate","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9539":["Tc99m pentetate","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9540":["Tc99m maa","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9541":["Tc99m sulfur colloid","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9542":["In111 ibritumomab, dx","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9543":["Y90 ibritumomab, rx","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9546":["Co57/58","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9547":["In111 oxyquinoline","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9548":["In111 pentetate","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9550":["Tc99m gluceptate","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9551":["Tc99m succimer","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9552":["F18 fdg","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9553":["Cr51 chromate","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9554":["I125 iothalamate, dx","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9555":["Rb82 rubidium","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9556":["Ga67 gallium","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9557":["Tc99m bicisate","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9558":["Xe133 xenon 10mci","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9559":["Co57 cyano","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9560":["Tc99m labeled rbc","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9561":["Tc99m oxidronate","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9562":["Tc99m mertiatide","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9563":["P32 na phosphate","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9564":["P32 chromic phosphate","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9566":["Tc99m fanolesomab","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9567":["Technetium tc-99m aerosol","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9568":["Technetium tc99m arcitumomab","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9569":["Technetium tc-99m auto wbc","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9570":["Indium in-111 auto wbc","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9571":["Indium in-111 auto platelet","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9572":["Indium in-111 pentetreotide","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9573":["Inj, gadopiclenol, 1 ml","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9575":["Inj gadoterate meglumi 0.1ml","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9576":["Inj prohance multipack","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9577":["Inj multihance","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9578":["Inj multihance multipack","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9579":["Gad-base mr contrast nos,1ml","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9580":["Sodium fluoride f-18","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9581":["Gadoxetate disodium inj","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9582":["Iodine i-123 iobenguane","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9583":["Gadofosveset trisodium inj","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9584":["Iodine i-123 ioflupane","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9585":["Gadobutrol injection","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9586":["Florbetapir f18","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"A9587":["Gallium 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influenza virus vac","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0009":["Admin pneumococcal vaccine","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0010":["Admin hepatitis b vaccine","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0011":["Hiv prep counsel, md 15-30m","A",0.45,0.31,0.19,0.03,0.79,0.67,""],"G0012":["Injection of hiv prep drug","A",0.17,0.25,0.25,0.01,0.43,0.43,""],"G0013":["Hiv prep counsel, clin staff","A",0.18,0.51,0.07,0.01,0.7,0.26,""],"G0017":["Crisis psychotherapy 60m","A",4.7,1.52,0.73,0.15,6.37,5.58,""],"G0018":["Crisis psychotherapy add 30m","A",2.25,0.79,0.43,0.12,3.16,2.8,""],"G0019":["Comm hlth intg svs sdoh 60mn","A",1.0,1.35,0.42,0.07,2.42,1.49,""],"G0022":["Comm hlth intg svs add 30 m","A",0.7,0.76,0.29,0.05,1.51,1.04,""],"G0023":["Pin service 60m per month","A",1.0,1.35,0.42,0.07,2.42,1.49,""],"G0024":["Pin srv add 30 min pr m","A",0.7,0.76,0.29,0.05,1.51,1.04,""],"G0027":["Semen analysis","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0029":["No tob scr/cess int","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0030":["Pt scr tob & cess int","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0031":["Pall serv during meas","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0032":["2+ antipsy schiz","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0033":["2+ benzo seiz","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0034":["Pall serv during meas","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0035":["Pt ed pos 23","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0036":["Pt/ptn decln assess","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0037":["Pt not able to participate","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0038":["Clin pt no ref","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0039":["Pt no ref, rn spec","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0040":["Pt phys/occ therapy","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0041":["Pt/ptn decln referral","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0042":["Ref to therapy","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0043":["Pt mech pros ht valv","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0044":["Pt mitral stenosis","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0045":["Mrs 90 days post stk","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0046":["No mrs 90 days post stk","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0047":["Ped blunt hd traum","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0048":["Pall serv during meas","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0049":["Main hemo in-cntr","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0050":["Pt w/ lmted life expec","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0051":["Pt hospice mnth","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0052":["Pt peri dialysis dur mo","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0053":["Adv rheum pt care mvp","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0054":["Strk cr prev pos outcme mvp","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0055":["Adv care heart dx mvp","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0057":["Best pct pt safety em mvp","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0058":["Imprv care le jnt repr mvp","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0059":["Pt sfty pos exp w aneth mvp","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0060":["Allergy/immunology ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0061":["Anesthesiology ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0062":["Audiology ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0063":["Cardiology ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0064":["Cert nurse midwife ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0065":["Chiropractic ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0066":["Clinical social work ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0067":["Dentistry ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0068":["Adm iv infusion drug in home","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0069":["Adm sq infusion drug in home","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0070":["Adm of chemo drug in home","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0071":["Comm svcs by rhc/fqhc 5 min","X",0.22,0.16,0.28,0.02,0.4,0.52,""],"G0076":["Care manag h vst new pt 20 m","A",1.01,0.42,0.42,0.05,1.48,1.48,""],"G0077":["Care manag h vst new pt 30 m","A",1.52,0.6,0.6,0.08,2.2,2.2,""],"G0078":["Care manag h vst new pt 45 m","A",2.53,0.96,0.96,0.12,3.61,3.61,""],"G0079":["Care manag h vst new pt 60 m","A",3.38,1.2,1.2,0.16,4.74,4.74,""],"G0080":["Care manag h vst new pt 75 m","A",4.09,1.88,1.88,0.25,6.22,6.22,""],"G0081":["Care man h v ext pt 20 mi","A",1.0,0.4,0.4,0.05,1.45,1.45,""],"G0082":["Care man h v ext pt 30 m","A",1.56,0.7,0.7,0.08,2.34,2.34,""],"G0083":["Care man h v ext pt 45 m","A",2.33,1.19,1.19,0.16,3.68,3.68,""],"G0084":["Care man h v ext pt 60 m","A",3.28,1.68,1.68,0.24,5.2,5.2,""],"G0085":["Care man h v ext pt 75 m","A",4.09,1.88,1.88,0.25,6.22,6.22,""],"G0086":["Care man home care plan 30 m","A",1.25,0.87,0.87,0.1,2.22,2.22,""],"G0087":["Care man home care plan 60 m","A",1.8,1.17,1.17,0.14,3.11,3.11,""],"G0088":["Adm iv drug 1st home visit","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0089":["Adm subq drug 1st home visit","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0090":["Adm iv chemo 1st home visit","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0101":["Ca screen;pelvic/breast exam","A",0.45,0.66,0.3,0.07,1.18,0.82,""],"G0102":["Prostate ca screening; dre","A",0.18,0.51,0.07,0.01,0.7,0.26,""],"G0103":["Psa screening","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0104":["Ca screen;flexi sigmoidscope","A",0.84,4.63,0.73,0.12,5.59,1.69,""],"G0105":["Colorectal scrn; hi risk ind","A",3.26,6.51,1.77,0.42,10.19,5.45,""],"G0106":["Colon ca screen;barium enema","A",1.26,5.24,5.24,0.07,6.57,6.57,""],"G0108":["Diab manage trn  per indiv","A",0.9,0.69,0.69,0.04,1.63,1.63,""],"G0109":["Diab manage trn ind/group","A",0.25,0.21,0.21,0.01,0.47,0.47,""],"G0117":["Glaucoma scrn hgh risk direc","T",0.45,1.44,1.44,0.02,1.91,1.91,""],"G0118":["Glaucoma scrn hgh risk direc","T",0.17,1.08,1.08,0.01,1.26,1.26,""],"G0120":["Colon ca scrn; barium enema","A",1.26,5.24,5.24,0.07,6.57,6.57,""],"G0121":["Colon ca scrn not hi rsk ind","A",3.26,6.51,1.77,0.43,10.2,5.46,""],"G0122":["Colon ca scrn; barium enema","N",0.99,8.63,8.63,0.04,9.66,9.66,""],"G0123":["Screen cerv/vag thin layer","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0124":["Screen c/v thin layer by md","A",0.26,0.45,0.45,0.01,0.72,0.72,""],"G0127":["Trim nail(s)","R",0.17,0.54,0.04,0.01,0.72,0.22,""],"G0128":["Corf skilled nursing service","R",0.0,0.28,0.28,0.01,0.29,0.29,""],"G0129":["Php/iop ot service","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0130":["Single energy x-ray study","A",0.22,0.86,0.86,0.02,1.1,1.1,""],"G0136":["Adm of soc dtr assess 5-15 m","A",0.18,0.38,0.08,0.01,0.57,0.27,""],"G0137":["Inten outpt svs,min 9 pr 7 d","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0138":["Iv cipaglucosidase alfa-atga","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0140":["Nav srv peer sup 60 min pr m","A",1.0,1.35,0.42,0.07,2.42,1.49,""],"G0141":["Scr c/v cyto,autosys and md","A",0.26,0.45,0.45,0.01,0.72,0.72,""],"G0143":["Scr c/v cyto,thinlayer,rescr","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0144":["Scr c/v cyto,thinlayer,rescr","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0145":["Scr c/v cyto,thinlayer,rescr","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0146":["Nav srv peer sup add 30 pr m","A",0.7,0.76,0.29,0.05,1.51,1.04,""],"G0147":["Scr c/v cyto, automated sys","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0148":["Scr c/v cyto, autosys, rescr","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0151":["Hhcp-serv of pt,ea 15 min","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0152":["Hhcp-serv of ot,ea 15 min","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0153":["Hhcp-svs of s/l path,ea 15mn","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0155":["Hhcp-svs of csw,ea 15 min","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0156":["Hhcp-svs of aide,ea 15 min","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0157":["Hhc pt assistant ea 15","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0158":["Hhc ot assistant ea 15","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0159":["Hhc pt maint ea 15 min","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0160":["Hhc occup therapy ea 15","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0161":["Hhc slp ea 15 min","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0162":["Hhc rn e&m plan svs, 15 min","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0166":["Extrnl counterpulse, per tx","A",0.0,3.04,3.04,0.04,3.08,3.08,""],"G0168":["Wound closure by adhesive","A",0.31,3.29,0.07,0.06,3.66,0.44,""],"G0175":["Opps service,sched team conf","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0176":["Opps/php/iop; activity thrpy","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0177":["Opps/php/iop; train & educ","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0179":["Md recertification hha pt","A",0.45,0.78,0.78,0.03,1.26,1.26,""],"G0180":["Md certification hha patient","A",0.67,0.89,0.89,0.05,1.61,1.61,""],"G0181":["Home health care supervision","A",1.73,1.29,1.29,0.12,3.14,3.14,""],"G0182":["Hospice care supervision","A",1.73,1.29,1.29,0.11,3.13,3.13,""],"G0186":["Dstry eye lesn,fdr vssl tech","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0219":["Pet img wholbod melano nonco","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0235":["Pet not otherwise specified","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0237":["Therapeutic procd strg endur","A",0.0,0.33,0.33,0.01,0.34,0.34,""],"G0238":["Oth resp proc, indiv","A",0.0,0.3,0.3,0.01,0.31,0.31,""],"G0239":["Oth resp proc, group","A",0.0,0.38,0.38,0.01,0.39,0.39,""],"G0245":["Initial foot exam pt lops","R",0.88,1.02,0.26,0.04,1.94,1.18,""],"G0246":["Followup eval of foot pt lop","R",0.45,0.7,0.12,0.02,1.17,0.59,""],"G0247":["Routine footcare pt w lops","R",0.5,2.01,0.12,0.02,2.53,0.64,""],"G0248":["Demonstrate use home inr mon","R",0.0,2.96,2.96,0.04,3.0,3.0,""],"G0249":["Provide inr test mater/equip","R",0.0,1.96,1.96,0.01,1.97,1.97,""],"G0250":["Md inr test revie inter mgmt","R",0.18,0.07,0.07,0.01,0.26,0.26,""],"G0252":["Pet imaging initial dx","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0255":["Current percep threshold tst","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0257":["Unsched dialysis esrd pt hos","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0259":["Inject for sacroiliac joint","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0260":["Inj for sacroiliac jt anesth","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0268":["Removal of impacted wax md","A",0.61,0.87,0.29,0.09,1.57,0.99,""],"G0269":["Occlusive device in vein art","B",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0270":["Mnt subs tx for change dx","A",0.45,0.49,0.35,0.01,0.95,0.81,""],"G0271":["Group mnt 2 or more 30 mins","A",0.25,0.24,0.2,0.01,0.5,0.46,""],"G0276":["Pild/placebo control clin tr","R",7.17,3.03,3.03,0.75,10.95,10.95,""],"G0277":["Hbot, full body chamber, 30m","A",0.0,5.43,5.43,0.04,5.47,5.47,""],"G0278":["Iliac art angio,cardiac cath","A",0.25,0.09,0.09,0.06,0.4,0.4,""],"G0279":["Tomosynthesis, mammo","A",0.6,0.79,0.79,0.03,1.42,1.42,""],"G0281":["Elec stim unattend for press","A",0.18,0.16,0.16,0.01,0.35,0.35,""],"G0282":["Elect stim wound care not pd","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0283":["Elec stim other than wound","A",0.18,0.16,0.16,0.01,0.35,0.35,""],"G0288":["Recon, cta for surg plan","A",0.0,1.22,1.22,0.09,1.31,1.31,""],"G0289":["Arthro, loose body + chondro","A",1.48,0.76,0.76,0.3,2.54,2.54,""],"G0293":["Non-cov surg proc,clin trial","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0294":["Non-cov proc, clinical trial","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0295":["Electromagnetic therapy onc","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0296":["Visit to determ ldct elig","A",0.52,0.28,0.2,0.03,0.83,0.75,""],"G0299":["Hhs/hospice of rn ea 15 min","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0300":["Hhs/hospice of lpn ea 15 min","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0302":["Pre-op service lvrs complete","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0303":["Pre-op service lvrs 10-15dos","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0304":["Pre-op service lvrs 1-9 dos","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0305":["Post op service lvrs min 6","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0306":["Cbc/diffwbc w/o platelet","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0307":["Cbc without platelet","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0310":["Immunize counsel 5-15 min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0311":["Immunize counsel 16-30 mins","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0312":["Immunize couns < 21yr 5-15 m","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0313":["Immunize couns < 21yr 6-30 m","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0314":["Counsel immune <21 16-30 m","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0315":["Counsel immune <21  5-15 m","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0316":["Prolong inpt eval add15 m","A",0.61,0.3,0.25,0.04,0.95,0.9,""],"G0317":["Prolong nursin fac eval 15m","A",0.61,0.3,0.25,0.04,0.95,0.9,""],"G0318":["Prolong home eval add 15m","A",0.61,0.27,0.23,0.05,0.93,0.89,""],"G0320":["Two-way audio and video hhs","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0321":["Audio-only hhs","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0322":["Home h physio data collec tr","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0323":["Care manage beh svs 20mins","A",0.93,0.66,0.31,0.06,1.65,1.3,""],"G0327":["Colon ca scrn;bld-bsd biomrk","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0328":["Fecal blood scrn immunoassay","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0329":["Electromagntic tx for ulcers","A",0.06,0.25,0.25,0.01,0.32,0.32,""],"G0330":["Facility svs dental rehab","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0333":["Dispense fee initial 30 day","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0337":["Hospice evaluation preelecti","X",1.42,0.55,0.55,0.09,2.06,2.06,""],"G0339":["Robot lin-radsurg com, first","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0340":["Robt lin-radsurg fractx 2-5","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0341":["Percutaneous islet celltrans","A",6.98,39.59,1.29,0.87,47.44,9.14,""],"G0342":["Laparoscopy islet cell trans","A",11.92,7.71,7.71,3.06,22.69,22.69,""],"G0343":["Laparotomy islet cell transp","A",19.85,12.13,12.13,5.11,37.09,37.09,""],"G0372":["Md service required for pmd","A",0.17,0.08,0.08,0.01,0.26,0.26,""],"G0378":["Hospital observation per hr","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0379":["Direct refer hospital observ","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0380":["Lev 1 hosp type b ed visit","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0381":["Lev 2 hosp type b ed visit","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0382":["Lev 3 hosp type b ed visit","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0383":["Lev 4 hosp type b ed visit","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0384":["Lev 5 hosp type b ed visit","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0390":["Trauma respons w/hosp criti","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0396":["Alcohol/subs interv 15-30mn","A",0.65,0.33,0.24,0.05,1.03,0.94,""],"G0397":["Alcohol/subs interv >30 min","A",1.3,0.58,0.49,0.12,2.0,1.91,""],"G0398":["Home sleep test/type 2 porta","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0399":["Home sleep test/type 3 porta","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0400":["Home sleep test/type 4 porta","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0402":["Initial preventive exam","A",2.6,2.21,1.13,0.17,4.98,3.9,""],"G0403":["Ekg for initial prevent exam","A",0.17,0.24,0.24,0.02,0.43,0.43,""],"G0404":["Ekg tracing for initial prev","A",0.0,0.18,0.18,0.01,0.19,0.19,""],"G0405":["Ekg interpret & report preve","A",0.17,0.06,0.06,0.01,0.24,0.24,""],"G0406":["Inpt/tele follow up 15","A",0.76,0.38,0.38,0.09,1.23,1.23,""],"G0407":["Inpt/tele follow up 25","A",1.39,0.63,0.63,0.12,2.14,2.14,""],"G0408":["Inpt/tele follow up 35","A",2.0,0.94,0.94,0.18,3.12,3.12,""],"G0409":["Corf related serv 15 mins ea","R",0.0,0.7,0.7,0.01,0.71,0.71,""],"G0410":["Grp psych php/iop 45-50","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0411":["Interactive grp psyc php/iop","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0412":["Open tx iliac spine uni/bil","A",10.45,9.32,9.32,2.16,21.93,21.93,""],"G0413":["Pelvic ring fracture uni/bil","A",15.73,13.17,13.17,3.22,32.12,32.12,""],"G0414":["Pelvic ring fx treat int fix","A",14.65,12.66,12.66,3.0,30.31,30.31,""],"G0415":["Open tx post pelvic fxcture","A",20.93,15.82,15.82,4.43,41.18,41.18,""],"G0416":["Prostate biopsy, any mthd","A",3.6,7.18,7.18,0.11,10.89,10.89,""],"G0420":["Ed svc ckd ind per session","A",2.12,0.99,0.99,0.13,3.24,3.24,""],"G0421":["Ed svc ckd grp per session","A",0.5,0.28,0.28,0.03,0.81,0.81,""],"G0422":["Intens cardiac rehab w/exerc","A",1.92,1.81,1.81,0.12,3.85,3.85,""],"G0423":["Intens cardiac rehab no exer","A",1.92,1.81,1.81,0.12,3.85,3.85,""],"G0425":["Inpt/ed teleconsult30","A",1.92,0.65,0.65,0.18,2.75,2.75,""],"G0426":["Inpt/ed teleconsult50","A",2.61,1.05,1.05,0.23,3.89,3.89,""],"G0427":["Inpt/ed teleconsult70","A",3.86,1.38,1.38,0.26,5.5,5.5,""],"G0428":["Collagen meniscus implant","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0429":["Dermal filler injection(s)","A",1.19,1.66,0.71,0.14,2.99,2.04,""],"G0432":["Eia hiv-1/hiv-2 screen","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0433":["Elisa hiv-1/hiv-2 screen","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0435":["Oral hiv-1/hiv-2 screen","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0438":["Ppps, initial visit","A",2.6,2.2,2.2,0.17,4.97,4.97,""],"G0439":["Ppps, subseq visit","A",1.92,1.86,1.86,0.13,3.91,3.91,""],"G0442":["Annual alcohol screen 15 min","A",0.18,0.38,0.08,0.01,0.57,0.27,""],"G0443":["Brief alcohol misuse counsel","A",0.45,0.27,0.19,0.03,0.75,0.67,""],"G0444":["Depression screen annual","A",0.18,0.38,0.08,0.01,0.57,0.27,""],"G0445":["High inten beh couns std 30m","A",0.45,0.31,0.19,0.03,0.79,0.67,""],"G0446":["Intens behave ther cardio dx","A",0.45,0.28,0.2,0.03,0.76,0.68,""],"G0447":["Behavior counsel obesity 15m","A",0.45,0.28,0.19,0.03,0.76,0.67,""],"G0448":["Place perm pacing cardiovert","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0451":["Devlopment test interpt&rep","A",0.0,0.34,0.34,0.01,0.35,0.35,""],"G0452":["Molecular pathology interpr","A",0.93,0.51,0.51,0.03,1.47,1.47,""],"G0453":["Cont intraop neuro monitor","A",0.6,0.3,0.3,0.05,0.95,0.95,""],"G0454":["Md document visit by npp","A",0.18,0.07,0.07,0.01,0.26,0.26,""],"G0455":["Fecal microbiota prep instil","A",1.34,2.44,0.6,0.15,3.93,2.09,""],"G0458":["Ldr prostate brachy comp rat","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0459":["Telehealth inpt pharm mgmt","A",0.95,0.26,0.26,0.05,1.26,1.26,""],"G0460":["Autolog prp not diab ulcer","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0463":["Hospital outpt clinic visit","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0465":["Autolog prp diab wound ulcer","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0466":["Fqhc visit new patient","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0467":["Fqhc visit, estab pt","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0468":["Fqhc visit, ippe or awv","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0469":["Fqhc visit, mh new pt","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0470":["Fqhc visit, mh estab pt","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0471":["Ven blood coll snf/hha","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0472":["Hep c screen high risk/other","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0473":["Group behave couns 2-10","A",0.23,0.13,0.1,0.01,0.37,0.34,""],"G0475":["Hiv combination assay","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0476":["Hpv combo assay ca screen","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0480":["Drug test def 1-7 classes","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0481":["Drug test def 8-14 classes","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0482":["Drug test def 15-21 classes","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0483":["Drug test def 22+ classes","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0490":["Home visit rn, lpn by rhc/fq","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0491":["Dialysis acu kidney no esrd","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0492":["Md/oth eval acut kid no esrd","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0493":["Rn care ea 15 min hh/hospice","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0494":["Lpn care ea 15min hh/hospice","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0495":["Rn care train/edu in hh","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0496":["Lpn care train/edu in hh","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0498":["Chemo extend iv infus w/pump","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0499":["Hepb screen high risk indiv","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0500":["Mod sedat endo service >5yrs","A",0.1,1.59,0.04,0.03,1.72,0.17,""],"G0501":["Resource-inten svc during ov","B",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0506":["Comp asses care plan ccm svc","A",0.87,0.95,0.38,0.06,1.88,1.31,""],"G0508":["Crit care telehea consult 60","A",4.0,1.78,1.78,0.34,6.12,6.12,""],"G0509":["Crit care telehea consult 50","A",3.86,1.45,1.45,0.33,5.64,5.64,""],"G0511":["Ccm/bhi by rhc/fqhc 20min mo","X",1.17,0.93,0.0,0.09,2.19,1.26,""],"G0512":["Cocm by rhc/fqhc 60 min mo","X",1.97,2.3,0.0,0.13,4.4,2.1,""],"G0513":["Prolong prev svcs, first 30m","A",1.17,0.64,0.51,0.08,1.89,1.76,""],"G0514":["Prolong prev svcs, addl 30m","A",1.17,0.65,0.52,0.08,1.9,1.77,""],"G0516":["Insert drug del implant, >=4","A",1.82,3.97,0.94,0.11,5.9,2.87,""],"G0517":["Remove drug implant","A",2.1,4.33,1.05,0.12,6.55,3.27,""],"G0518":["Remove w insert drug implant","A",3.55,7.7,1.6,0.21,11.46,5.36,""],"G0659":["Drug test def simple all cl","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0913":["Improve visual funct","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0914":["Survey not complete","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0915":["No improve visual funct","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0916":["Satisfy with care","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0917":["Care survey not complete","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G0918":["No satisfy with care","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G1001":["Cdsm evicore","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G1002":["Cdsm medcurrent","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G1003":["Cdsm medicalis","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G1004":["Cdsm ndsc","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G1007":["Cdsm aim","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G1008":["Cdsm cranberry pk","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G1010":["Cdsm stanson","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G1011":["Cdsm qualified nos","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G1012":["Cdsm agilemd","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G1013":["Cdsm evidencecare","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G1014":["Cdsm inveniqa","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G1015":["Cdsm reliant","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G1016":["Cdsm speed of care","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G1017":["Cdsm healthhelp","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G1018":["Cdsm infinx","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G1019":["Cdsm logicnets","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G1020":["Cdsm curbside","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G1021":["Cdsm ehealthline","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G1022":["Cdsm intermountain","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G1023":["Cdsm persivia","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G1024":["Cdsm radrite","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G1025":["Pt mnth 1 mcp prov","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G1026":["Pt hemo > 3mo","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G1027":["Pt hemo < 3mo","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G1028":["Take home supply 8mg per 0.1","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2000":["Blinded conv. tx mdd clin tr","R",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2001":["Post d/c h vst new pt 20 m","A",1.01,0.42,0.42,0.05,1.48,1.48,""],"G2002":["Post-d/c h vst new pt 30 m","A",1.52,0.6,0.6,0.08,2.2,2.2,""],"G2003":["Post-d/c h vst new pt 45 m","A",2.53,0.96,0.96,0.12,3.61,3.61,""],"G2004":["Post-d/c h vst new pt 60 m","A",3.38,1.2,1.2,0.16,4.74,4.74,""],"G2005":["Post-d/c h vst new pt 75 m","A",4.09,1.88,1.88,0.25,6.22,6.22,""],"G2006":["Post-d/c h vst ext pt 20 m","A",1.0,0.4,0.4,0.05,1.45,1.45,""],"G2007":["Post-d/c h vst ext pt 30 m","A",1.56,0.7,0.7,0.08,2.34,2.34,""],"G2008":["Post-d/c h vst ext pt 45 m","A",2.33,1.19,1.19,0.16,3.68,3.68,""],"G2009":["Post-d/c h vst ext pt 60 m","A",3.28,1.68,1.68,0.24,5.2,5.2,""],"G2010":["Remot image submit by pt","A",0.18,0.18,0.08,0.01,0.37,0.27,""],"G2011":["Alcohol/sub misuse assess","A",0.33,0.14,0.14,0.03,0.5,0.5,""],"G2012":["Brief check in by md/qhp","A",0.25,0.15,0.11,0.02,0.42,0.38,""],"G2013":["Post-d/c h vst ext pt 75 m","A",4.09,1.88,1.88,0.25,6.22,6.22,""],"G2014":["Post-d/c care plan overs 30m","A",1.25,0.87,0.87,0.1,2.22,2.22,""],"G2015":["Post-d/c care plan overs 60m","A",1.8,1.17,1.17,0.14,3.11,3.11,""],"G2020":["Hi inten serv for sip model","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2021":["Hea care pract tx in place","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2022":["Benef refuses service, mod","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2025":["Dis site tele svcs rhc/fqhc","X",1.44,1.37,1.37,0.1,2.91,2.91,""],"G2067":["Med assist tx meth wk","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2068":["Med assist tx bupre oral","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2069":["Med assist tx inject","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2070":["Med assist tx implant","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2071":["Med tx remove implant","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2072":["Med tx insert/remove imp","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2073":["Med tx naltrexone","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2074":["Med assist tx no drug","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2075":["Med tx meds nos","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2076":["Intake act w/med exam","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2077":["Periodic assessment","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2078":["Take-home meth","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2079":["Take-hom buprenorphine","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2080":["Add 30 mins counsel","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2081":["Pt 66+ snp or ltc pos > 90d","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2082":["Visit esketamine 56m or less","A",0.7,24.86,0.27,0.08,25.64,1.05,""],"G2083":["Visit esketamine, > 56m","A",0.7,35.62,0.27,0.08,36.4,1.05,""],"G2086":["Off base opioid tx 70min","A",8.36,4.99,3.08,0.55,13.9,11.99,""],"G2087":["Off base opioid tx, 60 m","A",8.19,4.08,2.81,0.57,12.84,11.57,""],"G2088":["Off base opioid tx, add30","A",0.82,0.89,0.27,0.05,1.76,1.14,""],"G2090":["Pt 66+ frailty and med dem","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2091":["Pt 66+ frailty and adv ill","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2092":["Ace arb arni","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2093":["Med doc rsn no ace arn arni","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2094":["Pt rsn no ace arn arni","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2096":["No rsn ace arb arni","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2097":["Dx uri 3d after other dx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2098":["Pt 66+ frailty and med dem","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2099":["Pt 66+ frailty and adv ill","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2100":["Pt 66+ frailty and med dem","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2101":["Pt 66+ frailty and adv ill","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2105":["Pt 66+ snp or ltc pos > 90d","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2106":["Pt 66+ frailty and med dem","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2107":["Pt 66+ frailty and adv ill","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2112":["Pred<=5 mg ra glu <6m","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2113":["Pred>5 mg >6m, no chg da","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2115":["Pt 66-80 frailty and med dem","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2116":["Pt 66-80 frailty and adv ill","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2118":["Pt 81+ frailty","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2121":["Psy dep anx ap and icd asse","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2122":["Psy/dep/anx/apandicd noasse","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2125":["Pt 81+ frailty","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2126":["Pt 66-80 frailty and adv ill","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2127":["Pt 66-80 frailty and med dem","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2128":["No aspirin med rsn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2129":["No bp outpt","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2136":["Bk pain vas 6-20wk <= 3","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2137":["Bk pain vas 6-20wk > 3","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2138":["Bk pain vas 9-15mo <= 3","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2139":["Bk pain vas 9-15mo > 3","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2140":["Leg pain vas 6-20wk <= 3","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2141":["Leg pain vas 6-20wk > 3","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2142":["Fs odi 9-15mo postop<= 22","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2143":["Fs odi 9-15mo > 22","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2144":["Fs odi 6-20wk postop <= 22","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2145":["Fsodi 6-20wk >22 or chg 30pt","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2146":["Leg pain vas 9-15mo <= 3","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2147":["Leg pain vas 9-15mo > 3","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2148":["Mpm used","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2149":["No mpm med rsn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2150":["No mpm","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2151":["Dx degen neuro","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2152":["Res change sc >=0","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2167":["Res change sc < 0","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2168":["Svs by pt in home health","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2169":["Svs by ot in home health","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2172":["Tx for opioid use demo proj","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2173":["Uri w comorb 12m oth dx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2174":["Uri new rx antibiotic 30d","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2175":["Pt comorb dx 12m of epi","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2176":["Outpt ed obs w inpt admit","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2177":["Bronch w rx antibx 30d","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2178":["Pt not elig low neuro ex","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2179":["Med doc rsn no low ex","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2180":["Inelig footwr eval","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2181":["Bmi not doc medrsn ptref","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2182":["Pt 1st biolog antirheum","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2183":["Doc pt unable comm","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2184":["No caregiver","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2185":["Caregiver dem trained","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2186":["Pt ref app rsrcs","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2187":["Clin ind img hd trauma","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2188":["Pt 50 yrs w/clin ind hd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2189":["Img hd abnml neuro exam","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2190":["Ind img hd rad neck","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2191":["Ind img hd pos hd ache","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2192":[">55 yrs temp hd ache","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2193":["<6yr new onset hd ache","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2194":["New hdache ped pt dis","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2195":["Occip hdache child","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2196":["Screen unhlthy etoh use","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2197":["Screen hlthy etoh use","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2199":["Not scrn etoh no rsn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2200":["Unhlthy etoh rcvd couns","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2202":["No rsn no brief couns","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2204":["Pt 45-85 w/ scope","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2205":["Preg drng adjv trtmt","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2206":["Adjv trtmt chemo her2","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2207":["Rsn no trtmt chem her2","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2208":["No trtmt chemo and her2","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2209":["Refused to participate","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2210":["No neck fs prom no rsn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2211":["Complex e/m visit add on","A",0.33,0.14,0.14,0.02,0.49,0.49,""],"G2212":["Prolong outpt/office vis","A",0.61,0.31,0.27,0.05,0.97,0.93,""],"G2213":["Initiat med assist tx in er","A",1.3,0.5,0.39,0.11,1.91,1.8,""],"G2214":["Init/sub psych care m 1st 30","A",0.77,0.9,0.32,0.05,1.72,1.14,""],"G2215":["Home supply nasal naloxone","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2216":["Home supply inject naloxon","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G2250":["Remot img sub by pt, non e/m","A",0.18,0.18,0.08,0.01,0.37,0.27,""],"G2251":["Brief chkin, 5-10, non-e/m","A",0.25,0.15,0.11,0.02,0.42,0.38,""],"G2252":["Brief chkin by md/qhp, 11-20","A",0.5,0.26,0.21,0.03,0.79,0.74,""],"G3002":["Chronic pain mgmt 30 mins","A",1.45,0.92,0.65,0.11,2.48,2.21,""],"G3003":["Chronic pain mgmt addl 15m","A",0.5,0.37,0.23,0.04,0.91,0.77,""],"G4000":["Dermatology ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4001":["Diagnostic rad ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4002":["Ep cardio ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4003":["Emergency med ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4004":["Endocrinology ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4005":["Family medicine ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4006":["Gastroenterology ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4007":["General surgery ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4008":["Geriatrics ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4009":["Hospitalists ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4010":["Infectious disease ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4011":["Internal medicine ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4012":["Interventional rad ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4013":["Mntal/behav/psych hlth ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4014":["Nephrology ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4015":["Neurology ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4016":["Neurosurgical ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4017":["Nutrition/dietician ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4018":["Ob/gyn ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4019":["Oncology/hema ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4020":["Ophthalmology/optometry ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4021":["Orthopedic surgery ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4022":["Otolaryngology ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4023":["Pathology ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4024":["Pediatrics ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4025":["Physical medicine ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4026":["Phys/occ therapy ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4027":["Plastic surgery ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4028":["Podiatry ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4029":["Preventive medicine ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4030":["Pulmonology ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4031":["Radiation oncology ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4032":["Rheumatology ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4033":["Skilled nursing facility ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4034":["Speech language path ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4035":["Thoracic surgery ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4036":["Urgent care ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4037":["Urology ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G4038":["Vascular surgery ss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G6001":["Echo guidance radiotherapy","A",0.58,4.79,4.79,0.03,5.4,5.4,""],"G6002":["Stereoscopic x-ray guidance","A",0.39,1.84,1.84,0.03,2.26,2.26,""],"G6003":["Radiation treatment delivery","A",0.0,4.61,4.61,0.01,4.62,4.62,""],"G6004":["Radiation treatment delivery","A",0.0,3.78,3.78,0.01,3.79,3.79,""],"G6005":["Radiation treatment delivery","A",0.0,3.79,3.79,0.01,3.8,3.8,""],"G6006":["Radiation treatment delivery","A",0.0,3.76,3.76,0.01,3.77,3.77,""],"G6007":["Radiation treatment delivery","A",0.0,6.89,6.89,0.01,6.9,6.9,""],"G6008":["Radiation treatment delivery","A",0.0,5.21,5.21,0.02,5.23,5.23,""],"G6009":["Radiation treatment delivery","A",0.0,5.2,5.2,0.02,5.22,5.22,""],"G6010":["Radiation treatment delivery","A",0.0,5.16,5.16,0.02,5.18,5.18,""],"G6011":["Radiation treatment delivery","A",0.0,6.86,6.86,0.02,6.88,6.88,""],"G6012":["Radiation treatment delivery","A",0.0,6.87,6.87,0.02,6.89,6.89,""],"G6013":["Radiation treatment delivery","A",0.0,6.9,6.9,0.02,6.92,6.92,""],"G6014":["Radiation treatment delivery","A",0.0,6.85,6.85,0.02,6.87,6.87,""],"G6015":["Radiation tx delivery imrt","A",0.0,10.62,10.62,0.06,10.68,10.68,""],"G6016":["Delivery comp imrt","A",0.0,10.62,10.62,0.01,10.63,10.63,""],"G6017":["Intrafraction track motion","C",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8395":["Lvef>=40% doc normal or mild","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8396":["Lvef not performed","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8397":["Dil macula/fundus exam/w doc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8399":["Pt w/dxa results document","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8400":["Pt w/dxa no results doc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8404":["Low extemity neur exam docum","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8405":["Low extemity neur not perfor","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8410":["Eval on foot documented","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8415":["Eval on foot not performed","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8416":["Pt inelig footwear evaluatio","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8417":["Calc bmi abv up param f/u","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8418":["Calc bmi blw low param f/u","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8419":["Calc bmi out nrm param nof/u","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8420":["Calc bmi norm parameters","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8421":["Bmi not calculated","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8427":["Docrev cur meds by elig clin","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8428":["Cur meds not document","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8430":["Doc med rsn no medrec","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8431":["Pos clin depres scrn f/u doc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8432":["Dep scr not doc, rng","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8433":["Scr for dep not cpt doc rsn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8450":["Beta-bloc rx pt w/abn lvef","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8451":["Pt w/abn lvef inelig b-bloc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8452":["Pt w/abn lvef b-bloc no rx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8465":["High risk recurrence pro ca","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8473":["Ace/arb thxpy rx'd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8474":["Ace/arb not rx'd; doc reas","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8475":["Ace/arb thxpy not rx'd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8476":["Bp sys <140 and dias <90","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8477":["Bp sys>=140 and/or dias >=90","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8478":["Bp not performed/doc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8482":["Flu immunize order/admin","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8483":["Flu imm no admin doc rea","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8484":["Flu immunize no admin","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8510":["Scr dep neg, no plan reqd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8511":["Scr dep pos, no plan doc rng","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8535":["Eld maltreatment not doc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8536":["No doc elder mal scrn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8539":["Doc funct and care plan","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8540":["Foa not doc as being perf","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8541":["No doc cur funct assess","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8542":["Doc funct no deficiencies","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8543":["Cur funct asses; no care pln","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8559":["Pt ref doc oto eval","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8560":["Pt hx act drain prev 90 days","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8561":["Pt inelig for ref oto eval","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8562":["Pt no hx act drain 90 d","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8563":["Pt no ref oto reas no spec","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8564":["Pt ref oto eval","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8565":["Ver doc hear loss","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8566":["Pt inelig ref oto eval","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8567":["Pt no doc hear loss","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8568":["Pt no ref otolo no spec","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8569":["Prol intubation req","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8570":["No prol intub req","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8575":["Postop ren fail","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8576":["No postop ren fail","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8577":["Reop req bld grft oth","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8578":["No reop req bld grft oth","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8598":["Asa/antiplat ther used","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8599":["No asa/antiplat ther use rng","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8600":["Tpa initi w/in 4.5 hr","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8601":["No elig tpa init w/in 4.5 hr","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8602":["No tpa init w/in 4.5 hr","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8633":["Pharm ther osteo rx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8635":["No pharm ther osteo rx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8647":["Rafscrs ki scor >= 0","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8648":["Rafscrs ki scor < 0","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8650":["Rafs crs ki no scor no rsn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8651":["Rafscrs hi scor >=0","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8652":["Rafscrs hi scor < 0","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8654":["Rafs crs hi no scor no surv","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8655":["Rafscrs llfai scor >= 0","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8656":["Rafscrs llfai scor < 0","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8658":["Rafscrs llfai no scor + surv","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8659":["Rafscrs lbi scor >= 0","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8660":["Rafscrs lbi scor < 0","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8661":["Rafscrs lbi no scor","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8662":["Rafs crs lbi no scor no surv","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8663":["Rafscrs si scor >= 0","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8664":["Rafscrs si scor < 0","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8666":["Rafs crs si no scor no surv","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8667":["Rafscrs ewh scor >= 0","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8668":["Rafscrs ewh scor < 0","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8670":["Rafs crs ewh no scor no surv","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8694":["Lvef <=40%","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8708":["Antibiotic not pres","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8709":["Uri ep compete diag","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8710":["Pt pres antibiotic","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8711":["Pres antibx on/within 3 day","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8712":["Not pres antibiotic","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8721":["Pt, pn, hist grade doc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8722":["Med reas pt, pn, not doc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8723":["Spec sit not prim tumor","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8724":["Pt, pn, hist grade not doc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8733":["Doc pos elder mal scrn plan","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8734":["Doc neg eld req","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8735":["Eld mal scrn pos no plan","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8749":["No signs melanoma","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8752":["Sys bp less 140","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8753":["Sys bp > or = 140","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8754":["Dias bp less 90","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8755":["Dias bp > or = 90","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8756":["No bp measure doc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8783":["Bp scrn perf rec interval","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8785":["Bp scrn no perf at interval","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8797":["Specimen site not esophagus","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8798":["Specimen site not prostate","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8806":["Perf ultrsnd to lct preg doc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8807":["No ta tv ultrasnd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8808":["Ultrasound not perf, rng","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8815":["Doc reas no statin therapy","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8816":["Statin med pres at disch","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8817":["Doc reas no statin med disch","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8826":["Pt disch home day #2 evar","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8833":["Pt not disch home day#2 evar","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8834":["Pt disch home day #2 cea","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8838":["Not disch home by day #2","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8839":["Sleep apnea assess","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8840":["Doc reas no sleep apnea","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8841":["No sleep apnea assess","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8842":["Ahi or rdi initial dx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8843":["Doc reas no ahi or rdi","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8844":["No ahi or rdi initial dx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8845":["Pos airway press prescribed","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8846":["Mod or severe osa","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8849":["Doc reas no pos air press","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8850":["No pap prescribed","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8851":["Adhere tx assess at lst ann","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8854":["Reas no adhere therapy","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8855":["Ther not assessed annually","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8856":["Ref for oto eval","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8857":["No elig ref for oto eval","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8858":["Not ref for oto eval","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8863":["No assess bone loss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8864":["Pneumococcal vaccine admin","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8865":["Doc med reas no pneumococcal","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8866":["Doc pt reas no pneumococcal","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8867":["No pneumococcal admin","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8869":["Doc immune hep b antitnf","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8875":["Breast cancer dx min invsive","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8876":["Doc reas no min inv dx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8877":["No brst cncr dx min invasive","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8878":["Sent lymph node biopsy","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8880":["Sen lym p node biop not perf","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8881":["Brst cncr stage > t1n0m0","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8882":["No sent lymph node biopsy","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8907":["Pt doc no events on discharg","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8908":["Pt doc w burn prior to d/c","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8909":["Pt doc no burn prior to d/c","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8910":["Pt doc to have fall in asc","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8911":["Pt doc no fall in asc","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8912":["Pt doc with wrong event","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8913":["Pt doc no wrong event","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8914":["Pt trans to hosp post d/c","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8915":["Pt not trans to hosp at d/c","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8916":["Pt w iv ab given on time","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8917":["Pt w iv ab not given on time","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8918":["Pt w/o preop order iv ab pro","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8923":["Lvef <= 40% or lvsd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8924":["Spir res doc fev1/fvc<70%","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8934":["Lvef <=40% or dep lv sys fcn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8935":["Rx ace or arb therapy","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8936":["Pt not eligible ace/arb","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8937":["No rx ace/arb therapy","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8942":["Doc fcn/care plan w/30 days","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8944":["Ajcc mel cnr stg 0 - iic","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8946":["Mibm but no dx of breast ca","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8950":["Pre-htn or htn doc, f/u indc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8952":["Pre-htn/htn, no f/u, not gvn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8955":["Most recent assess vol mgmt","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8956":["Pt rcv hedia outpt dyls fac","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8958":["Assess vol mgmt not doc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8961":["Csit lowrisk surg pts preop","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8962":["Csit on pt any reas 30 days","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8965":["Csit perf on low chd rsk","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8966":["Csit perf sx or high chd rsk","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8967":["Warf or other fda drug presc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8968":["Doc med not presb","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8969":["Doc pt rsn no presc warf/fda","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G8970":["No rsk fac or 1 mod risk te","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9001":["Mccd, initial rate","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9002":["Mccd,maintenance rate","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9003":["Mccd, risk adj hi, initial","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9004":["Mccd, risk adj lo, initial","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9005":["Mccd, risk adj, maintenance","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9006":["Mccd, home monitoring","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9007":["Mccd, sch team conf","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9008":["Mccd,phys coor-care ovrsght","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9009":["Mccd, risk adj, level 3","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9010":["Mccd, risk adj, level 4","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9011":["Mccd, risk adj, level 5","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9012":["Other specified case mgmt","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9013":["Esrd demo bundle level i","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9014":["Esrd demo bundle-level ii","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9016":["Demo-smoking cessation coun","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9050":["Oncology work-up evaluation","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9051":["Oncology tx decision-mgmt","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9052":["Onc surveillance for disease","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9053":["Onc expectant management pt","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9054":["Onc supervision palliative","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9055":["Onc visit unspecified nos","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9056":["Onc prac mgmt adheres guide","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9057":["Onc pract mgmt differs trial","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9058":["Onc prac mgmt disagree w/gui","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9059":["Onc prac mgmt pt opt alterna","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9060":["Onc prac mgmt dif pt comorb","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9061":["Onc prac cond noadd by guide","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9062":["Onc prac guide differs nos","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9063":["Onc dx nsclc stgi no progres","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9064":["Onc dx nsclc stg2 no progres","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9065":["Onc dx nsclc stg3a no progre","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9066":["Onc dx nsclc stg3b-4 metasta","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9067":["Onc dx nsclc dx unknown nos","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9068":["Onc dx sclc/nsclc limited","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9069":["Onc dx sclc/nsclc ext at dx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9070":["Onc dx sclc/nsclc ext unknwn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9071":["Onc dx brst stg1-2b hr,nopro","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9072":["Onc dx brst stg1-2 noprogres","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9073":["Onc dx brst stg3-hr, no pro","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9074":["Onc dx brst stg3-noprogress","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9075":["Onc dx brst metastic/ recur","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9077":["Onc dx prostate t1no progres","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9078":["Onc dx prostate t2no progres","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9079":["Onc dx prostate t3b-t4noprog","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9080":["Onc dx prostate w/rise psa","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9083":["Onc dx prostate unknwn nos","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9084":["Onc dx colon t1-3,n1-2,no pr","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9085":["Onc dx colon t4, n0 w/o prog","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9086":["Onc dx colon t1-4 no dx prog","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9087":["Onc dx colon metas evid dx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9088":["Onc dx colon metas noevid dx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9089":["Onc dx colon extent unknown","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9090":["Onc dx rectal t1-2 no progr","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9091":["Onc dx rectal t3 n0 no prog","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9092":["Onc dx rectal t1-3,n1-2noprg","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9093":["Onc dx rectal t4,n,m0 no prg","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9094":["Onc dx rectal m1 w/mets prog","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9095":["Onc dx rectal extent unknwn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9096":["Onc dx esophag t1-t3 noprog","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9097":["Onc dx esophageal t4 no prog","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9098":["Onc dx esophageal mets recur","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9099":["Onc dx esophageal unknown","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9100":["Onc dx gastric no recurrence","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9101":["Onc dx gastric p r1-r2noprog","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9102":["Onc dx gastric unresectable","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9103":["Onc dx gastric recurrent","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9104":["Onc dx gastric unknown nos","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9105":["Onc dx pancreatc p r0 res no","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9106":["Onc dx pancreatc p r1/r2 no","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9107":["Onc dx pancreatic unresectab","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9108":["Onc dx pancreatic unknwn nos","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9109":["Onc dx head/neck t1-t2no prg","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9110":["Onc dx head/neck t3-4 noprog","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9111":["Onc dx head/neck m1 mets rec","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9112":["Onc dx head/neck ext unknown","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9113":["Onc dx ovarian stg1a-b no pr","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9114":["Onc dx ovarian stg1a-b or 2","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9115":["Onc dx ovarian stg3/4 noprog","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9116":["Onc dx ovarian recurrence","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9117":["Onc dx ovarian unknown nos","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9123":["Onc dx cml chronic phase","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9124":["Onc dx cml acceler phase","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9125":["Onc dx cml blast phase","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9126":["Onc dx cml remission","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9128":["Onc dx multi myeloma stage i","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9129":["Onc dx mult myeloma stg2 hig","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9130":["Onc dx multi myeloma unknown","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9131":["Onc dx brst unknown nos","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9132":["Onc dx prostate mets no cast","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9133":["Onc dx prostate clinical met","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9134":["Onc nhlstg 1-2 no relap no","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9135":["Onc dx nhl stg 3-4 not relap","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9136":["Onc dx nhl trans to lg bcell","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9137":["Onc dx nhl relapse/refractor","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9138":["Onc dx nhl stg unknown","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9139":["Onc dx cml dx status unknown","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9140":["Frontier extended stay demo","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9143":["Warfarin respon genetic test","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9147":["Outpt iv insulin tx any mea","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9148":["Medical home level 1","R",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9149":["Medical home level ii","R",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9150":["Medical home level iii","R",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9151":["Mapcp demo state","R",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9152":["Mapcp demo community","R",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9153":["Mapcp demo physician","R",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9156":["Evaluation for wheelchair","R",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9157":["Transesoph doppl cardiac mon","A",2.2,0.4,0.4,0.18,2.78,2.78,""],"G9187":["Bpci home visit","A",0.18,1.22,1.22,0.03,1.43,1.43,""],"G9188":["Beta not given no reason","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9189":["Beta pres or already taking","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9190":["Medical reason for no beta","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9191":["Pt reason for no beta","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9212":["Doc of dsm-iv init eval","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9213":["No doc of dsm-iv","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9223":["Pjp proph ordered cd4 low","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9225":["Norsn no foot exam","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9226":["3 comp foot exam completed","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9227":["Foa doc, care plan not doc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9228":["Gc chl syp documented","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9230":["Norsn for gc chl syp test","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9231":["Doc esrd dia trans preg","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9242":["Doc viral load >=200","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9243":["Doc viral load <200","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9246":["No med visit in 24mo","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9247":["1 med visit in 24mo","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9254":["Doc pt dischg >2d","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9255":["Doc pt dischg <=2d","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9273":["Sys<140 and dia<90","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9274":["Bp out of nrml limits","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9275":["Doc of non tobacco user","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9276":["Doc of tobacco user","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9277":["Doc daily aspirin or contra","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9278":["Doc no daily aspirin","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9279":["Pne scrn done doc vac done","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9280":["Pne not given norsn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9281":["Pne scrn done doc not ind","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9282":["Doc medrsn no histo type","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9283":["Hist type doc on report","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9284":["No hist type doc on report","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9285":["Site not small cell lung ca","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9286":["Antibio rx w in 10d of sympt","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9287":["No antibio w in 10d of sympt","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9288":["Doc medrsn no hist type rpt","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9289":["Doc type nsm lung ca","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9290":["No doc type nsm lung ca","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9291":["Not nsm lung ca","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9292":["Medrsn no pt category","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9293":["No pt category on report","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9294":["Pt cat and thck on report","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9295":["Non cutaneous loc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9296":["Doc share dec prior proc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9297":["No doc share dec prior proc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9298":["Eval risk vte card 30d prior","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9299":["No eval risk vte card prior","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9305":["No interv req for leak","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9306":["Interv req for leak","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9307":["No ret for surg w in 30d","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9308":["Unpl ret or w/compl w/in 30d","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9309":["No unplnd hosp readm in 30d","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9310":["Unplnd hosp readm in 30d","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9311":["No surg site infection","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9312":["Surgical site infection","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9313":["Amoxic not presc as 1st line","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9314":["Norsn not first line amox","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9315":["Amox w/wo clav rx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9316":["Doc comm risk calc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9317":["No doc comm risk calc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9318":["Image std nomenclature","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9319":["Image not std nomenclature","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9321":["Doc count of ct in 12mo","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9322":["No doc count of ct in 12mo","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9341":["Srch for ct w in 12 mos","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9342":["No srch for ct in 12mo norsn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9344":["Sysrsn no dicom srch","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9345":["Follow up pulm nod","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9347":["No follow up pulm nod norsn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9351":["Doc >1 sinus ct w 90d dx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9352":["Not >1 sinus ct w 90d dx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9353":["Medrsn >1 sinus ct w 90d dx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9354":["1 or no ct sinus w/in 90d dx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9355":["No early ind/delivery","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9356":["Early ind/delivery","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9357":["Pp eval/edu perf","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9358":["Pp eval/edu not perf","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9361":["Doc rsn elect c-sec/induct","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9364":["Sinus caus bac inx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9367":[">= 2 same hi-rsk med ord","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9368":[">= 2 same hi-rsk med not ord","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9380":["Off assis eol iss","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9382":["No off assis eol","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9383":["Recd scrn hcv infec","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9384":["Doc med rsn no hcv scrn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9385":["Doc pt reas not rec hcv srn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9386":["Scrn hcv infec not recd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9393":["Ini phq9 >9 remiss <5","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9394":["Dx bipol, death, nhres, hosp","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9395":["Ini phq9 >9 no remiss >=5","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9396":["Ini phq9 >9 not assess","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9402":["Recd f/u w/in 30d disch","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9403":["Doc reas no 30 day f/u","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9404":["No 30 day f/u","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9405":["Recd f/u w/in 7d dc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9406":["Doc reas no 7d f/u","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9407":["No 7d f/u","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9408":["Card tamp w/in 30d","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9409":["No card tamp e/in 30d","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9410":["Admit w/in 180d req remov","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9411":["No admit w/in 180d req remov","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9412":["Admit w/in 180d req surg rev","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9413":["No admit req surg rev","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9414":["1dose menig vac btwn 11 & 13","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9415":["No 1dose meni vac btwn 11&13","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9416":["Pt 1 tdap betw 10-13 yrs","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9417":["Pt not 1 tdap betw 10-13 yrs","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9418":["Lungcx bx rpt docs class","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9419":["Med reas not incl histo type","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9420":["Spec site no lung","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9421":["Lung cx bx rpt no doc class","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9422":["Rpt doc class histo type","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9423":["Med reas rpt no histo type","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9424":["Site no lung or lung cx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9425":["Spec rpt no doc class histo","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9426":["Impr med time edarr pain med","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9427":["No impro med time pain med","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9428":["Patho rpt incl pt ctg","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9429":["Doc med rsn no pt cat","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9430":["Spec site no cutaneous","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9431":["Patho rpt no pt ctg","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9432":["Asth controlled","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9434":["Asth not controlled","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9452":["Doc med reas no hcv test","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9455":["Abd imag w/us, ct or mri","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9456":["Doc med pt reas no hcc scrn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9457":["Pt no abd img no doc rsn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9458":["Tob user recd cess interv","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9459":["Tob non-user","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9460":["No tob assess or cess inter","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9468":["No recd cortico>=10mg/d >60d","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9470":["No rec cortico>60d 1rx 600mg","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9471":["W/in 2yr dxa not order","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9473":["Chap services at hospice","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9474":["Diet counsel at hospice","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9475":["Other counselor at hospice","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9476":["Volun service at hospice","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9477":["Care coord at hospice","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9478":["Othe therapist at hospice","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9479":["Pharmacist at hospice","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9480":["Admission to mccm","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9481":["Remote e/m new pt 10mins","A",0.48,0.0,0.0,0.06,0.54,0.54,""],"G9482":["Remote e/m new pt 20mins","A",0.93,0.0,0.0,0.08,1.01,1.01,""],"G9483":["Remote e/m new pt 30mins","A",1.42,0.0,0.0,0.16,1.58,1.58,""],"G9484":["Remote e/m new pt 45mins","A",2.43,0.0,0.0,0.24,2.67,2.67,""],"G9485":["Remote e/m new pt 60mins","A",3.17,0.0,0.0,0.33,3.5,3.5,""],"G9486":["Remote e/m est. pt 10mins","A",0.48,0.0,0.0,0.06,0.54,0.54,""],"G9487":["Remote e/m est. pt 15mins","A",0.97,0.0,0.0,0.1,1.07,1.07,""],"G9488":["Remote e/m est. pt 25mins","A",1.5,0.0,0.0,0.14,1.64,1.64,""],"G9489":["Remote e/m est. pt 40mins","A",2.11,0.0,0.0,0.22,2.33,2.33,""],"G9490":["Cmmi mod home visit","A",0.18,1.22,1.22,0.03,1.43,1.43,""],"G9497":["Rec inst no smoke day surg","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9498":["Abx reg prescribed","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9500":["Rad expos ind/exp tm doc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9501":["Rad expos ind/exp tm no doc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9502":["Med reas no perf foot exam","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9504":["Doc rsn hep b stat not asses","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9505":["Abx pres w/in 10 dys of symp","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9507":["Doc reas on statin or contra","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9508":["Doc pt not on statin","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9509":["Adit mdd dys rem 12 mnths","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9510":["Remis12m not phq-9 score <5","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9511":["Idx evt dte phq>9 doc 12 mo","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9512":["Indiv pdc > 0.8","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9513":["Indiv pdc not > 0.8","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9514":["Req ret or w/in 90d of surg","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9515":["No reas, no ret or w/in 90d","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9516":["Impr vis acuit w/in 90d","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9517":["No impr vis acuit w/in 90d","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9518":["Doc active inj drug use","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9519":["Final ref +/- 1.0 w/in 90d","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9520":["Refract not +/- 1.0 w/in 90d","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9521":["Er and ip hosp <2 in 12 mos","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9522":["Er/ip hosp =/>2 in 12 mos","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9529":["Minor blunt trauma w/head ct","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9530":["Pt mbht hd ct ord ec prov","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9531":["Pt doc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9533":["Indic for head ct not valid","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9537":["Img hd clin trial","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9539":["Intent pot remv time placemt","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9540":["Pt alive 3 mos post proc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9541":["Filter rem 3 mon plmt","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9542":["Doc reass appr remo filt 3ms","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9543":["Doc 2x re-assess filt remov","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9544":["No filt remov w/in 3mos plcm","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9547":["Cys ren les or adren","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9548":["No f/u rec image study","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9549":["Doc med rsn for f/u imag","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9550":["Imag rec","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9551":["Imag no les","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9552":["Inc thyr node <1.0 in rpt","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9553":["Prior thyroid dise dx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9554":["Ct/cta/mri/a chst foll rec","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9555":["Doc med rsn for follup image","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9556":["Ct/cta/mri/a no follup imag","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9557":["Ct/cta/mri/a no thyr <1.0cm","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9580":["Door to punc time <2hrs","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9582":["Door to punc time >2hr, nrg","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9593":["Low pecarn ped head trauma","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9594":["Pt mbht hd ct ord ec prov","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9595":["Doc shnt/tum/coag","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9597":["No low pecarn ped head traum","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9598":["Aor ane 5.5-5.9 cm max diam","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9599":["Aor ane >=6.0 cm max diam","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9603":["Pt surv improv bsline tx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9604":["Pt surv results not avail","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9605":["Surv score no improv w/tx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9606":["Intraop cyst eval trac inj","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9607":["Doc med rsn not perf cystosc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9608":["Intraop cyst eval not done","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9609":["Doc order anti-plat","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9610":["Doc md rsn no antipla","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9611":["No doc order anti-plat rng","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9621":["Scr unheal etoh w/counsel","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9622":["No unheal etoh user","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9624":["Pt not scrn or no counseling","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9625":["Pt bl srg 30 day pst srg","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9626":["Med rsn no rpt bladder inj","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9627":["Pt no bl srg 30 day pst srg","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9628":["Pt bwli srg 30 day pst srg","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9629":["Med rsn no rpt bowel inj","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9630":["Pt no bwli srg 30 day srg","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9637":["Doc >1 dose reduc tech","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9638":["No doc >1 dose reduc tech","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9642":["Current smoker","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9643":["Elective surgery","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9644":["No smok b/4 anes day of surg","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9645":["Had smoke b/4 anes day surg","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9646":["Pt w/90d mrs 0-2","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9648":["Pt w/90d mrs >2","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9649":["Psor as doc spc bm","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9651":["Psor as doc no spc bm","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9654":["Mon anesth care","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9655":["Toc tool incl key elem","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9656":["Pt trans from anest to pacu","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9658":["Toc tool incl elem not used","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9659":[">=86y no hx colo ca/rsn scop","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9660":["Doc med rsn scope pt >= 86y","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9661":["Pt >= 86  w/ hi risk","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9662":["Prior dx/active clin ascvd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9663":["Fast/dir ldl >= 190 mg/dl","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9664":["Taking statin or rec'd order","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9665":["No statin/no order statin","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9674":["Pt w/clin ascvd dx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9675":["Pt w/fast/dir lab ldl-c >190","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9676":["40-75y w/type 1/2 w/ldl-c rs","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9679":["Acute care pneumonia","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9680":["Acute care congestive heart","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9681":["Acute care chronic obstruct","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9682":["Acute care skin infection","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9683":["Acute fluid/electro disorder","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9684":["Acute care urinary tract inf","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9685":["Acute nursing facility care","A",3.86,1.38,1.38,0.29,5.53,5.53,""],"G9687":["Hospice anytime msmt per","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9688":["Pt w/hosp anytime msmt per","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9689":["Inpt elect carotid intervent","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9690":["Pt in hos","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9691":["Pt hosp dur msmt period","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9692":["Hosp recd by pt dur msmt per","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9693":["Pt use hosp during msmt per","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9694":["Hosp srv used pt in msmt per","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9695":["Long act inhal bronchdil pre","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9696":["Med rsn no presc bronchdil","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9698":["Sys rsn no presc bronchdil","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9699":["Long inhal bronchdil no pres","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9700":["Pt is w/hosp during msmt per","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9702":["Pt use hosp during msmt per","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9703":["Anbx 30 prior to episode","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9704":["Ajcc br ca stg i: t1 mic/t1a","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9705":["Ajcc br ca stg ib","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9706":["Low recur prost ca","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9707":["Pt had hosp dur msmt per","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9708":["Bilat mast/hx bi /unilat mas","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9709":["Hosp srv used pt in msmt per","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9710":["Pt prov hosp srv msmt per","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9711":["Pt hx tot col or colon ca","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9712":["Doc med rsn presc anbx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9713":["Pt use hosp during msmt per","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9714":["Pt is w/hosp during msmt per","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9716":["Bmi doc onl fup not cmpltd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9717":["Doc pt dx bipol","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9719":["Pt not ambul/immob/wc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9720":["Hospice anytime msmt per","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9721":["Pt not ambul/immob/wc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9722":["Doc hx renal fail or cr+ >=4","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9723":["Hosp recd by pt dur msmt per","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9724":["Pt w/doc use anticoag mst yr","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9726":["Refused to participate","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9727":["Pt unable cmplt lepf prom","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9728":["Refused to participate","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9729":["Pt unbl cmplt lepf prom","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9730":["Refused to participate","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9731":["Pt unbl cmplt lepf prom","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9732":["Refused to participate","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9733":["Pt unbl cmplt lb fs prom","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9734":["Refused to participate","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9735":["Pt unbl cmplt shld fs prom","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9736":["Refused to participate","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9737":["Pt unbl cmplt ewh fs prom","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9740":["Hosp srv to pt dur msmt per","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9741":["Pt w/hosp anytime msmt per","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9744":["Pt not eli d/t act dig htn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9745":["Doc rsn no hbp scrn or f/u","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9746":["Mit sten, valve or trans af","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9751":["Pt died w/in 24 mos rpt time","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9752":["Urgent surgery","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9753":["Doc no dicom, ct other fac","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9754":["Incid pulm nodule","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9755":["Doc med rsn no fllw up","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9756":["Surg proc w/silicone oil","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9757":["Surg proc w/silicone oil","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9758":["Pt in hos","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9760":["Pt w/hosp anytime msmt per","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9761":["Pt w/hosp anytime msmt per","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9762":["Pt had >= 2-3 hpv vaccines","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9763":["Pt not have 2-3 hpv vaccines","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9764":["Pt treatd w/oral syst or bio","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9765":["Doc pat declined therapy","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9766":["Cva stroke dx tx transf fac","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9767":["Hosp new dx cva consid evst","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9768":["Pt w/hosp anytime msmt per","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9769":["Bn den 2yr/got ost med/ther","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9770":["Perip nerve block","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9771":["Anes end, 1 temp >35.5(95.9)","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9772":["Doc med rsn no temp >= 35.5","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9773":["1 bod temp >=35.5","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9775":["Recd 2 anti-emet pre/intraop","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9776":["Doc med rsn no proph antiem","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9777":["Pt no antiemet pre/intraop","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9779":["Pts breastfeeding","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9780":["Pts dx w/rhabdomyolysis","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9781":["Doc rsn no statin","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9782":["Hx dx fam/pure hypercholes","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9784":["Path/derm prov 2nd biop opin","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9785":["Path report sent","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9786":["Path report not sent","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9787":["Pt alive","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9788":["Most rct bp </= 140/90","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9789":["Record bp ip, er, urg/self","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9790":["Most rct bp >/= 140/90","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9791":["Most rct tob stat free","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9792":["Most rct tob stat not free","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9793":["Pt on daily asa/antiplat","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9794":["Doc med rsn no daily aspirin","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9795":["Pt no daily asa/antiplat","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9796":["Pt not currently on statin","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9797":["Pt currently on statin","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9805":["Pt w/hosp anytime msmt per","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9806":["Pt recd cerv cyto/hpv","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9807":["Pt no recd cerv cyto/hpv","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9812":["Pt died during inpt/30d aft","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9813":["Pt not died w/in 30d of proc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9818":["Doc sex activity","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9819":["Pt w/hosp anytime msmt per","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9820":["Doc chlam scr test w/follow","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9821":["No doc chlam scr ts w/follow","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9822":["Endo abl proc yr prev ind dt","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9823":["Endo smpl/hyst bx res doc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9824":["Endo smpl/hyst bx res no doc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9830":["Her-2 pos","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9831":["Ajcc stg brt ca dx ii or iii","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9832":["Brt ca dx i, no t1/t1a/t1b","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9838":["Pt met dis at dx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9839":["Anti-egfr mon anti ther","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9840":["Gene testing performed","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9841":["Gene testing not performed","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9842":["Pt met dis at dx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9843":["Kras or nras gene mutation","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9844":["Pt no recd anti-egfr ther","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9845":["Pt recd anti-egfr ther","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9846":["Pt died from cancer","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9847":["Pt recd chemo last 14d life","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9848":["Pt no chemo last 14d life","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9858":["Pt enroll hospice","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9859":["Pt died from cancer","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9860":["Pt less 3d hospice","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9861":["Pt more than 3d hospice","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9862":["Doc rsn no 10 yr follow","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9868":["Cmmi asyntelehealth <10min","A",0.8,0.0,0.0,0.0,0.8,0.8,""],"G9869":["Cmmi asyntelehealth 10-20min","A",1.07,0.0,0.0,0.0,1.07,1.07,""],"G9870":["Cmmi asyntelehealth >20min","A",1.34,0.0,0.0,0.0,1.34,1.34,""],"G9873":["1 em core session","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9874":["4 em core sessions","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9875":["9 em core sessions","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9876":["2 em core ms mo 7-9 no wl","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9877":["2 em core ms mo 10-12 no wl","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9878":["2 em core ms mo 7-9 wl","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9879":["2 em core ms mo 10-12 wl","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9880":["Em 5 percent wl","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9881":["Em 9 percent wl","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9882":["2 em ongoing ms mo 13-15 wl","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9883":["2 em ongoing ms mo 16-18 wl","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9884":["2 em ongoing ms mo 19-21 wl","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9885":["2 em ongoing ms mo 22-24 wl","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9886":["In-person attendance g code","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9887":["Distance learning attendance","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9888":["5% wl maintnd from bsline wt","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9890":["Em bridge payment","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9891":["Em session reporting","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9892":["Doc pt rsn no dil mac exam","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9893":["No mac exam","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9894":["Adr dep thrpy prescribed","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9895":["Doc med rsn no adr dep thrpy","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9896":["Doc pt rsn no adr dep thrpy","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9897":["Pt nt prsc adr dep thrpy rng","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9898":["Pt 66+ snp or ltc pos > 90d","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9899":["Scrn mam perf rslts doc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9900":["Scrn mam perf rslts not doc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9901":["Pt 66+ snp or ltc pos > 90d","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9902":["Pt scrn tbco and id as user","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9903":["Pt scrn tbco id as non user","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9905":["No pt tbco scrn rng","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9906":["Pt recv tbco cess interv","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9908":["No pt tbco cess interv rng","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9910":["Pt 66+ snp or ltc pos > 90d","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9911":["Node neg pre/post syst ther","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9912":["Hbv status assesed and int","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9913":["No hbv status assesd and int","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9914":["Pt initiated anti-tnf agent","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9915":["No documntd hbv results rcd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9916":["Funct status past 12 months","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9917":["Adv dem crgvr limited","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9918":["No funct stat perf, rsn nos","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9919":["Scrn nd pos nd prov of rec","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9920":["Scrning perf and negative","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9921":["No or part scrn nd rng or os","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9922":["Sfty cncrns scrn nd mit recs","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9923":["Safty cncrns scrn and neg","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9925":["No scrn prov rsn nos","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9926":["Sfty cncrns scrn but no recs","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9928":["No warf or fda drug presc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9929":["Trs/rev af","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9930":["Com care","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9931":["No chad or chad scr 0 or 1","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9938":["Pt 66+ snp or ltc pos > 90d","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9939":["Same path/derm perf biopsy","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9940":["Doc reas no statin therapy","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9943":["Bk pn nt msr vas scl pre/pst","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9945":["Pt w/cancer scoliosis","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9946":["Bk pain no vas","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9949":["Leg pain no vas","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9954":["Pt >2 rsk fac post-op vomit","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9955":["Inhlnt anesth only for induc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9956":["Combo thrpy of >= 2 prophly","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9957":["Doc med rsn no combo thrpy","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9958":["No combo prohpyl thrp for pt","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9959":["Systemic antimicro not presc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9960":["Med rsn sys antimi nt rx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9961":["Systemic antimicro presc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9962":["Embolization doc separatly","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9963":["Embolization not doc separat","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9964":["Pt recv >=1 well-chld visit","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9965":["No well-chld vist recv by pt","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9968":["Pt refrd 2 pvdr/spclst in pp","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9969":["Pvdr rfrd pt rprt rcvd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9970":["Pvdr rfrd pt no rprt rcvd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9974":["Mac exam perf","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9975":["Doc med rsn no dil mac exam","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9978":["Remote e/m new pt 10mins","A",0.48,0.94,0.29,0.06,1.48,0.83,""],"G9979":["Remote e/m new pt 20mins","A",0.93,1.16,0.4,0.08,2.17,1.41,""],"G9980":["Remote e/m new pt 30 mins","A",1.42,1.59,0.68,0.16,3.17,2.26,""],"G9981":["Remote e/m new pt 45mins","A",2.43,2.18,1.13,0.24,4.85,3.8,""],"G9982":["Remote e/m new pt 60mins","A",3.17,2.79,1.57,0.33,6.29,5.07,""],"G9983":["Remote e/m est. pt 10mins","A",0.48,0.94,0.29,0.06,1.48,0.83,""],"G9984":["Remote e/m est. pt  15mins","A",0.97,1.33,0.56,0.1,2.4,1.63,""],"G9985":["Remote e/m est. pt 25mins","A",1.5,1.79,0.83,0.14,3.43,2.47,""],"G9986":["Remote e/m est. pt 40mins","A",2.11,2.4,1.27,0.22,4.73,3.6,""],"G9987":["Bpci advanced in home visit","A",0.18,1.22,1.22,0.03,1.43,1.43,""],"G9988":["Pall serv during meas","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9990":["No pneum vax admin 19+","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9991":["Pneum vax admin 19+","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9992":["Pall serv during meas","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9993":["Pall serv during meas","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9994":["Pall serv during meas","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9996":["Doc pt pal or hospice","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9997":["Doc pt preg dur msrmt pd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9998":["Doc med rsn <3 colon","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"G9999":["Doc sys rsn <3 colon","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0001":["Alcohol and/or drug assess","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0002":["Alcohol and/or drug screenin","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0003":["Alcohol and/or drug screenin","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0004":["Alcohol and/or drug services","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0005":["Alcohol and/or drug services","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0006":["Alcohol and/or drug services","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0007":["Alcohol and/or drug services","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0008":["Alcohol and/or drug services","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0009":["Alcohol and/or drug services","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0010":["Alcohol and/or drug services","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0011":["Alcohol and/or drug services","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0012":["Alcohol and/or drug services","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0013":["Alcohol and/or drug services","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0014":["Alcohol and/or drug services","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0015":["Alcohol and/or drug services","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0016":["Alcohol and/or drug services","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0017":["Alcohol and/or drug services","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0018":["Alcohol and/or drug services","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0019":["Alcohol and/or drug services","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0020":["Alcohol and/or drug services","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0021":["Alcohol and/or drug training","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0022":["Alcohol and/or drug interven","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0023":["Alcohol and/or drug outreach","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0024":["Alcohol and/or drug preventi","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0025":["Alcohol and/or drug preventi","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0026":["Alcohol and/or drug preventi","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0027":["Alcohol and/or drug preventi","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0028":["Alcohol and/or drug preventi","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0029":["Alcohol and/or drug preventi","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0030":["Alcohol and/or drug hotline","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0031":["Mh health assess by non-md","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0032":["Mh svc plan dev by non-md","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0033":["Oral med adm direct observe","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0034":["Med trng & support per 15min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0035":["Mh partial hosp tx under 24h","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0036":["Comm psy face-face per 15min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0037":["Comm psy sup tx pgm per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0038":["Self-help/peer svc per 15min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0039":["Asser com tx face-face/15min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0040":["Assert comm tx pgm per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0041":["Fos c chld non-ther per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0042":["Fos c chld non-ther per mon","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0043":["Supported housing, per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0044":["Supported housing, per month","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0045":["Respite not-in-home per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0046":["Mental health service, nos","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0047":["Alcohol/drug abuse svc nos","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0048":["Spec coll non-blood:a/d test","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0049":["Alcohol/drug screening","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H0050":["Alcohol/drug service 15 min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H1000":["Prenatal care atrisk assessm","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H1001":["Antepartum management","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H1002":["Carecoordination prenatal","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H1003":["Prenatal at risk education","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H1004":["Follow up home visit/prental","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H1005":["Prenatalcare enhanced srv pk","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H1010":["Nonmed family planning ed","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H1011":["Family assessment","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2000":["Comp multidisipln evaluation","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2001":["Rehabilitation program 1/2 d","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2010":["Comprehensive med svc 15 min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2011":["Crisis interven svc, 15 min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2012":["Behav hlth day treat, per hr","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2013":["Psych hlth fac svc, per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2014":["Skills train and dev, 15 min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2015":["Comp comm supp svc, 15 min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2016":["Comp comm supp svc, per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2017":["Psysoc rehab svc, per 15 min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2018":["Psysoc rehab svc, per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2019":["Ther behav svc, per 15 min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2020":["Ther behav svc, per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2021":["Com wrap-around sv, 15 min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2022":["Com wrap-around sv, per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2023":["Supported employ, per 15 min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2024":["Supported employ, per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2025":["Supp maint employ, 15 min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2026":["Supp maint employ, per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2027":["Psychoed svc, per 15 min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2028":["Sex offend tx svc, 15 min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2029":["Sex offend tx svc, per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2030":["Mh clubhouse svc, per 15 min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2031":["Mh clubhouse svc, per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2032":["Activity therapy, per 15 min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2033":["Multisys ther/juvenile 15min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2034":["A/d halfway house, per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2035":["A/d tx program, per hour","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2036":["A/d tx program, per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2037":["Dev delay prev dp ch, 15 min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2038":["Skill train and dev/diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2040":["Coord specialty care, month","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"H2041":["Coord special care encounter","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0120":["Tetracyclin injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0121":["Inj., omadacycline, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0122":["Inj., eravacycline, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0129":["Abatacept injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0130":["Abciximab injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0131":["Inj, acetaminophen (nos)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0132":["Acetylcysteine injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0133":["Acyclovir injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0134":["Inj acetaminophen -fresenius","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0135":["Adalimumab injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0136":["Inj, acetaminophen (b braun)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0137":["Inj, acetaminophen (hikma)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0153":["Adenosine inj 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0171":["Adrenalin epinephrine inject","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0172":["Inj, aducanumab-avwa, 2 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0173":["Inj, epinephrine (belcher)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0174":["Inj, lecanemab-irmb, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0177":["Inj, aflibercept hd, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0178":["Aflibercept injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0179":["Inj, brolucizumab-dbll, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0180":["Agalsidase beta injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0184":["Inj, amisulpride, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0185":["Inj., aprepitant, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0190":["Inj biperiden lactate/5 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0200":["Alatrofloxacin mesylate","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0202":["Injection, alemtuzumab","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0205":["Alglucerase injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0206":["Inj allopurinol sodium 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0207":["Amifostine","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0208":["Inj, pedmark, 100 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0209":["Inj, sod thiosulfate (hope)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0210":["Methyldopate hcl injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0215":["Alefacept","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0216":["Inj, alfentanil hcl, 500mcg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0217":["Inj velmanase alfa-tycv 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0218":["Inj olipudase alfa-rpcp 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0219":["Inj aval alfa-nqpt 4mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0220":["Alglucosidase alfa injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0221":["Lumizyme injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0222":["Inj., patisiran, 0.1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0223":["Inj givosiran 0.5 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0224":["Inj. lumasiran, 0.5 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0225":["Inj, vutrisiran, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0248":["Inj, remdesivir, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0256":["Alpha 1 proteinase inhibitor","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0257":["Glassia injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0270":["Alprostadil for injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0275":["Alprostadil urethral suppos","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0278":["Amikacin sulfate injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0280":["Aminophyllin 250 mg inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0282":["Amiodarone hcl","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0283":["Inj, amiodarone (nexterone)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0285":["Amphotericin b","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0287":["Amphotericin b lipid complex","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0288":["Ampho b cholesteryl sulfate","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0289":["Amphotericin b liposome inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0290":["Ampicillin 500 mg inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0291":["Inj., plazomicin, 5 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0295":["Ampicillin sulbactam 1.5 gm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0300":["Amobarbital 125 mg inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0330":["Succinycholine chloride inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0348":["Anidulafungin injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0349":["Inj, rezafungin, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0350":["Injection anistreplase 30 u","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0360":["Hydralazine hcl injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0364":["Apomorphine hydrochloride","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0365":["Aprotonin, 10,000 kiu","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0380":["Inj metaraminol bitartrate","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0390":["Chloroquine injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0391":["Inj, artesunate, 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0395":["Arbutamine hcl injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0400":["Aripiprazole injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0401":["Inj aripiprazole ext rel 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0402":["Inj, abilify asimtufii, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0456":["Azithromycin","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0457":["Injection, aztreonam, 100 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0461":["Atropine sulfate injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0470":["Dimecaprol injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0475":["Baclofen 10 mg injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0476":["Baclofen intrathecal trial","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0480":["Basiliximab","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0485":["Belatacept injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0490":["Belimumab injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0491":["Inj anifrolumab-fnia 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0500":["Dicyclomine injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0515":["Inj benztropine mesylate","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0517":["Inj., benralizumab, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0520":["Bethanechol chloride inject","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0558":["Peng benzathine/procaine inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0561":["Penicillin g benzathine inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0565":["Inj, bezlotoxumab, 10 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0567":["Inj., cerliponase alfa 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0570":["Buprenorphine implant 74.2mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0571":["Buprenorphine oral 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0572":["Bupren/nal up to 3mg bupreno","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0573":["Bupren/nal 3.1 to 6mg bupren","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0574":["Bupren/nal 6.1 to 10mg bupre","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0575":["Bupren/nal over 10mg bupreno","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0576":["Inj buprenorph (brixadi) 1mg","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0577":["Inj, brixadi, 7 days or less","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0578":["Inj,brixadi, more than 7 day","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0583":["Bivalirudin","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0584":["Injection, burosumab-twza 1m","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0585":["Injection,onabotulinumtoxina","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0586":["Abobotulinumtoxina","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0587":["Inj, rimabotulinumtoxinb","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0588":["Incobotulinumtoxin a","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0589":["Inj daxibotulinumtoxina-lanm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0591":["Inj deoxycholic acid, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0592":["Buprenorphine hydrochloride","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0593":["Inj., lanadelumab-flyo, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0594":["Busulfan injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0595":["Butorphanol tartrate 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0596":["Injection, ruconest","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0597":["C-1 esterase, berinert","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0598":["C-1 esterase, cinryze","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0599":["Inj., haegarda 10 units","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0600":["Edetate calcium disodium inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0604":["Cinacalcet, esrd on dialysis","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0606":["Inj, etelcalcetide, 0.1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0612":["Inj, calcium gluconate, nos","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0613":["Calcium glucon (wg critical)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0620":["Calcium glycer & lact/10 ml","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0630":["Calcitonin salmon injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0636":["Inj calcitriol per 0.1 mcg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0637":["Caspofungin acetate","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0638":["Canakinumab injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0640":["Leucovorin calcium injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0641":["Inj levoleucovorin nos 0.5mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0642":["Injection, khapzory, 0.5 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0650":["Inj, levothyroxine nos 10mcg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0651":["Inj, levothyroxine, freskabi","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0652":["Inj, levothyroxine, hikma","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0665":["Inj, bupivacaine, nos, 0.5mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0670":["Inj mepivacaine hcl/10 ml","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0688":["Inj cefazolin sodium, hikma","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0689":["Inj cefazolin sodium, baxter","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0690":["Cefazolin sodium injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0691":["Inj lefamulin 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0692":["Cefepime hcl for injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0694":["Cefoxitin sodium injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0695":["Inj ceftolozane tazobactam","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0696":["Ceftriaxone sodium injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0697":["Sterile cefuroxime injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0698":["Cefotaxime sodium injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0699":["Inj, cefiderocol, 10 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0701":["Inj. cefepime hcl (baxter)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0702":["Betamethasone acet&sod phosp","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0703":["Inj, cefepime hcl (b braun)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0706":["Caffeine citrate injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0710":["Cephapirin sodium injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0712":["Ceftaroline fosamil inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0713":["Inj ceftazidime per 500 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0714":["Ceftazidime and avibactam","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0715":["Ceftizoxime sodium / 500 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0716":["Centruroides immune f(ab)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0717":["Certolizumab pegol inj 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0720":["Chloramphenicol sodium injec","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0725":["Chorionic gonadotropin/1000u","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0735":["Clonidine hydrochloride","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0736":["Inj, clindamycin phosp 300mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0737":["Inj, clindamycin (baxter)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0739":["Hiv prep, inj, cabotegravir","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0740":["Cidofovir injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0741":["Inj, cabote rilpivir 2mg 3mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0742":["Inj imip 4 cilas 4 releb 2mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0743":["Cilastatin sodium injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0744":["Ciprofloxacin iv","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0745":["Inj codeine phosphate /30 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0750":["Hiv prep, ftc/tdf 200/300mg","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0751":["Hiv prep, ftc/taf 200/25mg","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0770":["Colistimethate sodium inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0775":["Collagenase, clost hist inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0780":["Prochlorperazine injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0791":["Inj crizanlizumab-tmca 5mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0795":["Corticorelin ovine triflutal","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0799":["Hiv prep, fda approved, noc","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0801":["Inj. acthar gel to 40 units","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0802":["Inj. (ani), up to 40 units","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0834":["Inj., cosyntropin, 0.25 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0840":["Crotalidae poly immune fab","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0841":["Inj crotalidae im f(ab')2 eq","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0850":["Cytomegalovirus imm iv /vial","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0873":["Inj, daptomycin (xellia)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0874":["Inj, daptomycin (baxter)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0875":["Injection, dalbavancin","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0877":["Inj, daptomycin (hospira)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0878":["Daptomycin injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0879":["Difelikefalin, esrd on dialy","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0881":["Darbepoetin alfa, non-esrd","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0882":["Darbepoetin alfa, esrd use","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0883":["Argatroban nonesrd use 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0884":["Argatroban esrd dialysis 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0885":["Epoetin alfa, non-esrd","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0887":["Epoetin beta esrd use","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0888":["Epoetin beta non esrd","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0889":["Daprodustat oral 1mg esrd","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0890":["Peginesatide injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0891":["Argatroban nonesrd (accord)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0892":["Argatroban dialysis (accord)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0893":["Inj, decitabine (sun pharma)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0894":["Decitabine injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0895":["Deferoxamine mesylate inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0896":["Inj luspatercept-aamt 0.25mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0897":["Denosumab injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0898":["Argatroban nonesrd (auromed)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0899":["Argatroban dialysis, auromed","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J0945":["Brompheniramine maleate inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1000":["Depo-estradiol cypionate inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1010":["Inj, methylpred acetate 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1020":["Methylprednisolone 20 mg inj","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1030":["Methylprednisolone 40 mg inj","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1040":["Methylprednisolone 80 mg inj","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1050":["Medroxyprogesterone acetate","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1071":["Inj testosterone cypionate","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1094":["Inj dexamethasone acetate","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1095":["Injection, dexamethasone 9%","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1096":["Dexametha opth insert 0.1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1097":["Phenylep ketorolac opth soln","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1100":["Dexamethasone sodium phos","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1105":["Dexmedetomidine film, 1 mcg","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1110":["Inj dihydroergotamine mesylt","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1120":["Acetazolamid sodium injectio","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1130":["Inj diclofenac sodium 0.5mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1160":["Digoxin injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1162":["Digoxin immune fab (ovine)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1165":["Phenytoin sodium injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1170":["Hydromorphone injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1180":["Dyphylline injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1190":["Dexrazoxane hcl injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1200":["Diphenhydramine hcl injectio","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1201":["Inj. cetirizine hcl 0.5mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1202":["Miglustat oral 65 mg","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1203":["Inj, cipaglucosidase, 5 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1205":["Chlorothiazide sodium inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1212":["Dimethyl sulfoxide 50% 50 ml","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1230":["Methadone injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1240":["Dimenhydrinate injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1245":["Dipyridamole injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1250":["Inj dobutamine hcl/250 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1260":["Dolasetron mesylate","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1265":["Dopamine injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1267":["Doripenem injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1270":["Injection, doxercalciferol","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1290":["Ecallantide injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1300":["Eculizumab injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1301":["Injection, edaravone, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1302":["Inj, sutimlimab-jome, 10 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1303":["Inj., ravulizumab-cwvz 10 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1304":["Inj tofersen intrathec 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1305":["Inj, evinacumab-dgnb, 5mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1306":["Injection, inclisiran, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1320":["Amitriptyline injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1322":["Elosulfase alfa, injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1323":["Inj, elranatamab-bcmm, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1324":["Enfuvirtide injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1325":["Epoprostenol injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1327":["Eptifibatide injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1330":["Ergonovine maleate injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1335":["Ertapenem injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1364":["Erythro lactobionate /500 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1380":["Estradiol valerate 10 mg inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1410":["Inj estrogen conjugate 25 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1411":["Inj, hemgenix, per tx dose","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1412":["Inj roctavian ml 2x10^13vc g","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1413":["Inj delandistrogene mox rokl","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1426":["Injection, casimersen, 10 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1427":["Inj. viltolarsen","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1428":["Inj, eteplirsen, 10 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1429":["Inj golodirsen 10 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1430":["Ethanolamine oleate 100 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1434":["Inj, focinvez, 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1435":["Injection estrone per 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1436":["Etidronate disodium inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1437":["Inj. fe derisomaltose 10 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1438":["Etanercept injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1439":["Inj ferric carboxymaltos 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1440":["Fecal microbiota jslm 1 ml","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1442":["Inj filgrastim excl biosimil","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1443":["Inj ferric pyrophosphate cit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1444":["Fe pyro cit pow 0.1 mg iron","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1445":["Inj triferic avnu 0.1mg iron","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1447":["Inj tbo filgrastim 1 microg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1448":["Injection, trilaciclib, 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1449":["Inj eflapegrastim-xnst 0.1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1450":["Fluconazole","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1451":["Fomepizole, 15 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1452":["Intraocular fomivirsen na","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1453":["Fosaprepitant injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1454":["Inj fosnetupitant, palonoset","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1455":["Foscarnet sodium injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1456":["Inj, fosaprepitant (teva)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1457":["Gallium nitrate injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1458":["Galsulfase injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1459":["Inj ivig privigen 500 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1460":["Gamma globulin 1 cc inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1551":["Inj cutaquig 100 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1554":["Inj. asceniv","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1555":["Inj cuvitru, 100 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1556":["Inj, imm glob bivigam, 500mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1557":["Gammaplex injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1558":["Inj. xembify, 100 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1559":["Hizentra injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1560":["Gamma globulin > 10 cc inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1561":["Gamunex-c/gammaked","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1562":["Vivaglobin, inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1566":["Immune globulin, powder","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1568":["Octagam injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1569":["Gammagard liquid injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1570":["Ganciclovir sodium injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1571":["Hepagam b im injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1572":["Flebogamma injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1573":["Hepagam b intravenous, inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1574":["Inj, ganciclovir (exela)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1575":["Hyqvia 100mg immuneglobulin","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1576":["Inj, panzyga, 500 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1580":["Garamycin gentamicin inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1595":["Injection glatiramer acetate","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1596":["Inj, glycopyrrolate, 0.1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1599":["Ivig non-lyophilized, nos","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1600":["Gold sodium thiomaleate inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1602":["Golimumab for iv use 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1610":["Glucagon hydrochloride/1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1611":["Inj glucagon hcl, fresenius","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1620":["Gonadorelin hydroch/ 100 mcg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1626":["Granisetron hcl injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1627":["Inj, granisetron, xr, 0.1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1628":["Inj., guselkumab, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1630":["Haloperidol injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1631":["Haloperidol decanoate inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1632":["Inj., brexanolone, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1640":["Hemin, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1642":["Inj heparin sodium per 10 u","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1643":["Inj heparin, pfizer, 1000u","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1644":["Inj heparin sodium per 1000u","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1645":["Dalteparin sodium","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1650":["Inj enoxaparin sodium","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1652":["Fondaparinux sodium","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1655":["Tinzaparin sodium injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1670":["Tetanus immune globulin inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1675":["Histrelin acetate","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1700":["Hydrocortisone acetate inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1710":["Hydrocortisone sodium ph inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1720":["Hydrocortisone sodium succ i","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1726":["Makena, 10 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1729":["Inj hydroxyprogst capoat nos","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1730":["Diazoxide injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1738":["Inj. meloxicam 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1740":["Ibandronate sodium injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1741":["Ibuprofen injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1742":["Ibutilide fumarate injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1743":["Idursulfase injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1744":["Icatibant injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1745":["Infliximab not biosimil 10mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1746":["Inj., ibalizumab-uiyk, 10 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1747":["Inj, spesolimab-sbzo, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1750":["Inj iron dextran","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1756":["Iron sucrose injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1786":["Imuglucerase injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1790":["Droperidol injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1800":["Propranolol injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1805":["Inj, esmolol hcl, 10mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1806":["Inj esmolol hcl wg crit care","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1810":["Droperidol/fentanyl inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1811":["Fiasp for insulin pump use","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1812":["Inj. insulin (fiasp)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1813":["Lyumjev for insulin pump use","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1814":["Inj. insulin (lyumjev)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1815":["Insulin injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1817":["Insulin for insulin pump use","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1823":["Inj. inebilizumab-cdon, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1826":["Interferon beta-1a inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1830":["Interferon beta-1b / .25 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1833":["Injection, isavuconazonium","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1835":["Itraconazole injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1836":["Inj, metronidazole, 10 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1840":["Kanamycin sulfate 500 mg inj","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1850":["Kanamycin sulfate 75 mg inj","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1885":["Ketorolac tromethamine inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1890":["Cephalothin sodium injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1920":["Inj, labetalol hcl, 5mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1921":["Inj labetalol hcl hikma, 5mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1930":["Lanreotide injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1931":["Laronidase injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1932":["Inj, lanreotide, (cipla) 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1939":["Inj, bumetanide, 0.5 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1940":["Furosemide injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1941":["Inj, furoscix, 20 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1943":["Inj., aristada initio, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1944":["Aripiprazole lauroxil 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1945":["Lepirudin","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1950":["Leuprolide acetate /3.75 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1951":["Inj fensolvi 0.25 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1952":["Leuprolide inj, camcevi, 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1953":["Levetiracetam injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1954":["Leuprolide depot cipla 7.5mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1955":["Inj levocarnitine per 1 gm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1956":["Levofloxacin injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1960":["Levorphanol tartrate inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1961":["Inj, lenacapavir, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1980":["Hyoscyamine sulfate inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J1990":["Chlordiazepoxide injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2001":["Lidocaine injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2010":["Lincomycin injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2020":["Linezolid injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2021":["Inj, linezolid (hospira)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2060":["Lorazepam injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2062":["Loxapine for inhalation 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2150":["Mannitol injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2170":["Mecasermin injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2175":["Meperidine hydrochl /100 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2180":["Meperidine/promethazine inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2182":["Injection, mepolizumab, 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2184":["Inj, meropenem (b. braun)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2185":["Meropenem","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2186":["Inj., meropenem, vaborbactam","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2210":["Methylergonovin maleate inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2212":["Methylnaltrexone injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2247":["Inj, micafungin (par pharm)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2248":["Micafungin sodium injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2249":["Inj, remimazolam, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2250":["Inj midazolam hydrochloride","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2251":["Inj midazolam (wg crit care)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2260":["Inj milrinone lactate / 5 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2265":["Minocycline hydrochloride","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2270":["Morphine sulfate injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2272":["Inj, morphine (fresenius)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2274":["Inj morphine pf epid ithc","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2277":["Inj, motixafortide, 0.25 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2278":["Ziconotide injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2280":["Inj, moxifloxacin 100 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2281":["Inj moxifloxacin (fres kabi)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2300":["Inj nalbuphine hydrochloride","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2305":["Inj, nitroglycerin, 5 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2310":["Inj naloxone hydrochloride","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2311":["Inj, naloxone hcl (zimhi)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2315":["Naltrexone, depot form","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2320":["Nandrolone decanoate 50 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2323":["Natalizumab injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2325":["Nesiritide injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2326":["Inj, nusinersen, 0.1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2327":["Inj risankizumab-rzaa 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2329":["Inj ublituximab-xiiy, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2350":["Injection, ocrelizumab, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2353":["Octreotide injection, depot","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2354":["Octreotide inj, non-depot","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2355":["Oprelvekin injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2356":["Inj tezepelumab-ekko, 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2357":["Omalizumab injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2358":["Olanzapine long-acting inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2359":["Inj. olanzapine, 0.5mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2360":["Orphenadrine injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2371":["Inj phenylephrine hcl 20 mcg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2372":["Inj, biorphen, 20 micrograms","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2401":["Chloroprocaine hcl injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2402":["Chloroprocaine (clorotekal)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2403":["Chloroprocaine opht gel, 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2404":["Inj, nicardipine 0.1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2405":["Ondansetron hcl injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2406":["Injection, oritavancin 10 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2407":["Injection, oritavancin","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2410":["Oxymorphone hcl injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2425":["Palifermin injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2426":["Inj, invega sustenna, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2427":["Inj, invega hafyera/trinza","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2430":["Pamidronate disodium /30 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2440":["Papaverin hcl injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2460":["Oxytetracycline injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2469":["Palonosetron hcl","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2501":["Paricalcitol","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2502":["Inj, pasireotide long acting","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2503":["Pegaptanib sodium injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2504":["Pegademase bovine, 25 iu","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2506":["Inj pegfilgrast ex bio 0.5mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2507":["Pegloticase injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2508":["Pegunigalsidase alfa-iwxj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2510":["Penicillin g procaine inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2513":["Pentastarch 10% solution","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2515":["Pentobarbital sodium inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2540":["Penicillin g potassium inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2543":["Piperacillin/tazobactam","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2545":["Pentamidine non-comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2547":["Injection, peramivir","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2550":["Promethazine hcl injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2560":["Phenobarbital sodium inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2561":["Inj, sezaby, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2562":["Plerixafor injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2590":["Oxytocin injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2597":["Inj desmopressin acetate","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2598":["Inj, vasopressin, 1 unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2599":["Inj vasopressin (am reg) 1 u","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2650":["Prednisolone acetate inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2670":["Totazoline hcl injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2675":["Inj progesterone per 50 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2679":["Inj fluphenazine hcl 1.25 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2680":["Fluphenazine decanoate 25 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2690":["Procainamide hcl injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2700":["Oxacillin sodium injeciton","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2704":["Inj, propofol, 10 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2710":["Neostigmine methylslfte inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2720":["Inj protamine sulfate/10 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2724":["Protein c concentrate","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2725":["Inj protirelin per 250 mcg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2730":["Pralidoxime chloride inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2760":["Phentolaine mesylate inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2765":["Metoclopramide hcl injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2770":["Quinupristin/dalfopristin","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2777":["Inj, faricimab-svoa, 0.1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2778":["Ranibizumab injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2779":["Inj, susvimo 0.1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2780":["Ranitidine hydrochloride inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2781":["Inj, pegcetacoplan, 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2782":["Inj avacincapted pegol 0.1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2783":["Rasburicase","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2785":["Regadenoson injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2786":["Injection, reslizumab, 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2787":["Riboflavin 5'phos opth<=3ml","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2788":["Rho d immune globulin 50 mcg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2790":["Rho d immune globulin inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2791":["Rhophylac injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2792":["Rho(d) immune globulin h, sd","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2793":["Rilonacept injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2794":["Inj risperdal consta, 0.5 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2795":["Ropivacaine hcl injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2796":["Romiplostim injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2797":["Inj., rolapitant, 0.5 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2798":["Inj., perseris, 0.5 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2799":["Inj, uzedy, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2800":["Methocarbamol injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2801":["Inj, rykindo, 0.5 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2805":["Sincalide injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2806":["Inj sincalide, maia, 5 mcg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2810":["Inj theophylline per 40 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2820":["Sargramostim injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2840":["Inj sebelipase alfa 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2850":["Inj secretin synthetic human","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2860":["Injection, siltuximab","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2910":["Aurothioglucose injeciton","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2916":["Na ferric gluconate complex","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2919":["Inj, methylpred sod succ 5mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2920":["Methylprednisolone injection","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2930":["Methylprednisolone injection","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2940":["Somatrem injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2941":["Somatropin injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2950":["Promazine hcl injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2993":["Reteplase injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2995":["Inj streptokinase /250000 iu","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2997":["Alteplase recombinant","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J2998":["Inj plasminogen tvmh 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3000":["Streptomycin injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3010":["Fentanyl citrate injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3030":["Sumatriptan succinate / 6 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3031":["Inj., fremanezumab-vfrm 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3032":["Inj. eptinezumab-jjmr 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3055":["Inj talquetamab-tgvs 0.25 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3060":["Inj, taliglucerase alfa 10 u","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3070":["Pentazocine injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3090":["Inj tedizolid phosphate","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3095":["Telavancin injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3101":["Tenecteplase injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3105":["Terbutaline sulfate inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3110":["Teriparatide injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3111":["Inj. romosozumab-aqqg 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3121":["Inj testostero enanthate 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3145":["Testosterone undecanoate 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3230":["Chlorpromazine hcl injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3240":["Thyrotropin injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3241":["Inj. teprotumumab-trbw 10 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3243":["Tigecycline injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3244":["Inj. tigecycline (accord)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3245":["Inj., tildrakizumab, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3246":["Tirofiban hcl","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3250":["Trimethobenzamide hcl inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3260":["Tobramycin sulfate injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3262":["Tocilizumab injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3265":["Injection torsemide 10 mg/ml","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3280":["Thiethylperazine maleate inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3285":["Treprostinil injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3299":["Inj xipere 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3300":["Triamcinolone a inj prs-free","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3301":["Triamcinolone acet inj nos","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3302":["Triamcinolone diacetate inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3303":["Triamcinolone hexacetonl inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3304":["Inj triamcinolone ace xr 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3305":["Inj trimetrexate glucoronate","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3310":["Perphenazine injeciton","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3315":["Triptorelin pamoate","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3316":["Inj., triptorelin xr 3.75 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3320":["Spectinomycn di-hcl inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3350":["Urea injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3355":["Urofollitropin, 75 iu","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3357":["Ustekinumab sub cu inj, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3358":["Ustekinumab, iv inject, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3360":["Diazepam injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3364":["Urokinase 5000 iu injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3365":["Urokinase 250,000 iu inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3370":["Vancomycin hcl injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3371":["Inj, vancomycin hcl (mylan)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3372":["Inj, vancomycin hcl (xellia)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3380":["Inj vedolizumab iv 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3385":["Velaglucerase alfa","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3396":["Verteporfin injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3397":["Inj., vestronidase alfa-vjbk","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3398":["Inj luxturna 1 billion vec g","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3399":["Inj onase abepar-xioi treat","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3400":["Triflupromazine hcl inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3401":["Vyjuvek 5x10^9pfu/ml, 0.1 ml","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3410":["Hydroxyzine hcl injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3411":["Thiamine hcl 100 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3415":["Pyridoxine hcl 100 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3420":["Vitamin b12 injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3424":["Inj, hydroxocobalamin iv 10g","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3425":["Hydroxocobalamin im 10mcg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3430":["Vitamin k phytonadione inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3465":["Injection, voriconazole","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3470":["Hyaluronidase injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3471":["Ovine, up to 999 usp units","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3472":["Ovine, 1000 usp units","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3473":["Hyaluronidase recombinant","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3475":["Inj magnesium sulfate","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3480":["Inj potassium chloride","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3485":["Zidovudine","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3486":["Ziprasidone mesylate","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3489":["Zoledronic acid 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3490":["Drugs unclassified injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3520":["Edetate disodium per 150 mg","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3530":["Nasal vaccine inhalation","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3535":["Metered dose inhaler drug","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3570":["Laetrile amygdalin vit b17","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3590":["Unclassified biologics","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J3591":["Esrd on dialysi drug/bio noc","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7030":["Normal saline solution infus","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7040":["Normal saline solution infus","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7042":["5% dextrose/normal saline","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7050":["Normal saline solution infus","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7060":["5% dextrose/water","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7070":["D5w infusion","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7100":["Dextran 40 infusion","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7110":["Dextran 75 infusion","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7120":["Ringers lactate infusion","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7121":["5% dextrose in lac ringers","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7131":["Hypertonic saline sol","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7165":["Inj, human-lans, per i.u","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7168":["Prothrombin complex kcentra","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7169":["Inj andexxa, 10 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7170":["Inj., emicizumab-kxwh 0.5 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7175":["Inj, factor x, (human), 1iu","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7177":["Inj., fibryga, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7178":["Inj human fibrinogen con nos","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7179":["Vonvendi inj 1 iu vwf:rco","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7180":["Factor xiii anti-hem factor","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7181":["Factor xiii recomb a-subunit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7182":["Factor viii recomb novoeight","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7183":["Wilate injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7185":["Xyntha inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7186":["Antihemophilic viii/vwf comp","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7187":["Humate-p, inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7188":["Factor viii recomb obizur","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7189":["Factor viia recomb novoseven","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7190":["Factor viii","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7191":["Factor viii (porcine)","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7192":["Factor viii recombinant nos","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7193":["Factor ix non-recombinant","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7194":["Factor ix complex","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7195":["Factor ix recombinant nos","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7196":["Antithrombin recombinant","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7197":["Antithrombin iii injection","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7198":["Anti-inhibitor","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7199":["Hemophilia clot factor noc","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7200":["Factor ix recombinan rixubis","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7201":["Factor ix alprolix recomb","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7202":["Factor ix idelvion inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7203":["Factor ix recomb gly rebinyn","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7204":["Inj recombin esperoct per iu","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7205":["Factor viii fc fusion recomb","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7207":["Factor viii pegylated recomb","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7208":["Inj. jivi 1 iu","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7209":["Factor viii nuwiq recomb 1iu","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7210":["Inj, afstyla, 1 i.u.","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7211":["Inj, kovaltry, 1 i.u.","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7212":["Factor viia recomb sevenfact","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7213":["Inj, ixinity, 1 i.u.","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7214":["Altuviiio per factor viii iu","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7294":["Seg acet and eth estr yearly","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7295":["Eth estr and eton monthly","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7296":["Kyleena, 19.5 mg","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7297":["Liletta, 52 mg","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7298":["Mirena, 52 mg","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7300":["Intraut copper contraceptive","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7301":["Skyla, 13.5 mg","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7304":["Contraceptive hormone patch","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7306":["Levonorgestrel implant sys","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7307":["Etonogestrel implant system","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7308":["Aminolevulinic acid hcl top","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7309":["Methyl aminolevulinate, top","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7310":["Ganciclovir long act implant","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7311":["Inj., retisert, 0.01 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7312":["Dexamethasone intra implant","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7313":["Inj., iluvien, 0.01 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7314":["Inj., yutiq, 0.01 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7315":["Ophthalmic mitomycin","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7316":["Inj, ocriplasmin, 0.125 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7318":["Inj, durolane 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7320":["Genvisc 850, inj, 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7321":["Hyalgan supartz visco-3 dose","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7322":["Hymovis injection 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7323":["Euflexxa inj per dose","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7324":["Orthovisc inj per dose","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7325":["Synvisc or synvisc-one","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7326":["Gel-one","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7327":["Monovisc inj per dose","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7328":["Gelsyn-3 injection 0.1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7329":["Inj, trivisc 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7330":["Cultured chondrocytes implnt","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7331":["Synojoynt, inj., 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7332":["Inj., triluron, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7336":["Capsaicin 8% patch","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7340":["Carbidopa levodopa ent 100ml","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7342":["Ciprofloxacin otic susp 6 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7345":["Aminolevulinic acid, 10% gel","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7351":["Inj bimatoprost itc imp1mcg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7352":["Afamelanotide implant, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7353":["Anacaulase-bcdb 8.8% gel 1 g","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7354":["Cantharidin top, applicator","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7402":["Mometasone sinus sinuva","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7500":["Azathioprine oral 50mg","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7501":["Azathioprine parenteral","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7502":["Cyclosporine oral 100 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7503":["Tacrol envarsus ex rel oral","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7504":["Lymphocyte immune globulin","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7505":["Monoclonal antibodies","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7507":["Tacrolimus imme rel oral 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7508":["Tacrol astagraf ex rel oral","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7509":["Methylprednisolone oral","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7510":["Prednisolone oral per 5 mg","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7511":["Antithymocyte globuln rabbit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7512":["Prednisone ir or dr oral 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7513":["Daclizumab, parenteral","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7515":["Cyclosporine oral 25 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7516":["Inj, cyclosporine, 250mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7517":["Mycophenolate mofetil oral","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7518":["Mycophenolic acid","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7519":["Inj. mycophenolate mofetil","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7520":["Sirolimus, oral","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7525":["Tacrolimus injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7527":["Oral everolimus","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7599":["Immunosuppressive drug noc","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7604":["Acetylcysteine comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7605":["Arformoterol non-comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7606":["Formoterol fumarate, inh","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7607":["Levalbuterol comp con","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7608":["Acetylcysteine non-comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7609":["Albuterol comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7610":["Albuterol comp con","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7611":["Albuterol non-comp con","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7612":["Levalbuterol non-comp con","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7613":["Albuterol non-comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7614":["Levalbuterol non-comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7615":["Levalbuterol comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7620":["Albuterol ipratrop non-comp","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7622":["Beclomethasone comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7624":["Betamethasone comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7626":["Budesonide non-comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7627":["Budesonide comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7628":["Bitolterol mesylate comp con","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7629":["Bitolterol mesylate comp unt","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7631":["Cromolyn sodium noncomp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7632":["Cromolyn sodium comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7633":["Budesonide non-comp con","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7634":["Budesonide comp con","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7635":["Atropine comp con","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7636":["Atropine comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7637":["Dexamethasone comp con","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7638":["Dexamethasone comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7639":["Dornase alfa non-comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7640":["Formoterol comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7641":["Flunisolide comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7642":["Glycopyrrolate comp con","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7643":["Glycopyrrolate comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7644":["Ipratropium bromide non-comp","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7645":["Ipratropium bromide comp","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7647":["Isoetharine comp con","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7648":["Isoetharine non-comp con","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7649":["Isoetharine non-comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7650":["Isoetharine comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7657":["Isoproterenol comp con","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7658":["Isoproterenol non-comp con","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7659":["Isoproterenol non-comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7660":["Isoproterenol comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7665":["Mannitol for inhaler","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7667":["Metaproterenol comp con","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7668":["Metaproterenol non-comp con","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7669":["Metaproterenol non-comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7670":["Metaproterenol comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7674":["Methacholine chloride, neb","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7676":["Pentamidine comp unit dose","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7677":["Revefenacin inh non-com 1mcg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7680":["Terbutaline sulf comp con","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7681":["Terbutaline sulf comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7682":["Tobramycin non-comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7683":["Triamcinolone comp con","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7684":["Triamcinolone comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7685":["Tobramycin comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7686":["Treprostinil, non-comp unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7699":["Inhalation solution for dme","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7799":["Non-inhalation drug for dme","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J7999":["Compounded drug, noc","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J8498":["Antiemetic rectal/supp nos","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J8499":["Oral prescrip drug non chemo","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"J8501":["Oral aprepitant","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J8510":["Oral busulfan","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J8515":["Cabergoline, oral 0.25mg","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"J8520":["Capecitabine, oral, 150 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J8521":["Capecitabine, oral, 500 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J8530":["Cyclophosphamide oral 25 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J8540":["Oral dexamethasone","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J8560":["Etoposide oral 50 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J8562":["Oral fludarabine phosphate","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J8565":["Gefitinib oral","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"J8597":["Antiemetic drug oral nos","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J8600":["Melphalan oral 2 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J8610":["Methotrexate oral 2.5 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J8650":["Nabilone oral","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J8655":["Oral netupitant, palonosetro","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J8670":["Rolapitant, oral, 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J8700":["Temozolomide","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J8705":["Topotecan oral","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J8999":["Oral prescription drug chemo","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9000":["Doxorubicin hcl injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9015":["Aldesleukin injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9017":["Arsenic trioxide injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9019":["Erwinaze injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9020":["Asparaginase, nos","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9021":["Inj, aspara, rylaze, 0.1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9022":["Inj, atezolizumab,10 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9023":["Injection, avelumab, 10 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9025":["Azacitidine injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9027":["Clofarabine injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9029":["Inj, adstiladrin, per tx dos","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9030":["Bcg live intravesical 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9032":["Injection, belinostat, 10mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9033":["Inj., treanda 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9034":["Inj., bendeka 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9035":["Bevacizumab injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9036":["Inj. belrapzo/bendamustine","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9037":["Inj belantamab mafodot blmf","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9039":["Injection, blinatumomab","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9040":["Bleomycin sulfate injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9041":["Injection, bortezomib, 0.1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9042":["Brentuximab vedotin inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9043":["Cabazitaxel injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9045":["Carboplatin injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9046":["Inj, bortezomib, dr. reddy's","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9047":["Injection, carfilzomib, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9048":["Inj, bortezomib freseniuskab","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9049":["Inj, bortezomib, hospira","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9050":["Carmustine injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9051":["Inj, bortezomib (maia)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9052":["Inj, carmustine (accord)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9055":["Cetuximab injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9056":["Inj, bendamustine, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9057":["Inj., copanlisib, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9058":["Inj apotex/bendamustine 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9059":["Inj bendamustine, baxter 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9060":["Cisplatin 10 mg injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9061":["Inj, amivantamab-vmjw","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9063":["Inj, elahere, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9064":["Inj, cabazitaxel (sandoz)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9065":["Inj cladribine per 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9070":["Cyclophosphamide 100 mg inj","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9071":["Inj cyclophosphamd auromedic","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9072":["Inj cyclophos dr.reddy's 5mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9073":["Inj cyclophosphamd (ingenus)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9074":["Inj, cyclophosphamd, sandoz","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9075":["Inj, cyclophosphamide, nos","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9098":["Cytarabine liposome inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9100":["Cytarabine hcl 100 mg inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9118":["Inj. calaspargase pegol-mknl","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9119":["Inj., cemiplimab-rwlc, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9120":["Dactinomycin injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9130":["Dacarbazine 100 mg inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9144":["Daratumumab, hyaluronidase","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9145":["Injection, daratumumab 10 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9150":["Daunorubicin injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9151":["Daunorubicin citrate inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9153":["Inj daunorubicin, cytarabine","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9155":["Degarelix injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9165":["Diethylstilbestrol injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9171":["Docetaxel injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9172":["Docetaxel (ingenus), 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9173":["Inj., durvalumab, 10 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9175":["Elliotts b solution per ml","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9176":["Injection, elotuzumab, 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9177":["Inj enfort vedo-ejfv 0.25mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9178":["Inj, epirubicin hcl, 2 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9179":["Eribulin mesylate injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9181":["Etoposide injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9185":["Fludarabine phosphate inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9190":["Fluorouracil injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9196":["Inj gemcitabine hcl (accord)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9198":["Inj. infugem, 100 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9200":["Floxuridine injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9201":["In gemcitabine hcl nos 200mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9202":["Goserelin acetate implant","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9203":["Gemtuzumab ozogamicin 0.1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9204":["Inj mogamulizumab-kpkc, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9205":["Inj irinotecan liposome 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9206":["Irinotecan injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9207":["Ixabepilone injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9208":["Ifosfamide injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9209":["Mesna injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9210":["Inj., emapalumab-lzsg, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9211":["Idarubicin hcl injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9212":["Interferon alfacon-1 inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9213":["Interferon alfa-2a inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9214":["Interferon alfa-2b inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9215":["Interferon alfa-n3 inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9216":["Interferon gamma 1-b inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9217":["Leuprolide acetate suspnsion","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9218":["Leuprolide acetate injeciton","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9219":["Leuprolide acetate implant","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9223":["Inj. lurbinectedin, 0.1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9225":["Vantas implant","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9226":["Supprelin la implant","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9227":["Inj. isatuximab-irfc 10 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9228":["Ipilimumab injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9229":["Inj inotuzumab ozogam 0.1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9230":["Mechlorethamine hcl inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9245":["Inj melpha hydroch nos 50 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9246":["Inj., evomela, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9247":["Inj, melphalan flufenami 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9248":["Inj melphalan (delcath) 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9249":["Inj, melphalan (apotex) 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9250":["Methotrexate sodium inj","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9255":["Inj, methotrexate (accord)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9258":["Paclitaxel (teva)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9259":["Paclitaxel (american regent)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9260":["Inj methotrexate sodium 50mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9261":["Nelarabine injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9262":["Inj, omacetaxine mep, 0.01mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9263":["Oxaliplatin","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9264":["Paclitaxel protein bound","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9266":["Pegaspargase injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9267":["Paclitaxel injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9268":["Pentostatin injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9269":["Inj. tagraxofusp-erzs 10 mcg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9270":["Plicamycin (mithramycin) inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9271":["Inj pembrolizumab","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9272":["Inj, dostarlimab-gxly, 10 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9273":["Inj tisotu vedotin-tftv, 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9274":["Inj, tebentafusp-tebn, 1 mcg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9280":["Mitomycin injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9281":["Mitomycin instillation","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9285":["Inj, olaratumab, 10 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9286":["Inj glofitamab gxbm, 2.5 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9293":["Mitoxantrone hydrochl / 5 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9294":["Inj pemetrexed, hospira 10mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9295":["Injection, necitumumab, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9296":["Inj pemetrexed (accord) 10mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9297":["Inj pemetrexed (sandoz) 10mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9298":["Inj nivol relatlimab 3mg/1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9299":["Injection, nivolumab","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9301":["Obinutuzumab inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9302":["Ofatumumab injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9303":["Panitumumab injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9304":["Inj. pemetrexed, 10 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9305":["Inj. pemetrexed nos 10mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9306":["Injection, pertuzumab, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9307":["Pralatrexate injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9308":["Injection, ramucirumab","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9309":["Inj, polatuzumab vedotin 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9311":["Inj rituximab, hyaluronidase","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9312":["Inj., rituximab, 10 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9313":["Inj., lumoxiti, 0.01 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9314":["Inj pemetrexed (teva) 10mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9316":["Pertuzu, trastuzu, 10 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9317":["Sacituzumab govitecan-hziy","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9318":["Inj romidepsin non-lyo 0.1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9319":["Inj romidepsin lyophil 0.1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9320":["Streptozocin injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9321":["Inj epcoritamab-bysp 0.16 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9322":["Inj pemetrexed (bluepoint)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9323":["Inj pemetrexed ditromethamin","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9324":["Inj, pemrydi rtu, 10 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9325":["Inj talimogene laherparepvec","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9328":["Temozolomide injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9330":["Temsirolimus injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9331":["Inj sirolimus prot part 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9332":["Inj efgartigimod 2mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9333":["Inj ronzanolixizum-noli 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9334":["Inj efgart-alfa 2mg hya-qvfc","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9340":["Thiotepa injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9345":["Inj, retifanlimab-dlwr, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9347":["Inj, tremelimumab-actl, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9348":["Inj. naxitamab-gqgk, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9349":["Inj., tafasitamab-cxix","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9350":["Inj mosunetuzumab-axgb, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9351":["Topotecan injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9352":["Injection trabectedin 0.1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9353":["Inj. margetuximab-cmkb, 5 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9354":["Inj, ado-trastuzumab emt 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9355":["Inj trastuzumab excl biosimi","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9356":["Inj. herceptin hylecta, 10mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9357":["Valrubicin injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9358":["Inj fam-trastu deru-nxki 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9359":["Inj lon tesirin-lpyl 0.075mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9360":["Vinblastine sulfate inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9370":["Vincristine sulfate 1 mg inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9371":["Inj, vincristine sul lip 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9376":["Inj pozelimab-bbfg, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9380":["Inj teclistamab cqyv 0.5 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9381":["Inj teplizumab mzwv 5 mcg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9390":["Vinorelbine tartrate inj","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9393":["Inj, fulvestrant (teva)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9394":["Inj, fulvestrant (fresenius)","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9395":["Injection, fulvestrant","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9400":["Inj, ziv-aflibercept, 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9600":["Porfimer sodium injection","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"J9999":["Chemotherapy drug","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"M0001":["Advancing cancer care mvp","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M0002":["Opt care kidney hlth mvp","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M0003":["Opt care episod neuro mvp","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M0004":["Support care neur cond mvp","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M0005":["Value in primary care mvp","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M0010":["Eom meos payment","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"M0075":["Cellular therapy","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"M0076":["Prolotherapy","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"M0100":["Intragastric hypothermia","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"M0201":["Pne flu hepb cov home admin","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"M0220":["Tixagev and cilgav inj","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"M0221":["Tixagev and cilgav inj hm","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"M0222":["Bebtelovimab injection","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"M0223":["Bebtelovimab injection home","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"M0240":["Casiri and imdev repeat","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"M0241":["Casiri and imdev repeat hm","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"M0243":["Casirivi and imdevi inj","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"M0244":["Casirivi and imdevi inj hm","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"M0245":["Bamlan and etesev infusion","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"M0246":["Bamlan and etesev infus home","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"M0247":["Sotrovimab infusion","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"M0248":["Sotrovimab inf, home admin","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"M0249":["Adm tocilizu covid-19 1st","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"M0250":["Adm tocilizu covid-19 2nd","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"M0300":["Iv chelationtherapy","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"M0301":["Fabric wrapping of aneurysm","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1003":["Tb scr 12 mo pri fst bio dz","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1004":["Doc med rsn no srn tb","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1005":["Tb scr no perf","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1006":["Dz not ases, no rsn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1007":[">=50% total pt outpt ra enct","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1008":["<50% total pt outpt ra encts","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1009":["Dc eoc doc med rec","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1010":["Dc eoc doc med rec","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1011":["Dc eoc doc med rec","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1012":["Dc eoc doc med rec","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1013":["Dc eoc doc med rec","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1014":["Dc epi care doc medrec","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1016":["Pt dx meop or sur steri","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1018":["Pt dx hst cr pt sk lg cr scr","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1019":["Adl pt mj dep ds rs 12 phq<5","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1020":["Adl pt mj dep ds no rs 12 mo","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1021":["Pt uc in pp","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1027":["Img head (ct or mri) obtnd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1028":["Doc of pt prm hda dx and otr","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1029":["Doc sysm rsn img hd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1032":["Adt tkng pharmthry for oud","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1034":["Adt 180 dys pharmthry oud","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1035":["Adt pd out mat pr 180 dys tx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1036":["Adt no 180 dys pharmthry oud","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1037":["Pt dx lum sp reg cacr","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1038":["Pt dx lum sp reg fract","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1039":["Pt dx lum sp reg inf","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1040":["Pt dx lum idi or cong scol","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1041":["Pt cr ft inf lm or pt id sl","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1043":["Fs no odi 9-15mo","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1045":["Fs oks 9-15mo >= 37 >= 71","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1046":["Fs oks 9-15mo < 37 < 71","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1049":["Fs wth scr no odi pre and p","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1051":["Pt w/cancer scoliosis","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1052":["Lg pn not meas w/ vas 1yr po","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1054":["Pt uc in pp","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1055":["Aspirin used","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1056":["Presc antico med in pp","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1057":["Aspirin not used, no rsn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1058":["Pt prm nurs hm res in pp","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1059":["Pt no prm nurs hm res in pp","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1060":["Pt died in pp","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1067":["Hspc pt prv time meam per","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1068":["Pt not ambulatory","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1069":["Pt scr ft fall rsk","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1070":["Pt not scrn fut fall no rsn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1106":["Start eoc doc med rec","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1107":["Docu dx degen neuro","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1108":["Oc ni pt home prog","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1109":["Oc ni pt dc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1110":["Oc not p pt selfdc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1111":["Start eoc doc med rec","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1112":["Docu dx degen neuro","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1113":["Oc ni pt home prog","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1114":["Oc ni pt dc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1115":["Oc ni pt selfdc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1116":["Start eoc doc med rec","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1117":["Docu dx degen neuro","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1118":["Oc ni pt home prog","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1119":["Oc ni pt dc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1120":["Oc ni pt selfdc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1121":["Start eoc doc med rec","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1122":["Docu dx degen neuro","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1123":["Oc ni pt home prog","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1124":["Oc ni pt dc 1-2 vis","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1125":["Oc ni pt selfdc 1-2 vis","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1126":["Start eoc doc med rec","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1127":["Docu dx degen neuro","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1128":["Oc ni pt home prog","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1129":["Oc ni pt dc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1130":["Oc ni pt selfdc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1131":["Docu dx degen neuro","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1132":["Oc ni pt home prog","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1133":["Oc ni pt dc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1134":["Oc ni pt selfdc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1135":["Start eoc doc med rec","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1141":["Fs no oks","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1142":["Emerge cases","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1143":["Ni rehab med chiro","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1146":["Ongoing care not ind","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1147":["Care not poss med rsn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1148":["Pt self dschg","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1149":["No neck fs prom incap","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1150":["Lvef <=40% or mod/sev l vsf","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1151":["Pt w/ hx trnsplt or lvad","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1152":["Pt w/ hx trnsplt or lvad","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1153":["Pt w/ dx osteo doe","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1154":["Hospc serv dur meas pd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1155":["Pt anphx due to pneum","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1159":["Hospc serv dur meas pd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1160":["Pt anphx due to mengb bef 13","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1161":["Pt anphx due to dtp bef 13","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1162":["Pt enceph due to dtp bef 13","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1163":["Pt anphx due to hpv bef 13","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1164":["Pt w/ dementia any time","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1165":["Pt use hspc dur meas pd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1166":["Path rpt tis spec wle/reexc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1167":["Hspc dur meas pd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1168":["Pt recd flu vax 7/1-6/30","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1169":["Doc med rsn no flu vax","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1170":["Pt w/o flu vax 7/1-6/30","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1171":["Pt recd 1 td/tdap 9yrs prior","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1172":["Doc med rsn no td/tdap","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1173":["Pt no rec td/tdap 9yrs prior","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1174":["Pt w 2 hzv on/aft 50","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1175":["Doc med rsn no hzv","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1176":["Pt w/o hzv on/aft age 50","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1177":["Pt recd pcv on/aft 60","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1178":["Doc med rsn no pcv","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1179":["No pcv recd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1180":["Pt imm ckpt inhib therapy","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1181":["Gr 2 or> dia or gr2 or> col","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1182":["Not elg pre ex ibd/uc/crohn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1183":["Doc imm ckpt inhib hld","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1184":["Doc med rsn no cst/ist rx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1185":["Imm ckpt inhib not hld no rx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1186":["Pt w/ rx for hspc/plltv care","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1187":["Pt w/ esrd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1188":["Pt w/ ckd stg 5","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1189":["Doc khe pef w/efgr/uacr","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1190":["Doc khe not pef w/efgr/uacr","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1191":["Hspc svc any time in meas pd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1192":["Pt w/ dx sq cell ca of esoph","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1193":["Rpts w/ imp/con mmr/msi","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1194":["Med rsn no imp/con mmr/msi","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1195":["Rpt wo imp/con mmr/msi","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1196":["Ixv nrs vrs iqa >=4","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1197":["Isa reduced >=3 fr ixv","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1198":["Isa not red 3pts /no assess","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1199":["Pt rec'g rrt","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1200":["Ace-i/arb rx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1201":["Med rsn no ace-i/arb rx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1202":["Pt rsn no ace-i/arb rx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1203":["No rsn ace-i/arb rx","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1204":["Ixv nrs vrs iqa >=4","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1205":["Isa reduced >=3","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1206":["Isa not red 3pts/no assess","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1207":["Pt scrn sdoh","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1208":["Pt no scrn sdoh","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1209":[">=2 same hi-rsk med w/o diag","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1210":[">=2 same meds tbl4 not ord","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1211":["Hemoglobin a1c level >9.0%","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1212":["Missing hb a1c level","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1213":["No hx spiro prs spiro>=70%","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1214":["Spiro results wth obs doc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1215":["Med rsn for no doc spiro","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1216":["No spiro doc no res doc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1217":["Sys rsn no doc spiro","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1218":["Pt copd symptoms","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1219":["Anphx due to vax","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1220":["Dre wth interp rtnopthy","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1221":["Dre w/o rtnopthy","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1222":["Glaucoma pln of care not doc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1223":["Glaucoma plan of care doc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1224":["Iop dec <20% from base","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1225":["Iop dec>=20% from base","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1226":["Iop not doc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1227":["Eb therapy prescribed","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1228":["Pt + hcv aby +vir w/ rx 3 mo","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1229":["Pt w/ +hcv +vir ref win 1 mo","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1230":["Pt hcv rctv aby no f/u tst","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1231":["Pt hcv tst no reactive res","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1232":["Pt hcv tst reactive result","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1233":["Pt no hcv aby or result","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1234":["Pt hcv rctv aby f/u neg","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1235":["Doc pt hcv aby rna tst","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1236":["Baseline mrs > 2","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1237":["Pt rsn no scrn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1238":["Doc 2nd recom hzv 2-6 mo int","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1239":["Pt no resp heard","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1240":["Pt no resp best int","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1241":["Pt no resp seen as person","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1242":["Pt no resp imprt to me","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1243":["Pt othr thn true heard","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1244":["Pt othr thn true best int","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1245":["Pt othr thn true person","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1246":["Pt othr thn true imprt to me","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1247":["Pt resp true best int","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1248":["Pt resp true seen as person","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1249":["Pt resp true imprt to me","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1250":["Pt resp true heard","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1251":["Pts proxy cmplt hu surv","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1252":["Pts no cmplt hu survey","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1253":["Pts hu surv no amb plltv","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1254":["Pts deceased prior hu surv","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1255":["Pts w/ othr rsn vst,+prg tst","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1256":["Prior history of known cvd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1257":["Cvd risk assess not perf","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1258":["Cvd risk assess perf","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1259":["Pt kid transplt wtlst lv don","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1260":["Pt no kd trnsplt wtlst lv do","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1261":["Pts on wtlist bef dialysis","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1262":["Pts transplt bef dialysis","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1263":["Pts hosp dialysis dt","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1264":["Pts 75+ dialysis dt","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1265":["Cms 2728 completed","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1266":["Pts admit snf","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1267":["Pt no act kid transplt wtlst","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1268":["Pt ac stat kid trnsplt wtlst","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1269":["Rec'd esrd mcp lst day of mo","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1270":["Pts no kid transplt wtlst","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1271":["Pts dem any time/dur mo","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1272":["Pts kid transplt wtlst","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1273":["Pts snf 1 yr dialysis","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1274":["Pts snf exl mo","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1275":["Pts hosp exl","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1276":["Calc bmi out nrm param nof/u","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1277":["Colorectal ca screen doc rev","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1278":["Pre-htn or htn doc, f/u indc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1279":["Pre-htn/htn, no f/u, not gvn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1280":["Bilat mast/hx bi /unilat mas","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1281":["Bp scrn no perf at interval","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1282":["Pt scrn tbco id as non user","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1283":["Pt scrn tbco and id as user","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1284":["Pt 66+ snp or ltc pos > 90d","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1285":["Scrn mam perf rslts not doc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1286":["Bmi doc onl fup not cmpltd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1287":["Calc bmi blw low param f/u","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1288":["Doc rsn no hbp scrn or f/u","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1289":["No pt tbco cess interv rng","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1290":["Pt not eli d/t act dig htn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1291":["Pt 66+ frailty and med dem","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1292":["Pt 66+ frail inpt adv ill","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1293":["Calc bmi abv up param f/u","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1294":["Bp scrn perf rec interval","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1295":["Pt hx tot col or colon ca","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1296":["Calc bmi norm parameters","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1297":["Bmi not doc medrsn ptref","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1298":["Doc pt preg dur msrmt pd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1299":["Flu immunize order/admin","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1300":["Flu imm no admin doc rea","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1301":["Pt recv tbco cess interv","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1302":["Scrn mam perf rslts doc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1303":["Hospc serv dur meas pd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1304":["No pneum vax admin 19+","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1305":["Pneum vax admin 19+","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1306":["Pt anphx due to pneum","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1307":["Doc pt pal or hospice","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1308":["Flu immunize no admin","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1309":["Pall serv during meas","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1310":["Pt scr tob & cess int","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1311":["Aphlx to vax bef enc","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1312":["No pt tbco scrn rng","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1313":["No tob scr/cess int","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1314":["Bmi not calculated","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1315":["Crc no doc no rsn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1316":["Tobacco non-user","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1317":["Pts counsl cpt opt out","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1318":["Pts no csp doc contact","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1319":["Pts csp doc contact","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1320":["Pts scrn + hrsn","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1321":["Pts no 7wk inj,no iop,iop>25","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1322":["Pts 7wk inj, scrn iop =<25","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1323":["Pts 7wk inj, scrn iop >25","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1324":["Pts intravitreal/pci","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1325":["Doc med rsn not seen","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1326":["Pts dx hypotony","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1327":["Pts no eval ini xm no 8 wks","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1328":["Pts dx acute vitreous hem","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1329":["Pts act pvd 2 wks 8 wks","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1330":["Doc pts rsn no f/u xm","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1331":["Pts eval ini xm 8 wks","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1332":["Pts no eval ini xm no 2 wks","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1333":["Acute vitreous hemorrhage","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1334":["Pts act pvd 2 wks 2 wks","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1335":["Doc pts rsn no f/u xm","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1336":["Pts eval ini xm 2 wks","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1337":["Acute pvd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1338":["Pt f/u 30-180 dys no + imprv","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1339":["Pts f/u 30-180 dys + improv","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1340":["Indx whodas 2.0 or sds","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1341":["Pt no f/u 30-180 dys","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1342":["Pts died perf per","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1343":["Pt pam lvl 4 base or srt lin","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1344":["Pts no bsln or 2nd pam score","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1345":["Pt bsln pam, 2nd scr 6-12 mo","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1346":["Pts no pam 6 pts 6-12 mo","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1347":["Pt pam incr 3 pt 6-12 mo","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1348":["Pt pam incr 6 pt 6-12 mo","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1349":["Pt no pam 3 pts 6-12 mo","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1350":["Pt w/ suic saf pln init rev","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1351":["Pt cmplt suicd saf pln 120dy","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1352":["Suicd c-ssrs assessment, equ","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1353":["Pts no cmplt suicd saf pln","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1354":["Pt no suicd saf pln 120dy","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1355":["Suicd based cln eval","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1356":["Pt died dur meas pd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1357":["Pt w/red suic idea 120 days","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1358":["Pts no <suicd idea 120 dys","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1359":["Indx suicd idea, no 0 scr","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1360":["Suicd c-ssrs assessment","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1361":["Suicd based cln eval","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1362":["Pt died dur meas pd","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1363":["Pts no f/u 120 dys","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1364":["Ascvd risk >=20pct","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1365":["Hosp+pall care spec code 17","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1366":["Focus on women's health mvp","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1367":["Qual care ent disorder mvp","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1368":["Prev trt inf d/o hiv/hep mvp","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1369":["Qualcare mental hlth/sud mvp","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"M1370":["Rehab support msk care mvp","M",0.0,0.0,0.0,0.0,0.0,0.0,""],"P2028":["Cephalin floculation test","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P2029":["Congo red blood test","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P2031":["Hair analysis","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"P2033":["Blood thymol turbidity","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P2038":["Blood mucoprotein","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P3000":["Screen pap by tech w md supv","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P3001":["Screening pap smear by phys","A",0.26,0.45,0.45,0.01,0.72,0.72,""],"P7001":["Culture bacterial urine","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9010":["Whole blood for transfusion","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9011":["Blood split unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9012":["Cryoprecipitate each unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9016":["Rbc leukocytes reduced","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9017":["Plasma 1 donor frz w/in 8 hr","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9019":["Platelets, each unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9020":["Plaelet rich plasma unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9021":["Red blood cells unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9022":["Washed red blood cells unit","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9023":["Frozen plasma, pooled, sd","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9025":["Plasma cryo redu path each","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9026":["Cryo fib comp path redu each","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9031":["Platelets leukocytes reduced","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9032":["Platelets, irradiated","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9033":["Platelets leukoreduced irrad","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9034":["Platelets, pheresis","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9035":["Platelet pheres leukoreduced","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9036":["Platelet pheresis irradiated","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9037":["Plate pheres leukoredu irrad","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9038":["Rbc irradiated","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9039":["Rbc deglycerolized","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9040":["Rbc leukoreduced irradiated","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9041":["Albumin (human),5%, 50ml","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9043":["Plasma protein fract,5%,50ml","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9044":["Cryoprecipitatereducedplasma","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9045":["Albumin (human), 5%, 250 ml","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9046":["Albumin (human), 25%, 20 ml","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9047":["Albumin (human), 25%, 50ml","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9048":["Plasmaprotein fract,5%,250ml","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9050":["Granulocytes, pheresis unit","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9051":["Blood, l/r, cmv-neg","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9052":["Platelets, hla-m, l/r, unit","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9053":["Plt, pher, l/r cmv-neg, irr","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9054":["Blood, l/r, froz/degly/wash","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9055":["Plt, aph/pher, l/r, cmv-neg","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9056":["Blood, l/r, irradiated","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9057":["Rbc, frz/deg/wsh, l/r, irrad","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9058":["Rbc, l/r, cmv-neg, irrad","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9059":["Plasma, frz between 8-24hour","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9060":["Fr frz plasma donor retested","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9070":["Pathogen reduced plasma pool","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9071":["Pathogen reduced plasma sing","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9073":["Platelets pheresis path redu","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9099":["Blood component/product noc","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9100":["Pathogen test for platelets","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9603":["One-way allow prorated miles","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9604":["One-way allow prorated trip","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9612":["Catheterize for urine spec","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"P9615":["Urine specimen collect mult","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0035":["Cardiokymography","A",0.17,0.34,0.34,0.02,0.53,0.53,""],"Q0081":["Infusion ther other than che","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0083":["Chemo by other than infusion","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0084":["Chemotherapy by infusion","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0085":["Chemo by both infusion and o","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0091":["Obtaining screen pap smear","A",0.37,0.94,0.15,0.02,1.33,0.54,""],"Q0092":["Set up port xray equipment","A",0.0,0.77,0.77,0.01,0.78,0.78,""],"Q0111":["Wet mounts/ w preparations","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0112":["Potassium hydroxide preps","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0113":["Pinworm examinations","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0114":["Fern test","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0115":["Post-coital mucous exam","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0138":["Ferumoxytol, non-esrd","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0139":["Ferumoxytol, esrd use","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0144":["Azithromycin dihydrate, oral","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0161":["Chlorpromazine hcl 5mg oral","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0162":["Ondansetron oral","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0163":["Diphenhydramine hcl 50mg","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0164":["Prochlorperazine maleate 5mg","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0166":["Granisetron hcl 1 mg oral","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0167":["Dronabinol 2.5mg oral","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0169":["Promethazine hcl 12.5mg oral","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0173":["Trimethobenzamide hcl 250mg","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0174":["Thiethylperazine maleate10mg","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0175":["Perphenazine 4mg oral","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0177":["Hydroxyzine pamoate 25mg","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0180":["Dolasetron mesylate oral","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0181":["Unspecified oral anti-emetic","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0220":["Tixagev and cilgav, 300mg","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0221":["Tixagev and cilgav, 600mg","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0222":["Bebtelovimab 175 mg","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0240":["Casirivi and imdevi 600 mg","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0243":["Casirivimab and imdevimab","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0244":["Casirivi and imdevi 1200 mg","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0245":["Bamlanivimab and etesevima","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0247":["Sotrovimab","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0249":["Tocilizumab for covid-19","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0477":["Pwr module pt cable lvad rpl","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0478":["Power adapter, combo vad","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0479":["Power module combo vad, rep","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q0480":["Driver pneumatic vad, 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matrix","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4125":["Arthroflex","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4126":["Memoderm/derma/tranz/integup","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4127":["Talymed","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4128":["Flexhd/allopatchhd/sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4130":["Strattice tm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4132":["Grafix core, grafixpl core","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4133":["Grafix stravix prime pl sqcm","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4134":["Hmatrix","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4135":["Mediskin","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4136":["Ezderm","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4137":["Amnioexcel biodexcel 1sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4138":["Biodfence dryflex, 1cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4139":["Amnio or biodmatrix, inj 1cc","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4140":["Biodfence 1cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4141":["Alloskin ac, 1 cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4142":["Xcm biologic tiss matrix 1cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4143":["Repriza, 1cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4145":["Epifix, inj, 1mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4146":["Tensix, 1cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4147":["Architect ecm px fx 1 sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4148":["Neox neox rt or clarix cord","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4149":["Excellagen, 0.1 cc","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4150":["Allowrap ds or dry 1 sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4151":["Amnioband, guardian 1 sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4152":["Dermapure 1 square cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4153":["Dermavest, plurivest sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4154":["Biovance 1 square cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4155":["Neoxflo or clarixflo 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4156":["Neox 100 or clarix 100","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4157":["Revitalon 1 square cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4158":["Kerecis omega3, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4159":["Affinity1 square cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4160":["Nushield 1 square cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4161":["Bio-connekt per square cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4162":["Wndex flw, bioskn flw, 0.5cc","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4163":["Woundex, bioskin, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4164":["Helicoll, per square cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4165":["Keramatrix, kerasorb sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4166":["Cytal, per square centimeter","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4167":["Truskin, per sq centimeter","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4168":["Amnioband, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4169":["Artacent wound, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4170":["Cygnus, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4171":["Interfyl, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4173":["Palingen or palingen xplus","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4174":["Palingen or promatrx","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4175":["Miroderm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4176":["Neopatch or therion, 1 sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4177":["Floweramnioflo, 0.1 cc","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4178":["Floweramniopatch, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4179":["Flowerderm, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4180":["Revita, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4181":["Amnio wound, per square cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4182":["Transcyte, per sq centimeter","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4183":["Surgigraft, 1 sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4184":["Cellesta or duo per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4185":["Cellesta flowab amnion 0.5cc","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4186":["Epifix 1 sq cm","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4187":["Epicord 1 sq cm","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4188":["Amnioarmor 1 sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4189":["Artacent ac, 1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4190":["Artacent ac 1 sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4191":["Restorigin 1 sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4192":["Restorigin, 1 cc","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4193":["Coll-e-derm 1 sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4194":["Novachor 1 sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4195":["Puraply 1 sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4196":["Puraply am 1 sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4197":["Puraply xt 1 sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4198":["Genesis amnio membrane 1sqcm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4199":["Cygnus matrix, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4200":["Skin te 1 sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4201":["Matrion 1 sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4202":["Keroxx (2.5g/cc), 1cc","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4203":["Derma-gide, 1 sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4204":["Xwrap 1 sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4205":["Membrane graft or wrap sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4206":["Fluid flow or fluid gf 1 cc","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4208":["Novafix per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4209":["Surgraft per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4210":["Axolotl graf dualgraf sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4211":["Amnion bio or axobio sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4212":["Allogen, per cc","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4213":["Ascent, 0.5 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4214":["Cellesta cord per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4215":["Axolotl ambient, cryo 0.1 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4216":["Artacent cord per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4217":["Woundfix biowound plus xplus","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4218":["Surgicord per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4219":["Surgigraft dual per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4220":["Bellacell hd, surederm sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4221":["Amniowrap2 per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4222":["Progenamatrix, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4224":["Hhf10-p per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4225":["Amnio or derma tl, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4226":["Myown harv prep proc sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4227":["Amniocore per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4229":["Cogenex amnio memb per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4230":["Cogenex flow amnion 0.5 cc","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4231":["Corplex p, per cc","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4232":["Corplex, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4233":["Surfactor /nudyn per 0.5 cc","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4234":["Xcellerate, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4235":["Amniorepair or altiply sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4236":["Carepatch per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4237":["Cryo-cord, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4238":["Derm-maxx, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4239":["Amnio-maxx or lite per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4240":["Corecyte topical only 0.5 cc","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4241":["Polycyte, topical only 0.5cc","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4242":["Amniocyte plus, per 0.5 cc","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4244":["Procenta, per 200 mg","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4245":["Amniotext, per cc","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4246":["Coretext or protext, per cc","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4247":["Amniotext patch, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4248":["Dermacyte amn mem allo sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4249":["Amniply, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4250":["Amnioamp-mp per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4251":["Vim, per square centimeter","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4252":["Vendaje, per square centimet","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4253":["Zenith amniotic membrane psc","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4254":["Novafix dl per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4255":["Reguard, topical use per sq","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4256":["Mlg complet, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4257":["Relese, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4258":["Enverse, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4259":["Celera per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4260":["Signature apatch, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4261":["Tag, per square centimeter","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4262":["Dual layer impax, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4263":["Surgraft tl, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4264":["Cocoon membrane, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4265":["Neostim tl per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4266":["Neostim per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4267":["Neostim dl per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4268":["Surgraft ft per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4269":["Surgraft xt per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4270":["Complete sl per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4271":["Complete ft per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4272":["Esano a, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4273":["Esano aaa, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4274":["Esano ac, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4275":["Esano aca, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4276":["Orion, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4277":["Woundplus e-grat, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4278":["Epieffect, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4279":["Vendaje ac, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4280":["Xcell amnio matrix per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4281":["Barrera slor dl per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4282":["Cygnus dual per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4283":["Biovance tri or 3l, sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4284":["Dermabind sl, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4285":["Nudyn dl or dl mesh pr sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4286":["Nudyn sl or slw, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4287":["Dermabind dl, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4288":["Dermabind ch, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4289":["Revoshield+ amnio, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4290":["Membrane wrap hydr per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4291":["Lamellas xt, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4292":["Lamellas, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4293":["Acesso dl, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4294":["Amnio quad-core, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4295":["Amnio tri-core, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4296":["Rebound matrix, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4297":["Emerge matrix, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4298":["Amnicore pro, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4299":["Amnicore pro+, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4300":["Acesso tl, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4301":["Activate matrix, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4302":["Complete aca, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4303":["Complete aa, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4304":["Grafix plus, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4305":["Amer am ac tri-lay per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4306":["Americ amnion ac per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4307":["American amnion, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4308":["Sanopellis, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4309":["Via matrix, per sq cm","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q4310":["Procenta, per 100 mg","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q5001":["Hospice or home hlth in home","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q5002":["Hospice/home hlth in asst lv","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q5003":["Hospice in lt/non-skilled nf","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q5004":["Hospice in snf","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q5005":["Hospice, inpatient hospital","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q5006":["Hospice in hospice facility","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q5007":["Hospice in ltch","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q5008":["Hospice in inpatient psych","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q5009":["Hospice/home hlth, place nos","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q5010":["Hospice home care in hospice","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q5101":["Injection, zarxio","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q5103":["Injection, inflectra","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q5104":["Injection, renflexis","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q5105":["Inj retacrit esrd on dialysi","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q5106":["Inj retacrit non-esrd use","E",0.0,0.0,0.0,0.0,0.0,0.0,""],"Q5107":["Inj 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receiver","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S1040":["Cranial remolding orthosis","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S1091":["Stent non-coronary propel","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2053":["Transplantation of small int","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2054":["Transplantation of multivisc","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2055":["Harvesting of donor multivis","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2060":["Lobar lung transplantation","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2061":["Donor lobectomy (lung)","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2065":["Simult panc kidn trans","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2066":["Breast gap flap reconst","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2067":["Breast \"stacked\" diep/gap","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2068":["Breast diep or siea flap","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2070":["Cysto laser tx ureteral calc","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2079":["Lap esophagomyotomy","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2080":["Laup","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2083":["Adjustment gastric band","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2095":["Transcath emboliz microspher","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2102":["Islet cell tissue transplant","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2103":["Adrenal tissue transplant","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2107":["Adoptive immunotherapy","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2112":["Knee arthroscp harv","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2115":["Periacetabular osteotomy","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2117":["Arthroereisis, subtalar","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2118":["Total hip resurfacing","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2120":["Low density lipoprotein(ldl)","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2140":["Cord blood harvesting","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2142":["Cord blood-derived stem-cell","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2150":["Bmt harv/transpl 28d pkg","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2152":["Solid 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surgi","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2325":["Hip core decompression","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2340":["Chemodenervation of abductor","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2341":["Chemodenerv adduct vocal","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2342":["Nasal endoscop po debrid","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2348":["Decompress disc rf lumbar","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2350":["Diskectomy, anterior, with d","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2351":["Diskectomy, anterior, with d","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2400":["Fetal surg congen hernia","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2401":["Fetal surg urin trac obstr","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2402":["Fetal surg cong cyst malf","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2403":["Fetal surg pulmon sequest","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2404":["Fetal surg myelomeningo","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2405":["Fetal surg sacrococ teratoma","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2409":["Fetal surg noc","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2411":["Fetoscop laser ther ttts","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S2900":["Robotic surgical system","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3000":["Bilat dil retinal exam","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3005":["Eval self-assess depression","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3600":["Stat lab","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3601":["Stat lab home/nf","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3620":["Newborn metabolic screening","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3630":["Eosinophil blood count","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3645":["Hiv-1 antibody testing of or","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3650":["Saliva test, hormone level;","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3652":["Saliva test, hormone level;","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3655":["Antisperm antibodies test","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3708":["Gastrointestinal fat absorpt","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3722":["Dose optimization auc - 5fu","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3800":["Genetic testing als","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3840":["Dna analysis ret-oncogene","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3841":["Gene test retinoblastoma","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3842":["Gene test hippel-lindau","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3844":["Dna analysis deafness","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3845":["Gene test alpha-thalassemia","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3846":["Gene test beta-thalassemia","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3849":["Gene test niemann-pick","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3850":["Gene test sickle cell","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3852":["Dna analysis apoe alzheimer","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3853":["Gene test myo musclr dyst","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3854":["Gene profile panel breast","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3861":["Genetic test brugada","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3865":["Comp genet test hyp cardiomy","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3866":["Spec gene test hyp cardiomy","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3870":["Cgh test developmental delay","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3900":["Surface emg","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3902":["Ballistocardiogram","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S3904":["Masters two step","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4005":["Interim labor facility globa","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4011":["Ivf package","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4013":["Compl gift case rate","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4014":["Compl zift case rate","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4015":["Complete ivf nos case rate","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4016":["Frozen ivf case rate","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4017":["Ivf canc a stim case rate","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4018":["F emb trns canc case rate","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4020":["Ivf canc a aspir case rate","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4021":["Ivf canc p aspir case rate","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4022":["Asst oocyte fert case rate","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4023":["Incompl donor egg case rate","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4025":["Donor serv ivf case rate","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4026":["Procure donor sperm","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4027":["Store prev froz embryos","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4028":["Microsurg epi sperm asp","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4030":["Sperm procure init visit","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4031":["Sperm procure subs visit","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4035":["Stimulated iui case rate","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4037":["Cryo embryo transf case rate","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4040":["Monit store cryo embryo 30 d","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4042":["Ovulation mgmt per cycle","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4981":["Insert levonorgestrel ius","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4989":["Contracept iud","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4990":["Nicotine patch legend","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4991":["Nicotine patch nonlegend","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4993":["Contraceptive pills for bc","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S4995":["Smoking cessation gum","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5000":["Prescription drug, generic","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5001":["Prescription drug,brand name","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5010":["5% dextrose and 0.45% saline","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5012":["5% dextrose with potassium","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5013":["5%dextrose/0.45%saline1000ml","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5014":["D5w/0.45ns w kcl and mgs04","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5035":["Hit routine device maint","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5036":["Hit device repair","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5100":["Adult daycare services 15min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5101":["Adult day care per half day","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5102":["Adult day care per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5105":["Centerbased day care perdiem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5108":["Homecare train pt 15 min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5109":["Homecare train pt session","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5110":["Family homecare training 15m","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5111":["Family homecare train/sessio","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5115":["Nonfamily homecare train/15m","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5116":["Nonfamily hc train/session","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5120":["Chore services per 15 min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5121":["Chore services per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5125":["Attendant care service /15m","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5126":["Attendant care service /diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5130":["Homaker service nos per 15m","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5131":["Homemaker service nos /diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5135":["Adult companioncare per 15m","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5136":["Adult companioncare per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5140":["Adult foster care per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5141":["Adult foster care per month","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5145":["Child fostercare th per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5146":["Ther fostercare child /month","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5150":["Unskilled respite care /15m","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5151":["Unskilled respitecare /diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5160":["Emer response sys instal&tst","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5161":["Emer rspns sys serv permonth","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5162":["Emer rspns system purchase","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5165":["Home modifications per serv","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5170":["Homedelivered prepared meal","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5175":["Laundry serv,ext,prof,/order","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5180":["Hh respiratory thrpy in eval","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5181":["Hh respiratory thrpy nos/day","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5185":["Med reminder serv per month","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5190":["Wellness assessment by nonph","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5199":["Personal care item nos each","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5497":["Hit cath care noc","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5498":["Hit simple cath care","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5501":["Hit complex cath care","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5502":["Hit interim cath care","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5517":["Hit declotting kit","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5518":["Hit cath repair kit","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5520":["Hit picc insert kit","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5521":["Hit midline cath insert kit","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5522":["Hit picc insert no supp","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5523":["Hip midline cath insert kit","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5550":["Insulin rapid 5 u","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5551":["Insulin most rapid 5 u","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5552":["Insulin intermed 5 u","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5553":["Insulin long acting 5 u","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5560":["Insulin reuse pen 1.5 ml","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5561":["Insulin reuse pen 3 ml","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5565":["Insulin cartridge 150 u","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5566":["Insulin cartridge 300 u","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5570":["Insulin dispos pen 1.5 ml","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S5571":["Insulin dispos pen 3 ml","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8030":["Tantalum ring application","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8035":["Magnetic source imaging","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8037":["Mrcp","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8040":["Topographic brain mapping","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8042":["Mri low field","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8055":["Us guidance fetal 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noc","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8210":["Mucus trap","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8265":["Haberman feeder","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8270":["Enuresis alarm","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8301":["Infect control supplies nos","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8415":["Supplies for home delivery","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8420":["Custom gradient sleev/glov","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8421":["Ready gradient sleev/glov","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8422":["Custom grad sleeve med","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8423":["Custom grad sleeve heavy","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8424":["Ready gradient sleeve","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8425":["Custom grad glove med","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8426":["Custom grad glove heavy","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8427":["Ready gradient glove","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8428":["Ready gradient gauntlet","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8429":["Gradient pressure wrap","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8430":["Padding for comprssn bdg","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8431":["Compression bandage","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8450":["Splint digit","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8451":["Splint wrist or ankle","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8452":["Splint elbow","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8460":["Camisole post-mast","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8490":["100 insulin syringes","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8930":["Auricular electrostimulation","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8940":["Hippotherapy per session","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8948":["Low-level laser trmt 15 min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8950":["Complex lymphedema therapy,","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8990":["Pt or manip for maint","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S8999":["Resuscitation bag","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9001":["Home uterine monitor with or","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9007":["Ultrafiltration monitor","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9024":["Paranasal sinus ultrasound","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9025":["Omnicardiogram/cardiointegra","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9034":["Eswl for gallstones","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9055":["Procuren or other growth fac","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9056":["Coma stimulation per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9061":["Medical supplies and equipme","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9083":["Urgent care center global","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9088":["Services provided in urgent","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9090":["Vertebral axial decompressio","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9097":["Home visit wound care","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9098":["Home phototherapy visit","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9110":["Telemonitoring/home per mnth","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9117":["Back school visit","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9122":["Home health aide or certifie","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9123":["Nursing care in home rn","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9124":["Nursing care, in the home; b","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9125":["Respite care, in the home, p","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9126":["Hospice care, in the home, p","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9127":["Social work visit, in the ho","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9128":["Speech therapy, in the home,","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9129":["Occupational therapy, in the","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9131":["Pt in the home per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9140":["Diabetic management program,","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9141":["Diabetic management program,","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9145":["Insulin pump initiation","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9150":["Evaluation by ocularist","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9152":["Speech therapy, re-eval","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9208":["Home mgmt preterm labor","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9209":["Home mgmt pprom","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9211":["Home mgmt gest hypertension","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9212":["Hm postpar hyper per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9213":["Hm preeclamp per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9214":["Hm gest dm per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9325":["Hit pain mgmt per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9326":["Hit cont pain per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9327":["Hit int pain per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9328":["Hit pain imp pump diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9329":["Hit chemo per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9330":["Hit cont chem diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9331":["Hit intermit chemo diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9335":["Ht hemodialysis diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9336":["Hit cont anticoag diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9338":["Hit immunotherapy diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9339":["Hit periton dialysis diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9340":["Hit enteral per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9341":["Hit enteral grav diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9342":["Hit enteral pump diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9343":["Hit enteral bolus nurs","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9345":["Hit anti-hemophil diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9346":["Hit alpha-1-proteinas diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9347":["Hit longterm infusion diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9348":["Hit sympathomim diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9349":["Hit tocolysis diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9351":["Hit cont antiemetic diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9353":["Hit cont insulin diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9355":["Hit chelation diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9357":["Hit enzyme replace diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9359":["Hit anti-tnf per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9361":["Hit diuretic infus diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9363":["Hit anti-spasmotic diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9364":["Hit tpn total diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9365":["Hit tpn 1 liter diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9366":["Hit tpn 2 liter diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9367":["Hit tpn 3 liter diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9368":["Hit tpn over 3l diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9370":["Ht inj antiemetic diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9372":["Ht inj anticoag diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9373":["Hit hydra total diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9374":["Hit hydra 1 liter diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9375":["Hit hydra 2 liter diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9376":["Hit hydra 3 liter diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9377":["Hit hydra over 3l diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9379":["Hit noc per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9381":["Hit high risk/escort","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9401":["Anticoag clinic per session","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9430":["Pharmacy comp/disp serv","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9432":["Med food non inborn err meta","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9433":["Medical food oral 100% nutr","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9434":["Mod solid food suppl","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9435":["Medical foods for inborn err","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9436":["Lamaze class","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9437":["Childbirth refresher class","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9438":["Cesarean birth class","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9439":["Vbac class","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9441":["Asthma education","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9442":["Birthing class","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9443":["Lactation class","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9444":["Parenting class","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9445":["Pt education noc individ","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9446":["Pt education noc group","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9447":["Infant safety class","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9449":["Weight mgmt class","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9451":["Exercise class","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9452":["Nutrition class","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9453":["Smoking cessation class","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9454":["Stress mgmt class","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9455":["Diabetic management program,","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9460":["Diabetic management program,","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9465":["Diabetic management program,","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9470":["Nutritional counseling, diet","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9472":["Cardiac rehabilitation progr","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9473":["Pulmonary rehabilitation pro","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9474":["Enterostomal therapy by a re","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9475":["Ambulatory setting substance","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9476":["Vestibular rehab per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9480":["Intensive outpatient psychia","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9482":["Family stabilization 15 min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9484":["Crisis intervention per hour","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9485":["Crisis intervention mental h","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9490":["Hit corticosteroid/diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9494":["Hit antibiotic total diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9497":["Hit antibiotic q3h diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9500":["Hit antibiotic q24h diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9501":["Hit antibiotic q12h diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9502":["Hit antibiotic q8h diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9503":["Hit antibiotic q6h diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9504":["Hit antibiotic q4h diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9529":["Venipuncture home/snf","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9537":["Ht hem horm inj diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9538":["Hit blood products diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9542":["Ht inj noc per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9558":["Ht inj growth horm diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9559":["Hit inj interferon diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9560":["Ht inj hormone diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9562":["Ht inj palivizumab/ab diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9563":["Ht inj immuno diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9590":["Ht irrigation diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9810":["Ht pharm per hour","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9900":["Christian sci pract visit","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9901":["Christian sci nurse visit","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9960":["Air ambulanc nonemerg fixed","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9961":["Air ambulan nonemerg rotary","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9970":["Health club membership yr","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9975":["Transplant related per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9976":["Lodging per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9977":["Meals per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9981":["Med record copy admin","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9982":["Med record copy per page","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9986":["Not medically necessary svc","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9988":["Serv part of phase i trial","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9989":["Services outside us","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9990":["Services provided as part of","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9991":["Services provided as part of","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9992":["Transportation costs to and","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9994":["Lodging costs (e.g. hotel ch","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9996":["Meals for clinical trial par","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"S9999":["Sales tax","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1000":["Private duty/independent nsg","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1001":["Nursing assessment/evaluatn","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1002":["Rn services up to 15 minutes","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1003":["Lpn/lvn services up to 15min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1004":["Nsg aide service up to 15min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1005":["Respite care service 15 min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1006":["Family/couple counseling","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1007":["Treatment plan development","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1009":["Child sitting services","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1010":["Meals when receive services","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1012":["Alcohol/substance abuse skil","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1013":["Sign lang/oral interpreter","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1014":["Telehealth transmit, per min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1015":["Clinic service","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1016":["Case management","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1017":["Targeted case management","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1018":["School-based iep ser bundled","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1019":["Personal care ser per 15 min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1020":["Personal care ser per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1021":["Hh aide or cn aide per visit","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1022":["Contracted services per day","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1023":["Program intake assessment","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1024":["Team evaluation & management","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1025":["Ped compr care pkg, per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1026":["Ped compr care pkg, per hour","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1027":["Family training & counseling","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1028":["Home environment assessment","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1029":["Dwelling lead investigation","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1030":["Rn home care per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1031":["Lpn home care per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1032":["Sv doula brth wrk per 15 min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1033":["Sv doula brth wrk per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1040":["Comm bh clinic svc per diem","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1041":["Comm bh clinic svc per month","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1502":["Medication admin visit","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1503":["Med admin, not oral/inject","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1505":["Elec med comp dev, noc","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T1999":["Noc retail items andsupplies","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2001":["N-et; patient attend/escort","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2002":["N-et; per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2003":["N-et; encounter/trip","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2004":["N-et; commerc carrier pass","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2005":["N-et; stretcher van","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2007":["Non-emer transport wait time","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2010":["Pasrr level i","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2011":["Pasrr level ii","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2012":["Habil ed waiver, per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2013":["Habil ed waiver per hour","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2014":["Habil prevoc waiver, per d","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2015":["Habil prevoc waiver per hr","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2016":["Habil res waiver per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2017":["Habil res waiver 15 min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2018":["Habil sup empl waiver/diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2019":["Habil sup empl waiver 15min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2020":["Day habil waiver per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2021":["Day habil waiver per 15 min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2022":["Case management, per month","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2023":["Targeted case mgmt per month","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2024":["Serv asmnt/care plan waiver","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2025":["Waiver service, nos","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2026":["Special childcare waiver/d","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2027":["Spec childcare waiver 15 min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2028":["Special supply, nos waiver","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2029":["Special med equip, noswaiver","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2030":["Assist living waiver/month","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2031":["Assist living waiver/diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2032":["Res care, nos waiver/month","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2033":["Res, nos waiver per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2034":["Crisis interven waiver/diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2035":["Utility services waiver","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2036":["Camp overnite waiver/session","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2037":["Camp day waiver/session","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2038":["Comm trans waiver/service","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2039":["Vehicle mod waiver/service","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2040":["Financial mgt waiver/15min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2041":["Support broker waiver/15 min","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2042":["Hospice routine home care","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2043":["Hospice continuous home care","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2044":["Hospice respite care","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2045":["Hospice general care","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2046":["Hospice long term care, r&b","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2047":["Hab prevo waiver per 15","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2048":["Bh ltc res r&b, per diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2049":["N-et; stretcher van, mileage","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2050":["Financial mgt waiver/diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2051":["Support broker waiver/diem","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T2101":["Breast milk proc/store/dist","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T4521":["Adult size brief/diaper sm","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"T4522":["Adult size brief/diaper med","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"T4523":["Adult size brief/diaper lg","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"T4524":["Adult size brief/diaper xl","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"T4525":["Adult size pull-on sm","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"T4526":["Adult size pull-on med","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"T4527":["Adult size pull-on lg","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"T4528":["Adult size pull-on xl","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"T4529":["Ped size brief/diaper sm/med","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"T4530":["Ped size brief/diaper lg","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"T4531":["Ped size pull-on sm/med","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"T4532":["Ped size pull-on lg","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"T4533":["Youth size brief/diaper","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"T4534":["Youth size pull-on","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"T4535":["Disposable liner/shield/pad","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"T4536":["Reusable pull-on any size","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"T4537":["Reusable underpad bed size","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"T4538":["Diaper serv reusable diaper","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"T4539":["Reuse diaper/brief any size","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"T4540":["Reusable underpad chair size","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"T4541":["Large disposable underpad","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T4542":["Small disposable underpad","I",0.0,0.0,0.0,0.0,0.0,0.0,""],"T4543":["Adult disp brief/diap abv xl","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"T4544":["Adlt disp und/pull on abv 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4.25-7/>6","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2311":["Lens sphc trifo 7.25-12/.25-","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2312":["Lens sphc trifo 7.25-12/2.25","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2313":["Lens sphc trifo 7.25-12/4.25","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2314":["Lens sphcyl trifocal over 12","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2315":["Lens lenticular trifocal","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2318":["Lens aniseikonic trifocal","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2319":["Lens trifocal seg width > 28","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2320":["Lens trifocal add over 3.25d","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2321":["Lenticular lens, trifocal","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2399":["Lens trifocal speciality","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2410":["Lens variab asphericity sing","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2430":["Lens variable asphericity bi","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2499":["Variable asphericity lens","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2500":["Contact lens pmma spherical","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2501":["Cntct lens pmma-toric/prism","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2502":["Contact lens pmma bifocal","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2503":["Cntct lens pmma color vision","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2510":["Cntct gas permeable sphericl","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2511":["Cntct toric prism ballast","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2512":["Cntct lens gas permbl bifocl","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2513":["Contact lens extended wear","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2520":["Contact lens hydrophilic","P",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2521":["Cntct lens hydrophilic toric","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2522":["Cntct lens hydrophil bifocl","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2523":["Cntct lens hydrophil extend","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2524":["Cntct lens hydrophil photoch","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2525":["Cl, hydrophilic, dual focus","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2526":["Cntct lens blue violet","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2530":["Contact lens gas impermeable","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2531":["Contact lens gas permeable","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2599":["Contact lens/es other type","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2600":["Hand held low vision aids","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2610":["Single lens spectacle mount","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2615":["Telescop/othr compound lens","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2623":["Plastic eye prosth custom","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2624":["Polishing artifical eye","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2625":["Enlargemnt of eye prosthesis","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2626":["Reduction of eye prosthesis","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2627":["Scleral cover shell","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2628":["Fabrication & fitting","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2629":["Prosthetic eye other type","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2630":["Anter chamber intraocul lens","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2631":["Iris support intraoclr lens","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2632":["Post chmbr intraocular lens","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2700":["Balance lens","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2702":["Deluxe lens feature","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2710":["Glass/plastic slab off prism","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2715":["Prism lens/es","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2718":["Fresnell prism press-on lens","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2730":["Special base curve","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2744":["Tint photochromatic lens/es","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2745":["Tint, any color/solid/grad","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2750":["Anti-reflective coating","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2755":["Uv lens/es","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2756":["Eye glass case","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2760":["Scratch resistant coating","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2761":["Mirror coating","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2762":["Polarization, any lens","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2770":["Occluder lens/es","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2780":["Oversize lens/es","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2781":["Progressive lens per lens","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2782":["Lens, 1.54-1.65 p/1.60-1.79g","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2783":["Lens, >= 1.66 p/>=1.80 g","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2784":["Lens polycarb or equal","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2785":["Corneal tissue processing","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2786":["Occupational multifocal lens","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2787":["Astigmatism-correct function","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2788":["Presbyopia-correct function","N",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2790":["Amniotic membrane","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2797":["Vis item/svc in other code","X",0.0,0.0,0.0,0.0,0.0,0.0,""],"V2799":["Misc vision item or 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