|
J3399
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$2,322,044.36
|
$2,322,044.36
|
$2,322,044.36
|
2026-04-01
|
|
Q2042
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$544,416.00
|
$544,416.00
|
$544,416.00
|
2026-04-01
|
|
Q2056
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$478,950.00
|
$478,950.00
|
$478,950.00
|
2026-04-01
|
|
Q2055
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$470,972.65
|
$470,972.65
|
$470,972.65
|
2026-04-01
|
|
Q2054
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$460,643.81
|
$460,643.81
|
$460,643.81
|
2026-04-01
|
|
Q2053
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$436,720.00
|
$436,720.00
|
$436,720.00
|
2026-04-01
|
|
J3403
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$250,000.00
|
$250,000.00
|
$250,000.00
|
2026-04-01
|
|
Q2041
|
HCPCS
|
Description Not Available
|
4
|
2
|
—
|
—
|
$0.95
|
$436,720.00
|
$218,360.48
|
2026-04-01
|
|
33276
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$182,549.20
|
$182,549.20
|
$182,549.20
|
2026-04-01
|
|
C9760
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$111,558.64
|
$111,558.64
|
$111,558.64
|
2026-04-01
|
|
A9543
|
HCPCS
|
Description Not Available
|
4
|
2
|
—
|
—
|
$70,418.21
|
$73,231.25
|
$71,824.73
|
2026-04-01
|
|
C9782
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$70,992.60
|
$70,992.60
|
$70,992.60
|
2026-04-01
|
|
0888T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$70,992.60
|
$70,992.60
|
$70,992.60
|
2026-04-01
|
|
J9029
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$67,776.24
|
$67,776.24
|
$67,776.24
|
2026-04-01
|
|
J7330
|
HCPCS
|
Description Not Available
|
4
|
2
|
—
|
—
|
$53,819.56
|
$75,353.76
|
$64,586.66
|
2026-04-01
|
|
C2616
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$63,212.75
|
$63,212.75
|
$63,212.75
|
2026-04-01
|
|
33270
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$563.58
|
$125,018.21
|
$62,790.90
|
2026-04-01
|
|
0571T
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$543.92
|
$125,018.21
|
$62,781.07
|
2026-04-01
|
|
Q2043
|
HCPCS
|
Description Not Available
|
4
|
2
|
—
|
—
|
$53,981.46
|
$59,141.38
|
$56,561.42
|
2026-04-01
|
|
0915T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$55,110.65
|
$55,110.65
|
$55,110.65
|
2026-04-01
|
|
E0766
|
HCPCS
|
Description Not Available
|
6
|
1
|
—
|
—
|
$276.61
|
$73,306.66
|
$54,980.11
|
2026-04-01
|
|
33287
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$50,855.87
|
$50,855.87
|
$50,855.87
|
2026-04-01
|
|
C9758
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$50,709.58
|
$50,709.58
|
$50,709.58
|
2026-04-01
|
|
0686T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$50,709.58
|
$50,709.58
|
$50,709.58
|
2026-04-01
|
|
33264
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$389.68
|
$97,019.68
|
$48,704.68
|
2026-04-01
|
|
33231
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$389.04
|
$97,019.68
|
$48,704.36
|
2026-04-01
|
|
33263
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$375.34
|
$97,019.68
|
$48,697.51
|
2026-04-01
|
|
33230
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$374.70
|
$97,019.68
|
$48,697.19
|
2026-04-01
|
|
33262
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$361.00
|
$97,019.68
|
$48,690.34
|
2026-04-01
|
|
560
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Cc
|
2
|
1
|
—
|
—
|
$47,588.80
|
$47,588.80
|
$47,588.80
|
2026-04-01
|
|
Q0480
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$47,472.93
|
$47,472.93
|
$47,472.93
|
2026-04-01
|
|
64568
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$600.69
|
$92,508.50
|
$46,554.60
|
2026-04-01
|
|
J9226
|
HCPCS
|
Description Not Available
|
4
|
2
|
—
|
—
|
$43,324.60
|
$48,172.10
|
$45,748.35
|
2026-04-01
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
2
|
1
|
—
|
—
|
$42,829.92
|
$42,829.92
|
$42,829.92
|
2026-04-01
|
|
C9792
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$39,553.92
|
$39,553.92
|
$39,553.92
|
2026-04-01
|
|
0916T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$38,582.76
|
$38,582.76
|
$38,582.76
|
2026-04-01
|
|
0923T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$38,582.76
|
$38,582.76
|
$38,582.76
|
2026-04-01
|
|
61891
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$35,826.76
|
$35,826.76
|
$35,826.76
|
2026-04-01
|
|
0816T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$35,826.76
|
$35,826.76
|
$35,826.76
|
2026-04-01
|
|
0817T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$35,826.76
|
$35,826.76
|
$35,826.76
|
2026-04-01
|
|
33240
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$408.18
|
$69,169.38
|
$34,788.78
|
2026-04-01
|
|
C9780
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$33,469.01
|
$33,469.01
|
$33,469.01
|
2026-04-01
|
|
C7534
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$32,555.26
|
$32,555.26
|
$32,555.26
|
2026-04-01
|
|
C7535
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$32,555.26
|
$32,555.26
|
$32,555.26
|
2026-04-01
|
|
0825T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$31,911.98
|
$31,911.98
|
$31,911.98
|
2026-04-01
|
|
0803T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$31,911.98
|
$31,911.98
|
$31,911.98
|
2026-04-01
|
|
0823T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$31,911.98
|
$31,911.98
|
$31,911.98
|
2026-04-01
|
|
0801T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$31,911.98
|
$31,911.98
|
$31,911.98
|
2026-04-01
|
|
0796T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$31,911.98
|
$31,911.98
|
$31,911.98
|
2026-04-01
|
|
0797T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$31,911.98
|
$31,911.98
|
$31,911.98
|
2026-04-01
|
|
0802T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$31,911.98
|
$31,911.98
|
$31,911.98
|
2026-04-01
|
|
0795T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$31,911.98
|
$31,911.98
|
$31,911.98
|
2026-04-01
|
|
C8003
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$31,610.66
|
$31,610.66
|
$31,610.66
|
2026-04-01
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
2
|
1
|
—
|
—
|
$31,564.00
|
$31,564.00
|
$31,564.00
|
2026-04-01
|
|
C9604
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$31,492.14
|
$31,492.14
|
$31,492.14
|
2026-04-01
|
|
C9600
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$31,492.14
|
$31,492.14
|
$31,492.14
|
2026-04-01
|
|
C9607
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$31,492.14
|
$31,492.14
|
$31,492.14
|
2026-04-01
|
|
C9603
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$31,492.14
|
$31,492.14
|
$31,492.14
|
2026-04-01
|
|
C9608
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$31,492.14
|
$31,492.14
|
$31,492.14
|
2026-04-01
|
|
C9602
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$31,492.14
|
$31,492.14
|
$31,492.14
|
2026-04-01
|
|
C9601
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$31,492.14
|
$31,492.14
|
$31,492.14
|
2026-04-01
|
|
C9606
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$31,492.14
|
$31,492.14
|
$31,492.14
|
2026-04-01
|
|
C9605
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$31,492.14
|
$31,492.14
|
$31,492.14
|
2026-04-01
|
|
C9797
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$30,865.81
|
$30,865.81
|
$30,865.81
|
2026-04-01
|
|
27278
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$30,521.27
|
$30,521.27
|
$30,521.27
|
2026-04-01
|
|
69930
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$966.32
|
$58,089.54
|
$29,527.93
|
2026-04-01
|
|
C7540
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$29,351.88
|
$29,351.88
|
$29,351.88
|
2026-04-01
|
|
0793T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$28,718.20
|
$28,718.20
|
$28,718.20
|
2026-04-01
|
|
33249
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$757.65
|
$56,128.03
|
$28,442.84
|
2026-04-01
|
|
66683
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$28,218.22
|
$28,218.22
|
$28,218.22
|
2026-04-01
|
|
C9773
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$27,612.41
|
$27,612.41
|
$27,612.41
|
2026-04-01
|
|
C9775
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$27,612.41
|
$27,612.41
|
$27,612.41
|
2026-04-01
|
|
C9774
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$27,612.41
|
$27,612.41
|
$27,612.41
|
2026-04-01
|
|
C9767
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$27,612.41
|
$27,612.41
|
$27,612.41
|
2026-04-01
|
|
J9266
|
HCPCS
|
Description Not Available
|
4
|
2
|
—
|
—
|
$23,577.01
|
$30,413.74
|
$26,995.38
|
2026-04-01
|
|
64582
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$828.06
|
$51,676.12
|
$26,252.09
|
2026-04-01
|
|
639
|
MS_DRG
|
Diabetes Without Cc/Mcc
|
4
|
2
|
—
|
—
|
$16,276.55
|
$35,691.60
|
$25,984.07
|
2026-04-01
|
|
33289
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$316.80
|
$50,433.78
|
$25,375.29
|
2026-04-01
|
|
J9600
|
HCPCS
|
Description Not Available
|
4
|
2
|
—
|
—
|
$21,650.00
|
$25,188.84
|
$23,419.42
|
2026-04-01
|
|
61886
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$526.45
|
$46,088.13
|
$23,307.29
|
2026-04-01
|
|
0315U
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$23,084.83
|
$23,084.83
|
$23,084.83
|
2026-04-01
|
|
23474
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$2,081.04
|
$42,846.13
|
$22,463.58
|
2026-04-01
|
|
C9781
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$22,428.34
|
$22,428.34
|
$22,428.34
|
2026-04-01
|
|
55882
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$22,332.67
|
$22,332.67
|
$22,332.67
|
2026-04-01
|
|
55881
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$22,332.67
|
$22,332.67
|
$22,332.67
|
2026-04-01
|
|
64596
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$22,309.52
|
$22,309.52
|
$22,309.52
|
2026-04-01
|
|
0784T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$22,309.52
|
$22,309.52
|
$22,309.52
|
2026-04-01
|
|
0786T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$22,309.52
|
$22,309.52
|
$22,309.52
|
2026-04-01
|
|
33288
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$22,309.52
|
$22,309.52
|
$22,309.52
|
2026-04-01
|
|
L2006
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$22,055.38
|
$22,055.38
|
$22,055.38
|
2026-04-01
|
|
22856
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$1,736.76
|
$41,474.72
|
$21,605.74
|
2026-04-01
|
|
61715
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$21,435.22
|
$21,435.22
|
$21,435.22
|
2026-04-01
|
|
536
|
MS_DRG
|
Fractures Of Hip And Pelvis Without Mcc
|
2
|
1
|
—
|
—
|
$21,414.96
|
$21,414.96
|
$21,414.96
|
2026-04-01
|
|
L7180
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$21,292.86
|
$21,292.86
|
$21,292.86
|
2026-04-01
|
|
L7181
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$21,119.85
|
$21,119.85
|
$21,119.85
|
2026-04-01
|
|
24371
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$2,094.65
|
$38,951.03
|
$20,522.84
|
2026-04-01
|
|
C9757
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$20,456.13
|
$20,456.13
|
$20,456.13
|
2026-04-01
|
|
23473
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$1,925.00
|
$38,951.03
|
$20,438.01
|
2026-04-01
|
|
15013
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$20,413.57
|
$20,413.57
|
$20,413.57
|
2026-04-01
|
|
C8002
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$20,413.57
|
$20,413.57
|
$20,413.57
|
2026-04-01
|
|
24370
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$1,816.83
|
$38,951.03
|
$20,383.93
|
2026-04-01
|
|
37238
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$3,652.51
|
$36,995.01
|
$20,323.76
|
2026-04-01
|
|
0614T
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$776.43
|
$39,603.73
|
$20,190.08
|
2026-04-01
|
|
C7539
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$20,189.41
|
$20,189.41
|
$20,189.41
|
2026-04-01
|
|
77372
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$703.77
|
$39,629.86
|
$20,166.82
|
2026-04-01
|
|
37236
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$2,513.16
|
$36,995.01
|
$19,754.09
|
2026-04-01
|
|
36837
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$9,325.25
|
$29,526.58
|
$19,425.92
|
2026-04-01
|
|
0408T
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$859.20
|
$37,695.53
|
$19,277.37
|
2026-04-01
|
|
C9740
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$19,268.87
|
$19,268.87
|
$19,268.87
|
2026-04-01
|
|
J7310
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$19,200.00
|
$19,200.00
|
$19,200.00
|
2026-04-01
|
|
0520T
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$482.50
|
$37,809.72
|
$19,146.11
|
2026-04-01
|
|
0515T
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$471.71
|
$37,809.72
|
$19,140.72
|
2026-04-01
|
|
0414T
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$382.68
|
$37,695.53
|
$19,039.10
|
2026-04-01
|
|
0409T
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$343.70
|
$37,695.53
|
$19,019.62
|
2026-04-01
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
4
|
2
|
—
|
—
|
$11,023.04
|
$27,000.00
|
$19,011.52
|
2026-04-01
|
|
93656
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$1,074.84
|
$36,400.92
|
$18,737.88
|
2026-04-01
|
|
93654
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$1,074.49
|
$36,400.92
|
$18,737.71
|
2026-04-01
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
4
|
2
|
—
|
—
|
$16,996.00
|
$20,444.11
|
$18,720.06
|
2026-04-01
|
|
93653
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$805.17
|
$36,400.92
|
$18,603.04
|
2026-04-01
|
|
64553
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$167.70
|
$37,008.93
|
$18,588.32
|
2026-04-01
|
|
0620T
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$9,393.39
|
$27,612.41
|
$18,502.90
|
2026-04-01
|
|
C9783
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$18,246.66
|
$18,246.66
|
$18,246.66
|
2026-04-01
|
|
A9604
|
HCPCS
|
Description Not Available
|
4
|
2
|
—
|
—
|
$17,585.51
|
$18,562.49
|
$18,074.00
|
2026-04-01
|
|
36836
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$6,553.14
|
$29,526.58
|
$18,039.86
|
2026-04-01
|
|
58674
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$964.95
|
$34,860.01
|
$17,912.48
|
2026-04-01
|
|
C9901
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$17,895.85
|
$17,895.85
|
$17,895.85
|
2026-04-01
|
|
C7538
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$17,268.43
|
$17,268.43
|
$17,268.43
|
2026-04-01
|
|
C7537
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$17,268.43
|
$17,268.43
|
$17,268.43
|
2026-04-01
|
|
C9766
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$17,262.81
|
$17,262.81
|
$17,262.81
|
2026-04-01
|
|
C9765
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$17,262.81
|
$17,262.81
|
$17,262.81
|
2026-04-01
|
|
C9772
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$17,262.81
|
$17,262.81
|
$17,262.81
|
2026-04-01
|
|
0810T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$17,242.60
|
$17,242.60
|
$17,242.60
|
2026-04-01
|
|
C9785
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$16,858.56
|
$16,858.56
|
$16,858.56
|
2026-04-01
|
|
C7515
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$16,763.45
|
$16,763.45
|
$16,763.45
|
2026-04-01
|
|
C7533
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$16,319.92
|
$16,319.92
|
$16,319.92
|
2026-04-01
|
|
92924
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$820.06
|
$31,118.93
|
$15,969.49
|
2026-04-01
|
|
53865
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$15,894.93
|
$15,894.93
|
$15,894.93
|
2026-04-01
|
|
36906
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$5,978.75
|
$25,409.02
|
$15,693.89
|
2026-04-01
|
|
C7531
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$15,334.69
|
$15,334.69
|
$15,334.69
|
2026-04-01
|
|
G0563
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$15,214.29
|
$15,214.29
|
$15,214.29
|
2026-04-01
|
|
0861T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$15,178.27
|
$15,178.27
|
$15,178.27
|
2026-04-01
|
|
33902
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$723.59
|
$29,526.58
|
$15,125.09
|
2026-04-01
|
|
33864
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$2,625.93
|
$27,309.08
|
$14,967.51
|
2026-04-01
|
|
33229
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$360.65
|
$29,351.88
|
$14,856.26
|
2026-04-01
|
|
33221
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$347.92
|
$29,351.88
|
$14,849.90
|
2026-04-01
|
|
33228
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$346.31
|
$29,351.88
|
$14,849.09
|
2026-04-01
|
|
0922T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$14,763.20
|
$14,763.20
|
$14,763.20
|
2026-04-01
|
|
0921T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$14,763.20
|
$14,763.20
|
$14,763.20
|
2026-04-01
|
|
0919T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$14,763.20
|
$14,763.20
|
$14,763.20
|
2026-04-01
|
|
0920T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$14,763.20
|
$14,763.20
|
$14,763.20
|
2026-04-01
|
|
61885
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$411.07
|
$28,764.76
|
$14,587.91
|
2026-04-01
|
|
L6880
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$14,489.82
|
$14,489.82
|
$14,489.82
|
2026-04-01
|
|
63685
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$392.94
|
$28,399.77
|
$14,396.36
|
2026-04-01
|
|
64590
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$302.47
|
$28,399.77
|
$14,351.12
|
2026-04-01
|
|
0917T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$14,225.58
|
$14,225.58
|
$14,225.58
|
2026-04-01
|
|
0918T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$14,225.58
|
$14,225.58
|
$14,225.58
|
2026-04-01
|
|
445
|
MS_DRG
|
Disorders Of The Biliary Tract With Cc
|
2
|
1
|
—
|
—
|
$14,000.00
|
$14,000.00
|
$14,000.00
|
2026-04-01
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
6
|
3
|
—
|
—
|
$10,772.00
|
$14,272.37
|
$13,785.80
|
2026-04-01
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
4
|
2
|
—
|
—
|
$10,772.00
|
$16,518.36
|
$13,645.18
|
2026-04-01
|
|
33858
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$3,294.81
|
$23,902.11
|
$13,598.46
|
2026-04-01
|
|
0326U
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$13,579.31
|
$13,579.31
|
$13,579.31
|
2026-04-01
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
2
|
1
|
—
|
—
|
$13,579.26
|
$13,579.26
|
$13,579.26
|
2026-04-01
|
|
33227
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$331.97
|
$26,761.62
|
$13,546.79
|
2026-04-01
|
|
27279
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$636.78
|
$26,396.17
|
$13,516.48
|
2026-04-01
|
|
33271
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$473.45
|
$26,551.85
|
$13,512.65
|
2026-04-01
|
|
0572T
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$437.82
|
$26,551.85
|
$13,494.83
|
2026-04-01
|
|
33440
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$3,278.90
|
$23,705.13
|
$13,492.01
|
2026-04-01
|
|
93590
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$1,499.53
|
$25,409.02
|
$13,454.28
|
2026-04-01
|
|
33274
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$470.45
|
$26,392.85
|
$13,431.65
|
2026-04-01
|
|
47383
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$10,157.33
|
$16,615.40
|
$13,386.37
|
2026-04-01
|
|
37227
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$13,355.27
|
$13,355.27
|
$13,355.27
|
2026-04-01
|
|
0234T
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$797.93
|
$25,907.66
|
$13,352.80
|
2026-04-01
|
|
93591
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$1,244.46
|
$25,409.02
|
$13,326.74
|
2026-04-01
|
|
759
|
MS_DRG
|
Infections, Female Reproductive System Without Cc/Mcc
|
2
|
1
|
—
|
—
|
$13,317.90
|
$13,317.90
|
$13,317.90
|
2026-04-01
|
|
0236T
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$677.60
|
$25,907.66
|
$13,292.63
|
2026-04-01
|
|
0238T
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$493.80
|
$25,907.66
|
$13,200.73
|
2026-04-01
|
|
0237T
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$328.67
|
$25,907.66
|
$13,118.17
|
2026-04-01
|
|
33871
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$3,168.68
|
$22,988.00
|
$13,078.34
|
2026-04-01
|
|
92941
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$858.67
|
$24,787.64
|
$12,823.16
|
2026-04-01
|
|
92943
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$858.67
|
$24,787.64
|
$12,823.16
|
2026-04-01
|
|
92933
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$856.91
|
$24,787.64
|
$12,822.27
|
2026-04-01
|
|
92928
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$766.28
|
$24,787.64
|
$12,776.96
|
2026-04-01
|
|
92937
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$765.45
|
$24,787.64
|
$12,776.55
|
2026-04-01
|
|
0505T
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$8,883.11
|
$16,620.11
|
$12,751.61
|
2026-04-01
|
|
33224
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$442.91
|
$24,985.26
|
$12,714.08
|
2026-04-01
|
|
33225
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$392.72
|
$24,985.26
|
$12,688.99
|
2026-04-01
|
|
L5856
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$12,653.46
|
$12,653.46
|
$12,653.46
|
2026-04-01
|
|
58580
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$12,375.74
|
$12,375.74
|
$12,375.74
|
2026-04-01
|
|
37231
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$12,350.14
|
$12,350.14
|
$12,350.14
|
2026-04-01
|
|
0211U
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$1,543.50
|
$22,962.61
|
$12,253.06
|
2026-04-01
|
|
0473U
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$12,221.38
|
$12,221.38
|
$12,221.38
|
2026-04-01
|
|
43281
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$2,134.19
|
$22,226.67
|
$12,180.43
|
2026-04-01
|
|
64584
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$627.25
|
$23,625.46
|
$12,126.35
|
2026-04-01
|
|
C2640
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$11,926.38
|
$11,926.38
|
$11,926.38
|
2026-04-01
|
|
43325
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$1,562.08
|
$22,226.67
|
$11,894.37
|
2026-04-01
|
|
0094U
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$3,184.52
|
$20,592.22
|
$11,888.37
|
2026-04-01
|
|
J1412
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$11,842.65
|
$11,842.65
|
$11,842.65
|
2026-04-01
|
|
47540
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$6,872.04
|
$16,706.02
|
$11,789.03
|
2026-04-01
|
|
27722
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$914.61
|
$22,593.14
|
$11,753.88
|
2026-04-01
|
|
47539
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$6,604.82
|
$16,706.02
|
$11,655.42
|
2026-04-01
|
|
62362
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$404.65
|
$22,874.30
|
$11,639.47
|
2026-04-01
|
|
22551
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$2,060.29
|
$21,168.17
|
$11,614.23
|
2026-04-01
|
|
62361
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$324.50
|
$22,874.30
|
$11,599.40
|
2026-04-01
|
|
69730
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$610.09
|
$22,428.34
|
$11,519.22
|
2026-04-01
|
|
69729
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$595.93
|
$22,428.34
|
$11,512.14
|
2026-04-01
|
|
E0194
|
HCPCS
|
Description Not Available
|
6
|
1
|
—
|
—
|
$2,115.32
|
$15,341.64
|
$11,506.41
|
2026-04-01
|
|
22633
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$2,201.80
|
$20,703.72
|
$11,452.76
|
2026-04-01
|
|
47538
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$6,037.83
|
$16,706.02
|
$11,371.92
|
2026-04-01
|
|
20983
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$7,431.21
|
$15,265.00
|
$11,348.10
|
2026-04-01
|
|
27415
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$1,420.94
|
$21,167.84
|
$11,294.39
|
2026-04-01
|
|
81529
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$3,021.06
|
$19,535.20
|
$11,278.13
|
2026-04-01
|
|
192
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease Without Cc/Mcc
|
6
|
2
|
—
|
—
|
$404.94
|
$13,776.80
|
$11,228.00
|
2026-04-01
|
|
69716
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$528.95
|
$21,646.61
|
$11,087.78
|
2026-04-01
|
|
69719
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$528.95
|
$21,646.61
|
$11,087.78
|
2026-04-01
|
|
91
|
MS_DRG
|
Other Disorders Of Nervous System With Mcc
|
2
|
1
|
—
|
—
|
$11,080.00
|
$11,080.00
|
$11,080.00
|
2026-04-01
|
|
C7529
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$11,061.74
|
$11,061.74
|
$11,061.74
|
2026-04-01
|
|
C7519
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$11,061.74
|
$11,061.74
|
$11,061.74
|
2026-04-01
|
|
C7516
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$11,061.74
|
$11,061.74
|
$11,061.74
|
2026-04-01
|
|
C7526
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$11,061.74
|
$11,061.74
|
$11,061.74
|
2026-04-01
|
|
C7524
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$11,061.74
|
$11,061.74
|
$11,061.74
|
2026-04-01
|
|
C7527
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$11,061.74
|
$11,061.74
|
$11,061.74
|
2026-04-01
|
|
C7528
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$11,061.74
|
$11,061.74
|
$11,061.74
|
2026-04-01
|
|
C7530
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$11,061.74
|
$11,061.74
|
$11,061.74
|
2026-04-01
|
|
C7518
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$11,061.74
|
$11,061.74
|
$11,061.74
|
2026-04-01
|
|
C7520
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$11,061.74
|
$11,061.74
|
$11,061.74
|
2026-04-01
|
|
C7517
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$11,061.74
|
$11,061.74
|
$11,061.74
|
2026-04-01
|
|
C7525
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$11,061.74
|
$11,061.74
|
$11,061.74
|
2026-04-01
|
|
C7522
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$11,061.74
|
$11,061.74
|
$11,061.74
|
2026-04-01
|
|
C7552
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$11,061.74
|
$11,061.74
|
$11,061.74
|
2026-04-01
|
|
C7521
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$11,061.74
|
$11,061.74
|
$11,061.74
|
2026-04-01
|
|
C7553
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$11,061.74
|
$11,061.74
|
$11,061.74
|
2026-04-01
|
|
C7523
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$11,061.74
|
$11,061.74
|
$11,061.74
|
2026-04-01
|
|
36908
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$2,369.05
|
$19,489.06
|
$10,929.06
|
2026-04-01
|
|
36903
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$4,923.17
|
$16,763.45
|
$10,843.31
|
2026-04-01
|
|
22552
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$481.83
|
$21,168.17
|
$10,825.00
|
2026-04-01
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
2
|
1
|
—
|
—
|
$10,772.00
|
$10,772.00
|
$10,772.00
|
2026-04-01
|
|
0629T
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$242.13
|
$21,167.84
|
$10,704.98
|
2026-04-01
|
|
0627T
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$242.13
|
$21,167.84
|
$10,704.98
|
2026-04-01
|
|
27446
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$1,191.65
|
$19,985.74
|
$10,588.69
|
2026-04-01
|
|
0306U
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$10,533.33
|
$10,533.33
|
$10,533.33
|
2026-04-01
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
2
|
1
|
—
|
—
|
$10,522.57
|
$10,522.57
|
$10,522.57
|
2026-04-01
|
|
0497U
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$10,518.53
|
$10,518.53
|
$10,518.53
|
2026-04-01
|
|
C7508
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$10,514.84
|
$10,514.84
|
$10,514.84
|
2026-04-01
|
|
C7507
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$10,514.84
|
$10,514.84
|
$10,514.84
|
2026-04-01
|
|
33208
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$437.40
|
$20,189.41
|
$10,313.40
|
2026-04-01
|
|
33214
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$429.43
|
$20,189.41
|
$10,309.42
|
2026-04-01
|
|
64583
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$744.99
|
$19,738.78
|
$10,241.88
|
2026-04-01
|
|
22206
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$2,267.06
|
$18,214.53
|
$10,240.80
|
2026-04-01
|
|
0884T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$10,232.29
|
$10,232.29
|
$10,232.29
|
2026-04-01
|
|
0885T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$10,232.29
|
$10,232.29
|
$10,232.29
|
2026-04-01
|
|
0886T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$10,232.29
|
$10,232.29
|
$10,232.29
|
2026-04-01
|
|
L5973
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$10,199.61
|
$10,199.61
|
$10,199.61
|
2026-04-01
|
|
Q4244
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$10,197.00
|
$10,197.00
|
$10,197.00
|
2026-04-01
|
|
22207
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$2,237.33
|
$17,976.07
|
$10,106.70
|
2026-04-01
|
|
L8614
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$10,089.43
|
$10,089.43
|
$10,089.43
|
2026-04-01
|
|
L6975
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$10,066.13
|
$10,066.13
|
$10,066.13
|
2026-04-01
|
|
L6970
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$10,012.39
|
$10,012.39
|
$10,012.39
|
2026-04-01
|
|
37225
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$9,883.21
|
$9,883.21
|
$9,883.21
|
2026-04-01
|
|
Q0483
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$9,882.83
|
$9,882.83
|
$9,882.83
|
2026-04-01
|
|
37239
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$1,815.18
|
$17,891.29
|
$9,853.24
|
2026-04-01
|
|
L6965
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$9,850.53
|
$9,850.53
|
$9,850.53
|
2026-04-01
|
|
33391
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$2,184.40
|
$17,434.42
|
$9,809.41
|
2026-04-01
|
|
37229
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$9,806.72
|
$9,806.72
|
$9,806.72
|
2026-04-01
|
|
0913T
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$9,800.34
|
$9,800.34
|
$9,800.34
|
2026-04-01
|
|
L5858
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$9,796.25
|
$9,796.25
|
$9,796.25
|
2026-04-01
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
2
|
1
|
—
|
—
|
$9,783.00
|
$9,783.00
|
$9,783.00
|
2026-04-01
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
2
|
1
|
—
|
—
|
$9,783.00
|
$9,783.00
|
$9,783.00
|
2026-04-01
|
|
0391U
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$9,777.10
|
$9,777.10
|
$9,777.10
|
2026-04-01
|
|
0362U
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$9,777.10
|
$9,777.10
|
$9,777.10
|
2026-04-01
|
|
60699
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$9,767.44
|
$9,767.44
|
$9,767.44
|
2026-04-01
|
|
33859
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$2,363.49
|
$17,138.29
|
$9,750.89
|
2026-04-01
|
|
54410
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$664.43
|
$18,726.50
|
$9,695.47
|
2026-04-01
|
|
53445
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$657.74
|
$18,726.50
|
$9,692.12
|
2026-04-01
|
|
53447
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$620.51
|
$18,726.50
|
$9,673.51
|
2026-04-01
|
|
54405
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$580.56
|
$18,726.50
|
$9,653.53
|
2026-04-01
|
|
54416
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$485.64
|
$18,726.50
|
$9,606.07
|
2026-04-01
|
|
54401
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$477.07
|
$18,726.50
|
$9,601.78
|
2026-04-01
|
|
31243
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$9,590.96
|
$9,590.96
|
$9,590.96
|
2026-04-01
|
|
31242
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$9,590.96
|
$9,590.96
|
$9,590.96
|
2026-04-01
|
|
36482
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$1,878.82
|
$17,301.26
|
$9,590.04
|
2026-04-01
|
|
44300
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$953.60
|
$18,224.74
|
$9,589.17
|
2026-04-01
|
|
33903
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$852.67
|
$18,246.66
|
$9,549.67
|
2026-04-01
|
|
33901
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$748.76
|
$18,246.66
|
$9,497.71
|
2026-04-01
|
|
561
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc
|
2
|
1
|
—
|
—
|
$9,453.64
|
$9,453.64
|
$9,453.64
|
2026-04-01
|
|
64628
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$439.01
|
$18,416.09
|
$9,427.55
|
2026-04-01
|
|
33900
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$569.77
|
$18,246.66
|
$9,408.22
|
2026-04-01
|
|
37183
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$374.88
|
$18,413.82
|
$9,394.35
|
2026-04-01
|
|
36905
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$2,022.08
|
$16,763.45
|
$9,392.76
|
2026-04-01
|
|
0329U
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$9,337.08
|
$9,337.08
|
$9,337.08
|
2026-04-01
|
|
22513
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$7,912.37
|
$10,514.84
|
$9,213.60
|
2026-04-01
|
|
22514
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$7,868.03
|
$10,514.84
|
$9,191.43
|
2026-04-01
|
|
66989
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$916.38
|
$17,242.60
|
$9,079.49
|
2026-04-01
|
|
66991
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$729.75
|
$17,242.60
|
$8,986.17
|
2026-04-01
|
|
L8687
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$8,970.25
|
$8,970.25
|
$8,970.25
|
2026-04-01
|
|
L5969
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$8,958.40
|
$8,958.40
|
$8,958.40
|
2026-04-01
|
|
C2641
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$8,944.79
|
$8,944.79
|
$8,944.79
|
2026-04-01
|
|
69710
|
LOCAL
|
Description Not Available
|
2
|
1
|
—
|
—
|
$8,932.26
|
$8,932.26
|
$8,932.26
|
2026-04-01
|
|
44208
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$2,434.69
|
$15,374.56
|
$8,904.62
|
2026-04-01
|
|
L5859
|
HCPCS
|
Description Not Available
|
2
|
1
|
—
|
—
|
$8,869.71
|
$8,869.71
|
$8,869.71
|
2026-04-01
|
|
33207
|
LOCAL
|
Description Not Available
|
4
|
2
|
—
|
—
|
$432.21
|
$17,268.43
|
$8,850.32
|
2026-04-01
|