|
981
|
LOCAL
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
56
|
13
|
—
|
—
|
$115,873.96
|
$115,873.96
|
$115,873.96
|
2026-03-23
|
|
207
|
LOCAL
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
56
|
13
|
—
|
—
|
$90,258.74
|
$90,258.74
|
$90,258.74
|
2026-03-23
|
|
163
|
LOCAL
|
Major Chest Procedures With Mcc
|
56
|
13
|
—
|
—
|
$83,256.13
|
$83,256.13
|
$83,256.13
|
2026-03-23
|
|
853
|
LOCAL
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
56
|
13
|
—
|
—
|
$79,192.62
|
$79,192.62
|
$79,192.62
|
2026-03-23
|
|
628
|
LOCAL
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
56
|
13
|
—
|
—
|
$72,605.31
|
$72,605.31
|
$72,605.31
|
2026-03-23
|
|
653
|
LOCAL
|
Major Bladder Procedures With Mcc
|
56
|
13
|
—
|
—
|
$72,605.31
|
$72,605.31
|
$72,605.31
|
2026-03-23
|
|
205
|
LOCAL
|
Other Respiratory System Diagnoses With Mcc
|
56
|
13
|
—
|
—
|
$68,495.84
|
$68,495.84
|
$68,495.84
|
2026-03-23
|
|
385
|
LOCAL
|
Inflammatory Bowel Disease With Mcc
|
56
|
13
|
—
|
—
|
$68,442.08
|
$68,442.08
|
$68,442.08
|
2026-03-23
|
|
C0205
|
LOCAL
|
Traumatic Brain Injury M <35.50- Tier Tier 2
|
8
|
4
|
—
|
—
|
$57,546.28
|
$57,546.28
|
$57,546.28
|
2026-03-23
|
|
94
|
LOCAL
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
56
|
13
|
—
|
—
|
$55,947.70
|
$55,947.70
|
$55,947.70
|
2026-03-23
|
|
939
|
LOCAL
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
56
|
13
|
—
|
—
|
$54,043.61
|
$54,043.61
|
$54,043.61
|
2026-03-23
|
|
539
|
LOCAL
|
Osteomyelitis With Mcc*
|
56
|
13
|
—
|
—
|
$45,204.17
|
$58,994.67
|
$52,099.42
|
2026-03-23
|
|
A0106
|
LOCAL
|
Stroke M <41.50 And A <84.50- Tier None
|
8
|
4
|
—
|
—
|
$51,854.53
|
$51,854.53
|
$51,854.53
|
2026-03-23
|
|
D0106
|
LOCAL
|
Stroke M <41.50 And A <84.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$51,796.51
|
$51,796.51
|
$51,796.51
|
2026-03-23
|
|
919
|
LOCAL
|
Complications Of Treatment With Mcc*
|
56
|
13
|
—
|
—
|
$50,954.62
|
$50,954.62
|
$50,954.62
|
2026-03-23
|
|
208
|
LOCAL
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
56
|
13
|
—
|
—
|
$49,785.83
|
$49,785.83
|
$49,785.83
|
2026-03-23
|
|
D0505
|
LOCAL
|
Non-traumatic Spinal Cord Injury M <39.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$48,974.99
|
$48,974.99
|
$48,974.99
|
2026-03-23
|
|
908
|
LOCAL
|
Other O.r. Procedures For Injuries With Cc*
|
56
|
13
|
—
|
—
|
$48,588.99
|
$48,588.99
|
$48,588.99
|
2026-03-23
|
|
C0704
|
LOCAL
|
Fracture Of Lower Extremity M <41.50- Tier Tier 2
|
8
|
4
|
—
|
—
|
$47,777.19
|
$47,777.19
|
$47,777.19
|
2026-03-23
|
|
D1705
|
LOCAL
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$46,258.82
|
$46,258.82
|
$46,258.82
|
2026-03-23
|
|
393
|
LOCAL
|
Other Digestive System Diagnoses With Mcc
|
56
|
13
|
—
|
—
|
$43,133.53
|
$49,153.22
|
$46,143.38
|
2026-03-23
|
|
288
|
LOCAL
|
Acute And Subacute Endocarditis With Mcc
|
56
|
13
|
—
|
—
|
$45,828.68
|
$45,828.68
|
$45,828.68
|
2026-03-23
|
|
A1806
|
LOCAL
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50- Tier None
|
8
|
4
|
—
|
—
|
$45,462.23
|
$45,462.23
|
$45,462.23
|
2026-03-23
|
|
C1704
|
LOCAL
|
Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50…
|
8
|
4
|
—
|
—
|
$45,395.47
|
$45,395.47
|
$45,395.47
|
2026-03-23
|
|
576
|
LOCAL
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
56
|
13
|
—
|
—
|
$44,512.04
|
$44,512.04
|
$44,512.04
|
2026-03-23
|
|
637
|
LOCAL
|
Diabetes With Mcc
|
56
|
13
|
—
|
—
|
$43,652.02
|
$43,652.02
|
$43,652.02
|
2026-03-23
|
|
C1804
|
LOCAL
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50- T…
|
8
|
4
|
—
|
—
|
$42,616.33
|
$42,616.33
|
$42,616.33
|
2026-03-23
|
|
907
|
LOCAL
|
Other O.r. Procedures For Injuries With Mcc*
|
56
|
13
|
—
|
—
|
$40,591.37
|
$40,591.37
|
$40,591.37
|
2026-03-23
|
|
70
|
LOCAL
|
Other Cerebrovascular Disorders With Mcc*
|
56
|
13
|
—
|
—
|
$39,466.46
|
$39,466.46
|
$39,466.46
|
2026-03-23
|
|
D0303
|
LOCAL
|
Non-traumatic Brain Injury M >=42.50 And M <52.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$39,109.65
|
$39,109.65
|
$39,109.65
|
2026-03-23
|
|
A0704
|
LOCAL
|
Fracture Of Lower Extremity M <41.50- Tier None
|
8
|
4
|
—
|
—
|
$38,651.56
|
$38,651.56
|
$38,651.56
|
2026-03-23
|
|
177
|
LOCAL
|
Respiratory Infections And Inflammations With Mcc*
|
56
|
13
|
—
|
—
|
$38,443.88
|
$38,443.88
|
$38,443.88
|
2026-03-23
|
|
D1004
|
LOCAL
|
Amputation Lower Extremity M <47.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$37,531.74
|
$37,531.74
|
$37,531.74
|
2026-03-23
|
|
56
|
LOCAL
|
Degenerative Nervous System Disorders With Mcc
|
56
|
13
|
—
|
—
|
$37,522.87
|
$37,522.87
|
$37,522.87
|
2026-03-23
|
|
559
|
LOCAL
|
Aftercare, Musculoskeletal System And Connective Tissue With Mcc
|
56
|
13
|
—
|
—
|
$37,364.53
|
$37,364.53
|
$37,364.53
|
2026-03-23
|
|
D0604
|
LOCAL
|
Neurological M <43.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$37,034.05
|
$37,034.05
|
$37,034.05
|
2026-03-23
|
|
291
|
LOCAL
|
Heart Failure And Shock With Mcc*
|
56
|
13
|
—
|
—
|
$36,767.34
|
$36,767.34
|
$36,767.34
|
2026-03-23
|
|
565
|
LOCAL
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Cc*
|
56
|
13
|
—
|
—
|
$36,718.75
|
$36,718.75
|
$36,718.75
|
2026-03-23
|
|
D0205
|
LOCAL
|
Traumatic Brain Injury M <35.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$35,465.63
|
$35,465.63
|
$35,465.63
|
2026-03-23
|
|
D0904
|
LOCAL
|
Other Orthopedic M <44.5- Tier Tier 3
|
8
|
4
|
—
|
—
|
$35,291.00
|
$35,291.00
|
$35,291.00
|
2026-03-23
|
|
D0704
|
LOCAL
|
Fracture Of Lower Extremity M <41.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$34,781.26
|
$34,781.26
|
$34,781.26
|
2026-03-23
|
|
189
|
LOCAL
|
Pulmonary Edema And Respiratory Failure
|
56
|
13
|
—
|
—
|
$25,134.28
|
$44,021.35
|
$34,577.82
|
2026-03-23
|
|
901
|
LOCAL
|
Wound Debridements For Injuries With Mcc
|
56
|
13
|
—
|
—
|
$33,842.46
|
$33,842.46
|
$33,842.46
|
2026-03-23
|
|
A0405
|
LOCAL
|
Traumatic Spinal Cord Injury M >=31.50 And M <41.50- Tier None
|
8
|
4
|
—
|
—
|
$33,248.46
|
$33,248.46
|
$33,248.46
|
2026-03-23
|
|
D2005
|
LOCAL
|
Miscellaneous M <46.50 And A <77.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$33,240.87
|
$33,240.87
|
$33,240.87
|
2026-03-23
|
|
949
|
LOCAL
|
Aftercare With Cc/mcc
|
56
|
13
|
—
|
—
|
$33,174.97
|
$33,174.97
|
$33,174.97
|
2026-03-23
|
|
C0902
|
LOCAL
|
Other Orthopedic M >=51.50 And M <63.50- Tier Tier 2
|
8
|
4
|
—
|
—
|
$32,942.18
|
$32,942.18
|
$32,942.18
|
2026-03-23
|
|
560
|
LOCAL
|
Aftercare, Musculoskeletal System And Connective Tissue With Cc
|
56
|
13
|
—
|
—
|
$32,819.66
|
$32,819.66
|
$32,819.66
|
2026-03-23
|
|
C1403
|
LOCAL
|
Cardiac M >=45.50 And M <55.50- Tier Tier 2
|
8
|
4
|
—
|
—
|
$32,670.92
|
$32,670.92
|
$32,670.92
|
2026-03-23
|
|
C2005
|
LOCAL
|
Miscellaneous M <46.50 And A <77.50- Tier Tier 2
|
8
|
4
|
—
|
—
|
$32,524.53
|
$32,524.53
|
$32,524.53
|
2026-03-23
|
|
D0903
|
LOCAL
|
Other Orthopedic M >=44.50 And M <51.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$32,447.57
|
$32,447.57
|
$32,447.57
|
2026-03-23
|
|
C2004
|
LOCAL
|
Miscellaneous M <46.50 And A >=77.50- Tier Tier 2
|
8
|
4
|
—
|
—
|
$31,829.78
|
$31,829.78
|
$31,829.78
|
2026-03-23
|
|
A2005
|
LOCAL
|
Miscellaneous M <46.50 And A <77.50- Tier None
|
8
|
4
|
—
|
—
|
$31,211.35
|
$31,211.35
|
$31,211.35
|
2026-03-23
|
|
A0104
|
LOCAL
|
Stroke M >=41.50 And M <50.50- Tier None
|
8
|
4
|
—
|
—
|
$30,969.87
|
$30,969.87
|
$30,969.87
|
2026-03-23
|
|
D0104
|
LOCAL
|
Stroke M >=41.50 And M <50.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$30,948.19
|
$30,948.19
|
$30,948.19
|
2026-03-23
|
|
D2004
|
LOCAL
|
Miscellaneous M <46.50 And A >=77.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$30,675.82
|
$30,675.82
|
$30,675.82
|
2026-03-23
|
|
C0904
|
LOCAL
|
Other Orthopedic M <44.5- Tier Tier 2
|
8
|
4
|
—
|
—
|
$30,513.02
|
$30,513.02
|
$30,513.02
|
2026-03-23
|
|
C0703
|
LOCAL
|
Fracture Of Lower Extremity M >=41.50 And M <52.50- Tier Tier 2
|
8
|
4
|
—
|
—
|
$30,161.04
|
$30,161.04
|
$30,161.04
|
2026-03-23
|
|
C0603
|
LOCAL
|
Neurological M >=43.50 And M <52.50- Tier Tier 2
|
8
|
4
|
—
|
—
|
$29,544.28
|
$29,544.28
|
$29,544.28
|
2026-03-23
|
|
D0803
|
LOCAL
|
Replacement Of Lower-extremity Joint M >=51.50 And M <57.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$29,351.45
|
$29,351.45
|
$29,351.45
|
2026-03-23
|
|
D0603
|
LOCAL
|
Neurological M >=43.50 And M <52.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$28,871.01
|
$28,871.01
|
$28,871.01
|
2026-03-23
|
|
D2002
|
LOCAL
|
Miscellaneous M >=55.50 And M <66.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$28,801.63
|
$28,801.63
|
$28,801.63
|
2026-03-23
|
|
C0303
|
LOCAL
|
Non-traumatic Brain Injury M >=42.50 And M <52.50- Tier Tier 2
|
8
|
4
|
—
|
—
|
$28,722.58
|
$28,722.58
|
$28,722.58
|
2026-03-23
|
|
699
|
LOCAL
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
56
|
13
|
—
|
—
|
$28,340.85
|
$28,340.85
|
$28,340.85
|
2026-03-23
|
|
D0703
|
LOCAL
|
Fracture Of Lower Extremity M >=41.50 And M <52.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$28,231.04
|
$28,231.04
|
$28,231.04
|
2026-03-23
|
|
A0604
|
LOCAL
|
Neurological M <43.50- Tier None
|
8
|
4
|
—
|
—
|
$27,571.50
|
$27,571.50
|
$27,571.50
|
2026-03-23
|
|
920
|
LOCAL
|
Complications Of Treatment With Cc*
|
56
|
13
|
—
|
—
|
$27,125.90
|
$27,125.90
|
$27,125.90
|
2026-03-23
|
|
862
|
LOCAL
|
Postoperative And Post-traumatic Infections With Mcc
|
56
|
13
|
—
|
—
|
$10,635.23
|
$43,249.95
|
$26,942.59
|
2026-03-23
|
|
314
|
LOCAL
|
Other Circulatory System Diagnoses With Mcc
|
56
|
13
|
—
|
—
|
$10,827.44
|
$41,866.10
|
$26,346.77
|
2026-03-23
|
|
D0302
|
LOCAL
|
Non-traumatic Brain Injury M >=52.50 And M <65.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$26,203.49
|
$26,203.49
|
$26,203.49
|
2026-03-23
|
|
A0302
|
LOCAL
|
Non-traumatic Brain Injury M >=52.50 And M <65.50- Tier None
|
8
|
4
|
—
|
—
|
$25,732.74
|
$25,732.74
|
$25,732.74
|
2026-03-23
|
|
D0902
|
LOCAL
|
Other Orthopedic M >=51.50 And M <63.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$25,420.74
|
$25,420.74
|
$25,420.74
|
2026-03-23
|
|
D2003
|
LOCAL
|
Miscellaneous M >=46.50 And M <55.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$24,287.35
|
$24,287.35
|
$24,287.35
|
2026-03-23
|
|
D0602
|
LOCAL
|
Neurological M >=52.50 And M <64.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$23,159.25
|
$25,316.46
|
$24,237.85
|
2026-03-23
|
|
D0804
|
LOCAL
|
Replacement Of Lower-extremity Joint M >=42.50 And M <51.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$24,042.67
|
$24,042.67
|
$24,042.67
|
2026-03-23
|
|
A0401
|
LOCAL
|
Traumatic Spinal Cord Injury M >=56.50- Tier None
|
8
|
4
|
—
|
—
|
$23,918.87
|
$23,918.87
|
$23,918.87
|
2026-03-23
|
|
C0302
|
LOCAL
|
Non-traumatic Brain Injury M >=52.50 And M <65.50- Tier Tier 2
|
8
|
4
|
—
|
—
|
$23,788.63
|
$23,788.63
|
$23,788.63
|
2026-03-23
|
|
A0804
|
LOCAL
|
Replacement Of Lower-extremity Joint M >=42.50 And M <51.50- Tier None
|
8
|
4
|
—
|
—
|
$23,505.56
|
$23,505.56
|
$23,505.56
|
2026-03-23
|
|
D0103
|
LOCAL
|
Stroke M >=50.50 And M <63.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$23,378.99
|
$23,378.99
|
$23,378.99
|
2026-03-23
|
|
A0103
|
LOCAL
|
Stroke M >=50.50 And M <63.50- Tier None
|
8
|
4
|
—
|
—
|
$23,225.62
|
$23,225.62
|
$23,225.62
|
2026-03-23
|
|
D0203
|
LOCAL
|
Traumatic Brain Injury M >=49.50 And M <61.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$22,848.29
|
$22,848.29
|
$22,848.29
|
2026-03-23
|
|
C1802
|
LOCAL
|
Major Multiple Trauma With Brain Or Spinal Cord Injury M >=55.50 And M <67.50- T…
|
8
|
4
|
—
|
—
|
$22,629.89
|
$22,629.89
|
$22,629.89
|
2026-03-23
|
|
D1402
|
LOCAL
|
Cardiac M >=55.50 And M <68.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$22,336.59
|
$22,336.59
|
$22,336.59
|
2026-03-23
|
|
A2003
|
LOCAL
|
Miscellaneous M >=46.50 And M <55.50- Tier None
|
8
|
4
|
—
|
—
|
$21,663.15
|
$21,663.15
|
$21,663.15
|
2026-03-23
|
|
917
|
LOCAL
|
Poisoning And Toxic Effects Of Drugs With Mcc*
|
56
|
13
|
—
|
—
|
$21,332.78
|
$21,332.78
|
$21,332.78
|
2026-03-23
|
|
A0102
|
LOCAL
|
Stroke M >=63.50 And M <72.50- Tier None
|
8
|
4
|
—
|
—
|
$21,192.28
|
$21,192.28
|
$21,192.28
|
2026-03-23
|
|
A2002
|
LOCAL
|
Miscellaneous M >=55.50 And M <66.50- Tier None
|
8
|
4
|
—
|
—
|
$21,005.13
|
$21,005.13
|
$21,005.13
|
2026-03-23
|
|
D0601
|
LOCAL
|
Neurological M >=64.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$20,024.24
|
$20,024.24
|
$20,024.24
|
2026-03-23
|
|
A0602
|
LOCAL
|
Neurological M >=52.50 And M <64.50- Tier None
|
8
|
4
|
—
|
—
|
$20,017.44
|
$20,017.44
|
$20,017.44
|
2026-03-23
|
|
A0902
|
LOCAL
|
Other Orthopedic M >=51.50 And M <63.50- Tier None
|
8
|
4
|
—
|
—
|
$19,726.01
|
$19,726.01
|
$19,726.01
|
2026-03-23
|
|
D0802
|
LOCAL
|
Replacement Of Lower-extremity Joint M >=57.50 And M <63.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$17,634.22
|
$17,634.22
|
$17,634.22
|
2026-03-23
|
|
D0701
|
LOCAL
|
Fracture Of Lower Extremity M >=61.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$16,590.67
|
$16,590.67
|
$16,590.67
|
2026-03-23
|
|
D0101
|
LOCAL
|
Stroke M >=72.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$15,990.49
|
$15,990.49
|
$15,990.49
|
2026-03-23
|
|
D2001
|
LOCAL
|
Miscellaneous M >=66.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$15,882.75
|
$15,882.75
|
$15,882.75
|
2026-03-23
|
|
200
|
LOCAL
|
Pneumothorax With Cc
|
56
|
13
|
—
|
—
|
$15,139.39
|
$15,139.39
|
$15,139.39
|
2026-03-23
|
|
D1401
|
LOCAL
|
Cardiac M >=68.50- Tier Tier 3
|
8
|
4
|
—
|
—
|
$14,456.46
|
$14,456.46
|
$14,456.46
|
2026-03-23
|
|
371
|
LOCAL
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc*
|
56
|
13
|
—
|
—
|
$8,693.32
|
$8,693.32
|
$8,693.32
|
2026-03-23
|
|
640
|
LOCAL
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
56
|
13
|
—
|
—
|
$8,684.45
|
$8,684.45
|
$8,684.45
|
2026-03-23
|
|
A0904
|
LOCAL
|
Other Orthopedic M <44.5- Tier None
|
8
|
4
|
—
|
—
|
$2,629.51
|
$2,629.51
|
$2,629.51
|
2026-03-23
|
|
200
|
OTHER
|
R&b - Hi Obs Private
|
9
|
6
|
$2,576.00
|
—
|
$2,230.00
|
$2,230.00
|
$2,230.00
|
2026-05-09
|
|
0200
|
RC
|
Intensive Care Unit - General Classification
|
68
|
15
|
—
|
—
|
$1,932.00
|
$2,162.50
|
$2,162.50
|
2026-03-23
|
|
0214
|
RC
|
Coronary Care Unit - Intermediate Ccu
|
12
|
4
|
—
|
—
|
$2,027.00
|
$2,027.00
|
$2,027.00
|
2026-03-23
|
|
206
|
OTHER
|
R&b - Intermediate Private
|
9
|
6
|
$2,060.80
|
—
|
$1,877.00
|
$1,877.00
|
$1,877.00
|
2026-05-09
|
|
0206
|
RC
|
Intensive Care Unit - Intermediate ICU
|
68
|
15
|
—
|
—
|
$1,545.60
|
$1,872.80
|
$1,872.80
|
2026-03-23
|
|
0180
|
RC
|
Leave Of Absence - General Classification
|
50
|
10
|
—
|
—
|
$1,800.00
|
$1,800.00
|
$1,800.00
|
2026-03-23
|
|
0128
|
RC
|
Room & Board - Semi-private (Two Beds) - Rehabilitation
|
16
|
3
|
—
|
—
|
$1,772.50
|
$1,772.50
|
$1,772.50
|
2026-03-23
|
|
0158
|
RC
|
Room & Board - Ward - Rehabilitation
|
16
|
3
|
—
|
—
|
$1,772.50
|
$1,772.50
|
$1,772.50
|
2026-03-23
|
|
0148
|
RC
|
Room & Board - Deluxe Private - Rehabilitation
|
16
|
3
|
—
|
—
|
$1,772.50
|
$1,772.50
|
$1,772.50
|
2026-03-23
|
|
0138
|
RC
|
Room & Board - Three And Four Beds - Rehabilitation
|
16
|
3
|
—
|
—
|
$1,772.50
|
$1,772.50
|
$1,772.50
|
2026-03-23
|
|
0120
|
RC
|
Room & Board - Semi-private (Two Beds) - General Classification
|
68
|
15
|
—
|
—
|
$1,722.50
|
$1,722.50
|
$1,722.50
|
2026-03-23
|
|
0111
|
RC
|
Room & Board - Private (One Bed) - Medical/Surgical/GYN
|
68
|
15
|
—
|
—
|
$1,650.00
|
$1,650.00
|
$1,650.00
|
2026-03-23
|
|
110
|
OTHER
|
R&b - Med/surge Private
|
9
|
6
|
$1,545.60
|
—
|
$1,600.00
|
$1,600.00
|
$1,600.00
|
2026-05-09
|
|
0110
|
RC
|
Room & Board - Private (One Bed) - General Classification
|
68
|
15
|
—
|
—
|
$1,159.20
|
$1,529.60
|
$1,529.60
|
2026-03-23
|
|
0118
|
RC
|
Room & Board - Private (One Bed) - Rehabilitation
|
16
|
3
|
—
|
—
|
$1,500.00
|
$1,700.00
|
$1,500.00
|
2026-03-23
|
|
951
|
LOCAL
|
Other Factors Influencing Health Status
|
56
|
13
|
—
|
—
|
$1,376.31
|
$1,376.31
|
$1,376.31
|
2026-03-23
|
|
0801
|
RC
|
Inpatient Renal Dialysis - Hemodialysis
|
6
|
2
|
—
|
—
|
$600.00
|
$600.00
|
$600.00
|
2026-03-23
|
|
0804
|
RC
|
Inpatient Renal Dialysis - Continuous Cycling Peritoneal Dialysis (ccpd)
|
6
|
2
|
—
|
—
|
$600.00
|
$600.00
|
$600.00
|
2026-03-23
|
|
0807
|
RC
|
Inpatient Renal Dialysis - Observation/Hourly
|
4
|
1
|
—
|
—
|
$600.00
|
$600.00
|
$600.00
|
2026-03-23
|
|
0803
|
RC
|
Inpatient Renal Dialysis - Continuous Ambulatory Peritoneal Dialysis (capd)
|
6
|
2
|
—
|
—
|
$600.00
|
$600.00
|
$600.00
|
2026-03-23
|
|
0800
|
RC
|
Inpatient Renal Dialysis - General Classification
|
6
|
2
|
—
|
—
|
$600.00
|
$600.00
|
$600.00
|
2026-03-23
|
|
0802
|
RC
|
Inpatient Renal Dialysis - Peritoneal Dialysis (non-capd)
|
6
|
2
|
—
|
—
|
$600.00
|
$600.00
|
$600.00
|
2026-03-23
|
|
0805
|
RC
|
Inpatient Renal Dialysis - Treatment
|
4
|
1
|
—
|
—
|
$600.00
|
$600.00
|
$600.00
|
2026-03-23
|
|
0809
|
RC
|
Inpatient Renal Dialysis - Other
|
6
|
2
|
—
|
—
|
$600.00
|
$600.00
|
$600.00
|
2026-03-23
|
|
0808
|
RC
|
Inpatient Renal Dialysis - Other
|
4
|
1
|
—
|
—
|
$600.00
|
$600.00
|
$600.00
|
2026-03-23
|
|
0806
|
RC
|
Inpatient Renal Dialysis - Continuation
|
4
|
1
|
—
|
—
|
$600.00
|
$600.00
|
$600.00
|
2026-03-23
|
|
97163
|
HCPCS
|
Pt Eval High Complex 45 Min
|
62
|
14
|
—
|
—
|
$150.00
|
$150.00
|
$150.00
|
2026-03-23
|
|
97162
|
HCPCS
|
Pt Eval Mod Complex 30 Min
|
62
|
14
|
—
|
—
|
$150.00
|
$150.00
|
$150.00
|
2026-03-23
|
|
97166
|
HCPCS
|
Ot Eval Mod Complex 45 Min
|
62
|
14
|
—
|
—
|
$150.00
|
$150.00
|
$150.00
|
2026-03-23
|
|
92521
|
HCPCS
|
Evaluation Of Speech Fluency
|
4
|
2
|
—
|
—
|
$150.00
|
$150.00
|
$150.00
|
2026-03-23
|
|
92522
|
HCPCS
|
Evaluate Speech Production
|
58
|
13
|
—
|
—
|
$150.00
|
$150.00
|
$150.00
|
2026-03-23
|
|
92524
|
HCPCS
|
Behavral Qualit Analys Voice
|
58
|
13
|
—
|
—
|
$150.00
|
$150.00
|
$150.00
|
2026-03-23
|
|
97165
|
HCPCS
|
Ot Eval Low Complex 30 Min
|
62
|
14
|
—
|
—
|
$150.00
|
$150.00
|
$150.00
|
2026-03-23
|
|
97161
|
HCPCS
|
Pt Eval Low Complex 20 Min
|
62
|
14
|
—
|
—
|
$150.00
|
$150.00
|
$150.00
|
2026-03-23
|
|
0424
|
RC
|
Physical Therapy - Evaluation Or Re-evaluation
|
62
|
14
|
—
|
—
|
$150.00
|
$150.00
|
$150.00
|
2026-03-23
|
|
0444
|
RC
|
Speech Therapy - Language Pathology - Evaluation Or Reevaluation
|
38
|
9
|
—
|
—
|
$150.00
|
$150.00
|
$150.00
|
2026-03-23
|
|
0434
|
RC
|
Occupational Therapy - Evaluation Or Reevaluation
|
62
|
14
|
—
|
—
|
$150.00
|
$150.00
|
$150.00
|
2026-03-23
|
|
97168
|
HCPCS
|
Ot Re-eval Est Plan Care
|
58
|
13
|
—
|
—
|
$150.00
|
$150.00
|
$150.00
|
2026-03-23
|
|
97164
|
HCPCS
|
Pt Re-eval Est Plan Care
|
62
|
14
|
—
|
—
|
$150.00
|
$150.00
|
$150.00
|
2026-03-23
|
|
96105
|
HCPCS
|
Assessment Of Aphasia
|
58
|
13
|
—
|
—
|
$150.00
|
$150.00
|
$150.00
|
2026-03-23
|
|
92523
|
HCPCS
|
Speech Sound Lang Comprehen
|
62
|
14
|
—
|
—
|
$150.00
|
$150.00
|
$150.00
|
2026-03-23
|
|
97167
|
HCPCS
|
Ot Eval High Complex 60 Min
|
58
|
13
|
—
|
—
|
$150.00
|
$150.00
|
$150.00
|
2026-03-23
|
|
94010
|
HCPCS
|
Breathing Capacity Test
|
2
|
1
|
—
|
—
|
$140.00
|
$140.00
|
$140.00
|
2026-03-23
|
|
94660
|
HCPCS
|
Pos Airway Pressure Cpap
|
2
|
1
|
—
|
—
|
$140.00
|
$140.00
|
$140.00
|
2026-03-23
|
|
94060
|
HCPCS
|
Evaluation Of Wheezing
|
2
|
1
|
—
|
—
|
$140.00
|
$140.00
|
$140.00
|
2026-03-23
|
|
0410
|
RC
|
Respiratory Services - General Classification
|
2
|
1
|
—
|
—
|
$140.00
|
$140.00
|
$140.00
|
2026-03-23
|
|
0412
|
RC
|
Respiratory Services - Inhalation Services
|
2
|
1
|
—
|
—
|
$140.00
|
$140.00
|
$140.00
|
2026-03-23
|
|
94640
|
HCPCS
|
Airway Inhalation Treatment
|
2
|
1
|
—
|
—
|
$140.00
|
$140.00
|
$140.00
|
2026-03-23
|
|
94664
|
HCPCS
|
Evaluate Pt Use Of Inhaler
|
2
|
1
|
—
|
—
|
$140.00
|
$140.00
|
$140.00
|
2026-03-23
|
|
92606
|
HCPCS
|
Non-speech Device Service
|
4
|
2
|
—
|
—
|
$90.00
|
$140.00
|
$115.00
|
2026-03-23
|
|
92605
|
HCPCS
|
Ex For Nonspeech Device Rx
|
4
|
2
|
—
|
—
|
$90.00
|
$140.00
|
$115.00
|
2026-03-23
|
|
92597
|
HCPCS
|
Oral Speech Device Eval
|
4
|
2
|
—
|
—
|
$90.00
|
$140.00
|
$115.00
|
2026-03-23
|
|
97113
|
HCPCS
|
Aquatic Therapy/exercises
|
58
|
13
|
—
|
—
|
$90.00
|
$140.00
|
$90.00
|
2026-03-23
|
|
97112
|
HCPCS
|
Neuromuscular Reeducation
|
62
|
14
|
—
|
—
|
$90.00
|
$140.00
|
$90.00
|
2026-03-23
|
|
0440
|
RC
|
Speech Therapy - Language Pathology - General Classification
|
62
|
14
|
—
|
—
|
$90.00
|
$140.00
|
$90.00
|
2026-03-23
|
|
0420
|
RC
|
Physical Therapy - General Classification
|
62
|
14
|
—
|
—
|
$90.00
|
$140.00
|
$90.00
|
2026-03-23
|
|
0430
|
RC
|
Occupational Therapy - General Classification
|
62
|
14
|
—
|
—
|
$90.00
|
$140.00
|
$90.00
|
2026-03-23
|
|
97537
|
HCPCS
|
Community/work Reintegration
|
58
|
13
|
—
|
—
|
$90.00
|
$140.00
|
$90.00
|
2026-03-23
|
|
97530
|
HCPCS
|
Therapeutic Activities
|
62
|
14
|
—
|
—
|
$90.00
|
$140.00
|
$90.00
|
2026-03-23
|
|
97535
|
HCPCS
|
Self Care Mngment Training
|
62
|
14
|
—
|
—
|
$90.00
|
$140.00
|
$90.00
|
2026-03-23
|
|
97140
|
HCPCS
|
Manual Therapy 1/> Regions
|
58
|
13
|
—
|
—
|
$90.00
|
$140.00
|
$90.00
|
2026-03-23
|
|
97129
|
HCPCS
|
Ther Ivntj 1st 15 Min
|
58
|
13
|
—
|
—
|
$90.00
|
$140.00
|
$90.00
|
2026-03-23
|
|
97116
|
HCPCS
|
Gait Training Therapy
|
62
|
14
|
—
|
—
|
$90.00
|
$140.00
|
$90.00
|
2026-03-23
|
|
97032
|
HCPCS
|
Appl Modality 1+estim Ea 15
|
58
|
13
|
—
|
—
|
$90.00
|
$140.00
|
$90.00
|
2026-03-23
|
|
97110
|
HCPCS
|
Therapeutic Exercises
|
62
|
14
|
—
|
—
|
$90.00
|
$140.00
|
$90.00
|
2026-03-23
|
|
97124
|
HCPCS
|
Massage Therapy
|
58
|
13
|
—
|
—
|
$90.00
|
$140.00
|
$90.00
|
2026-03-23
|
|
92607
|
HCPCS
|
Ex For Speech Device Rx 1hr
|
58
|
13
|
—
|
—
|
$90.00
|
$140.00
|
$90.00
|
2026-03-23
|
|
92526
|
HCPCS
|
Oral Function Therapy
|
62
|
14
|
—
|
—
|
$90.00
|
$140.00
|
$90.00
|
2026-03-23
|
|
92507
|
HCPCS
|
Speech/hearing Therapy
|
62
|
14
|
—
|
—
|
$90.00
|
$140.00
|
$90.00
|
2026-03-23
|
|
36589
|
HCPCS
|
Removal Tunneled Cv Cath
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
36573
|
HCPCS
|
Insj Picc Rs&i 5 Yr+
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
24615
|
HCPCS
|
Treat Elbow Dislocation
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
36569
|
HCPCS
|
Insj Picc 5 Yr+ Without Imaging
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
36561
|
HCPCS
|
Insert Tunneled Cv Cath
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
24516
|
HCPCS
|
Treat Humerus Fracture
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
15853
|
HCPCS
|
Removal Sutr/stapl Xreq Anes
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
36558
|
HCPCS
|
Insert Tunneled Cv Cath
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
36556
|
HCPCS
|
Insert Non-tunnel Cv Cath
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
24430
|
HCPCS
|
Repair Of Humerus
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
36514
|
HCPCS
|
Apheresis Plasma
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
36460
|
HCPCS
|
Intrauterine Transfusion Ftl
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
24344
|
HCPCS
|
Reconstruct Elbow Lat Ligmnt
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
15772
|
HCPCS
|
Grfg Autol Fat Lipo Ea Addl
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
10060
|
HCPCS
|
I&d Abscess Simple/single
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
36430
|
HCPCS
|
Transfusion Bld/bld Compnt
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
36415
|
HCPCS
|
Routine Venipuncture
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
23650
|
HCPCS
|
Cltx Sho Dslc W/mnpj Wo Anes
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
36248
|
HCPCS
|
Ins Cath Abd/l-ext Art Addl
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
36247
|
HCPCS
|
Ins Cath Abd/l-ext Art 3rd
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
23515
|
HCPCS
|
Optx Clavicular Fx W/int Fix
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
15771
|
HCPCS
|
Grfg Autol Fat Lipo 50 Cc/<
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
36225
|
HCPCS
|
Place Cath Subclavian Art
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
36200
|
HCPCS
|
Place Catheter In Aorta
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
23412
|
HCPCS
|
Repair Rotator Cuff Chronic
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
36012
|
HCPCS
|
Place Catheter In Vein
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
33228
|
HCPCS
|
Remv&replc Pm Gen Dual Lead
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
22552
|
HCPCS
|
Arthrd Ant Ntrbd Cervical Ea
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
14020
|
HCPCS
|
Tis Trnfr S/a/l 10 Sq Cm/<
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
10005
|
HCPCS
|
Fna Bx W/us Gdn 1st Les
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
00410
|
HCPCS
|
Anesth Correct Heart Rhythm
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
33227
|
HCPCS
|
Remove&replace Pm Gen Singl
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
33207
|
HCPCS
|
Insert Heart Pm Ventricular
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
22548
|
HCPCS
|
Arthrd Ant Toral/xoral C1-c2
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
32555
|
HCPCS
|
Aspirate Pleura With Imaging
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
32408
|
HCPCS
|
Core Ndl Bx Lng/med Perq
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
22515
|
HCPCS
|
Perq Vertebral Augmentation
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
14000
|
HCPCS
|
Tis Trnfr Trunk 10 Sq Cm/<
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
31500
|
HCPCS
|
Insert Emergency Airway
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
52317
|
HCPCS
|
Remove Bladder Stone
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
52310
|
HCPCS
|
Cystoscopy And Treatment
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
31288
|
HCPCS
|
Nasal/sinus Endoscopy Surg
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
22514
|
HCPCS
|
Perq Vertebral Augmentation
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
52240
|
HCPCS
|
Cystoscopy And Treatment
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
52332
|
HCPCS
|
Cystoscopy And Treatment
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
52356
|
HCPCS
|
Cysto/uretero W/lithotripsy
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
52601
|
HCPCS
|
Prostatectomy (turp)
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
53445
|
HCPCS
|
Insert Uro/ves Nck Sphincter
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
54161
|
HCPCS
|
Circum 28 Days Or Older
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
55040
|
HCPCS
|
Removal Of Hydrocele
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
55700
|
HCPCS
|
Biopsy Of Prostate
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
55880
|
HCPCS
|
Abltj Mal Prst8 Tiss Hifu
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
57260
|
HCPCS
|
Cmbn Ant Pst Colprhy
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
57288
|
HCPCS
|
Repair Bladder Defect
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
57461
|
HCPCS
|
Conz Of Cervix W/scope Leep
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
57522
|
HCPCS
|
Conization Of Cervix
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
58120
|
HCPCS
|
Dilation And Curettage
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
58301
|
HCPCS
|
Remove Intrauterine Device
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
58550
|
HCPCS
|
Laparo-asst Vag Hysterectomy
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
58552
|
HCPCS
|
Laparo-vag Hyst Incl T/o
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
58554
|
HCPCS
|
Laparo-vag Hyst W/t/o Compl
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
58558
|
HCPCS
|
Hysteroscopy Biopsy
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
58561
|
HCPCS
|
Hysteroscopy Remove Myoma
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
58563
|
HCPCS
|
Hysteroscopy Ablation
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
58570
|
HCPCS
|
Tlh Uterus 250 G Or Less
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
58571
|
HCPCS
|
Tlh W/t/o 250 G Or Less
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
58661
|
HCPCS
|
Laparoscopy Remove Adnexa
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
58662
|
HCPCS
|
Laparoscopy Excise Lesions
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
59012
|
HCPCS
|
Fetal Cord Puncture Prenatal
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
59025
|
HCPCS
|
Fetal Non-stress Test
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
59820
|
HCPCS
|
Care Of Miscarriage
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
59897
|
HCPCS
|
Unlisted Fetal Invas Px W/us
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
60220
|
HCPCS
|
Partial Removal Of Thyroid
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
61782
|
HCPCS
|
Scan Proc Cranial Extra
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
62270
|
HCPCS
|
Dx Lmbr Spi Pnxr
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
62328
|
HCPCS
|
Dx Lmbr Spi Pnxr W/fluor/ct
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
64450
|
HCPCS
|
Njx Aa&/strd Other Pn/branch
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
64718
|
HCPCS
|
Revise Ulnar Nerve At Elbow
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
64721
|
HCPCS
|
Carpal Tunnel Surgery
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
65426
|
HCPCS
|
Removal Of Eye Lesion
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
65730
|
HCPCS
|
Corneal Transplant
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
65755
|
HCPCS
|
Corneal Transplant
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
65756
|
HCPCS
|
Corneal Trnspl Endothelial
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
65820
|
HCPCS
|
Relieve Inner Eye Pressure
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
66170
|
HCPCS
|
Glaucoma Surgery
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
66180
|
HCPCS
|
Aqueous Shunt Eye W/graft
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
52235
|
HCPCS
|
Cystoscopy And Treatment
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
31276
|
HCPCS
|
Nsl/sins Ndsc Frnt Tiss Rmvl
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
52234
|
HCPCS
|
Cystoscopy And Treatment
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
52224
|
HCPCS
|
Cystoscopy And Treatment
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
31267
|
HCPCS
|
Endoscopy Maxillary Sinus
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
22513
|
HCPCS
|
Perq Vertebral Augmentation
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
12032
|
HCPCS
|
Intmd Rpr S/a/t/ext 2.6-7.5
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
0671T
|
HCPCS
|
Insj Ant Sgm Aq DRG Dev 1+
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
52204
|
HCPCS
|
Cystoscopy W/biopsy(s)
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
51798
|
HCPCS
|
US Urine Capacity Measure
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
31259
|
HCPCS
|
Nsl/sins Ndsc Sphn Tiss Rmvl
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
51702
|
HCPCS
|
Insert Temp Bladder Cath
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
51102
|
HCPCS
|
Drain Bl W/cath Insertion
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
31257
|
HCPCS
|
Nsl/sins Ndsc Tot W/sphendt
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
22224
|
HCPCS
|
Osteot Dsc Ant 1vrt Sgm Lmbr
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
50949
|
HCPCS
|
Unlisted Laps Px Ureter
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
50590
|
HCPCS
|
Fragmenting Of Kidney Stone
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
31256
|
HCPCS
|
Exploration Maxillary Sinus
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
50543
|
HCPCS
|
Laparo Partial Nephrectomy
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
50435
|
HCPCS
|
Exchange Nephrostomy Cath
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
31254
|
HCPCS
|
Nsl/sins Ndsc W/prtl Ethmdct
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
21931
|
HCPCS
|
Exc Back Les Sc 3 Cm/>
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
12013
|
HCPCS
|
Rpr F/e/e/n/l/m 2.6-5.0 Cm
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
49651
|
HCPCS
|
Lap Ing Hernia Repair Recur
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
49650
|
HCPCS
|
Lap Ing Hernia Repair Init
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
31237
|
HCPCS
|
Nsl/sins Ndsc Surg Bx Polypc
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
49594
|
HCPCS
|
Rpr Aa Hrn 1st 3-10 Ncr/strn
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
49592
|
HCPCS
|
Rpr Aa Hrn 1st < 3 Ncr/strn
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
30801
|
HCPCS
|
Ablate Inf Turbinate Superf
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
21552
|
HCPCS
|
Exc Neck Les Sc 3 Cm/>
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
49591
|
HCPCS
|
Rpr Aa Hrn 1st < 3 Cm Rdc
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
49520
|
HCPCS
|
Rerepair Ing Hernia Reduce
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
30520
|
HCPCS
|
Repair Of Nasal Septum
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
49507
|
HCPCS
|
Prp I/hern Init Block >5 Yr
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
49505
|
HCPCS
|
Prp I/hern Init Reduc >5 Yr
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
30140
|
HCPCS
|
Resect Inferior Turbinate
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
21014
|
HCPCS
|
Exc Face Tum Deep 2 Cm/>
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
12011
|
HCPCS
|
Rpr F/e/e/n/l/m 2.5 Cm/<
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
00921
|
HCPCS
|
Anesth Vasectomy
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
00402
|
HCPCS
|
Anesth Surgery Of Breast
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
00320
|
HCPCS
|
Anesth Neck Organ 1yr/>
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
49422
|
HCPCS
|
Remove Tunneled Ip Cath
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
49324
|
HCPCS
|
Lap Insert Tunnel Ip Cath
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
30130
|
HCPCS
|
Excise Inferior Turbinate
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
49322
|
HCPCS
|
Laparoscopy Aspiration
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|
|
49083
|
HCPCS
|
Abd Paracentesis W/imaging
|
0
|
0
|
—
|
—
|
—
|
—
|
—
|
2026-03-23
|