hospital_name,last_updated_on,Version,hospital_location,hospital_address,license_number|PA,"To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated.",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Conemaugh Miners Medical Center ,10/26/2024,3.0.0,Conemaugh Miners Medical Center ,290 Haida Avenue  Hastings PA 16646 ,10850100,TRUE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
description,code|1,code|1|type,code|2,code|2|type,modifiers,setting,billing_class,drug_unit_of_measurement,drug_type_of_measurement,standard_charge|gross,standard_charge|discounted_cash,standard_charge|Aetna|Aetna|negotiated_percentage,standard_charge|Aetna|Aetna|negotiated_dollar,standard_charge|Aetna|Aetna|negotiated_algorithm,standard_charge|Aetna|Aetna|methodology,additional_payer_notes|Aetna|Aetna,estimated_amount|Aetna|Aetna,standard_charge|Aetna|Aetna Medicare|negotiated_percentage,standard_charge|Aetna|Aetna Medicare|negotiated_dollar,standard_charge|Aetna|Aetna Medicare|negotiated_algorithm,standard_charge|Aetna|Aetna Medicare|methodology,additional_payer_notes|Aetna|Aetna Medicare,estimated_amount|Aetna|Aetna Medicare,standard_charge|AmeriHealth Caritas Health Plan|AmeriHealth|negotiated_percentage,standard_charge|AmeriHealth Caritas Health Plan|AmeriHealth|negotiated_dollar,standard_charge|AmeriHealth Caritas Health Plan|AmeriHealth|negotiated_algorithm,standard_charge|AmeriHealth Caritas Health Plan|AmeriHealth|methodology,additional_payer_notes|AmeriHealth Caritas Health Plan|AmeriHealth,estimated_amount|AmeriHealth Caritas Health Plan|AmeriHealth,standard_charge|BCBS of PA|Highmark BCBS Traditional|negotiated_percentage,standard_charge|BCBS of PA|Highmark BCBS Traditional|negotiated_dollar,standard_charge|BCBS of PA|Highmark BCBS Traditional|negotiated_algorithm,standard_charge|BCBS of PA|Highmark BCBS Traditional|methodology,additional_payer_notes|BCBS of PA|Highmark BCBS Traditional,estimated_amount|BCBS of PA|Highmark BCBS Traditional,standard_charge|BCBS of PA|Highmark Medicare Advantage|negotiated_percentage,standard_charge|BCBS of PA|Highmark Medicare Advantage|negotiated_dollar,standard_charge|BCBS of PA|Highmark Medicare Advantage|negotiated_algorithm,standard_charge|BCBS of PA|Highmark Medicare Advantage|methodology,additional_payer_notes|BCBS of PA|Highmark Medicare Advantage,estimated_amount|BCBS of PA|Highmark Medicare Advantage,standard_charge|Cerner Health Plan|Cerner Health Plan|negotiated_percentage,standard_charge|Cerner Health Plan|Cerner Health Plan|negotiated_dollar,standard_charge|Cerner Health Plan|Cerner Health Plan|negotiated_algorithm,standard_charge|Cerner Health Plan|Cerner Health Plan|methodology,additional_payer_notes|Cerner Health Plan|Cerner Health Plan,estimated_amount|Cerner Health Plan|Cerner Health Plan,standard_charge|Cigna|Cigna|negotiated_percentage,standard_charge|Cigna|Cigna|negotiated_dollar,standard_charge|Cigna|Cigna|negotiated_algorithm,standard_charge|Cigna|Cigna|methodology,additional_payer_notes|Cigna|Cigna,estimated_amount|Cigna|Cigna,standard_charge|Devoted Health|Devoted|negotiated_percentage,standard_charge|Devoted Health|Devoted|negotiated_dollar,standard_charge|Devoted Health|Devoted|negotiated_algorithm,standard_charge|Devoted Health|Devoted|methodology,additional_payer_notes|Devoted Health|Devoted,estimated_amount|Devoted Health|Devoted,standard_charge|Gateway|Gateway Medicare Advantage|negotiated_percentage,standard_charge|Gateway|Gateway Medicare Advantage|negotiated_dollar,standard_charge|Gateway|Gateway Medicare Advantage|negotiated_algorithm,standard_charge|Gateway|Gateway Medicare Advantage|methodology,additional_payer_notes|Gateway|Gateway Medicare Advantage,estimated_amount|Gateway|Gateway Medicare Advantage,standard_charge|Geisinger|Geisinger|negotiated_percentage,standard_charge|Geisinger|Geisinger|negotiated_dollar,standard_charge|Geisinger|Geisinger|negotiated_algorithm,standard_charge|Geisinger|Geisinger|methodology,additional_payer_notes|Geisinger|Geisinger,estimated_amount|Geisinger|Geisinger,standard_charge|Geisinger|Managed Medicare 100%|negotiated_percentage,standard_charge|Geisinger|Managed Medicare 100%|negotiated_dollar,standard_charge|Geisinger|Managed Medicare 100%|negotiated_algorithm,standard_charge|Geisinger|Managed Medicare 100%|methodology,additional_payer_notes|Geisinger|Managed Medicare 100%,estimated_amount|Geisinger|Managed Medicare 100%,standard_charge|Preferred Healthcare|Preferred Health|negotiated_percentage,standard_charge|Preferred Healthcare|Preferred Health|negotiated_dollar,standard_charge|Preferred Healthcare|Preferred Health|negotiated_algorithm,standard_charge|Preferred Healthcare|Preferred Health|methodology,additional_payer_notes|Preferred Healthcare|Preferred Health,estimated_amount|Preferred Healthcare|Preferred Health,standard_charge|Tricare|Managed Medicare 100%|negotiated_percentage,standard_charge|Tricare|Managed Medicare 100%|negotiated_dollar,standard_charge|Tricare|Managed Medicare 100%|negotiated_algorithm,standard_charge|Tricare|Managed Medicare 100%|methodology,additional_payer_notes|Tricare|Managed Medicare 100%,estimated_amount|Tricare|Managed Medicare 100%,standard_charge|UHC|Managed Medicare 100%|negotiated_percentage,standard_charge|UHC|Managed Medicare 100%|negotiated_dollar,standard_charge|UHC|Managed Medicare 100%|negotiated_algorithm,standard_charge|UHC|Managed Medicare 100%|methodology,additional_payer_notes|UHC|Managed Medicare 100%,estimated_amount|UHC|Managed Medicare 100%,standard_charge|UHC|UHC OneNet|negotiated_percentage,standard_charge|UHC|UHC OneNet|negotiated_dollar,standard_charge|UHC|UHC OneNet|negotiated_algorithm,standard_charge|UHC|UHC OneNet|methodology,additional_payer_notes|UHC|UHC OneNet,estimated_amount|UHC|UHC OneNet,standard_charge|UPMC Health Plan|Managed Medicare 100%|negotiated_percentage,standard_charge|UPMC Health Plan|Managed Medicare 100%|negotiated_dollar,standard_charge|UPMC Health Plan|Managed Medicare 100%|negotiated_algorithm,standard_charge|UPMC Health Plan|Managed Medicare 100%|methodology,additional_payer_notes|UPMC Health Plan|Managed Medicare 100%,estimated_amount|UPMC Health Plan|Managed Medicare 100%,standard_charge|UPMC Health Plan|UPMC Health|negotiated_percentage,standard_charge|UPMC Health Plan|UPMC Health|negotiated_dollar,standard_charge|UPMC Health Plan|UPMC Health|negotiated_algorithm,standard_charge|UPMC Health Plan|UPMC Health|methodology,additional_payer_notes|UPMC Health Plan|UPMC Health,estimated_amount|UPMC Health Plan|UPMC Health,standard_charge|min,standard_charge|max,additional_generic_notes
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,35076377,CDM,TC,Outpatient,Facility,,,667,266.8,66,,,Percent of total billed charges,,440.22,20.8,,,Percent of total billed charges,,138.74,20.4,,,Percent of total billed charges,,136.07,,36.35,,Case rate,,36.35,,25.09,,Case rate,,25.09,80,,,Percent of total billed charges,,533.6,61.6,,,Percent of total billed charges,,410.87,20.6,,,Percent of total billed charges,,137.4,20.6,,,Percent of total billed charges,,137.4,65.55,,,Percent of total billed charges,,437.22,21,,,Percent of total billed charges,,140.07,90,,,Percent of total billed charges,,600.3,21,,,Percent of total billed charges,,140.07,21,,,Percent of total billed charges,,140.07,64.9,,,Percent of total billed charges,,432.88,21,,,Percent of total billed charges,,140.07,,484.36,,Case rate,,484.36,25.09,667,
"5% dextrose and 0.45% normal saline, 1000 ml",S5010,CPT,,,,Outpatient,Facility,,,27.77,11.11,66,,,Percent of total billed charges,,18.33,20.8,,,Percent of total billed charges,,5.78,20.4,,,Percent of total billed charges,,5.67,,9.01,,Case rate,,9.01,,2.65,,Case rate,,2.65,80,,,Percent of total billed charges,,22.22,61.6,,,Percent of total billed charges,,17.11,20.6,,,Percent of total billed charges,,5.72,20.6,,,Percent of total billed charges,,5.72,65.55,,,Percent of total billed charges,,18.2,21,,,Percent of total billed charges,,5.83,90,,,Percent of total billed charges,,24.99,21,,,Percent of total billed charges,,5.83,21,,,Percent of total billed charges,,5.83,64.9,,,Percent of total billed charges,,18.02,21,,,Percent of total billed charges,,5.83,,56.41,,Case rate,,56.41,2.65,56.41,
Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance,49083,CPT,,,,Outpatient,Facility,,,3784,1513.6,66,,,Percent of total billed charges,,2497.44,20.8,,,Percent of total billed charges,,787.07,20.4,,,Percent of total billed charges,,771.94,,284.18,,Case rate,,284.18,,89.2,,Case rate,,89.2,80,,,Percent of total billed charges,,3027.2,61.6,,,Percent of total billed charges,,2330.94,20.6,,,Percent of total billed charges,,779.5,20.6,,,Percent of total billed charges,,779.5,65.55,,,Percent of total billed charges,,2480.41,21,,,Percent of total billed charges,,794.64,90,,,Percent of total billed charges,,3405.6,21,,,Percent of total billed charges,,794.64,21,,,Percent of total billed charges,,794.64,64.9,,,Percent of total billed charges,,2455.82,21,,,Percent of total billed charges,,794.64,,2571.9,,Case rate,,2571.9,89.2,3784,
Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance,49082,CPT,,,,Outpatient,Facility,,,2264,905.6,66,,,Percent of total billed charges,,1494.24,20.8,,,Percent of total billed charges,,470.91,20.4,,,Percent of total billed charges,,461.86,,204.36,,Case rate,,204.36,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1811.2,61.6,,,Percent of total billed charges,,1394.62,20.6,,,Percent of total billed charges,,466.38,20.6,,,Percent of total billed charges,,466.38,65.55,,,Percent of total billed charges,,1484.05,21,,,Percent of total billed charges,,475.44,90,,,Percent of total billed charges,,2037.6,21,,,Percent of total billed charges,,475.44,21,,,Percent of total billed charges,,475.44,64.9,,,Percent of total billed charges,,1469.34,21,,,Percent of total billed charges,,475.44,,91.93,,Case rate,,91.93,77.74,2264,
"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain",81170,CPT,,,,Outpatient,Facility,,,1084,433.6,66,,,Percent of total billed charges,,715.44,20.8,,,Percent of total billed charges,,225.47,20.4,,,Percent of total billed charges,,221.14,,300,,Case rate,,300,,24.53,,Case rate,,24.53,80,,,Percent of total billed charges,,867.2,61.6,,,Percent of total billed charges,,667.74,20.6,,,Percent of total billed charges,,223.3,20.6,,,Percent of total billed charges,,223.3,65.55,,,Percent of total billed charges,,710.56,21,,,Percent of total billed charges,,227.64,90,,,Percent of total billed charges,,975.6,21,,,Percent of total billed charges,,227.64,21,,,Percent of total billed charges,,227.64,64.9,,,Percent of total billed charges,,703.52,21,,,Percent of total billed charges,,227.64,,2075.05,,Case rate,,2075.05,24.53,2075.05,
Acetylcholine receptor (AChR); binding antibody,86041,CPT,,,,Outpatient,Facility,,,66,26.4,66,,,Percent of total billed charges,,43.56,20.8,,,Percent of total billed charges,,13.73,20.4,,,Percent of total billed charges,,13.46,,3.7,,Case rate,,3.7,19.8,,,Percent of total billed charges,,13.07,80,,,Percent of total billed charges,,52.8,61.6,,,Percent of total billed charges,,40.66,20.6,,,Percent of total billed charges,,13.6,20.6,,,Percent of total billed charges,,13.6,65.55,,,Percent of total billed charges,,43.26,21,,,Percent of total billed charges,,13.86,90,,,Percent of total billed charges,,59.4,21,,,Percent of total billed charges,,13.86,21,,,Percent of total billed charges,,13.86,64.9,,,Percent of total billed charges,,42.83,21,,,Percent of total billed charges,,13.86,45,,,Percent of total billed charges,,29.7,3.7,66,
Acetylcholine receptor (AChR); modulating antibody,86043,CPT,,,,Outpatient,Facility,,,43,17.2,66,,,Percent of total billed charges,,28.38,20.8,,,Percent of total billed charges,,8.94,20.4,,,Percent of total billed charges,,8.77,,2.42,,Case rate,,2.42,19.8,,,Percent of total billed charges,,8.51,80,,,Percent of total billed charges,,34.4,61.6,,,Percent of total billed charges,,26.49,20.6,,,Percent of total billed charges,,8.86,20.6,,,Percent of total billed charges,,8.86,65.55,,,Percent of total billed charges,,28.19,21,,,Percent of total billed charges,,9.03,90,,,Percent of total billed charges,,38.7,21,,,Percent of total billed charges,,9.03,21,,,Percent of total billed charges,,9.03,64.9,,,Percent of total billed charges,,27.91,21,,,Percent of total billed charges,,9.03,45,,,Percent of total billed charges,,19.35,2.42,43,
"Acne surgery (eg, marsupialization, opening or removal of multiple milia, comedones, cysts, pustules)",10040,CPT,,,,Outpatient,Facility,,,359,143.6,66,,,Percent of total billed charges,,236.94,20.8,,,Percent of total billed charges,,74.67,20.4,,,Percent of total billed charges,,73.24,,112.32,,Case rate,,112.32,,1.98,,Case rate,,1.98,80,,,Percent of total billed charges,,287.2,61.6,,,Percent of total billed charges,,221.14,20.6,,,Percent of total billed charges,,73.95,20.6,,,Percent of total billed charges,,73.95,65.55,,,Percent of total billed charges,,235.32,21,,,Percent of total billed charges,,75.39,90,,,Percent of total billed charges,,323.1,21,,,Percent of total billed charges,,75.39,21,,,Percent of total billed charges,,75.39,64.9,,,Percent of total billed charges,,232.99,21,,,Percent of total billed charges,,75.39,,55.02,,Case rate,,55.02,1.98,359,
"Actin (smooth muscle) antibody (ASMA), each",86015,CPT,,,,Outpatient,Facility,,,43,17.2,66,,,Percent of total billed charges,,28.38,20.8,,,Percent of total billed charges,,8.94,20.4,,,Percent of total billed charges,,8.77,,12.05,,Case rate,,12.05,,0.52,,Case rate,,0.52,80,,,Percent of total billed charges,,34.4,61.6,,,Percent of total billed charges,,26.49,20.6,,,Percent of total billed charges,,8.86,20.6,,,Percent of total billed charges,,8.86,65.55,,,Percent of total billed charges,,28.19,21,,,Percent of total billed charges,,9.03,90,,,Percent of total billed charges,,38.7,21,,,Percent of total billed charges,,9.03,21,,,Percent of total billed charges,,9.03,64.9,,,Percent of total billed charges,,27.91,21,,,Percent of total billed charges,,9.03,,40.44,,Case rate,,40.44,0.52,43,
Activated Protein C (APC) resistance assay,85307,CPT,,,,Outpatient,Facility,,,129,51.6,66,,,Percent of total billed charges,,85.14,20.8,,,Percent of total billed charges,,26.83,20.4,,,Percent of total billed charges,,26.32,,15.32,,Case rate,,15.32,,4.33,,Case rate,,4.33,80,,,Percent of total billed charges,,103.2,61.6,,,Percent of total billed charges,,79.46,20.6,,,Percent of total billed charges,,26.57,20.6,,,Percent of total billed charges,,26.57,65.55,,,Percent of total billed charges,,84.56,21,,,Percent of total billed charges,,27.09,90,,,Percent of total billed charges,,116.1,21,,,Percent of total billed charges,,27.09,21,,,Percent of total billed charges,,27.09,64.9,,,Percent of total billed charges,,83.72,21,,,Percent of total billed charges,,27.09,,83.57,,Case rate,,83.57,4.33,129,
acute adjustment reaction and psychosocial dysfunction,880,MS-DRG,,,,Inpatient,Facility,,,11283.52,4513.41,,8593.31,,Case rate,DRG Factor * DRG Weight,8593.31,,1758.64,,Per Diem,,3517.28,,1724.82,,Per Diem,,3449.64,,9922.38,,Case rate,DRG Factor * DRG Weight,9922.38,,1674.09,,Per Diem,,3348.18,80,,,Percent of total billed charges,,9026.82,61.6,,,Percent of total billed charges,,6950.65,,1741.73,,Per Diem,,3483.46,,1741.73,,Per Diem,,3483.46,65.55,,,Percent of total billed charges,,7396.35,,2079,,Per Diem,,4158,90,,,Percent of total billed charges,,10155.17,,2079,,Per Diem,,4158,,2079,,Per Diem,,4158,64.9,,,Percent of total billed charges,,7323,,2079,,Per Diem,,4158,,9213.07,,Case rate,DRG Factor * DRG Weight,9213.07,3348.18,11283.52,
"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)",80074,CPT,,,,Outpatient,Facility,,,409,163.6,66,,,Percent of total billed charges,,269.94,20.8,,,Percent of total billed charges,,85.07,20.4,,,Percent of total billed charges,,83.44,,47.63,,Case rate,,47.63,,13.47,,Case rate,,13.47,80,,,Percent of total billed charges,,327.2,61.6,,,Percent of total billed charges,,251.94,20.6,,,Percent of total billed charges,,84.25,20.6,,,Percent of total billed charges,,84.25,65.55,,,Percent of total billed charges,,268.1,21,,,Percent of total billed charges,,85.89,90,,,Percent of total billed charges,,368.1,21,,,Percent of total billed charges,,85.89,21,,,Percent of total billed charges,,85.89,64.9,,,Percent of total billed charges,,265.44,21,,,Percent of total billed charges,,85.89,,298.22,,Case rate,,298.22,13.47,409,
"acute myocardial infarction, discharged alive with cc",281,MS-DRG,,,,Inpatient,Facility,,,15136.23,6054.49,,8218.83,,Case rate,DRG Factor * DRG Weight,8218.83,,1758.64,,Per Diem,,5275.92,,1724.82,,Per Diem,,5174.46,,12515.17,,Case rate,DRG Factor * DRG Weight,12515.17,,1674.09,,Per Diem,,5022.27,80,,,Percent of total billed charges,,12108.98,61.6,,,Percent of total billed charges,,9323.91,,1741.73,,Per Diem,,5225.19,,1741.73,,Per Diem,,5225.19,65.55,,,Percent of total billed charges,,9921.8,,2079,,Per Diem,,6237,90,,,Percent of total billed charges,,13622.6,,2079,,Per Diem,,6237,,2079,,Per Diem,,6237,64.9,,,Percent of total billed charges,,9823.41,,2079,,Per Diem,,6237,,8811.58,,Case rate,DRG Factor * DRG Weight,8811.58,5022.27,15136.22,
"acute myocardial infarction, expired with cc",284,MS-DRG,,,,Inpatient,Facility,,,6836.25,2734.5,,6658.78,,Case rate,DRG Factor * DRG Weight,6658.78,,1758.64,,Per Diem,,1758.64,,1724.82,,Per Diem,,1724.82,,12199.38,,Case rate,DRG Factor * DRG Weight,12199.38,,1674.09,,Per Diem,,1674.09,80,,,Percent of total billed charges,,5469,61.6,,,Percent of total billed charges,,4211.13,,1741.73,,Per Diem,,1741.73,,1741.73,,Per Diem,,1741.73,65.55,,,Percent of total billed charges,,4481.16,,2079,,Per Diem,,2079,90,,,Percent of total billed charges,,6152.62,,2079,,Per Diem,,2079,,2079,,Per Diem,,2079,64.9,,,Percent of total billed charges,,4436.73,,2079,,Per Diem,,2079,,7139.02,,Case rate,DRG Factor * DRG Weight,7139.02,1674.09,12199.38,
"Acylcarnitines; quantitative, each specimen",82017,CPT,,,,Outpatient,Facility,,,95,38,66,,,Percent of total billed charges,,62.7,20.8,,,Percent of total billed charges,,19.76,,17.21,,Case rate,,17.21,,16.87,,Case rate,,16.87,,4.77,,Case rate,,4.77,80,,,Percent of total billed charges,,76,61.6,,,Percent of total billed charges,,58.52,20.6,,,Percent of total billed charges,,19.57,20.6,,,Percent of total billed charges,,19.57,65.55,,,Percent of total billed charges,,62.27,21,,,Percent of total billed charges,,19.95,90,,,Percent of total billed charges,,85.5,21,,,Percent of total billed charges,,19.95,21,,,Percent of total billed charges,,19.95,64.9,,,Percent of total billed charges,,61.66,21,,,Percent of total billed charges,,19.95,,114.22,,Case rate,,114.22,4.77,114.22,
Adalimumab,80145,CPT,,,,Outpatient,Facility,,,479,191.6,66,,,Percent of total billed charges,,316.14,20.8,,,Percent of total billed charges,,99.63,20.4,,,Percent of total billed charges,,97.72,,38.57,,Case rate,,38.57,,2.3,,Case rate,,2.3,80,,,Percent of total billed charges,,383.2,61.6,,,Percent of total billed charges,,295.06,20.6,,,Percent of total billed charges,,98.67,20.6,,,Percent of total billed charges,,98.67,65.55,,,Percent of total billed charges,,313.98,21,,,Percent of total billed charges,,100.59,90,,,Percent of total billed charges,,431.1,21,,,Percent of total billed charges,,100.59,21,,,Percent of total billed charges,,100.59,64.9,,,Percent of total billed charges,,310.87,21,,,Percent of total billed charges,,100.59,,179.96,,Case rate,,179.96,2.3,479,
Administration of hepatitis b vaccine,G0010,CPT,,,,Outpatient,Facility,,,75,30,66,,,Percent of total billed charges,,49.5,20.8,,,Percent of total billed charges,,15.6,20.4,,,Percent of total billed charges,,15.3,,30.05,,Case rate,,30.05,,0.42,,Case rate,,0.42,80,,,Percent of total billed charges,,60,61.6,,,Percent of total billed charges,,46.2,20.6,,,Percent of total billed charges,,15.45,20.6,,,Percent of total billed charges,,15.45,65.55,,,Percent of total billed charges,,49.16,21,,,Percent of total billed charges,,15.75,90,,,Percent of total billed charges,,67.5,21,,,Percent of total billed charges,,15.75,21,,,Percent of total billed charges,,15.75,64.9,,,Percent of total billed charges,,48.68,21,,,Percent of total billed charges,,15.75,,19.08,,Case rate,,19.08,0.42,75,
Administration of influenza virus vaccine,G0008,CPT,,,,Outpatient,Facility,,,46,18.4,66,,,Percent of total billed charges,,30.36,20.8,,,Percent of total billed charges,,9.57,20.4,,,Percent of total billed charges,,9.38,,30.05,,Case rate,,30.05,,0.78,,Case rate,,0.78,80,,,Percent of total billed charges,,36.8,61.6,,,Percent of total billed charges,,28.34,20.6,,,Percent of total billed charges,,9.48,20.6,,,Percent of total billed charges,,9.48,65.55,,,Percent of total billed charges,,30.15,21,,,Percent of total billed charges,,9.66,90,,,Percent of total billed charges,,41.4,21,,,Percent of total billed charges,,9.66,21,,,Percent of total billed charges,,9.66,64.9,,,Percent of total billed charges,,29.85,21,,,Percent of total billed charges,,9.66,,35.24,,Case rate,,35.24,0.78,46,
Administration of pneumococcal vaccine,G0009,CPT,,,,Outpatient,Facility,,,153,61.2,66,,,Percent of total billed charges,,100.98,20.8,,,Percent of total billed charges,,31.82,20.4,,,Percent of total billed charges,,31.21,,30.05,,Case rate,,30.05,,0.8,,Case rate,,0.8,80,,,Percent of total billed charges,,122.4,61.6,,,Percent of total billed charges,,94.25,20.6,,,Percent of total billed charges,,31.52,20.6,,,Percent of total billed charges,,31.52,65.55,,,Percent of total billed charges,,100.29,21,,,Percent of total billed charges,,32.13,90,,,Percent of total billed charges,,137.7,21,,,Percent of total billed charges,,32.13,21,,,Percent of total billed charges,,32.13,64.9,,,Percent of total billed charges,,99.3,21,,,Percent of total billed charges,,32.13,,35.24,,Case rate,,35.24,0.8,153,
"aftercare, musculoskeletal system and connective tissue without cc/mcc",561,MS-DRG,,,,Inpatient,Facility,,,9672.91,3869.16,,7023.36,,Case rate,DRG Factor * DRG Weight,7023.36,,1758.64,,Per Diem,,7034.56,,1724.82,,Per Diem,,6899.28,,12116.28,,Case rate,DRG Factor * DRG Weight,12116.28,,1674.09,,Per Diem,,6696.36,80,,,Percent of total billed charges,,7738.32,61.6,,,Percent of total billed charges,,5958.51,,1741.73,,Per Diem,,6966.92,,1741.73,,Per Diem,,6966.92,65.55,,,Percent of total billed charges,,6340.59,,2079,,Per Diem,,8316,90,,,Percent of total billed charges,,8705.61,,2079,,Per Diem,,8316,,2079,,Per Diem,,8316,64.9,,,Percent of total billed charges,,6277.72,,2079,,Per Diem,,8316,,7529.9,,Case rate,DRG Factor * DRG Weight,7529.9,5958.51,12116.28,
"Albumin; serum, plasma or whole blood",82040,CPT,,,,Outpatient,Facility,,,41,16.4,66,,,Percent of total billed charges,,27.06,20.8,,,Percent of total billed charges,,8.53,20.4,,,Percent of total billed charges,,8.36,,4.95,,Case rate,,4.95,,1.02,,Case rate,,1.02,80,,,Percent of total billed charges,,32.8,61.6,,,Percent of total billed charges,,25.26,20.6,,,Percent of total billed charges,,8.45,20.6,,,Percent of total billed charges,,8.45,65.55,,,Percent of total billed charges,,26.88,21,,,Percent of total billed charges,,8.61,90,,,Percent of total billed charges,,36.9,21,,,Percent of total billed charges,,8.61,21,,,Percent of total billed charges,,8.61,64.9,,,Percent of total billed charges,,26.61,21,,,Percent of total billed charges,,8.61,,28.23,,Case rate,,28.23,1.02,41,
"Albumin; urine (eg, microalbumin), quantitative",82043,CPT,,,,Outpatient,Facility,,,43,17.2,66,,,Percent of total billed charges,,28.38,20.8,,,Percent of total billed charges,,8.94,20.4,,,Percent of total billed charges,,8.77,,5.78,,Case rate,,5.78,,1.19,,Case rate,,1.19,80,,,Percent of total billed charges,,34.4,61.6,,,Percent of total billed charges,,26.49,20.6,,,Percent of total billed charges,,8.86,20.6,,,Percent of total billed charges,,8.86,65.55,,,Percent of total billed charges,,28.19,21,,,Percent of total billed charges,,9.03,90,,,Percent of total billed charges,,38.7,21,,,Percent of total billed charges,,9.03,21,,,Percent of total billed charges,,9.03,64.9,,,Percent of total billed charges,,27.91,21,,,Percent of total billed charges,,9.03,,31.85,,Case rate,,31.85,1.19,43,
"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",J7613,HCPCS,,,,Outpatient,Facility,1,ME,1.32,0.53,66,,,Percent of total billed charges,,0.87,20.8,,,Percent of total billed charges,,0.27,20.4,,,Percent of total billed charges,,0.27,,0.13,,Case rate,,0.13,,0.16,,Case rate,,0.16,80,,,Percent of total billed charges,,1.06,61.6,,,Percent of total billed charges,,0.81,20.6,,,Percent of total billed charges,,0.27,20.6,,,Percent of total billed charges,,0.27,65.55,,,Percent of total billed charges,,0.87,21,,,Percent of total billed charges,,0.28,90,,,Percent of total billed charges,,1.19,21,,,Percent of total billed charges,,0.28,21,,,Percent of total billed charges,,0.28,64.9,,,Percent of total billed charges,,0.86,21,,,Percent of total billed charges,,0.28,,0.05,,Case rate,,0.05,0.05,1.32,
"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",J7620,HCPCS,,,,Outpatient,Facility,2.5,ME,4.05,1.62,66,,,Percent of total billed charges,,2.67,20.8,,,Percent of total billed charges,,0.84,20.4,,,Percent of total billed charges,,0.83,,0.46,,Case rate,,0.46,,0.16,,Case rate,,0.16,80,,,Percent of total billed charges,,3.24,61.6,,,Percent of total billed charges,,2.49,20.6,,,Percent of total billed charges,,0.83,20.6,,,Percent of total billed charges,,0.83,65.55,,,Percent of total billed charges,,2.65,21,,,Percent of total billed charges,,0.85,90,,,Percent of total billed charges,,3.64,21,,,Percent of total billed charges,,0.85,21,,,Percent of total billed charges,,0.85,64.9,,,Percent of total billed charges,,2.63,21,,,Percent of total billed charges,,0.85,,0.22,,Case rate,,0.22,0.16,4.05,
Alcohol biomarkers; 1 or 2,80321,CPT,,,,Outpatient,Facility,,,144,57.6,66,,,Percent of total billed charges,,95.04,20.8,,,Percent of total billed charges,,29.95,20.4,,,Percent of total billed charges,,29.38,,12.62,,Case rate,,12.62,,0.94,,Case rate,,0.94,80,,,Percent of total billed charges,,115.2,61.6,,,Percent of total billed charges,,88.7,20.6,,,Percent of total billed charges,,29.66,20.6,,,Percent of total billed charges,,29.66,65.55,,,Percent of total billed charges,,94.39,21,,,Percent of total billed charges,,30.24,90,,,Percent of total billed charges,,129.6,21,,,Percent of total billed charges,,30.24,21,,,Percent of total billed charges,,30.24,64.9,,,Percent of total billed charges,,93.46,21,,,Percent of total billed charges,,30.24,45,,,Percent of total billed charges,,64.8,0.94,144,
Alcohols,80320,CPT,,,,Outpatient,Facility,,,14,5.6,66,,,Percent of total billed charges,,9.24,20.8,,,Percent of total billed charges,,2.91,20.4,,,Percent of total billed charges,,2.86,,10.29,,Case rate,,10.29,,0.77,,Case rate,,0.77,80,,,Percent of total billed charges,,11.2,61.6,,,Percent of total billed charges,,8.62,20.6,,,Percent of total billed charges,,2.88,20.6,,,Percent of total billed charges,,2.88,65.55,,,Percent of total billed charges,,9.18,21,,,Percent of total billed charges,,2.94,90,,,Percent of total billed charges,,12.6,21,,,Percent of total billed charges,,2.94,21,,,Percent of total billed charges,,2.94,64.9,,,Percent of total billed charges,,9.09,21,,,Percent of total billed charges,,2.94,45,,,Percent of total billed charges,,6.3,0.77,14,
Aldolase,82085,CPT,,,,Outpatient,Facility,,,65,26,66,,,Percent of total billed charges,,42.9,20.8,,,Percent of total billed charges,,13.52,20.4,,,Percent of total billed charges,,13.26,,9.71,,Case rate,,9.71,,2,,Case rate,,2,80,,,Percent of total billed charges,,52,61.6,,,Percent of total billed charges,,40.04,20.6,,,Percent of total billed charges,,13.39,20.6,,,Percent of total billed charges,,13.39,65.55,,,Percent of total billed charges,,42.61,21,,,Percent of total billed charges,,13.65,90,,,Percent of total billed charges,,58.5,21,,,Percent of total billed charges,,13.65,21,,,Percent of total billed charges,,13.65,64.9,,,Percent of total billed charges,,42.18,21,,,Percent of total billed charges,,13.65,,51.86,,Case rate,,51.86,2,65,
Aldosterone,82088,CPT,,,,Outpatient,Facility,,,246,98.4,66,,,Percent of total billed charges,,162.36,20.8,,,Percent of total billed charges,,51.17,20.4,,,Percent of total billed charges,,50.18,,40.75,,Case rate,,40.75,,8.39,,Case rate,,8.39,80,,,Percent of total billed charges,,196.8,61.6,,,Percent of total billed charges,,151.54,20.6,,,Percent of total billed charges,,50.68,20.6,,,Percent of total billed charges,,50.68,65.55,,,Percent of total billed charges,,161.25,21,,,Percent of total billed charges,,51.66,90,,,Percent of total billed charges,,221.4,21,,,Percent of total billed charges,,51.66,21,,,Percent of total billed charges,,51.66,64.9,,,Percent of total billed charges,,159.65,21,,,Percent of total billed charges,,51.66,,184,,Case rate,,184,8.39,246,
"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each",86003,CPT,,,,Outpatient,Facility,,,73,29.2,66,,,Percent of total billed charges,,48.18,20.8,,,Percent of total billed charges,,15.18,20.4,,,Percent of total billed charges,,14.89,,5.22,,Case rate,,5.22,,1.52,,Case rate,,1.52,80,,,Percent of total billed charges,,58.4,61.6,,,Percent of total billed charges,,44.97,20.6,,,Percent of total billed charges,,15.04,20.6,,,Percent of total billed charges,,15.04,65.55,,,Percent of total billed charges,,47.85,21,,,Percent of total billed charges,,15.33,90,,,Percent of total billed charges,,65.7,21,,,Percent of total billed charges,,15.33,21,,,Percent of total billed charges,,15.33,64.9,,,Percent of total billed charges,,47.38,21,,,Percent of total billed charges,,15.33,,39.19,,Case rate,,39.19,1.52,73,
"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each",86008,CPT,,,,Outpatient,Facility,,,73,29.2,66,,,Percent of total billed charges,,48.18,20.8,,,Percent of total billed charges,,15.18,20.4,,,Percent of total billed charges,,14.89,,17.93,,Case rate,,17.93,,1.49,,Case rate,,1.49,80,,,Percent of total billed charges,,58.4,61.6,,,Percent of total billed charges,,44.97,20.6,,,Percent of total billed charges,,15.04,20.6,,,Percent of total billed charges,,15.04,65.55,,,Percent of total billed charges,,47.85,21,,,Percent of total billed charges,,15.33,90,,,Percent of total billed charges,,65.7,21,,,Percent of total billed charges,,15.33,21,,,Percent of total billed charges,,15.33,64.9,,,Percent of total billed charges,,47.38,21,,,Percent of total billed charges,,15.33,,81.76,,Case rate,,81.76,1.49,81.76,
"Amino acids, 2 to 5 amino acids, quantitative, each specimen",82136,CPT,,,,Outpatient,Facility,,,166,66.4,66,,,Percent of total billed charges,,109.56,20.8,,,Percent of total billed charges,,34.53,20.4,,,Percent of total billed charges,,33.86,,19.61,,Case rate,,19.61,,4.77,,Case rate,,4.77,80,,,Percent of total billed charges,,132.8,61.6,,,Percent of total billed charges,,102.26,20.6,,,Percent of total billed charges,,34.2,20.6,,,Percent of total billed charges,,34.2,65.55,,,Percent of total billed charges,,108.81,21,,,Percent of total billed charges,,34.86,90,,,Percent of total billed charges,,149.4,21,,,Percent of total billed charges,,34.86,21,,,Percent of total billed charges,,34.86,64.9,,,Percent of total billed charges,,107.73,21,,,Percent of total billed charges,,34.86,,113.85,,Case rate,,113.85,4.77,166,
"Amino acids, 6 or more amino acids, quantitative, each specimen",82139,CPT,,,,Outpatient,Facility,,,133,53.2,66,,,Percent of total billed charges,,87.78,20.8,,,Percent of total billed charges,,27.66,20.4,,,Percent of total billed charges,,27.13,,16.87,,Case rate,,16.87,,4.77,,Case rate,,4.77,80,,,Percent of total billed charges,,106.4,61.6,,,Percent of total billed charges,,81.93,20.6,,,Percent of total billed charges,,27.4,20.6,,,Percent of total billed charges,,27.4,65.55,,,Percent of total billed charges,,87.18,21,,,Percent of total billed charges,,27.93,90,,,Percent of total billed charges,,119.7,21,,,Percent of total billed charges,,27.93,21,,,Percent of total billed charges,,27.93,64.9,,,Percent of total billed charges,,86.32,21,,,Percent of total billed charges,,27.93,,100.34,,Case rate,,100.34,4.77,133,
"amputation of lower limb for endocrine, nutritional, and metabolic disorders with cc",617,MS-DRG,,,,Inpatient,Facility,,,30401.13,12160.45,,17864.47,,Case rate,DRG Factor * DRG Weight,17864.47,,1758.64,,Per Diem,,7034.56,,1724.82,,Per Diem,,6899.28,,19528.98,,Case rate,DRG Factor * DRG Weight,19528.98,,1674.09,,Per Diem,,6696.36,80,,,Percent of total billed charges,,24320.91,61.6,,,Percent of total billed charges,,18727.1,,1741.73,,Per Diem,,6966.92,,1741.73,,Per Diem,,6966.92,65.55,,,Percent of total billed charges,,19927.94,,2079,,Per Diem,,8316,90,,,Percent of total billed charges,,27361.02,,2079,,Per Diem,,8316,,2079,,Per Diem,,8316,64.9,,,Percent of total billed charges,,19730.34,,2079,,Per Diem,,8316,,19152.89,,Case rate,DRG Factor * DRG Weight,19152.89,6696.36,30401.13,
"Amputation, metatarsal, with toe, single",28810,CPT,,,,Outpatient,Facility,,,6436.87,2574.75,66,,,Percent of total billed charges,,4248.33,20.8,,,Percent of total billed charges,,1338.87,20.4,,,Percent of total billed charges,,1313.12,,412.23,,Case rate,,412.23,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,5149.5,61.6,,,Percent of total billed charges,,3965.11,20.6,,,Percent of total billed charges,,1326,20.6,,,Percent of total billed charges,,1326,65.55,,,Percent of total billed charges,,4219.37,21,,,Percent of total billed charges,,1351.74,90,,,Percent of total billed charges,,5793.18,21,,,Percent of total billed charges,,1351.74,21,,,Percent of total billed charges,,1351.74,64.9,,,Percent of total billed charges,,4177.53,21,,,Percent of total billed charges,,1351.74,,1904.42,,Case rate,,1904.42,77.74,6436.87,
"Amputation, toe; interphalangeal joint",28825,CPT,,,,Outpatient,Facility,,,5088.22,2035.29,66,,,Percent of total billed charges,,3358.22,20.8,,,Percent of total billed charges,,1058.35,20.4,,,Percent of total billed charges,,1038,,282.46,,Case rate,,282.46,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,4070.57,61.6,,,Percent of total billed charges,,3134.34,20.6,,,Percent of total billed charges,,1048.17,20.6,,,Percent of total billed charges,,1048.17,65.55,,,Percent of total billed charges,,3335.32,21,,,Percent of total billed charges,,1068.53,90,,,Percent of total billed charges,,4579.39,21,,,Percent of total billed charges,,1068.53,21,,,Percent of total billed charges,,1068.53,64.9,,,Percent of total billed charges,,3302.25,21,,,Percent of total billed charges,,1068.53,,1919.14,,Case rate,,1919.14,77.74,5088.22,
Amylase,82150,CPT,,,,Outpatient,Facility,,,106,42.4,66,,,Percent of total billed charges,,69.96,20.8,,,Percent of total billed charges,,22.05,20.4,,,Percent of total billed charges,,21.62,,6.48,,Case rate,,6.48,,1.34,,Case rate,,1.34,80,,,Percent of total billed charges,,84.8,61.6,,,Percent of total billed charges,,65.3,20.6,,,Percent of total billed charges,,21.84,20.6,,,Percent of total billed charges,,21.84,65.55,,,Percent of total billed charges,,69.48,21,,,Percent of total billed charges,,22.26,90,,,Percent of total billed charges,,95.4,21,,,Percent of total billed charges,,22.26,21,,,Percent of total billed charges,,22.26,64.9,,,Percent of total billed charges,,68.79,21,,,Percent of total billed charges,,22.26,,35.57,,Case rate,,35.57,1.34,106,
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable),C1713,CPT,,,,Outpatient,Facility,,,9074.4,3629.76,66,,,Percent of total billed charges,,5989.1,20.8,,,Percent of total billed charges,,1887.48,20.4,,,Percent of total billed charges,,1851.18,48.3,,,Percent of total billed charges,,4382.94,,18.73,,Case rate,,18.73,80,,,Percent of total billed charges,,7259.52,61.6,,,Percent of total billed charges,,5589.83,20.6,,,Percent of total billed charges,,1869.33,20.6,,,Percent of total billed charges,,1869.33,65.55,,,Percent of total billed charges,,5948.27,21,,,Percent of total billed charges,,1905.62,90,,,Percent of total billed charges,,8166.96,21,,,Percent of total billed charges,,1905.62,21,,,Percent of total billed charges,,1905.62,64.9,,,Percent of total billed charges,,5889.29,21,,,Percent of total billed charges,,1905.62,,709.45,,Case rate,,709.45,18.73,9074.4,
Androstenedione,82157,CPT,,,,Outpatient,Facility,,,176,70.4,66,,,Percent of total billed charges,,116.16,20.8,,,Percent of total billed charges,,36.61,20.4,,,Percent of total billed charges,,35.9,,29.28,,Case rate,,29.28,,6.03,,Case rate,,6.03,80,,,Percent of total billed charges,,140.8,61.6,,,Percent of total billed charges,,108.42,20.6,,,Percent of total billed charges,,36.26,20.6,,,Percent of total billed charges,,36.26,65.55,,,Percent of total billed charges,,115.37,21,,,Percent of total billed charges,,36.96,90,,,Percent of total billed charges,,158.4,21,,,Percent of total billed charges,,36.96,21,,,Percent of total billed charges,,36.96,64.9,,,Percent of total billed charges,,114.22,21,,,Percent of total billed charges,,36.96,,128.89,,Case rate,,128.89,6.03,176,
Androsterone,82160,CPT,,,,Outpatient,Facility,,,319,127.6,66,,,Percent of total billed charges,,210.54,20.8,,,Percent of total billed charges,,66.35,20.4,,,Percent of total billed charges,,65.08,,25.55,,Case rate,,25.55,,7.24,,Case rate,,7.24,80,,,Percent of total billed charges,,255.2,61.6,,,Percent of total billed charges,,196.5,20.6,,,Percent of total billed charges,,65.71,20.6,,,Percent of total billed charges,,65.71,65.55,,,Percent of total billed charges,,209.1,21,,,Percent of total billed charges,,66.99,90,,,Percent of total billed charges,,287.1,21,,,Percent of total billed charges,,66.99,21,,,Percent of total billed charges,,66.99,64.9,,,Percent of total billed charges,,207.03,21,,,Percent of total billed charges,,66.99,,170.07,,Case rate,,170.07,7.24,319,
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,,,,Outpatient,Facility,,,3573,1429.2,66,,,Percent of total billed charges,,2358.18,20.8,,,Percent of total billed charges,,743.18,20.4,,,Percent of total billed charges,,728.89,,67.96,,Case rate,,67.96,,65.56,,Case rate,,65.56,80,,,Percent of total billed charges,,2858.4,61.6,,,Percent of total billed charges,,2200.97,20.6,,,Percent of total billed charges,,736.04,20.6,,,Percent of total billed charges,,736.04,65.55,,,Percent of total billed charges,,2342.1,21,,,Percent of total billed charges,,750.33,90,,,Percent of total billed charges,,3215.7,21,,,Percent of total billed charges,,750.33,21,,,Percent of total billed charges,,750.33,64.9,,,Percent of total billed charges,,2318.88,21,,,Percent of total billed charges,,750.33,,1619.62,,Case rate,,1619.62,65.56,3573,
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,32075710,CDM,TC,Outpatient,Facility,,,3573,1429.2,66,,,Percent of total billed charges,,2358.18,20.8,,,Percent of total billed charges,,743.18,20.4,,,Percent of total billed charges,,728.89,,65.43,,Case rate,,65.43,,64.41,,Case rate,,64.41,80,,,Percent of total billed charges,,2858.4,61.6,,,Percent of total billed charges,,2200.97,20.6,,,Percent of total billed charges,,736.04,20.6,,,Percent of total billed charges,,736.04,65.55,,,Percent of total billed charges,,2342.1,21,,,Percent of total billed charges,,750.33,90,,,Percent of total billed charges,,3215.7,21,,,Percent of total billed charges,,750.33,21,,,Percent of total billed charges,,750.33,64.9,,,Percent of total billed charges,,2318.88,21,,,Percent of total billed charges,,750.33,,1591.11,,Case rate,,1591.11,64.41,3573,
Angiotensin I - converting enzyme (ACE),82164,CPT,,,,Outpatient,Facility,,,176,70.4,66,,,Percent of total billed charges,,116.16,20.8,,,Percent of total billed charges,,36.61,20.4,,,Percent of total billed charges,,35.9,,14.6,,Case rate,,14.6,,3.01,,Case rate,,3.01,80,,,Percent of total billed charges,,140.8,61.6,,,Percent of total billed charges,,108.42,20.6,,,Percent of total billed charges,,36.26,20.6,,,Percent of total billed charges,,36.26,65.55,,,Percent of total billed charges,,115.37,21,,,Percent of total billed charges,,36.96,90,,,Percent of total billed charges,,158.4,21,,,Percent of total billed charges,,36.96,21,,,Percent of total billed charges,,36.96,64.9,,,Percent of total billed charges,,114.22,21,,,Percent of total billed charges,,36.96,,74.89,,Case rate,,74.89,3.01,176,
"Annual depression screening, 5 to 15 minutes",G0444,CPT,,,,Outpatient,Facility,,,152,60.8,66,,,Percent of total billed charges,,100.32,20.8,,,Percent of total billed charges,,31.62,20.4,,,Percent of total billed charges,,31.01,,17.79,,Case rate,,17.79,,2.23,,Case rate,,2.23,80,,,Percent of total billed charges,,121.6,61.6,,,Percent of total billed charges,,93.63,20.6,,,Percent of total billed charges,,31.31,20.6,,,Percent of total billed charges,,31.31,65.55,,,Percent of total billed charges,,99.64,21,,,Percent of total billed charges,,31.92,90,,,Percent of total billed charges,,136.8,21,,,Percent of total billed charges,,31.92,21,,,Percent of total billed charges,,31.92,64.9,,,Percent of total billed charges,,98.65,21,,,Percent of total billed charges,,31.92,45,,,Percent of total billed charges,,68.4,2.23,152,
"Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",46600,CPT,,,,Outpatient,Facility,,,285,114,66,,,Percent of total billed charges,,188.1,20.8,,,Percent of total billed charges,,59.28,20.4,,,Percent of total billed charges,,58.14,,114.98,,Case rate,,114.98,,9.9,,Case rate,,9.9,80,,,Percent of total billed charges,,228,61.6,,,Percent of total billed charges,,175.56,20.6,,,Percent of total billed charges,,58.71,20.6,,,Percent of total billed charges,,58.71,65.55,,,Percent of total billed charges,,186.82,21,,,Percent of total billed charges,,59.85,90,,,Percent of total billed charges,,256.5,21,,,Percent of total billed charges,,59.85,21,,,Percent of total billed charges,,59.85,64.9,,,Percent of total billed charges,,184.96,21,,,Percent of total billed charges,,59.85,,235.31,,Case rate,,235.31,9.9,285,
Anti-phosphatidylserine (phospholipid) antibody,86148,CPT,,,,Outpatient,Facility,,,283,113.2,66,,,Percent of total billed charges,,186.78,20.8,,,Percent of total billed charges,,58.86,20.4,,,Percent of total billed charges,,57.73,,16.07,,Case rate,,16.07,,8.47,,Case rate,,8.47,80,,,Percent of total billed charges,,226.4,61.6,,,Percent of total billed charges,,174.33,20.6,,,Percent of total billed charges,,58.3,20.6,,,Percent of total billed charges,,58.3,65.55,,,Percent of total billed charges,,185.51,21,,,Percent of total billed charges,,59.43,90,,,Percent of total billed charges,,254.7,21,,,Percent of total billed charges,,59.43,21,,,Percent of total billed charges,,59.43,64.9,,,Percent of total billed charges,,183.67,21,,,Percent of total billed charges,,59.43,,199.51,,Case rate,,199.51,8.47,283,
"Antibody elution (RBC), each elution",86860,CPT,,,,Outpatient,Facility,,,175,70,66,,,Percent of total billed charges,,115.5,20.8,,,Percent of total billed charges,,36.4,20.4,,,Percent of total billed charges,,35.7,,30.1,,Case rate,,30.1,,2.24,,Case rate,,2.24,80,,,Percent of total billed charges,,140,61.6,,,Percent of total billed charges,,107.8,20.6,,,Percent of total billed charges,,36.05,20.6,,,Percent of total billed charges,,36.05,65.55,,,Percent of total billed charges,,114.71,21,,,Percent of total billed charges,,36.75,90,,,Percent of total billed charges,,157.5,21,,,Percent of total billed charges,,36.75,21,,,Percent of total billed charges,,36.75,64.9,,,Percent of total billed charges,,113.58,21,,,Percent of total billed charges,,36.75,,43.97,,Case rate,,43.97,2.24,175,
Antibody identification; leukocyte antibodies,86021,CPT,,,,Outpatient,Facility,,,164,65.6,66,,,Percent of total billed charges,,108.24,20.8,,,Percent of total billed charges,,34.11,20.4,,,Percent of total billed charges,,33.46,,15.05,,Case rate,,15.05,,1.67,,Case rate,,1.67,80,,,Percent of total billed charges,,131.2,61.6,,,Percent of total billed charges,,101.02,20.6,,,Percent of total billed charges,,33.78,20.6,,,Percent of total billed charges,,33.78,65.55,,,Percent of total billed charges,,107.5,21,,,Percent of total billed charges,,34.44,90,,,Percent of total billed charges,,147.6,21,,,Percent of total billed charges,,34.44,21,,,Percent of total billed charges,,34.44,64.9,,,Percent of total billed charges,,106.44,21,,,Percent of total billed charges,,34.44,,43.37,,Case rate,,43.37,1.67,164,
Antibody identification; platelet antibodies,86022,CPT,,,,Outpatient,Facility,,,90,36,66,,,Percent of total billed charges,,59.4,20.8,,,Percent of total billed charges,,18.72,20.4,,,Percent of total billed charges,,18.36,,18.37,,Case rate,,18.37,,1.67,,Case rate,,1.67,80,,,Percent of total billed charges,,72,61.6,,,Percent of total billed charges,,55.44,20.6,,,Percent of total billed charges,,18.54,20.6,,,Percent of total billed charges,,18.54,65.55,,,Percent of total billed charges,,59,21,,,Percent of total billed charges,,18.9,90,,,Percent of total billed charges,,81,21,,,Percent of total billed charges,,18.9,21,,,Percent of total billed charges,,18.9,64.9,,,Percent of total billed charges,,58.41,21,,,Percent of total billed charges,,18.9,,29.67,,Case rate,,29.67,1.67,90,
"Antibody screen, RBC, each serum technique",86850,CPT,,,,Outpatient,Facility,,,107,42.8,66,,,Percent of total billed charges,,70.62,20.8,,,Percent of total billed charges,,22.26,20.4,,,Percent of total billed charges,,21.83,,9.77,,Case rate,,9.77,,0.96,,Case rate,,0.96,80,,,Percent of total billed charges,,85.6,61.6,,,Percent of total billed charges,,65.91,20.6,,,Percent of total billed charges,,22.04,20.6,,,Percent of total billed charges,,22.04,65.55,,,Percent of total billed charges,,70.14,21,,,Percent of total billed charges,,22.47,90,,,Percent of total billed charges,,96.3,21,,,Percent of total billed charges,,22.47,21,,,Percent of total billed charges,,22.47,64.9,,,Percent of total billed charges,,69.44,21,,,Percent of total billed charges,,22.47,,35.89,,Case rate,,35.89,0.96,107,
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or Class II HLA antigens",86829,CPT,,,,Outpatient,Facility,,,451,180.4,66,,,Percent of total billed charges,,297.66,20.8,,,Percent of total billed charges,,93.81,,65.47,,Case rate,,65.47,,64.19,,Case rate,,64.19,,3.71,,Case rate,,3.71,80,,,Percent of total billed charges,,360.8,61.6,,,Percent of total billed charges,,277.82,20.6,,,Percent of total billed charges,,92.91,20.6,,,Percent of total billed charges,,92.91,65.55,,,Percent of total billed charges,,295.63,21,,,Percent of total billed charges,,94.71,90,,,Percent of total billed charges,,405.9,21,,,Percent of total billed charges,,94.71,21,,,Percent of total billed charges,,94.71,64.9,,,Percent of total billed charges,,292.7,21,,,Percent of total billed charges,,94.71,45,,,Percent of total billed charges,,202.95,3.71,451,
Antibody; Aspergillus,86606,CPT,,,,Outpatient,Facility,,,128,51.2,66,,,Percent of total billed charges,,84.48,20.8,,,Percent of total billed charges,,26.62,20.4,,,Percent of total billed charges,,26.11,,15.05,,Case rate,,15.05,,4.36,,Case rate,,4.36,80,,,Percent of total billed charges,,102.4,61.6,,,Percent of total billed charges,,78.85,20.6,,,Percent of total billed charges,,26.37,20.6,,,Percent of total billed charges,,26.37,65.55,,,Percent of total billed charges,,83.9,21,,,Percent of total billed charges,,26.88,90,,,Percent of total billed charges,,115.2,21,,,Percent of total billed charges,,26.88,21,,,Percent of total billed charges,,26.88,64.9,,,Percent of total billed charges,,83.07,21,,,Percent of total billed charges,,26.88,,90.63,,Case rate,,90.63,4.36,128,
Antibody; Bordetella,86615,CPT,,,,Outpatient,Facility,,,147,58.8,66,,,Percent of total billed charges,,97.02,20.8,,,Percent of total billed charges,,30.58,20.4,,,Percent of total billed charges,,29.99,,13.19,,Case rate,,13.19,,2.71,,Case rate,,2.71,80,,,Percent of total billed charges,,117.6,61.6,,,Percent of total billed charges,,90.55,20.6,,,Percent of total billed charges,,30.28,20.6,,,Percent of total billed charges,,30.28,65.55,,,Percent of total billed charges,,96.36,21,,,Percent of total billed charges,,30.87,90,,,Percent of total billed charges,,132.3,21,,,Percent of total billed charges,,30.87,21,,,Percent of total billed charges,,30.87,64.9,,,Percent of total billed charges,,95.4,21,,,Percent of total billed charges,,30.87,,54.69,,Case rate,,54.69,2.71,147,
Antibody; Borrelia burgdorferi (Lyme disease),86618,CPT,,,,Outpatient,Facility,,,153,61.2,66,,,Percent of total billed charges,,100.98,20.8,,,Percent of total billed charges,,31.82,20.4,,,Percent of total billed charges,,31.21,,17.03,,Case rate,,17.03,,3.5,,Case rate,,3.5,80,,,Percent of total billed charges,,122.4,61.6,,,Percent of total billed charges,,94.25,20.6,,,Percent of total billed charges,,31.52,20.6,,,Percent of total billed charges,,31.52,65.55,,,Percent of total billed charges,,100.29,21,,,Percent of total billed charges,,32.13,90,,,Percent of total billed charges,,137.7,21,,,Percent of total billed charges,,32.13,21,,,Percent of total billed charges,,32.13,64.9,,,Percent of total billed charges,,99.3,21,,,Percent of total billed charges,,32.13,,71.13,,Case rate,,71.13,3.5,153,
"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)",86617,CPT,,,,Outpatient,Facility,,,144,57.6,66,,,Percent of total billed charges,,95.04,20.8,,,Percent of total billed charges,,29.95,20.4,,,Percent of total billed charges,,29.38,,15.49,,Case rate,,15.49,,4.93,,Case rate,,4.93,80,,,Percent of total billed charges,,115.2,61.6,,,Percent of total billed charges,,88.7,20.6,,,Percent of total billed charges,,29.66,20.6,,,Percent of total billed charges,,29.66,65.55,,,Percent of total billed charges,,94.39,21,,,Percent of total billed charges,,30.24,90,,,Percent of total billed charges,,129.6,21,,,Percent of total billed charges,,30.24,21,,,Percent of total billed charges,,30.24,64.9,,,Percent of total billed charges,,93.46,21,,,Percent of total billed charges,,30.24,,103.59,,Case rate,,103.59,4.93,144,
Antibody; Chlamydia,86631,CPT,,,,Outpatient,Facility,,,53,21.2,66,,,Percent of total billed charges,,34.98,20.8,,,Percent of total billed charges,,11.02,20.4,,,Percent of total billed charges,,10.81,,11.82,,Case rate,,11.82,,1.66,,Case rate,,1.66,80,,,Percent of total billed charges,,42.4,61.6,,,Percent of total billed charges,,32.65,20.6,,,Percent of total billed charges,,10.92,20.6,,,Percent of total billed charges,,10.92,65.55,,,Percent of total billed charges,,34.74,21,,,Percent of total billed charges,,11.13,90,,,Percent of total billed charges,,47.7,21,,,Percent of total billed charges,,11.13,21,,,Percent of total billed charges,,11.13,64.9,,,Percent of total billed charges,,34.4,21,,,Percent of total billed charges,,11.13,,42.44,,Case rate,,42.44,1.66,53,
Antibody; Coccidioides,86635,CPT,,,,Outpatient,Facility,,,88,35.2,66,,,Percent of total billed charges,,58.08,20.8,,,Percent of total billed charges,,18.3,20.4,,,Percent of total billed charges,,17.95,,11.47,,Case rate,,11.47,,3.37,,Case rate,,3.37,80,,,Percent of total billed charges,,70.4,61.6,,,Percent of total billed charges,,54.21,20.6,,,Percent of total billed charges,,18.13,20.6,,,Percent of total billed charges,,18.13,65.55,,,Percent of total billed charges,,57.68,21,,,Percent of total billed charges,,18.48,90,,,Percent of total billed charges,,79.2,21,,,Percent of total billed charges,,18.48,21,,,Percent of total billed charges,,18.48,64.9,,,Percent of total billed charges,,57.11,21,,,Percent of total billed charges,,18.48,,68.67,,Case rate,,68.67,3.37,88,
Antibody; cytomegalovirus (CMV),86644,CPT,,,,Outpatient,Facility,,,90,36,66,,,Percent of total billed charges,,59.4,20.8,,,Percent of total billed charges,,18.72,20.4,,,Percent of total billed charges,,18.36,,14.39,,Case rate,,14.39,,2.95,,Case rate,,2.95,80,,,Percent of total billed charges,,72,61.6,,,Percent of total billed charges,,55.44,20.6,,,Percent of total billed charges,,18.54,20.6,,,Percent of total billed charges,,18.54,65.55,,,Percent of total billed charges,,59,21,,,Percent of total billed charges,,18.9,90,,,Percent of total billed charges,,81,21,,,Percent of total billed charges,,18.9,21,,,Percent of total billed charges,,18.9,64.9,,,Percent of total billed charges,,58.41,21,,,Percent of total billed charges,,18.9,,58.69,,Case rate,,58.69,2.95,90,
"Antibody; cytomegalovirus (CMV), IgM",86645,CPT,,,,Outpatient,Facility,,,197,78.8,66,,,Percent of total billed charges,,130.02,20.8,,,Percent of total billed charges,,40.98,20.4,,,Percent of total billed charges,,40.19,,16.85,,Case rate,,16.85,,3.61,,Case rate,,3.61,80,,,Percent of total billed charges,,157.6,61.6,,,Percent of total billed charges,,121.35,20.6,,,Percent of total billed charges,,40.58,20.6,,,Percent of total billed charges,,40.58,65.55,,,Percent of total billed charges,,129.13,21,,,Percent of total billed charges,,41.37,90,,,Percent of total billed charges,,177.3,21,,,Percent of total billed charges,,41.37,21,,,Percent of total billed charges,,41.37,64.9,,,Percent of total billed charges,,127.85,21,,,Percent of total billed charges,,41.37,,73.17,,Case rate,,73.17,3.61,197,
"Antibody; encephalitis, Eastern equine",86652,CPT,,,,Outpatient,Facility,,,101,40.4,66,,,Percent of total billed charges,,66.66,20.8,,,Percent of total billed charges,,21.01,20.4,,,Percent of total billed charges,,20.6,,13.19,,Case rate,,13.19,,3.82,,Case rate,,3.82,80,,,Percent of total billed charges,,80.8,61.6,,,Percent of total billed charges,,62.22,20.6,,,Percent of total billed charges,,20.81,20.6,,,Percent of total billed charges,,20.81,65.55,,,Percent of total billed charges,,66.21,21,,,Percent of total billed charges,,21.21,90,,,Percent of total billed charges,,90.9,21,,,Percent of total billed charges,,21.21,21,,,Percent of total billed charges,,21.21,64.9,,,Percent of total billed charges,,65.55,21,,,Percent of total billed charges,,21.21,,77.86,,Case rate,,77.86,3.82,101,
"Antibody; encephalitis, Western equine",86654,CPT,,,,Outpatient,Facility,,,121,48.4,66,,,Percent of total billed charges,,79.86,20.8,,,Percent of total billed charges,,25.17,20.4,,,Percent of total billed charges,,24.68,,13.19,,Case rate,,13.19,,3.82,,Case rate,,3.82,80,,,Percent of total billed charges,,96.8,61.6,,,Percent of total billed charges,,74.54,20.6,,,Percent of total billed charges,,24.93,20.6,,,Percent of total billed charges,,24.93,65.55,,,Percent of total billed charges,,79.32,21,,,Percent of total billed charges,,25.41,90,,,Percent of total billed charges,,108.9,21,,,Percent of total billed charges,,25.41,21,,,Percent of total billed charges,,25.41,64.9,,,Percent of total billed charges,,78.53,21,,,Percent of total billed charges,,25.41,,93.28,,Case rate,,93.28,3.82,121,
"Antibody; Epstein-Barr (EB) virus, early antigen (EA)",86663,CPT,,,,Outpatient,Facility,,,153,61.2,66,,,Percent of total billed charges,,100.98,20.8,,,Percent of total billed charges,,31.82,20.4,,,Percent of total billed charges,,31.21,,13.12,,Case rate,,13.12,,2.71,,Case rate,,2.71,80,,,Percent of total billed charges,,122.4,61.6,,,Percent of total billed charges,,94.25,20.6,,,Percent of total billed charges,,31.52,20.6,,,Percent of total billed charges,,31.52,65.55,,,Percent of total billed charges,,100.29,21,,,Percent of total billed charges,,32.13,90,,,Percent of total billed charges,,137.7,21,,,Percent of total billed charges,,32.13,21,,,Percent of total billed charges,,32.13,64.9,,,Percent of total billed charges,,99.3,21,,,Percent of total billed charges,,32.13,,53.35,,Case rate,,53.35,2.71,153,
"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)",86664,CPT,,,,Outpatient,Facility,,,147,58.8,66,,,Percent of total billed charges,,97.02,20.8,,,Percent of total billed charges,,30.58,20.4,,,Percent of total billed charges,,29.99,,15.29,,Case rate,,15.29,,3.2,,Case rate,,3.2,80,,,Percent of total billed charges,,117.6,61.6,,,Percent of total billed charges,,90.55,20.6,,,Percent of total billed charges,,30.28,20.6,,,Percent of total billed charges,,30.28,65.55,,,Percent of total billed charges,,96.36,21,,,Percent of total billed charges,,30.87,90,,,Percent of total billed charges,,132.3,21,,,Percent of total billed charges,,30.87,21,,,Percent of total billed charges,,30.87,64.9,,,Percent of total billed charges,,95.4,21,,,Percent of total billed charges,,30.87,,64.72,,Case rate,,64.72,3.2,147,
"Antibody; herpes simplex, type 1",86695,CPT,,,,Outpatient,Facility,,,163,65.2,66,,,Percent of total billed charges,,107.58,20.8,,,Percent of total billed charges,,33.9,20.4,,,Percent of total billed charges,,33.25,,13.19,,Case rate,,13.19,,2.71,,Case rate,,2.71,80,,,Percent of total billed charges,,130.4,61.6,,,Percent of total billed charges,,100.41,20.6,,,Percent of total billed charges,,33.58,20.6,,,Percent of total billed charges,,33.58,65.55,,,Percent of total billed charges,,106.85,21,,,Percent of total billed charges,,34.23,90,,,Percent of total billed charges,,146.7,21,,,Percent of total billed charges,,34.23,21,,,Percent of total billed charges,,34.23,64.9,,,Percent of total billed charges,,105.79,21,,,Percent of total billed charges,,34.23,,67.18,,Case rate,,67.18,2.71,163,
Antibody; HIV-1,86701,CPT,,,,Outpatient,Facility,,,65,26,66,,,Percent of total billed charges,,42.9,20.8,,,Percent of total billed charges,,13.52,20.4,,,Percent of total billed charges,,13.26,,8.89,,Case rate,,8.89,,1.83,,Case rate,,1.83,80,,,Percent of total billed charges,,52,61.6,,,Percent of total billed charges,,40.04,20.6,,,Percent of total billed charges,,13.39,20.6,,,Percent of total billed charges,,13.39,65.55,,,Percent of total billed charges,,42.61,21,,,Percent of total billed charges,,13.65,90,,,Percent of total billed charges,,58.5,21,,,Percent of total billed charges,,13.65,21,,,Percent of total billed charges,,13.65,64.9,,,Percent of total billed charges,,42.18,21,,,Percent of total billed charges,,13.65,,48.01,,Case rate,,48.01,1.83,65,
Antibody; HIV-2,86702,CPT,,,,Outpatient,Facility,,,76,30.4,66,,,Percent of total billed charges,,50.16,20.8,,,Percent of total billed charges,,15.81,20.4,,,Percent of total billed charges,,15.5,,13.52,,Case rate,,13.52,,2.83,,Case rate,,2.83,80,,,Percent of total billed charges,,60.8,61.6,,,Percent of total billed charges,,46.82,20.6,,,Percent of total billed charges,,15.66,20.6,,,Percent of total billed charges,,15.66,65.55,,,Percent of total billed charges,,49.82,21,,,Percent of total billed charges,,15.96,90,,,Percent of total billed charges,,68.4,21,,,Percent of total billed charges,,15.96,21,,,Percent of total billed charges,,15.96,64.9,,,Percent of total billed charges,,49.32,21,,,Percent of total billed charges,,15.96,,57.57,,Case rate,,57.57,2.83,76,
Antibody; HTLV-II,86688,CPT,,,,Outpatient,Facility,,,55,22,66,,,Percent of total billed charges,,36.3,20.8,,,Percent of total billed charges,,11.44,20.4,,,Percent of total billed charges,,11.22,,14,,Case rate,,14,,2.83,,Case rate,,2.83,80,,,Percent of total billed charges,,44,61.6,,,Percent of total billed charges,,33.88,20.6,,,Percent of total billed charges,,11.33,20.6,,,Percent of total billed charges,,11.33,65.55,,,Percent of total billed charges,,36.05,21,,,Percent of total billed charges,,11.55,90,,,Percent of total billed charges,,49.5,21,,,Percent of total billed charges,,11.55,21,,,Percent of total billed charges,,11.55,64.9,,,Percent of total billed charges,,35.7,21,,,Percent of total billed charges,,11.55,,69.65,,Case rate,,69.65,2.83,69.65,
Antibody; influenza virus,86710,CPT,,,,Outpatient,Facility,,,65,26,66,,,Percent of total billed charges,,42.9,20.8,,,Percent of total billed charges,,13.52,20.4,,,Percent of total billed charges,,13.26,,13.55,,Case rate,,13.55,,4,,Case rate,,4,80,,,Percent of total billed charges,,52,61.6,,,Percent of total billed charges,,40.04,20.6,,,Percent of total billed charges,,13.39,20.6,,,Percent of total billed charges,,13.39,65.55,,,Percent of total billed charges,,42.61,21,,,Percent of total billed charges,,13.65,90,,,Percent of total billed charges,,58.5,21,,,Percent of total billed charges,,13.65,21,,,Percent of total billed charges,,13.65,64.9,,,Percent of total billed charges,,42.18,21,,,Percent of total billed charges,,13.65,,83.25,,Case rate,,83.25,4,83.25,
Antibody; Leptospira,86720,CPT,,,,Outpatient,Facility,,,186,74.4,66,,,Percent of total billed charges,,122.76,20.8,,,Percent of total billed charges,,38.69,20.4,,,Percent of total billed charges,,37.94,,16.2,,Case rate,,16.2,,3.82,,Case rate,,3.82,80,,,Percent of total billed charges,,148.8,61.6,,,Percent of total billed charges,,114.58,20.6,,,Percent of total billed charges,,38.32,20.6,,,Percent of total billed charges,,38.32,65.55,,,Percent of total billed charges,,121.92,21,,,Percent of total billed charges,,39.06,90,,,Percent of total billed charges,,167.4,21,,,Percent of total billed charges,,39.06,21,,,Percent of total billed charges,,39.06,64.9,,,Percent of total billed charges,,120.71,21,,,Percent of total billed charges,,39.06,,78.75,,Case rate,,78.75,3.82,186,
Antibody; parvovirus,86747,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,15.03,,Case rate,,15.03,,3.1,,Case rate,,3.1,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,76.7,,Case rate,,76.7,3.1,92,
Antibody; Salmonella,86768,CPT,,,,Outpatient,Facility,,,105,42,66,,,Percent of total billed charges,,69.3,20.8,,,Percent of total billed charges,,21.84,20.4,,,Percent of total billed charges,,21.42,,13.19,,Case rate,,13.19,,3.82,,Case rate,,3.82,80,,,Percent of total billed charges,,84,61.6,,,Percent of total billed charges,,64.68,20.6,,,Percent of total billed charges,,21.63,20.6,,,Percent of total billed charges,,21.63,65.55,,,Percent of total billed charges,,68.83,21,,,Percent of total billed charges,,22.05,90,,,Percent of total billed charges,,94.5,21,,,Percent of total billed charges,,22.05,21,,,Percent of total billed charges,,22.05,64.9,,,Percent of total billed charges,,68.14,21,,,Percent of total billed charges,,22.05,,78.28,,Case rate,,78.28,3.82,105,
Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]),86769,CPT,,,,Outpatient,Facility,,,191,76.4,66,,,Percent of total billed charges,,126.06,20.8,,,Percent of total billed charges,,39.73,20.4,,,Percent of total billed charges,,38.96,,42.13,,Case rate,,42.13,,8.34,,Case rate,,8.34,80,,,Percent of total billed charges,,152.8,61.6,,,Percent of total billed charges,,117.66,20.6,,,Percent of total billed charges,,39.35,20.6,,,Percent of total billed charges,,39.35,65.55,,,Percent of total billed charges,,125.2,21,,,Percent of total billed charges,,40.11,90,,,Percent of total billed charges,,171.9,21,,,Percent of total billed charges,,40.11,21,,,Percent of total billed charges,,40.11,64.9,,,Percent of total billed charges,,123.96,21,,,Percent of total billed charges,,40.11,,65,,Case rate,,65,8.34,191,
Antibody; Toxoplasma,86777,CPT,,,,Outpatient,Facility,,,90,36,66,,,Percent of total billed charges,,59.4,20.8,,,Percent of total billed charges,,18.72,20.4,,,Percent of total billed charges,,18.36,,14.39,,Case rate,,14.39,,2.95,,Case rate,,2.95,80,,,Percent of total billed charges,,72,61.6,,,Percent of total billed charges,,55.44,20.6,,,Percent of total billed charges,,18.54,20.6,,,Percent of total billed charges,,18.54,65.55,,,Percent of total billed charges,,59,21,,,Percent of total billed charges,,18.9,90,,,Percent of total billed charges,,81,21,,,Percent of total billed charges,,18.9,21,,,Percent of total billed charges,,18.9,64.9,,,Percent of total billed charges,,58.41,21,,,Percent of total billed charges,,18.9,,59.52,,Case rate,,59.52,2.95,90,
Antibody; Trichinella,86784,CPT,,,,Outpatient,Facility,,,116,46.4,66,,,Percent of total billed charges,,76.56,20.8,,,Percent of total billed charges,,24.13,20.4,,,Percent of total billed charges,,23.66,,12.56,,Case rate,,12.56,,3.66,,Case rate,,3.66,80,,,Percent of total billed charges,,92.8,61.6,,,Percent of total billed charges,,71.46,20.6,,,Percent of total billed charges,,23.9,20.6,,,Percent of total billed charges,,23.9,65.55,,,Percent of total billed charges,,76.04,21,,,Percent of total billed charges,,24.36,90,,,Percent of total billed charges,,104.4,21,,,Percent of total billed charges,,24.36,21,,,Percent of total billed charges,,24.36,64.9,,,Percent of total billed charges,,75.28,21,,,Percent of total billed charges,,24.36,,75.08,,Case rate,,75.08,3.66,116,
Antibody; varicella-zoster,86787,CPT,,,,Outpatient,Facility,,,112,44.8,66,,,Percent of total billed charges,,73.92,20.8,,,Percent of total billed charges,,23.3,20.4,,,Percent of total billed charges,,22.85,,12.88,,Case rate,,12.88,,2.65,,Case rate,,2.65,80,,,Percent of total billed charges,,89.6,61.6,,,Percent of total billed charges,,68.99,20.6,,,Percent of total billed charges,,23.07,20.6,,,Percent of total billed charges,,23.07,65.55,,,Percent of total billed charges,,73.42,21,,,Percent of total billed charges,,23.52,90,,,Percent of total billed charges,,100.8,21,,,Percent of total billed charges,,23.52,21,,,Percent of total billed charges,,23.52,64.9,,,Percent of total billed charges,,72.69,21,,,Percent of total billed charges,,23.52,,65.47,,Case rate,,65.47,2.65,112,
Antibody; West Nile virus,86789,CPT,,,,Outpatient,Facility,,,587,234.8,66,,,Percent of total billed charges,,387.42,20.8,,,Percent of total billed charges,,122.1,20.4,,,Percent of total billed charges,,119.75,,14.39,,Case rate,,14.39,,3.98,,Case rate,,3.98,80,,,Percent of total billed charges,,469.6,61.6,,,Percent of total billed charges,,361.59,20.6,,,Percent of total billed charges,,120.92,20.6,,,Percent of total billed charges,,120.92,65.55,,,Percent of total billed charges,,384.78,21,,,Percent of total billed charges,,123.27,90,,,Percent of total billed charges,,528.3,21,,,Percent of total billed charges,,123.27,21,,,Percent of total billed charges,,123.27,64.9,,,Percent of total billed charges,,380.96,21,,,Percent of total billed charges,,123.27,,498.84,,Case rate,,498.84,3.98,587,
"Antihuman globulin test (Coombs test); direct, each antiserum",86880,CPT,,,,Outpatient,Facility,,,175,70,66,,,Percent of total billed charges,,115.5,20.8,,,Percent of total billed charges,,36.4,20.4,,,Percent of total billed charges,,35.7,,5.39,,Case rate,,5.39,,1.1,,Case rate,,1.1,80,,,Percent of total billed charges,,140,61.6,,,Percent of total billed charges,,107.8,20.6,,,Percent of total billed charges,,36.05,20.6,,,Percent of total billed charges,,36.05,65.55,,,Percent of total billed charges,,114.71,21,,,Percent of total billed charges,,36.75,90,,,Percent of total billed charges,,157.5,21,,,Percent of total billed charges,,36.75,21,,,Percent of total billed charges,,36.75,64.9,,,Percent of total billed charges,,113.58,21,,,Percent of total billed charges,,36.75,,16.67,,Case rate,,16.67,1.1,175,
"Antihuman globulin test (Coombs test); indirect, each antibody titer",86886,CPT,,,,Outpatient,Facility,,,45,18,66,,,Percent of total billed charges,,29.7,20.8,,,Percent of total billed charges,,9.36,20.4,,,Percent of total billed charges,,9.18,,5.18,,Case rate,,5.18,,1.5,,Case rate,,1.5,80,,,Percent of total billed charges,,36,61.6,,,Percent of total billed charges,,27.72,20.6,,,Percent of total billed charges,,9.27,20.6,,,Percent of total billed charges,,9.27,65.55,,,Percent of total billed charges,,29.5,21,,,Percent of total billed charges,,9.45,90,,,Percent of total billed charges,,40.5,21,,,Percent of total billed charges,,9.45,21,,,Percent of total billed charges,,9.45,64.9,,,Percent of total billed charges,,29.2,21,,,Percent of total billed charges,,9.45,,25.3,,Case rate,,25.3,1.5,45,
"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell",86885,CPT,,,,Outpatient,Facility,,,51,20.4,66,,,Percent of total billed charges,,33.66,20.8,,,Percent of total billed charges,,10.61,20.4,,,Percent of total billed charges,,10.4,,5.72,,Case rate,,5.72,,1.66,,Case rate,,1.66,80,,,Percent of total billed charges,,40.8,61.6,,,Percent of total billed charges,,31.42,20.6,,,Percent of total billed charges,,10.51,20.6,,,Percent of total billed charges,,10.51,65.55,,,Percent of total billed charges,,33.43,21,,,Percent of total billed charges,,10.71,90,,,Percent of total billed charges,,45.9,21,,,Percent of total billed charges,,10.71,21,,,Percent of total billed charges,,10.71,64.9,,,Percent of total billed charges,,33.1,21,,,Percent of total billed charges,,10.71,,29.62,,Case rate,,29.62,1.66,51,
"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody",86036,CPT,,,,Outpatient,Facility,,,48,19.2,66,,,Percent of total billed charges,,31.68,20.8,,,Percent of total billed charges,,9.98,20.4,,,Percent of total billed charges,,9.79,,12.05,,Case rate,,12.05,,0.54,,Case rate,,0.54,80,,,Percent of total billed charges,,38.4,61.6,,,Percent of total billed charges,,29.57,20.6,,,Percent of total billed charges,,9.89,20.6,,,Percent of total billed charges,,9.89,65.55,,,Percent of total billed charges,,31.46,21,,,Percent of total billed charges,,10.08,90,,,Percent of total billed charges,,43.2,21,,,Percent of total billed charges,,10.08,21,,,Percent of total billed charges,,10.08,64.9,,,Percent of total billed charges,,31.15,21,,,Percent of total billed charges,,10.08,,42.25,,Case rate,,42.25,0.54,48,
"Antipsychotics, not otherwise specified; 1-3",80342,CPT,,,,Outpatient,Facility,,,129,51.6,66,,,Percent of total billed charges,,85.14,20.8,,,Percent of total billed charges,,26.83,20.4,,,Percent of total billed charges,,26.32,,13.05,,Case rate,,13.05,,0.97,,Case rate,,0.97,80,,,Percent of total billed charges,,103.2,61.6,,,Percent of total billed charges,,79.46,20.6,,,Percent of total billed charges,,26.57,20.6,,,Percent of total billed charges,,26.57,65.55,,,Percent of total billed charges,,84.56,21,,,Percent of total billed charges,,27.09,90,,,Percent of total billed charges,,116.1,21,,,Percent of total billed charges,,27.09,21,,,Percent of total billed charges,,27.09,64.9,,,Percent of total billed charges,,83.72,21,,,Percent of total billed charges,,27.09,45,,,Percent of total billed charges,,58.05,0.97,129,
Antistreptolysin 0; screen,86063,CPT,,,,Outpatient,Facility,,,56,22.4,66,,,Percent of total billed charges,,36.96,20.8,,,Percent of total billed charges,,11.65,20.4,,,Percent of total billed charges,,11.42,,5.77,,Case rate,,5.77,,1.19,,Case rate,,1.19,80,,,Percent of total billed charges,,44.8,61.6,,,Percent of total billed charges,,34.5,20.6,,,Percent of total billed charges,,11.54,20.6,,,Percent of total billed charges,,11.54,65.55,,,Percent of total billed charges,,36.71,21,,,Percent of total billed charges,,11.76,90,,,Percent of total billed charges,,50.4,21,,,Percent of total billed charges,,11.76,21,,,Percent of total billed charges,,11.76,64.9,,,Percent of total billed charges,,36.34,21,,,Percent of total billed charges,,11.76,,33.8,,Case rate,,33.8,1.19,56,
Application of a modality to 1 or more areas; electrical stimulation (unattended),97014,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,12.1,,Case rate,,12.1,,2.64,,Case rate,,2.64,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,69.09,,Case rate,,69.09,2.64,92,
Application of a modality to 1 or more areas; hot or cold packs,97010,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,6.13,,Case rate,,6.13,,2.17,,Case rate,,2.17,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,,,Case rate,,,2.17,92,
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",97033,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,19.24,,Case rate,,19.24,,2.71,,Case rate,,2.71,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,56.88,,Case rate,,56.88,2.71,92,
Application of a modality to 1 or more areas; paraffin bath,97018,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,5.5,,Case rate,,5.5,,3.04,,Case rate,,3.04,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,65.19,,Case rate,,65.19,3.04,92,
Application of a modality to 1 or more areas; vasopneumatic devices,97016,CPT,,,,Outpatient,Facility,,,116,46.4,66,,,Percent of total billed charges,,76.56,20.8,,,Percent of total billed charges,,24.13,20.4,,,Percent of total billed charges,,23.66,,11.47,,Case rate,,11.47,,4.1,,Case rate,,4.1,80,,,Percent of total billed charges,,92.8,61.6,,,Percent of total billed charges,,71.46,20.6,,,Percent of total billed charges,,23.9,20.6,,,Percent of total billed charges,,23.9,65.55,,,Percent of total billed charges,,76.04,21,,,Percent of total billed charges,,24.36,90,,,Percent of total billed charges,,104.4,21,,,Percent of total billed charges,,24.36,21,,,Percent of total billed charges,,24.36,64.9,,,Percent of total billed charges,,75.28,21,,,Percent of total billed charges,,24.36,,89.52,,Case rate,,89.52,4.1,116,
Application of a modality to 1 or more areas; whirlpool,97022,CPT,,,,Outpatient,Facility,,,107,42.8,66,,,Percent of total billed charges,,70.62,20.8,,,Percent of total billed charges,,22.26,20.4,,,Percent of total billed charges,,21.83,,16.5,,Case rate,,16.5,,3.52,,Case rate,,3.52,80,,,Percent of total billed charges,,85.6,61.6,,,Percent of total billed charges,,65.91,20.6,,,Percent of total billed charges,,22.04,20.6,,,Percent of total billed charges,,22.04,65.55,,,Percent of total billed charges,,70.14,21,,,Percent of total billed charges,,22.47,90,,,Percent of total billed charges,,96.3,21,,,Percent of total billed charges,,22.47,21,,,Percent of total billed charges,,22.47,64.9,,,Percent of total billed charges,,69.44,21,,,Percent of total billed charges,,22.47,,90.03,,Case rate,,90.03,3.52,107,
Application of finger splint; dynamic,29131,CPT,,,,Outpatient,Facility,,,359,143.6,66,,,Percent of total billed charges,,236.94,20.8,,,Percent of total billed charges,,74.67,20.4,,,Percent of total billed charges,,73.24,,52.06,,Case rate,,52.06,,9.9,,Case rate,,9.9,80,,,Percent of total billed charges,,287.2,61.6,,,Percent of total billed charges,,221.14,20.6,,,Percent of total billed charges,,73.95,20.6,,,Percent of total billed charges,,73.95,65.55,,,Percent of total billed charges,,235.32,21,,,Percent of total billed charges,,75.39,90,,,Percent of total billed charges,,323.1,21,,,Percent of total billed charges,,75.39,21,,,Percent of total billed charges,,75.39,64.9,,,Percent of total billed charges,,232.99,21,,,Percent of total billed charges,,75.39,,250.58,,Case rate,,250.58,9.9,359,
"Application of multi-layer compression system; upper arm, forearm, hand, and fingers",29584,CPT,,,,Outpatient,Facility,,,535,214,66,,,Percent of total billed charges,,353.1,20.8,,,Percent of total billed charges,,111.28,20.4,,,Percent of total billed charges,,109.14,,78.25,,Case rate,,78.25,,8.79,,Case rate,,8.79,80,,,Percent of total billed charges,,428,61.6,,,Percent of total billed charges,,329.56,20.6,,,Percent of total billed charges,,110.21,20.6,,,Percent of total billed charges,,110.21,65.55,,,Percent of total billed charges,,350.69,21,,,Percent of total billed charges,,112.35,90,,,Percent of total billed charges,,481.5,21,,,Percent of total billed charges,,112.35,21,,,Percent of total billed charges,,112.35,64.9,,,Percent of total billed charges,,347.22,21,,,Percent of total billed charges,,112.35,45,,,Percent of total billed charges,,240.75,8.79,535,
Application of rigid total contact leg cast,29445,CPT,,,,Outpatient,Facility,,,783,313.2,66,,,Percent of total billed charges,,516.78,20.8,,,Percent of total billed charges,,162.86,20.4,,,Percent of total billed charges,,159.73,,124.64,,Case rate,,124.64,,27.3,,Case rate,,27.3,80,,,Percent of total billed charges,,626.4,61.6,,,Percent of total billed charges,,482.33,20.6,,,Percent of total billed charges,,161.3,20.6,,,Percent of total billed charges,,161.3,65.55,,,Percent of total billed charges,,513.26,21,,,Percent of total billed charges,,164.43,90,,,Percent of total billed charges,,704.7,21,,,Percent of total billed charges,,164.43,21,,,Percent of total billed charges,,164.43,64.9,,,Percent of total billed charges,,508.17,21,,,Percent of total billed charges,,164.43,,446.84,,Case rate,,446.84,27.3,783,
Application of short leg cast (below knee to toes),29405,CPT,,,,Outpatient,Facility,,,490,196,66,,,Percent of total billed charges,,323.4,20.8,,,Percent of total billed charges,,101.92,20.4,,,Percent of total billed charges,,99.96,,77.59,,Case rate,,77.59,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,392,61.6,,,Percent of total billed charges,,301.84,20.6,,,Percent of total billed charges,,100.94,20.6,,,Percent of total billed charges,,100.94,65.55,,,Percent of total billed charges,,321.2,21,,,Percent of total billed charges,,102.9,90,,,Percent of total billed charges,,441,21,,,Percent of total billed charges,,102.9,21,,,Percent of total billed charges,,102.9,64.9,,,Percent of total billed charges,,318.01,21,,,Percent of total billed charges,,102.9,,332.76,,Case rate,,332.76,13.86,490,
Application of short leg splint (calf to foot),29515,CPT,,,,Outpatient,Facility,,,403,161.2,66,,,Percent of total billed charges,,265.98,20.8,,,Percent of total billed charges,,83.82,20.4,,,Percent of total billed charges,,82.21,,69.53,,Case rate,,69.53,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,322.4,61.6,,,Percent of total billed charges,,248.25,20.6,,,Percent of total billed charges,,83.02,20.6,,,Percent of total billed charges,,83.02,65.55,,,Percent of total billed charges,,264.17,21,,,Percent of total billed charges,,84.63,90,,,Percent of total billed charges,,362.7,21,,,Percent of total billed charges,,84.63,21,,,Percent of total billed charges,,84.63,64.9,,,Percent of total billed charges,,261.55,21,,,Percent of total billed charges,,84.63,,331.84,,Case rate,,331.84,13.86,403,
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)",15278,CPT,,,,Outpatient,Facility,,,5371.86,2148.75,66,,,Percent of total billed charges,,3545.43,20.8,,,Percent of total billed charges,,1117.35,20.4,,,Percent of total billed charges,,1095.86,,92.52,,Case rate,,92.52,,62.25,,Case rate,,62.25,80,,,Percent of total billed charges,,4297.49,61.6,,,Percent of total billed charges,,3309.07,20.6,,,Percent of total billed charges,,1106.6,20.6,,,Percent of total billed charges,,1106.6,65.55,,,Percent of total billed charges,,3521.26,21,,,Percent of total billed charges,,1128.09,90,,,Percent of total billed charges,,4834.68,21,,,Percent of total billed charges,,1128.09,21,,,Percent of total billed charges,,1128.09,64.9,,,Percent of total billed charges,,3486.34,21,,,Percent of total billed charges,,1128.09,45,,,Percent of total billed charges,,2417.34,62.25,5371.86,
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children",15277,CPT,,,,Outpatient,Facility,,,12241.27,4896.51,66,,,Percent of total billed charges,,8079.24,20.8,,,Percent of total billed charges,,2546.18,20.4,,,Percent of total billed charges,,2497.22,,335.34,,Case rate,,335.34,,83.37,,Case rate,,83.37,80,,,Percent of total billed charges,,9793.01,61.6,,,Percent of total billed charges,,7540.62,20.6,,,Percent of total billed charges,,2521.7,20.6,,,Percent of total billed charges,,2521.7,65.55,,,Percent of total billed charges,,8024.15,21,,,Percent of total billed charges,,2570.67,90,,,Percent of total billed charges,,11017.14,21,,,Percent of total billed charges,,2570.67,21,,,Percent of total billed charges,,2570.67,64.9,,,Percent of total billed charges,,7944.58,21,,,Percent of total billed charges,,2570.67,45,,,Percent of total billed charges,,5508.57,83.37,12241.27,
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15276,CPT,,,,Outpatient,Facility,,,563,225.2,66,,,Percent of total billed charges,,371.58,20.8,,,Percent of total billed charges,,117.1,20.4,,,Percent of total billed charges,,114.85,,31.74,,Case rate,,31.74,,8.24,,Case rate,,8.24,80,,,Percent of total billed charges,,450.4,61.6,,,Percent of total billed charges,,346.81,20.6,,,Percent of total billed charges,,115.98,20.6,,,Percent of total billed charges,,115.98,65.55,,,Percent of total billed charges,,369.05,21,,,Percent of total billed charges,,118.23,90,,,Percent of total billed charges,,506.7,21,,,Percent of total billed charges,,118.23,21,,,Percent of total billed charges,,118.23,64.9,,,Percent of total billed charges,,365.39,21,,,Percent of total billed charges,,118.23,,194.73,,Case rate,,194.73,8.24,563,
"Application, cast; elbow to finger (short arm)",29075,CPT,,,,Outpatient,Facility,,,349,139.6,66,,,Percent of total billed charges,,230.34,20.8,,,Percent of total billed charges,,72.59,20.4,,,Percent of total billed charges,,71.2,,85.38,,Case rate,,85.38,,9.9,,Case rate,,9.9,80,,,Percent of total billed charges,,279.2,61.6,,,Percent of total billed charges,,214.98,20.6,,,Percent of total billed charges,,71.89,20.6,,,Percent of total billed charges,,71.89,65.55,,,Percent of total billed charges,,228.77,21,,,Percent of total billed charges,,73.29,90,,,Percent of total billed charges,,314.1,21,,,Percent of total billed charges,,73.29,21,,,Percent of total billed charges,,73.29,64.9,,,Percent of total billed charges,,226.5,21,,,Percent of total billed charges,,73.29,,250.4,,Case rate,,250.4,9.9,349,
"Application, cast; shoulder to hand (long arm)",29065,CPT,,,,Outpatient,Facility,,,678,271.2,66,,,Percent of total billed charges,,447.48,20.8,,,Percent of total billed charges,,141.02,20.4,,,Percent of total billed charges,,138.31,,94.13,,Case rate,,94.13,,21.78,,Case rate,,21.78,80,,,Percent of total billed charges,,542.4,61.6,,,Percent of total billed charges,,417.65,20.6,,,Percent of total billed charges,,139.67,20.6,,,Percent of total billed charges,,139.67,65.55,,,Percent of total billed charges,,444.43,21,,,Percent of total billed charges,,142.38,90,,,Percent of total billed charges,,610.2,21,,,Percent of total billed charges,,142.38,21,,,Percent of total billed charges,,142.38,64.9,,,Percent of total billed charges,,440.02,21,,,Percent of total billed charges,,142.38,,527.17,,Case rate,,527.17,21.78,678,
"Aquaporin-4 (neuromyelitis optica [NMO]) antibody; cell-based immunofluorescence assay (CBA), each",86052,CPT,,,,Outpatient,Facility,,,543,217.2,66,,,Percent of total billed charges,,358.38,20.8,,,Percent of total billed charges,,112.94,20.4,,,Percent of total billed charges,,110.77,,12.05,,Case rate,,12.05,,0.54,,Case rate,,0.54,80,,,Percent of total billed charges,,434.4,61.6,,,Percent of total billed charges,,334.49,20.6,,,Percent of total billed charges,,111.86,20.6,,,Percent of total billed charges,,111.86,65.55,,,Percent of total billed charges,,355.94,21,,,Percent of total billed charges,,114.03,90,,,Percent of total billed charges,,488.7,21,,,Percent of total billed charges,,114.03,21,,,Percent of total billed charges,,114.03,64.9,,,Percent of total billed charges,,352.41,21,,,Percent of total billed charges,,114.03,,42.25,,Case rate,,42.25,0.54,543,
"Aquaporin-4 (neuromyelitis optica [NMO]) antibody; flow cytometry (ie, fluorescence-activated cell sorting [FACS]), each",86053,CPT,,,,Outpatient,Facility,,,46,18.4,66,,,Percent of total billed charges,,30.36,20.8,,,Percent of total billed charges,,9.57,20.4,,,Percent of total billed charges,,9.38,,37.73,,Case rate,,37.73,,0.54,,Case rate,,0.54,80,,,Percent of total billed charges,,36.8,61.6,,,Percent of total billed charges,,28.34,20.6,,,Percent of total billed charges,,9.48,20.6,,,Percent of total billed charges,,9.48,65.55,,,Percent of total billed charges,,30.15,21,,,Percent of total billed charges,,9.66,90,,,Percent of total billed charges,,41.4,21,,,Percent of total billed charges,,9.66,21,,,Percent of total billed charges,,9.66,64.9,,,Percent of total billed charges,,29.85,21,,,Percent of total billed charges,,9.66,45,,,Percent of total billed charges,,20.7,0.54,46,
Arsenic,82175,CPT,,,,Outpatient,Facility,,,187,74.8,66,,,Percent of total billed charges,,123.42,20.8,,,Percent of total billed charges,,38.9,,19.35,,Case rate,,19.35,,18.97,,Case rate,,18.97,,3.91,,Case rate,,3.91,80,,,Percent of total billed charges,,149.6,61.6,,,Percent of total billed charges,,115.19,20.6,,,Percent of total billed charges,,38.52,20.6,,,Percent of total billed charges,,38.52,65.55,,,Percent of total billed charges,,122.58,21,,,Percent of total billed charges,,39.27,90,,,Percent of total billed charges,,168.3,21,,,Percent of total billed charges,,39.27,21,,,Percent of total billed charges,,39.27,64.9,,,Percent of total billed charges,,121.36,21,,,Percent of total billed charges,,39.27,,95.32,,Case rate,,95.32,3.91,187,
"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous",36620,CPT,,,,Outpatient,Facility,,,278,111.2,66,,,Percent of total billed charges,,183.48,20.8,,,Percent of total billed charges,,57.82,20.4,,,Percent of total billed charges,,56.71,,43.6,,Case rate,,43.6,,9.9,,Case rate,,9.9,80,,,Percent of total billed charges,,222.4,61.6,,,Percent of total billed charges,,171.25,20.6,,,Percent of total billed charges,,57.27,20.6,,,Percent of total billed charges,,57.27,65.55,,,Percent of total billed charges,,182.23,21,,,Percent of total billed charges,,58.38,90,,,Percent of total billed charges,,250.2,21,,,Percent of total billed charges,,58.38,21,,,Percent of total billed charges,,58.38,64.9,,,Percent of total billed charges,,180.42,21,,,Percent of total billed charges,,58.38,,250.26,,Case rate,,250.26,9.9,278,
"Arterial puncture, withdrawal of blood for diagnosis",36600,CPT,,,,Outpatient,Facility,,,188,75.2,66,,,Percent of total billed charges,,124.08,20.8,,,Percent of total billed charges,,39.1,20.4,,,Percent of total billed charges,,38.35,,26.63,,Case rate,,26.63,,1.98,,Case rate,,1.98,80,,,Percent of total billed charges,,150.4,61.6,,,Percent of total billed charges,,115.81,20.6,,,Percent of total billed charges,,38.73,20.6,,,Percent of total billed charges,,38.73,65.55,,,Percent of total billed charges,,123.23,21,,,Percent of total billed charges,,39.48,90,,,Percent of total billed charges,,169.2,21,,,Percent of total billed charges,,39.48,21,,,Percent of total billed charges,,39.48,64.9,,,Percent of total billed charges,,122.01,21,,,Percent of total billed charges,,39.48,,55.9,,Case rate,,55.9,1.98,188,
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance",20610,CPT,,,,Outpatient,Facility,,,309,123.6,66,,,Percent of total billed charges,,203.94,20.8,,,Percent of total billed charges,,64.27,20.4,,,Percent of total billed charges,,63.04,,62.7,,Case rate,,62.7,,1.98,,Case rate,,1.98,80,,,Percent of total billed charges,,247.2,61.6,,,Percent of total billed charges,,190.34,20.6,,,Percent of total billed charges,,63.65,20.6,,,Percent of total billed charges,,63.65,65.55,,,Percent of total billed charges,,202.55,21,,,Percent of total billed charges,,64.89,90,,,Percent of total billed charges,,278.1,21,,,Percent of total billed charges,,64.89,21,,,Percent of total billed charges,,64.89,64.9,,,Percent of total billed charges,,200.54,21,,,Percent of total billed charges,,64.89,,55.11,,Case rate,,55.11,1.98,309,
"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)",27447,CPT,,,,Outpatient,Facility,,,3448.94,1379.58,66,,,Percent of total billed charges,,2276.3,20.8,,,Percent of total billed charges,,717.38,20.4,,,Percent of total billed charges,,703.58,,1253.41,,Case rate,,1253.41,,283.93,,Case rate,,283.93,80,,,Percent of total billed charges,,2759.15,61.6,,,Percent of total billed charges,,2124.55,20.6,,,Percent of total billed charges,,710.48,20.6,,,Percent of total billed charges,,710.48,65.55,,,Percent of total billed charges,,2260.78,21,,,Percent of total billed charges,,724.28,90,,,Percent of total billed charges,,3104.05,21,,,Percent of total billed charges,,724.28,21,,,Percent of total billed charges,,724.28,64.9,,,Percent of total billed charges,,2238.36,21,,,Percent of total billed charges,,724.28,,12343.79,,Case rate,,12343.79,283.93,12343.79,
"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X)",81200,CPT,,,,Outpatient,Facility,,,172,68.8,66,,,Percent of total billed charges,,113.52,20.8,,,Percent of total billed charges,,35.78,20.4,,,Percent of total billed charges,,35.09,,47.25,,Case rate,,47.25,,29,,Case rate,,29,80,,,Percent of total billed charges,,137.6,61.6,,,Percent of total billed charges,,105.95,20.6,,,Percent of total billed charges,,35.43,20.6,,,Percent of total billed charges,,35.43,65.55,,,Percent of total billed charges,,112.75,21,,,Percent of total billed charges,,36.12,90,,,Percent of total billed charges,,154.8,21,,,Percent of total billed charges,,36.12,21,,,Percent of total billed charges,,36.12,64.9,,,Percent of total billed charges,,111.63,21,,,Percent of total billed charges,,36.12,,165.66,,Case rate,,165.66,29,172,
Aspiration and/or injection of ganglion cyst(s) any location,20612,CPT,,,,Outpatient,Facility,,,1339,535.6,66,,,Percent of total billed charges,,883.74,20.8,,,Percent of total billed charges,,278.51,20.4,,,Percent of total billed charges,,273.16,,62.2,,Case rate,,62.2,,10.68,,Case rate,,10.68,80,,,Percent of total billed charges,,1071.2,61.6,,,Percent of total billed charges,,824.82,20.6,,,Percent of total billed charges,,275.83,20.6,,,Percent of total billed charges,,275.83,65.55,,,Percent of total billed charges,,877.71,21,,,Percent of total billed charges,,281.19,90,,,Percent of total billed charges,,1205.1,21,,,Percent of total billed charges,,281.19,21,,,Percent of total billed charges,,281.19,64.9,,,Percent of total billed charges,,869.01,21,,,Percent of total billed charges,,281.19,,1134.84,,Case rate,,1134.84,10.68,1339,
"Avulsion of nail plate, partial or complete, simple; single",11730,CPT,,,,Outpatient,Facility,,,425,170,66,,,Percent of total billed charges,,280.5,20.8,,,Percent of total billed charges,,88.4,20.4,,,Percent of total billed charges,,86.7,,111.37,,Case rate,,111.37,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,340,61.6,,,Percent of total billed charges,,261.8,20.6,,,Percent of total billed charges,,87.55,20.6,,,Percent of total billed charges,,87.55,65.55,,,Percent of total billed charges,,278.59,21,,,Percent of total billed charges,,89.25,90,,,Percent of total billed charges,,382.5,21,,,Percent of total billed charges,,89.25,21,,,Percent of total billed charges,,89.25,64.9,,,Percent of total billed charges,,275.82,21,,,Percent of total billed charges,,89.25,,348.46,,Case rate,,348.46,13.86,425,
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative",81206,CPT,,,,Outpatient,Facility,,,593,237.2,66,,,Percent of total billed charges,,391.38,20.8,,,Percent of total billed charges,,123.34,,167.24,,Case rate,,167.24,,163.96,,Case rate,,163.96,,17.07,,Case rate,,17.07,80,,,Percent of total billed charges,,474.4,61.6,,,Percent of total billed charges,,365.29,20.6,,,Percent of total billed charges,,122.16,20.6,,,Percent of total billed charges,,122.16,65.55,,,Percent of total billed charges,,388.71,21,,,Percent of total billed charges,,124.53,90,,,Percent of total billed charges,,533.7,21,,,Percent of total billed charges,,124.53,21,,,Percent of total billed charges,,124.53,64.9,,,Percent of total billed charges,,384.86,21,,,Percent of total billed charges,,124.53,,231.73,,Case rate,,231.73,17.07,593,
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative",81207,CPT,,,,Outpatient,Facility,,,538,215.2,66,,,Percent of total billed charges,,355.08,20.8,,,Percent of total billed charges,,111.9,,147.74,,Case rate,,147.74,,144.84,,Case rate,,144.84,,17.07,,Case rate,,17.07,80,,,Percent of total billed charges,,430.4,61.6,,,Percent of total billed charges,,331.41,20.6,,,Percent of total billed charges,,110.83,20.6,,,Percent of total billed charges,,110.83,65.55,,,Percent of total billed charges,,352.66,21,,,Percent of total billed charges,,112.98,90,,,Percent of total billed charges,,484.2,21,,,Percent of total billed charges,,112.98,21,,,Percent of total billed charges,,112.98,64.9,,,Percent of total billed charges,,349.16,21,,,Percent of total billed charges,,112.98,,310.15,,Case rate,,310.15,17.07,538,
"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative",81208,CPT,,,,Outpatient,Facility,,,840,336,66,,,Percent of total billed charges,,554.4,20.8,,,Percent of total billed charges,,174.72,,218.91,,Case rate,,218.91,,214.62,,Case rate,,214.62,,17.07,,Case rate,,17.07,80,,,Percent of total billed charges,,672,61.6,,,Percent of total billed charges,,517.44,20.6,,,Percent of total billed charges,,173.04,20.6,,,Percent of total billed charges,,173.04,65.55,,,Percent of total billed charges,,550.62,21,,,Percent of total billed charges,,176.4,90,,,Percent of total billed charges,,756,21,,,Percent of total billed charges,,176.4,21,,,Percent of total billed charges,,176.4,64.9,,,Percent of total billed charges,,545.16,21,,,Percent of total billed charges,,176.4,,831.84,,Case rate,,831.84,17.07,840,
Behavioral and qualitative analysis of voice and resonance,92524,CPT,,,,Outpatient,Facility,,,197,78.8,66,,,Percent of total billed charges,,130.02,20.8,,,Percent of total billed charges,,40.98,,111.28,,Case rate,,111.28,,107.68,,Case rate,,107.68,,7.36,,Case rate,,7.36,80,,,Percent of total billed charges,,157.6,61.6,,,Percent of total billed charges,,121.35,20.6,,,Percent of total billed charges,,40.58,20.6,,,Percent of total billed charges,,40.58,65.55,,,Percent of total billed charges,,129.13,21,,,Percent of total billed charges,,41.37,90,,,Percent of total billed charges,,177.3,21,,,Percent of total billed charges,,41.37,21,,,Percent of total billed charges,,41.37,64.9,,,Percent of total billed charges,,127.85,21,,,Percent of total billed charges,,41.37,,216.97,,Case rate,,216.97,7.36,216.97,
benign prostatic hypertrophy without mcc,726,MS-DRG,,,,Inpatient,Facility,,,8022.5,3209,,6579.56,,Case rate,DRG Factor * DRG Weight,6579.56,,1758.64,,Per Diem,,7034.56,,1724.82,,Per Diem,,6899.28,,12614.89,,Case rate,DRG Factor * DRG Weight,12614.89,,1674.09,,Per Diem,,6696.36,80,,,Percent of total billed charges,,6418,61.6,,,Percent of total billed charges,,4941.86,,1741.73,,Per Diem,,6966.92,,1741.73,,Per Diem,,6966.92,65.55,,,Percent of total billed charges,,5258.75,,2079,,Per Diem,,8316,90,,,Percent of total billed charges,,7220.25,,2079,,Per Diem,,8316,,2079,,Per Diem,,8316,64.9,,,Percent of total billed charges,,5206.6,,2079,,Per Diem,,8316,,7054.09,,Case rate,DRG Factor * DRG Weight,7054.09,4941.86,12614.89,
Benzodiazepines; 1-12,80346,CPT,,,,Outpatient,Facility,,,110,44,66,,,Percent of total billed charges,,72.6,20.8,,,Percent of total billed charges,,22.88,20.4,,,Percent of total billed charges,,22.44,,17.62,,Case rate,,17.62,,1.31,,Case rate,,1.31,80,,,Percent of total billed charges,,88,61.6,,,Percent of total billed charges,,67.76,20.6,,,Percent of total billed charges,,22.66,20.6,,,Percent of total billed charges,,22.66,65.55,,,Percent of total billed charges,,72.1,21,,,Percent of total billed charges,,23.1,90,,,Percent of total billed charges,,99,21,,,Percent of total billed charges,,23.1,21,,,Percent of total billed charges,,23.1,64.9,,,Percent of total billed charges,,71.39,21,,,Percent of total billed charges,,23.1,45,,,Percent of total billed charges,,49.5,1.31,110,
"Beta 2 Glycoprotein I antibody, each",86146,CPT,,,,Outpatient,Facility,,,237,94.8,66,,,Percent of total billed charges,,156.42,20.8,,,Percent of total billed charges,,49.3,20.4,,,Percent of total billed charges,,48.35,,25.45,,Case rate,,25.45,,7.19,,Case rate,,7.19,80,,,Percent of total billed charges,,189.6,61.6,,,Percent of total billed charges,,145.99,20.6,,,Percent of total billed charges,,48.82,20.6,,,Percent of total billed charges,,48.82,65.55,,,Percent of total billed charges,,155.35,21,,,Percent of total billed charges,,49.77,90,,,Percent of total billed charges,,213.3,21,,,Percent of total billed charges,,49.77,21,,,Percent of total billed charges,,49.77,64.9,,,Percent of total billed charges,,153.81,21,,,Percent of total billed charges,,49.77,,200.07,,Case rate,,200.07,7.19,237,
Beta-2 microglobulin,82232,CPT,,,,Outpatient,Facility,,,200,80,66,,,Percent of total billed charges,,132,20.8,,,Percent of total billed charges,,41.6,20.4,,,Percent of total billed charges,,40.8,,16.18,,Case rate,,16.18,,3.33,,Case rate,,3.33,80,,,Percent of total billed charges,,160,61.6,,,Percent of total billed charges,,123.2,20.6,,,Percent of total billed charges,,41.2,20.6,,,Percent of total billed charges,,41.2,65.55,,,Percent of total billed charges,,131.1,21,,,Percent of total billed charges,,42,90,,,Percent of total billed charges,,180,21,,,Percent of total billed charges,,42,21,,,Percent of total billed charges,,42,64.9,,,Percent of total billed charges,,129.8,21,,,Percent of total billed charges,,42,,80.42,,Case rate,,80.42,3.33,200,
Bile acids; total,82239,CPT,,,,Outpatient,Facility,,,91,36.4,66,,,Percent of total billed charges,,60.06,20.8,,,Percent of total billed charges,,18.93,20.4,,,Percent of total billed charges,,18.56,,17.12,,Case rate,,17.12,,5.01,,Case rate,,5.01,80,,,Percent of total billed charges,,72.8,61.6,,,Percent of total billed charges,,56.06,20.6,,,Percent of total billed charges,,18.75,20.6,,,Percent of total billed charges,,18.75,65.55,,,Percent of total billed charges,,59.65,21,,,Percent of total billed charges,,19.11,90,,,Percent of total billed charges,,81.9,21,,,Percent of total billed charges,,19.11,21,,,Percent of total billed charges,,19.11,64.9,,,Percent of total billed charges,,59.06,21,,,Percent of total billed charges,,19.11,,105.02,,Case rate,,105.02,5.01,105.02,
Bilirubin; direct,82248,CPT,,,,Outpatient,Facility,,,41,16.4,66,,,Percent of total billed charges,,27.06,20.8,,,Percent of total billed charges,,8.53,20.4,,,Percent of total billed charges,,8.36,,5.02,,Case rate,,5.02,,1.42,,Case rate,,1.42,80,,,Percent of total billed charges,,32.8,61.6,,,Percent of total billed charges,,25.26,20.6,,,Percent of total billed charges,,8.45,20.6,,,Percent of total billed charges,,8.45,65.55,,,Percent of total billed charges,,26.88,21,,,Percent of total billed charges,,8.61,90,,,Percent of total billed charges,,36.9,21,,,Percent of total billed charges,,8.61,21,,,Percent of total billed charges,,8.61,64.9,,,Percent of total billed charges,,26.61,21,,,Percent of total billed charges,,8.61,,24.19,,Case rate,,24.19,1.42,41,
Bilirubin; total,82247,CPT,,,,Outpatient,Facility,,,75,30,66,,,Percent of total billed charges,,49.5,20.8,,,Percent of total billed charges,,15.6,20.4,,,Percent of total billed charges,,15.3,,5.02,,Case rate,,5.02,,1.42,,Case rate,,1.42,80,,,Percent of total billed charges,,60,61.6,,,Percent of total billed charges,,46.2,20.6,,,Percent of total billed charges,,15.45,20.6,,,Percent of total billed charges,,15.45,65.55,,,Percent of total billed charges,,49.16,21,,,Percent of total billed charges,,15.75,90,,,Percent of total billed charges,,67.5,21,,,Percent of total billed charges,,15.75,21,,,Percent of total billed charges,,15.75,64.9,,,Percent of total billed charges,,48.68,21,,,Percent of total billed charges,,15.75,,37.47,,Case rate,,37.47,1.42,75,
"Biopsy of liver, needle; percutaneous",47000,CPT,,,,Outpatient,Facility,,,1889,755.6,66,,,Percent of total billed charges,,1246.74,20.8,,,Percent of total billed charges,,392.91,20.4,,,Percent of total billed charges,,385.36,,291.3,,Case rate,,291.3,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1511.2,61.6,,,Percent of total billed charges,,1163.62,20.6,,,Percent of total billed charges,,389.13,20.6,,,Percent of total billed charges,,389.13,65.55,,,Percent of total billed charges,,1238.24,21,,,Percent of total billed charges,,396.69,90,,,Percent of total billed charges,,1700.1,21,,,Percent of total billed charges,,396.69,21,,,Percent of total billed charges,,396.69,64.9,,,Percent of total billed charges,,1225.96,21,,,Percent of total billed charges,,396.69,,1436.08,,Case rate,,1436.08,58.06,1889,
"Biotinidase, each specimen",82261,CPT,,,,Outpatient,Facility,,,153,61.2,66,,,Percent of total billed charges,,100.98,20.8,,,Percent of total billed charges,,31.82,,17.21,,Case rate,,17.21,,16.87,,Case rate,,16.87,,4.77,,Case rate,,4.77,80,,,Percent of total billed charges,,122.4,61.6,,,Percent of total billed charges,,94.25,20.6,,,Percent of total billed charges,,31.52,20.6,,,Percent of total billed charges,,31.52,65.55,,,Percent of total billed charges,,100.29,21,,,Percent of total billed charges,,32.13,90,,,Percent of total billed charges,,137.7,21,,,Percent of total billed charges,,32.13,21,,,Percent of total billed charges,,32.13,64.9,,,Percent of total billed charges,,99.3,21,,,Percent of total billed charges,,32.13,,101.26,,Case rate,,101.26,4.77,153,
"Blood (whole), for transfusion, per unit",P9010,CPT,,,,Outpatient,Facility,,,867,346.8,66,,,Percent of total billed charges,,572.22,20.8,,,Percent of total billed charges,,180.34,20.4,,,Percent of total billed charges,,176.87,,47.32,,Case rate,,47.32,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,693.6,61.6,,,Percent of total billed charges,,534.07,20.6,,,Percent of total billed charges,,178.6,20.6,,,Percent of total billed charges,,178.6,65.55,,,Percent of total billed charges,,568.32,21,,,Percent of total billed charges,,182.07,90,,,Percent of total billed charges,,780.3,21,,,Percent of total billed charges,,182.07,21,,,Percent of total billed charges,,182.07,64.9,,,Percent of total billed charges,,562.68,21,,,Percent of total billed charges,,182.07,,8.87,,Case rate,,8.87,8.87,867,
Blood count; automated differential WBC count,85004,CPT,,,,Outpatient,Facility,,,30,12,66,,,Percent of total billed charges,,19.8,20.8,,,Percent of total billed charges,,6.24,20.4,,,Percent of total billed charges,,6.12,,6.47,,Case rate,,6.47,,1.85,,Case rate,,1.85,80,,,Percent of total billed charges,,24,61.6,,,Percent of total billed charges,,18.48,20.6,,,Percent of total billed charges,,6.18,20.6,,,Percent of total billed charges,,6.18,65.55,,,Percent of total billed charges,,19.66,21,,,Percent of total billed charges,,6.3,90,,,Percent of total billed charges,,27,21,,,Percent of total billed charges,,6.3,21,,,Percent of total billed charges,,6.3,64.9,,,Percent of total billed charges,,19.47,21,,,Percent of total billed charges,,6.3,,14.16,,Case rate,,14.16,1.85,30,
Blood count; hemoglobin (Hgb),85018,CPT,,,,Outpatient,Facility,,,29,11.6,66,,,Percent of total billed charges,,19.14,20.8,,,Percent of total billed charges,,6.03,20.4,,,Percent of total billed charges,,5.92,,2.37,,Case rate,,2.37,,0.49,,Case rate,,0.49,80,,,Percent of total billed charges,,23.2,61.6,,,Percent of total billed charges,,17.86,20.6,,,Percent of total billed charges,,5.97,20.6,,,Percent of total billed charges,,5.97,65.55,,,Percent of total billed charges,,19.01,21,,,Percent of total billed charges,,6.09,90,,,Percent of total billed charges,,26.1,21,,,Percent of total billed charges,,6.09,21,,,Percent of total billed charges,,6.09,64.9,,,Percent of total billed charges,,18.82,21,,,Percent of total billed charges,,6.09,,15.79,,Case rate,,15.79,0.49,29,
"Blood count; platelet, automated",85049,CPT,,,,Outpatient,Facility,,,45,18,66,,,Percent of total billed charges,,29.7,20.8,,,Percent of total billed charges,,9.36,20.4,,,Percent of total billed charges,,9.18,,4.48,,Case rate,,4.48,,1.28,,Case rate,,1.28,80,,,Percent of total billed charges,,36,61.6,,,Percent of total billed charges,,27.72,20.6,,,Percent of total billed charges,,9.27,20.6,,,Percent of total billed charges,,9.27,65.55,,,Percent of total billed charges,,29.5,21,,,Percent of total billed charges,,9.45,90,,,Percent of total billed charges,,40.5,21,,,Percent of total billed charges,,9.45,21,,,Percent of total billed charges,,9.45,64.9,,,Percent of total billed charges,,29.2,21,,,Percent of total billed charges,,9.45,,32.83,,Case rate,,32.83,1.28,45,
"Blood count; red blood cell (RBC), automated",85041,CPT,,,,Outpatient,Facility,,,22,8.8,66,,,Percent of total billed charges,,14.52,20.8,,,Percent of total billed charges,,4.58,20.4,,,Percent of total billed charges,,4.49,,3.02,,Case rate,,3.02,,0.62,,Case rate,,0.62,80,,,Percent of total billed charges,,17.6,61.6,,,Percent of total billed charges,,13.55,20.6,,,Percent of total billed charges,,4.53,20.6,,,Percent of total billed charges,,4.53,65.55,,,Percent of total billed charges,,14.42,21,,,Percent of total billed charges,,4.62,90,,,Percent of total billed charges,,19.8,21,,,Percent of total billed charges,,4.62,21,,,Percent of total billed charges,,4.62,64.9,,,Percent of total billed charges,,14.28,21,,,Percent of total billed charges,,4.62,,7.01,,Case rate,,7.01,0.62,22,
"Blood smear, peripheral, interpretation by physician with written report",85060,CPT,,,,Outpatient,Facility,,,14,5.6,66,,,Percent of total billed charges,,9.24,20.8,,,Percent of total billed charges,,2.91,20.4,,,Percent of total billed charges,,2.86,,,,Case rate,,,,,,Case rate,,,80,,,Percent of total billed charges,,11.2,61.6,,,Percent of total billed charges,,8.62,20.6,,,Percent of total billed charges,,2.88,20.6,,,Percent of total billed charges,,2.88,65.55,,,Percent of total billed charges,,9.18,21,,,Percent of total billed charges,,2.94,90,,,Percent of total billed charges,,12.6,21,,,Percent of total billed charges,,2.94,21,,,Percent of total billed charges,,2.94,64.9,,,Percent of total billed charges,,9.09,21,,,Percent of total billed charges,,2.94,,7.01,,Case rate,,7.01,2.86,14,
"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test",86902,CPT,,,,Outpatient,Facility,,,118,47.2,66,,,Percent of total billed charges,,77.88,20.8,,,Percent of total billed charges,,24.54,20.4,,,Percent of total billed charges,,24.07,,6.35,,Case rate,,6.35,,0.7,,Case rate,,0.7,80,,,Percent of total billed charges,,94.4,61.6,,,Percent of total billed charges,,72.69,20.6,,,Percent of total billed charges,,24.31,20.6,,,Percent of total billed charges,,24.31,65.55,,,Percent of total billed charges,,77.35,21,,,Percent of total billed charges,,24.78,90,,,Percent of total billed charges,,106.2,21,,,Percent of total billed charges,,24.78,21,,,Percent of total billed charges,,24.78,64.9,,,Percent of total billed charges,,76.58,21,,,Percent of total billed charges,,24.78,,65.98,,Case rate,,65.98,0.7,118,
"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each",86905,CPT,,,,Outpatient,Facility,,,124,49.6,66,,,Percent of total billed charges,,81.84,20.8,,,Percent of total billed charges,,25.79,20.4,,,Percent of total billed charges,,25.3,,3.83,,Case rate,,3.83,,0.67,,Case rate,,0.67,80,,,Percent of total billed charges,,99.2,61.6,,,Percent of total billed charges,,76.38,20.6,,,Percent of total billed charges,,25.54,20.6,,,Percent of total billed charges,,25.54,65.55,,,Percent of total billed charges,,81.28,21,,,Percent of total billed charges,,26.04,90,,,Percent of total billed charges,,111.6,21,,,Percent of total billed charges,,26.04,21,,,Percent of total billed charges,,26.04,64.9,,,Percent of total billed charges,,80.48,21,,,Percent of total billed charges,,26.04,,6.69,,Case rate,,6.69,0.67,124,
"Blood typing, serologic; Rh (D)",86901,CPT,,,,Outpatient,Facility,,,107,42.8,66,,,Percent of total billed charges,,70.62,20.8,,,Percent of total billed charges,,22.26,20.4,,,Percent of total billed charges,,21.83,,2.99,,Case rate,,2.99,,2.18,,Case rate,,2.18,80,,,Percent of total billed charges,,85.6,61.6,,,Percent of total billed charges,,65.91,20.6,,,Percent of total billed charges,,22.04,20.6,,,Percent of total billed charges,,22.04,65.55,,,Percent of total billed charges,,70.14,21,,,Percent of total billed charges,,22.47,90,,,Percent of total billed charges,,96.3,21,,,Percent of total billed charges,,22.47,21,,,Percent of total billed charges,,22.47,64.9,,,Percent of total billed charges,,69.44,21,,,Percent of total billed charges,,22.47,,55.67,,Case rate,,55.67,2.18,107,
Bone age studies,77072,CPT,,,,Outpatient,Facility,,,146,58.4,66,,,Percent of total billed charges,,96.36,20.8,,,Percent of total billed charges,,30.37,20.4,,,Percent of total billed charges,,29.78,,16.12,,Case rate,,16.12,,2.43,,Case rate,,2.43,80,,,Percent of total billed charges,,116.8,61.6,,,Percent of total billed charges,,89.94,20.6,,,Percent of total billed charges,,30.08,20.6,,,Percent of total billed charges,,30.08,65.55,,,Percent of total billed charges,,95.7,21,,,Percent of total billed charges,,30.66,90,,,Percent of total billed charges,,131.4,21,,,Percent of total billed charges,,30.66,21,,,Percent of total billed charges,,30.66,64.9,,,Percent of total billed charges,,94.75,21,,,Percent of total billed charges,,30.66,,117.33,,Case rate,,117.33,2.43,146,
Bone and/or joint imaging; 3 phase study,78315,CPT,,,,Outpatient,Facility,,,1497,598.8,66,,,Percent of total billed charges,,988.02,20.8,,,Percent of total billed charges,,311.38,20.4,,,Percent of total billed charges,,305.39,,260.8,,Case rate,,260.8,,29.99,,Case rate,,29.99,80,,,Percent of total billed charges,,1197.6,61.6,,,Percent of total billed charges,,922.15,20.6,,,Percent of total billed charges,,308.38,20.6,,,Percent of total billed charges,,308.38,65.55,,,Percent of total billed charges,,981.28,21,,,Percent of total billed charges,,314.37,90,,,Percent of total billed charges,,1347.3,21,,,Percent of total billed charges,,314.37,21,,,Percent of total billed charges,,314.37,64.9,,,Percent of total billed charges,,971.55,21,,,Percent of total billed charges,,314.37,,745.25,,Case rate,,745.25,29.99,1497,
Bone and/or joint imaging; 3 phase study,78315,CPT,34178315,CDM,TC,Outpatient,Facility,,,1497,598.8,66,,,Percent of total billed charges,,988.02,20.8,,,Percent of total billed charges,,311.38,20.4,,,Percent of total billed charges,,305.39,,260.8,,Case rate,,260.8,,29.99,,Case rate,,29.99,80,,,Percent of total billed charges,,1197.6,61.6,,,Percent of total billed charges,,922.15,20.6,,,Percent of total billed charges,,308.38,20.6,,,Percent of total billed charges,,308.38,65.55,,,Percent of total billed charges,,981.28,21,,,Percent of total billed charges,,314.37,90,,,Percent of total billed charges,,1347.3,21,,,Percent of total billed charges,,314.37,21,,,Percent of total billed charges,,314.37,64.9,,,Percent of total billed charges,,971.55,21,,,Percent of total billed charges,,314.37,,745.25,,Case rate,,745.25,29.99,1497,
Bone and/or joint imaging; limited area,78300,CPT,,,,Outpatient,Facility,,,656,262.4,66,,,Percent of total billed charges,,432.96,20.8,,,Percent of total billed charges,,136.45,20.4,,,Percent of total billed charges,,133.82,,172.91,,Case rate,,172.91,,15.47,,Case rate,,15.47,80,,,Percent of total billed charges,,524.8,61.6,,,Percent of total billed charges,,404.1,20.6,,,Percent of total billed charges,,135.14,20.6,,,Percent of total billed charges,,135.14,65.55,,,Percent of total billed charges,,430.01,21,,,Percent of total billed charges,,137.76,90,,,Percent of total billed charges,,590.4,21,,,Percent of total billed charges,,137.76,21,,,Percent of total billed charges,,137.76,64.9,,,Percent of total billed charges,,425.74,21,,,Percent of total billed charges,,137.76,,386.07,,Case rate,,386.07,15.47,656,
Bone and/or joint imaging; limited area,78300,CPT,34178300,CDM,TC,Outpatient,Facility,,,656,262.4,66,,,Percent of total billed charges,,432.96,20.8,,,Percent of total billed charges,,136.45,20.4,,,Percent of total billed charges,,133.82,,172.91,,Case rate,,172.91,,15.47,,Case rate,,15.47,80,,,Percent of total billed charges,,524.8,61.6,,,Percent of total billed charges,,404.1,20.6,,,Percent of total billed charges,,135.14,20.6,,,Percent of total billed charges,,135.14,65.55,,,Percent of total billed charges,,430.01,21,,,Percent of total billed charges,,137.76,90,,,Percent of total billed charges,,590.4,21,,,Percent of total billed charges,,137.76,21,,,Percent of total billed charges,,137.76,64.9,,,Percent of total billed charges,,425.74,21,,,Percent of total billed charges,,137.76,,386.07,,Case rate,,386.07,15.47,656,
bone diseases and arthropathies with mcc,553,MS-DRG,,,,Inpatient,Facility,,,32055.64,12822.26,,12166.2,,Case rate,DRG Factor * DRG Weight,12166.2,,1758.64,,Per Diem,,10551.84,,1724.82,,Per Diem,,10348.92,,21606.53,,Case rate,DRG Factor * DRG Weight,21606.53,,1674.09,,Per Diem,,10044.54,80,,,Percent of total billed charges,,25644.51,61.6,,,Percent of total billed charges,,19746.27,,1741.73,,Per Diem,,10450.38,,1741.73,,Per Diem,,10450.38,65.55,,,Percent of total billed charges,,21012.47,,2079,,Per Diem,,12474,90,,,Percent of total billed charges,,28850.08,,2079,,Per Diem,,12474,,2079,,Per Diem,,12474,64.9,,,Percent of total billed charges,,20804.11,,2079,,Per Diem,,12474,,13043.65,,Case rate,DRG Factor * DRG Weight,13043.65,10044.54,32055.64,
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,,,,Outpatient,Facility,,,862,344.8,66,,,Percent of total billed charges,,568.92,20.8,,,Percent of total billed charges,,179.3,20.4,,,Percent of total billed charges,,175.85,,260.17,,Case rate,,260.17,,21.73,,Case rate,,21.73,80,,,Percent of total billed charges,,689.6,61.6,,,Percent of total billed charges,,530.99,20.6,,,Percent of total billed charges,,177.57,20.6,,,Percent of total billed charges,,177.57,65.55,,,Percent of total billed charges,,565.04,21,,,Percent of total billed charges,,181.02,90,,,Percent of total billed charges,,775.8,21,,,Percent of total billed charges,,181.02,21,,,Percent of total billed charges,,181.02,64.9,,,Percent of total billed charges,,559.44,21,,,Percent of total billed charges,,181.02,,526.75,,Case rate,,526.75,21.73,862,
"Brain imaging, minimum 4 static views; with vascular flow",78606,CPT,34178606,CDM,TC,Outpatient,Facility,,,862,344.8,66,,,Percent of total billed charges,,568.92,20.8,,,Percent of total billed charges,,179.3,20.4,,,Percent of total billed charges,,175.85,,260.17,,Case rate,,260.17,,21.73,,Case rate,,21.73,80,,,Percent of total billed charges,,689.6,61.6,,,Percent of total billed charges,,530.99,20.6,,,Percent of total billed charges,,177.57,20.6,,,Percent of total billed charges,,177.57,65.55,,,Percent of total billed charges,,565.04,21,,,Percent of total billed charges,,181.02,90,,,Percent of total billed charges,,775.8,21,,,Percent of total billed charges,,181.02,21,,,Percent of total billed charges,,181.02,64.9,,,Percent of total billed charges,,559.44,21,,,Percent of total billed charges,,181.02,,526.75,,Case rate,,526.75,21.73,862,
"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant",81215,CPT,,,,Outpatient,Facility,,,1553,621.2,66,,,Percent of total billed charges,,1024.98,20.8,,,Percent of total billed charges,,323.02,20.4,,,Percent of total billed charges,,316.81,,375.25,,Case rate,,375.25,,5.82,,Case rate,,5.82,80,,,Percent of total billed charges,,1242.4,61.6,,,Percent of total billed charges,,956.65,20.6,,,Percent of total billed charges,,319.92,20.6,,,Percent of total billed charges,,319.92,65.55,,,Percent of total billed charges,,1017.99,21,,,Percent of total billed charges,,326.13,90,,,Percent of total billed charges,,1397.7,21,,,Percent of total billed charges,,326.13,21,,,Percent of total billed charges,,326.13,64.9,,,Percent of total billed charges,,1007.9,21,,,Percent of total billed charges,,326.13,45,,,Percent of total billed charges,,698.85,5.82,1553,
"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, detection of large gene rearrangements)",81162,CPT,,,,Outpatient,Facility,,,13435,5374,66,,,Percent of total billed charges,,8867.1,20.8,,,Percent of total billed charges,,2794.48,20.4,,,Percent of total billed charges,,2740.74,,1824.88,,Case rate,,1824.88,,185.04,,Case rate,,185.04,80,,,Percent of total billed charges,,10748,61.6,,,Percent of total billed charges,,8275.96,20.6,,,Percent of total billed charges,,2767.61,20.6,,,Percent of total billed charges,,2767.61,65.55,,,Percent of total billed charges,,8806.64,21,,,Percent of total billed charges,,2821.35,90,,,Percent of total billed charges,,12091.5,21,,,Percent of total billed charges,,2821.35,21,,,Percent of total billed charges,,2821.35,64.9,,,Percent of total billed charges,,8719.32,21,,,Percent of total billed charges,,2821.35,45,,,Percent of total billed charges,,6045.75,185.04,13435,
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)",31622,CPT,,,,Outpatient,Facility,,,1692,676.8,66,,,Percent of total billed charges,,1116.72,20.8,,,Percent of total billed charges,,351.94,20.4,,,Percent of total billed charges,,345.17,,239.13,,Case rate,,239.13,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1353.6,61.6,,,Percent of total billed charges,,1042.27,20.6,,,Percent of total billed charges,,348.55,20.6,,,Percent of total billed charges,,348.55,65.55,,,Percent of total billed charges,,1109.11,21,,,Percent of total billed charges,,355.32,90,,,Percent of total billed charges,,1522.8,21,,,Percent of total billed charges,,355.32,21,,,Percent of total billed charges,,355.32,64.9,,,Percent of total billed charges,,1098.11,21,,,Percent of total billed charges,,355.32,,1435.01,,Case rate,,1435.01,58.06,1692,
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage",31624,CPT,,,,Outpatient,Facility,,,2273,909.2,66,,,Percent of total billed charges,,1500.18,20.8,,,Percent of total billed charges,,472.78,20.4,,,Percent of total billed charges,,463.69,,246.03,,Case rate,,246.03,,83.63,,Case rate,,83.63,80,,,Percent of total billed charges,,1818.4,61.6,,,Percent of total billed charges,,1400.17,20.6,,,Percent of total billed charges,,468.24,20.6,,,Percent of total billed charges,,468.24,65.55,,,Percent of total billed charges,,1489.95,21,,,Percent of total billed charges,,477.33,90,,,Percent of total billed charges,,2045.7,21,,,Percent of total billed charges,,477.33,21,,,Percent of total billed charges,,477.33,64.9,,,Percent of total billed charges,,1475.18,21,,,Percent of total billed charges,,477.33,,182.38,,Case rate,,182.38,83.63,2273,
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,,,,Outpatient,Facility,,,331,132.4,66,,,Percent of total billed charges,,218.46,20.8,,,Percent of total billed charges,,68.85,20.4,,,Percent of total billed charges,,67.52,,31.92,,Case rate,,31.92,,7.1,,Case rate,,7.1,80,,,Percent of total billed charges,,264.8,61.6,,,Percent of total billed charges,,203.9,20.6,,,Percent of total billed charges,,68.19,20.6,,,Percent of total billed charges,,68.19,65.55,,,Percent of total billed charges,,216.97,21,,,Percent of total billed charges,,69.51,90,,,Percent of total billed charges,,297.9,21,,,Percent of total billed charges,,69.51,21,,,Percent of total billed charges,,69.51,64.9,,,Percent of total billed charges,,214.82,21,,,Percent of total billed charges,,69.51,,162.97,,Case rate,,162.97,7.1,331,
"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)",94070,CPT,46094070,CDM,TC,Outpatient,Facility,,,331,132.4,66,,,Percent of total billed charges,,218.46,20.8,,,Percent of total billed charges,,68.85,20.4,,,Percent of total billed charges,,67.52,,31.92,,Case rate,,31.92,,7.1,,Case rate,,7.1,80,,,Percent of total billed charges,,264.8,61.6,,,Percent of total billed charges,,203.9,20.6,,,Percent of total billed charges,,68.19,20.6,,,Percent of total billed charges,,68.19,65.55,,,Percent of total billed charges,,216.97,21,,,Percent of total billed charges,,69.51,90,,,Percent of total billed charges,,297.9,21,,,Percent of total billed charges,,69.51,21,,,Percent of total billed charges,,69.51,64.9,,,Percent of total billed charges,,214.82,21,,,Percent of total billed charges,,69.51,,162.97,,Case rate,,162.97,7.1,331,
C-peptide,84681,CPT,,,,Outpatient,Facility,,,272,108.8,66,,,Percent of total billed charges,,179.52,20.8,,,Percent of total billed charges,,56.58,20.4,,,Percent of total billed charges,,55.49,,20.81,,Case rate,,20.81,,4.28,,Case rate,,4.28,80,,,Percent of total billed charges,,217.6,61.6,,,Percent of total billed charges,,167.55,20.6,,,Percent of total billed charges,,56.03,20.6,,,Percent of total billed charges,,56.03,65.55,,,Percent of total billed charges,,178.3,21,,,Percent of total billed charges,,57.12,90,,,Percent of total billed charges,,244.8,21,,,Percent of total billed charges,,57.12,21,,,Percent of total billed charges,,57.12,64.9,,,Percent of total billed charges,,176.53,21,,,Percent of total billed charges,,57.12,,89.61,,Case rate,,89.61,4.28,272,
C-reactive protein,86140,CPT,,,,Outpatient,Facility,,,88,35.2,66,,,Percent of total billed charges,,58.08,20.8,,,Percent of total billed charges,,18.3,20.4,,,Percent of total billed charges,,17.95,,5.18,,Case rate,,5.18,,1.07,,Case rate,,1.07,80,,,Percent of total billed charges,,70.4,61.6,,,Percent of total billed charges,,54.21,20.6,,,Percent of total billed charges,,18.13,20.6,,,Percent of total billed charges,,18.13,65.55,,,Percent of total billed charges,,57.68,21,,,Percent of total billed charges,,18.48,90,,,Percent of total billed charges,,79.2,21,,,Percent of total billed charges,,18.48,21,,,Percent of total billed charges,,18.48,64.9,,,Percent of total billed charges,,57.11,21,,,Percent of total billed charges,,18.48,,29.72,,Case rate,,29.72,1.07,88,
C-reactive protein; high sensitivity (hsCRP),86141,CPT,,,,Outpatient,Facility,,,100,40,66,,,Percent of total billed charges,,66,20.8,,,Percent of total billed charges,,20.8,20.4,,,Percent of total billed charges,,20.4,,12.95,,Case rate,,12.95,,3.66,,Case rate,,3.66,80,,,Percent of total billed charges,,80,61.6,,,Percent of total billed charges,,61.6,20.6,,,Percent of total billed charges,,20.6,20.6,,,Percent of total billed charges,,20.6,65.55,,,Percent of total billed charges,,65.55,21,,,Percent of total billed charges,,21,90,,,Percent of total billed charges,,90,21,,,Percent of total billed charges,,21,21,,,Percent of total billed charges,,21,64.9,,,Percent of total billed charges,,64.9,21,,,Percent of total billed charges,,21,,53.44,,Case rate,,53.44,3.66,100,
Calcitonin,82308,CPT,,,,Outpatient,Facility,,,164,65.6,66,,,Percent of total billed charges,,108.24,20.8,,,Percent of total billed charges,,34.11,20.4,,,Percent of total billed charges,,33.46,,26.79,,Case rate,,26.79,,5.51,,Case rate,,5.51,80,,,Percent of total billed charges,,131.2,61.6,,,Percent of total billed charges,,101.02,20.6,,,Percent of total billed charges,,33.78,20.6,,,Percent of total billed charges,,33.78,65.55,,,Percent of total billed charges,,107.5,21,,,Percent of total billed charges,,34.44,90,,,Percent of total billed charges,,147.6,21,,,Percent of total billed charges,,34.44,21,,,Percent of total billed charges,,34.44,64.9,,,Percent of total billed charges,,106.44,21,,,Percent of total billed charges,,34.44,,131.68,,Case rate,,131.68,5.51,164,
Calcium; ionized,82330,CPT,,,,Outpatient,Facility,,,195,78,66,,,Percent of total billed charges,,128.7,20.8,,,Percent of total billed charges,,40.56,20.4,,,Percent of total billed charges,,39.78,,13.68,,Case rate,,13.68,,2.81,,Case rate,,2.81,80,,,Percent of total billed charges,,156,61.6,,,Percent of total billed charges,,120.12,20.6,,,Percent of total billed charges,,40.17,20.6,,,Percent of total billed charges,,40.17,65.55,,,Percent of total billed charges,,127.82,21,,,Percent of total billed charges,,40.95,90,,,Percent of total billed charges,,175.5,21,,,Percent of total billed charges,,40.95,21,,,Percent of total billed charges,,40.95,64.9,,,Percent of total billed charges,,126.56,21,,,Percent of total billed charges,,40.95,,56.27,,Case rate,,56.27,2.81,195,
Calcium; total,82310,CPT,,,,Outpatient,Facility,,,43,17.2,66,,,Percent of total billed charges,,28.38,20.8,,,Percent of total billed charges,,8.94,20.4,,,Percent of total billed charges,,8.77,,5.16,,Case rate,,5.16,,1.06,,Case rate,,1.06,80,,,Percent of total billed charges,,34.4,61.6,,,Percent of total billed charges,,26.49,20.6,,,Percent of total billed charges,,8.86,20.6,,,Percent of total billed charges,,8.86,65.55,,,Percent of total billed charges,,28.19,21,,,Percent of total billed charges,,9.03,90,,,Percent of total billed charges,,38.7,21,,,Percent of total billed charges,,9.03,21,,,Percent of total billed charges,,9.03,64.9,,,Percent of total billed charges,,27.91,21,,,Percent of total billed charges,,9.03,,16.44,,Case rate,,16.44,1.06,43,
Calculus; infrared spectroscopy,82365,CPT,,,,Outpatient,Facility,,,79,31.6,66,,,Percent of total billed charges,,52.14,20.8,,,Percent of total billed charges,,16.43,20.4,,,Percent of total billed charges,,16.12,,12.9,,Case rate,,12.9,,2.66,,Case rate,,2.66,80,,,Percent of total billed charges,,63.2,61.6,,,Percent of total billed charges,,48.66,20.6,,,Percent of total billed charges,,16.27,20.6,,,Percent of total billed charges,,16.27,65.55,,,Percent of total billed charges,,51.78,21,,,Percent of total billed charges,,16.59,90,,,Percent of total billed charges,,71.1,21,,,Percent of total billed charges,,16.59,21,,,Percent of total billed charges,,16.59,64.9,,,Percent of total billed charges,,51.27,21,,,Percent of total billed charges,,16.59,,66.3,,Case rate,,66.3,2.66,79,
"Calculus; quantitative analysis, chemical",82360,CPT,,,,Outpatient,Facility,,,132,52.8,66,,,Percent of total billed charges,,87.12,20.8,,,Percent of total billed charges,,27.46,20.4,,,Percent of total billed charges,,26.93,,12.87,,Case rate,,12.87,,3.73,,Case rate,,3.73,80,,,Percent of total billed charges,,105.6,61.6,,,Percent of total billed charges,,81.31,20.6,,,Percent of total billed charges,,27.19,20.6,,,Percent of total billed charges,,27.19,65.55,,,Percent of total billed charges,,86.53,21,,,Percent of total billed charges,,27.72,90,,,Percent of total billed charges,,118.8,21,,,Percent of total billed charges,,27.72,21,,,Percent of total billed charges,,27.72,64.9,,,Percent of total billed charges,,85.67,21,,,Percent of total billed charges,,27.72,,77.96,,Case rate,,77.96,3.73,132,
"Calprotectin, fecal",83993,CPT,,,,Outpatient,Facility,,,359,143.6,66,,,Percent of total billed charges,,236.94,20.8,,,Percent of total billed charges,,74.67,20.4,,,Percent of total billed charges,,73.24,,19.63,,Case rate,,19.63,,5.43,,Case rate,,5.43,80,,,Percent of total billed charges,,287.2,61.6,,,Percent of total billed charges,,221.14,20.6,,,Percent of total billed charges,,73.95,20.6,,,Percent of total billed charges,,73.95,65.55,,,Percent of total billed charges,,235.32,21,,,Percent of total billed charges,,75.39,90,,,Percent of total billed charges,,323.1,21,,,Percent of total billed charges,,75.39,21,,,Percent of total billed charges,,75.39,64.9,,,Percent of total billed charges,,232.99,21,,,Percent of total billed charges,,75.39,,85.71,,Case rate,,85.71,5.43,359,
"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9",81219,CPT,,,,Outpatient,Facility,,,537,214.8,66,,,Percent of total billed charges,,354.42,20.8,,,Percent of total billed charges,,111.7,,124.06,,Case rate,,124.06,,121.63,,Case rate,,121.63,,12.33,,Case rate,,12.33,80,,,Percent of total billed charges,,429.6,61.6,,,Percent of total billed charges,,330.79,20.6,,,Percent of total billed charges,,110.62,20.6,,,Percent of total billed charges,,110.62,65.55,,,Percent of total billed charges,,352,21,,,Percent of total billed charges,,112.77,90,,,Percent of total billed charges,,483.3,21,,,Percent of total billed charges,,112.77,21,,,Percent of total billed charges,,112.77,64.9,,,Percent of total billed charges,,348.51,21,,,Percent of total billed charges,,112.77,,929.44,,Case rate,,929.44,12.33,929.44,
"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day",95992,CPT,,,,Outpatient,Facility,,,227,90.8,66,,,Percent of total billed charges,,149.82,20.8,,,Percent of total billed charges,,47.22,20.4,,,Percent of total billed charges,,46.31,,42.45,,Case rate,,42.45,,7.89,,Case rate,,7.89,80,,,Percent of total billed charges,,181.6,61.6,,,Percent of total billed charges,,139.83,20.6,,,Percent of total billed charges,,46.76,20.6,,,Percent of total billed charges,,46.76,65.55,,,Percent of total billed charges,,148.8,21,,,Percent of total billed charges,,47.67,90,,,Percent of total billed charges,,204.3,21,,,Percent of total billed charges,,47.67,21,,,Percent of total billed charges,,47.67,64.9,,,Percent of total billed charges,,147.32,21,,,Percent of total billed charges,,47.67,,87.75,,Case rate,,87.75,7.89,227,
Carbamazepine; total,80156,CPT,,,,Outpatient,Facility,,,185,74,66,,,Percent of total billed charges,,122.1,20.8,,,Percent of total billed charges,,38.48,20.4,,,Percent of total billed charges,,37.74,,14.57,,Case rate,,14.57,,3,,Case rate,,3,80,,,Percent of total billed charges,,148,61.6,,,Percent of total billed charges,,113.96,20.6,,,Percent of total billed charges,,38.11,20.6,,,Percent of total billed charges,,38.11,65.55,,,Percent of total billed charges,,121.27,21,,,Percent of total billed charges,,38.85,90,,,Percent of total billed charges,,166.5,21,,,Percent of total billed charges,,38.85,21,,,Percent of total billed charges,,38.85,64.9,,,Percent of total billed charges,,120.06,21,,,Percent of total billed charges,,38.85,,74.71,,Case rate,,74.71,3,185,
Carbon dioxide (bicarbonate),82374,CPT,,,,Outpatient,Facility,,,33,13.2,66,,,Percent of total billed charges,,21.78,20.8,,,Percent of total billed charges,,6.86,20.4,,,Percent of total billed charges,,6.73,,4.88,,Case rate,,4.88,,0.98,,Case rate,,0.98,80,,,Percent of total billed charges,,26.4,61.6,,,Percent of total billed charges,,20.33,20.6,,,Percent of total billed charges,,6.8,20.6,,,Percent of total billed charges,,6.8,65.55,,,Percent of total billed charges,,21.63,21,,,Percent of total billed charges,,6.93,90,,,Percent of total billed charges,,29.7,21,,,Percent of total billed charges,,6.93,21,,,Percent of total billed charges,,6.93,64.9,,,Percent of total billed charges,,21.42,21,,,Percent of total billed charges,,6.93,,27.53,,Case rate,,27.53,0.98,33,
Carboxyhemoglobin; quantitative,82375,CPT,,,,Outpatient,Facility,,,96,38.4,66,,,Percent of total billed charges,,63.36,20.8,,,Percent of total billed charges,,19.97,20.4,,,Percent of total billed charges,,19.58,,12.32,,Case rate,,12.32,,0.99,,Case rate,,0.99,80,,,Percent of total billed charges,,76.8,61.6,,,Percent of total billed charges,,59.14,20.6,,,Percent of total billed charges,,19.78,20.6,,,Percent of total billed charges,,19.78,65.55,,,Percent of total billed charges,,62.93,21,,,Percent of total billed charges,,20.16,90,,,Percent of total billed charges,,86.4,21,,,Percent of total billed charges,,20.16,21,,,Percent of total billed charges,,20.16,64.9,,,Percent of total billed charges,,62.3,21,,,Percent of total billed charges,,20.16,,28.09,,Case rate,,28.09,0.99,96,
cardiac arrhythmia and conduction disorders without cc/mcc,310,MS-DRG,,,,Inpatient,Facility,,,9837.77,3935.11,,4978.11,,Case rate,DRG Factor * DRG Weight,4978.11,,1758.64,,Per Diem,,3517.28,,1724.82,,Per Diem,,3449.64,,6880.85,,Case rate,DRG Factor * DRG Weight,6880.85,,1674.09,,Per Diem,,3348.18,80,,,Percent of total billed charges,,7870.22,61.6,,,Percent of total billed charges,,6060.07,,1741.73,,Per Diem,,3483.46,,1741.73,,Per Diem,,3483.46,65.55,,,Percent of total billed charges,,6448.66,,2079,,Per Diem,,4158,90,,,Percent of total billed charges,,8853.99,,2079,,Per Diem,,4158,,2079,,Per Diem,,4158,64.9,,,Percent of total billed charges,,6384.71,,2079,,Per Diem,,4158,,5337.14,,Case rate,DRG Factor * DRG Weight,5337.14,3348.18,9837.77,
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,,,,Outpatient,Facility,,,1218,487.2,66,,,Percent of total billed charges,,803.88,20.8,,,Percent of total billed charges,,253.34,20.4,,,Percent of total billed charges,,248.47,,158.68,,Case rate,,158.68,,31.49,,Case rate,,31.49,80,,,Percent of total billed charges,,974.4,61.6,,,Percent of total billed charges,,750.29,20.6,,,Percent of total billed charges,,250.91,20.6,,,Percent of total billed charges,,250.91,65.55,,,Percent of total billed charges,,798.4,21,,,Percent of total billed charges,,255.78,90,,,Percent of total billed charges,,1096.2,21,,,Percent of total billed charges,,255.78,21,,,Percent of total billed charges,,255.78,64.9,,,Percent of total billed charges,,790.48,21,,,Percent of total billed charges,,255.78,,782.16,,Case rate,,782.16,31.49,1218,
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing",78472,CPT,34178472,CDM,TC,Outpatient,Facility,,,1218,487.2,66,,,Percent of total billed charges,,803.88,20.8,,,Percent of total billed charges,,253.34,20.4,,,Percent of total billed charges,,248.47,,158.68,,Case rate,,158.68,,31.49,,Case rate,,31.49,80,,,Percent of total billed charges,,974.4,61.6,,,Percent of total billed charges,,750.29,20.6,,,Percent of total billed charges,,250.91,20.6,,,Percent of total billed charges,,250.91,65.55,,,Percent of total billed charges,,798.4,21,,,Percent of total billed charges,,255.78,90,,,Percent of total billed charges,,1096.2,21,,,Percent of total billed charges,,255.78,21,,,Percent of total billed charges,,255.78,64.9,,,Percent of total billed charges,,790.48,21,,,Percent of total billed charges,,255.78,,782.16,,Case rate,,782.16,31.49,1218,
"Cardiolipin (phospholipid) antibody, each Ig class",86147,CPT,,,,Outpatient,Facility,,,187,74.8,66,,,Percent of total billed charges,,123.42,20.8,,,Percent of total billed charges,,38.9,20.4,,,Percent of total billed charges,,38.15,,25.45,,Case rate,,25.45,,5.35,,Case rate,,5.35,80,,,Percent of total billed charges,,149.6,61.6,,,Percent of total billed charges,,115.19,20.6,,,Percent of total billed charges,,38.52,20.6,,,Percent of total billed charges,,38.52,65.55,,,Percent of total billed charges,,122.58,21,,,Percent of total billed charges,,39.27,90,,,Percent of total billed charges,,168.3,21,,,Percent of total billed charges,,39.27,21,,,Percent of total billed charges,,39.27,64.9,,,Percent of total billed charges,,121.36,21,,,Percent of total billed charges,,39.27,,127.13,,Case rate,,127.13,5.35,187,
"Cardiopulmonary exercise testing, including measurements of minute ventilation, CO2 production, O2 uptake, and electrocardiographic recordings",94621,CPT,46094621,CDM,TC,Outpatient,Facility,,,575,230,66,,,Percent of total billed charges,,379.5,20.8,,,Percent of total billed charges,,119.6,20.4,,,Percent of total billed charges,,117.3,,81.22,,Case rate,,81.22,,7.41,,Case rate,,7.41,80,,,Percent of total billed charges,,460,61.6,,,Percent of total billed charges,,354.2,20.6,,,Percent of total billed charges,,118.45,20.6,,,Percent of total billed charges,,118.45,65.55,,,Percent of total billed charges,,376.91,21,,,Percent of total billed charges,,120.75,90,,,Percent of total billed charges,,517.5,21,,,Percent of total billed charges,,120.75,21,,,Percent of total billed charges,,120.75,64.9,,,Percent of total billed charges,,373.18,21,,,Percent of total billed charges,,120.75,,183.91,,Case rate,,183.91,7.41,575,
"Cardiopulmonary resuscitation (eg, in cardiac arrest)",92950,CPT,,,,Outpatient,Facility,,,533,213.2,66,,,Percent of total billed charges,,351.78,20.8,,,Percent of total billed charges,,110.86,20.4,,,Percent of total billed charges,,108.73,,316.68,,Case rate,,316.68,,15.1,,Case rate,,15.1,80,,,Percent of total billed charges,,426.4,61.6,,,Percent of total billed charges,,328.33,20.6,,,Percent of total billed charges,,109.8,20.6,,,Percent of total billed charges,,109.8,65.55,,,Percent of total billed charges,,349.38,21,,,Percent of total billed charges,,111.93,90,,,Percent of total billed charges,,479.7,21,,,Percent of total billed charges,,111.93,21,,,Percent of total billed charges,,111.93,64.9,,,Percent of total billed charges,,345.92,21,,,Percent of total billed charges,,111.93,,357.56,,Case rate,,357.56,15.1,533,
"Cast supplies, short leg cast, adult (11 years +), fiberglass",Q4038,CPT,,,,Outpatient,Facility,,,622.44,248.98,66,,,Percent of total billed charges,,410.81,20.8,,,Percent of total billed charges,,129.47,20.4,,,Percent of total billed charges,,126.98,,48.97,,Case rate,,48.97,,5.98,,Case rate,,5.98,80,,,Percent of total billed charges,,497.95,61.6,,,Percent of total billed charges,,383.42,20.6,,,Percent of total billed charges,,128.22,20.6,,,Percent of total billed charges,,128.22,65.55,,,Percent of total billed charges,,408.01,21,,,Percent of total billed charges,,130.71,90,,,Percent of total billed charges,,560.2,21,,,Percent of total billed charges,,130.71,21,,,Percent of total billed charges,,130.71,64.9,,,Percent of total billed charges,,403.96,21,,,Percent of total billed charges,,130.71,,139.99,,Case rate,,139.99,5.98,622.44,
Catecholamines; fractionated,82384,CPT,,,,Outpatient,Facility,,,386,154.4,66,,,Percent of total billed charges,,254.76,20.8,,,Percent of total billed charges,,80.29,20.4,,,Percent of total billed charges,,78.74,,25.25,,Case rate,,25.25,,5.2,,Case rate,,5.2,80,,,Percent of total billed charges,,308.8,61.6,,,Percent of total billed charges,,237.78,20.6,,,Percent of total billed charges,,79.52,20.6,,,Percent of total billed charges,,79.52,65.55,,,Percent of total billed charges,,253.02,21,,,Percent of total billed charges,,81.06,90,,,Percent of total billed charges,,347.4,21,,,Percent of total billed charges,,81.06,21,,,Percent of total billed charges,,81.06,64.9,,,Percent of total billed charges,,250.51,21,,,Percent of total billed charges,,81.06,,123.32,,Case rate,,123.32,5.2,386,
"Catheter, balloon dilatation, non-vascular",C1726,CPT,,,,Outpatient,Facility,,,1059.78,423.91,66,,,Percent of total billed charges,,699.45,20.8,,,Percent of total billed charges,,220.43,20.4,,,Percent of total billed charges,,216.2,48.3,,,Percent of total billed charges,,511.87,19.8,,,Percent of total billed charges,,209.84,80,,,Percent of total billed charges,,847.82,61.6,,,Percent of total billed charges,,652.82,20.6,,,Percent of total billed charges,,218.31,20.6,,,Percent of total billed charges,,218.31,65.55,,,Percent of total billed charges,,694.69,21,,,Percent of total billed charges,,222.55,90,,,Percent of total billed charges,,953.8,21,,,Percent of total billed charges,,222.55,21,,,Percent of total billed charges,,222.55,64.9,,,Percent of total billed charges,,687.8,21,,,Percent of total billed charges,,222.55,,1052.24,,Case rate,,1052.24,209.84,1059.78,
"Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis)",C1751,CPT,,,,Outpatient,Facility,,,1541,616.4,66,,,Percent of total billed charges,,1017.06,20.8,,,Percent of total billed charges,,320.53,20.4,,,Percent of total billed charges,,314.36,48.3,,,Percent of total billed charges,,744.3,19.8,,,Percent of total billed charges,,305.12,80,,,Percent of total billed charges,,1232.8,61.6,,,Percent of total billed charges,,949.26,20.6,,,Percent of total billed charges,,317.45,20.6,,,Percent of total billed charges,,317.45,65.55,,,Percent of total billed charges,,1010.13,21,,,Percent of total billed charges,,323.61,90,,,Percent of total billed charges,,1386.9,21,,,Percent of total billed charges,,323.61,21,,,Percent of total billed charges,,323.61,64.9,,,Percent of total billed charges,,1000.11,21,,,Percent of total billed charges,,323.61,,652.76,,Case rate,,652.76,305.12,1541,
"Catheter, ureteral",C1758,CPT,,,,Outpatient,Facility,,,55.02,22.01,66,,,Percent of total billed charges,,36.31,20.8,,,Percent of total billed charges,,11.44,20.4,,,Percent of total billed charges,,11.22,48.3,,,Percent of total billed charges,,26.57,,3.44,,Case rate,,3.44,80,,,Percent of total billed charges,,44.02,61.6,,,Percent of total billed charges,,33.89,20.6,,,Percent of total billed charges,,11.33,20.6,,,Percent of total billed charges,,11.33,65.55,,,Percent of total billed charges,,36.07,21,,,Percent of total billed charges,,11.55,90,,,Percent of total billed charges,,49.52,21,,,Percent of total billed charges,,11.55,21,,,Percent of total billed charges,,11.55,64.9,,,Percent of total billed charges,,35.71,21,,,Percent of total billed charges,,11.55,,151.87,,Case rate,,151.87,3.44,151.87,
"Catheterization for collection of specimen, single patient, all places of service",P9612,CPT,,,,Outpatient,Facility,,,30,12,66,,,Percent of total billed charges,,19.8,20.8,,,Percent of total billed charges,,6.24,20.4,,,Percent of total billed charges,,6.12,,8.57,,Case rate,,8.57,,0.59,,Case rate,,0.59,80,,,Percent of total billed charges,,24,61.6,,,Percent of total billed charges,,18.48,20.6,,,Percent of total billed charges,,6.18,20.6,,,Percent of total billed charges,,6.18,65.55,,,Percent of total billed charges,,19.66,21,,,Percent of total billed charges,,6.3,90,,,Percent of total billed charges,,27,21,,,Percent of total billed charges,,6.3,21,,,Percent of total billed charges,,6.3,64.9,,,Percent of total billed charges,,19.47,21,,,Percent of total billed charges,,6.3,,24.14,,Case rate,,24.14,0.59,30,
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel,U0001,CPT,,,,Outpatient,Facility,,,116,46.4,66,,,Percent of total billed charges,,76.56,20.8,,,Percent of total billed charges,,24.13,20.4,,,Percent of total billed charges,,23.66,,35.92,,Case rate,,35.92,,7.11,,Case rate,,7.11,80,,,Percent of total billed charges,,92.8,61.6,,,Percent of total billed charges,,71.46,20.6,,,Percent of total billed charges,,23.9,20.6,,,Percent of total billed charges,,23.9,65.55,,,Percent of total billed charges,,76.04,21,,,Percent of total billed charges,,24.36,90,,,Percent of total billed charges,,104.4,21,,,Percent of total billed charges,,24.36,21,,,Percent of total billed charges,,24.36,64.9,,,Percent of total billed charges,,75.28,21,,,Percent of total billed charges,,24.36,,49.73,,Case rate,,49.73,7.11,116,
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count",89051,CPT,,,,Outpatient,Facility,,,160,64,66,,,Percent of total billed charges,,105.6,20.8,,,Percent of total billed charges,,33.28,20.4,,,Percent of total billed charges,,32.64,,5.6,,Case rate,,5.6,,1.6,,Case rate,,1.6,80,,,Percent of total billed charges,,128,61.6,,,Percent of total billed charges,,98.56,20.6,,,Percent of total billed charges,,32.96,20.6,,,Percent of total billed charges,,32.96,65.55,,,Percent of total billed charges,,104.88,21,,,Percent of total billed charges,,33.6,90,,,Percent of total billed charges,,144,21,,,Percent of total billed charges,,33.6,21,,,Percent of total billed charges,,33.6,64.9,,,Percent of total billed charges,,103.84,21,,,Percent of total billed charges,,33.6,,26.88,,Case rate,,26.88,1.6,160,
"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); physician interpretation and report, when required",86153,CPT,,,,Outpatient,Facility,,,131,52.4,66,,,Percent of total billed charges,,86.46,20.8,,,Percent of total billed charges,,27.25,20.4,,,Percent of total billed charges,,26.72,,7.24,,Case rate,,7.24,19.8,,,Percent of total billed charges,,25.94,80,,,Percent of total billed charges,,104.8,61.6,,,Percent of total billed charges,,80.7,20.6,,,Percent of total billed charges,,26.99,20.6,,,Percent of total billed charges,,26.99,65.55,,,Percent of total billed charges,,85.87,21,,,Percent of total billed charges,,27.51,90,,,Percent of total billed charges,,117.9,21,,,Percent of total billed charges,,27.51,21,,,Percent of total billed charges,,27.51,64.9,,,Percent of total billed charges,,85.02,21,,,Percent of total billed charges,,27.51,45,,,Percent of total billed charges,,58.95,7.24,131,
cesarean section without cc/mcc,766,MS-DRG,,,,Inpatient,Facility,,,27709.99,11084,,,,Case rate,DRG Factor * DRG Weight,,,1758.64,,Per Diem,,3517.28,,1724.82,,Per Diem,,3449.64,,,,Case rate,DRG Factor * DRG Weight,,,1674.09,,Per Diem,,3348.18,80,,,Percent of total billed charges,,22167.99,61.6,,,Percent of total billed charges,,17069.35,,1741.73,,Per Diem,,3483.46,,1741.73,,Per Diem,,3483.46,65.55,,,Percent of total billed charges,,18163.9,,2079,,Per Diem,,4158,90,,,Percent of total billed charges,,24938.99,,2079,,Per Diem,,4158,,2079,,Per Diem,,4158,64.9,,,Percent of total billed charges,,17983.78,,2079,,Per Diem,,4158,,,,Case rate,DRG Factor * DRG Weight,,3348.18,27709.99,
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)",81220,CPT,,,,Outpatient,Facility,,,2378,951.2,66,,,Percent of total billed charges,,1569.48,20.8,,,Percent of total billed charges,,494.62,20.4,,,Percent of total billed charges,,485.11,,556.6,,Case rate,,556.6,,81.71,,Case rate,,81.71,80,,,Percent of total billed charges,,1902.4,61.6,,,Percent of total billed charges,,1464.85,20.6,,,Percent of total billed charges,,489.87,20.6,,,Percent of total billed charges,,489.87,65.55,,,Percent of total billed charges,,1558.78,21,,,Percent of total billed charges,,499.38,90,,,Percent of total billed charges,,2140.2,21,,,Percent of total billed charges,,499.38,21,,,Percent of total billed charges,,499.38,64.9,,,Percent of total billed charges,,1543.32,21,,,Percent of total billed charges,,499.38,,769.81,,Case rate,,769.81,81.71,2378,
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants",81222,CPT,,,,Outpatient,Facility,,,1458,583.2,66,,,Percent of total billed charges,,962.28,20.8,,,Percent of total billed charges,,303.26,20.4,,,Percent of total billed charges,,297.43,,435.07,,Case rate,,435.07,,52.8,,Case rate,,52.8,80,,,Percent of total billed charges,,1166.4,61.6,,,Percent of total billed charges,,898.13,20.6,,,Percent of total billed charges,,300.35,20.6,,,Percent of total billed charges,,300.35,65.55,,,Percent of total billed charges,,955.72,21,,,Percent of total billed charges,,306.18,90,,,Percent of total billed charges,,1312.2,21,,,Percent of total billed charges,,306.18,21,,,Percent of total billed charges,,306.18,64.9,,,Percent of total billed charges,,946.24,21,,,Percent of total billed charges,,306.18,45,,,Percent of total billed charges,,656.1,52.8,1458,
"Chemical cauterization of granulation tissue (ie, proud flesh)",17250,CPT,,,,Outpatient,Facility,,,299,119.6,66,,,Percent of total billed charges,,197.34,20.8,,,Percent of total billed charges,,62.19,20.4,,,Percent of total billed charges,,61,,84.21,,Case rate,,84.21,,9.9,,Case rate,,9.9,80,,,Percent of total billed charges,,239.2,61.6,,,Percent of total billed charges,,184.18,20.6,,,Percent of total billed charges,,61.59,20.6,,,Percent of total billed charges,,61.59,65.55,,,Percent of total billed charges,,195.99,21,,,Percent of total billed charges,,62.79,90,,,Percent of total billed charges,,269.1,21,,,Percent of total billed charges,,62.79,21,,,Percent of total billed charges,,62.79,64.9,,,Percent of total billed charges,,194.05,21,,,Percent of total billed charges,,62.79,,248.96,,Case rate,,248.96,9.9,299,
Chemiluminescent assay,82397,CPT,,,,Outpatient,Facility,,,120,48,66,,,Percent of total billed charges,,79.2,20.8,,,Percent of total billed charges,,24.96,,14.4,,Case rate,,14.4,,14.12,,Case rate,,14.12,,4.09,,Case rate,,4.09,80,,,Percent of total billed charges,,96,61.6,,,Percent of total billed charges,,73.92,20.6,,,Percent of total billed charges,,24.72,20.6,,,Percent of total billed charges,,24.72,65.55,,,Percent of total billed charges,,78.66,21,,,Percent of total billed charges,,25.2,90,,,Percent of total billed charges,,108,21,,,Percent of total billed charges,,25.2,21,,,Percent of total billed charges,,25.2,64.9,,,Percent of total billed charges,,77.88,21,,,Percent of total billed charges,,25.2,,84.08,,Case rate,,84.08,4.09,120,
"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)",96415,CPT,,,,Outpatient,Facility,,,204,81.6,66,,,Percent of total billed charges,,134.64,20.8,,,Percent of total billed charges,,42.43,20.4,,,Percent of total billed charges,,41.62,,26.97,,Case rate,,26.97,,7.06,,Case rate,,7.06,80,,,Percent of total billed charges,,163.2,61.6,,,Percent of total billed charges,,125.66,20.6,,,Percent of total billed charges,,42.02,20.6,,,Percent of total billed charges,,42.02,65.55,,,Percent of total billed charges,,133.72,21,,,Percent of total billed charges,,42.84,90,,,Percent of total billed charges,,183.6,21,,,Percent of total billed charges,,42.84,21,,,Percent of total billed charges,,42.84,64.9,,,Percent of total billed charges,,132.4,21,,,Percent of total billed charges,,42.84,,135.48,,Case rate,,135.48,7.06,204,
"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug",96413,CPT,,,,Outpatient,Facility,,,890,356,66,,,Percent of total billed charges,,587.4,20.8,,,Percent of total billed charges,,185.12,20.4,,,Percent of total billed charges,,181.56,,123.88,,Case rate,,123.88,,31.01,,Case rate,,31.01,80,,,Percent of total billed charges,,712,61.6,,,Percent of total billed charges,,548.24,20.6,,,Percent of total billed charges,,183.34,20.6,,,Percent of total billed charges,,183.34,65.55,,,Percent of total billed charges,,583.4,21,,,Percent of total billed charges,,186.9,90,,,Percent of total billed charges,,801,21,,,Percent of total billed charges,,186.9,21,,,Percent of total billed charges,,186.9,64.9,,,Percent of total billed charges,,577.61,21,,,Percent of total billed charges,,186.9,,325.1,,Case rate,,325.1,31.01,890,
"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic",96401,CPT,,,,Outpatient,Facility,,,438,175.2,66,,,Percent of total billed charges,,289.08,20.8,,,Percent of total billed charges,,91.1,20.4,,,Percent of total billed charges,,89.35,,69.05,,Case rate,,69.05,,9.56,,Case rate,,9.56,80,,,Percent of total billed charges,,350.4,61.6,,,Percent of total billed charges,,269.81,20.6,,,Percent of total billed charges,,90.23,20.6,,,Percent of total billed charges,,90.23,65.55,,,Percent of total billed charges,,287.11,21,,,Percent of total billed charges,,91.98,90,,,Percent of total billed charges,,394.2,21,,,Percent of total billed charges,,91.98,21,,,Percent of total billed charges,,91.98,64.9,,,Percent of total billed charges,,284.26,21,,,Percent of total billed charges,,91.98,,167.71,,Case rate,,167.71,9.56,438,
Chloride; blood,82435,CPT,,,,Outpatient,Facility,,,28,11.2,66,,,Percent of total billed charges,,18.48,20.8,,,Percent of total billed charges,,5.82,20.4,,,Percent of total billed charges,,5.71,,4.6,,Case rate,,4.6,,0.95,,Case rate,,0.95,80,,,Percent of total billed charges,,22.4,61.6,,,Percent of total billed charges,,17.25,20.6,,,Percent of total billed charges,,5.77,20.6,,,Percent of total billed charges,,5.77,65.55,,,Percent of total billed charges,,18.35,21,,,Percent of total billed charges,,5.88,90,,,Percent of total billed charges,,25.2,21,,,Percent of total billed charges,,5.88,21,,,Percent of total billed charges,,5.88,64.9,,,Percent of total billed charges,,18.17,21,,,Percent of total billed charges,,5.88,,14.72,,Case rate,,14.72,0.95,28,
"Chlorinated hydrocarbons, screen",82441,CPT,,,,Outpatient,Facility,,,65,26,66,,,Percent of total billed charges,,42.9,20.8,,,Percent of total billed charges,,13.52,20.4,,,Percent of total billed charges,,13.26,,6.01,,Case rate,,6.01,,1.74,,Case rate,,1.74,80,,,Percent of total billed charges,,52,61.6,,,Percent of total billed charges,,40.04,20.6,,,Percent of total billed charges,,13.39,20.6,,,Percent of total billed charges,,13.39,65.55,,,Percent of total billed charges,,42.61,21,,,Percent of total billed charges,,13.65,90,,,Percent of total billed charges,,58.5,21,,,Percent of total billed charges,,13.65,21,,,Percent of total billed charges,,13.65,64.9,,,Percent of total billed charges,,42.18,21,,,Percent of total billed charges,,13.65,,45.04,,Case rate,,45.04,1.74,65,
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,32074300,CDM,TC,Outpatient,Facility,,,231,92.4,66,,,Percent of total billed charges,,152.46,20.8,,,Percent of total billed charges,,48.05,20.4,,,Percent of total billed charges,,47.12,,33.26,,Case rate,,33.26,,5.95,,Case rate,,5.95,80,,,Percent of total billed charges,,184.8,61.6,,,Percent of total billed charges,,142.3,20.6,,,Percent of total billed charges,,47.59,20.6,,,Percent of total billed charges,,47.59,65.55,,,Percent of total billed charges,,151.42,21,,,Percent of total billed charges,,48.51,90,,,Percent of total billed charges,,207.9,21,,,Percent of total billed charges,,48.51,21,,,Percent of total billed charges,,48.51,64.9,,,Percent of total billed charges,,149.92,21,,,Percent of total billed charges,,48.51,,138.36,,Case rate,,138.36,5.95,231,
"Cholesterol, serum or whole blood, total",82465,CPT,,,,Outpatient,Facility,,,32,12.8,66,,,Percent of total billed charges,,21.12,20.8,,,Percent of total billed charges,,6.66,20.4,,,Percent of total billed charges,,6.53,,4.35,,Case rate,,4.35,,0.89,,Case rate,,0.89,80,,,Percent of total billed charges,,25.6,61.6,,,Percent of total billed charges,,19.71,20.6,,,Percent of total billed charges,,6.59,20.6,,,Percent of total billed charges,,6.59,65.55,,,Percent of total billed charges,,20.98,21,,,Percent of total billed charges,,6.72,90,,,Percent of total billed charges,,28.8,21,,,Percent of total billed charges,,6.72,21,,,Percent of total billed charges,,6.72,64.9,,,Percent of total billed charges,,20.77,21,,,Percent of total billed charges,,6.72,,26.37,,Case rate,,26.37,0.89,32,
Cholinesterase; RBC,82482,CPT,,,,Outpatient,Facility,,,56,22.4,66,,,Percent of total billed charges,,36.96,20.8,,,Percent of total billed charges,,11.65,20.4,,,Percent of total billed charges,,11.42,,9.81,,Case rate,,9.81,,2.22,,Case rate,,2.22,80,,,Percent of total billed charges,,44.8,61.6,,,Percent of total billed charges,,34.5,20.6,,,Percent of total billed charges,,11.54,20.6,,,Percent of total billed charges,,11.54,65.55,,,Percent of total billed charges,,36.71,21,,,Percent of total billed charges,,11.76,90,,,Percent of total billed charges,,50.4,21,,,Percent of total billed charges,,11.76,21,,,Percent of total billed charges,,11.76,64.9,,,Percent of total billed charges,,36.34,21,,,Percent of total billed charges,,11.76,,42.34,,Case rate,,42.34,2.22,56,
"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding",88262,CPT,,,,Outpatient,Facility,,,733,293.2,66,,,Percent of total billed charges,,483.78,20.8,,,Percent of total billed charges,,152.46,20.4,,,Percent of total billed charges,,149.53,,125.49,,Case rate,,125.49,,25.66,,Case rate,,25.66,80,,,Percent of total billed charges,,586.4,61.6,,,Percent of total billed charges,,451.53,20.6,,,Percent of total billed charges,,151,20.6,,,Percent of total billed charges,,151,65.55,,,Percent of total billed charges,,480.48,21,,,Percent of total billed charges,,153.93,90,,,Percent of total billed charges,,659.7,21,,,Percent of total billed charges,,153.93,21,,,Percent of total billed charges,,153.93,64.9,,,Percent of total billed charges,,475.72,21,,,Percent of total billed charges,,153.93,,577.68,,Case rate,,577.68,25.66,733,
chronic obstructive pulmonary disease with mcc,190,MS-DRG,,,,Inpatient,Facility,,,20161.19,8064.47,,9920.2,,Case rate,DRG Factor * DRG Weight,9920.2,,1758.64,,Per Diem,,5275.92,,1724.82,,Per Diem,,5174.46,,12614.89,,Case rate,DRG Factor * DRG Weight,12614.89,,1674.09,,Per Diem,,5022.27,80,,,Percent of total billed charges,,16128.95,61.6,,,Percent of total billed charges,,12419.29,,1741.73,,Per Diem,,5225.19,,1741.73,,Per Diem,,5225.19,65.55,,,Percent of total billed charges,,13215.66,,2079,,Per Diem,,6237,90,,,Percent of total billed charges,,18145.07,,2079,,Per Diem,,6237,,2079,,Per Diem,,6237,64.9,,,Percent of total billed charges,,13084.61,,2079,,Per Diem,,6237,,10635.67,,Case rate,DRG Factor * DRG Weight,10635.67,5022.27,20161.19,
Citrate,82507,CPT,,,,Outpatient,Facility,,,166,66.4,66,,,Percent of total billed charges,,109.56,20.8,,,Percent of total billed charges,,34.53,,28.36,,Case rate,,28.36,,27.8,,Case rate,,27.8,,5.72,,Case rate,,5.72,80,,,Percent of total billed charges,,132.8,61.6,,,Percent of total billed charges,,102.26,20.6,,,Percent of total billed charges,,34.2,20.6,,,Percent of total billed charges,,34.2,65.55,,,Percent of total billed charges,,108.81,21,,,Percent of total billed charges,,34.86,90,,,Percent of total billed charges,,149.4,21,,,Percent of total billed charges,,34.86,21,,,Percent of total billed charges,,34.86,64.9,,,Percent of total billed charges,,107.73,21,,,Percent of total billed charges,,34.86,,121.23,,Case rate,,121.23,5.72,166,
"Clinical decision support mechanism aim specialty health, as defined by the medicare appropriate use criteria program",G1007,CPT,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,58.8,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
"Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program",G1004,CPT,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,58.8,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
"Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program",G1010,CPT,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,58.8,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
"Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; with manipulation, each",26742,CPT,,,,Outpatient,Facility,,,2276,910.4,66,,,Percent of total billed charges,,1502.16,20.8,,,Percent of total billed charges,,473.41,20.4,,,Percent of total billed charges,,464.3,,372.58,,Case rate,,372.58,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1820.8,61.6,,,Percent of total billed charges,,1402.02,20.6,,,Percent of total billed charges,,468.86,20.6,,,Percent of total billed charges,,468.86,65.55,,,Percent of total billed charges,,1491.92,21,,,Percent of total billed charges,,477.96,90,,,Percent of total billed charges,,2048.4,21,,,Percent of total billed charges,,477.96,21,,,Percent of total billed charges,,477.96,64.9,,,Percent of total billed charges,,1477.12,21,,,Percent of total billed charges,,477.96,,1905.3,,Case rate,,1905.3,77.74,2276,
"Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); with manipulation",27810,CPT,,,,Outpatient,Facility,,,1692,676.8,66,,,Percent of total billed charges,,1116.72,20.8,,,Percent of total billed charges,,351.94,20.4,,,Percent of total billed charges,,345.17,,470.5,,Case rate,,470.5,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1353.6,61.6,,,Percent of total billed charges,,1042.27,20.6,,,Percent of total billed charges,,348.55,20.6,,,Percent of total billed charges,,348.55,65.55,,,Percent of total billed charges,,1109.11,21,,,Percent of total billed charges,,355.32,90,,,Percent of total billed charges,,1522.8,21,,,Percent of total billed charges,,355.32,21,,,Percent of total billed charges,,355.32,64.9,,,Percent of total billed charges,,1098.11,21,,,Percent of total billed charges,,355.32,,1436.22,,Case rate,,1436.22,58.06,1692,
Closed treatment of clavicular fracture; with manipulation,23505,CPT,,,,Outpatient,Facility,,,2292,916.8,66,,,Percent of total billed charges,,1512.72,20.8,,,Percent of total billed charges,,476.74,20.4,,,Percent of total billed charges,,467.57,,356.74,,Case rate,,356.74,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1833.6,61.6,,,Percent of total billed charges,,1411.87,20.6,,,Percent of total billed charges,,472.15,20.6,,,Percent of total billed charges,,472.15,65.55,,,Percent of total billed charges,,1502.41,21,,,Percent of total billed charges,,481.32,90,,,Percent of total billed charges,,2062.8,21,,,Percent of total billed charges,,481.32,21,,,Percent of total billed charges,,481.32,64.9,,,Percent of total billed charges,,1487.51,21,,,Percent of total billed charges,,481.32,,1420.67,,Case rate,,1420.67,58.06,2292,
"Closed treatment of distal phalangeal fracture, finger or thumb; with manipulation, each",26755,CPT,,,,Outpatient,Facility,,,406,162.4,66,,,Percent of total billed charges,,267.96,20.8,,,Percent of total billed charges,,84.45,20.4,,,Percent of total billed charges,,82.82,,319.12,,Case rate,,319.12,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,324.8,61.6,,,Percent of total billed charges,,250.1,20.6,,,Percent of total billed charges,,83.64,20.6,,,Percent of total billed charges,,83.64,65.55,,,Percent of total billed charges,,266.13,21,,,Percent of total billed charges,,85.26,90,,,Percent of total billed charges,,365.4,21,,,Percent of total billed charges,,85.26,21,,,Percent of total billed charges,,85.26,64.9,,,Percent of total billed charges,,263.49,21,,,Percent of total billed charges,,85.26,,331.97,,Case rate,,331.97,13.86,406,
"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation",25605,CPT,,,,Outpatient,Facility,,,2693,1077.2,66,,,Percent of total billed charges,,1777.38,20.8,,,Percent of total billed charges,,560.14,20.4,,,Percent of total billed charges,,549.37,,536.3,,Case rate,,536.3,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,2154.4,61.6,,,Percent of total billed charges,,1658.89,20.6,,,Percent of total billed charges,,554.76,20.6,,,Percent of total billed charges,,554.76,65.55,,,Percent of total billed charges,,1765.26,21,,,Percent of total billed charges,,565.53,90,,,Percent of total billed charges,,2423.7,21,,,Percent of total billed charges,,565.53,21,,,Percent of total billed charges,,565.53,64.9,,,Percent of total billed charges,,1747.76,21,,,Percent of total billed charges,,565.53,,2201.71,,Case rate,,2201.71,89.15,2693,
Closed treatment of distal radioulnar dislocation with manipulation,25675,CPT,,,,Outpatient,Facility,,,1760,704,66,,,Percent of total billed charges,,1161.6,20.8,,,Percent of total billed charges,,366.08,20.4,,,Percent of total billed charges,,359.04,,453.47,,Case rate,,453.47,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1408,61.6,,,Percent of total billed charges,,1084.16,20.6,,,Percent of total billed charges,,362.56,20.6,,,Percent of total billed charges,,362.56,65.55,,,Percent of total billed charges,,1153.68,21,,,Percent of total billed charges,,369.6,90,,,Percent of total billed charges,,1584,21,,,Percent of total billed charges,,369.6,21,,,Percent of total billed charges,,369.6,64.9,,,Percent of total billed charges,,1142.24,21,,,Percent of total billed charges,,369.6,,1420.99,,Case rate,,1420.99,58.06,1760,
"Closed treatment of fracture, phalanx or phalanges, other than great toe; without manipulation, each",28510,CPT,,,,Outpatient,Facility,,,849,339.6,66,,,Percent of total billed charges,,560.34,20.8,,,Percent of total billed charges,,176.59,20.4,,,Percent of total billed charges,,173.2,,118.56,,Case rate,,118.56,,9.9,,Case rate,,9.9,80,,,Percent of total billed charges,,679.2,61.6,,,Percent of total billed charges,,522.98,20.6,,,Percent of total billed charges,,174.89,20.6,,,Percent of total billed charges,,174.89,65.55,,,Percent of total billed charges,,556.52,21,,,Percent of total billed charges,,178.29,90,,,Percent of total billed charges,,764.1,21,,,Percent of total billed charges,,178.29,21,,,Percent of total billed charges,,178.29,64.9,,,Percent of total billed charges,,551,21,,,Percent of total billed charges,,178.29,,250.3,,Case rate,,250.3,9.9,849,
"Closed treatment of humeral epicondylar fracture, medial or lateral; with manipulation",24565,CPT,,,,Outpatient,Facility,,,4393,1757.2,66,,,Percent of total billed charges,,2899.38,20.8,,,Percent of total billed charges,,913.74,20.4,,,Percent of total billed charges,,896.17,,535.94,,Case rate,,535.94,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,3514.4,61.6,,,Percent of total billed charges,,2706.09,20.6,,,Percent of total billed charges,,904.96,20.6,,,Percent of total billed charges,,904.96,65.55,,,Percent of total billed charges,,2879.61,21,,,Percent of total billed charges,,922.53,90,,,Percent of total billed charges,,3953.7,21,,,Percent of total billed charges,,922.53,21,,,Percent of total billed charges,,922.53,64.9,,,Percent of total billed charges,,2851.06,21,,,Percent of total billed charges,,922.53,,1919.04,,Case rate,,1919.04,77.74,4393,
Closed treatment of humeral shaft fracture; without manipulation,24500,CPT,,,,Outpatient,Facility,,,1911,764.4,66,,,Percent of total billed charges,,1261.26,20.8,,,Percent of total billed charges,,397.49,20.4,,,Percent of total billed charges,,389.84,,359.67,,Case rate,,359.67,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1528.8,61.6,,,Percent of total billed charges,,1177.18,20.6,,,Percent of total billed charges,,393.67,20.6,,,Percent of total billed charges,,393.67,65.55,,,Percent of total billed charges,,1252.66,21,,,Percent of total billed charges,,401.31,90,,,Percent of total billed charges,,1719.9,21,,,Percent of total billed charges,,401.31,21,,,Percent of total billed charges,,401.31,64.9,,,Percent of total billed charges,,1240.24,21,,,Percent of total billed charges,,401.31,,1436.22,,Case rate,,1436.22,58.06,1911,
Closed treatment of knee dislocation; without anesthesia,27550,CPT,,,,Outpatient,Facility,,,2082,832.8,66,,,Percent of total billed charges,,1374.12,20.8,,,Percent of total billed charges,,433.06,20.4,,,Percent of total billed charges,,424.73,,509.5,,Case rate,,509.5,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1665.6,61.6,,,Percent of total billed charges,,1282.51,20.6,,,Percent of total billed charges,,428.89,20.6,,,Percent of total billed charges,,428.89,65.55,,,Percent of total billed charges,,1364.75,21,,,Percent of total billed charges,,437.22,90,,,Percent of total billed charges,,1873.8,21,,,Percent of total billed charges,,437.22,21,,,Percent of total billed charges,,437.22,64.9,,,Percent of total billed charges,,1351.22,21,,,Percent of total billed charges,,437.22,,1420.34,,Case rate,,1420.34,58.06,2082,
"Closed treatment of metacarpal fracture, single; without manipulation, each bone",26600,CPT,,,,Outpatient,Facility,,,347,138.8,66,,,Percent of total billed charges,,229.02,20.8,,,Percent of total billed charges,,72.18,20.4,,,Percent of total billed charges,,70.79,,299.17,,Case rate,,299.17,,9.9,,Case rate,,9.9,80,,,Percent of total billed charges,,277.6,61.6,,,Percent of total billed charges,,213.75,20.6,,,Percent of total billed charges,,71.48,20.6,,,Percent of total billed charges,,71.48,65.55,,,Percent of total billed charges,,227.46,21,,,Percent of total billed charges,,72.87,90,,,Percent of total billed charges,,312.3,21,,,Percent of total billed charges,,72.87,21,,,Percent of total billed charges,,72.87,64.9,,,Percent of total billed charges,,225.2,21,,,Percent of total billed charges,,72.87,,234.66,,Case rate,,234.66,9.9,347,
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia",26700,CPT,,,,Outpatient,Facility,,,300,120,66,,,Percent of total billed charges,,198,20.8,,,Percent of total billed charges,,62.4,20.4,,,Percent of total billed charges,,61.2,,339.35,,Case rate,Use Lesser of logic,300,,9.9,,Case rate,,9.9,80,,,Percent of total billed charges,,240,61.6,,,Percent of total billed charges,,184.8,20.6,,,Percent of total billed charges,,61.8,20.6,,,Percent of total billed charges,,61.8,65.55,,,Percent of total billed charges,,196.65,21,,,Percent of total billed charges,,63,90,,,Percent of total billed charges,,270,21,,,Percent of total billed charges,,63,21,,,Percent of total billed charges,,63,64.9,,,Percent of total billed charges,,194.7,21,,,Percent of total billed charges,,63,,250.26,,Case rate,,250.26,9.9,300,
Closed treatment of nasal bone fracture with manipulation; without stabilization,21315,CPT,,,,Outpatient,Facility,,,4511,1804.4,66,,,Percent of total billed charges,,2977.26,20.8,,,Percent of total billed charges,,938.29,20.4,,,Percent of total billed charges,,920.24,,146.2,,Case rate,,146.2,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,3608.8,61.6,,,Percent of total billed charges,,2778.78,20.6,,,Percent of total billed charges,,929.27,20.6,,,Percent of total billed charges,,929.27,65.55,,,Percent of total billed charges,,2956.96,21,,,Percent of total billed charges,,947.31,90,,,Percent of total billed charges,,4059.9,21,,,Percent of total billed charges,,947.31,21,,,Percent of total billed charges,,947.31,64.9,,,Percent of total billed charges,,2927.64,21,,,Percent of total billed charges,,947.31,,1919.51,,Case rate,,1919.51,77.74,4511,
Closed treatment of radial and ulnar shaft fractures; with manipulation,25565,CPT,,,,Outpatient,Facility,,,2276,910.4,66,,,Percent of total billed charges,,1502.16,20.8,,,Percent of total billed charges,,473.41,20.4,,,Percent of total billed charges,,464.3,,517.12,,Case rate,,517.12,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1820.8,61.6,,,Percent of total billed charges,,1402.02,20.6,,,Percent of total billed charges,,468.86,20.6,,,Percent of total billed charges,,468.86,65.55,,,Percent of total billed charges,,1491.92,21,,,Percent of total billed charges,,477.96,90,,,Percent of total billed charges,,2048.4,21,,,Percent of total billed charges,,477.96,21,,,Percent of total billed charges,,477.96,64.9,,,Percent of total billed charges,,1477.12,21,,,Percent of total billed charges,,477.96,,1906.56,,Case rate,,1906.56,77.74,2276,
Closed treatment of radial head or neck fracture; without manipulation,24650,CPT,,,,Outpatient,Facility,,,309,123.6,66,,,Percent of total billed charges,,203.94,20.8,,,Percent of total billed charges,,64.27,20.4,,,Percent of total billed charges,,63.04,,262.52,,Case rate,,262.52,,9.9,,Case rate,,9.9,80,,,Percent of total billed charges,,247.2,61.6,,,Percent of total billed charges,,190.34,20.6,,,Percent of total billed charges,,63.65,20.6,,,Percent of total billed charges,,63.65,65.55,,,Percent of total billed charges,,202.55,21,,,Percent of total billed charges,,64.89,90,,,Percent of total billed charges,,278.1,21,,,Percent of total billed charges,,64.89,21,,,Percent of total billed charges,,64.89,64.9,,,Percent of total billed charges,,200.54,21,,,Percent of total billed charges,,64.89,,249.75,,Case rate,,249.75,9.9,309,
Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fracture/dislocation),25520,CPT,,,,Outpatient,Facility,,,3985,1594,66,,,Percent of total billed charges,,2630.1,20.8,,,Percent of total billed charges,,828.88,20.4,,,Percent of total billed charges,,812.94,,571.29,,Case rate,,571.29,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,3188,61.6,,,Percent of total billed charges,,2454.76,20.6,,,Percent of total billed charges,,820.91,20.6,,,Percent of total billed charges,,820.91,65.55,,,Percent of total billed charges,,2612.17,21,,,Percent of total billed charges,,836.85,90,,,Percent of total billed charges,,3586.5,21,,,Percent of total billed charges,,836.85,21,,,Percent of total billed charges,,836.85,64.9,,,Percent of total billed charges,,2586.26,21,,,Percent of total billed charges,,836.85,,1419.97,,Case rate,,1419.97,58.06,3985,
Closed treatment of radial shaft fracture; with manipulation,25505,CPT,,,,Outpatient,Facility,,,3182,1272.8,66,,,Percent of total billed charges,,2100.12,20.8,,,Percent of total billed charges,,661.86,20.4,,,Percent of total billed charges,,649.13,,503.36,,Case rate,,503.36,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,2545.6,61.6,,,Percent of total billed charges,,1960.11,20.6,,,Percent of total billed charges,,655.49,20.6,,,Percent of total billed charges,,655.49,65.55,,,Percent of total billed charges,,2085.8,21,,,Percent of total billed charges,,668.22,90,,,Percent of total billed charges,,2863.8,21,,,Percent of total billed charges,,668.22,21,,,Percent of total billed charges,,668.22,64.9,,,Percent of total billed charges,,2065.12,21,,,Percent of total billed charges,,668.22,,1435.66,,Case rate,,1435.66,58.06,3182,
"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation",23665,CPT,,,,Outpatient,Facility,,,3016,1206.4,66,,,Percent of total billed charges,,1990.56,20.8,,,Percent of total billed charges,,627.33,20.4,,,Percent of total billed charges,,615.26,,430.57,,Case rate,,430.57,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,2412.8,61.6,,,Percent of total billed charges,,1857.86,20.6,,,Percent of total billed charges,,621.3,20.6,,,Percent of total billed charges,,621.3,65.55,,,Percent of total billed charges,,1976.99,21,,,Percent of total billed charges,,633.36,90,,,Percent of total billed charges,,2714.4,21,,,Percent of total billed charges,,633.36,21,,,Percent of total billed charges,,633.36,64.9,,,Percent of total billed charges,,1957.38,21,,,Percent of total billed charges,,633.36,,1905.91,,Case rate,,1905.91,77.74,3016,
"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia",23655,CPT,,,,Outpatient,Facility,,,2015,806,66,,,Percent of total billed charges,,1329.9,20.8,,,Percent of total billed charges,,419.12,20.4,,,Percent of total billed charges,,411.06,,402.96,,Case rate,,402.96,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1612,61.6,,,Percent of total billed charges,,1241.24,20.6,,,Percent of total billed charges,,415.09,20.6,,,Percent of total billed charges,,415.09,65.55,,,Percent of total billed charges,,1320.83,21,,,Percent of total billed charges,,423.15,90,,,Percent of total billed charges,,1813.5,21,,,Percent of total billed charges,,423.15,21,,,Percent of total billed charges,,423.15,64.9,,,Percent of total billed charges,,1307.74,21,,,Percent of total billed charges,,423.15,,1434.87,,Case rate,,1434.87,58.06,2015,
"Closed treatment of shoulder dislocation, with manipulation; without anesthesia",23650,CPT,,,,Outpatient,Facility,,,1761,704.4,66,,,Percent of total billed charges,,1162.26,20.8,,,Percent of total billed charges,,366.29,20.4,,,Percent of total billed charges,,359.24,,330.16,,Case rate,,330.16,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1408.8,61.6,,,Percent of total billed charges,,1084.78,20.6,,,Percent of total billed charges,,362.77,20.6,,,Percent of total billed charges,,362.77,65.55,,,Percent of total billed charges,,1154.34,21,,,Percent of total billed charges,,369.81,90,,,Percent of total billed charges,,1584.9,21,,,Percent of total billed charges,,369.81,21,,,Percent of total billed charges,,369.81,64.9,,,Percent of total billed charges,,1142.89,21,,,Percent of total billed charges,,369.81,,1435.94,,Case rate,,1435.94,58.06,1761,
"Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; with manipulation, with or without skin or skeletal traction",24535,CPT,,,,Outpatient,Facility,,,3693,1477.2,66,,,Percent of total billed charges,,2437.38,20.8,,,Percent of total billed charges,,768.14,20.4,,,Percent of total billed charges,,753.37,,613.38,,Case rate,,613.38,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,2954.4,61.6,,,Percent of total billed charges,,2274.89,20.6,,,Percent of total billed charges,,760.76,20.6,,,Percent of total billed charges,,760.76,65.55,,,Percent of total billed charges,,2420.76,21,,,Percent of total billed charges,,775.53,90,,,Percent of total billed charges,,3323.7,21,,,Percent of total billed charges,,775.53,21,,,Percent of total billed charges,,775.53,64.9,,,Percent of total billed charges,,2396.76,21,,,Percent of total billed charges,,775.53,,1434.83,,Case rate,,1434.83,58.06,3693,
Closed treatment of trimalleolar ankle fracture; with manipulation,27818,CPT,,,,Outpatient,Facility,,,1703,681.2,66,,,Percent of total billed charges,,1123.98,20.8,,,Percent of total billed charges,,354.22,20.4,,,Percent of total billed charges,,347.41,,488.35,,Case rate,,488.35,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1362.4,61.6,,,Percent of total billed charges,,1049.05,20.6,,,Percent of total billed charges,,350.82,20.6,,,Percent of total billed charges,,350.82,65.55,,,Percent of total billed charges,,1116.32,21,,,Percent of total billed charges,,357.63,90,,,Percent of total billed charges,,1532.7,21,,,Percent of total billed charges,,357.63,21,,,Percent of total billed charges,,357.63,64.9,,,Percent of total billed charges,,1105.25,21,,,Percent of total billed charges,,357.63,,1435.99,,Case rate,,1435.99,58.06,1703,
"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); with manipulation",24675,CPT,,,,Outpatient,Facility,,,2015,806,66,,,Percent of total billed charges,,1329.9,20.8,,,Percent of total billed charges,,419.12,20.4,,,Percent of total billed charges,,411.06,,456.72,,Case rate,,456.72,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1612,61.6,,,Percent of total billed charges,,1241.24,20.6,,,Percent of total billed charges,,415.09,20.6,,,Percent of total billed charges,,415.09,65.55,,,Percent of total billed charges,,1320.83,21,,,Percent of total billed charges,,423.15,90,,,Percent of total billed charges,,1813.5,21,,,Percent of total billed charges,,423.15,21,,,Percent of total billed charges,,423.15,64.9,,,Percent of total billed charges,,1307.74,21,,,Percent of total billed charges,,423.15,,1421.32,,Case rate,,1421.32,58.06,2015,
Closed treatment of ulnar styloid fracture,25650,CPT,,,,Outpatient,Facility,,,490,196,66,,,Percent of total billed charges,,323.4,20.8,,,Percent of total billed charges,,101.92,20.4,,,Percent of total billed charges,,99.96,,329.56,,Case rate,,329.56,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,392,61.6,,,Percent of total billed charges,,301.84,20.6,,,Percent of total billed charges,,100.94,20.6,,,Percent of total billed charges,,100.94,65.55,,,Percent of total billed charges,,321.2,21,,,Percent of total billed charges,,102.9,90,,,Percent of total billed charges,,441,21,,,Percent of total billed charges,,102.9,21,,,Percent of total billed charges,,102.9,64.9,,,Percent of total billed charges,,318.01,21,,,Percent of total billed charges,,102.9,,332.67,,Case rate,,332.67,13.86,490,
"Clotting inhibitors or anticoagulants; antithrombin III, activity",85300,CPT,,,,Outpatient,Facility,,,266,106.4,66,,,Percent of total billed charges,,175.56,20.8,,,Percent of total billed charges,,55.33,20.4,,,Percent of total billed charges,,54.26,,11.85,,Case rate,,11.85,,1.67,,Case rate,,1.67,80,,,Percent of total billed charges,,212.8,61.6,,,Percent of total billed charges,,163.86,20.6,,,Percent of total billed charges,,54.8,20.6,,,Percent of total billed charges,,54.8,65.55,,,Percent of total billed charges,,174.36,21,,,Percent of total billed charges,,55.86,90,,,Percent of total billed charges,,239.4,21,,,Percent of total billed charges,,55.86,21,,,Percent of total billed charges,,55.86,64.9,,,Percent of total billed charges,,172.63,21,,,Percent of total billed charges,,55.86,,30.32,,Case rate,,30.32,1.67,266,
"Clotting inhibitors or anticoagulants; protein S, free",85306,CPT,,,,Outpatient,Facility,,,131,52.4,66,,,Percent of total billed charges,,86.46,20.8,,,Percent of total billed charges,,27.25,20.4,,,Percent of total billed charges,,26.72,,15.32,,Case rate,,15.32,,4.44,,Case rate,,4.44,80,,,Percent of total billed charges,,104.8,61.6,,,Percent of total billed charges,,80.7,20.6,,,Percent of total billed charges,,26.99,20.6,,,Percent of total billed charges,,26.99,65.55,,,Percent of total billed charges,,85.87,21,,,Percent of total billed charges,,27.51,90,,,Percent of total billed charges,,117.9,21,,,Percent of total billed charges,,27.51,21,,,Percent of total billed charges,,27.51,64.9,,,Percent of total billed charges,,85.02,21,,,Percent of total billed charges,,27.51,,93.97,,Case rate,,93.97,4.44,131,
"Clotting; factor II, prothrombin, specific",85210,CPT,,,,Outpatient,Facility,,,55,22,66,,,Percent of total billed charges,,36.3,20.8,,,Percent of total billed charges,,11.44,20.4,,,Percent of total billed charges,,11.22,,12.98,,Case rate,,12.98,,1.54,,Case rate,,1.54,80,,,Percent of total billed charges,,44,61.6,,,Percent of total billed charges,,33.88,20.6,,,Percent of total billed charges,,11.33,20.6,,,Percent of total billed charges,,11.33,65.55,,,Percent of total billed charges,,36.05,21,,,Percent of total billed charges,,11.55,90,,,Percent of total billed charges,,49.5,21,,,Percent of total billed charges,,11.55,21,,,Percent of total billed charges,,11.55,64.9,,,Percent of total billed charges,,35.7,21,,,Percent of total billed charges,,11.55,,26.14,,Case rate,,26.14,1.54,55,
Clotting; factor IX (PTC or Christmas),85250,CPT,,,,Outpatient,Facility,,,151,60.4,66,,,Percent of total billed charges,,99.66,20.8,,,Percent of total billed charges,,31.41,20.4,,,Percent of total billed charges,,30.8,,19.04,,Case rate,,19.04,,4.12,,Case rate,,4.12,80,,,Percent of total billed charges,,120.8,61.6,,,Percent of total billed charges,,93.02,20.6,,,Percent of total billed charges,,31.11,20.6,,,Percent of total billed charges,,31.11,65.55,,,Percent of total billed charges,,98.98,21,,,Percent of total billed charges,,31.71,90,,,Percent of total billed charges,,135.9,21,,,Percent of total billed charges,,31.71,21,,,Percent of total billed charges,,31.71,64.9,,,Percent of total billed charges,,98,21,,,Percent of total billed charges,,31.71,,85.57,,Case rate,,85.57,4.12,151,
"Clotting; factor VII (proconvertin, stable factor)",85230,CPT,,,,Outpatient,Facility,,,142,56.8,66,,,Percent of total billed charges,,93.72,20.8,,,Percent of total billed charges,,29.54,20.4,,,Percent of total billed charges,,28.97,,17.9,,Case rate,,17.9,,4.12,,Case rate,,4.12,80,,,Percent of total billed charges,,113.6,61.6,,,Percent of total billed charges,,87.47,20.6,,,Percent of total billed charges,,29.25,20.6,,,Percent of total billed charges,,29.25,65.55,,,Percent of total billed charges,,93.08,21,,,Percent of total billed charges,,29.82,90,,,Percent of total billed charges,,127.8,21,,,Percent of total billed charges,,29.82,21,,,Percent of total billed charges,,29.82,64.9,,,Percent of total billed charges,,92.16,21,,,Percent of total billed charges,,29.82,,99.55,,Case rate,,99.55,4.12,142,
"Clotting; factor VIII (AHG), 1-stage",85240,CPT,,,,Outpatient,Facility,,,142,56.8,66,,,Percent of total billed charges,,93.72,20.8,,,Percent of total billed charges,,29.54,20.4,,,Percent of total billed charges,,28.97,,17.9,,Case rate,,17.9,,3.68,,Case rate,,3.68,80,,,Percent of total billed charges,,113.6,61.6,,,Percent of total billed charges,,87.47,20.6,,,Percent of total billed charges,,29.25,20.6,,,Percent of total billed charges,,29.25,65.55,,,Percent of total billed charges,,93.08,21,,,Percent of total billed charges,,29.82,90,,,Percent of total billed charges,,127.8,21,,,Percent of total billed charges,,29.82,21,,,Percent of total billed charges,,29.82,64.9,,,Percent of total billed charges,,92.16,21,,,Percent of total billed charges,,29.82,,89.84,,Case rate,,89.84,3.68,142,
"Clotting; factor VIII, von Willebrand factor, multimetric analysis",85247,CPT,,,,Outpatient,Facility,,,176,70.4,66,,,Percent of total billed charges,,116.16,20.8,,,Percent of total billed charges,,36.61,20.4,,,Percent of total billed charges,,35.9,,22.94,,Case rate,,22.94,,6.64,,Case rate,,6.64,80,,,Percent of total billed charges,,140.8,61.6,,,Percent of total billed charges,,108.42,20.6,,,Percent of total billed charges,,36.26,20.6,,,Percent of total billed charges,,36.26,65.55,,,Percent of total billed charges,,115.37,21,,,Percent of total billed charges,,36.96,90,,,Percent of total billed charges,,158.4,21,,,Percent of total billed charges,,36.96,21,,,Percent of total billed charges,,36.96,64.9,,,Percent of total billed charges,,114.22,21,,,Percent of total billed charges,,36.96,,142.12,,Case rate,,142.12,6.64,176,
Clotting; factor XII (Hageman),85280,CPT,,,,Outpatient,Facility,,,154,61.6,66,,,Percent of total billed charges,,101.64,20.8,,,Percent of total billed charges,,32.03,20.4,,,Percent of total billed charges,,31.42,,19.35,,Case rate,,19.35,,4.12,,Case rate,,4.12,80,,,Percent of total billed charges,,123.2,61.6,,,Percent of total billed charges,,94.86,20.6,,,Percent of total billed charges,,31.72,20.6,,,Percent of total billed charges,,31.72,65.55,,,Percent of total billed charges,,100.95,21,,,Percent of total billed charges,,32.34,90,,,Percent of total billed charges,,138.6,21,,,Percent of total billed charges,,32.34,21,,,Percent of total billed charges,,32.34,64.9,,,Percent of total billed charges,,99.95,21,,,Percent of total billed charges,,32.34,,85.85,,Case rate,,85.85,4.12,154,
Cold agglutinin; titer,86157,CPT,,,,Outpatient,Facility,,,191,76.4,66,,,Percent of total billed charges,,126.06,20.8,,,Percent of total billed charges,,39.73,20.4,,,Percent of total billed charges,,38.96,,8.06,,Case rate,,8.06,,1.65,,Case rate,,1.65,80,,,Percent of total billed charges,,152.8,61.6,,,Percent of total billed charges,,117.66,20.6,,,Percent of total billed charges,,39.35,20.6,,,Percent of total billed charges,,39.35,65.55,,,Percent of total billed charges,,125.2,21,,,Percent of total billed charges,,40.11,90,,,Percent of total billed charges,,171.9,21,,,Percent of total billed charges,,40.11,21,,,Percent of total billed charges,,40.11,64.9,,,Percent of total billed charges,,123.96,21,,,Percent of total billed charges,,40.11,,44.29,,Case rate,,44.29,1.65,191,
Collection of blood specimen from a completely implantable venous access device,36591,CPT,,,,Outpatient,Facility,,,344,137.6,66,,,Percent of total billed charges,,227.04,20.8,,,Percent of total billed charges,,71.55,20.4,,,Percent of total billed charges,,70.18,,25.28,,Case rate,,25.28,,3.79,,Case rate,,3.79,80,,,Percent of total billed charges,,275.2,61.6,,,Percent of total billed charges,,211.9,20.6,,,Percent of total billed charges,,70.86,20.6,,,Percent of total billed charges,,70.86,65.55,,,Percent of total billed charges,,225.49,21,,,Percent of total billed charges,,72.24,90,,,Percent of total billed charges,,309.6,21,,,Percent of total billed charges,,72.24,21,,,Percent of total billed charges,,72.24,64.9,,,Percent of total billed charges,,223.26,21,,,Percent of total billed charges,,72.24,,100.29,,Case rate,,100.29,3.79,344,
"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified",36592,CPT,,,,Outpatient,Facility,,,322,128.8,66,,,Percent of total billed charges,,212.52,20.8,,,Percent of total billed charges,,66.98,20.4,,,Percent of total billed charges,,65.69,,27.5,,Case rate,,27.5,,4.69,,Case rate,,4.69,80,,,Percent of total billed charges,,257.6,61.6,,,Percent of total billed charges,,198.35,20.6,,,Percent of total billed charges,,66.33,20.6,,,Percent of total billed charges,,66.33,65.55,,,Percent of total billed charges,,211.07,21,,,Percent of total billed charges,,67.62,90,,,Percent of total billed charges,,289.8,21,,,Percent of total billed charges,,67.62,21,,,Percent of total billed charges,,67.62,64.9,,,Percent of total billed charges,,208.98,21,,,Percent of total billed charges,,67.62,,114.59,,Case rate,,114.59,4.69,322,
"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45378,CPT,,,,Outpatient,Facility,,,2564.65,1025.86,66,,,Percent of total billed charges,,1692.67,20.8,,,Percent of total billed charges,,533.45,20.4,,,Percent of total billed charges,,523.19,,329.19,,Case rate,,329.19,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,2051.72,61.6,,,Percent of total billed charges,,1579.82,20.6,,,Percent of total billed charges,,528.32,20.6,,,Percent of total billed charges,,528.32,65.55,,,Percent of total billed charges,,1681.13,21,,,Percent of total billed charges,,538.58,90,,,Percent of total billed charges,,2308.18,21,,,Percent of total billed charges,,538.58,21,,,Percent of total billed charges,,538.58,64.9,,,Percent of total billed charges,,1664.46,21,,,Percent of total billed charges,,538.58,,1919.88,,Case rate,,1919.88,77.74,2564.65,
"Colonoscopy, flexible; with biopsy, single or multiple",45380,CPT,,,,Outpatient,Facility,,,2914.62,1165.85,66,,,Percent of total billed charges,,1923.65,20.8,,,Percent of total billed charges,,606.24,20.4,,,Percent of total billed charges,,594.58,,419.96,,Case rate,,419.96,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,2331.7,61.6,,,Percent of total billed charges,,1795.41,20.6,,,Percent of total billed charges,,600.41,20.6,,,Percent of total billed charges,,600.41,65.55,,,Percent of total billed charges,,1910.53,21,,,Percent of total billed charges,,612.07,90,,,Percent of total billed charges,,2623.16,21,,,Percent of total billed charges,,612.07,21,,,Percent of total billed charges,,612.07,64.9,,,Percent of total billed charges,,1891.59,21,,,Percent of total billed charges,,612.07,,1906.09,,Case rate,,1906.09,77.74,2914.62,
"Colonoscopy, flexible; with control of bleeding, any method",45382,CPT,,,,Outpatient,Facility,,,9927.21,3970.88,66,,,Percent of total billed charges,,6551.96,20.8,,,Percent of total billed charges,,2064.86,20.4,,,Percent of total billed charges,,2025.15,,643.68,,Case rate,,643.68,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,7941.77,61.6,,,Percent of total billed charges,,6115.16,20.6,,,Percent of total billed charges,,2045.01,20.6,,,Percent of total billed charges,,2045.01,65.55,,,Percent of total billed charges,,6507.29,21,,,Percent of total billed charges,,2084.71,90,,,Percent of total billed charges,,8934.49,21,,,Percent of total billed charges,,2084.71,21,,,Percent of total billed charges,,2084.71,64.9,,,Percent of total billed charges,,6442.76,21,,,Percent of total billed charges,,2084.71,,1906.18,,Case rate,,1906.18,77.74,9927.21,
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps",45384,CPT,,,,Outpatient,Facility,,,2807.47,1122.99,66,,,Percent of total billed charges,,1852.93,20.8,,,Percent of total billed charges,,583.95,20.4,,,Percent of total billed charges,,572.72,,473.15,,Case rate,,473.15,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,2245.98,61.6,,,Percent of total billed charges,,1729.4,20.6,,,Percent of total billed charges,,578.34,20.6,,,Percent of total billed charges,,578.34,65.55,,,Percent of total billed charges,,1840.3,21,,,Percent of total billed charges,,589.57,90,,,Percent of total billed charges,,2526.72,21,,,Percent of total billed charges,,589.57,21,,,Percent of total billed charges,,589.57,64.9,,,Percent of total billed charges,,1822.05,21,,,Percent of total billed charges,,589.57,,1920.48,,Case rate,,1920.48,77.74,2807.47,
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",45385,CPT,,,,Outpatient,Facility,,,2788.32,1115.33,66,,,Percent of total billed charges,,1840.29,20.8,,,Percent of total billed charges,,579.97,20.4,,,Percent of total billed charges,,568.82,,440.18,,Case rate,,440.18,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,2230.66,61.6,,,Percent of total billed charges,,1717.61,20.6,,,Percent of total billed charges,,574.39,20.6,,,Percent of total billed charges,,574.39,65.55,,,Percent of total billed charges,,1827.74,21,,,Percent of total billed charges,,585.55,90,,,Percent of total billed charges,,2509.49,21,,,Percent of total billed charges,,585.55,21,,,Percent of total billed charges,,585.55,64.9,,,Percent of total billed charges,,1809.62,21,,,Percent of total billed charges,,585.55,,1904.88,,Case rate,,1904.88,77.74,2788.32,
Colorectal cancer screening; colonoscopy on individual at high risk,G0105,CPT,,,,Outpatient,Facility,,,2720.7,1088.28,66,,,Percent of total billed charges,,1795.66,20.8,,,Percent of total billed charges,,565.91,,809.52,,Case rate,,809.52,,329.19,,Case rate,,329.19,,83.63,,Case rate,,83.63,80,,,Percent of total billed charges,,2176.56,61.6,,,Percent of total billed charges,,1675.95,20.6,,,Percent of total billed charges,,560.46,20.6,,,Percent of total billed charges,,560.46,65.55,,,Percent of total billed charges,,1783.42,21,,,Percent of total billed charges,,571.35,90,,,Percent of total billed charges,,2448.63,21,,,Percent of total billed charges,,571.35,21,,,Percent of total billed charges,,571.35,64.9,,,Percent of total billed charges,,1765.73,21,,,Percent of total billed charges,,571.35,,1858.73,,Case rate,,1858.73,83.63,2720.7,
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk,G0121,CPT,,,,Outpatient,Facility,,,2572.74,1029.1,66,,,Percent of total billed charges,,1698.01,20.8,,,Percent of total billed charges,,535.13,,809.52,,Case rate,,809.52,,329.5,,Case rate,,329.5,,66.1,,Case rate,,66.1,80,,,Percent of total billed charges,,2058.19,61.6,,,Percent of total billed charges,,1584.81,20.6,,,Percent of total billed charges,,529.98,20.6,,,Percent of total billed charges,,529.98,65.55,,,Percent of total billed charges,,1686.43,21,,,Percent of total billed charges,,540.28,90,,,Percent of total billed charges,,2315.47,21,,,Percent of total billed charges,,540.28,21,,,Percent of total billed charges,,540.28,64.9,,,Percent of total billed charges,,1669.71,21,,,Percent of total billed charges,,540.28,,1809.75,,Case rate,,1809.75,66.1,2572.74,
"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous",G0328,CPT,,,,Outpatient,Facility,,,124,49.6,66,,,Percent of total billed charges,,81.84,20.8,,,Percent of total billed charges,,25.79,20.4,,,Percent of total billed charges,,25.3,,18.05,,Case rate,,18.05,,3.7,,Case rate,,3.7,80,,,Percent of total billed charges,,99.2,61.6,,,Percent of total billed charges,,76.38,20.6,,,Percent of total billed charges,,25.54,20.6,,,Percent of total billed charges,,25.54,65.55,,,Percent of total billed charges,,81.28,21,,,Percent of total billed charges,,26.04,90,,,Percent of total billed charges,,111.6,21,,,Percent of total billed charges,,26.04,21,,,Percent of total billed charges,,26.04,64.9,,,Percent of total billed charges,,80.48,21,,,Percent of total billed charges,,26.04,,50.42,,Case rate,,50.42,3.7,124,
Colorectal cancer screening; flexible sigmoidoscopy,G0104,CPT,,,,Outpatient,Facility,,,2558.83,1023.53,66,,,Percent of total billed charges,,1688.83,20.8,,,Percent of total billed charges,,532.24,,809.52,,Case rate,,809.52,,178.54,,Case rate,,178.54,,9.47,,Case rate,,9.47,80,,,Percent of total billed charges,,2047.06,61.6,,,Percent of total billed charges,,1576.24,20.6,,,Percent of total billed charges,,527.12,20.6,,,Percent of total billed charges,,527.12,65.55,,,Percent of total billed charges,,1677.31,21,,,Percent of total billed charges,,537.35,90,,,Percent of total billed charges,,2302.95,21,,,Percent of total billed charges,,537.35,21,,,Percent of total billed charges,,537.35,64.9,,,Percent of total billed charges,,1660.68,21,,,Percent of total billed charges,,537.35,,1185.13,,Case rate,,1185.13,9.47,2558.83,
Compatibility test each unit; electronic,86923,CPT,,,,Outpatient,Facility,,,459,183.6,66,,,Percent of total billed charges,,302.94,20.8,,,Percent of total billed charges,,95.47,20.4,,,Percent of total billed charges,,93.64,,25.2,,Case rate,,25.2,,4.99,,Case rate,,4.99,80,,,Percent of total billed charges,,367.2,61.6,,,Percent of total billed charges,,282.74,20.6,,,Percent of total billed charges,,94.55,20.6,,,Percent of total billed charges,,94.55,65.55,,,Percent of total billed charges,,300.87,21,,,Percent of total billed charges,,96.39,90,,,Percent of total billed charges,,413.1,21,,,Percent of total billed charges,,96.39,21,,,Percent of total billed charges,,96.39,64.9,,,Percent of total billed charges,,297.89,21,,,Percent of total billed charges,,96.39,,130.1,,Case rate,,130.1,4.99,459,
"Complement; antigen, each component",86160,CPT,,,,Outpatient,Facility,,,120,48,66,,,Percent of total billed charges,,79.2,20.8,,,Percent of total billed charges,,24.96,20.4,,,Percent of total billed charges,,24.48,,12,,Case rate,,12,,2.47,,Case rate,,2.47,80,,,Percent of total billed charges,,96,61.6,,,Percent of total billed charges,,73.92,20.6,,,Percent of total billed charges,,24.72,20.6,,,Percent of total billed charges,,24.72,65.55,,,Percent of total billed charges,,78.66,21,,,Percent of total billed charges,,25.2,90,,,Percent of total billed charges,,108,21,,,Percent of total billed charges,,25.2,21,,,Percent of total billed charges,,25.2,64.9,,,Percent of total billed charges,,77.88,21,,,Percent of total billed charges,,25.2,,47.96,,Case rate,,47.96,2.47,120,
"Complement; functional activity, each component",86161,CPT,,,,Outpatient,Facility,,,213,85.2,66,,,Percent of total billed charges,,140.58,20.8,,,Percent of total billed charges,,44.3,20.4,,,Percent of total billed charges,,43.45,,12,,Case rate,,12,,3.48,,Case rate,,3.48,80,,,Percent of total billed charges,,170.4,61.6,,,Percent of total billed charges,,131.21,20.6,,,Percent of total billed charges,,43.88,20.6,,,Percent of total billed charges,,43.88,65.55,,,Percent of total billed charges,,139.62,21,,,Percent of total billed charges,,44.73,90,,,Percent of total billed charges,,191.7,21,,,Percent of total billed charges,,44.73,21,,,Percent of total billed charges,,44.73,64.9,,,Percent of total billed charges,,138.24,21,,,Percent of total billed charges,,44.73,,70.9,,Case rate,,70.9,3.48,213,
Complement; total hemolytic (CH50),86162,CPT,,,,Outpatient,Facility,,,256,102.4,66,,,Percent of total billed charges,,168.96,20.8,,,Percent of total billed charges,,53.25,20.4,,,Percent of total billed charges,,52.22,,20.32,,Case rate,,20.32,,4.18,,Case rate,,4.18,80,,,Percent of total billed charges,,204.8,61.6,,,Percent of total billed charges,,157.7,20.6,,,Percent of total billed charges,,52.74,20.6,,,Percent of total billed charges,,52.74,65.55,,,Percent of total billed charges,,167.81,21,,,Percent of total billed charges,,53.76,90,,,Percent of total billed charges,,230.4,21,,,Percent of total billed charges,,53.76,21,,,Percent of total billed charges,,53.76,64.9,,,Percent of total billed charges,,166.14,21,,,Percent of total billed charges,,53.76,,86.17,,Case rate,,86.17,4.18,256,
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,92193923,CDM,TC,Outpatient,Facility,,,515,206,66,,,Percent of total billed charges,,339.9,20.8,,,Percent of total billed charges,,107.12,20.4,,,Percent of total billed charges,,105.06,,101.16,,Case rate,,101.16,,11.32,,Case rate,,11.32,80,,,Percent of total billed charges,,412,61.6,,,Percent of total billed charges,,317.24,20.6,,,Percent of total billed charges,,106.09,20.6,,,Percent of total billed charges,,106.09,65.55,,,Percent of total billed charges,,337.58,21,,,Percent of total billed charges,,108.15,90,,,Percent of total billed charges,,463.5,21,,,Percent of total billed charges,,108.15,21,,,Percent of total billed charges,,108.15,64.9,,,Percent of total billed charges,,334.24,21,,,Percent of total billed charges,,108.15,,280.44,,Case rate,,280.44,11.32,515,
"Complex uroflowmetry (eg, calibrated electronic equipment)",51741,CPT,,,,Outpatient,Facility,,,626,250.4,66,,,Percent of total billed charges,,413.16,20.8,,,Percent of total billed charges,,130.21,20.4,,,Percent of total billed charges,,127.7,,5.37,,Case rate,,5.37,,21.78,,Case rate,,21.78,80,,,Percent of total billed charges,,500.8,61.6,,,Percent of total billed charges,,385.62,20.6,,,Percent of total billed charges,,128.96,20.6,,,Percent of total billed charges,,128.96,65.55,,,Percent of total billed charges,,410.34,21,,,Percent of total billed charges,,131.46,90,,,Percent of total billed charges,,563.4,21,,,Percent of total billed charges,,131.46,21,,,Percent of total billed charges,,131.46,64.9,,,Percent of total billed charges,,406.27,21,,,Percent of total billed charges,,131.46,,528.79,,Case rate,,528.79,5.37,626,
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,,,,Outpatient,Facility,,,4060,1624,66,,,Percent of total billed charges,,2679.6,20.8,,,Percent of total billed charges,,844.48,20.4,,,Percent of total billed charges,,828.24,,277.24,,Case rate,,277.24,,77,,Case rate,,77,80,,,Percent of total billed charges,,3248,61.6,,,Percent of total billed charges,,2500.96,20.6,,,Percent of total billed charges,,836.36,20.6,,,Percent of total billed charges,,836.36,65.55,,,Percent of total billed charges,,2661.33,21,,,Percent of total billed charges,,852.6,90,,,Percent of total billed charges,,3654,21,,,Percent of total billed charges,,852.6,21,,,Percent of total billed charges,,852.6,64.9,,,Percent of total billed charges,,2634.94,21,,,Percent of total billed charges,,852.6,,3200.14,,Case rate,,3200.14,77,4060,
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74174,CPT,35274174,CDM,TC,Outpatient,Facility,,,4060,1624,66,,,Percent of total billed charges,,2679.6,20.8,,,Percent of total billed charges,,844.48,20.4,,,Percent of total billed charges,,828.24,,277.24,,Case rate,,277.24,,77,,Case rate,,77,80,,,Percent of total billed charges,,3248,61.6,,,Percent of total billed charges,,2500.96,20.6,,,Percent of total billed charges,,836.36,20.6,,,Percent of total billed charges,,836.36,65.55,,,Percent of total billed charges,,2661.33,21,,,Percent of total billed charges,,852.6,90,,,Percent of total billed charges,,3654,21,,,Percent of total billed charges,,852.6,21,,,Percent of total billed charges,,852.6,64.9,,,Percent of total billed charges,,2634.94,21,,,Percent of total billed charges,,852.6,,3200.14,,Case rate,,3200.14,77,4060,
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,,,,Outpatient,Facility,,,1483,593.2,66,,,Percent of total billed charges,,978.78,20.8,,,Percent of total billed charges,,308.46,20.4,,,Percent of total billed charges,,302.53,,168.17,,Case rate,,168.17,,51.34,,Case rate,,51.34,80,,,Percent of total billed charges,,1186.4,61.6,,,Percent of total billed charges,,913.53,20.6,,,Percent of total billed charges,,305.5,20.6,,,Percent of total billed charges,,305.5,65.55,,,Percent of total billed charges,,972.11,21,,,Percent of total billed charges,,311.43,90,,,Percent of total billed charges,,1334.7,21,,,Percent of total billed charges,,311.43,21,,,Percent of total billed charges,,311.43,64.9,,,Percent of total billed charges,,962.47,21,,,Percent of total billed charges,,311.43,,1216,,Case rate,,1216,51.34,1483,
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,35075635,CDM,TC,Outpatient,Facility,,,1949,779.6,66,,,Percent of total billed charges,,1286.34,20.8,,,Percent of total billed charges,,405.39,20.4,,,Percent of total billed charges,,397.6,,168.18,,Case rate,,168.18,,67.57,,Case rate,,67.57,80,,,Percent of total billed charges,,1559.2,61.6,,,Percent of total billed charges,,1200.58,20.6,,,Percent of total billed charges,,401.49,20.6,,,Percent of total billed charges,,401.49,65.55,,,Percent of total billed charges,,1277.57,21,,,Percent of total billed charges,,409.29,90,,,Percent of total billed charges,,1754.1,21,,,Percent of total billed charges,,409.29,21,,,Percent of total billed charges,,409.29,64.9,,,Percent of total billed charges,,1264.9,21,,,Percent of total billed charges,,409.29,,1629.69,,Case rate,,1629.69,67.57,1949,
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,,,,Outpatient,Facility,,,1700,680,66,,,Percent of total billed charges,,1122,20.8,,,Percent of total billed charges,,353.6,20.4,,,Percent of total billed charges,,346.8,,168.17,,Case rate,,168.17,,46.93,,Case rate,,46.93,80,,,Percent of total billed charges,,1360,61.6,,,Percent of total billed charges,,1047.2,20.6,,,Percent of total billed charges,,350.2,20.6,,,Percent of total billed charges,,350.2,65.55,,,Percent of total billed charges,,1114.35,21,,,Percent of total billed charges,,357,90,,,Percent of total billed charges,,1530,21,,,Percent of total billed charges,,357,21,,,Percent of total billed charges,,357,64.9,,,Percent of total billed charges,,1103.3,21,,,Percent of total billed charges,,357,,1444.25,,Case rate,,1444.25,46.93,1700,
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73706,CPT,35273706,CDM,TC,Outpatient,Facility,,,1700,680,66,,,Percent of total billed charges,,1122,20.8,,,Percent of total billed charges,,353.6,20.4,,,Percent of total billed charges,,346.8,,168.17,,Case rate,,168.17,,46.93,,Case rate,,46.93,80,,,Percent of total billed charges,,1360,61.6,,,Percent of total billed charges,,1047.2,20.6,,,Percent of total billed charges,,350.2,20.6,,,Percent of total billed charges,,350.2,65.55,,,Percent of total billed charges,,1114.35,21,,,Percent of total billed charges,,357,90,,,Percent of total billed charges,,1530,21,,,Percent of total billed charges,,357,21,,,Percent of total billed charges,,357,64.9,,,Percent of total billed charges,,1103.3,21,,,Percent of total billed charges,,357,,1444.25,,Case rate,,1444.25,46.93,1700,
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,,,,Outpatient,Facility,,,1411,564.4,66,,,Percent of total billed charges,,931.26,20.8,,,Percent of total billed charges,,293.49,20.4,,,Percent of total billed charges,,287.84,,168.17,,Case rate,,168.17,,51.34,,Case rate,,51.34,80,,,Percent of total billed charges,,1128.8,61.6,,,Percent of total billed charges,,869.18,20.6,,,Percent of total billed charges,,290.67,20.6,,,Percent of total billed charges,,290.67,65.55,,,Percent of total billed charges,,924.91,21,,,Percent of total billed charges,,296.31,90,,,Percent of total billed charges,,1269.9,21,,,Percent of total billed charges,,296.31,21,,,Percent of total billed charges,,296.31,64.9,,,Percent of total billed charges,,915.74,21,,,Percent of total billed charges,,296.31,,977.49,,Case rate,,977.49,51.34,1411,
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,,,,Outpatient,Facility,,,1504,601.6,66,,,Percent of total billed charges,,992.64,20.8,,,Percent of total billed charges,,312.83,20.4,,,Percent of total billed charges,,306.82,,168.17,,Case rate,,168.17,,46.93,,Case rate,,46.93,80,,,Percent of total billed charges,,1203.2,61.6,,,Percent of total billed charges,,926.46,20.6,,,Percent of total billed charges,,309.82,20.6,,,Percent of total billed charges,,309.82,65.55,,,Percent of total billed charges,,985.87,21,,,Percent of total billed charges,,315.84,90,,,Percent of total billed charges,,1353.6,21,,,Percent of total billed charges,,315.84,21,,,Percent of total billed charges,,315.84,64.9,,,Percent of total billed charges,,976.1,21,,,Percent of total billed charges,,315.84,,1271.72,,Case rate,,1271.72,46.93,1504,
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,35277012,CDM,TC,Outpatient,Facility,,,1348,539.2,66,,,Percent of total billed charges,,889.68,20.8,,,Percent of total billed charges,,280.38,20.4,,,Percent of total billed charges,,274.99,,68.28,,Case rate,,68.28,,44.58,,Case rate,,44.58,80,,,Percent of total billed charges,,1078.4,61.6,,,Percent of total billed charges,,830.37,20.6,,,Percent of total billed charges,,277.69,20.6,,,Percent of total billed charges,,277.69,65.55,,,Percent of total billed charges,,883.61,21,,,Percent of total billed charges,,283.08,90,,,Percent of total billed charges,,1213.2,21,,,Percent of total billed charges,,283.08,21,,,Percent of total billed charges,,283.08,64.9,,,Percent of total billed charges,,874.85,21,,,Percent of total billed charges,,283.08,,1132.33,,Case rate,,1132.33,44.58,1348,
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,,,,Outpatient,Facility,,,3937,1574.8,66,,,Percent of total billed charges,,2598.42,20.8,,,Percent of total billed charges,,818.9,20.4,,,Percent of total billed charges,,803.15,,219.4,,Case rate,,219.4,,58.44,,Case rate,,58.44,80,,,Percent of total billed charges,,3149.6,61.6,,,Percent of total billed charges,,2425.19,20.6,,,Percent of total billed charges,,811.02,20.6,,,Percent of total billed charges,,811.02,65.55,,,Percent of total billed charges,,2580.7,21,,,Percent of total billed charges,,826.77,90,,,Percent of total billed charges,,3543.3,21,,,Percent of total billed charges,,826.77,21,,,Percent of total billed charges,,826.77,64.9,,,Percent of total billed charges,,2555.11,21,,,Percent of total billed charges,,826.77,,3276.98,,Case rate,,3276.98,58.44,3937,
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,,,,Outpatient,Facility,,,3398,1359.2,66,,,Percent of total billed charges,,2242.68,20.8,,,Percent of total billed charges,,706.78,20.4,,,Percent of total billed charges,,693.19,,101.47,,Case rate,,101.47,,50.54,,Case rate,,50.54,80,,,Percent of total billed charges,,2718.4,61.6,,,Percent of total billed charges,,2093.17,20.6,,,Percent of total billed charges,,699.99,20.6,,,Percent of total billed charges,,699.99,65.55,,,Percent of total billed charges,,2227.39,21,,,Percent of total billed charges,,713.58,90,,,Percent of total billed charges,,3058.2,21,,,Percent of total billed charges,,713.58,21,,,Percent of total billed charges,,713.58,64.9,,,Percent of total billed charges,,2205.3,21,,,Percent of total billed charges,,713.58,,2224.32,,Case rate,,2224.32,50.54,3398,
"Computed tomography, abdomen and pelvis; without contrast material",74176,CPT,35074176,CDM,TC,Outpatient,Facility,,,3398,1359.2,66,,,Percent of total billed charges,,2242.68,20.8,,,Percent of total billed charges,,706.78,20.4,,,Percent of total billed charges,,693.19,,101.47,,Case rate,,101.47,,50.54,,Case rate,,50.54,80,,,Percent of total billed charges,,2718.4,61.6,,,Percent of total billed charges,,2093.17,20.6,,,Percent of total billed charges,,699.99,20.6,,,Percent of total billed charges,,699.99,65.55,,,Percent of total billed charges,,2227.39,21,,,Percent of total billed charges,,713.58,90,,,Percent of total billed charges,,3058.2,21,,,Percent of total billed charges,,713.58,21,,,Percent of total billed charges,,713.58,64.9,,,Percent of total billed charges,,2205.3,21,,,Percent of total billed charges,,713.58,,2224.32,,Case rate,,2224.32,50.54,3398,
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,,,,Outpatient,Facility,,,4630,1852,66,,,Percent of total billed charges,,3055.8,20.8,,,Percent of total billed charges,,963.04,20.4,,,Percent of total billed charges,,944.52,,247.54,,Case rate,,247.54,,70.44,,Case rate,,70.44,80,,,Percent of total billed charges,,3704,61.6,,,Percent of total billed charges,,2852.08,20.6,,,Percent of total billed charges,,953.78,20.6,,,Percent of total billed charges,,953.78,65.55,,,Percent of total billed charges,,3034.96,21,,,Percent of total billed charges,,972.3,90,,,Percent of total billed charges,,4167,21,,,Percent of total billed charges,,972.3,21,,,Percent of total billed charges,,972.3,64.9,,,Percent of total billed charges,,3004.87,21,,,Percent of total billed charges,,972.3,,3815.52,,Case rate,,3815.52,70.44,4630,
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",74178,CPT,35074178,CDM,TC,Outpatient,Facility,,,4630,1852,66,,,Percent of total billed charges,,3055.8,20.8,,,Percent of total billed charges,,963.04,20.4,,,Percent of total billed charges,,944.52,,247.54,,Case rate,,247.54,,70.44,,Case rate,,70.44,80,,,Percent of total billed charges,,3704,61.6,,,Percent of total billed charges,,2852.08,20.6,,,Percent of total billed charges,,953.78,20.6,,,Percent of total billed charges,,953.78,65.55,,,Percent of total billed charges,,3034.96,21,,,Percent of total billed charges,,972.3,90,,,Percent of total billed charges,,4167,21,,,Percent of total billed charges,,972.3,21,,,Percent of total billed charges,,972.3,64.9,,,Percent of total billed charges,,3004.87,21,,,Percent of total billed charges,,972.3,,3815.52,,Case rate,,3815.52,70.44,4630,
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,,,,Outpatient,Facility,,,1965,786,66,,,Percent of total billed charges,,1296.9,20.8,,,Percent of total billed charges,,408.72,20.4,,,Percent of total billed charges,,400.86,,168.18,,Case rate,,168.18,,39.34,,Case rate,,39.34,80,,,Percent of total billed charges,,1572,61.6,,,Percent of total billed charges,,1210.44,20.6,,,Percent of total billed charges,,404.79,20.6,,,Percent of total billed charges,,404.79,65.55,,,Percent of total billed charges,,1288.06,21,,,Percent of total billed charges,,412.65,90,,,Percent of total billed charges,,1768.5,21,,,Percent of total billed charges,,412.65,21,,,Percent of total billed charges,,412.65,64.9,,,Percent of total billed charges,,1275.28,21,,,Percent of total billed charges,,412.65,,975.45,,Case rate,,975.45,39.34,1965,
"Computed tomography, abdomen; without contrast material",74150,CPT,35274150,CDM,TC,Outpatient,Facility,,,1777,710.8,66,,,Percent of total billed charges,,1172.82,20.8,,,Percent of total billed charges,,369.62,20.4,,,Percent of total billed charges,,362.51,,80.93,,Case rate,,80.93,,33.47,,Case rate,,33.47,80,,,Percent of total billed charges,,1421.6,61.6,,,Percent of total billed charges,,1094.63,20.6,,,Percent of total billed charges,,366.06,20.6,,,Percent of total billed charges,,366.06,65.55,,,Percent of total billed charges,,1164.82,21,,,Percent of total billed charges,,373.17,90,,,Percent of total billed charges,,1599.3,21,,,Percent of total billed charges,,373.17,21,,,Percent of total billed charges,,373.17,64.9,,,Percent of total billed charges,,1153.27,21,,,Percent of total billed charges,,373.17,,815.03,,Case rate,,815.03,33.47,1777,
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,35274170,CDM,TC,Outpatient,Facility,,,2459,983.6,66,,,Percent of total billed charges,,1622.94,20.8,,,Percent of total billed charges,,511.47,20.4,,,Percent of total billed charges,,501.64,,168.5,,Case rate,,168.5,,47.6,,Case rate,,47.6,80,,,Percent of total billed charges,,1967.2,61.6,,,Percent of total billed charges,,1514.74,20.6,,,Percent of total billed charges,,506.55,20.6,,,Percent of total billed charges,,506.55,65.55,,,Percent of total billed charges,,1611.87,21,,,Percent of total billed charges,,516.39,90,,,Percent of total billed charges,,2213.1,21,,,Percent of total billed charges,,516.39,21,,,Percent of total billed charges,,516.39,64.9,,,Percent of total billed charges,,1595.89,21,,,Percent of total billed charges,,516.39,,1177.05,,Case rate,,1177.05,47.6,2459,
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,,,,Outpatient,Facility,,,391,156.4,66,,,Percent of total billed charges,,258.06,20.8,,,Percent of total billed charges,,81.33,20.4,,,Percent of total billed charges,,79.76,,80.93,,Case rate,,80.93,,12.88,,Case rate,,12.88,80,,,Percent of total billed charges,,312.8,61.6,,,Percent of total billed charges,,240.86,20.6,,,Percent of total billed charges,,80.55,20.6,,,Percent of total billed charges,,80.55,65.55,,,Percent of total billed charges,,256.3,21,,,Percent of total billed charges,,82.11,90,,,Percent of total billed charges,,351.9,21,,,Percent of total billed charges,,82.11,21,,,Percent of total billed charges,,82.11,64.9,,,Percent of total billed charges,,253.76,21,,,Percent of total billed charges,,82.11,,195.28,,Case rate,,195.28,12.88,391,
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,,,,Outpatient,Facility,,,2521,1008.4,66,,,Percent of total billed charges,,1663.86,20.8,,,Percent of total billed charges,,524.37,20.4,,,Percent of total billed charges,,514.28,,137.51,,Case rate,,137.51,,48.32,,Case rate,,48.32,80,,,Percent of total billed charges,,2016.8,61.6,,,Percent of total billed charges,,1552.94,20.6,,,Percent of total billed charges,,519.33,20.6,,,Percent of total billed charges,,519.33,65.55,,,Percent of total billed charges,,1652.52,21,,,Percent of total billed charges,,529.41,90,,,Percent of total billed charges,,2268.9,21,,,Percent of total billed charges,,529.41,21,,,Percent of total billed charges,,529.41,64.9,,,Percent of total billed charges,,1636.13,21,,,Percent of total billed charges,,529.41,,1182.15,,Case rate,,1182.15,48.32,2521,
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections",72127,CPT,35272127,CDM,TC,Outpatient,Facility,,,2521,1008.4,66,,,Percent of total billed charges,,1663.86,20.8,,,Percent of total billed charges,,524.37,20.4,,,Percent of total billed charges,,514.28,,137.51,,Case rate,,137.51,,48.32,,Case rate,,48.32,80,,,Percent of total billed charges,,2016.8,61.6,,,Percent of total billed charges,,1552.94,20.6,,,Percent of total billed charges,,519.33,20.6,,,Percent of total billed charges,,519.33,65.55,,,Percent of total billed charges,,1652.52,21,,,Percent of total billed charges,,529.41,90,,,Percent of total billed charges,,2268.9,21,,,Percent of total billed charges,,529.41,21,,,Percent of total billed charges,,529.41,64.9,,,Percent of total billed charges,,1636.13,21,,,Percent of total billed charges,,529.41,,1182.15,,Case rate,,1182.15,48.32,2521,
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,,,,Outpatient,Facility,,,1580,632,66,,,Percent of total billed charges,,1042.8,20.8,,,Percent of total billed charges,,328.64,20.4,,,Percent of total billed charges,,322.32,,94.52,,Case rate,,94.52,,33.13,,Case rate,,33.13,80,,,Percent of total billed charges,,1264,61.6,,,Percent of total billed charges,,973.28,20.6,,,Percent of total billed charges,,325.48,20.6,,,Percent of total billed charges,,325.48,65.55,,,Percent of total billed charges,,1035.69,21,,,Percent of total billed charges,,331.8,90,,,Percent of total billed charges,,1422,21,,,Percent of total billed charges,,331.8,21,,,Percent of total billed charges,,331.8,64.9,,,Percent of total billed charges,,1025.42,21,,,Percent of total billed charges,,331.8,,820.65,,Case rate,,820.65,33.13,1580,
"Computed tomography, head or brain; with contrast material(s)",70460,CPT,35170460,CDM,TC,Outpatient,Facility,,,1580,632,66,,,Percent of total billed charges,,1042.8,20.8,,,Percent of total billed charges,,328.64,20.4,,,Percent of total billed charges,,322.32,,94.52,,Case rate,,94.52,,33.13,,Case rate,,33.13,80,,,Percent of total billed charges,,1264,61.6,,,Percent of total billed charges,,973.28,20.6,,,Percent of total billed charges,,325.48,20.6,,,Percent of total billed charges,,325.48,65.55,,,Percent of total billed charges,,1035.69,21,,,Percent of total billed charges,,331.8,90,,,Percent of total billed charges,,1422,21,,,Percent of total billed charges,,331.8,21,,,Percent of total billed charges,,331.8,64.9,,,Percent of total billed charges,,1025.42,21,,,Percent of total billed charges,,331.8,,820.65,,Case rate,,820.65,33.13,1580,
"Computed tomography, head or brain; without contrast material",70450,CPT,,,,Outpatient,Facility,,,1504,601.6,66,,,Percent of total billed charges,,992.64,20.8,,,Percent of total billed charges,,312.83,20.4,,,Percent of total billed charges,,306.82,,66.07,,Case rate,,66.07,,27.43,,Case rate,,27.43,80,,,Percent of total billed charges,,1203.2,61.6,,,Percent of total billed charges,,926.46,20.6,,,Percent of total billed charges,,309.82,20.6,,,Percent of total billed charges,,309.82,65.55,,,Percent of total billed charges,,985.87,21,,,Percent of total billed charges,,315.84,90,,,Percent of total billed charges,,1353.6,21,,,Percent of total billed charges,,315.84,21,,,Percent of total billed charges,,315.84,64.9,,,Percent of total billed charges,,976.1,21,,,Percent of total billed charges,,315.84,,680.52,,Case rate,,680.52,27.43,1504,
"Computed tomography, head or brain; without contrast material",70450,CPT,35170450,CDM,TC,Outpatient,Facility,,,1504,601.6,66,,,Percent of total billed charges,,992.64,20.8,,,Percent of total billed charges,,312.83,20.4,,,Percent of total billed charges,,306.82,,66.07,,Case rate,,66.07,,27.43,,Case rate,,27.43,80,,,Percent of total billed charges,,1203.2,61.6,,,Percent of total billed charges,,926.46,20.6,,,Percent of total billed charges,,309.82,20.6,,,Percent of total billed charges,,309.82,65.55,,,Percent of total billed charges,,985.87,21,,,Percent of total billed charges,,315.84,90,,,Percent of total billed charges,,1353.6,21,,,Percent of total billed charges,,315.84,21,,,Percent of total billed charges,,315.84,64.9,,,Percent of total billed charges,,976.1,21,,,Percent of total billed charges,,315.84,,680.52,,Case rate,,680.52,27.43,1504,
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,,,,Outpatient,Facility,,,1654,661.6,66,,,Percent of total billed charges,,1091.64,20.8,,,Percent of total billed charges,,344.03,20.4,,,Percent of total billed charges,,337.42,,113.8,,Case rate,,113.8,,40.42,,Case rate,,40.42,80,,,Percent of total billed charges,,1323.2,61.6,,,Percent of total billed charges,,1018.86,20.6,,,Percent of total billed charges,,340.72,20.6,,,Percent of total billed charges,,340.72,65.55,,,Percent of total billed charges,,1084.2,21,,,Percent of total billed charges,,347.34,90,,,Percent of total billed charges,,1488.6,21,,,Percent of total billed charges,,347.34,21,,,Percent of total billed charges,,347.34,64.9,,,Percent of total billed charges,,1073.45,21,,,Percent of total billed charges,,347.34,,987.75,,Case rate,,987.75,40.42,1654,
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,35273701,CDM,TC,Outpatient,Facility,,,1203,481.2,66,,,Percent of total billed charges,,793.98,20.8,,,Percent of total billed charges,,250.22,20.4,,,Percent of total billed charges,,245.41,,111.91,,Case rate,,111.91,,34.41,,Case rate,,34.41,80,,,Percent of total billed charges,,962.4,61.6,,,Percent of total billed charges,,741.05,20.6,,,Percent of total billed charges,,247.82,20.6,,,Percent of total billed charges,,247.82,65.55,,,Percent of total billed charges,,788.57,21,,,Percent of total billed charges,,252.63,90,,,Percent of total billed charges,,1082.7,21,,,Percent of total billed charges,,252.63,21,,,Percent of total billed charges,,252.63,64.9,,,Percent of total billed charges,,780.75,21,,,Percent of total billed charges,,252.63,,852.87,,Case rate,,852.87,34.41,1203,
"Computed tomography, lower extremity; without contrast material",73700,CPT,,,,Outpatient,Facility,,,1033,413.2,66,,,Percent of total billed charges,,681.78,20.8,,,Percent of total billed charges,,214.86,20.4,,,Percent of total billed charges,,210.73,,82.51,,Case rate,,82.51,,29.63,,Case rate,,29.63,80,,,Percent of total billed charges,,826.4,61.6,,,Percent of total billed charges,,636.33,20.6,,,Percent of total billed charges,,212.8,20.6,,,Percent of total billed charges,,212.8,65.55,,,Percent of total billed charges,,677.13,21,,,Percent of total billed charges,,216.93,90,,,Percent of total billed charges,,929.7,21,,,Percent of total billed charges,,216.93,21,,,Percent of total billed charges,,216.93,64.9,,,Percent of total billed charges,,670.42,21,,,Percent of total billed charges,,216.93,,721.1,,Case rate,,721.1,29.63,1033,
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,35273702,CDM,TC,Outpatient,Facility,,,1279,511.6,66,,,Percent of total billed charges,,844.14,20.8,,,Percent of total billed charges,,266.03,20.4,,,Percent of total billed charges,,260.92,,137.83,,Case rate,,137.83,,41.61,,Case rate,,41.61,80,,,Percent of total billed charges,,1023.2,61.6,,,Percent of total billed charges,,787.86,20.6,,,Percent of total billed charges,,263.47,20.6,,,Percent of total billed charges,,263.47,65.55,,,Percent of total billed charges,,838.38,21,,,Percent of total billed charges,,268.59,90,,,Percent of total billed charges,,1151.1,21,,,Percent of total billed charges,,268.59,21,,,Percent of total billed charges,,268.59,64.9,,,Percent of total billed charges,,830.07,21,,,Percent of total billed charges,,268.59,,1015.33,,Case rate,,1015.33,41.61,1279,
"Computed tomography, lumbar spine; with contrast material",72132,CPT,,,,Outpatient,Facility,,,2255,902,66,,,Percent of total billed charges,,1488.3,20.8,,,Percent of total billed charges,,469.04,20.4,,,Percent of total billed charges,,460.02,,111.59,,Case rate,,111.59,,40.01,,Case rate,,40.01,80,,,Percent of total billed charges,,1804,61.6,,,Percent of total billed charges,,1389.08,20.6,,,Percent of total billed charges,,464.53,20.6,,,Percent of total billed charges,,464.53,65.55,,,Percent of total billed charges,,1478.15,21,,,Percent of total billed charges,,473.55,90,,,Percent of total billed charges,,2029.5,21,,,Percent of total billed charges,,473.55,21,,,Percent of total billed charges,,473.55,64.9,,,Percent of total billed charges,,1463.5,21,,,Percent of total billed charges,,473.55,,991.09,,Case rate,,991.09,40.01,2255,
"Computed tomography, lumbar spine; with contrast material",72132,CPT,35272132,CDM,TC,Outpatient,Facility,,,2255,902,66,,,Percent of total billed charges,,1488.3,20.8,,,Percent of total billed charges,,469.04,20.4,,,Percent of total billed charges,,460.02,,111.59,,Case rate,,111.59,,40.01,,Case rate,,40.01,80,,,Percent of total billed charges,,1804,61.6,,,Percent of total billed charges,,1389.08,20.6,,,Percent of total billed charges,,464.53,20.6,,,Percent of total billed charges,,464.53,65.55,,,Percent of total billed charges,,1478.15,21,,,Percent of total billed charges,,473.55,90,,,Percent of total billed charges,,2029.5,21,,,Percent of total billed charges,,473.55,21,,,Percent of total billed charges,,473.55,64.9,,,Percent of total billed charges,,1463.5,21,,,Percent of total billed charges,,473.55,,991.09,,Case rate,,991.09,40.01,2255,
"Computed tomography, lumbar spine; without contrast material",72131,CPT,,,,Outpatient,Facility,,,1684,673.6,66,,,Percent of total billed charges,,1111.44,20.8,,,Percent of total billed charges,,350.27,20.4,,,Percent of total billed charges,,343.54,,82.19,,Case rate,,82.19,,34.41,,Case rate,,34.41,80,,,Percent of total billed charges,,1347.2,61.6,,,Percent of total billed charges,,1037.34,20.6,,,Percent of total billed charges,,346.9,20.6,,,Percent of total billed charges,,346.9,65.55,,,Percent of total billed charges,,1103.86,21,,,Percent of total billed charges,,353.64,90,,,Percent of total billed charges,,1515.6,21,,,Percent of total billed charges,,353.64,21,,,Percent of total billed charges,,353.64,64.9,,,Percent of total billed charges,,1092.92,21,,,Percent of total billed charges,,353.64,,853.43,,Case rate,,853.43,34.41,1684,
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,35272133,CDM,TC,Outpatient,Facility,,,1406,562.4,66,,,Percent of total billed charges,,927.96,20.8,,,Percent of total billed charges,,292.45,20.4,,,Percent of total billed charges,,286.82,,137.83,,Case rate,,137.83,,48.32,,Case rate,,48.32,80,,,Percent of total billed charges,,1124.8,61.6,,,Percent of total billed charges,,866.1,20.6,,,Percent of total billed charges,,289.64,20.6,,,Percent of total billed charges,,289.64,65.55,,,Percent of total billed charges,,921.63,21,,,Percent of total billed charges,,295.26,90,,,Percent of total billed charges,,1265.4,21,,,Percent of total billed charges,,295.26,21,,,Percent of total billed charges,,295.26,64.9,,,Percent of total billed charges,,912.49,21,,,Percent of total billed charges,,295.26,,1195.48,,Case rate,,1195.48,48.32,1406,
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,,,,Outpatient,Facility,,,1580,632,66,,,Percent of total billed charges,,1042.8,20.8,,,Percent of total billed charges,,328.64,20.4,,,Percent of total billed charges,,322.32,,98.64,,Case rate,,98.64,,34.23,,Case rate,,34.23,80,,,Percent of total billed charges,,1264,61.6,,,Percent of total billed charges,,973.28,20.6,,,Percent of total billed charges,,325.48,20.6,,,Percent of total billed charges,,325.48,65.55,,,Percent of total billed charges,,1035.69,21,,,Percent of total billed charges,,331.8,90,,,Percent of total billed charges,,1422,21,,,Percent of total billed charges,,331.8,21,,,Percent of total billed charges,,331.8,64.9,,,Percent of total billed charges,,1025.42,21,,,Percent of total billed charges,,331.8,,834.25,,Case rate,,834.25,34.23,1580,
"Computed tomography, maxillofacial area; with contrast material(s)",70487,CPT,35170487,CDM,TC,Outpatient,Facility,,,1580,632,66,,,Percent of total billed charges,,1042.8,20.8,,,Percent of total billed charges,,328.64,20.4,,,Percent of total billed charges,,322.32,,98.64,,Case rate,,98.64,,34.23,,Case rate,,34.23,80,,,Percent of total billed charges,,1264,61.6,,,Percent of total billed charges,,973.28,20.6,,,Percent of total billed charges,,325.48,20.6,,,Percent of total billed charges,,325.48,65.55,,,Percent of total billed charges,,1035.69,21,,,Percent of total billed charges,,331.8,90,,,Percent of total billed charges,,1422,21,,,Percent of total billed charges,,331.8,21,,,Percent of total billed charges,,331.8,64.9,,,Percent of total billed charges,,1025.42,21,,,Percent of total billed charges,,331.8,,834.25,,Case rate,,834.25,34.23,1580,
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,,,,Outpatient,Facility,,,1580,632,66,,,Percent of total billed charges,,1042.8,20.8,,,Percent of total billed charges,,328.64,20.4,,,Percent of total billed charges,,322.32,,127.08,,Case rate,,127.08,,34.75,,Case rate,,34.75,80,,,Percent of total billed charges,,1264,61.6,,,Percent of total billed charges,,973.28,20.6,,,Percent of total billed charges,,325.48,20.6,,,Percent of total billed charges,,325.48,65.55,,,Percent of total billed charges,,1035.69,21,,,Percent of total billed charges,,331.8,90,,,Percent of total billed charges,,1422,21,,,Percent of total billed charges,,331.8,21,,,Percent of total billed charges,,331.8,64.9,,,Percent of total billed charges,,1025.42,21,,,Percent of total billed charges,,331.8,,847.39,,Case rate,,847.39,34.75,1580,
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,35170480,CDM,TC,Outpatient,Facility,,,1504,601.6,66,,,Percent of total billed charges,,992.64,20.8,,,Percent of total billed charges,,312.83,20.4,,,Percent of total billed charges,,306.82,,98,,Case rate,,98,,29.91,,Case rate,,29.91,80,,,Percent of total billed charges,,1203.2,61.6,,,Percent of total billed charges,,926.46,20.6,,,Percent of total billed charges,,309.82,20.6,,,Percent of total billed charges,,309.82,65.55,,,Percent of total billed charges,,985.87,21,,,Percent of total billed charges,,315.84,90,,,Percent of total billed charges,,1353.6,21,,,Percent of total billed charges,,315.84,21,,,Percent of total billed charges,,315.84,64.9,,,Percent of total billed charges,,976.1,21,,,Percent of total billed charges,,315.84,,726.68,,Case rate,,726.68,29.91,1504,
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,,,,Outpatient,Facility,,,1654,661.6,66,,,Percent of total billed charges,,1091.64,20.8,,,Percent of total billed charges,,344.03,20.4,,,Percent of total billed charges,,337.42,,150.79,,Case rate,,150.79,,41.61,,Case rate,,41.61,80,,,Percent of total billed charges,,1323.2,61.6,,,Percent of total billed charges,,1018.86,20.6,,,Percent of total billed charges,,340.72,20.6,,,Percent of total billed charges,,340.72,65.55,,,Percent of total billed charges,,1084.2,21,,,Percent of total billed charges,,347.34,90,,,Percent of total billed charges,,1488.6,21,,,Percent of total billed charges,,347.34,21,,,Percent of total billed charges,,347.34,64.9,,,Percent of total billed charges,,1073.45,21,,,Percent of total billed charges,,347.34,,1029.4,,Case rate,,1029.4,41.61,1654,
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,35070491,CDM,TC,Outpatient,Facility,,,1580,632,66,,,Percent of total billed charges,,1042.8,20.8,,,Percent of total billed charges,,328.64,20.4,,,Percent of total billed charges,,322.32,,119.49,,Case rate,,119.49,,34.75,,Case rate,,34.75,80,,,Percent of total billed charges,,1264,61.6,,,Percent of total billed charges,,973.28,20.6,,,Percent of total billed charges,,325.48,20.6,,,Percent of total billed charges,,325.48,65.55,,,Percent of total billed charges,,1035.69,21,,,Percent of total billed charges,,331.8,90,,,Percent of total billed charges,,1422,21,,,Percent of total billed charges,,331.8,21,,,Percent of total billed charges,,331.8,64.9,,,Percent of total billed charges,,1025.42,21,,,Percent of total billed charges,,331.8,,846.23,,Case rate,,846.23,34.75,1580,
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,35070490,CDM,TC,Outpatient,Facility,,,1504,601.6,66,,,Percent of total billed charges,,992.64,20.8,,,Percent of total billed charges,,312.83,20.4,,,Percent of total billed charges,,306.82,,89.78,,Case rate,,89.78,,29.91,,Case rate,,29.91,80,,,Percent of total billed charges,,1203.2,61.6,,,Percent of total billed charges,,926.46,20.6,,,Percent of total billed charges,,309.82,20.6,,,Percent of total billed charges,,309.82,65.55,,,Percent of total billed charges,,985.87,21,,,Percent of total billed charges,,315.84,90,,,Percent of total billed charges,,1353.6,21,,,Percent of total billed charges,,315.84,21,,,Percent of total billed charges,,315.84,64.9,,,Percent of total billed charges,,976.1,21,,,Percent of total billed charges,,315.84,,727.19,,Case rate,,727.19,29.91,1504,
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,35070492,CDM,TC,Outpatient,Facility,,,1654,661.6,66,,,Percent of total billed charges,,1091.64,20.8,,,Percent of total billed charges,,344.03,20.4,,,Percent of total billed charges,,337.42,,146.05,,Case rate,,146.05,,41.61,,Case rate,,41.61,80,,,Percent of total billed charges,,1323.2,61.6,,,Percent of total billed charges,,1018.86,20.6,,,Percent of total billed charges,,340.72,20.6,,,Percent of total billed charges,,340.72,65.55,,,Percent of total billed charges,,1084.2,21,,,Percent of total billed charges,,347.34,90,,,Percent of total billed charges,,1488.6,21,,,Percent of total billed charges,,347.34,21,,,Percent of total billed charges,,347.34,64.9,,,Percent of total billed charges,,1073.45,21,,,Percent of total billed charges,,347.34,,1031.35,,Case rate,,1031.35,41.61,1654,
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,,,,Outpatient,Facility,,,1560,624,66,,,Percent of total billed charges,,1029.6,20.8,,,Percent of total billed charges,,324.48,20.4,,,Percent of total billed charges,,318.24,,139.1,,Case rate,,139.1,,48.32,,Case rate,,48.32,80,,,Percent of total billed charges,,1248,61.6,,,Percent of total billed charges,,960.96,20.6,,,Percent of total billed charges,,321.36,20.6,,,Percent of total billed charges,,321.36,65.55,,,Percent of total billed charges,,1022.58,21,,,Percent of total billed charges,,327.6,90,,,Percent of total billed charges,,1404,21,,,Percent of total billed charges,,327.6,21,,,Percent of total billed charges,,327.6,64.9,,,Percent of total billed charges,,1012.44,21,,,Percent of total billed charges,,327.6,,1181.92,,Case rate,,1181.92,48.32,1560,
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,,,,Outpatient,Facility,,,2619,1047.6,66,,,Percent of total billed charges,,1728.54,20.8,,,Percent of total billed charges,,544.75,20.4,,,Percent of total billed charges,,534.28,,137.51,,Case rate,,137.51,,49.01,,Case rate,,49.01,80,,,Percent of total billed charges,,2095.2,61.6,,,Percent of total billed charges,,1613.3,20.6,,,Percent of total billed charges,,539.51,20.6,,,Percent of total billed charges,,539.51,65.55,,,Percent of total billed charges,,1716.75,21,,,Percent of total billed charges,,549.99,90,,,Percent of total billed charges,,2357.1,21,,,Percent of total billed charges,,549.99,21,,,Percent of total billed charges,,549.99,64.9,,,Percent of total billed charges,,1699.73,21,,,Percent of total billed charges,,549.99,,1198.68,,Case rate,,1198.68,49.01,2619,
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,35271271,CDM,TC,Outpatient,Facility,,,549,219.6,66,,,Percent of total billed charges,,362.34,20.8,,,Percent of total billed charges,,114.19,20.4,,,Percent of total billed charges,,112,,86.62,,Case rate,,86.62,,7.29,,Case rate,,7.29,80,,,Percent of total billed charges,,439.2,61.6,,,Percent of total billed charges,,338.18,20.6,,,Percent of total billed charges,,113.09,20.6,,,Percent of total billed charges,,113.09,65.55,,,Percent of total billed charges,,359.87,21,,,Percent of total billed charges,,115.29,90,,,Percent of total billed charges,,494.1,21,,,Percent of total billed charges,,115.29,21,,,Percent of total billed charges,,115.29,64.9,,,Percent of total billed charges,,356.3,21,,,Percent of total billed charges,,115.29,,306.99,,Case rate,,306.99,7.29,549,
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,,,,Outpatient,Facility,,,1169,467.6,66,,,Percent of total billed charges,,771.54,20.8,,,Percent of total billed charges,,243.15,20.4,,,Percent of total billed charges,,238.48,,146.68,,Case rate,,146.68,,34.41,,Case rate,,34.41,80,,,Percent of total billed charges,,935.2,61.6,,,Percent of total billed charges,,720.1,20.6,,,Percent of total billed charges,,240.81,20.6,,,Percent of total billed charges,,240.81,65.55,,,Percent of total billed charges,,766.28,21,,,Percent of total billed charges,,245.49,90,,,Percent of total billed charges,,1052.1,21,,,Percent of total billed charges,,245.49,21,,,Percent of total billed charges,,245.49,64.9,,,Percent of total billed charges,,758.68,21,,,Percent of total billed charges,,245.49,,838.34,,Case rate,,838.34,34.41,1169,
"Computed tomography, upper extremity; without contrast material",73200,CPT,,,,Outpatient,Facility,,,1064,425.6,66,,,Percent of total billed charges,,702.24,20.8,,,Percent of total billed charges,,221.31,20.4,,,Percent of total billed charges,,217.06,,99.9,,Case rate,,99.9,,29.63,,Case rate,,29.63,80,,,Percent of total billed charges,,851.2,61.6,,,Percent of total billed charges,,655.42,20.6,,,Percent of total billed charges,,219.18,20.6,,,Percent of total billed charges,,219.18,65.55,,,Percent of total billed charges,,697.45,21,,,Percent of total billed charges,,223.44,90,,,Percent of total billed charges,,957.6,21,,,Percent of total billed charges,,223.44,21,,,Percent of total billed charges,,223.44,64.9,,,Percent of total billed charges,,690.54,21,,,Percent of total billed charges,,223.44,,735.36,,Case rate,,735.36,29.63,1064,
Consultation and report on referred material requiring preparation of slides,88323,CPT,,,,Outpatient,Facility,,,292,116.8,66,,,Percent of total billed charges,,192.72,20.8,,,Percent of total billed charges,,60.74,20.4,,,Percent of total billed charges,,59.57,,26.55,,Case rate,,26.55,,1.76,,Case rate,,1.76,80,,,Percent of total billed charges,,233.6,61.6,,,Percent of total billed charges,,179.87,20.6,,,Percent of total billed charges,,60.15,20.6,,,Percent of total billed charges,,60.15,65.55,,,Percent of total billed charges,,191.41,21,,,Percent of total billed charges,,61.32,90,,,Percent of total billed charges,,262.8,21,,,Percent of total billed charges,,61.32,21,,,Percent of total billed charges,,61.32,64.9,,,Percent of total billed charges,,189.51,21,,,Percent of total billed charges,,61.32,,32.59,,Case rate,,32.59,1.76,292,
Consultation and report on referred slides prepared elsewhere,88321,CPT,,,,Outpatient,Facility,,,292,116.8,66,,,Percent of total billed charges,,192.72,20.8,,,Percent of total billed charges,,60.74,,34.52,,Case rate,,34.52,,94.37,,Case rate,,94.37,,6.38,,Case rate,,6.38,80,,,Percent of total billed charges,,233.6,61.6,,,Percent of total billed charges,,179.87,20.6,,,Percent of total billed charges,,60.15,20.6,,,Percent of total billed charges,,60.15,65.55,,,Percent of total billed charges,,191.41,21,,,Percent of total billed charges,,61.32,90,,,Percent of total billed charges,,262.8,21,,,Percent of total billed charges,,61.32,21,,,Percent of total billed charges,,61.32,64.9,,,Percent of total billed charges,,189.51,21,,,Percent of total billed charges,,61.32,,134.93,,Case rate,,134.93,6.38,292,
Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure),94645,CPT,,,,Outpatient,Facility,,,237,94.8,66,,,Percent of total billed charges,,156.42,20.8,,,Percent of total billed charges,,49.3,20.4,,,Percent of total billed charges,,48.35,,14.85,,Case rate,,14.85,,2.43,,Case rate,,2.43,80,,,Percent of total billed charges,,189.6,61.6,,,Percent of total billed charges,,145.99,20.6,,,Percent of total billed charges,,48.82,20.6,,,Percent of total billed charges,,48.82,65.55,,,Percent of total billed charges,,155.35,21,,,Percent of total billed charges,,49.77,90,,,Percent of total billed charges,,213.3,21,,,Percent of total billed charges,,49.77,21,,,Percent of total billed charges,,49.77,64.9,,,Percent of total billed charges,,153.81,21,,,Percent of total billed charges,,49.77,,61.19,,Case rate,,61.19,2.43,237,
"Continuous positive airway pressure ventilation (CPAP), initiation and management",94660,CPT,,,,Outpatient,Facility,,,539,215.6,66,,,Percent of total billed charges,,355.74,20.8,,,Percent of total billed charges,,112.11,,191.64,,Case rate,,191.64,,61.11,,Case rate,,61.11,,17.82,,Case rate,,17.82,80,,,Percent of total billed charges,,431.2,61.6,,,Percent of total billed charges,,332.02,20.6,,,Percent of total billed charges,,111.03,20.6,,,Percent of total billed charges,,111.03,65.55,,,Percent of total billed charges,,353.31,21,,,Percent of total billed charges,,113.19,90,,,Percent of total billed charges,,485.1,21,,,Percent of total billed charges,,113.19,21,,,Percent of total billed charges,,113.19,64.9,,,Percent of total billed charges,,349.81,21,,,Percent of total billed charges,,113.19,,437.42,,Case rate,,437.42,17.82,539,
"Continuous positive airway pressure ventilation (CPAP), initiation and management",94660,CPT,41094661,CDM,76,Outpatient,Facility,,,539,215.6,66,,,Percent of total billed charges,,355.74,20.8,,,Percent of total billed charges,,112.11,,191.64,,Case rate,,191.64,,61.11,,Case rate,,61.11,,17.82,,Case rate,,17.82,80,,,Percent of total billed charges,,431.2,61.6,,,Percent of total billed charges,,332.02,20.6,,,Percent of total billed charges,,111.03,20.6,,,Percent of total billed charges,,111.03,65.55,,,Percent of total billed charges,,353.31,21,,,Percent of total billed charges,,113.19,90,,,Percent of total billed charges,,485.1,21,,,Percent of total billed charges,,113.19,21,,,Percent of total billed charges,,113.19,64.9,,,Percent of total billed charges,,349.81,21,,,Percent of total billed charges,,113.19,,437.42,,Case rate,,437.42,17.82,539,
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent",30906,CPT,,,,Outpatient,Facility,,,1936,774.4,66,,,Percent of total billed charges,,1277.76,20.8,,,Percent of total billed charges,,402.69,20.4,,,Percent of total billed charges,,394.94,,361.85,,Case rate,,361.85,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1548.8,61.6,,,Percent of total billed charges,,1192.58,20.6,,,Percent of total billed charges,,398.82,20.6,,,Percent of total billed charges,,398.82,65.55,,,Percent of total billed charges,,1269.05,21,,,Percent of total billed charges,,406.56,90,,,Percent of total billed charges,,1742.4,21,,,Percent of total billed charges,,406.56,21,,,Percent of total billed charges,,406.56,64.9,,,Percent of total billed charges,,1256.46,21,,,Percent of total billed charges,,406.56,,1420.8,,Case rate,,1420.8,58.06,1936,
Copper,82525,CPT,,,,Outpatient,Facility,,,75,30,66,,,Percent of total billed charges,,49.5,20.8,,,Percent of total billed charges,,15.6,20.4,,,Percent of total billed charges,,15.3,,12.41,,Case rate,,12.41,,2.56,,Case rate,,2.56,80,,,Percent of total billed charges,,60,61.6,,,Percent of total billed charges,,46.2,20.6,,,Percent of total billed charges,,15.45,20.6,,,Percent of total billed charges,,15.45,65.55,,,Percent of total billed charges,,49.16,21,,,Percent of total billed charges,,15.75,90,,,Percent of total billed charges,,67.5,21,,,Percent of total billed charges,,15.75,21,,,Percent of total billed charges,,15.75,64.9,,,Percent of total billed charges,,48.68,21,,,Percent of total billed charges,,15.75,,63.33,,Case rate,,63.33,2.56,75,
"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)",28285,CPT,,,,Outpatient,Facility,,,8107.17,3242.87,66,,,Percent of total billed charges,,5350.73,20.8,,,Percent of total billed charges,,1686.29,20.4,,,Percent of total billed charges,,1653.86,,518.1,,Case rate,,518.1,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,6485.74,61.6,,,Percent of total billed charges,,4994.02,20.6,,,Percent of total billed charges,,1670.08,20.6,,,Percent of total billed charges,,1670.08,65.55,,,Percent of total billed charges,,5314.25,21,,,Percent of total billed charges,,1702.51,90,,,Percent of total billed charges,,7296.45,21,,,Percent of total billed charges,,1702.51,21,,,Percent of total billed charges,,1702.51,64.9,,,Percent of total billed charges,,5261.55,21,,,Percent of total billed charges,,1702.51,,2185.97,,Case rate,,2185.97,89.15,8107.17,
Cortisol; free,82530,CPT,,,,Outpatient,Facility,,,102,40.8,66,,,Percent of total billed charges,,67.32,20.8,,,Percent of total billed charges,,21.22,20.4,,,Percent of total billed charges,,20.81,,16.71,,Case rate,,16.71,,3.49,,Case rate,,3.49,80,,,Percent of total billed charges,,81.6,61.6,,,Percent of total billed charges,,62.83,20.6,,,Percent of total billed charges,,21.01,20.6,,,Percent of total billed charges,,21.01,65.55,,,Percent of total billed charges,,66.86,21,,,Percent of total billed charges,,21.42,90,,,Percent of total billed charges,,91.8,21,,,Percent of total billed charges,,21.42,21,,,Percent of total billed charges,,21.42,64.9,,,Percent of total billed charges,,66.2,21,,,Percent of total billed charges,,21.42,,70.76,,Case rate,,70.76,3.49,102,
"Creatine kinase (CK), (CPK); isoenzymes",82552,CPT,,,,Outpatient,Facility,,,78,31.2,66,,,Percent of total billed charges,,51.48,20.8,,,Percent of total billed charges,,16.22,20.4,,,Percent of total billed charges,,15.91,,13.39,,Case rate,,13.39,,2.76,,Case rate,,2.76,80,,,Percent of total billed charges,,62.4,61.6,,,Percent of total billed charges,,48.05,20.6,,,Percent of total billed charges,,16.07,20.6,,,Percent of total billed charges,,16.07,65.55,,,Percent of total billed charges,,51.13,21,,,Percent of total billed charges,,16.38,90,,,Percent of total billed charges,,70.2,21,,,Percent of total billed charges,,16.38,21,,,Percent of total billed charges,,16.38,64.9,,,Percent of total billed charges,,50.62,21,,,Percent of total billed charges,,16.38,,55.9,,Case rate,,55.9,2.76,78,
Creatinine; blood,82565,CPT,,,,Outpatient,Facility,,,29,11.6,66,,,Percent of total billed charges,,19.14,20.8,,,Percent of total billed charges,,6.03,20.4,,,Percent of total billed charges,,5.92,,5.12,,Case rate,,5.12,,1.05,,Case rate,,1.05,80,,,Percent of total billed charges,,23.2,61.6,,,Percent of total billed charges,,17.86,20.6,,,Percent of total billed charges,,5.97,20.6,,,Percent of total billed charges,,5.97,65.55,,,Percent of total billed charges,,19.01,21,,,Percent of total billed charges,,6.09,90,,,Percent of total billed charges,,26.1,21,,,Percent of total billed charges,,6.09,21,,,Percent of total billed charges,,6.09,64.9,,,Percent of total billed charges,,18.82,21,,,Percent of total billed charges,,6.09,,17.18,,Case rate,,17.18,1.05,29,
Creatinine; clearance,82575,CPT,,,,Outpatient,Facility,,,97,38.8,66,,,Percent of total billed charges,,64.02,20.8,,,Percent of total billed charges,,20.18,20.4,,,Percent of total billed charges,,19.79,,9.46,,Case rate,,9.46,,1.94,,Case rate,,1.94,80,,,Percent of total billed charges,,77.6,61.6,,,Percent of total billed charges,,59.75,20.6,,,Percent of total billed charges,,19.98,20.6,,,Percent of total billed charges,,19.98,65.55,,,Percent of total billed charges,,63.58,21,,,Percent of total billed charges,,20.37,90,,,Percent of total billed charges,,87.3,21,,,Percent of total billed charges,,20.37,21,,,Percent of total billed charges,,20.37,64.9,,,Percent of total billed charges,,62.95,21,,,Percent of total billed charges,,20.37,,36.63,,Case rate,,36.63,1.94,97,
"Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service)",99292,CPT,,,,Outpatient,Facility,,,827,330.8,66,,,Percent of total billed charges,,545.82,20.8,,,Percent of total billed charges,,172.02,20.4,,,Percent of total billed charges,,168.71,,117.15,,Case rate,,117.15,,7.63,,Case rate,,7.63,80,,,Percent of total billed charges,,661.6,61.6,,,Percent of total billed charges,,509.43,20.6,,,Percent of total billed charges,,170.36,20.6,,,Percent of total billed charges,,170.36,65.55,,,Percent of total billed charges,,542.1,21,,,Percent of total billed charges,,173.67,90,,,Percent of total billed charges,,744.3,21,,,Percent of total billed charges,,173.67,21,,,Percent of total billed charges,,173.67,64.9,,,Percent of total billed charges,,536.72,21,,,Percent of total billed charges,,173.67,,176.11,,Case rate,,176.11,7.63,827,
"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes",99291,CPT,,,,Outpatient,Facility,,,1945,778,66,,,Percent of total billed charges,,1283.7,20.8,,,Percent of total billed charges,,404.56,20.4,,,Percent of total billed charges,,396.78,,266.88,,Case rate,,266.88,,20.3,,Case rate,,20.3,80,,,Percent of total billed charges,,1556,61.6,,,Percent of total billed charges,,1198.12,20.6,,,Percent of total billed charges,,400.67,20.6,,,Percent of total billed charges,,400.67,65.55,,,Percent of total billed charges,,1274.95,21,,,Percent of total billed charges,,408.45,90,,,Percent of total billed charges,,1750.5,21,,,Percent of total billed charges,,408.45,21,,,Percent of total billed charges,,408.45,64.9,,,Percent of total billed charges,,1262.3,21,,,Percent of total billed charges,,408.45,,482.59,,Case rate,,482.59,20.3,1945,
"Cryoprecipitate, each unit",P9012,CPT,,,,Outpatient,Facility,,,242,96.8,66,,,Percent of total billed charges,,159.72,20.8,,,Percent of total billed charges,,50.34,20.4,,,Percent of total billed charges,,49.37,,34.25,,Case rate,,34.25,,10.73,,Case rate,,10.73,80,,,Percent of total billed charges,,193.6,61.6,,,Percent of total billed charges,,149.07,20.6,,,Percent of total billed charges,,49.85,20.6,,,Percent of total billed charges,,49.85,65.55,,,Percent of total billed charges,,158.63,21,,,Percent of total billed charges,,50.82,90,,,Percent of total billed charges,,217.8,21,,,Percent of total billed charges,,50.82,21,,,Percent of total billed charges,,50.82,64.9,,,Percent of total billed charges,,157.06,21,,,Percent of total billed charges,,50.82,,109.76,,Case rate,,109.76,10.73,242,
"Cryopreservation, freezing and storage of cells, each cell line",88240,CPT,,,,Outpatient,Facility,,,81,32.4,66,,,Percent of total billed charges,,53.46,20.8,,,Percent of total billed charges,,16.85,20.4,,,Percent of total billed charges,,16.52,,13.07,,Case rate,,13.07,,2.86,,Case rate,,2.86,80,,,Percent of total billed charges,,64.8,61.6,,,Percent of total billed charges,,49.9,20.6,,,Percent of total billed charges,,16.69,20.6,,,Percent of total billed charges,,16.69,65.55,,,Percent of total billed charges,,53.1,21,,,Percent of total billed charges,,17.01,90,,,Percent of total billed charges,,72.9,21,,,Percent of total billed charges,,17.01,21,,,Percent of total billed charges,,17.01,64.9,,,Percent of total billed charges,,52.57,21,,,Percent of total billed charges,,17.01,,68.95,,Case rate,,68.95,2.86,81,
"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate",87076,CPT,,,,Outpatient,Facility,,,110,44,66,,,Percent of total billed charges,,72.6,20.8,,,Percent of total billed charges,,22.88,20.4,,,Percent of total billed charges,,22.44,,8.08,,Case rate,,8.08,,3.73,,Case rate,,3.73,80,,,Percent of total billed charges,,88,61.6,,,Percent of total billed charges,,67.76,20.6,,,Percent of total billed charges,,22.66,20.6,,,Percent of total billed charges,,22.66,65.55,,,Percent of total billed charges,,72.1,21,,,Percent of total billed charges,,23.1,90,,,Percent of total billed charges,,99,21,,,Percent of total billed charges,,23.1,21,,,Percent of total billed charges,,23.1,64.9,,,Percent of total billed charges,,71.39,21,,,Percent of total billed charges,,23.1,,75.59,,Case rate,,75.59,3.73,110,
"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates",87070,CPT,,,,Outpatient,Facility,,,90,36,66,,,Percent of total billed charges,,59.4,20.8,,,Percent of total billed charges,,18.72,20.4,,,Percent of total billed charges,,18.36,,8.62,,Case rate,,8.62,,1.77,,Case rate,,1.77,80,,,Percent of total billed charges,,72,61.6,,,Percent of total billed charges,,55.44,20.6,,,Percent of total billed charges,,18.54,20.6,,,Percent of total billed charges,,18.54,65.55,,,Percent of total billed charges,,59,21,,,Percent of total billed charges,,18.9,90,,,Percent of total billed charges,,81,21,,,Percent of total billed charges,,18.9,21,,,Percent of total billed charges,,18.9,64.9,,,Percent of total billed charges,,58.41,21,,,Percent of total billed charges,,18.9,,32.55,,Case rate,,32.55,1.77,90,
"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates",87075,CPT,,,,Outpatient,Facility,,,113,45.2,66,,,Percent of total billed charges,,74.58,20.8,,,Percent of total billed charges,,23.5,20.4,,,Percent of total billed charges,,23.05,,9.47,,Case rate,,9.47,,1.95,,Case rate,,1.95,80,,,Percent of total billed charges,,90.4,61.6,,,Percent of total billed charges,,69.61,20.6,,,Percent of total billed charges,,23.28,20.6,,,Percent of total billed charges,,23.28,65.55,,,Percent of total billed charges,,74.07,21,,,Percent of total billed charges,,23.73,90,,,Percent of total billed charges,,101.7,21,,,Percent of total billed charges,,23.73,21,,,Percent of total billed charges,,23.73,64.9,,,Percent of total billed charges,,73.34,21,,,Percent of total billed charges,,23.73,,48.94,,Case rate,,48.94,1.95,113,
"Culture, bacterial; quantitative colony count, urine",87086,CPT,,,,Outpatient,Facility,,,62,24.8,66,,,Percent of total billed charges,,40.92,20.8,,,Percent of total billed charges,,12.9,20.4,,,Percent of total billed charges,,12.65,,8.07,,Case rate,,8.07,,1.64,,Case rate,,1.64,80,,,Percent of total billed charges,,49.6,61.6,,,Percent of total billed charges,,38.19,20.6,,,Percent of total billed charges,,12.77,20.6,,,Percent of total billed charges,,12.77,65.55,,,Percent of total billed charges,,40.64,21,,,Percent of total billed charges,,13.02,90,,,Percent of total billed charges,,55.8,21,,,Percent of total billed charges,,13.02,21,,,Percent of total billed charges,,13.02,64.9,,,Percent of total billed charges,,40.24,21,,,Percent of total billed charges,,13.02,,41,,Case rate,,41,1.64,62,
"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate",87046,CPT,,,,Outpatient,Facility,,,55,22,66,,,Percent of total billed charges,,36.3,20.8,,,Percent of total billed charges,,11.44,20.4,,,Percent of total billed charges,,11.22,,9.44,,Case rate,,9.44,,0.67,,Case rate,,0.67,80,,,Percent of total billed charges,,44,61.6,,,Percent of total billed charges,,33.88,20.6,,,Percent of total billed charges,,11.33,20.6,,,Percent of total billed charges,,11.33,65.55,,,Percent of total billed charges,,36.05,21,,,Percent of total billed charges,,11.55,90,,,Percent of total billed charges,,49.5,21,,,Percent of total billed charges,,11.55,21,,,Percent of total billed charges,,11.55,64.9,,,Percent of total billed charges,,35.7,21,,,Percent of total billed charges,,11.55,,19.36,,Case rate,,19.36,0.67,55,
"Culture, bacterial; with isolation and presumptive identification of each isolate, urine",87088,CPT,,,,Outpatient,Facility,,,69,27.6,66,,,Percent of total billed charges,,45.54,20.8,,,Percent of total billed charges,,14.35,20.4,,,Percent of total billed charges,,14.08,,8.09,,Case rate,,8.09,,1.67,,Case rate,,1.67,80,,,Percent of total billed charges,,55.2,61.6,,,Percent of total billed charges,,42.5,20.6,,,Percent of total billed charges,,14.21,20.6,,,Percent of total billed charges,,14.21,65.55,,,Percent of total billed charges,,45.23,21,,,Percent of total billed charges,,14.49,90,,,Percent of total billed charges,,62.1,21,,,Percent of total billed charges,,14.49,21,,,Percent of total billed charges,,14.49,64.9,,,Percent of total billed charges,,44.78,21,,,Percent of total billed charges,,14.49,,41.83,,Case rate,,41.83,1.67,69,
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood",87103,CPT,,,,Outpatient,Facility,,,41,16.4,66,,,Percent of total billed charges,,27.06,20.8,,,Percent of total billed charges,,8.53,20.4,,,Percent of total billed charges,,8.36,,20.46,,Case rate,,20.46,,2.61,,Case rate,,2.61,80,,,Percent of total billed charges,,32.8,61.6,,,Percent of total billed charges,,25.26,20.6,,,Percent of total billed charges,,8.45,20.6,,,Percent of total billed charges,,8.45,65.55,,,Percent of total billed charges,,26.88,21,,,Percent of total billed charges,,8.61,90,,,Percent of total billed charges,,36.9,21,,,Percent of total billed charges,,8.61,21,,,Percent of total billed charges,,8.61,64.9,,,Percent of total billed charges,,26.61,21,,,Percent of total billed charges,,8.61,,49.77,,Case rate,,49.77,2.61,49.77,
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood)",87102,CPT,,,,Outpatient,Facility,,,154,61.6,66,,,Percent of total billed charges,,101.64,20.8,,,Percent of total billed charges,,32.03,20.4,,,Percent of total billed charges,,31.42,,8.41,,Case rate,,8.41,,1.73,,Case rate,,1.73,80,,,Percent of total billed charges,,123.2,61.6,,,Percent of total billed charges,,94.86,20.6,,,Percent of total billed charges,,31.72,20.6,,,Percent of total billed charges,,31.72,65.55,,,Percent of total billed charges,,100.95,21,,,Percent of total billed charges,,32.34,90,,,Percent of total billed charges,,138.6,21,,,Percent of total billed charges,,32.34,21,,,Percent of total billed charges,,32.34,64.9,,,Percent of total billed charges,,99.95,21,,,Percent of total billed charges,,32.34,,30.69,,Case rate,,30.69,1.73,154,
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail",87101,CPT,,,,Outpatient,Facility,,,75,30,66,,,Percent of total billed charges,,49.5,20.8,,,Percent of total billed charges,,15.6,20.4,,,Percent of total billed charges,,15.3,,7.71,,Case rate,,7.71,,2.23,,Case rate,,2.23,80,,,Percent of total billed charges,,60,61.6,,,Percent of total billed charges,,46.2,20.6,,,Percent of total billed charges,,15.45,20.6,,,Percent of total billed charges,,15.45,65.55,,,Percent of total billed charges,,49.16,21,,,Percent of total billed charges,,15.75,90,,,Percent of total billed charges,,67.5,21,,,Percent of total billed charges,,15.75,21,,,Percent of total billed charges,,15.75,64.9,,,Percent of total billed charges,,48.68,21,,,Percent of total billed charges,,15.75,,41.88,,Case rate,,41.88,2.23,75,
"Culture, fungi, definitive identification, each organism; mold",87107,CPT,,,,Outpatient,Facility,,,99,39.6,66,,,Percent of total billed charges,,65.34,20.8,,,Percent of total billed charges,,20.59,20.4,,,Percent of total billed charges,,20.2,,10.32,,Case rate,,10.32,,2.92,,Case rate,,2.92,80,,,Percent of total billed charges,,79.2,61.6,,,Percent of total billed charges,,60.98,20.6,,,Percent of total billed charges,,20.39,20.6,,,Percent of total billed charges,,20.39,65.55,,,Percent of total billed charges,,64.89,21,,,Percent of total billed charges,,20.79,90,,,Percent of total billed charges,,89.1,21,,,Percent of total billed charges,,20.79,21,,,Percent of total billed charges,,20.79,64.9,,,Percent of total billed charges,,64.25,21,,,Percent of total billed charges,,20.79,,26.14,,Case rate,,26.14,2.92,99,
"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed",87149,CPT,,,,Outpatient,Facility,,,102,40.8,66,,,Percent of total billed charges,,67.32,20.8,,,Percent of total billed charges,,21.22,20.4,,,Percent of total billed charges,,20.81,,20.05,,Case rate,,20.05,,5.67,,Case rate,,5.67,80,,,Percent of total billed charges,,81.6,61.6,,,Percent of total billed charges,,62.83,20.6,,,Percent of total billed charges,,21.01,20.6,,,Percent of total billed charges,,21.01,65.55,,,Percent of total billed charges,,66.86,21,,,Percent of total billed charges,,21.42,90,,,Percent of total billed charges,,91.8,21,,,Percent of total billed charges,,21.42,21,,,Percent of total billed charges,,21.42,64.9,,,Percent of total billed charges,,66.2,21,,,Percent of total billed charges,,21.42,,95.23,,Case rate,,95.23,5.67,102,
"Culture, typing; immunofluorescent method, each antiserum",87140,CPT,,,,Outpatient,Facility,,,41,16.4,66,,,Percent of total billed charges,,27.06,20.8,,,Percent of total billed charges,,8.53,20.4,,,Percent of total billed charges,,8.36,,5.57,,Case rate,,5.57,,1.25,,Case rate,,1.25,80,,,Percent of total billed charges,,32.8,61.6,,,Percent of total billed charges,,25.26,20.6,,,Percent of total billed charges,,8.45,20.6,,,Percent of total billed charges,,8.45,65.55,,,Percent of total billed charges,,26.88,21,,,Percent of total billed charges,,8.61,90,,,Percent of total billed charges,,36.9,21,,,Percent of total billed charges,,8.61,21,,,Percent of total billed charges,,8.61,64.9,,,Percent of total billed charges,,26.61,21,,,Percent of total billed charges,,8.61,,19.18,,Case rate,,19.18,1.25,41,
Cyanide,82600,CPT,,,,Outpatient,Facility,,,99,39.6,66,,,Percent of total billed charges,,65.34,20.8,,,Percent of total billed charges,,20.59,20.4,,,Percent of total billed charges,,20.2,,19.4,,Case rate,,19.4,,5.62,,Case rate,,5.62,80,,,Percent of total billed charges,,79.2,61.6,,,Percent of total billed charges,,60.98,20.6,,,Percent of total billed charges,,20.39,20.6,,,Percent of total billed charges,,20.39,65.55,,,Percent of total billed charges,,64.89,21,,,Percent of total billed charges,,20.79,90,,,Percent of total billed charges,,89.1,21,,,Percent of total billed charges,,20.79,21,,,Percent of total billed charges,,20.79,64.9,,,Percent of total billed charges,,64.25,21,,,Percent of total billed charges,,20.79,,120.72,,Case rate,,120.72,5.62,120.72,
Cyclosporine,80158,CPT,,,,Outpatient,Facility,,,260,104,66,,,Percent of total billed charges,,171.6,20.8,,,Percent of total billed charges,,54.08,20.4,,,Percent of total billed charges,,53.04,,18.05,,Case rate,,18.05,,3.72,,Case rate,,3.72,80,,,Percent of total billed charges,,208,61.6,,,Percent of total billed charges,,160.16,20.6,,,Percent of total billed charges,,53.56,20.6,,,Percent of total billed charges,,53.56,65.55,,,Percent of total billed charges,,170.43,21,,,Percent of total billed charges,,54.6,90,,,Percent of total billed charges,,234,21,,,Percent of total billed charges,,54.6,21,,,Percent of total billed charges,,54.6,64.9,,,Percent of total billed charges,,168.74,21,,,Percent of total billed charges,,54.6,,90.12,,Case rate,,90.12,3.72,260,
Cystatin C,82610,CPT,,,,Outpatient,Facility,,,141,56.4,66,,,Percent of total billed charges,,93.06,20.8,,,Percent of total billed charges,,29.33,20.4,,,Percent of total billed charges,,28.76,,18.52,,Case rate,,18.52,,3.76,,Case rate,,3.76,80,,,Percent of total billed charges,,112.8,61.6,,,Percent of total billed charges,,86.86,20.6,,,Percent of total billed charges,,29.05,20.6,,,Percent of total billed charges,,29.05,65.55,,,Percent of total billed charges,,92.43,21,,,Percent of total billed charges,,29.61,90,,,Percent of total billed charges,,126.9,21,,,Percent of total billed charges,,29.61,21,,,Percent of total billed charges,,29.61,64.9,,,Percent of total billed charges,,91.51,21,,,Percent of total billed charges,,29.61,,102.15,,Case rate,,102.15,3.76,141,
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,32074430,CDM,TC,Outpatient,Facility,,,377,150.8,66,,,Percent of total billed charges,,248.82,20.8,,,Percent of total billed charges,,78.42,20.4,,,Percent of total billed charges,,76.91,,24.97,,Case rate,,24.97,,6.93,,Case rate,,6.93,80,,,Percent of total billed charges,,301.6,61.6,,,Percent of total billed charges,,232.23,20.6,,,Percent of total billed charges,,77.66,20.6,,,Percent of total billed charges,,77.66,65.55,,,Percent of total billed charges,,247.12,21,,,Percent of total billed charges,,79.17,90,,,Percent of total billed charges,,339.3,21,,,Percent of total billed charges,,79.17,21,,,Percent of total billed charges,,79.17,64.9,,,Percent of total billed charges,,244.67,21,,,Percent of total billed charges,,79.17,,161.67,,Case rate,,161.67,6.93,377,
Cystourethroscopy (separate procedure),52000,CPT,,,,Outpatient,Facility,,,3398.42,1359.37,66,,,Percent of total billed charges,,2242.95,20.8,,,Percent of total billed charges,,706.87,20.4,,,Percent of total billed charges,,693.28,,231.26,,Case rate,,231.26,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,2718.73,61.6,,,Percent of total billed charges,,2093.42,20.6,,,Percent of total billed charges,,700.07,20.6,,,Percent of total billed charges,,700.07,65.55,,,Percent of total billed charges,,2227.66,21,,,Percent of total billed charges,,713.67,90,,,Percent of total billed charges,,3058.57,21,,,Percent of total billed charges,,713.67,21,,,Percent of total billed charges,,713.67,64.9,,,Percent of total billed charges,,2205.57,21,,,Percent of total billed charges,,713.67,,1422.06,,Case rate,,1422.06,58.06,3398.42,
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm)",52235,CPT,,,,Outpatient,Facility,,,6385.98,2554.39,66,,,Percent of total billed charges,,4214.75,20.8,,,Percent of total billed charges,,1328.28,20.4,,,Percent of total billed charges,,1302.74,,277.97,,Case rate,,277.97,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,5108.78,61.6,,,Percent of total billed charges,,3933.76,20.6,,,Percent of total billed charges,,1315.51,20.6,,,Percent of total billed charges,,1315.51,65.55,,,Percent of total billed charges,,4186.01,21,,,Percent of total billed charges,,1341.06,90,,,Percent of total billed charges,,5747.38,21,,,Percent of total billed charges,,1341.06,21,,,Percent of total billed charges,,1341.06,64.9,,,Percent of total billed charges,,4144.5,21,,,Percent of total billed charges,,1341.06,,2185.69,,Case rate,,2185.69,89.15,6385.98,
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)",52234,CPT,,,,Outpatient,Facility,,,3982.78,1593.11,66,,,Percent of total billed charges,,2628.63,20.8,,,Percent of total billed charges,,828.42,20.4,,,Percent of total billed charges,,812.49,,236.99,,Case rate,,236.99,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,3186.22,61.6,,,Percent of total billed charges,,2453.39,20.6,,,Percent of total billed charges,,820.45,20.6,,,Percent of total billed charges,,820.45,65.55,,,Percent of total billed charges,,2610.71,21,,,Percent of total billed charges,,836.38,90,,,Percent of total billed charges,,3584.5,21,,,Percent of total billed charges,,836.38,21,,,Percent of total billed charges,,836.38,64.9,,,Percent of total billed charges,,2584.82,21,,,Percent of total billed charges,,836.38,,1919.42,,Case rate,,1919.42,77.74,3982.78,
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy",52224,CPT,,,,Outpatient,Facility,,,8140.28,3256.11,66,,,Percent of total billed charges,,5372.58,20.8,,,Percent of total billed charges,,1693.18,20.4,,,Percent of total billed charges,,1660.62,,752.37,,Case rate,,752.37,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,6512.22,61.6,,,Percent of total billed charges,,5014.41,20.6,,,Percent of total billed charges,,1676.9,20.6,,,Percent of total billed charges,,1676.9,65.55,,,Percent of total billed charges,,5335.95,21,,,Percent of total billed charges,,1709.46,90,,,Percent of total billed charges,,7326.25,21,,,Percent of total billed charges,,1709.46,21,,,Percent of total billed charges,,1709.46,64.9,,,Percent of total billed charges,,5283.04,21,,,Percent of total billed charges,,1709.46,,1921.23,,Case rate,,1921.23,77.74,8140.28,
"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52332,CPT,,,,Outpatient,Facility,,,6916.86,2766.74,66,,,Percent of total billed charges,,4565.12,20.8,,,Percent of total billed charges,,1438.71,20.4,,,Percent of total billed charges,,1411.04,,387.06,,Case rate,,387.06,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,5533.48,61.6,,,Percent of total billed charges,,4260.78,20.6,,,Percent of total billed charges,,1424.87,20.6,,,Percent of total billed charges,,1424.87,65.55,,,Percent of total billed charges,,4534,21,,,Percent of total billed charges,,1452.54,90,,,Percent of total billed charges,,6225.17,21,,,Percent of total billed charges,,1452.54,21,,,Percent of total billed charges,,1452.54,64.9,,,Percent of total billed charges,,4489.04,21,,,Percent of total billed charges,,1452.54,,1920.9,,Case rate,,1920.9,77.74,6916.86,
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion",52354,CPT,,,,Outpatient,Facility,,,4485.64,1794.26,66,,,Percent of total billed charges,,2960.52,20.8,,,Percent of total billed charges,,933.01,20.4,,,Percent of total billed charges,,915.07,,401.44,,Case rate,,401.44,,118.13,,Case rate,,118.13,80,,,Percent of total billed charges,,3588.51,61.6,,,Percent of total billed charges,,2763.15,20.6,,,Percent of total billed charges,,924.04,20.6,,,Percent of total billed charges,,924.04,65.55,,,Percent of total billed charges,,2940.34,21,,,Percent of total billed charges,,941.98,90,,,Percent of total billed charges,,4037.08,21,,,Percent of total billed charges,,941.98,21,,,Percent of total billed charges,,941.98,64.9,,,Percent of total billed charges,,2911.18,21,,,Percent of total billed charges,,941.98,,4107.24,,Case rate,,4107.24,118.13,4485.64,
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)",52356,CPT,,,,Outpatient,Facility,,,7845.07,3138.03,66,,,Percent of total billed charges,,5177.75,20.8,,,Percent of total billed charges,,1631.77,20.4,,,Percent of total billed charges,,1600.39,,400.17,,Case rate,,400.17,,32.73,,Case rate,,32.73,80,,,Percent of total billed charges,,6276.06,61.6,,,Percent of total billed charges,,4832.56,20.6,,,Percent of total billed charges,,1616.08,20.6,,,Percent of total billed charges,,1616.08,65.55,,,Percent of total billed charges,,5142.44,21,,,Percent of total billed charges,,1647.47,90,,,Percent of total billed charges,,7060.56,21,,,Percent of total billed charges,,1647.47,21,,,Percent of total billed charges,,1647.47,64.9,,,Percent of total billed charges,,5091.45,21,,,Percent of total billed charges,,1647.47,,6071.98,,Case rate,,6071.98,32.73,7845.07,
"Cytogenetics and molecular cytogenetics, interpretation and report",88291,CPT,,,,Outpatient,Facility,,,255,102,66,,,Percent of total billed charges,,168.3,20.8,,,Percent of total billed charges,,53.04,20.4,,,Percent of total billed charges,,52.02,,31.51,,Case rate,,31.51,,1.13,,Case rate,,1.13,80,,,Percent of total billed charges,,204,61.6,,,Percent of total billed charges,,157.08,20.6,,,Percent of total billed charges,,52.53,20.6,,,Percent of total billed charges,,52.53,65.55,,,Percent of total billed charges,,167.15,21,,,Percent of total billed charges,,53.55,90,,,Percent of total billed charges,,229.5,21,,,Percent of total billed charges,,53.55,21,,,Percent of total billed charges,,53.55,64.9,,,Percent of total billed charges,,165.5,21,,,Percent of total billed charges,,53.55,,18.06,,Case rate,,18.06,1.13,255,
"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic hybridization (CGH) microarray analysis",81229,CPT,,,,Outpatient,Facility,,,2685,1074,66,,,Percent of total billed charges,,1772.1,20.8,,,Percent of total billed charges,,558.48,,1183.2,,Case rate,,1183.2,,1160,,Case rate,,1160,,337.05,,Case rate,,337.05,80,,,Percent of total billed charges,,2148,61.6,,,Percent of total billed charges,,1653.96,20.6,,,Percent of total billed charges,,553.11,20.6,,,Percent of total billed charges,,553.11,65.55,,,Percent of total billed charges,,1760.02,21,,,Percent of total billed charges,,563.85,90,,,Percent of total billed charges,,2416.5,21,,,Percent of total billed charges,,563.85,21,,,Percent of total billed charges,,563.85,64.9,,,Percent of total billed charges,,1742.56,21,,,Percent of total billed charges,,563.85,,1135.45,,Case rate,,1135.45,337.05,2685,
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,31088108,CDM,TC,Outpatient,Facility,,,276,110.4,66,,,Percent of total billed charges,,182.16,20.8,,,Percent of total billed charges,,57.41,20.4,,,Percent of total billed charges,,56.3,,41.72,,Case rate,,41.72,,1.49,,Case rate,,1.49,80,,,Percent of total billed charges,,220.8,61.6,,,Percent of total billed charges,,170.02,20.6,,,Percent of total billed charges,,56.86,20.6,,,Percent of total billed charges,,56.86,65.55,,,Percent of total billed charges,,180.92,21,,,Percent of total billed charges,,57.96,90,,,Percent of total billed charges,,248.4,21,,,Percent of total billed charges,,57.96,21,,,Percent of total billed charges,,57.96,64.9,,,Percent of total billed charges,,179.12,21,,,Percent of total billed charges,,57.96,,25.72,,Case rate,,25.72,1.49,276,
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,,,,Outpatient,Facility,,,200,80,66,,,Percent of total billed charges,,132,20.8,,,Percent of total billed charges,,41.6,20.4,,,Percent of total billed charges,,40.8,,40.13,,Case rate,,40.13,,1.29,,Case rate,,1.29,80,,,Percent of total billed charges,,160,61.6,,,Percent of total billed charges,,123.2,20.6,,,Percent of total billed charges,,41.2,20.6,,,Percent of total billed charges,,41.2,65.55,,,Percent of total billed charges,,131.1,21,,,Percent of total billed charges,,42,90,,,Percent of total billed charges,,180,21,,,Percent of total billed charges,,42,21,,,Percent of total billed charges,,42,64.9,,,Percent of total billed charges,,129.8,21,,,Percent of total billed charges,,42,,20.15,,Case rate,,20.15,1.29,200,
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,,,,Outpatient,Facility,,,559,223.6,66,,,Percent of total billed charges,,368.94,20.8,,,Percent of total billed charges,,116.27,20.4,,,Percent of total billed charges,,114.04,,509.94,,Case rate,,509.94,,76.66,,Case rate,,76.66,80,,,Percent of total billed charges,,447.2,61.6,,,Percent of total billed charges,,344.34,20.6,,,Percent of total billed charges,,115.15,20.6,,,Percent of total billed charges,,115.15,65.55,,,Percent of total billed charges,,366.42,21,,,Percent of total billed charges,,117.39,90,,,Percent of total billed charges,,503.1,21,,,Percent of total billed charges,,117.39,21,,,Percent of total billed charges,,117.39,64.9,,,Percent of total billed charges,,362.79,21,,,Percent of total billed charges,,117.39,,212.7,,Case rate,,212.7,76.66,559,
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,,,,Outpatient,Facility,,,56,22.4,66,,,Percent of total billed charges,,36.96,20.8,,,Percent of total billed charges,,11.65,20.4,,,Percent of total billed charges,,11.42,,48.99,,Case rate,,48.99,,1.28,,Case rate,,1.28,80,,,Percent of total billed charges,,44.8,61.6,,,Percent of total billed charges,,34.5,20.6,,,Percent of total billed charges,,11.54,20.6,,,Percent of total billed charges,,11.54,65.55,,,Percent of total billed charges,,36.71,21,,,Percent of total billed charges,,11.76,90,,,Percent of total billed charges,,50.4,21,,,Percent of total billed charges,,11.76,21,,,Percent of total billed charges,,11.76,64.9,,,Percent of total billed charges,,36.34,21,,,Percent of total billed charges,,11.76,,34.68,,Case rate,,34.68,1.28,56,
"Cytopathology, smears, any other source; preparation, screening and interpretation",88161,CPT,31088161,CDM,TC,Outpatient,Facility,,,56,22.4,66,,,Percent of total billed charges,,36.96,20.8,,,Percent of total billed charges,,11.65,20.4,,,Percent of total billed charges,,11.42,,48.99,,Case rate,,48.99,,1.28,,Case rate,,1.28,80,,,Percent of total billed charges,,44.8,61.6,,,Percent of total billed charges,,34.5,20.6,,,Percent of total billed charges,,11.54,20.6,,,Percent of total billed charges,,11.54,65.55,,,Percent of total billed charges,,36.71,21,,,Percent of total billed charges,,11.76,90,,,Percent of total billed charges,,50.4,21,,,Percent of total billed charges,,11.76,21,,,Percent of total billed charges,,11.76,64.9,,,Percent of total billed charges,,36.34,21,,,Percent of total billed charges,,11.76,,34.68,,Case rate,,34.68,1.28,56,
"Cytopathology, smears, any other source; screening and interpretation",88160,CPT,,,,Outpatient,Facility,,,43,17.2,66,,,Percent of total billed charges,,28.38,20.8,,,Percent of total billed charges,,8.94,20.4,,,Percent of total billed charges,,8.77,,47.09,,Case rate,Use Lesser of logic,43,,1.01,,Case rate,,1.01,80,,,Percent of total billed charges,,34.4,61.6,,,Percent of total billed charges,,26.49,20.6,,,Percent of total billed charges,,8.86,20.6,,,Percent of total billed charges,,8.86,65.55,,,Percent of total billed charges,,28.19,21,,,Percent of total billed charges,,9.03,90,,,Percent of total billed charges,,38.7,21,,,Percent of total billed charges,,9.03,21,,,Percent of total billed charges,,9.03,64.9,,,Percent of total billed charges,,27.91,21,,,Percent of total billed charges,,9.03,,27.77,,Case rate,,27.77,1.01,43,
"Cytopathology, smears, any other source; screening and interpretation",88160,CPT,31188160,CDM,TC,Outpatient,Facility,,,43,17.2,66,,,Percent of total billed charges,,28.38,20.8,,,Percent of total billed charges,,8.94,20.4,,,Percent of total billed charges,,8.77,,47.09,,Case rate,Use Lesser of logic,43,,1.01,,Case rate,,1.01,80,,,Percent of total billed charges,,34.4,61.6,,,Percent of total billed charges,,26.49,20.6,,,Percent of total billed charges,,8.86,20.6,,,Percent of total billed charges,,8.86,65.55,,,Percent of total billed charges,,28.19,21,,,Percent of total billed charges,,9.03,90,,,Percent of total billed charges,,38.7,21,,,Percent of total billed charges,,9.03,21,,,Percent of total billed charges,,9.03,64.9,,,Percent of total billed charges,,27.91,21,,,Percent of total billed charges,,9.03,,27.77,,Case rate,,27.77,1.01,43,
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less",97597,CPT,,,,Outpatient,Facility,,,262,104.8,66,,,Percent of total billed charges,,172.92,20.8,,,Percent of total billed charges,,54.5,20.4,,,Percent of total billed charges,,53.45,,96.86,,Case rate,,96.86,,9.12,,Case rate,,9.12,80,,,Percent of total billed charges,,209.6,61.6,,,Percent of total billed charges,,161.39,20.6,,,Percent of total billed charges,,53.97,20.6,,,Percent of total billed charges,,53.97,65.55,,,Percent of total billed charges,,171.74,21,,,Percent of total billed charges,,55.02,90,,,Percent of total billed charges,,235.8,21,,,Percent of total billed charges,,55.02,21,,,Percent of total billed charges,,55.02,64.9,,,Percent of total billed charges,,170.04,21,,,Percent of total billed charges,,55.02,,74.24,,Case rate,,74.24,9.12,262,
"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11047,CPT,,,,Outpatient,Facility,,,1521,608.4,66,,,Percent of total billed charges,,1003.86,20.8,,,Percent of total billed charges,,316.37,20.4,,,Percent of total billed charges,,310.28,,117.59,,Case rate,,117.59,,17.31,,Case rate,,17.31,80,,,Percent of total billed charges,,1216.8,61.6,,,Percent of total billed charges,,936.94,20.6,,,Percent of total billed charges,,313.33,20.6,,,Percent of total billed charges,,313.33,65.55,,,Percent of total billed charges,,997.02,21,,,Percent of total billed charges,,319.41,90,,,Percent of total billed charges,,1368.9,21,,,Percent of total billed charges,,319.41,21,,,Percent of total billed charges,,319.41,64.9,,,Percent of total billed charges,,987.13,21,,,Percent of total billed charges,,319.41,,1292.94,,Case rate,,1292.94,17.31,1521,
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11046,CPT,,,,Outpatient,Facility,,,435,174,66,,,Percent of total billed charges,,287.1,20.8,,,Percent of total billed charges,,90.48,20.4,,,Percent of total billed charges,,88.74,,70.77,,Case rate,,70.77,,10.5,,Case rate,,10.5,80,,,Percent of total billed charges,,348,61.6,,,Percent of total billed charges,,267.96,20.6,,,Percent of total billed charges,,89.61,20.6,,,Percent of total billed charges,,89.61,65.55,,,Percent of total billed charges,,285.14,21,,,Percent of total billed charges,,91.35,90,,,Percent of total billed charges,,391.5,21,,,Percent of total billed charges,,91.35,21,,,Percent of total billed charges,,91.35,64.9,,,Percent of total billed charges,,282.32,21,,,Percent of total billed charges,,91.35,,367.59,,Case rate,,367.59,10.5,435,
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less",11043,CPT,,,,Outpatient,Facility,,,2341,936.4,66,,,Percent of total billed charges,,1545.06,20.8,,,Percent of total billed charges,,486.93,20.4,,,Percent of total billed charges,,477.56,,224.87,,Case rate,,224.87,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1872.8,61.6,,,Percent of total billed charges,,1442.06,20.6,,,Percent of total billed charges,,482.25,20.6,,,Percent of total billed charges,,482.25,65.55,,,Percent of total billed charges,,1534.53,21,,,Percent of total billed charges,,491.61,90,,,Percent of total billed charges,,2106.9,21,,,Percent of total billed charges,,491.61,21,,,Percent of total billed charges,,491.61,64.9,,,Percent of total billed charges,,1519.31,21,,,Percent of total billed charges,,491.61,,1919.51,,Case rate,,1919.51,77.74,2341,
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less",11042,CPT,,,,Outpatient,Facility,,,2341,936.4,66,,,Percent of total billed charges,,1545.06,20.8,,,Percent of total billed charges,,486.93,20.4,,,Percent of total billed charges,,477.56,,124.22,,Case rate,,124.22,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1872.8,61.6,,,Percent of total billed charges,,1442.06,20.6,,,Percent of total billed charges,,482.25,20.6,,,Percent of total billed charges,,482.25,65.55,,,Percent of total billed charges,,1534.53,21,,,Percent of total billed charges,,491.61,90,,,Percent of total billed charges,,2106.9,21,,,Percent of total billed charges,,491.61,21,,,Percent of total billed charges,,491.61,64.9,,,Percent of total billed charges,,1519.31,21,,,Percent of total billed charges,,491.61,,1921.32,,Case rate,,1921.32,77.74,2341,
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,,,,Outpatient,Facility,,,174,69.6,66,,,Percent of total billed charges,,114.84,20.8,,,Percent of total billed charges,,36.19,20.4,,,Percent of total billed charges,,35.5,,7.9,,Case rate,,7.9,,3.43,,Case rate,,3.43,80,,,Percent of total billed charges,,139.2,61.6,,,Percent of total billed charges,,107.18,20.6,,,Percent of total billed charges,,35.84,20.6,,,Percent of total billed charges,,35.84,65.55,,,Percent of total billed charges,,114.06,21,,,Percent of total billed charges,,36.54,90,,,Percent of total billed charges,,156.6,21,,,Percent of total billed charges,,36.54,21,,,Percent of total billed charges,,36.54,64.9,,,Percent of total billed charges,,112.93,21,,,Percent of total billed charges,,36.54,,68.67,,Case rate,,68.67,3.43,174,
Decalcification procedure (List separately in addition to code for surgical pathology examination),88311,CPT,31088311,CDM,TC,Outpatient,Facility,,,174,69.6,66,,,Percent of total billed charges,,114.84,20.8,,,Percent of total billed charges,,36.19,20.4,,,Percent of total billed charges,,35.5,,7.9,,Case rate,,7.9,,3.43,,Case rate,,3.43,80,,,Percent of total billed charges,,139.2,61.6,,,Percent of total billed charges,,107.18,20.6,,,Percent of total billed charges,,35.84,20.6,,,Percent of total billed charges,,35.84,65.55,,,Percent of total billed charges,,114.06,21,,,Percent of total billed charges,,36.54,90,,,Percent of total billed charges,,156.6,21,,,Percent of total billed charges,,36.54,21,,,Percent of total billed charges,,36.54,64.9,,,Percent of total billed charges,,112.93,21,,,Percent of total billed charges,,36.54,,68.67,,Case rate,,68.67,3.43,174,
degenerative nervous system disorders without mcc,57,MS-DRG,,,,Inpatient,Facility,,,10473.88,4189.55,,12271.53,,Case rate,DRG Factor * DRG Weight,12271.53,,1758.64,,Per Diem,,8793.2,,1724.82,,Per Diem,,8624.1,,17551.15,,Case rate,DRG Factor * DRG Weight,17551.15,,1674.09,,Per Diem,,8370.45,80,,,Percent of total billed charges,,8379.1,61.6,,,Percent of total billed charges,,6451.91,,1741.73,,Per Diem,,8708.65,,1741.73,,Per Diem,,8708.65,65.55,,,Percent of total billed charges,,6865.63,,2079,,Per Diem,,10395,90,,,Percent of total billed charges,,9426.49,,2079,,Per Diem,,10395,,2079,,Per Diem,,10395,64.9,,,Percent of total billed charges,,6797.55,,2079,,Per Diem,,10395,,13156.57,,Case rate,DRG Factor * DRG Weight,13156.57,6451.91,17551.15,
Dehydroepiandrosterone-sulfate (DHEA-S),82627,CPT,,,,Outpatient,Facility,,,292,116.8,66,,,Percent of total billed charges,,192.72,20.8,,,Percent of total billed charges,,60.74,20.4,,,Percent of total billed charges,,59.57,,22.23,,Case rate,,22.23,,4.58,,Case rate,,4.58,80,,,Percent of total billed charges,,233.6,61.6,,,Percent of total billed charges,,179.87,20.6,,,Percent of total billed charges,,60.15,20.6,,,Percent of total billed charges,,60.15,65.55,,,Percent of total billed charges,,191.41,21,,,Percent of total billed charges,,61.32,90,,,Percent of total billed charges,,262.8,21,,,Percent of total billed charges,,61.32,21,,,Percent of total billed charges,,61.32,64.9,,,Percent of total billed charges,,189.51,21,,,Percent of total billed charges,,61.32,,96.48,,Case rate,,96.48,4.58,292,
"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device",94664,CPT,,,,Outpatient,Facility,,,234,93.6,66,,,Percent of total billed charges,,154.44,20.8,,,Percent of total billed charges,,48.67,20.4,,,Percent of total billed charges,,47.74,,16.12,,Case rate,,16.12,,3.18,,Case rate,,3.18,80,,,Percent of total billed charges,,187.2,61.6,,,Percent of total billed charges,,144.14,20.6,,,Percent of total billed charges,,48.2,20.6,,,Percent of total billed charges,,48.2,65.55,,,Percent of total billed charges,,153.39,21,,,Percent of total billed charges,,49.14,90,,,Percent of total billed charges,,210.6,21,,,Percent of total billed charges,,49.14,21,,,Percent of total billed charges,,49.14,64.9,,,Percent of total billed charges,,151.87,21,,,Percent of total billed charges,,49.14,,82.65,,Case rate,,82.65,3.18,234,
Deoxyribonucleic acid (DNA) antibody; native or double stranded,86225,CPT,,,,Outpatient,Facility,,,226,90.4,66,,,Percent of total billed charges,,149.16,20.8,,,Percent of total billed charges,,47.01,20.4,,,Percent of total billed charges,,46.1,,13.74,,Case rate,,13.74,,2.83,,Case rate,,2.83,80,,,Percent of total billed charges,,180.8,61.6,,,Percent of total billed charges,,139.22,20.6,,,Percent of total billed charges,,46.56,20.6,,,Percent of total billed charges,,46.56,65.55,,,Percent of total billed charges,,148.14,21,,,Percent of total billed charges,,47.46,90,,,Percent of total billed charges,,203.4,21,,,Percent of total billed charges,,47.46,21,,,Percent of total billed charges,,47.46,64.9,,,Percent of total billed charges,,146.67,21,,,Percent of total billed charges,,47.46,,55.86,,Case rate,,55.86,2.83,226,
Deoxyribonucleic acid (DNA) antibody; single stranded,86226,CPT,,,,Outpatient,Facility,,,70,28,66,,,Percent of total billed charges,,46.2,20.8,,,Percent of total billed charges,,14.56,20.4,,,Percent of total billed charges,,14.28,,12.11,,Case rate,,12.11,,2.49,,Case rate,,2.49,80,,,Percent of total billed charges,,56,61.6,,,Percent of total billed charges,,43.12,20.6,,,Percent of total billed charges,,14.42,20.6,,,Percent of total billed charges,,14.42,65.55,,,Percent of total billed charges,,45.88,21,,,Percent of total billed charges,,14.7,90,,,Percent of total billed charges,,63,21,,,Percent of total billed charges,,14.7,21,,,Percent of total billed charges,,14.7,64.9,,,Percent of total billed charges,,45.43,21,,,Percent of total billed charges,,14.7,,63.24,,Case rate,,63.24,2.49,70,
"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; 15 or more lesions",17111,CPT,,,,Outpatient,Facility,,,867,346.8,66,,,Percent of total billed charges,,572.22,20.8,,,Percent of total billed charges,,180.34,20.4,,,Percent of total billed charges,,176.87,,127.95,,Case rate,,127.95,,18.69,,Case rate,,18.69,80,,,Percent of total billed charges,,693.6,61.6,,,Percent of total billed charges,,534.07,20.6,,,Percent of total billed charges,,178.6,20.6,,,Percent of total billed charges,,178.6,65.55,,,Percent of total billed charges,,568.32,21,,,Percent of total billed charges,,182.07,90,,,Percent of total billed charges,,780.3,21,,,Percent of total billed charges,,182.07,21,,,Percent of total billed charges,,182.07,64.9,,,Percent of total billed charges,,562.68,21,,,Percent of total billed charges,,182.07,,628.89,,Case rate,,628.89,18.69,867,
"Destruction of lesion, palate or uvula (thermal, cryo or chemical)",42160,CPT,,,,Outpatient,Facility,,,2362,944.8,66,,,Percent of total billed charges,,1558.92,20.8,,,Percent of total billed charges,,491.3,20.4,,,Percent of total billed charges,,481.85,,225.61,,Case rate,,225.61,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1889.6,61.6,,,Percent of total billed charges,,1454.99,20.6,,,Percent of total billed charges,,486.57,20.6,,,Percent of total billed charges,,486.57,65.55,,,Percent of total billed charges,,1548.29,21,,,Percent of total billed charges,,496.02,90,,,Percent of total billed charges,,2125.8,21,,,Percent of total billed charges,,496.02,21,,,Percent of total billed charges,,496.02,64.9,,,Percent of total billed charges,,1532.94,21,,,Percent of total billed charges,,496.02,,1420.57,,Case rate,,1420.57,58.06,2362,
"Dexamethasone, oral, 0.25 mg",J8540,HCPCS,,,,Outpatient,Facility,0.25,ME,0.42,0.17,66,,,Percent of total billed charges,,0.28,20.8,,,Percent of total billed charges,,0.09,20.4,,,Percent of total billed charges,,0.09,,0.07,,Case rate,,0.07,,0.02,,Case rate,,0.02,80,,,Percent of total billed charges,,0.33,61.6,,,Percent of total billed charges,,0.26,20.6,,,Percent of total billed charges,,0.09,20.6,,,Percent of total billed charges,,0.09,65.55,,,Percent of total billed charges,,0.27,21,,,Percent of total billed charges,,0.09,90,,,Percent of total billed charges,,0.38,21,,,Percent of total billed charges,,0.09,21,,,Percent of total billed charges,,0.09,64.9,,,Percent of total billed charges,,0.27,21,,,Percent of total billed charges,,0.09,,0.08,,Case rate,,0.08,0.02,0.42,
diabetes with cc,638,MS-DRG,,,,Inpatient,Facility,,,6917.93,2767.17,,8096.4,,Case rate,DRG Factor * DRG Weight,8096.4,,1758.64,,Per Diem,,1758.64,,1724.82,,Per Diem,,1724.82,,9008.26,,Case rate,DRG Factor * DRG Weight,9008.26,,1674.09,,Per Diem,,1674.09,80,,,Percent of total billed charges,,5534.34,61.6,,,Percent of total billed charges,,4261.44,,1741.73,,Per Diem,,1741.73,,1741.73,,Per Diem,,1741.73,65.55,,,Percent of total billed charges,,4534.7,,2079,,Per Diem,,2079,90,,,Percent of total billed charges,,6226.14,,2079,,Per Diem,,2079,,2079,,Per Diem,,2079,64.9,,,Percent of total billed charges,,4489.74,,2079,,Per Diem,,2079,,8680.33,,Case rate,DRG Factor * DRG Weight,8680.33,1674.09,9008.26,
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,22.76,,Case rate,,22.76,,1.72,,Case rate,,1.72,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,,,Case rate,,,1.72,92,
"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)",G0279,CPT,40100279,CDM,TC,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,22.76,,Case rate,,22.76,,1.72,,Case rate,,1.72,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,,,Case rate,,,1.72,92,
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,,,,Outpatient,Facility,,,493,197.2,66,,,Percent of total billed charges,,325.38,20.8,,,Percent of total billed charges,,102.54,20.4,,,Percent of total billed charges,,100.57,,105.59,,Case rate,,105.59,,7.84,,Case rate,,7.84,80,,,Percent of total billed charges,,394.4,61.6,,,Percent of total billed charges,,303.69,20.6,,,Percent of total billed charges,,101.56,20.6,,,Percent of total billed charges,,101.56,65.55,,,Percent of total billed charges,,323.16,21,,,Percent of total billed charges,,103.53,90,,,Percent of total billed charges,,443.7,21,,,Percent of total billed charges,,103.53,21,,,Percent of total billed charges,,103.53,64.9,,,Percent of total billed charges,,319.96,21,,,Percent of total billed charges,,103.53,,559.67,,Case rate,,559.67,7.84,559.67,
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,40177065,CDM,TC,Outpatient,Facility,,,471,188.4,66,,,Percent of total billed charges,,310.86,20.8,,,Percent of total billed charges,,97.97,20.4,,,Percent of total billed charges,,96.08,,82.83,,Case rate,,82.83,,6.15,,Case rate,,6.15,80,,,Percent of total billed charges,,376.8,61.6,,,Percent of total billed charges,,290.14,20.6,,,Percent of total billed charges,,97.03,20.6,,,Percent of total billed charges,,97.03,65.55,,,Percent of total billed charges,,308.74,21,,,Percent of total billed charges,,98.91,90,,,Percent of total billed charges,,423.9,21,,,Percent of total billed charges,,98.91,21,,,Percent of total billed charges,,98.91,64.9,,,Percent of total billed charges,,305.68,21,,,Percent of total billed charges,,98.91,,302.12,,Case rate,,302.12,6.15,471,
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,46094729,CDM,TC,Outpatient,Facility,,,380,152,66,,,Percent of total billed charges,,250.8,20.8,,,Percent of total billed charges,,79.04,20.4,,,Percent of total billed charges,,77.52,,45.2,,Case rate,,45.2,,3.86,,Case rate,,3.86,80,,,Percent of total billed charges,,304,61.6,,,Percent of total billed charges,,234.08,20.6,,,Percent of total billed charges,,78.28,20.6,,,Percent of total billed charges,,78.28,65.55,,,Percent of total billed charges,,249.09,21,,,Percent of total billed charges,,79.8,90,,,Percent of total billed charges,,342,21,,,Percent of total billed charges,,79.8,21,,,Percent of total billed charges,,79.8,64.9,,,Percent of total billed charges,,246.62,21,,,Percent of total billed charges,,79.8,,253.41,,Case rate,,253.41,3.86,380,
Digoxin; total,80162,CPT,,,,Outpatient,Facility,,,110,44,66,,,Percent of total billed charges,,72.6,20.8,,,Percent of total billed charges,,22.88,20.4,,,Percent of total billed charges,,22.44,,13.28,,Case rate,,13.28,,2.73,,Case rate,,2.73,80,,,Percent of total billed charges,,88,61.6,,,Percent of total billed charges,,67.76,20.6,,,Percent of total billed charges,,22.66,20.6,,,Percent of total billed charges,,22.66,65.55,,,Percent of total billed charges,,72.1,21,,,Percent of total billed charges,,23.1,90,,,Percent of total billed charges,,99,21,,,Percent of total billed charges,,23.1,21,,,Percent of total billed charges,,23.1,64.9,,,Percent of total billed charges,,71.39,21,,,Percent of total billed charges,,23.1,,55.02,,Case rate,,55.02,2.73,110,
"Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen",Q0163,CPT,,,,Outpatient,Facility,,,0.66,0.26,66,,,Percent of total billed charges,,0.44,20.8,,,Percent of total billed charges,,0.14,20.4,,,Percent of total billed charges,,0.13,,0.02,,Case rate,,0.02,,0.03,,Case rate,,0.03,80,,,Percent of total billed charges,,0.53,61.6,,,Percent of total billed charges,,0.41,20.6,,,Percent of total billed charges,,0.14,20.6,,,Percent of total billed charges,,0.14,65.55,,,Percent of total billed charges,,0.43,21,,,Percent of total billed charges,,0.14,90,,,Percent of total billed charges,,0.59,21,,,Percent of total billed charges,,0.14,21,,,Percent of total billed charges,,0.14,64.9,,,Percent of total billed charges,,0.43,21,,,Percent of total billed charges,,0.14,45,,,Percent of total billed charges,,0.3,0.02,0.66,
disorders of pancreas except malignancy with cc,439,MS-DRG,,,,Inpatient,Facility,,,5686.81,2274.72,,7698.51,,Case rate,DRG Factor * DRG Weight,7698.51,,1758.64,,Per Diem,,1758.64,,1724.82,,Per Diem,,1724.82,,10736.78,,Case rate,DRG Factor * DRG Weight,10736.78,,1674.09,,Per Diem,,1674.09,80,,,Percent of total billed charges,,4549.45,61.6,,,Percent of total billed charges,,3503.07,,1741.73,,Per Diem,,1741.73,,1741.73,,Per Diem,,1741.73,65.55,,,Percent of total billed charges,,3727.7,,2079,,Per Diem,,2079,90,,,Percent of total billed charges,,5118.13,,2079,,Per Diem,,2079,,2079,,Per Diem,,2079,64.9,,,Percent of total billed charges,,3690.74,,2079,,Per Diem,,2079,,8253.74,,Case rate,DRG Factor * DRG Weight,8253.74,1674.09,10736.78,
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,,,,Outpatient,Facility,,,710,284,66,,,Percent of total billed charges,,468.6,20.8,,,Percent of total billed charges,,147.68,20.4,,,Percent of total billed charges,,144.84,,31.29,,Case rate,,31.29,,9.07,,Case rate,,9.07,80,,,Percent of total billed charges,,568,61.6,,,Percent of total billed charges,,437.36,20.6,,,Percent of total billed charges,,146.26,20.6,,,Percent of total billed charges,,146.26,65.55,,,Percent of total billed charges,,465.4,21,,,Percent of total billed charges,,149.1,90,,,Percent of total billed charges,,639,21,,,Percent of total billed charges,,149.1,21,,,Percent of total billed charges,,149.1,64.9,,,Percent of total billed charges,,460.79,21,,,Percent of total billed charges,,149.1,,210.42,,Case rate,,210.42,9.07,710,
"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6)",81232,CPT,,,,Outpatient,Facility,,,1146,458.4,66,,,Percent of total billed charges,,756.36,20.8,,,Percent of total billed charges,,238.37,,178.31,,Case rate,,178.31,,174.81,,Case rate,,174.81,,11.81,,Case rate,,11.81,80,,,Percent of total billed charges,,916.8,61.6,,,Percent of total billed charges,,705.94,20.6,,,Percent of total billed charges,,236.08,20.6,,,Percent of total billed charges,,236.08,65.55,,,Percent of total billed charges,,751.2,21,,,Percent of total billed charges,,240.66,90,,,Percent of total billed charges,,1031.4,21,,,Percent of total billed charges,,240.66,21,,,Percent of total billed charges,,240.66,64.9,,,Percent of total billed charges,,743.75,21,,,Percent of total billed charges,,240.66,45,,,Percent of total billed charges,,515.7,11.81,1146,
"Drainage abscess or hematoma, nasal, internal approach",30000,CPT,,,,Outpatient,Facility,,,5401,2160.4,66,,,Percent of total billed charges,,3564.66,20.8,,,Percent of total billed charges,,1123.41,20.4,,,Percent of total billed charges,,1101.8,,259.89,,Case rate,,259.89,,173.78,,Case rate,,173.78,80,,,Percent of total billed charges,,4320.8,61.6,,,Percent of total billed charges,,3327.02,20.6,,,Percent of total billed charges,,1112.61,20.6,,,Percent of total billed charges,,1112.61,65.55,,,Percent of total billed charges,,3540.36,21,,,Percent of total billed charges,,1134.21,90,,,Percent of total billed charges,,4860.9,21,,,Percent of total billed charges,,1134.21,21,,,Percent of total billed charges,,1134.21,64.9,,,Percent of total billed charges,,3505.25,21,,,Percent of total billed charges,,1134.21,,4271.05,,Case rate,,4271.05,173.78,5401,
"Drainage external auditory canal, abscess",69020,CPT,,,,Outpatient,Facility,,,1860,744,66,,,Percent of total billed charges,,1227.6,20.8,,,Percent of total billed charges,,386.88,20.4,,,Percent of total billed charges,,379.44,,227.75,,Case rate,,227.75,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1488,61.6,,,Percent of total billed charges,,1145.76,20.6,,,Percent of total billed charges,,383.16,20.6,,,Percent of total billed charges,,383.16,65.55,,,Percent of total billed charges,,1219.23,21,,,Percent of total billed charges,,390.6,90,,,Percent of total billed charges,,1674,21,,,Percent of total billed charges,,390.6,21,,,Percent of total billed charges,,390.6,64.9,,,Percent of total billed charges,,1207.14,21,,,Percent of total billed charges,,390.6,,1421.22,,Case rate,,1421.22,58.06,1860,
"Drainage of abscess, cyst, hematoma from dentoalveolar structures",41800,CPT,,,,Outpatient,Facility,,,1692,676.8,66,,,Percent of total billed charges,,1116.72,20.8,,,Percent of total billed charges,,351.94,20.4,,,Percent of total billed charges,,345.17,,280.59,,Case rate,,280.59,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1353.6,61.6,,,Percent of total billed charges,,1042.27,20.6,,,Percent of total billed charges,,348.55,20.6,,,Percent of total billed charges,,348.55,65.55,,,Percent of total billed charges,,1109.11,21,,,Percent of total billed charges,,355.32,90,,,Percent of total billed charges,,1522.8,21,,,Percent of total billed charges,,355.32,21,,,Percent of total billed charges,,355.32,64.9,,,Percent of total billed charges,,1098.11,21,,,Percent of total billed charges,,355.32,,1436.08,,Case rate,,1436.08,58.06,1692,
Drainage of finger abscess; simple,26010,CPT,,,,Outpatient,Facility,,,263,105.2,66,,,Percent of total billed charges,,173.58,20.8,,,Percent of total billed charges,,54.7,20.4,,,Percent of total billed charges,,53.65,,333.13,,Case rate,Use Lesser of logic,263,,6.94,,Case rate,,6.94,80,,,Percent of total billed charges,,210.4,61.6,,,Percent of total billed charges,,162.01,20.6,,,Percent of total billed charges,,54.18,20.6,,,Percent of total billed charges,,54.18,65.55,,,Percent of total billed charges,,172.4,21,,,Percent of total billed charges,,55.23,90,,,Percent of total billed charges,,236.7,21,,,Percent of total billed charges,,55.23,21,,,Percent of total billed charges,,55.23,64.9,,,Percent of total billed charges,,170.69,21,,,Percent of total billed charges,,55.23,,176.57,,Case rate,,176.57,6.94,263,
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)",16020,CPT,,,,Outpatient,Facility,,,306,122.4,66,,,Percent of total billed charges,,201.96,20.8,,,Percent of total billed charges,,63.65,20.4,,,Percent of total billed charges,,62.42,,82.44,,Case rate,,82.44,,9.9,,Case rate,,9.9,80,,,Percent of total billed charges,,244.8,61.6,,,Percent of total billed charges,,188.5,20.6,,,Percent of total billed charges,,63.04,20.6,,,Percent of total billed charges,,63.04,65.55,,,Percent of total billed charges,,200.58,21,,,Percent of total billed charges,,64.26,90,,,Percent of total billed charges,,275.4,21,,,Percent of total billed charges,,64.26,21,,,Percent of total billed charges,,64.26,64.9,,,Percent of total billed charges,,198.59,21,,,Percent of total billed charges,,64.26,,249.75,,Case rate,,249.75,9.9,306,
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed",G0480,CPT,,,,Outpatient,Facility,,,154,61.6,66,,,Percent of total billed charges,,101.64,20.8,,,Percent of total billed charges,,32.03,20.4,,,Percent of total billed charges,,31.42,,114.43,,Case rate,,114.43,,5.95,,Case rate,,5.95,80,,,Percent of total billed charges,,123.2,61.6,,,Percent of total billed charges,,94.86,20.6,,,Percent of total billed charges,,31.72,20.6,,,Percent of total billed charges,,31.72,65.55,,,Percent of total billed charges,,100.95,21,,,Percent of total billed charges,,32.34,90,,,Percent of total billed charges,,138.6,21,,,Percent of total billed charges,,32.34,21,,,Percent of total billed charges,,32.34,64.9,,,Percent of total billed charges,,99.95,21,,,Percent of total billed charges,,32.34,,205.45,,Case rate,,205.45,5.95,205.45,
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed",G0482,CPT,,,,Outpatient,Facility,,,413,165.2,66,,,Percent of total billed charges,,272.58,20.8,,,Percent of total billed charges,,85.9,20.4,,,Percent of total billed charges,,84.25,,198.74,,Case rate,,198.74,,12.36,,Case rate,,12.36,80,,,Percent of total billed charges,,330.4,61.6,,,Percent of total billed charges,,254.41,20.6,,,Percent of total billed charges,,85.08,20.6,,,Percent of total billed charges,,85.08,65.55,,,Percent of total billed charges,,270.72,21,,,Percent of total billed charges,,86.73,90,,,Percent of total billed charges,,371.7,21,,,Percent of total billed charges,,86.73,21,,,Percent of total billed charges,,86.73,64.9,,,Percent of total billed charges,,268.04,21,,,Percent of total billed charges,,86.73,,338.34,,Case rate,,338.34,12.36,413,
"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 4-6",80376,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,12.62,,Case rate,,12.62,,0.94,,Case rate,,0.94,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,45,,,Percent of total billed charges,,41.4,0.94,92,
"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 7 or more",80377,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,12.62,,Case rate,,12.62,,0.94,,Case rate,,0.94,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,45,,,Percent of total billed charges,,41.4,0.94,92,
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,,,,Outpatient,Facility,,,365,146,66,,,Percent of total billed charges,,240.9,20.8,,,Percent of total billed charges,,75.92,20.4,,,Percent of total billed charges,,74.46,,27.18,,Case rate,,27.18,,12.86,,Case rate,,12.86,80,,,Percent of total billed charges,,292,61.6,,,Percent of total billed charges,,224.84,20.6,,,Percent of total billed charges,,75.19,20.6,,,Percent of total billed charges,,75.19,65.55,,,Percent of total billed charges,,239.26,21,,,Percent of total billed charges,,76.65,90,,,Percent of total billed charges,,328.5,21,,,Percent of total billed charges,,76.65,21,,,Percent of total billed charges,,76.65,64.9,,,Percent of total billed charges,,236.88,21,,,Percent of total billed charges,,76.65,,253.09,,Case rate,,253.09,12.86,365,
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",77080,CPT,32077080,CDM,TC,Outpatient,Facility,,,365,146,66,,,Percent of total billed charges,,240.9,20.8,,,Percent of total billed charges,,75.92,20.4,,,Percent of total billed charges,,74.46,,27.18,,Case rate,,27.18,,12.86,,Case rate,,12.86,80,,,Percent of total billed charges,,292,61.6,,,Percent of total billed charges,,224.84,20.6,,,Percent of total billed charges,,75.19,20.6,,,Percent of total billed charges,,75.19,65.55,,,Percent of total billed charges,,239.26,21,,,Percent of total billed charges,,76.65,90,,,Percent of total billed charges,,328.5,21,,,Percent of total billed charges,,76.65,21,,,Percent of total billed charges,,76.65,64.9,,,Percent of total billed charges,,236.88,21,,,Percent of total billed charges,,76.65,,253.09,,Case rate,,253.09,12.86,365,
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,,,,Outpatient,Facility,,,457,182.8,66,,,Percent of total billed charges,,301.62,20.8,,,Percent of total billed charges,,95.06,20.4,,,Percent of total billed charges,,93.23,,135.6,,Case rate,,135.6,,15.78,,Case rate,,15.78,80,,,Percent of total billed charges,,365.6,61.6,,,Percent of total billed charges,,281.51,20.6,,,Percent of total billed charges,,94.14,20.6,,,Percent of total billed charges,,94.14,65.55,,,Percent of total billed charges,,299.56,21,,,Percent of total billed charges,,95.97,90,,,Percent of total billed charges,,411.3,21,,,Percent of total billed charges,,95.97,21,,,Percent of total billed charges,,95.97,64.9,,,Percent of total billed charges,,296.59,21,,,Percent of total billed charges,,95.97,,373.2,,Case rate,,373.2,15.78,457,
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study",93978,CPT,92193978,CDM,TC,Outpatient,Facility,,,457,182.8,66,,,Percent of total billed charges,,301.62,20.8,,,Percent of total billed charges,,95.06,20.4,,,Percent of total billed charges,,93.23,,135.6,,Case rate,,135.6,,15.78,,Case rate,,15.78,80,,,Percent of total billed charges,,365.6,61.6,,,Percent of total billed charges,,281.51,20.6,,,Percent of total billed charges,,94.14,20.6,,,Percent of total billed charges,,94.14,65.55,,,Percent of total billed charges,,299.56,21,,,Percent of total billed charges,,95.97,90,,,Percent of total billed charges,,411.3,21,,,Percent of total billed charges,,95.97,21,,,Percent of total billed charges,,95.97,64.9,,,Percent of total billed charges,,296.59,21,,,Percent of total billed charges,,95.97,,373.2,,Case rate,,373.2,15.78,457,
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,,,,Outpatient,Facility,,,634,253.6,66,,,Percent of total billed charges,,418.44,20.8,,,Percent of total billed charges,,131.87,20.4,,,Percent of total billed charges,,129.34,,200.41,,Case rate,,200.41,,21.96,,Case rate,,21.96,80,,,Percent of total billed charges,,507.2,61.6,,,Percent of total billed charges,,390.54,20.6,,,Percent of total billed charges,,130.6,20.6,,,Percent of total billed charges,,130.6,65.55,,,Percent of total billed charges,,415.59,21,,,Percent of total billed charges,,133.14,90,,,Percent of total billed charges,,570.6,21,,,Percent of total billed charges,,133.14,21,,,Percent of total billed charges,,133.14,64.9,,,Percent of total billed charges,,411.47,21,,,Percent of total billed charges,,133.14,,537.43,,Case rate,,537.43,21.96,634,
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study",93975,CPT,92193975,CDM,TC,Outpatient,Facility,,,634,253.6,66,,,Percent of total billed charges,,418.44,20.8,,,Percent of total billed charges,,131.87,20.4,,,Percent of total billed charges,,129.34,,200.41,,Case rate,,200.41,,21.96,,Case rate,,21.96,80,,,Percent of total billed charges,,507.2,61.6,,,Percent of total billed charges,,390.54,20.6,,,Percent of total billed charges,,130.6,20.6,,,Percent of total billed charges,,130.6,65.55,,,Percent of total billed charges,,415.59,21,,,Percent of total billed charges,,133.14,90,,,Percent of total billed charges,,570.6,21,,,Percent of total billed charges,,133.14,21,,,Percent of total billed charges,,133.14,64.9,,,Percent of total billed charges,,411.47,21,,,Percent of total billed charges,,133.14,,537.43,,Case rate,,537.43,21.96,634,
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,,,,Outpatient,Facility,,,581,232.4,66,,,Percent of total billed charges,,383.46,20.8,,,Percent of total billed charges,,120.85,20.4,,,Percent of total billed charges,,118.52,,99.89,,Case rate,,99.89,,14.69,,Case rate,,14.69,80,,,Percent of total billed charges,,464.8,61.6,,,Percent of total billed charges,,357.9,20.6,,,Percent of total billed charges,,119.69,20.6,,,Percent of total billed charges,,119.69,65.55,,,Percent of total billed charges,,380.85,21,,,Percent of total billed charges,,122.01,90,,,Percent of total billed charges,,522.9,21,,,Percent of total billed charges,,122.01,21,,,Percent of total billed charges,,122.01,64.9,,,Percent of total billed charges,,377.07,21,,,Percent of total billed charges,,122.01,,360.99,,Case rate,,360.99,14.69,581,
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,92093976,CDM,TC,Outpatient,Facility,,,581,232.4,66,,,Percent of total billed charges,,383.46,20.8,,,Percent of total billed charges,,120.85,20.4,,,Percent of total billed charges,,118.52,,99.89,,Case rate,,99.89,,14.69,,Case rate,,14.69,80,,,Percent of total billed charges,,464.8,61.6,,,Percent of total billed charges,,357.9,20.6,,,Percent of total billed charges,,119.69,20.6,,,Percent of total billed charges,,119.69,65.55,,,Percent of total billed charges,,380.85,21,,,Percent of total billed charges,,122.01,90,,,Percent of total billed charges,,522.9,21,,,Percent of total billed charges,,122.01,21,,,Percent of total billed charges,,122.01,64.9,,,Percent of total billed charges,,377.07,21,,,Percent of total billed charges,,122.01,,360.99,,Case rate,,360.99,14.69,581,
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,,,,Outpatient,Facility,,,640,256,66,,,Percent of total billed charges,,422.4,20.8,,,Percent of total billed charges,,133.12,20.4,,,Percent of total billed charges,,130.56,,95.15,,Case rate,,95.15,,14.21,,Case rate,,14.21,80,,,Percent of total billed charges,,512,61.6,,,Percent of total billed charges,,394.24,20.6,,,Percent of total billed charges,,131.84,20.6,,,Percent of total billed charges,,131.84,65.55,,,Percent of total billed charges,,419.52,21,,,Percent of total billed charges,,134.4,90,,,Percent of total billed charges,,576,21,,,Percent of total billed charges,,134.4,21,,,Percent of total billed charges,,134.4,64.9,,,Percent of total billed charges,,415.36,21,,,Percent of total billed charges,,134.4,,350.31,,Case rate,,350.31,14.21,640,
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,,,,Outpatient,Facility,,,1002,400.8,66,,,Percent of total billed charges,,661.32,20.8,,,Percent of total billed charges,,208.42,20.4,,,Percent of total billed charges,,204.41,,147.61,,Case rate,,147.61,,16.83,,Case rate,,16.83,80,,,Percent of total billed charges,,801.6,61.6,,,Percent of total billed charges,,617.23,20.6,,,Percent of total billed charges,,206.41,20.6,,,Percent of total billed charges,,206.41,65.55,,,Percent of total billed charges,,656.81,21,,,Percent of total billed charges,,210.42,90,,,Percent of total billed charges,,901.8,21,,,Percent of total billed charges,,210.42,21,,,Percent of total billed charges,,210.42,64.9,,,Percent of total billed charges,,650.3,21,,,Percent of total billed charges,,210.42,,397.35,,Case rate,,397.35,16.83,1002,
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,92193971,CDM,TC,Outpatient,Facility,,,558,223.2,66,,,Percent of total billed charges,,368.28,20.8,,,Percent of total billed charges,,116.06,20.4,,,Percent of total billed charges,,113.83,,93.25,,Case rate,,93.25,,11.22,,Case rate,,11.22,80,,,Percent of total billed charges,,446.4,61.6,,,Percent of total billed charges,,343.73,20.6,,,Percent of total billed charges,,114.95,20.6,,,Percent of total billed charges,,114.95,65.55,,,Percent of total billed charges,,365.77,21,,,Percent of total billed charges,,117.18,90,,,Percent of total billed charges,,502.2,21,,,Percent of total billed charges,,117.18,21,,,Percent of total billed charges,,117.18,64.9,,,Percent of total billed charges,,362.14,21,,,Percent of total billed charges,,117.18,,277.79,,Case rate,,277.79,11.22,558,
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,,,,Outpatient,Facility,,,829,331.6,66,,,Percent of total billed charges,,547.14,20.8,,,Percent of total billed charges,,172.43,20.4,,,Percent of total billed charges,,169.12,,192.83,,Case rate,,192.83,,15.16,,Case rate,,15.16,80,,,Percent of total billed charges,,663.2,61.6,,,Percent of total billed charges,,510.66,20.6,,,Percent of total billed charges,,170.77,20.6,,,Percent of total billed charges,,170.77,65.55,,,Percent of total billed charges,,543.41,21,,,Percent of total billed charges,,174.09,90,,,Percent of total billed charges,,746.1,21,,,Percent of total billed charges,,174.09,21,,,Percent of total billed charges,,174.09,64.9,,,Percent of total billed charges,,538.02,21,,,Percent of total billed charges,,174.09,,358.72,,Case rate,,358.72,15.16,829,
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,92193926,CDM,TC,Outpatient,Facility,,,925,370,66,,,Percent of total billed charges,,610.5,20.8,,,Percent of total billed charges,,192.4,20.4,,,Percent of total billed charges,,188.7,,99.89,,Case rate,,99.89,,10.14,,Case rate,,10.14,80,,,Percent of total billed charges,,740,61.6,,,Percent of total billed charges,,569.8,20.6,,,Percent of total billed charges,,190.55,20.6,,,Percent of total billed charges,,190.55,65.55,,,Percent of total billed charges,,606.34,21,,,Percent of total billed charges,,194.25,90,,,Percent of total billed charges,,832.5,21,,,Percent of total billed charges,,194.25,21,,,Percent of total billed charges,,194.25,64.9,,,Percent of total billed charges,,600.32,21,,,Percent of total billed charges,,194.25,,250.3,,Case rate,,250.3,10.14,925,
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,,,,Outpatient,Facility,,,1386,554.4,66,,,Percent of total billed charges,,914.76,20.8,,,Percent of total billed charges,,288.29,20.4,,,Percent of total billed charges,,282.74,,150.14,,Case rate,,150.14,,15.58,,Case rate,,15.58,80,,,Percent of total billed charges,,1108.8,61.6,,,Percent of total billed charges,,853.78,20.6,,,Percent of total billed charges,,285.52,20.6,,,Percent of total billed charges,,285.52,65.55,,,Percent of total billed charges,,908.52,21,,,Percent of total billed charges,,291.06,90,,,Percent of total billed charges,,1247.4,21,,,Percent of total billed charges,,291.06,21,,,Percent of total billed charges,,291.06,64.9,,,Percent of total billed charges,,899.51,21,,,Percent of total billed charges,,291.06,,366.89,,Case rate,,366.89,15.58,1386,
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,92193931,CDM,TC,Outpatient,Facility,,,652,260.8,66,,,Percent of total billed charges,,430.32,20.8,,,Percent of total billed charges,,135.62,20.4,,,Percent of total billed charges,,133.01,,95.46,,Case rate,,95.46,,10.36,,Case rate,,10.36,80,,,Percent of total billed charges,,521.6,61.6,,,Percent of total billed charges,,401.63,20.6,,,Percent of total billed charges,,134.31,20.6,,,Percent of total billed charges,,134.31,65.55,,,Percent of total billed charges,,427.39,21,,,Percent of total billed charges,,136.92,90,,,Percent of total billed charges,,586.8,21,,,Percent of total billed charges,,136.92,21,,,Percent of total billed charges,,136.92,64.9,,,Percent of total billed charges,,423.15,21,,,Percent of total billed charges,,136.92,,241.06,,Case rate,,241.06,10.36,652,
"ear, nose, mouth and throat malignancy with cc",147,MS-DRG,,,,Inpatient,Facility,,,23149.85,9259.94,,11124.67,,Case rate,DRG Factor * DRG Weight,11124.67,,1758.64,,Per Diem,,14069.12,,1724.82,,Per Diem,,13798.56,,19495.74,,Case rate,DRG Factor * DRG Weight,19495.74,,1674.09,,Per Diem,,13392.72,80,,,Percent of total billed charges,,18519.88,61.6,,,Percent of total billed charges,,14260.31,,1741.73,,Per Diem,,13933.84,,1741.73,,Per Diem,,13933.84,65.55,,,Percent of total billed charges,,15174.73,,2079,,Per Diem,,16632,90,,,Percent of total billed charges,,20834.87,,2079,,Per Diem,,16632,,2079,,Per Diem,,16632,64.9,,,Percent of total billed charges,,15024.25,,2079,,Per Diem,,16632,,11927,,Case rate,DRG Factor * DRG Weight,11927,11124.67,23149.85,
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,,,,Outpatient,Facility,,,1533,613.2,66,,,Percent of total billed charges,,1011.78,20.8,,,Percent of total billed charges,,318.86,20.4,,,Percent of total billed charges,,312.73,,88.82,,Case rate,,88.82,,19.65,,Case rate,,19.65,80,,,Percent of total billed charges,,1226.4,61.6,,,Percent of total billed charges,,944.33,20.6,,,Percent of total billed charges,,315.8,20.6,,,Percent of total billed charges,,315.8,65.55,,,Percent of total billed charges,,1004.88,21,,,Percent of total billed charges,,321.93,90,,,Percent of total billed charges,,1379.7,21,,,Percent of total billed charges,,321.93,21,,,Percent of total billed charges,,321.93,64.9,,,Percent of total billed charges,,994.92,21,,,Percent of total billed charges,,321.93,,465.18,,Case rate,,465.18,19.65,1533,
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,48093308,CDM,TC,Outpatient,Facility,,,537,214.8,66,,,Percent of total billed charges,,354.42,20.8,,,Percent of total billed charges,,111.7,20.4,,,Percent of total billed charges,,109.55,,69.85,,Case rate,,69.85,,10.02,,Case rate,,10.02,80,,,Percent of total billed charges,,429.6,61.6,,,Percent of total billed charges,,330.79,20.6,,,Percent of total billed charges,,110.62,20.6,,,Percent of total billed charges,,110.62,65.55,,,Percent of total billed charges,,352,21,,,Percent of total billed charges,,112.77,90,,,Percent of total billed charges,,483.3,21,,,Percent of total billed charges,,112.77,21,,,Percent of total billed charges,,112.77,64.9,,,Percent of total billed charges,,348.51,21,,,Percent of total billed charges,,112.77,,233.54,,Case rate,,233.54,10.02,537,
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,40276506,CDM,TC,Outpatient,Facility,,,402,160.8,66,,,Percent of total billed charges,,265.32,20.8,,,Percent of total billed charges,,83.62,20.4,,,Percent of total billed charges,,82.01,,79.35,,Case rate,,79.35,,10.65,,Case rate,,10.65,80,,,Percent of total billed charges,,321.6,61.6,,,Percent of total billed charges,,247.63,20.6,,,Percent of total billed charges,,82.81,20.6,,,Percent of total billed charges,,82.81,65.55,,,Percent of total billed charges,,263.51,21,,,Percent of total billed charges,,84.42,90,,,Percent of total billed charges,,361.8,21,,,Percent of total billed charges,,84.42,21,,,Percent of total billed charges,,84.42,64.9,,,Percent of total billed charges,,260.9,21,,,Percent of total billed charges,,84.42,,267.95,,Case rate,,267.95,10.65,402,
"Elastase, pancreatic (EL-1), fecal; quantitative",82653,CPT,,,,Outpatient,Facility,,,91,36.4,66,,,Percent of total billed charges,,60.06,20.8,,,Percent of total billed charges,,18.93,20.4,,,Percent of total billed charges,,18.56,,22.97,,Case rate,,22.97,,1.04,,Case rate,,1.04,80,,,Percent of total billed charges,,72.8,61.6,,,Percent of total billed charges,,56.06,20.6,,,Percent of total billed charges,,18.75,20.6,,,Percent of total billed charges,,18.75,65.55,,,Percent of total billed charges,,59.65,21,,,Percent of total billed charges,,19.11,90,,,Percent of total billed charges,,81.9,21,,,Percent of total billed charges,,19.11,21,,,Percent of total billed charges,,19.11,64.9,,,Percent of total billed charges,,59.06,21,,,Percent of total billed charges,,19.11,,80.56,,Case rate,,80.56,1.04,91,
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,74095812,CDM,TC,Outpatient,Facility,,,831,332.4,66,,,Percent of total billed charges,,548.46,20.8,,,Percent of total billed charges,,172.85,20.4,,,Percent of total billed charges,,169.52,,274.08,,Case rate,,274.08,,9.48,,Case rate,,9.48,80,,,Percent of total billed charges,,664.8,61.6,,,Percent of total billed charges,,511.9,20.6,,,Percent of total billed charges,,171.19,20.6,,,Percent of total billed charges,,171.19,65.55,,,Percent of total billed charges,,544.72,21,,,Percent of total billed charges,,174.51,90,,,Percent of total billed charges,,747.9,21,,,Percent of total billed charges,,174.51,21,,,Percent of total billed charges,,174.51,64.9,,,Percent of total billed charges,,539.32,21,,,Percent of total billed charges,,174.51,,234.89,,Case rate,,234.89,9.48,831,
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,74095816,CDM,TC,Outpatient,Facility,,,405,162,66,,,Percent of total billed charges,,267.3,20.8,,,Percent of total billed charges,,84.24,20.4,,,Percent of total billed charges,,82.62,,309.49,,Case rate,,309.49,,8.78,,Case rate,,8.78,80,,,Percent of total billed charges,,324,61.6,,,Percent of total billed charges,,249.48,20.6,,,Percent of total billed charges,,83.43,20.6,,,Percent of total billed charges,,83.43,65.55,,,Percent of total billed charges,,265.48,21,,,Percent of total billed charges,,85.05,90,,,Percent of total billed charges,,364.5,21,,,Percent of total billed charges,,85.05,21,,,Percent of total billed charges,,85.05,64.9,,,Percent of total billed charges,,262.84,21,,,Percent of total billed charges,,85.05,,217.43,,Case rate,,217.43,8.78,405,
Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295),80051,CPT,,,,Outpatient,Facility,,,108,43.2,66,,,Percent of total billed charges,,71.28,20.8,,,Percent of total billed charges,,22.46,20.4,,,Percent of total billed charges,,22.03,,7.01,,Case rate,,7.01,,1.92,,Case rate,,1.92,80,,,Percent of total billed charges,,86.4,61.6,,,Percent of total billed charges,,66.53,20.6,,,Percent of total billed charges,,22.25,20.6,,,Percent of total billed charges,,22.25,65.55,,,Percent of total billed charges,,70.79,21,,,Percent of total billed charges,,22.68,90,,,Percent of total billed charges,,97.2,21,,,Percent of total billed charges,,22.68,21,,,Percent of total billed charges,,22.68,64.9,,,Percent of total billed charges,,70.09,21,,,Percent of total billed charges,,22.68,,48.38,,Case rate,,48.38,1.92,108,
"Electrophoretic technique, not elsewhere specified",82664,CPT,,,,Outpatient,Facility,,,459,183.6,66,,,Percent of total billed charges,,302.94,20.8,,,Percent of total billed charges,,95.47,20.4,,,Percent of total billed charges,,93.64,,61.5,,Case rate,,61.5,,9.95,,Case rate,,9.95,80,,,Percent of total billed charges,,367.2,61.6,,,Percent of total billed charges,,282.74,20.6,,,Percent of total billed charges,,94.55,20.6,,,Percent of total billed charges,,94.55,65.55,,,Percent of total billed charges,,300.87,21,,,Percent of total billed charges,,96.39,90,,,Percent of total billed charges,,413.1,21,,,Percent of total billed charges,,96.39,21,,,Percent of total billed charges,,96.39,64.9,,,Percent of total billed charges,,297.89,21,,,Percent of total billed charges,,96.39,,219.34,,Case rate,,219.34,9.95,459,
Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional,99281,CPT,,,,Outpatient,Facility,,,174,69.6,66,,,Percent of total billed charges,,114.84,20.8,,,Percent of total billed charges,,36.19,20.4,,,Percent of total billed charges,,35.5,,11.6,,Case rate,,11.6,,5.84,,Case rate,,5.84,80,,,Percent of total billed charges,,139.2,61.6,,,Percent of total billed charges,,107.18,20.6,,,Percent of total billed charges,,35.84,20.6,,,Percent of total billed charges,,35.84,65.55,,,Percent of total billed charges,,114.06,21,,,Percent of total billed charges,,36.54,90,,,Percent of total billed charges,,156.6,21,,,Percent of total billed charges,,36.54,21,,,Percent of total billed charges,,36.54,64.9,,,Percent of total billed charges,,112.93,21,,,Percent of total billed charges,,36.54,,146.49,,Case rate,,146.49,5.84,174,
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making",99285,CPT,,,,Outpatient,Facility,,,1310,524,66,,,Percent of total billed charges,,864.6,20.8,,,Percent of total billed charges,,272.48,20.4,,,Percent of total billed charges,,267.24,,173.42,,Case rate,,173.42,,18.56,,Case rate,,18.56,80,,,Percent of total billed charges,,1048,61.6,,,Percent of total billed charges,,806.96,20.6,,,Percent of total billed charges,,269.86,20.6,,,Percent of total billed charges,,269.86,65.55,,,Percent of total billed charges,,858.7,21,,,Percent of total billed charges,,275.1,90,,,Percent of total billed charges,,1179,21,,,Percent of total billed charges,,275.1,21,,,Percent of total billed charges,,275.1,64.9,,,Percent of total billed charges,,850.19,21,,,Percent of total billed charges,,275.1,,453.53,,Case rate,,453.53,18.56,1310,
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making",99284,CPT,,,,Outpatient,Facility,,,932,372.8,66,,,Percent of total billed charges,,615.12,20.8,,,Percent of total billed charges,,193.86,20.4,,,Percent of total billed charges,,190.13,,119.16,,Case rate,,119.16,,15.12,,Case rate,,15.12,80,,,Percent of total billed charges,,745.6,61.6,,,Percent of total billed charges,,574.11,20.6,,,Percent of total billed charges,,191.99,20.6,,,Percent of total billed charges,,191.99,65.55,,,Percent of total billed charges,,610.93,21,,,Percent of total billed charges,,195.72,90,,,Percent of total billed charges,,838.8,21,,,Percent of total billed charges,,195.72,21,,,Percent of total billed charges,,195.72,64.9,,,Percent of total billed charges,,604.87,21,,,Percent of total billed charges,,195.72,,371.86,,Case rate,,371.86,15.12,932,
"Endomysial antibody (EMA), each immunoglobulin (Ig) class",86231,CPT,,,,Outpatient,Facility,,,48,19.2,66,,,Percent of total billed charges,,31.68,20.8,,,Percent of total billed charges,,9.98,20.4,,,Percent of total billed charges,,9.79,,12.09,,Case rate,,12.09,,0.55,,Case rate,,0.55,80,,,Percent of total billed charges,,38.4,61.6,,,Percent of total billed charges,,29.57,20.6,,,Percent of total billed charges,,9.89,20.6,,,Percent of total billed charges,,9.89,65.55,,,Percent of total billed charges,,31.46,21,,,Percent of total billed charges,,10.08,90,,,Percent of total billed charges,,43.2,21,,,Percent of total billed charges,,10.08,21,,,Percent of total billed charges,,10.08,64.9,,,Percent of total billed charges,,31.15,21,,,Percent of total billed charges,,10.08,,42.39,,Case rate,,42.39,0.55,48,
"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen",82657,CPT,,,,Outpatient,Facility,,,171,68.4,66,,,Percent of total billed charges,,112.86,20.8,,,Percent of total billed charges,,35.57,,22.61,,Case rate,,22.61,,22.17,,Case rate,,22.17,,5.11,,Case rate,,5.11,80,,,Percent of total billed charges,,136.8,61.6,,,Percent of total billed charges,,105.34,20.6,,,Percent of total billed charges,,35.23,20.6,,,Percent of total billed charges,,35.23,65.55,,,Percent of total billed charges,,112.09,21,,,Percent of total billed charges,,35.91,90,,,Percent of total billed charges,,153.9,21,,,Percent of total billed charges,,35.91,21,,,Percent of total billed charges,,35.91,64.9,,,Percent of total billed charges,,110.98,21,,,Percent of total billed charges,,35.91,,122.02,,Case rate,,122.02,5.11,171,
"Episiotomy or vaginal repair, by other than attending",59300,CPT,,,,Outpatient,Facility,,,3100,1240,66,,,Percent of total billed charges,,2046,20.8,,,Percent of total billed charges,,644.8,20.4,,,Percent of total billed charges,,632.4,,225.18,,Case rate,,225.18,,36.45,,Case rate,,36.45,80,,,Percent of total billed charges,,2480,61.6,,,Percent of total billed charges,,1909.6,20.6,,,Percent of total billed charges,,638.6,20.6,,,Percent of total billed charges,,638.6,65.55,,,Percent of total billed charges,,2032.05,21,,,Percent of total billed charges,,651,90,,,Percent of total billed charges,,2790,21,,,Percent of total billed charges,,651,21,,,Percent of total billed charges,,651,64.9,,,Percent of total billed charges,,2011.9,21,,,Percent of total billed charges,,651,,2631.14,,Case rate,,2631.14,36.45,3100,
"esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc",392,MS-DRG,,,,Inpatient,Facility,,,7884.46,3153.78,,7071.97,,Case rate,DRG Factor * DRG Weight,7071.97,,1758.64,,Per Diem,,3517.28,,1724.82,,Per Diem,,3449.64,,8592.75,,Case rate,DRG Factor * DRG Weight,8592.75,,1674.09,,Per Diem,,3348.18,80,,,Percent of total billed charges,,6307.57,61.6,,,Percent of total billed charges,,4856.83,,1741.73,,Per Diem,,3483.46,,1741.73,,Per Diem,,3483.46,65.55,,,Percent of total billed charges,,5168.26,,2079,,Per Diem,,4158,90,,,Percent of total billed charges,,7096.01,,2079,,Per Diem,,4158,,2079,,Per Diem,,4158,64.9,,,Percent of total billed charges,,5117.01,,2079,,Per Diem,,4158,,7582.01,,Case rate,DRG Factor * DRG Weight,7582.01,3348.18,8592.75,
"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)",43249,CPT,,,,Outpatient,Facility,,,3106.17,1242.47,66,,,Percent of total billed charges,,2050.07,20.8,,,Percent of total billed charges,,646.08,20.4,,,Percent of total billed charges,,633.66,,1039.62,,Case rate,,1039.62,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,2484.93,61.6,,,Percent of total billed charges,,1913.4,20.6,,,Percent of total billed charges,,639.87,20.6,,,Percent of total billed charges,,639.87,65.55,,,Percent of total billed charges,,2036.09,21,,,Percent of total billed charges,,652.29,90,,,Percent of total billed charges,,2795.55,21,,,Percent of total billed charges,,652.29,21,,,Percent of total billed charges,,652.29,64.9,,,Percent of total billed charges,,2015.9,21,,,Percent of total billed charges,,652.29,,1904.98,,Case rate,,1904.98,77.74,3106.16,
"Estradiol; free, direct measurement (eg, equilibrium dialysis)",82681,CPT,,,,Outpatient,Facility,,,77,30.8,66,,,Percent of total billed charges,,50.82,20.8,,,Percent of total billed charges,,16.02,20.4,,,Percent of total billed charges,,15.71,,27.94,,Case rate,,27.94,,2.22,,Case rate,,2.22,80,,,Percent of total billed charges,,61.6,61.6,,,Percent of total billed charges,,47.43,20.6,,,Percent of total billed charges,,15.86,20.6,,,Percent of total billed charges,,15.86,65.55,,,Percent of total billed charges,,50.47,21,,,Percent of total billed charges,,16.17,90,,,Percent of total billed charges,,69.3,21,,,Percent of total billed charges,,16.17,21,,,Percent of total billed charges,,16.17,64.9,,,Percent of total billed charges,,49.97,21,,,Percent of total billed charges,,16.17,,97.97,,Case rate,,97.97,2.22,97.97,
Estradiol; total,82670,CPT,,,,Outpatient,Facility,,,234,93.6,66,,,Percent of total billed charges,,154.44,20.8,,,Percent of total billed charges,,48.67,20.4,,,Percent of total billed charges,,47.74,,27.94,,Case rate,,27.94,,5.75,,Case rate,,5.75,80,,,Percent of total billed charges,,187.2,61.6,,,Percent of total billed charges,,144.14,20.6,,,Percent of total billed charges,,48.2,20.6,,,Percent of total billed charges,,48.2,65.55,,,Percent of total billed charges,,153.39,21,,,Percent of total billed charges,,49.14,90,,,Percent of total billed charges,,210.6,21,,,Percent of total billed charges,,49.14,21,,,Percent of total billed charges,,49.14,64.9,,,Percent of total billed charges,,151.87,21,,,Percent of total billed charges,,49.14,,136.27,,Case rate,,136.27,5.75,234,
Ethosuximide,80168,CPT,,,,Outpatient,Facility,,,100,40,66,,,Percent of total billed charges,,66,20.8,,,Percent of total billed charges,,20.8,20.4,,,Percent of total billed charges,,20.4,,16.34,,Case rate,,16.34,,3.36,,Case rate,,3.36,80,,,Percent of total billed charges,,80,61.6,,,Percent of total billed charges,,61.6,20.6,,,Percent of total billed charges,,20.6,20.6,,,Percent of total billed charges,,20.6,65.55,,,Percent of total billed charges,,65.55,21,,,Percent of total billed charges,,21,90,,,Percent of total billed charges,,90,21,,,Percent of total billed charges,,21,21,,,Percent of total billed charges,,21,64.9,,,Percent of total billed charges,,64.9,21,,,Percent of total billed charges,,21,,82.09,,Case rate,,82.09,3.36,100,
Euglobulin lysis,85360,CPT,,,,Outpatient,Facility,,,558,223.2,66,,,Percent of total billed charges,,368.28,20.8,,,Percent of total billed charges,,116.06,20.4,,,Percent of total billed charges,,113.83,,8.41,,Case rate,,8.41,,2.02,,Case rate,,2.02,80,,,Percent of total billed charges,,446.4,61.6,,,Percent of total billed charges,,343.73,20.6,,,Percent of total billed charges,,114.95,20.6,,,Percent of total billed charges,,114.95,65.55,,,Percent of total billed charges,,365.77,21,,,Percent of total billed charges,,117.18,90,,,Percent of total billed charges,,502.2,21,,,Percent of total billed charges,,117.18,21,,,Percent of total billed charges,,117.18,64.9,,,Percent of total billed charges,,362.14,21,,,Percent of total billed charges,,117.18,,38.3,,Case rate,,38.3,2.02,558,
Evacuation of subungual hematoma,11740,CPT,,,,Outpatient,Facility,,,289,115.6,66,,,Percent of total billed charges,,190.74,20.8,,,Percent of total billed charges,,60.11,20.4,,,Percent of total billed charges,,58.96,,54.87,,Case rate,,54.87,,9.9,,Case rate,,9.9,80,,,Percent of total billed charges,,231.2,61.6,,,Percent of total billed charges,,178.02,20.6,,,Percent of total billed charges,,59.53,20.6,,,Percent of total billed charges,,59.53,65.55,,,Percent of total billed charges,,189.44,21,,,Percent of total billed charges,,60.69,90,,,Percent of total billed charges,,260.1,21,,,Percent of total billed charges,,60.69,21,,,Percent of total billed charges,,60.69,64.9,,,Percent of total billed charges,,187.56,21,,,Percent of total billed charges,,60.69,,235.45,,Case rate,,235.45,9.9,289,
"Evaluation of speech fluency (eg, stuttering, cluttering)",92521,CPT,,,,Outpatient,Facility,,,234,93.6,66,,,Percent of total billed charges,,154.44,20.8,,,Percent of total billed charges,,48.67,20.4,,,Percent of total billed charges,,47.74,,130.23,,Case rate,,130.23,,8.67,,Case rate,,8.67,80,,,Percent of total billed charges,,187.2,61.6,,,Percent of total billed charges,,144.14,20.6,,,Percent of total billed charges,,48.2,20.6,,,Percent of total billed charges,,48.2,65.55,,,Percent of total billed charges,,153.39,21,,,Percent of total billed charges,,49.14,90,,,Percent of total billed charges,,210.6,21,,,Percent of total billed charges,,49.14,21,,,Percent of total billed charges,,49.14,64.9,,,Percent of total billed charges,,151.87,21,,,Percent of total billed charges,,49.14,45,,,Percent of total billed charges,,105.3,8.67,234,
"Examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis)",88363,CPT,,,,Outpatient,Facility,,,48,19.2,66,,,Percent of total billed charges,,31.68,20.8,,,Percent of total billed charges,,9.98,20.4,,,Percent of total billed charges,,9.79,,22.32,,Case rate,,22.32,,7.35,,Case rate,,7.35,80,,,Percent of total billed charges,,38.4,61.6,,,Percent of total billed charges,,29.57,20.6,,,Percent of total billed charges,,9.89,20.6,,,Percent of total billed charges,,9.89,65.55,,,Percent of total billed charges,,31.46,21,,,Percent of total billed charges,,10.08,90,,,Percent of total billed charges,,43.2,21,,,Percent of total billed charges,,10.08,21,,,Percent of total billed charges,,10.08,64.9,,,Percent of total billed charges,,31.15,21,,,Percent of total billed charges,,10.08,,22.61,,Case rate,,22.61,7.35,48,
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each",28092,CPT,,,,Outpatient,Facility,,,6109.39,2443.76,66,,,Percent of total billed charges,,4032.2,20.8,,,Percent of total billed charges,,1270.75,20.4,,,Percent of total billed charges,,1246.32,,404.72,,Case rate,,404.72,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,4887.51,61.6,,,Percent of total billed charges,,3763.38,20.6,,,Percent of total billed charges,,1258.53,20.6,,,Percent of total billed charges,,1258.53,65.55,,,Percent of total billed charges,,4004.71,21,,,Percent of total billed charges,,1282.97,90,,,Percent of total billed charges,,5498.45,21,,,Percent of total billed charges,,1282.97,21,,,Percent of total billed charges,,1282.97,64.9,,,Percent of total billed charges,,3964.99,21,,,Percent of total billed charges,,1282.97,,2202.27,,Case rate,,2202.27,89.15,6109.39,
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less",11420,CPT,,,,Outpatient,Facility,,,1753,701.2,66,,,Percent of total billed charges,,1156.98,20.8,,,Percent of total billed charges,,364.62,20.4,,,Percent of total billed charges,,357.61,,123.33,,Case rate,,123.33,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1402.4,61.6,,,Percent of total billed charges,,1079.85,20.6,,,Percent of total billed charges,,361.12,20.6,,,Percent of total billed charges,,361.12,65.55,,,Percent of total billed charges,,1149.09,21,,,Percent of total billed charges,,368.13,90,,,Percent of total billed charges,,1577.7,21,,,Percent of total billed charges,,368.13,21,,,Percent of total billed charges,,368.13,64.9,,,Percent of total billed charges,,1137.7,21,,,Percent of total billed charges,,368.13,,1420.85,,Case rate,,1420.85,58.06,1753,
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm",11421,CPT,,,,Outpatient,Facility,,,1766,706.4,66,,,Percent of total billed charges,,1165.56,20.8,,,Percent of total billed charges,,367.33,20.4,,,Percent of total billed charges,,360.26,,155.25,,Case rate,,155.25,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1412.8,61.6,,,Percent of total billed charges,,1087.86,20.6,,,Percent of total billed charges,,363.8,20.6,,,Percent of total billed charges,,363.8,65.55,,,Percent of total billed charges,,1157.61,21,,,Percent of total billed charges,,370.86,90,,,Percent of total billed charges,,1589.4,21,,,Percent of total billed charges,,370.86,21,,,Percent of total billed charges,,370.86,64.9,,,Percent of total billed charges,,1146.13,21,,,Percent of total billed charges,,370.86,,1435.52,,Case rate,,1435.52,58.06,1766,
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm",11401,CPT,,,,Outpatient,Facility,,,1692,676.8,66,,,Percent of total billed charges,,1116.72,20.8,,,Percent of total billed charges,,351.94,20.4,,,Percent of total billed charges,,345.17,,151.34,,Case rate,,151.34,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1353.6,61.6,,,Percent of total billed charges,,1042.27,20.6,,,Percent of total billed charges,,348.55,20.6,,,Percent of total billed charges,,348.55,65.55,,,Percent of total billed charges,,1109.11,21,,,Percent of total billed charges,,355.32,90,,,Percent of total billed charges,,1522.8,21,,,Percent of total billed charges,,355.32,21,,,Percent of total billed charges,,355.32,64.9,,,Percent of total billed charges,,1098.11,21,,,Percent of total billed charges,,355.32,,1436.4,,Case rate,,1436.4,58.06,1692,
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm",11402,CPT,,,,Outpatient,Facility,,,2902.92,1161.17,66,,,Percent of total billed charges,,1915.93,20.8,,,Percent of total billed charges,,603.81,20.4,,,Percent of total billed charges,,592.2,,166.26,,Case rate,,166.26,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,2322.34,61.6,,,Percent of total billed charges,,1788.2,20.6,,,Percent of total billed charges,,598,20.6,,,Percent of total billed charges,,598,65.55,,,Percent of total billed charges,,1902.86,21,,,Percent of total billed charges,,609.61,90,,,Percent of total billed charges,,2612.63,21,,,Percent of total billed charges,,609.61,21,,,Percent of total billed charges,,609.61,64.9,,,Percent of total billed charges,,1884,21,,,Percent of total billed charges,,609.61,,1421.69,,Case rate,,1421.69,58.06,2902.92,
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm",11404,CPT,,,,Outpatient,Facility,,,1466.51,586.6,66,,,Percent of total billed charges,,967.89,20.8,,,Percent of total billed charges,,305.03,20.4,,,Percent of total billed charges,,299.17,,217.57,,Case rate,,217.57,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1173.21,61.6,,,Percent of total billed charges,,903.37,20.6,,,Percent of total billed charges,,302.1,20.6,,,Percent of total billed charges,,302.1,65.55,,,Percent of total billed charges,,961.3,21,,,Percent of total billed charges,,307.97,90,,,Percent of total billed charges,,1319.86,21,,,Percent of total billed charges,,307.97,21,,,Percent of total billed charges,,307.97,64.9,,,Percent of total billed charges,,951.76,21,,,Percent of total billed charges,,307.97,,1434.55,,Case rate,,1434.55,58.06,1466.51,
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm",11643,CPT,,,,Outpatient,Facility,,,2902.92,1161.17,66,,,Percent of total billed charges,,1915.93,20.8,,,Percent of total billed charges,,603.81,20.4,,,Percent of total billed charges,,592.2,,305.82,,Case rate,,305.82,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,2322.34,61.6,,,Percent of total billed charges,,1788.2,20.6,,,Percent of total billed charges,,598,20.6,,,Percent of total billed charges,,598,65.55,,,Percent of total billed charges,,1902.86,21,,,Percent of total billed charges,,609.61,90,,,Percent of total billed charges,,2612.63,21,,,Percent of total billed charges,,609.61,21,,,Percent of total billed charges,,609.61,64.9,,,Percent of total billed charges,,1884,21,,,Percent of total billed charges,,609.61,,1920.99,,Case rate,,1920.99,77.74,2902.92,
"Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm",21930,CPT,,,,Outpatient,Facility,,,1653.75,661.5,66,,,Percent of total billed charges,,1091.48,20.8,,,Percent of total billed charges,,343.98,20.4,,,Percent of total billed charges,,337.36,,489.56,,Case rate,,489.56,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1323,61.6,,,Percent of total billed charges,,1018.71,20.6,,,Percent of total billed charges,,340.67,20.6,,,Percent of total billed charges,,340.67,65.55,,,Percent of total billed charges,,1084.03,21,,,Percent of total billed charges,,347.29,90,,,Percent of total billed charges,,1488.38,21,,,Percent of total billed charges,,347.29,21,,,Percent of total billed charges,,347.29,64.9,,,Percent of total billed charges,,1073.28,21,,,Percent of total billed charges,,347.29,,1921.04,,Case rate,,1921.04,77.74,1921.04,
"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater",28039,CPT,,,,Outpatient,Facility,,,4084.73,1633.89,66,,,Percent of total billed charges,,2695.92,20.8,,,Percent of total billed charges,,849.62,20.4,,,Percent of total billed charges,,833.28,,465.73,,Case rate,,465.73,,87.93,,Case rate,,87.93,80,,,Percent of total billed charges,,3267.78,61.6,,,Percent of total billed charges,,2516.19,20.6,,,Percent of total billed charges,,841.45,20.6,,,Percent of total billed charges,,841.45,65.55,,,Percent of total billed charges,,2677.54,21,,,Percent of total billed charges,,857.79,90,,,Percent of total billed charges,,3676.25,21,,,Percent of total billed charges,,857.79,21,,,Percent of total billed charges,,857.79,64.9,,,Percent of total billed charges,,2650.99,21,,,Percent of total billed charges,,857.79,,2532.71,,Case rate,,2532.71,87.93,4084.72,
"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater",25073,CPT,,,,Outpatient,Facility,,,7543.55,3017.42,66,,,Percent of total billed charges,,4978.74,20.8,,,Percent of total billed charges,,1569.06,20.4,,,Percent of total billed charges,,1538.88,,527.05,,Case rate,,527.05,,98.97,,Case rate,,98.97,80,,,Percent of total billed charges,,6034.84,61.6,,,Percent of total billed charges,,4646.83,20.6,,,Percent of total billed charges,,1553.97,20.6,,,Percent of total billed charges,,1553.97,65.55,,,Percent of total billed charges,,4944.8,21,,,Percent of total billed charges,,1584.15,90,,,Percent of total billed charges,,6789.2,21,,,Percent of total billed charges,,1584.15,21,,,Percent of total billed charges,,1584.15,64.9,,,Percent of total billed charges,,4895.76,21,,,Percent of total billed charges,,1584.15,,4626.38,,Case rate,,4626.38,98.97,7543.55,
"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater",23071,CPT,,,,Outpatient,Facility,,,6558.2,2623.28,66,,,Percent of total billed charges,,4328.41,20.8,,,Percent of total billed charges,,1364.11,20.4,,,Percent of total billed charges,,1337.87,,411.52,,Case rate,,411.52,,78.44,,Case rate,,78.44,80,,,Percent of total billed charges,,5246.56,61.6,,,Percent of total billed charges,,4039.85,20.6,,,Percent of total billed charges,,1350.99,20.6,,,Percent of total billed charges,,1350.99,65.55,,,Percent of total billed charges,,4298.9,21,,,Percent of total billed charges,,1377.22,90,,,Percent of total billed charges,,5902.38,21,,,Percent of total billed charges,,1377.22,21,,,Percent of total billed charges,,1377.22,64.9,,,Percent of total billed charges,,4256.27,21,,,Percent of total billed charges,,1377.22,,2833.39,,Case rate,,2833.39,78.44,6558.2,
"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic recording(s)",94617,CPT,,,,Outpatient,Facility,,,400,160,66,,,Percent of total billed charges,,264,20.8,,,Percent of total billed charges,,83.2,20.4,,,Percent of total billed charges,,81.6,,52.78,,Case rate,,52.78,,3.99,,Case rate,,3.99,80,,,Percent of total billed charges,,320,61.6,,,Percent of total billed charges,,246.4,20.6,,,Percent of total billed charges,,82.4,20.6,,,Percent of total billed charges,,82.4,65.55,,,Percent of total billed charges,,262.2,21,,,Percent of total billed charges,,84,90,,,Percent of total billed charges,,360,21,,,Percent of total billed charges,,84,21,,,Percent of total billed charges,,84,64.9,,,Percent of total billed charges,,259.6,21,,,Percent of total billed charges,,84,45,,,Percent of total billed charges,,180,3.99,400,
"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic recording(s)",94617,CPT,46094617,CDM,TC,Outpatient,Facility,,,400,160,66,,,Percent of total billed charges,,264,20.8,,,Percent of total billed charges,,83.2,20.4,,,Percent of total billed charges,,81.6,,52.78,,Case rate,,52.78,,3.99,,Case rate,,3.99,80,,,Percent of total billed charges,,320,61.6,,,Percent of total billed charges,,246.4,20.6,,,Percent of total billed charges,,82.4,20.6,,,Percent of total billed charges,,82.4,65.55,,,Percent of total billed charges,,262.2,21,,,Percent of total billed charges,,84,90,,,Percent of total billed charges,,360,21,,,Percent of total billed charges,,84,21,,,Percent of total billed charges,,84,64.9,,,Percent of total billed charges,,259.6,21,,,Percent of total billed charges,,84,45,,,Percent of total billed charges,,180,3.99,400,
"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)",93225,CPT,,,,Outpatient,Facility,,,465,186,66,,,Percent of total billed charges,,306.9,20.8,,,Percent of total billed charges,,96.72,20.4,,,Percent of total billed charges,,94.86,,17.38,,Case rate,,17.38,,8.88,,Case rate,,8.88,80,,,Percent of total billed charges,,372,61.6,,,Percent of total billed charges,,286.44,20.6,,,Percent of total billed charges,,95.79,20.6,,,Percent of total billed charges,,95.79,65.55,,,Percent of total billed charges,,304.81,21,,,Percent of total billed charges,,97.65,90,,,Percent of total billed charges,,418.5,21,,,Percent of total billed charges,,97.65,21,,,Percent of total billed charges,,97.65,64.9,,,Percent of total billed charges,,301.78,21,,,Percent of total billed charges,,97.65,,99.22,,Case rate,,99.22,8.88,465,
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report,93226,CPT,,,,Outpatient,Facility,,,508,203.2,66,,,Percent of total billed charges,,335.28,20.8,,,Percent of total billed charges,,105.66,20.4,,,Percent of total billed charges,,103.63,,34.14,,Case rate,,34.14,,15.67,,Case rate,,15.67,80,,,Percent of total billed charges,,406.4,61.6,,,Percent of total billed charges,,312.93,20.6,,,Percent of total billed charges,,104.65,20.6,,,Percent of total billed charges,,104.65,65.55,,,Percent of total billed charges,,332.99,21,,,Percent of total billed charges,,106.68,90,,,Percent of total billed charges,,457.2,21,,,Percent of total billed charges,,106.68,21,,,Percent of total billed charges,,106.68,64.9,,,Percent of total billed charges,,329.69,21,,,Percent of total billed charges,,106.68,,156.33,,Case rate,,156.33,15.67,508,
"External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; recording (includes connection, recording, and disconnection)",93270,CPT,,,,Outpatient,Facility,,,136,54.4,66,,,Percent of total billed charges,,89.76,20.8,,,Percent of total billed charges,,28.29,20.4,,,Percent of total billed charges,,27.74,,7.9,,Case rate,,7.9,,8.88,,Case rate,,8.88,80,,,Percent of total billed charges,,108.8,61.6,,,Percent of total billed charges,,83.78,20.6,,,Percent of total billed charges,,28.02,20.6,,,Percent of total billed charges,,28.02,65.55,,,Percent of total billed charges,,89.15,21,,,Percent of total billed charges,,28.56,90,,,Percent of total billed charges,,122.4,21,,,Percent of total billed charges,,28.56,21,,,Percent of total billed charges,,28.56,64.9,,,Percent of total billed charges,,88.26,21,,,Percent of total billed charges,,28.56,,99.22,,Case rate,,99.22,7.9,136,
"External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; transmission and analysis",93271,CPT,,,,Outpatient,Facility,,,1267,506.8,66,,,Percent of total billed charges,,836.22,20.8,,,Percent of total billed charges,,263.54,20.4,,,Percent of total billed charges,,258.47,,138.16,,Case rate,,138.16,,41.9,,Case rate,,41.9,80,,,Percent of total billed charges,,1013.6,61.6,,,Percent of total billed charges,,780.47,20.6,,,Percent of total billed charges,,261,20.6,,,Percent of total billed charges,,261,65.55,,,Percent of total billed charges,,830.52,21,,,Percent of total billed charges,,266.07,90,,,Percent of total billed charges,,1140.3,21,,,Percent of total billed charges,,266.07,21,,,Percent of total billed charges,,266.07,64.9,,,Percent of total billed charges,,822.28,21,,,Percent of total billed charges,,266.07,,188.23,,Case rate,,188.23,41.9,1267,
"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant",81241,CPT,,,,Outpatient,Facility,,,847,338.8,66,,,Percent of total billed charges,,559.02,20.8,,,Percent of total billed charges,,176.18,20.4,,,Percent of total billed charges,,172.79,,73.37,,Case rate,,73.37,,29,,Case rate,,29,80,,,Percent of total billed charges,,677.6,61.6,,,Percent of total billed charges,,521.75,20.6,,,Percent of total billed charges,,174.48,20.6,,,Percent of total billed charges,,174.48,65.55,,,Percent of total billed charges,,555.21,21,,,Percent of total billed charges,,177.87,90,,,Percent of total billed charges,,762.3,21,,,Percent of total billed charges,,177.87,21,,,Percent of total billed charges,,177.87,64.9,,,Percent of total billed charges,,549.7,21,,,Percent of total billed charges,,177.87,,86.87,,Case rate,,86.87,29,847,
Fetal biophysical profile; with non-stress testing,76818,CPT,40276818,CDM,TC,Outpatient,Facility,,,437,174.8,66,,,Percent of total billed charges,,288.42,20.8,,,Percent of total billed charges,,90.9,20.4,,,Percent of total billed charges,,89.15,,63.22,,Case rate,,63.22,,12.47,,Case rate,,12.47,80,,,Percent of total billed charges,,349.6,61.6,,,Percent of total billed charges,,269.19,20.6,,,Percent of total billed charges,,90.02,20.6,,,Percent of total billed charges,,90.02,65.55,,,Percent of total billed charges,,286.45,21,,,Percent of total billed charges,,91.77,90,,,Percent of total billed charges,,393.3,21,,,Percent of total billed charges,,91.77,21,,,Percent of total billed charges,,91.77,64.9,,,Percent of total billed charges,,283.61,21,,,Percent of total billed charges,,91.77,,312.75,,Case rate,,312.75,12.47,437,
"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood",81422,CPT,,,,Outpatient,Facility,,,2713,1085.2,66,,,Percent of total billed charges,,1790.58,20.8,,,Percent of total billed charges,,564.3,,774.23,,Case rate,,774.23,,759.05,,Case rate,,759.05,,55.42,,Case rate,,55.42,80,,,Percent of total billed charges,,2170.4,61.6,,,Percent of total billed charges,,1671.21,20.6,,,Percent of total billed charges,,558.88,20.6,,,Percent of total billed charges,,558.88,65.55,,,Percent of total billed charges,,1778.37,21,,,Percent of total billed charges,,569.73,90,,,Percent of total billed charges,,2441.7,21,,,Percent of total billed charges,,569.73,21,,,Percent of total billed charges,,569.73,64.9,,,Percent of total billed charges,,1760.74,21,,,Percent of total billed charges,,569.73,,2661.65,,Case rate,,2661.65,55.42,2713,
"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG [any form], DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from previous biochemical testing)",81511,CPT,,,,Outpatient,Facility,,,169,67.6,66,,,Percent of total billed charges,,111.54,20.8,,,Percent of total billed charges,,35.15,20.4,,,Percent of total billed charges,,34.48,,153.5,,Case rate,,153.5,,6.36,,Case rate,,6.36,80,,,Percent of total billed charges,,135.2,61.6,,,Percent of total billed charges,,104.1,20.6,,,Percent of total billed charges,,34.81,20.6,,,Percent of total billed charges,,34.81,65.55,,,Percent of total billed charges,,110.78,21,,,Percent of total billed charges,,35.49,90,,,Percent of total billed charges,,152.1,21,,,Percent of total billed charges,,35.49,21,,,Percent of total billed charges,,35.49,64.9,,,Percent of total billed charges,,109.68,21,,,Percent of total billed charges,,35.49,,556.6,,Case rate,,556.6,6.36,556.6,
"Fibrin degradation products, D-dimer; quantitative",85379,CPT,,,,Outpatient,Facility,,,75,30,66,,,Percent of total billed charges,,49.5,20.8,,,Percent of total billed charges,,15.6,20.4,,,Percent of total billed charges,,15.3,,10.18,,Case rate,,10.18,,2.17,,Case rate,,2.17,80,,,Percent of total billed charges,,60,61.6,,,Percent of total billed charges,,46.2,20.6,,,Percent of total billed charges,,15.45,20.6,,,Percent of total billed charges,,15.45,65.55,,,Percent of total billed charges,,49.16,21,,,Percent of total billed charges,,15.75,90,,,Percent of total billed charges,,67.5,21,,,Percent of total billed charges,,15.75,21,,,Percent of total billed charges,,15.75,64.9,,,Percent of total billed charges,,48.68,21,,,Percent of total billed charges,,15.75,,42.2,,Case rate,,42.2,2.17,75,
"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative",85380,CPT,,,,Outpatient,Facility,,,69,27.6,66,,,Percent of total billed charges,,45.54,20.8,,,Percent of total billed charges,,14.35,20.4,,,Percent of total billed charges,,14.08,,10.18,,Case rate,,10.18,,2.31,,Case rate,,2.31,80,,,Percent of total billed charges,,55.2,61.6,,,Percent of total billed charges,,42.5,20.6,,,Percent of total billed charges,,14.21,20.6,,,Percent of total billed charges,,14.21,65.55,,,Percent of total billed charges,,45.23,21,,,Percent of total billed charges,,14.49,90,,,Percent of total billed charges,,62.1,21,,,Percent of total billed charges,,14.49,21,,,Percent of total billed charges,,14.49,64.9,,,Percent of total billed charges,,44.78,21,,,Percent of total billed charges,,14.49,,32.78,,Case rate,,32.78,2.31,69,
Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation,85366,CPT,,,,Outpatient,Facility,,,74,29.6,66,,,Percent of total billed charges,,48.84,20.8,,,Percent of total billed charges,,15.39,20.4,,,Percent of total billed charges,,15.1,,80.46,,Case rate,Use Lesser of logic,74,,2.49,,Case rate,,2.49,80,,,Percent of total billed charges,,59.2,61.6,,,Percent of total billed charges,,45.58,20.6,,,Percent of total billed charges,,15.24,20.6,,,Percent of total billed charges,,15.24,65.55,,,Percent of total billed charges,,48.51,21,,,Percent of total billed charges,,15.54,90,,,Percent of total billed charges,,66.6,21,,,Percent of total billed charges,,15.54,21,,,Percent of total billed charges,,15.54,64.9,,,Percent of total billed charges,,48.03,21,,,Percent of total billed charges,,15.54,,49.54,,Case rate,,49.54,2.49,74,
Fibrinogen; activity,85384,CPT,,,,Outpatient,Facility,,,96,38.4,66,,,Percent of total billed charges,,63.36,20.8,,,Percent of total billed charges,,19.97,20.4,,,Percent of total billed charges,,19.58,,9.72,,Case rate,,9.72,,1.74,,Case rate,,1.74,80,,,Percent of total billed charges,,76.8,61.6,,,Percent of total billed charges,,59.14,20.6,,,Percent of total billed charges,,19.78,20.6,,,Percent of total billed charges,,19.78,65.55,,,Percent of total billed charges,,62.93,21,,,Percent of total billed charges,,20.16,90,,,Percent of total billed charges,,86.4,21,,,Percent of total billed charges,,20.16,21,,,Percent of total billed charges,,20.16,64.9,,,Percent of total billed charges,,62.3,21,,,Percent of total billed charges,,20.16,,46.29,,Case rate,,46.29,1.74,96,
Fibrinolytic factors and inhibitors; alpha-2 antiplasmin,85410,CPT,,,,Outpatient,Facility,,,551,220.4,66,,,Percent of total billed charges,,363.66,20.8,,,Percent of total billed charges,,114.61,20.4,,,Percent of total billed charges,,112.4,,7.71,,Case rate,,7.71,,2.23,,Case rate,,2.23,80,,,Percent of total billed charges,,440.8,61.6,,,Percent of total billed charges,,339.42,20.6,,,Percent of total billed charges,,113.51,20.6,,,Percent of total billed charges,,113.51,65.55,,,Percent of total billed charges,,361.18,21,,,Percent of total billed charges,,115.71,90,,,Percent of total billed charges,,495.9,21,,,Percent of total billed charges,,115.71,21,,,Percent of total billed charges,,115.71,64.9,,,Percent of total billed charges,,357.6,21,,,Percent of total billed charges,,115.71,,56.78,,Case rate,,56.78,2.23,551,
Fibrinolytic factors and inhibitors; plasminogen activator,85415,CPT,,,,Outpatient,Facility,,,551,220.4,66,,,Percent of total billed charges,,363.66,20.8,,,Percent of total billed charges,,114.61,20.4,,,Percent of total billed charges,,112.4,,17.19,,Case rate,,17.19,,3.89,,Case rate,,3.89,80,,,Percent of total billed charges,,440.8,61.6,,,Percent of total billed charges,,339.42,20.6,,,Percent of total billed charges,,113.51,20.6,,,Percent of total billed charges,,113.51,65.55,,,Percent of total billed charges,,361.18,21,,,Percent of total billed charges,,115.71,90,,,Percent of total billed charges,,495.9,21,,,Percent of total billed charges,,115.71,21,,,Percent of total billed charges,,115.71,64.9,,,Percent of total billed charges,,357.6,21,,,Percent of total billed charges,,115.71,,94.16,,Case rate,,94.16,3.89,551,
"Fine needle aspiration biopsy, without imaging guidance; first lesion",10021,CPT,,,,Outpatient,Facility,,,730,292,66,,,Percent of total billed charges,,481.8,20.8,,,Percent of total billed charges,,151.84,20.4,,,Percent of total billed charges,,148.92,,98.64,,Case rate,,98.64,,24.91,,Case rate,,24.91,80,,,Percent of total billed charges,,584,61.6,,,Percent of total billed charges,,449.68,20.6,,,Percent of total billed charges,,150.38,20.6,,,Percent of total billed charges,,150.38,65.55,,,Percent of total billed charges,,478.52,21,,,Percent of total billed charges,,153.3,90,,,Percent of total billed charges,,657,21,,,Percent of total billed charges,,153.3,21,,,Percent of total billed charges,,153.3,64.9,,,Percent of total billed charges,,473.77,21,,,Percent of total billed charges,,153.3,,172.16,,Case rate,,172.16,24.91,730,
Fitting and insertion of pessary or other intravaginal support device,57160,CPT,,,,Outpatient,Facility,,,421,168.4,66,,,Percent of total billed charges,,277.86,20.8,,,Percent of total billed charges,,87.57,20.4,,,Percent of total billed charges,,85.88,,72.71,,Case rate,,72.71,,14.22,,Case rate,,14.22,80,,,Percent of total billed charges,,336.8,61.6,,,Percent of total billed charges,,259.34,20.6,,,Percent of total billed charges,,86.73,20.6,,,Percent of total billed charges,,86.73,65.55,,,Percent of total billed charges,,275.97,21,,,Percent of total billed charges,,88.41,90,,,Percent of total billed charges,,378.9,21,,,Percent of total billed charges,,88.41,21,,,Percent of total billed charges,,88.41,64.9,,,Percent of total billed charges,,273.23,21,,,Percent of total billed charges,,88.41,,312.29,,Case rate,,312.29,14.22,421,
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,,,,Outpatient,Facility,,,814,325.6,66,,,Percent of total billed charges,,537.24,20.8,,,Percent of total billed charges,,169.31,20.4,,,Percent of total billed charges,,166.06,,115.36,,Case rate,,115.36,,5.25,,Case rate,,5.25,80,,,Percent of total billed charges,,651.2,61.6,,,Percent of total billed charges,,501.42,20.6,,,Percent of total billed charges,,167.68,20.6,,,Percent of total billed charges,,167.68,65.55,,,Percent of total billed charges,,533.58,21,,,Percent of total billed charges,,170.94,90,,,Percent of total billed charges,,732.6,21,,,Percent of total billed charges,,170.94,21,,,Percent of total billed charges,,170.94,64.9,,,Percent of total billed charges,,528.29,21,,,Percent of total billed charges,,170.94,,122.44,,Case rate,,122.44,5.25,814,
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker)",88185,CPT,,,,Outpatient,Facility,,,134,53.6,66,,,Percent of total billed charges,,88.44,20.8,,,Percent of total billed charges,,27.87,20.4,,,Percent of total billed charges,,27.34,,22.45,,Case rate,,22.45,,4.52,,Case rate,,4.52,80,,,Percent of total billed charges,,107.2,61.6,,,Percent of total billed charges,,82.54,20.6,,,Percent of total billed charges,,27.6,20.6,,,Percent of total billed charges,,27.6,65.55,,,Percent of total billed charges,,87.84,21,,,Percent of total billed charges,,28.14,90,,,Percent of total billed charges,,120.6,21,,,Percent of total billed charges,,28.14,21,,,Percent of total billed charges,,28.14,64.9,,,Percent of total billed charges,,86.97,21,,,Percent of total billed charges,,28.14,,12.63,,Case rate,,12.63,4.52,134,
"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker",88184,CPT,,,,Outpatient,Facility,,,264,105.6,66,,,Percent of total billed charges,,174.24,20.8,,,Percent of total billed charges,,54.91,20.4,,,Percent of total billed charges,,53.86,,70.17,,Case rate,,70.17,,9.19,,Case rate,,9.19,80,,,Percent of total billed charges,,211.2,61.6,,,Percent of total billed charges,,162.62,20.6,,,Percent of total billed charges,,54.38,20.6,,,Percent of total billed charges,,54.38,65.55,,,Percent of total billed charges,,173.05,21,,,Percent of total billed charges,,55.44,90,,,Percent of total billed charges,,237.6,21,,,Percent of total billed charges,,55.44,21,,,Percent of total billed charges,,55.44,64.9,,,Percent of total billed charges,,171.34,21,,,Percent of total billed charges,,55.44,,111.71,,Case rate,,111.71,9.19,264,
"Flow cytometry, interpretation; 2 to 8 markers",88187,CPT,,,,Outpatient,Facility,,,244,97.6,66,,,Percent of total billed charges,,161.04,20.8,,,Percent of total billed charges,,50.75,20.4,,,Percent of total billed charges,,49.78,,34.52,,Case rate,,34.52,,13.36,,Case rate,,13.36,80,,,Percent of total billed charges,,195.2,61.6,,,Percent of total billed charges,,150.3,20.6,,,Percent of total billed charges,,50.26,20.6,,,Percent of total billed charges,,50.26,65.55,,,Percent of total billed charges,,159.94,21,,,Percent of total billed charges,,51.24,90,,,Percent of total billed charges,,219.6,21,,,Percent of total billed charges,,51.24,21,,,Percent of total billed charges,,51.24,64.9,,,Percent of total billed charges,,158.36,21,,,Percent of total billed charges,,51.24,,135.53,,Case rate,,135.53,13.36,244,
"Fluorescent noninfectious agent antibody; screen, each antibody",86255,CPT,,,,Outpatient,Facility,,,172,68.8,66,,,Percent of total billed charges,,113.52,20.8,,,Percent of total billed charges,,35.78,20.4,,,Percent of total billed charges,,35.09,,12.05,,Case rate,,12.05,,2.48,,Case rate,,2.48,80,,,Percent of total billed charges,,137.6,61.6,,,Percent of total billed charges,,105.95,20.6,,,Percent of total billed charges,,35.43,20.6,,,Percent of total billed charges,,35.43,65.55,,,Percent of total billed charges,,112.75,21,,,Percent of total billed charges,,36.12,90,,,Percent of total billed charges,,154.8,21,,,Percent of total billed charges,,36.12,21,,,Percent of total billed charges,,36.12,64.9,,,Percent of total billed charges,,111.63,21,,,Percent of total billed charges,,36.12,,49.31,,Case rate,,49.31,2.48,172,
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,32077003,CDM,TC,Outpatient,Facility,,,279,111.6,66,,,Percent of total billed charges,,184.14,20.8,,,Percent of total billed charges,,58.03,20.4,,,Percent of total billed charges,,56.92,,73.66,,Case rate,,73.66,,8.08,,Case rate,,8.08,80,,,Percent of total billed charges,,223.2,61.6,,,Percent of total billed charges,,171.86,20.6,,,Percent of total billed charges,,57.47,20.6,,,Percent of total billed charges,,57.47,65.55,,,Percent of total billed charges,,182.88,21,,,Percent of total billed charges,,58.59,90,,,Percent of total billed charges,,251.1,21,,,Percent of total billed charges,,58.59,21,,,Percent of total billed charges,,58.59,64.9,,,Percent of total billed charges,,181.07,21,,,Percent of total billed charges,,58.59,,233.78,,Case rate,,233.78,8.08,279,
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,32077001,CDM,TC,Outpatient,Facility,,,317,126.8,66,,,Percent of total billed charges,,209.22,20.8,,,Percent of total billed charges,,65.94,20.4,,,Percent of total billed charges,,64.67,,78.72,,Case rate,,78.72,,11.45,,Case rate,,11.45,80,,,Percent of total billed charges,,253.6,61.6,,,Percent of total billed charges,,195.27,20.6,,,Percent of total billed charges,,65.3,20.6,,,Percent of total billed charges,,65.3,65.55,,,Percent of total billed charges,,207.79,21,,,Percent of total billed charges,,66.57,90,,,Percent of total billed charges,,285.3,21,,,Percent of total billed charges,,66.57,21,,,Percent of total billed charges,,66.57,64.9,,,Percent of total billed charges,,205.73,21,,,Percent of total billed charges,,66.57,,246.03,,Case rate,,246.03,11.45,317,
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,,,,Outpatient,Facility,,,377,150.8,66,,,Percent of total billed charges,,248.82,20.8,,,Percent of total billed charges,,78.42,20.4,,,Percent of total billed charges,,76.91,,85.36,,Case rate,,85.36,,8.83,,Case rate,,8.83,80,,,Percent of total billed charges,,301.6,61.6,,,Percent of total billed charges,,232.23,20.6,,,Percent of total billed charges,,77.66,20.6,,,Percent of total billed charges,,77.66,65.55,,,Percent of total billed charges,,247.12,21,,,Percent of total billed charges,,79.17,90,,,Percent of total billed charges,,339.3,21,,,Percent of total billed charges,,79.17,21,,,Percent of total billed charges,,79.17,64.9,,,Percent of total billed charges,,244.67,21,,,Percent of total billed charges,,79.17,,319.07,,Case rate,,319.07,8.83,377,
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,,,,Outpatient,Facility,,,514,205.6,66,,,Percent of total billed charges,,339.24,20.8,,,Percent of total billed charges,,106.91,20.4,,,Percent of total billed charges,,104.86,,26.55,,Case rate,,26.55,,6.98,,Case rate,,6.98,80,,,Percent of total billed charges,,411.2,61.6,,,Percent of total billed charges,,316.62,20.6,,,Percent of total billed charges,,105.88,20.6,,,Percent of total billed charges,,105.88,65.55,,,Percent of total billed charges,,336.93,21,,,Percent of total billed charges,,107.94,90,,,Percent of total billed charges,,462.6,21,,,Percent of total billed charges,,107.94,21,,,Percent of total billed charges,,107.94,64.9,,,Percent of total billed charges,,333.59,21,,,Percent of total billed charges,,107.94,,164.41,,Case rate,,164.41,6.98,514,
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time",76000,CPT,32076000,CDM,TC,Outpatient,Facility,,,514,205.6,66,,,Percent of total billed charges,,339.24,20.8,,,Percent of total billed charges,,106.91,20.4,,,Percent of total billed charges,,104.86,,26.55,,Case rate,,26.55,,6.98,,Case rate,,6.98,80,,,Percent of total billed charges,,411.2,61.6,,,Percent of total billed charges,,316.62,20.6,,,Percent of total billed charges,,105.88,20.6,,,Percent of total billed charges,,105.88,65.55,,,Percent of total billed charges,,336.93,21,,,Percent of total billed charges,,107.94,90,,,Percent of total billed charges,,462.6,21,,,Percent of total billed charges,,107.94,21,,,Percent of total billed charges,,107.94,64.9,,,Percent of total billed charges,,333.59,21,,,Percent of total billed charges,,107.94,,164.41,,Case rate,,164.41,6.98,514,
"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; characterization of alleles (eg, expanded size and promoter methylation status)",81244,CPT,,,,Outpatient,Facility,,,172,68.8,66,,,Percent of total billed charges,,113.52,20.8,,,Percent of total billed charges,,35.78,20.4,,,Percent of total billed charges,,35.09,,44.89,,Case rate,,44.89,,40.7,,Case rate,,40.7,80,,,Percent of total billed charges,,137.6,61.6,,,Percent of total billed charges,,105.95,20.6,,,Percent of total billed charges,,35.43,20.6,,,Percent of total billed charges,,35.43,65.55,,,Percent of total billed charges,,112.75,21,,,Percent of total billed charges,,36.12,90,,,Percent of total billed charges,,154.8,21,,,Percent of total billed charges,,36.12,21,,,Percent of total billed charges,,36.12,64.9,,,Percent of total billed charges,,111.63,21,,,Percent of total billed charges,,36.12,,68.25,,Case rate,,68.25,35.09,172,
Folic acid; RBC,82747,CPT,,,,Outpatient,Facility,,,99,39.6,66,,,Percent of total billed charges,,65.34,20.8,,,Percent of total billed charges,,20.59,20.4,,,Percent of total billed charges,,20.2,,17.65,,Case rate,,17.65,,3.28,,Case rate,,3.28,80,,,Percent of total billed charges,,79.2,61.6,,,Percent of total billed charges,,60.98,20.6,,,Percent of total billed charges,,20.39,20.6,,,Percent of total billed charges,,20.39,65.55,,,Percent of total billed charges,,64.89,21,,,Percent of total billed charges,,20.79,90,,,Percent of total billed charges,,89.1,21,,,Percent of total billed charges,,20.79,21,,,Percent of total billed charges,,20.79,64.9,,,Percent of total billed charges,,64.25,21,,,Percent of total billed charges,,20.79,,80.51,,Case rate,,80.51,3.28,99,
"Fresh frozen plasma between 8-24 hours of collection, each unit",P9059,CPT,,,,Outpatient,Facility,,,261,104.4,66,,,Percent of total billed charges,,172.26,20.8,,,Percent of total billed charges,,54.29,20.4,,,Percent of total billed charges,,53.24,,49.4,,Case rate,,49.4,,9.78,,Case rate,,9.78,80,,,Percent of total billed charges,,208.8,61.6,,,Percent of total billed charges,,160.78,20.6,,,Percent of total billed charges,,53.77,20.6,,,Percent of total billed charges,,53.77,65.55,,,Percent of total billed charges,,171.09,21,,,Percent of total billed charges,,54.81,90,,,Percent of total billed charges,,234.9,21,,,Percent of total billed charges,,54.81,21,,,Percent of total billed charges,,54.81,64.9,,,Percent of total billed charges,,169.39,21,,,Percent of total billed charges,,54.81,,199.88,,Case rate,,199.88,9.78,261,
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less",15240,CPT,,,,Outpatient,Facility,,,3234,1293.6,66,,,Percent of total billed charges,,2134.44,20.8,,,Percent of total billed charges,,672.67,20.4,,,Percent of total billed charges,,659.74,,900.69,,Case rate,,900.69,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,2587.2,61.6,,,Percent of total billed charges,,1992.14,20.6,,,Percent of total billed charges,,666.2,20.6,,,Percent of total billed charges,,666.2,65.55,,,Percent of total billed charges,,2119.89,21,,,Percent of total billed charges,,679.14,90,,,Percent of total billed charges,,2910.6,21,,,Percent of total billed charges,,679.14,21,,,Percent of total billed charges,,679.14,64.9,,,Percent of total billed charges,,2098.87,21,,,Percent of total billed charges,,679.14,,2200.09,,Case rate,,2200.09,89.15,3234,
"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each",82787,CPT,,,,Outpatient,Facility,,,201,80.4,66,,,Percent of total billed charges,,132.66,20.8,,,Percent of total billed charges,,41.81,20.4,,,Percent of total billed charges,,41,,8.02,,Case rate,,8.02,,6.86,,Case rate,,6.86,80,,,Percent of total billed charges,,160.8,61.6,,,Percent of total billed charges,,123.82,20.6,,,Percent of total billed charges,,41.41,20.6,,,Percent of total billed charges,,41.41,65.55,,,Percent of total billed charges,,131.76,21,,,Percent of total billed charges,,42.21,90,,,Percent of total billed charges,,180.9,21,,,Percent of total billed charges,,42.21,21,,,Percent of total billed charges,,42.21,64.9,,,Percent of total billed charges,,130.45,21,,,Percent of total billed charges,,42.21,,148.85,,Case rate,,148.85,6.86,201,
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,,,,Outpatient,Facility,,,300,120,66,,,Percent of total billed charges,,198,20.8,,,Percent of total billed charges,,62.4,20.4,,,Percent of total billed charges,,61.2,,30.03,,Case rate,,30.03,,3.66,,Case rate,,3.66,80,,,Percent of total billed charges,,240,61.6,,,Percent of total billed charges,,184.8,20.6,,,Percent of total billed charges,,61.8,20.6,,,Percent of total billed charges,,61.8,65.55,,,Percent of total billed charges,,196.65,21,,,Percent of total billed charges,,63,90,,,Percent of total billed charges,,270,21,,,Percent of total billed charges,,63,21,,,Percent of total billed charges,,63,64.9,,,Percent of total billed charges,,194.7,21,,,Percent of total billed charges,,63,,103.26,,Case rate,,103.26,3.66,300,
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes",94727,CPT,46094727,CDM,TC,Outpatient,Facility,,,300,120,66,,,Percent of total billed charges,,198,20.8,,,Percent of total billed charges,,62.4,20.4,,,Percent of total billed charges,,61.2,,30.03,,Case rate,,30.03,,3.66,,Case rate,,3.66,80,,,Percent of total billed charges,,240,61.6,,,Percent of total billed charges,,184.8,20.6,,,Percent of total billed charges,,61.8,20.6,,,Percent of total billed charges,,61.8,65.55,,,Percent of total billed charges,,196.65,21,,,Percent of total billed charges,,63,90,,,Percent of total billed charges,,270,21,,,Percent of total billed charges,,63,21,,,Percent of total billed charges,,63,64.9,,,Percent of total billed charges,,194.7,21,,,Percent of total billed charges,,63,,103.26,,Case rate,,103.26,3.66,300,
"Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed",43753,CPT,,,,Outpatient,Facility,,,726,290.4,66,,,Percent of total billed charges,,479.16,20.8,,,Percent of total billed charges,,151.01,20.4,,,Percent of total billed charges,,148.1,,21.18,,Case rate,,21.18,,4.09,,Case rate,,4.09,80,,,Percent of total billed charges,,580.8,61.6,,,Percent of total billed charges,,447.22,20.6,,,Percent of total billed charges,,149.56,20.6,,,Percent of total billed charges,,149.56,65.55,,,Percent of total billed charges,,475.89,21,,,Percent of total billed charges,,152.46,90,,,Percent of total billed charges,,653.4,21,,,Percent of total billed charges,,152.46,21,,,Percent of total billed charges,,152.46,64.9,,,Percent of total billed charges,,471.17,21,,,Percent of total billed charges,,152.46,,615.99,,Case rate,,615.99,4.09,726,
Gastrin,82941,CPT,,,,Outpatient,Facility,,,218,87.2,66,,,Percent of total billed charges,,143.88,20.8,,,Percent of total billed charges,,45.34,20.4,,,Percent of total billed charges,,44.47,,17.63,,Case rate,,17.63,,3.63,,Case rate,,3.63,80,,,Percent of total billed charges,,174.4,61.6,,,Percent of total billed charges,,134.29,20.6,,,Percent of total billed charges,,44.91,20.6,,,Percent of total billed charges,,44.91,65.55,,,Percent of total billed charges,,142.9,21,,,Percent of total billed charges,,45.78,90,,,Percent of total billed charges,,196.2,21,,,Percent of total billed charges,,45.78,21,,,Percent of total billed charges,,45.78,64.9,,,Percent of total billed charges,,141.48,21,,,Percent of total billed charges,,45.78,,87.8,,Case rate,,87.8,3.63,218,
gastrointestinal hemorrhage with mcc,377,MS-DRG,,,,Inpatient,Facility,,,61374.15,24549.66,,16116.28,,Case rate,DRG Factor * DRG Weight,16116.28,,1758.64,,Per Diem,,21103.68,,1724.82,,Per Diem,,20697.84,,22487.41,,Case rate,DRG Factor * DRG Weight,22487.41,,1674.09,,Per Diem,,20089.08,80,,,Percent of total billed charges,,49099.32,61.6,,,Percent of total billed charges,,37806.47,,1741.73,,Per Diem,,20900.76,,1741.73,,Per Diem,,20900.76,65.55,,,Percent of total billed charges,,40230.75,,2079,,Per Diem,,24948,90,,,Percent of total billed charges,,55236.73,,2079,,Per Diem,,24948,,2079,,Per Diem,,24948,64.9,,,Percent of total billed charges,,39831.82,,2079,,Per Diem,,24948,,17278.61,,Case rate,DRG Factor * DRG Weight,17278.61,16116.28,61374.15,
Glucagon,82943,CPT,,,,Outpatient,Facility,,,70,28,66,,,Percent of total billed charges,,46.2,20.8,,,Percent of total billed charges,,14.56,20.4,,,Percent of total billed charges,,14.28,,14.29,,Case rate,,14.29,,4.14,,Case rate,,4.14,80,,,Percent of total billed charges,,56,61.6,,,Percent of total billed charges,,43.12,20.6,,,Percent of total billed charges,,14.42,20.6,,,Percent of total billed charges,,14.42,65.55,,,Percent of total billed charges,,45.88,21,,,Percent of total billed charges,,14.7,90,,,Percent of total billed charges,,63,21,,,Percent of total billed charges,,14.7,21,,,Percent of total billed charges,,14.7,64.9,,,Percent of total billed charges,,45.43,21,,,Percent of total billed charges,,14.7,,99.31,,Case rate,,99.31,4.14,99.31,
"Glucose, body fluid, other than blood",82945,CPT,,,,Outpatient,Facility,,,51,20.4,66,,,Percent of total billed charges,,33.66,20.8,,,Percent of total billed charges,,10.61,20.4,,,Percent of total billed charges,,10.4,,3.93,,Case rate,,3.93,,1.11,,Case rate,,1.11,80,,,Percent of total billed charges,,40.8,61.6,,,Percent of total billed charges,,31.42,20.6,,,Percent of total billed charges,,10.51,20.6,,,Percent of total billed charges,,10.51,65.55,,,Percent of total billed charges,,33.43,21,,,Percent of total billed charges,,10.71,90,,,Percent of total billed charges,,45.9,21,,,Percent of total billed charges,,10.71,21,,,Percent of total billed charges,,10.71,64.9,,,Percent of total billed charges,,33.1,21,,,Percent of total billed charges,,10.71,,37.93,,Case rate,,37.93,1.11,51,
Glucose-6-phosphate dehydrogenase (G6PD); quantitative,82955,CPT,,,,Outpatient,Facility,,,62,24.8,66,,,Percent of total billed charges,,40.92,20.8,,,Percent of total billed charges,,12.9,20.4,,,Percent of total billed charges,,12.65,,9.7,,Case rate,,9.7,,2,,Case rate,,2,80,,,Percent of total billed charges,,49.6,61.6,,,Percent of total billed charges,,38.19,20.6,,,Percent of total billed charges,,12.77,20.6,,,Percent of total billed charges,,12.77,65.55,,,Percent of total billed charges,,40.64,21,,,Percent of total billed charges,,13.02,90,,,Percent of total billed charges,,55.8,21,,,Percent of total billed charges,,13.02,21,,,Percent of total billed charges,,13.02,64.9,,,Percent of total billed charges,,40.24,21,,,Percent of total billed charges,,13.02,,50.66,,Case rate,,50.66,2,62,
"Glucose; blood, reagent strip",82948,CPT,,,,Outpatient,Facility,,,28,11.2,66,,,Percent of total billed charges,,18.48,20.8,,,Percent of total billed charges,,5.82,20.4,,,Percent of total billed charges,,5.71,,5.04,,Case rate,,5.04,,0.79,,Case rate,,0.79,80,,,Percent of total billed charges,,22.4,61.6,,,Percent of total billed charges,,17.25,20.6,,,Percent of total billed charges,,5.77,20.6,,,Percent of total billed charges,,5.77,65.55,,,Percent of total billed charges,,18.35,21,,,Percent of total billed charges,,5.88,90,,,Percent of total billed charges,,25.2,21,,,Percent of total billed charges,,5.88,21,,,Percent of total billed charges,,5.88,64.9,,,Percent of total billed charges,,18.17,21,,,Percent of total billed charges,,5.88,,22.75,,Case rate,,22.75,0.79,28,
"Glucose; quantitative, blood (except reagent strip)",82947,CPT,,,,Outpatient,Facility,,,48,19.2,66,,,Percent of total billed charges,,31.68,20.8,,,Percent of total billed charges,,9.98,20.4,,,Percent of total billed charges,,9.79,,3.93,,Case rate,,3.93,,0.81,,Case rate,,0.81,80,,,Percent of total billed charges,,38.4,61.6,,,Percent of total billed charges,,29.57,20.6,,,Percent of total billed charges,,9.89,20.6,,,Percent of total billed charges,,9.89,65.55,,,Percent of total billed charges,,31.46,21,,,Percent of total billed charges,,10.08,90,,,Percent of total billed charges,,43.2,21,,,Percent of total billed charges,,10.08,21,,,Percent of total billed charges,,10.08,64.9,,,Percent of total billed charges,,31.15,21,,,Percent of total billed charges,,10.08,,25.17,,Case rate,,25.17,0.81,48,
"Glucose; tolerance test (GTT), 3 specimens (includes glucose)",82951,CPT,,,,Outpatient,Facility,,,128,51.2,66,,,Percent of total billed charges,,84.48,20.8,,,Percent of total billed charges,,26.62,20.4,,,Percent of total billed charges,,26.11,,12.87,,Case rate,,12.87,,2.65,,Case rate,,2.65,80,,,Percent of total billed charges,,102.4,61.6,,,Percent of total billed charges,,78.85,20.6,,,Percent of total billed charges,,26.37,20.6,,,Percent of total billed charges,,26.37,65.55,,,Percent of total billed charges,,83.9,21,,,Percent of total billed charges,,26.88,90,,,Percent of total billed charges,,115.2,21,,,Percent of total billed charges,,26.88,21,,,Percent of total billed charges,,26.88,64.9,,,Percent of total billed charges,,83.07,21,,,Percent of total billed charges,,26.88,,65.51,,Case rate,,65.51,2.65,128,
Glutathione,82978,CPT,,,,Outpatient,Facility,,,76,30.4,66,,,Percent of total billed charges,,50.16,20.8,,,Percent of total billed charges,,15.81,20.4,,,Percent of total billed charges,,15.5,,15.45,,Case rate,,15.45,,1.6,,Case rate,,1.6,80,,,Percent of total billed charges,,60.8,61.6,,,Percent of total billed charges,,46.82,20.6,,,Percent of total billed charges,,15.66,20.6,,,Percent of total billed charges,,15.66,65.55,,,Percent of total billed charges,,49.82,21,,,Percent of total billed charges,,15.96,90,,,Percent of total billed charges,,68.4,21,,,Percent of total billed charges,,15.96,21,,,Percent of total billed charges,,15.96,64.9,,,Percent of total billed charges,,49.32,21,,,Percent of total billed charges,,15.96,,42.72,,Case rate,,42.72,1.6,76,
Glycated protein,82985,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,16.76,,Case rate,,16.76,,2.76,,Case rate,,2.76,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,54.28,,Case rate,,54.28,2.76,92,
"Gonadotropin, chorionic (hCG); quantitative",84702,CPT,,,,Outpatient,Facility,,,118,47.2,66,,,Percent of total billed charges,,77.88,20.8,,,Percent of total billed charges,,24.54,20.4,,,Percent of total billed charges,,24.07,,15.05,,Case rate,,15.05,,2.76,,Case rate,,2.76,80,,,Percent of total billed charges,,94.4,61.6,,,Percent of total billed charges,,72.69,20.6,,,Percent of total billed charges,,24.31,20.6,,,Percent of total billed charges,,24.31,65.55,,,Percent of total billed charges,,77.35,21,,,Percent of total billed charges,,24.78,90,,,Percent of total billed charges,,106.2,21,,,Percent of total billed charges,,24.78,21,,,Percent of total billed charges,,24.78,64.9,,,Percent of total billed charges,,76.58,21,,,Percent of total billed charges,,24.78,,67.97,,Case rate,,67.97,2.76,118,
Gonadotropin; luteinizing hormone (LH),83002,CPT,,,,Outpatient,Facility,,,205,82,66,,,Percent of total billed charges,,135.3,20.8,,,Percent of total billed charges,,42.64,20.4,,,Percent of total billed charges,,41.82,,18.52,,Case rate,,18.52,,3.81,,Case rate,,3.81,80,,,Percent of total billed charges,,164,61.6,,,Percent of total billed charges,,126.28,20.6,,,Percent of total billed charges,,42.23,20.6,,,Percent of total billed charges,,42.23,65.55,,,Percent of total billed charges,,134.38,21,,,Percent of total billed charges,,43.05,90,,,Percent of total billed charges,,184.5,21,,,Percent of total billed charges,,43.05,21,,,Percent of total billed charges,,43.05,64.9,,,Percent of total billed charges,,133.04,21,,,Percent of total billed charges,,43.05,,79.35,,Case rate,,79.35,3.81,205,
"Growth hormone, human (HGH) (somatotropin)",83003,CPT,,,,Outpatient,Facility,,,101,40.4,66,,,Percent of total billed charges,,66.66,20.8,,,Percent of total billed charges,,21.01,20.4,,,Percent of total billed charges,,20.6,,16.67,,Case rate,,16.67,,3.43,,Case rate,,3.43,80,,,Percent of total billed charges,,80.8,61.6,,,Percent of total billed charges,,62.22,20.6,,,Percent of total billed charges,,20.81,20.6,,,Percent of total billed charges,,20.81,65.55,,,Percent of total billed charges,,66.21,21,,,Percent of total billed charges,,21.21,90,,,Percent of total billed charges,,90.9,21,,,Percent of total billed charges,,21.21,21,,,Percent of total billed charges,,21.21,64.9,,,Percent of total billed charges,,65.55,21,,,Percent of total billed charges,,21.21,,83.11,,Case rate,,83.11,3.43,101,
Guide wire,C1769,CPT,,,,Outpatient,Facility,,,186.96,74.78,66,,,Percent of total billed charges,,123.39,20.8,,,Percent of total billed charges,,38.89,20.4,,,Percent of total billed charges,,38.14,48.3,,,Percent of total billed charges,,90.3,,6.51,,Case rate,,6.51,80,,,Percent of total billed charges,,149.57,61.6,,,Percent of total billed charges,,115.17,20.6,,,Percent of total billed charges,,38.51,20.6,,,Percent of total billed charges,,38.51,65.55,,,Percent of total billed charges,,122.55,21,,,Percent of total billed charges,,39.26,90,,,Percent of total billed charges,,168.26,21,,,Percent of total billed charges,,39.26,21,,,Percent of total billed charges,,39.26,64.9,,,Percent of total billed charges,,121.34,21,,,Percent of total billed charges,,39.26,,392.8,,Case rate,,392.8,6.51,392.8,
"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant",28291,CPT,,,,Outpatient,Facility,,,6842.27,2736.91,66,,,Percent of total billed charges,,4515.9,20.8,,,Percent of total billed charges,,1423.19,20.4,,,Percent of total billed charges,,1395.82,,672.92,,Case rate,,672.92,,50.38,,Case rate,,50.38,80,,,Percent of total billed charges,,5473.82,61.6,,,Percent of total billed charges,,4214.84,20.6,,,Percent of total billed charges,,1409.51,20.6,,,Percent of total billed charges,,1409.51,65.55,,,Percent of total billed charges,,4485.11,21,,,Percent of total billed charges,,1436.88,90,,,Percent of total billed charges,,6158.04,21,,,Percent of total billed charges,,1436.88,21,,,Percent of total billed charges,,1436.88,64.9,,,Percent of total billed charges,,4440.63,21,,,Percent of total billed charges,,1436.88,,3348.35,,Case rate,,3348.35,50.38,6842.27,
"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant",28289,CPT,,,,Outpatient,Facility,,,6810.28,2724.11,66,,,Percent of total billed charges,,4494.78,20.8,,,Percent of total billed charges,,1416.54,20.4,,,Percent of total billed charges,,1389.3,,663.4,,Case rate,,663.4,,95.63,,Case rate,,95.63,80,,,Percent of total billed charges,,5448.22,61.6,,,Percent of total billed charges,,4195.13,20.6,,,Percent of total billed charges,,1402.92,20.6,,,Percent of total billed charges,,1402.92,65.55,,,Percent of total billed charges,,4464.14,21,,,Percent of total billed charges,,1430.16,90,,,Percent of total billed charges,,6129.25,21,,,Percent of total billed charges,,1430.16,21,,,Percent of total billed charges,,1430.16,64.9,,,Percent of total billed charges,,4419.87,21,,,Percent of total billed charges,,1430.16,,3712.36,,Case rate,,3712.36,95.63,6810.28,
Haptoglobin; quantitative,83010,CPT,,,,Outpatient,Facility,,,200,80,66,,,Percent of total billed charges,,132,20.8,,,Percent of total billed charges,,41.6,20.4,,,Percent of total billed charges,,40.8,,12.58,,Case rate,,12.58,,2.59,,Case rate,,2.59,80,,,Percent of total billed charges,,160,61.6,,,Percent of total billed charges,,123.2,20.6,,,Percent of total billed charges,,41.2,20.6,,,Percent of total billed charges,,41.2,65.55,,,Percent of total billed charges,,131.1,21,,,Percent of total billed charges,,42,90,,,Percent of total billed charges,,180,21,,,Percent of total billed charges,,42,21,,,Percent of total billed charges,,42,64.9,,,Percent of total billed charges,,129.8,21,,,Percent of total billed charges,,42,,50.38,,Case rate,,50.38,2.59,200,
"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, Mediterranean, alpha3.7, alpha4.2, alpha20.5, Constant Spring)",81257,CPT,,,,Outpatient,Facility,,,370,148,66,,,Percent of total billed charges,,244.2,20.8,,,Percent of total billed charges,,76.96,20.4,,,Percent of total billed charges,,75.48,,102.26,,Case rate,,102.26,,27.37,,Case rate,,27.37,80,,,Percent of total billed charges,,296,61.6,,,Percent of total billed charges,,227.92,20.6,,,Percent of total billed charges,,76.22,20.6,,,Percent of total billed charges,,76.22,65.55,,,Percent of total billed charges,,242.54,21,,,Percent of total billed charges,,77.7,90,,,Percent of total billed charges,,333,21,,,Percent of total billed charges,,77.7,21,,,Percent of total billed charges,,77.7,64.9,,,Percent of total billed charges,,240.13,21,,,Percent of total billed charges,,77.7,,396.33,,Case rate,,396.33,27.37,396.33,
"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)",81361,CPT,,,,Outpatient,Facility,,,625,250,66,,,Percent of total billed charges,,412.5,20.8,,,Percent of total billed charges,,130,,178.31,,Case rate,,178.31,,174.81,,Case rate,,174.81,,11.81,,Case rate,,11.81,80,,,Percent of total billed charges,,500,61.6,,,Percent of total billed charges,,385,20.6,,,Percent of total billed charges,,128.75,20.6,,,Percent of total billed charges,,128.75,65.55,,,Percent of total billed charges,,409.69,21,,,Percent of total billed charges,,131.25,90,,,Percent of total billed charges,,562.5,21,,,Percent of total billed charges,,131.25,21,,,Percent of total billed charges,,131.25,64.9,,,Percent of total billed charges,,405.62,21,,,Percent of total billed charges,,131.25,45,,,Percent of total billed charges,,281.25,11.81,625,
hc absorb silvasorb anti 4x4,272,RC,,,,Outpatient,Facility,,,43,17.2,66,,,Percent of total billed charges,,28.38,20.8,,,Percent of total billed charges,,8.944,20.4,,,Percent of total billed charges,,8.772,58.8,,,Percent of total billed charges,,25.284,19.8,,,Percent of total billed charges,,8.514,80,,,Percent of total billed charges,,34.4,61.6,,,Percent of total billed charges,,26.488,20.6,,,Percent of total billed charges,,8.858,20.6,,,Percent of total billed charges,,8.858,65.55,,,Percent of total billed charges,,28.1865,21,,,Percent of total billed charges,,9.03,90,,,Percent of total billed charges,,38.7,21,,,Percent of total billed charges,,9.03,21,,,Percent of total billed charges,,9.03,64.9,,,Percent of total billed charges,,27.907,21,,,Percent of total billed charges,,9.03,45,,,Percent of total billed charges,,19.35,8.514,38.7,
hc acetic acid 0.25%,272,RC,,,,Outpatient,Facility,,,19,7.6,66,,,Percent of total billed charges,,12.54,20.8,,,Percent of total billed charges,,3.952,20.4,,,Percent of total billed charges,,3.876,58.8,,,Percent of total billed charges,,11.172,19.8,,,Percent of total billed charges,,3.762,80,,,Percent of total billed charges,,15.2,61.6,,,Percent of total billed charges,,11.704,20.6,,,Percent of total billed charges,,3.914,20.6,,,Percent of total billed charges,,3.914,65.55,,,Percent of total billed charges,,12.4545,21,,,Percent of total billed charges,,3.99,90,,,Percent of total billed charges,,17.1,21,,,Percent of total billed charges,,3.99,21,,,Percent of total billed charges,,3.99,64.9,,,Percent of total billed charges,,12.331,21,,,Percent of total billed charges,,3.99,45,,,Percent of total billed charges,,8.55,3.762,17.1,
hc adhesive alevyn 3x3,272,RC,,,,Outpatient,Facility,,,15,6,66,,,Percent of total billed charges,,9.9,20.8,,,Percent of total billed charges,,3.12,20.4,,,Percent of total billed charges,,3.06,58.8,,,Percent of total billed charges,,8.82,19.8,,,Percent of total billed charges,,2.97,80,,,Percent of total billed charges,,12,61.6,,,Percent of total billed charges,,9.24,20.6,,,Percent of total billed charges,,3.09,20.6,,,Percent of total billed charges,,3.09,65.55,,,Percent of total billed charges,,9.8325,21,,,Percent of total billed charges,,3.15,90,,,Percent of total billed charges,,13.5,21,,,Percent of total billed charges,,3.15,21,,,Percent of total billed charges,,3.15,64.9,,,Percent of total billed charges,,9.735,21,,,Percent of total billed charges,,3.15,45,,,Percent of total billed charges,,6.75,2.97,13.5,
hc adhesive skin topic db12,272,RC,,,,Outpatient,Facility,,,143,57.2,66,,,Percent of total billed charges,,94.38,20.8,,,Percent of total billed charges,,29.744,20.4,,,Percent of total billed charges,,29.172,58.8,,,Percent of total billed charges,,84.084,19.8,,,Percent of total billed charges,,28.314,80,,,Percent of total billed charges,,114.4,61.6,,,Percent of total billed charges,,88.088,20.6,,,Percent of total billed charges,,29.458,20.6,,,Percent of total billed charges,,29.458,65.55,,,Percent of total billed charges,,93.7365,21,,,Percent of total billed charges,,30.03,90,,,Percent of total billed charges,,128.7,21,,,Percent of total billed charges,,30.03,21,,,Percent of total billed charges,,30.03,64.9,,,Percent of total billed charges,,92.807,21,,,Percent of total billed charges,,30.03,45,,,Percent of total billed charges,,64.35,28.314,128.7,
hc alginate 2x2 maxorb extra,272,RC,,,,Outpatient,Facility,,,6,2.4,66,,,Percent of total billed charges,,3.96,20.8,,,Percent of total billed charges,,1.248,20.4,,,Percent of total billed charges,,1.224,58.8,,,Percent of total billed charges,,3.528,19.8,,,Percent of total billed charges,,1.188,80,,,Percent of total billed charges,,4.8,61.6,,,Percent of total billed charges,,3.696,20.6,,,Percent of total billed charges,,1.236,20.6,,,Percent of total billed charges,,1.236,65.55,,,Percent of total billed charges,,3.933,21,,,Percent of total billed charges,,1.26,90,,,Percent of total billed charges,,5.4,21,,,Percent of total billed charges,,1.26,21,,,Percent of total billed charges,,1.26,64.9,,,Percent of total billed charges,,3.894,21,,,Percent of total billed charges,,1.26,45,,,Percent of total billed charges,,2.7,1.188,5.4,
hc allevyn  cavity 6x8,272,RC,,,,Outpatient,Facility,,,44,17.6,66,,,Percent of total billed charges,,29.04,20.8,,,Percent of total billed charges,,9.152,20.4,,,Percent of total billed charges,,8.976,58.8,,,Percent of total billed charges,,25.872,19.8,,,Percent of total billed charges,,8.712,80,,,Percent of total billed charges,,35.2,61.6,,,Percent of total billed charges,,27.104,20.6,,,Percent of total billed charges,,9.064,20.6,,,Percent of total billed charges,,9.064,65.55,,,Percent of total billed charges,,28.842,21,,,Percent of total billed charges,,9.24,90,,,Percent of total billed charges,,39.6,21,,,Percent of total billed charges,,9.24,21,,,Percent of total billed charges,,9.24,64.9,,,Percent of total billed charges,,28.556,21,,,Percent of total billed charges,,9.24,45,,,Percent of total billed charges,,19.8,8.712,39.6,
hc allevyn thin 4 x 4,272,RC,,,,Outpatient,Facility,,,10,4,66,,,Percent of total billed charges,,6.6,20.8,,,Percent of total billed charges,,2.08,20.4,,,Percent of total billed charges,,2.04,58.8,,,Percent of total billed charges,,5.88,19.8,,,Percent of total billed charges,,1.98,80,,,Percent of total billed charges,,8,61.6,,,Percent of total billed charges,,6.16,20.6,,,Percent of total billed charges,,2.06,20.6,,,Percent of total billed charges,,2.06,65.55,,,Percent of total billed charges,,6.555,21,,,Percent of total billed charges,,2.1,90,,,Percent of total billed charges,,9,21,,,Percent of total billed charges,,2.1,21,,,Percent of total billed charges,,2.1,64.9,,,Percent of total billed charges,,6.49,21,,,Percent of total billed charges,,2.1,45,,,Percent of total billed charges,,4.5,1.98,9,
hc anesthesia q15 mins,370,RC,,,,Outpatient,Facility,,,208,83.2,66,,,Percent of total billed charges,,137.28,20.8,,,Percent of total billed charges,,43.264,20.4,,,Percent of total billed charges,,42.432,58.8,,,Percent of total billed charges,,122.304,19.8,,,Percent of total billed charges,,41.184,80,,,Percent of total billed charges,,166.4,61.6,,,Percent of total billed charges,,128.128,20.6,,,Percent of total billed charges,,42.848,20.6,,,Percent of total billed charges,,42.848,65.55,,,Percent of total billed charges,,136.344,21,,,Percent of total billed charges,,43.68,90,,,Percent of total billed charges,,187.2,21,,,Percent of total billed charges,,43.68,21,,,Percent of total billed charges,,43.68,64.9,,,Percent of total billed charges,,134.992,21,,,Percent of total billed charges,,43.68,45,,,Percent of total billed charges,,93.6,41.184,187.2,
hc aquacel ag silver 2 x 2,272,RC,,,,Outpatient,Facility,,,30,12,66,,,Percent of total billed charges,,19.8,20.8,,,Percent of total billed charges,,6.24,20.4,,,Percent of total billed charges,,6.12,58.8,,,Percent of total billed charges,,17.64,19.8,,,Percent of total billed charges,,5.94,80,,,Percent of total billed charges,,24,61.6,,,Percent of total billed charges,,18.48,20.6,,,Percent of total billed charges,,6.18,20.6,,,Percent of total billed charges,,6.18,65.55,,,Percent of total billed charges,,19.665,21,,,Percent of total billed charges,,6.3,90,,,Percent of total billed charges,,27,21,,,Percent of total billed charges,,6.3,21,,,Percent of total billed charges,,6.3,64.9,,,Percent of total billed charges,,19.47,21,,,Percent of total billed charges,,6.3,45,,,Percent of total billed charges,,13.5,5.94,27,
hc aquacel ag silver 4 x 4,272,RC,,,,Outpatient,Facility,,,56,22.4,66,,,Percent of total billed charges,,36.96,20.8,,,Percent of total billed charges,,11.648,20.4,,,Percent of total billed charges,,11.424,58.8,,,Percent of total billed charges,,32.928,19.8,,,Percent of total billed charges,,11.088,80,,,Percent of total billed charges,,44.8,61.6,,,Percent of total billed charges,,34.496,20.6,,,Percent of total billed charges,,11.536,20.6,,,Percent of total billed charges,,11.536,65.55,,,Percent of total billed charges,,36.708,21,,,Percent of total billed charges,,11.76,90,,,Percent of total billed charges,,50.4,21,,,Percent of total billed charges,,11.76,21,,,Percent of total billed charges,,11.76,64.9,,,Percent of total billed charges,,36.344,21,,,Percent of total billed charges,,11.76,45,,,Percent of total billed charges,,25.2,11.088,50.4,
hc av impulse system,270,RC,,,,Outpatient,Facility,,,179,71.6,66,,,Percent of total billed charges,,118.14,20.8,,,Percent of total billed charges,,37.232,20.4,,,Percent of total billed charges,,36.516,58.8,,,Percent of total billed charges,,105.252,19.8,,,Percent of total billed charges,,35.442,80,,,Percent of total billed charges,,143.2,61.6,,,Percent of total billed charges,,110.264,20.6,,,Percent of total billed charges,,36.874,20.6,,,Percent of total billed charges,,36.874,65.55,,,Percent of total billed charges,,117.3345,21,,,Percent of total billed charges,,37.59,90,,,Percent of total billed charges,,161.1,21,,,Percent of total billed charges,,37.59,21,,,Percent of total billed charges,,37.59,64.9,,,Percent of total billed charges,,116.171,21,,,Percent of total billed charges,,37.59,45,,,Percent of total billed charges,,80.55,35.442,161.1,
hc cannula soft fit dual chamb,270,RC,,,,Outpatient,Facility,,,116,46.4,66,,,Percent of total billed charges,,76.56,20.8,,,Percent of total billed charges,,24.128,20.4,,,Percent of total billed charges,,23.664,58.8,,,Percent of total billed charges,,68.208,19.8,,,Percent of total billed charges,,22.968,80,,,Percent of total billed charges,,92.8,61.6,,,Percent of total billed charges,,71.456,20.6,,,Percent of total billed charges,,23.896,20.6,,,Percent of total billed charges,,23.896,65.55,,,Percent of total billed charges,,76.038,21,,,Percent of total billed charges,,24.36,90,,,Percent of total billed charges,,104.4,21,,,Percent of total billed charges,,24.36,21,,,Percent of total billed charges,,24.36,64.9,,,Percent of total billed charges,,75.284,21,,,Percent of total billed charges,,24.36,45,,,Percent of total billed charges,,52.2,22.968,104.4,
hc cellerate gel per gm,272,RC,,,,Outpatient,Facility,,,6,2.4,66,,,Percent of total billed charges,,3.96,20.8,,,Percent of total billed charges,,1.248,20.4,,,Percent of total billed charges,,1.224,58.8,,,Percent of total billed charges,,3.528,19.8,,,Percent of total billed charges,,1.188,80,,,Percent of total billed charges,,4.8,61.6,,,Percent of total billed charges,,3.696,20.6,,,Percent of total billed charges,,1.236,20.6,,,Percent of total billed charges,,1.236,65.55,,,Percent of total billed charges,,3.933,21,,,Percent of total billed charges,,1.26,90,,,Percent of total billed charges,,5.4,21,,,Percent of total billed charges,,1.26,21,,,Percent of total billed charges,,1.26,64.9,,,Percent of total billed charges,,3.894,21,,,Percent of total billed charges,,1.26,45,,,Percent of total billed charges,,2.7,1.188,5.4,
hc collagn drsg <16 sq fibra,272,RC,,,,Outpatient,Facility,,,6,2.4,66,,,Percent of total billed charges,,3.96,20.8,,,Percent of total billed charges,,1.248,20.4,,,Percent of total billed charges,,1.224,58.8,,,Percent of total billed charges,,3.528,19.8,,,Percent of total billed charges,,1.188,80,,,Percent of total billed charges,,4.8,61.6,,,Percent of total billed charges,,3.696,20.6,,,Percent of total billed charges,,1.236,20.6,,,Percent of total billed charges,,1.236,65.55,,,Percent of total billed charges,,3.933,21,,,Percent of total billed charges,,1.26,90,,,Percent of total billed charges,,5.4,21,,,Percent of total billed charges,,1.26,21,,,Percent of total billed charges,,1.26,64.9,,,Percent of total billed charges,,3.894,21,,,Percent of total billed charges,,1.26,45,,,Percent of total billed charges,,2.7,1.188,5.4,
hc collgn medifil ii 5 ml,272,RC,,,,Outpatient,Facility,,,131,52.4,66,,,Percent of total billed charges,,86.46,20.8,,,Percent of total billed charges,,27.248,20.4,,,Percent of total billed charges,,26.724,58.8,,,Percent of total billed charges,,77.028,19.8,,,Percent of total billed charges,,25.938,80,,,Percent of total billed charges,,104.8,61.6,,,Percent of total billed charges,,80.696,20.6,,,Percent of total billed charges,,26.986,20.6,,,Percent of total billed charges,,26.986,65.55,,,Percent of total billed charges,,85.8705,21,,,Percent of total billed charges,,27.51,90,,,Percent of total billed charges,,117.9,21,,,Percent of total billed charges,,27.51,21,,,Percent of total billed charges,,27.51,64.9,,,Percent of total billed charges,,85.019,21,,,Percent of total billed charges,,27.51,45,,,Percent of total billed charges,,58.95,25.938,117.9,
hc comprilan 3`/per yd,272,RC,,,,Outpatient,Facility,,,4,1.6,66,,,Percent of total billed charges,,2.64,20.8,,,Percent of total billed charges,,0.832,20.4,,,Percent of total billed charges,,0.816,58.8,,,Percent of total billed charges,,2.352,19.8,,,Percent of total billed charges,,0.792,80,,,Percent of total billed charges,,3.2,61.6,,,Percent of total billed charges,,2.464,20.6,,,Percent of total billed charges,,0.824,20.6,,,Percent of total billed charges,,0.824,65.55,,,Percent of total billed charges,,2.622,21,,,Percent of total billed charges,,0.84,90,,,Percent of total billed charges,,3.6,21,,,Percent of total billed charges,,0.84,21,,,Percent of total billed charges,,0.84,64.9,,,Percent of total billed charges,,2.596,21,,,Percent of total billed charges,,0.84,45,,,Percent of total billed charges,,1.8,0.792,3.6,
hc cortrack feeding tube,272,RC,,,,Outpatient,Facility,,,289,115.6,66,,,Percent of total billed charges,,190.74,20.8,,,Percent of total billed charges,,60.112,20.4,,,Percent of total billed charges,,58.956,58.8,,,Percent of total billed charges,,169.932,19.8,,,Percent of total billed charges,,57.222,80,,,Percent of total billed charges,,231.2,61.6,,,Percent of total billed charges,,178.024,20.6,,,Percent of total billed charges,,59.534,20.6,,,Percent of total billed charges,,59.534,65.55,,,Percent of total billed charges,,189.4395,21,,,Percent of total billed charges,,60.69,90,,,Percent of total billed charges,,260.1,21,,,Percent of total billed charges,,60.69,21,,,Percent of total billed charges,,60.69,64.9,,,Percent of total billed charges,,187.561,21,,,Percent of total billed charges,,60.69,45,,,Percent of total billed charges,,130.05,57.222,260.1,
hc cover warm hugger 300bh,270,RC,,,,Outpatient,Facility,,,76,30.4,66,,,Percent of total billed charges,,50.16,20.8,,,Percent of total billed charges,,15.808,20.4,,,Percent of total billed charges,,15.504,58.8,,,Percent of total billed charges,,44.688,19.8,,,Percent of total billed charges,,15.048,80,,,Percent of total billed charges,,60.8,61.6,,,Percent of total billed charges,,46.816,20.6,,,Percent of total billed charges,,15.656,20.6,,,Percent of total billed charges,,15.656,65.55,,,Percent of total billed charges,,49.818,21,,,Percent of total billed charges,,15.96,90,,,Percent of total billed charges,,68.4,21,,,Percent of total billed charges,,15.96,21,,,Percent of total billed charges,,15.96,64.9,,,Percent of total billed charges,,49.324,21,,,Percent of total billed charges,,15.96,45,,,Percent of total billed charges,,34.2,15.048,68.4,
hc dressing alldr 6x8 265368,272,RC,,,,Outpatient,Facility,,,7,2.8,66,,,Percent of total billed charges,,4.62,20.8,,,Percent of total billed charges,,1.456,20.4,,,Percent of total billed charges,,1.428,58.8,,,Percent of total billed charges,,4.116,19.8,,,Percent of total billed charges,,1.386,80,,,Percent of total billed charges,,5.6,61.6,,,Percent of total billed charges,,4.312,20.6,,,Percent of total billed charges,,1.442,20.6,,,Percent of total billed charges,,1.442,65.55,,,Percent of total billed charges,,4.5885,21,,,Percent of total billed charges,,1.47,90,,,Percent of total billed charges,,6.3,21,,,Percent of total billed charges,,1.47,21,,,Percent of total billed charges,,1.47,64.9,,,Percent of total billed charges,,4.543,21,,,Percent of total billed charges,,1.47,45,,,Percent of total billed charges,,3.15,1.386,6.3,
hc dressing bacter blue foam,272,RC,,,,Outpatient,Facility,,,33,13.2,66,,,Percent of total billed charges,,21.78,20.8,,,Percent of total billed charges,,6.864,20.4,,,Percent of total billed charges,,6.732,58.8,,,Percent of total billed charges,,19.404,19.8,,,Percent of total billed charges,,6.534,80,,,Percent of total billed charges,,26.4,61.6,,,Percent of total billed charges,,20.328,20.6,,,Percent of total billed charges,,6.798,20.6,,,Percent of total billed charges,,6.798,65.55,,,Percent of total billed charges,,21.6315,21,,,Percent of total billed charges,,6.93,90,,,Percent of total billed charges,,29.7,21,,,Percent of total billed charges,,6.93,21,,,Percent of total billed charges,,6.93,64.9,,,Percent of total billed charges,,21.417,21,,,Percent of total billed charges,,6.93,45,,,Percent of total billed charges,,14.85,6.534,29.7,
hc dressing mepilex lite 4x4,272,RC,,,,Outpatient,Facility,,,14,5.6,66,,,Percent of total billed charges,,9.24,20.8,,,Percent of total billed charges,,2.912,20.4,,,Percent of total billed charges,,2.856,58.8,,,Percent of total billed charges,,8.232,19.8,,,Percent of total billed charges,,2.772,80,,,Percent of total billed charges,,11.2,61.6,,,Percent of total billed charges,,8.624,20.6,,,Percent of total billed charges,,2.884,20.6,,,Percent of total billed charges,,2.884,65.55,,,Percent of total billed charges,,9.177,21,,,Percent of total billed charges,,2.94,90,,,Percent of total billed charges,,12.6,21,,,Percent of total billed charges,,2.94,21,,,Percent of total billed charges,,2.94,64.9,,,Percent of total billed charges,,9.086,21,,,Percent of total billed charges,,2.94,45,,,Percent of total billed charges,,6.3,2.772,12.6,
hc dressing wnd promog pg004,272,RC,,,,Outpatient,Facility,,,33,13.2,66,,,Percent of total billed charges,,21.78,20.8,,,Percent of total billed charges,,6.864,20.4,,,Percent of total billed charges,,6.732,58.8,,,Percent of total billed charges,,19.404,19.8,,,Percent of total billed charges,,6.534,80,,,Percent of total billed charges,,26.4,61.6,,,Percent of total billed charges,,20.328,20.6,,,Percent of total billed charges,,6.798,20.6,,,Percent of total billed charges,,6.798,65.55,,,Percent of total billed charges,,21.6315,21,,,Percent of total billed charges,,6.93,90,,,Percent of total billed charges,,29.7,21,,,Percent of total billed charges,,6.93,21,,,Percent of total billed charges,,6.93,64.9,,,Percent of total billed charges,,21.417,21,,,Percent of total billed charges,,6.93,45,,,Percent of total billed charges,,14.85,6.534,29.7,
hc dressng tielle 7x9cm 2439,272,RC,,,,Outpatient,Facility,,,21,8.4,66,,,Percent of total billed charges,,13.86,20.8,,,Percent of total billed charges,,4.368,20.4,,,Percent of total billed charges,,4.284,58.8,,,Percent of total billed charges,,12.348,19.8,,,Percent of total billed charges,,4.158,80,,,Percent of total billed charges,,16.8,61.6,,,Percent of total billed charges,,12.936,20.6,,,Percent of total billed charges,,4.326,20.6,,,Percent of total billed charges,,4.326,65.55,,,Percent of total billed charges,,13.7655,21,,,Percent of total billed charges,,4.41,90,,,Percent of total billed charges,,18.9,21,,,Percent of total billed charges,,4.41,21,,,Percent of total billed charges,,4.41,64.9,,,Percent of total billed charges,,13.629,21,,,Percent of total billed charges,,4.41,45,,,Percent of total billed charges,,9.45,4.158,18.9,
hc ed hold semi priv room,120,RC,,,,Inpatient,Facility,,,1167,466.8,66,,,Percent of total billed charges,,770.22,20.8,,,Percent of total billed charges,,242.736,20.4,,,Percent of total billed charges,,238.068,58.8,,,Percent of total billed charges,,686.196,19.8,,,Percent of total billed charges,,231.066,80,,,Percent of total billed charges,,933.6,61.6,,,Percent of total billed charges,,718.872,20.6,,,Percent of total billed charges,,240.402,20.6,,,Percent of total billed charges,,240.402,65.55,,,Percent of total billed charges,,764.9685,21,,,Percent of total billed charges,,245.07,90,,,Percent of total billed charges,,1050.3,21,,,Percent of total billed charges,,245.07,21,,,Percent of total billed charges,,245.07,64.9,,,Percent of total billed charges,,757.383,21,,,Percent of total billed charges,,245.07,45,,,Percent of total billed charges,,525.15,231.066,1050.3,
hc femostop device,272,RC,,,,Outpatient,Facility,,,387,154.8,66,,,Percent of total billed charges,,255.42,20.8,,,Percent of total billed charges,,80.496,20.4,,,Percent of total billed charges,,78.948,58.8,,,Percent of total billed charges,,227.556,19.8,,,Percent of total billed charges,,76.626,80,,,Percent of total billed charges,,309.6,61.6,,,Percent of total billed charges,,238.392,20.6,,,Percent of total billed charges,,79.722,20.6,,,Percent of total billed charges,,79.722,65.55,,,Percent of total billed charges,,253.6785,21,,,Percent of total billed charges,,81.27,90,,,Percent of total billed charges,,348.3,21,,,Percent of total billed charges,,81.27,21,,,Percent of total billed charges,,81.27,64.9,,,Percent of total billed charges,,251.163,21,,,Percent of total billed charges,,81.27,45,,,Percent of total billed charges,,174.15,76.626,348.3,
hc fibracol 4 x 8,272,RC,,,,Outpatient,Facility,,,54,21.6,66,,,Percent of total billed charges,,35.64,20.8,,,Percent of total billed charges,,11.232,20.4,,,Percent of total billed charges,,11.016,58.8,,,Percent of total billed charges,,31.752,19.8,,,Percent of total billed charges,,10.692,80,,,Percent of total billed charges,,43.2,61.6,,,Percent of total billed charges,,33.264,20.6,,,Percent of total billed charges,,11.124,20.6,,,Percent of total billed charges,,11.124,65.55,,,Percent of total billed charges,,35.397,21,,,Percent of total billed charges,,11.34,90,,,Percent of total billed charges,,48.6,21,,,Percent of total billed charges,,11.34,21,,,Percent of total billed charges,,11.34,64.9,,,Percent of total billed charges,,35.046,21,,,Percent of total billed charges,,11.34,45,,,Percent of total billed charges,,24.3,10.692,48.6,
hc filter critikon ster,270,RC,,,,Outpatient,Facility,,,15,6,66,,,Percent of total billed charges,,9.9,20.8,,,Percent of total billed charges,,3.12,20.4,,,Percent of total billed charges,,3.06,58.8,,,Percent of total billed charges,,8.82,19.8,,,Percent of total billed charges,,2.97,80,,,Percent of total billed charges,,12,61.6,,,Percent of total billed charges,,9.24,20.6,,,Percent of total billed charges,,3.09,20.6,,,Percent of total billed charges,,3.09,65.55,,,Percent of total billed charges,,9.8325,21,,,Percent of total billed charges,,3.15,90,,,Percent of total billed charges,,13.5,21,,,Percent of total billed charges,,3.15,21,,,Percent of total billed charges,,3.15,64.9,,,Percent of total billed charges,,9.735,21,,,Percent of total billed charges,,3.15,45,,,Percent of total billed charges,,6.75,2.97,13.5,
hc foam allevyn 2x2,272,RC,,,,Outpatient,Facility,,,14,5.6,66,,,Percent of total billed charges,,9.24,20.8,,,Percent of total billed charges,,2.912,20.4,,,Percent of total billed charges,,2.856,58.8,,,Percent of total billed charges,,8.232,19.8,,,Percent of total billed charges,,2.772,80,,,Percent of total billed charges,,11.2,61.6,,,Percent of total billed charges,,8.624,20.6,,,Percent of total billed charges,,2.884,20.6,,,Percent of total billed charges,,2.884,65.55,,,Percent of total billed charges,,9.177,21,,,Percent of total billed charges,,2.94,90,,,Percent of total billed charges,,12.6,21,,,Percent of total billed charges,,2.94,21,,,Percent of total billed charges,,2.94,64.9,,,Percent of total billed charges,,9.086,21,,,Percent of total billed charges,,2.94,45,,,Percent of total billed charges,,6.3,2.772,12.6,
hc foam allevyn 4x4,272,RC,,,,Outpatient,Facility,,,20,8,66,,,Percent of total billed charges,,13.2,20.8,,,Percent of total billed charges,,4.16,20.4,,,Percent of total billed charges,,4.08,58.8,,,Percent of total billed charges,,11.76,19.8,,,Percent of total billed charges,,3.96,80,,,Percent of total billed charges,,16,61.6,,,Percent of total billed charges,,12.32,20.6,,,Percent of total billed charges,,4.12,20.6,,,Percent of total billed charges,,4.12,65.55,,,Percent of total billed charges,,13.11,21,,,Percent of total billed charges,,4.2,90,,,Percent of total billed charges,,18,21,,,Percent of total billed charges,,4.2,21,,,Percent of total billed charges,,4.2,64.9,,,Percent of total billed charges,,12.98,21,,,Percent of total billed charges,,4.2,45,,,Percent of total billed charges,,9,3.96,18,
hc foam allevyn 6x6,272,RC,,,,Outpatient,Facility,,,72,28.8,66,,,Percent of total billed charges,,47.52,20.8,,,Percent of total billed charges,,14.976,20.4,,,Percent of total billed charges,,14.688,58.8,,,Percent of total billed charges,,42.336,19.8,,,Percent of total billed charges,,14.256,80,,,Percent of total billed charges,,57.6,61.6,,,Percent of total billed charges,,44.352,20.6,,,Percent of total billed charges,,14.832,20.6,,,Percent of total billed charges,,14.832,65.55,,,Percent of total billed charges,,47.196,21,,,Percent of total billed charges,,15.12,90,,,Percent of total billed charges,,64.8,21,,,Percent of total billed charges,,15.12,21,,,Percent of total billed charges,,15.12,64.9,,,Percent of total billed charges,,46.728,21,,,Percent of total billed charges,,15.12,45,,,Percent of total billed charges,,32.4,14.256,64.8,
hc foam allevyn 8x8,272,RC,,,,Outpatient,Facility,,,62,24.8,66,,,Percent of total billed charges,,40.92,20.8,,,Percent of total billed charges,,12.896,20.4,,,Percent of total billed charges,,12.648,58.8,,,Percent of total billed charges,,36.456,19.8,,,Percent of total billed charges,,12.276,80,,,Percent of total billed charges,,49.6,61.6,,,Percent of total billed charges,,38.192,20.6,,,Percent of total billed charges,,12.772,20.6,,,Percent of total billed charges,,12.772,65.55,,,Percent of total billed charges,,40.641,21,,,Percent of total billed charges,,13.02,90,,,Percent of total billed charges,,55.8,21,,,Percent of total billed charges,,13.02,21,,,Percent of total billed charges,,13.02,64.9,,,Percent of total billed charges,,40.238,21,,,Percent of total billed charges,,13.02,45,,,Percent of total billed charges,,27.9,12.276,55.8,
hc foam tielle 7x7,272,RC,,,,Outpatient,Facility,,,73,29.2,66,,,Percent of total billed charges,,48.18,20.8,,,Percent of total billed charges,,15.184,20.4,,,Percent of total billed charges,,14.892,58.8,,,Percent of total billed charges,,42.924,19.8,,,Percent of total billed charges,,14.454,80,,,Percent of total billed charges,,58.4,61.6,,,Percent of total billed charges,,44.968,20.6,,,Percent of total billed charges,,15.038,20.6,,,Percent of total billed charges,,15.038,65.55,,,Percent of total billed charges,,47.8515,21,,,Percent of total billed charges,,15.33,90,,,Percent of total billed charges,,65.7,21,,,Percent of total billed charges,,15.33,21,,,Percent of total billed charges,,15.33,64.9,,,Percent of total billed charges,,47.377,21,,,Percent of total billed charges,,15.33,45,,,Percent of total billed charges,,32.85,14.454,65.7,
hc hydrofera blue 6x6 drsng,272,RC,,,,Outpatient,Facility,,,124,49.6,66,,,Percent of total billed charges,,81.84,20.8,,,Percent of total billed charges,,25.792,20.4,,,Percent of total billed charges,,25.296,58.8,,,Percent of total billed charges,,72.912,19.8,,,Percent of total billed charges,,24.552,80,,,Percent of total billed charges,,99.2,61.6,,,Percent of total billed charges,,76.384,20.6,,,Percent of total billed charges,,25.544,20.6,,,Percent of total billed charges,,25.544,65.55,,,Percent of total billed charges,,81.282,21,,,Percent of total billed charges,,26.04,90,,,Percent of total billed charges,,111.6,21,,,Percent of total billed charges,,26.04,21,,,Percent of total billed charges,,26.04,64.9,,,Percent of total billed charges,,80.476,21,,,Percent of total billed charges,,26.04,45,,,Percent of total billed charges,,55.8,24.552,111.6,
hc intensive care room rate,200,RC,,,,Inpatient,Facility,,,2181,872.4,66,,,Percent of total billed charges,,1439.46,20.8,,,Percent of total billed charges,,453.648,20.4,,,Percent of total billed charges,,444.924,58.8,,,Percent of total billed charges,,1282.428,19.8,,,Percent of total billed charges,,431.838,80,,,Percent of total billed charges,,1744.8,61.6,,,Percent of total billed charges,,1343.496,20.6,,,Percent of total billed charges,,449.286,20.6,,,Percent of total billed charges,,449.286,65.55,,,Percent of total billed charges,,1429.6455,21,,,Percent of total billed charges,,458.01,90,,,Percent of total billed charges,,1962.9,21,,,Percent of total billed charges,,458.01,21,,,Percent of total billed charges,,458.01,64.9,,,Percent of total billed charges,,1415.469,21,,,Percent of total billed charges,,458.01,45,,,Percent of total billed charges,,981.45,431.838,1962.9,
hc intrasite applipak 25mg,272,RC,,,,Outpatient,Facility,,,24,9.6,66,,,Percent of total billed charges,,15.84,20.8,,,Percent of total billed charges,,4.992,20.4,,,Percent of total billed charges,,4.896,58.8,,,Percent of total billed charges,,14.112,19.8,,,Percent of total billed charges,,4.752,80,,,Percent of total billed charges,,19.2,61.6,,,Percent of total billed charges,,14.784,20.6,,,Percent of total billed charges,,4.944,20.6,,,Percent of total billed charges,,4.944,65.55,,,Percent of total billed charges,,15.732,21,,,Percent of total billed charges,,5.04,90,,,Percent of total billed charges,,21.6,21,,,Percent of total billed charges,,5.04,21,,,Percent of total billed charges,,5.04,64.9,,,Percent of total billed charges,,15.576,21,,,Percent of total billed charges,,5.04,45,,,Percent of total billed charges,,10.8,4.752,21.6,
hc iodoflex 10 gm(chg per gm,272,RC,,,,Outpatient,Facility,,,4,1.6,66,,,Percent of total billed charges,,2.64,20.8,,,Percent of total billed charges,,0.832,20.4,,,Percent of total billed charges,,0.816,58.8,,,Percent of total billed charges,,2.352,19.8,,,Percent of total billed charges,,0.792,80,,,Percent of total billed charges,,3.2,61.6,,,Percent of total billed charges,,2.464,20.6,,,Percent of total billed charges,,0.824,20.6,,,Percent of total billed charges,,0.824,65.55,,,Percent of total billed charges,,2.622,21,,,Percent of total billed charges,,0.84,90,,,Percent of total billed charges,,3.6,21,,,Percent of total billed charges,,0.84,21,,,Percent of total billed charges,,0.84,64.9,,,Percent of total billed charges,,2.596,21,,,Percent of total billed charges,,0.84,45,,,Percent of total billed charges,,1.8,0.792,3.6,
hc iodoflex 5gm (chg per gm),272,RC,,,,Outpatient,Facility,,,4,1.6,66,,,Percent of total billed charges,,2.64,20.8,,,Percent of total billed charges,,0.832,20.4,,,Percent of total billed charges,,0.816,58.8,,,Percent of total billed charges,,2.352,19.8,,,Percent of total billed charges,,0.792,80,,,Percent of total billed charges,,3.2,61.6,,,Percent of total billed charges,,2.464,20.6,,,Percent of total billed charges,,0.824,20.6,,,Percent of total billed charges,,0.824,65.55,,,Percent of total billed charges,,2.622,21,,,Percent of total billed charges,,0.84,90,,,Percent of total billed charges,,3.6,21,,,Percent of total billed charges,,0.84,21,,,Percent of total billed charges,,0.84,64.9,,,Percent of total billed charges,,2.596,21,,,Percent of total billed charges,,0.84,45,,,Percent of total billed charges,,1.8,0.792,3.6,
hc iol lens,276,RC,,,,Outpatient,Facility,,,817,326.8,66,,,Percent of total billed charges,,539.22,20.8,,,Percent of total billed charges,,169.936,20.4,,,Percent of total billed charges,,166.668,58.8,,,Percent of total billed charges,,480.396,19.8,,,Percent of total billed charges,,161.766,80,,,Percent of total billed charges,,653.6,61.6,,,Percent of total billed charges,,503.272,20.6,,,Percent of total billed charges,,168.302,20.6,,,Percent of total billed charges,,168.302,65.55,,,Percent of total billed charges,,535.5435,21,,,Percent of total billed charges,,171.57,90,,,Percent of total billed charges,,735.3,21,,,Percent of total billed charges,,171.57,21,,,Percent of total billed charges,,171.57,64.9,,,Percent of total billed charges,,530.233,21,,,Percent of total billed charges,,171.57,45,,,Percent of total billed charges,,367.65,161.766,735.3,
hc irrig set cystoset v,270,RC,,,,Outpatient,Facility,,,23,9.2,66,,,Percent of total billed charges,,15.18,20.8,,,Percent of total billed charges,,4.784,20.4,,,Percent of total billed charges,,4.692,58.8,,,Percent of total billed charges,,13.524,19.8,,,Percent of total billed charges,,4.554,80,,,Percent of total billed charges,,18.4,61.6,,,Percent of total billed charges,,14.168,20.6,,,Percent of total billed charges,,4.738,20.6,,,Percent of total billed charges,,4.738,65.55,,,Percent of total billed charges,,15.0765,21,,,Percent of total billed charges,,4.83,90,,,Percent of total billed charges,,20.7,21,,,Percent of total billed charges,,4.83,21,,,Percent of total billed charges,,4.83,64.9,,,Percent of total billed charges,,14.927,21,,,Percent of total billed charges,,4.83,45,,,Percent of total billed charges,,10.35,4.554,20.7,
hc irrig set y-type tur,270,RC,,,,Outpatient,Facility,,,28,11.2,66,,,Percent of total billed charges,,18.48,20.8,,,Percent of total billed charges,,5.824,20.4,,,Percent of total billed charges,,5.712,58.8,,,Percent of total billed charges,,16.464,19.8,,,Percent of total billed charges,,5.544,80,,,Percent of total billed charges,,22.4,61.6,,,Percent of total billed charges,,17.248,20.6,,,Percent of total billed charges,,5.768,20.6,,,Percent of total billed charges,,5.768,65.55,,,Percent of total billed charges,,18.354,21,,,Percent of total billed charges,,5.88,90,,,Percent of total billed charges,,25.2,21,,,Percent of total billed charges,,5.88,21,,,Percent of total billed charges,,5.88,64.9,,,Percent of total billed charges,,18.172,21,,,Percent of total billed charges,,5.88,45,,,Percent of total billed charges,,12.6,5.544,25.2,
hc isovue 370 50ml supply use,272,RC,,,,Outpatient,Facility,,,184,73.6,66,,,Percent of total billed charges,,121.44,20.8,,,Percent of total billed charges,,38.272,20.4,,,Percent of total billed charges,,37.536,58.8,,,Percent of total billed charges,,108.192,19.8,,,Percent of total billed charges,,36.432,80,,,Percent of total billed charges,,147.2,61.6,,,Percent of total billed charges,,113.344,20.6,,,Percent of total billed charges,,37.904,20.6,,,Percent of total billed charges,,37.904,65.55,,,Percent of total billed charges,,120.612,21,,,Percent of total billed charges,,38.64,90,,,Percent of total billed charges,,165.6,21,,,Percent of total billed charges,,38.64,21,,,Percent of total billed charges,,38.64,64.9,,,Percent of total billed charges,,119.416,21,,,Percent of total billed charges,,38.64,45,,,Percent of total billed charges,,82.8,36.432,165.6,
hc kit monit sgl tran,270,RC,,,,Outpatient,Facility,,,53,21.2,66,,,Percent of total billed charges,,34.98,20.8,,,Percent of total billed charges,,11.024,20.4,,,Percent of total billed charges,,10.812,58.8,,,Percent of total billed charges,,31.164,19.8,,,Percent of total billed charges,,10.494,80,,,Percent of total billed charges,,42.4,61.6,,,Percent of total billed charges,,32.648,20.6,,,Percent of total billed charges,,10.918,20.6,,,Percent of total billed charges,,10.918,65.55,,,Percent of total billed charges,,34.7415,21,,,Percent of total billed charges,,11.13,90,,,Percent of total billed charges,,47.7,21,,,Percent of total billed charges,,11.13,21,,,Percent of total billed charges,,11.13,64.9,,,Percent of total billed charges,,34.397,21,,,Percent of total billed charges,,11.13,45,,,Percent of total billed charges,,23.85,10.494,47.7,
hc kit. eye irrigation,272,RC,,,,Outpatient,Facility,,,129,51.6,66,,,Percent of total billed charges,,85.14,20.8,,,Percent of total billed charges,,26.832,20.4,,,Percent of total billed charges,,26.316,58.8,,,Percent of total billed charges,,75.852,19.8,,,Percent of total billed charges,,25.542,80,,,Percent of total billed charges,,103.2,61.6,,,Percent of total billed charges,,79.464,20.6,,,Percent of total billed charges,,26.574,20.6,,,Percent of total billed charges,,26.574,65.55,,,Percent of total billed charges,,84.5595,21,,,Percent of total billed charges,,27.09,90,,,Percent of total billed charges,,116.1,21,,,Percent of total billed charges,,27.09,21,,,Percent of total billed charges,,27.09,64.9,,,Percent of total billed charges,,83.721,21,,,Percent of total billed charges,,27.09,45,,,Percent of total billed charges,,58.05,25.542,116.1,
hc maxorb 2 x 2,272,RC,,,,Outpatient,Facility,,,8,3.2,66,,,Percent of total billed charges,,5.28,20.8,,,Percent of total billed charges,,1.664,20.4,,,Percent of total billed charges,,1.632,58.8,,,Percent of total billed charges,,4.704,19.8,,,Percent of total billed charges,,1.584,80,,,Percent of total billed charges,,6.4,61.6,,,Percent of total billed charges,,4.928,20.6,,,Percent of total billed charges,,1.648,20.6,,,Percent of total billed charges,,1.648,65.55,,,Percent of total billed charges,,5.244,21,,,Percent of total billed charges,,1.68,90,,,Percent of total billed charges,,7.2,21,,,Percent of total billed charges,,1.68,21,,,Percent of total billed charges,,1.68,64.9,,,Percent of total billed charges,,5.192,21,,,Percent of total billed charges,,1.68,45,,,Percent of total billed charges,,3.6,1.584,7.2,
hc medipore 10 x 12,272,RC,,,,Outpatient,Facility,,,3,1.2,66,,,Percent of total billed charges,,1.98,20.8,,,Percent of total billed charges,,0.624,20.4,,,Percent of total billed charges,,0.612,58.8,,,Percent of total billed charges,,1.764,19.8,,,Percent of total billed charges,,0.594,80,,,Percent of total billed charges,,2.4,61.6,,,Percent of total billed charges,,1.848,20.6,,,Percent of total billed charges,,0.618,20.6,,,Percent of total billed charges,,0.618,65.55,,,Percent of total billed charges,,1.9665,21,,,Percent of total billed charges,,0.63,90,,,Percent of total billed charges,,2.7,21,,,Percent of total billed charges,,0.63,21,,,Percent of total billed charges,,0.63,64.9,,,Percent of total billed charges,,1.947,21,,,Percent of total billed charges,,0.63,45,,,Percent of total billed charges,,1.35,0.594,2.7,
hc mepilex 15 cm x 15 cm,272,RC,,,,Outpatient,Facility,,,35,14,66,,,Percent of total billed charges,,23.1,20.8,,,Percent of total billed charges,,7.28,20.4,,,Percent of total billed charges,,7.14,58.8,,,Percent of total billed charges,,20.58,19.8,,,Percent of total billed charges,,6.93,80,,,Percent of total billed charges,,28,61.6,,,Percent of total billed charges,,21.56,20.6,,,Percent of total billed charges,,7.21,20.6,,,Percent of total billed charges,,7.21,65.55,,,Percent of total billed charges,,22.9425,21,,,Percent of total billed charges,,7.35,90,,,Percent of total billed charges,,31.5,21,,,Percent of total billed charges,,7.35,21,,,Percent of total billed charges,,7.35,64.9,,,Percent of total billed charges,,22.715,21,,,Percent of total billed charges,,7.35,45,,,Percent of total billed charges,,15.75,6.93,31.5,
hc mepitel 9x12 dressing,272,RC,,,,Outpatient,Facility,,,167,66.8,66,,,Percent of total billed charges,,110.22,20.8,,,Percent of total billed charges,,34.736,20.4,,,Percent of total billed charges,,34.068,58.8,,,Percent of total billed charges,,98.196,19.8,,,Percent of total billed charges,,33.066,80,,,Percent of total billed charges,,133.6,61.6,,,Percent of total billed charges,,102.872,20.6,,,Percent of total billed charges,,34.402,20.6,,,Percent of total billed charges,,34.402,65.55,,,Percent of total billed charges,,109.4685,21,,,Percent of total billed charges,,35.07,90,,,Percent of total billed charges,,150.3,21,,,Percent of total billed charges,,35.07,21,,,Percent of total billed charges,,35.07,64.9,,,Percent of total billed charges,,108.383,21,,,Percent of total billed charges,,35.07,45,,,Percent of total billed charges,,75.15,33.066,150.3,
hc mulitdex per gm,272,RC,,,,Outpatient,Facility,,,3,1.2,66,,,Percent of total billed charges,,1.98,20.8,,,Percent of total billed charges,,0.624,20.4,,,Percent of total billed charges,,0.612,58.8,,,Percent of total billed charges,,1.764,19.8,,,Percent of total billed charges,,0.594,80,,,Percent of total billed charges,,2.4,61.6,,,Percent of total billed charges,,1.848,20.6,,,Percent of total billed charges,,0.618,20.6,,,Percent of total billed charges,,0.618,65.55,,,Percent of total billed charges,,1.9665,21,,,Percent of total billed charges,,0.63,90,,,Percent of total billed charges,,2.7,21,,,Percent of total billed charges,,0.63,21,,,Percent of total billed charges,,0.63,64.9,,,Percent of total billed charges,,1.947,21,,,Percent of total billed charges,,0.63,45,,,Percent of total billed charges,,1.35,0.594,2.7,
hc needle ez-io 45mm,272,RC,,,,Outpatient,Facility,,,619,247.6,66,,,Percent of total billed charges,,408.54,20.8,,,Percent of total billed charges,,128.752,20.4,,,Percent of total billed charges,,126.276,58.8,,,Percent of total billed charges,,363.972,19.8,,,Percent of total billed charges,,122.562,80,,,Percent of total billed charges,,495.2,61.6,,,Percent of total billed charges,,381.304,20.6,,,Percent of total billed charges,,127.514,20.6,,,Percent of total billed charges,,127.514,65.55,,,Percent of total billed charges,,405.7545,21,,,Percent of total billed charges,,129.99,90,,,Percent of total billed charges,,557.1,21,,,Percent of total billed charges,,129.99,21,,,Percent of total billed charges,,129.99,64.9,,,Percent of total billed charges,,401.731,21,,,Percent of total billed charges,,129.99,45,,,Percent of total billed charges,,278.55,122.562,557.1,
hc needle insulate periph,272,RC,,,,Outpatient,Facility,,,177,70.8,66,,,Percent of total billed charges,,116.82,20.8,,,Percent of total billed charges,,36.816,20.4,,,Percent of total billed charges,,36.108,58.8,,,Percent of total billed charges,,104.076,19.8,,,Percent of total billed charges,,35.046,80,,,Percent of total billed charges,,141.6,61.6,,,Percent of total billed charges,,109.032,20.6,,,Percent of total billed charges,,36.462,20.6,,,Percent of total billed charges,,36.462,65.55,,,Percent of total billed charges,,116.0235,21,,,Percent of total billed charges,,37.17,90,,,Percent of total billed charges,,159.3,21,,,Percent of total billed charges,,37.17,21,,,Percent of total billed charges,,37.17,64.9,,,Percent of total billed charges,,114.873,21,,,Percent of total billed charges,,37.17,45,,,Percent of total billed charges,,79.65,35.046,159.3,
hc padding artiflex 3`,272,RC,,,,Outpatient,Facility,,,3,1.2,66,,,Percent of total billed charges,,1.98,20.8,,,Percent of total billed charges,,0.624,20.4,,,Percent of total billed charges,,0.612,58.8,,,Percent of total billed charges,,1.764,19.8,,,Percent of total billed charges,,0.594,80,,,Percent of total billed charges,,2.4,61.6,,,Percent of total billed charges,,1.848,20.6,,,Percent of total billed charges,,0.618,20.6,,,Percent of total billed charges,,0.618,65.55,,,Percent of total billed charges,,1.9665,21,,,Percent of total billed charges,,0.63,90,,,Percent of total billed charges,,2.7,21,,,Percent of total billed charges,,0.63,21,,,Percent of total billed charges,,0.63,64.9,,,Percent of total billed charges,,1.947,21,,,Percent of total billed charges,,0.63,45,,,Percent of total billed charges,,1.35,0.594,2.7,
hc ped quick combo pads,272,RC,,,,Outpatient,Facility,,,359,143.6,66,,,Percent of total billed charges,,236.94,20.8,,,Percent of total billed charges,,74.672,20.4,,,Percent of total billed charges,,73.236,58.8,,,Percent of total billed charges,,211.092,19.8,,,Percent of total billed charges,,71.082,80,,,Percent of total billed charges,,287.2,61.6,,,Percent of total billed charges,,221.144,20.6,,,Percent of total billed charges,,73.954,20.6,,,Percent of total billed charges,,73.954,65.55,,,Percent of total billed charges,,235.3245,21,,,Percent of total billed charges,,75.39,90,,,Percent of total billed charges,,323.1,21,,,Percent of total billed charges,,75.39,21,,,Percent of total billed charges,,75.39,64.9,,,Percent of total billed charges,,232.991,21,,,Percent of total billed charges,,75.39,45,,,Percent of total billed charges,,161.55,71.082,323.1,
hc pneumothorax 9fr c-tpt-1,272,RC,,,,Outpatient,Facility,,,560,224,66,,,Percent of total billed charges,,369.6,20.8,,,Percent of total billed charges,,116.48,20.4,,,Percent of total billed charges,,114.24,58.8,,,Percent of total billed charges,,329.28,19.8,,,Percent of total billed charges,,110.88,80,,,Percent of total billed charges,,448,61.6,,,Percent of total billed charges,,344.96,20.6,,,Percent of total billed charges,,115.36,20.6,,,Percent of total billed charges,,115.36,65.55,,,Percent of total billed charges,,367.08,21,,,Percent of total billed charges,,117.6,90,,,Percent of total billed charges,,504,21,,,Percent of total billed charges,,117.6,21,,,Percent of total billed charges,,117.6,64.9,,,Percent of total billed charges,,363.44,21,,,Percent of total billed charges,,117.6,45,,,Percent of total billed charges,,252,110.88,504,
hc pos clin depres scr f/u,99,RC,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.0066,20.8,,,Percent of total billed charges,,0.0021,20.4,,,Percent of total billed charges,,0.002,58.8,,,Percent of total billed charges,,0.0059,19.8,,,Percent of total billed charges,,0.002,80,,,Percent of total billed charges,,0.008,61.6,,,Percent of total billed charges,,0.0062,20.6,,,Percent of total billed charges,,0.0021,20.6,,,Percent of total billed charges,,0.0021,65.55,,,Percent of total billed charges,,0.0066,21,,,Percent of total billed charges,,0.0021,90,,,Percent of total billed charges,,0.009,21,,,Percent of total billed charges,,0.0021,21,,,Percent of total billed charges,,0.0021,64.9,,,Percent of total billed charges,,0.0065,21,,,Percent of total billed charges,,0.0021,45,,,Percent of total billed charges,,0.0045,0.002,0.009,
hc quick clot trauma pad,272,RC,,,,Outpatient,Facility,,,413,165.2,66,,,Percent of total billed charges,,272.58,20.8,,,Percent of total billed charges,,85.904,20.4,,,Percent of total billed charges,,84.252,58.8,,,Percent of total billed charges,,242.844,19.8,,,Percent of total billed charges,,81.774,80,,,Percent of total billed charges,,330.4,61.6,,,Percent of total billed charges,,254.408,20.6,,,Percent of total billed charges,,85.078,20.6,,,Percent of total billed charges,,85.078,65.55,,,Percent of total billed charges,,270.7215,21,,,Percent of total billed charges,,86.73,90,,,Percent of total billed charges,,371.7,21,,,Percent of total billed charges,,86.73,21,,,Percent of total billed charges,,86.73,64.9,,,Percent of total billed charges,,268.037,21,,,Percent of total billed charges,,86.73,45,,,Percent of total billed charges,,185.85,81.774,371.7,
hc quick clot x ray 4 x 4,272,RC,,,,Outpatient,Facility,,,100,40,66,,,Percent of total billed charges,,66,20.8,,,Percent of total billed charges,,20.8,20.4,,,Percent of total billed charges,,20.4,58.8,,,Percent of total billed charges,,58.8,19.8,,,Percent of total billed charges,,19.8,80,,,Percent of total billed charges,,80,61.6,,,Percent of total billed charges,,61.6,20.6,,,Percent of total billed charges,,20.6,20.6,,,Percent of total billed charges,,20.6,65.55,,,Percent of total billed charges,,65.55,21,,,Percent of total billed charges,,21,90,,,Percent of total billed charges,,90,21,,,Percent of total billed charges,,21,21,,,Percent of total billed charges,,21,64.9,,,Percent of total billed charges,,64.9,21,,,Percent of total billed charges,,21,45,,,Percent of total billed charges,,45,19.8,90,
hc rapid rhino rocket,272,RC,,,,Outpatient,Facility,,,205,82,66,,,Percent of total billed charges,,135.3,20.8,,,Percent of total billed charges,,42.64,20.4,,,Percent of total billed charges,,41.82,58.8,,,Percent of total billed charges,,120.54,19.8,,,Percent of total billed charges,,40.59,80,,,Percent of total billed charges,,164,61.6,,,Percent of total billed charges,,126.28,20.6,,,Percent of total billed charges,,42.23,20.6,,,Percent of total billed charges,,42.23,65.55,,,Percent of total billed charges,,134.3775,21,,,Percent of total billed charges,,43.05,90,,,Percent of total billed charges,,184.5,21,,,Percent of total billed charges,,43.05,21,,,Percent of total billed charges,,43.05,64.9,,,Percent of total billed charges,,133.045,21,,,Percent of total billed charges,,43.05,45,,,Percent of total billed charges,,92.25,40.59,184.5,
hc respite care,655,RC,,,,Outpatient,Facility,,,221,88.4,66,,,Percent of total billed charges,,145.86,20.8,,,Percent of total billed charges,,45.968,20.4,,,Percent of total billed charges,,45.084,58.8,,,Percent of total billed charges,,129.948,19.8,,,Percent of total billed charges,,43.758,80,,,Percent of total billed charges,,176.8,61.6,,,Percent of total billed charges,,136.136,20.6,,,Percent of total billed charges,,45.526,20.6,,,Percent of total billed charges,,45.526,65.55,,,Percent of total billed charges,,144.8655,21,,,Percent of total billed charges,,46.41,90,,,Percent of total billed charges,,198.9,21,,,Percent of total billed charges,,46.41,21,,,Percent of total billed charges,,46.41,64.9,,,Percent of total billed charges,,143.429,21,,,Percent of total billed charges,,46.41,45,,,Percent of total billed charges,,99.45,43.758,198.9,
hc rhino rocket large,272,RC,,,,Outpatient,Facility,,,77,30.8,66,,,Percent of total billed charges,,50.82,20.8,,,Percent of total billed charges,,16.016,20.4,,,Percent of total billed charges,,15.708,58.8,,,Percent of total billed charges,,45.276,19.8,,,Percent of total billed charges,,15.246,80,,,Percent of total billed charges,,61.6,61.6,,,Percent of total billed charges,,47.432,20.6,,,Percent of total billed charges,,15.862,20.6,,,Percent of total billed charges,,15.862,65.55,,,Percent of total billed charges,,50.4735,21,,,Percent of total billed charges,,16.17,90,,,Percent of total billed charges,,69.3,21,,,Percent of total billed charges,,16.17,21,,,Percent of total billed charges,,16.17,64.9,,,Percent of total billed charges,,49.973,21,,,Percent of total billed charges,,16.17,45,,,Percent of total billed charges,,34.65,15.246,69.3,
"hc scr dep neg, no plan reqd",99,RC,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.0066,20.8,,,Percent of total billed charges,,0.0021,20.4,,,Percent of total billed charges,,0.002,58.8,,,Percent of total billed charges,,0.0059,19.8,,,Percent of total billed charges,,0.002,80,,,Percent of total billed charges,,0.008,61.6,,,Percent of total billed charges,,0.0062,20.6,,,Percent of total billed charges,,0.0021,20.6,,,Percent of total billed charges,,0.0021,65.55,,,Percent of total billed charges,,0.0066,21,,,Percent of total billed charges,,0.0021,90,,,Percent of total billed charges,,0.009,21,,,Percent of total billed charges,,0.0021,21,,,Percent of total billed charges,,0.0021,64.9,,,Percent of total billed charges,,0.0065,21,,,Percent of total billed charges,,0.0021,45,,,Percent of total billed charges,,0.0045,0.002,0.009,
hc semi private room,120,RC,,,,Inpatient,Facility,,,1167,466.8,66,,,Percent of total billed charges,,770.22,20.8,,,Percent of total billed charges,,242.736,20.4,,,Percent of total billed charges,,238.068,58.8,,,Percent of total billed charges,,686.196,19.8,,,Percent of total billed charges,,231.066,80,,,Percent of total billed charges,,933.6,61.6,,,Percent of total billed charges,,718.872,20.6,,,Percent of total billed charges,,240.402,20.6,,,Percent of total billed charges,,240.402,65.55,,,Percent of total billed charges,,764.9685,21,,,Percent of total billed charges,,245.07,90,,,Percent of total billed charges,,1050.3,21,,,Percent of total billed charges,,245.07,21,,,Percent of total billed charges,,245.07,64.9,,,Percent of total billed charges,,757.383,21,,,Percent of total billed charges,,245.07,45,,,Percent of total billed charges,,525.15,231.066,1050.3,
hc sensor inspectra sto2 dis,272,RC,,,,Outpatient,Facility,,,515,206,66,,,Percent of total billed charges,,339.9,20.8,,,Percent of total billed charges,,107.12,20.4,,,Percent of total billed charges,,105.06,58.8,,,Percent of total billed charges,,302.82,19.8,,,Percent of total billed charges,,101.97,80,,,Percent of total billed charges,,412,61.6,,,Percent of total billed charges,,317.24,20.6,,,Percent of total billed charges,,106.09,20.6,,,Percent of total billed charges,,106.09,65.55,,,Percent of total billed charges,,337.5825,21,,,Percent of total billed charges,,108.15,90,,,Percent of total billed charges,,463.5,21,,,Percent of total billed charges,,108.15,21,,,Percent of total billed charges,,108.15,64.9,,,Percent of total billed charges,,334.235,21,,,Percent of total billed charges,,108.15,45,,,Percent of total billed charges,,231.75,101.97,463.5,
hc set bag belmont 3 spike,272,RC,,,,Outpatient,Facility,,,627,250.8,66,,,Percent of total billed charges,,413.82,20.8,,,Percent of total billed charges,,130.416,20.4,,,Percent of total billed charges,,127.908,58.8,,,Percent of total billed charges,,368.676,19.8,,,Percent of total billed charges,,124.146,80,,,Percent of total billed charges,,501.6,61.6,,,Percent of total billed charges,,386.232,20.6,,,Percent of total billed charges,,129.162,20.6,,,Percent of total billed charges,,129.162,65.55,,,Percent of total billed charges,,410.9985,21,,,Percent of total billed charges,,131.67,90,,,Percent of total billed charges,,564.3,21,,,Percent of total billed charges,,131.67,21,,,Percent of total billed charges,,131.67,64.9,,,Percent of total billed charges,,406.923,21,,,Percent of total billed charges,,131.67,45,,,Percent of total billed charges,,282.15,124.146,564.3,
hc silvadene 50 grams,272,RC,,,,Outpatient,Facility,,,44,17.6,66,,,Percent of total billed charges,,29.04,20.8,,,Percent of total billed charges,,9.152,20.4,,,Percent of total billed charges,,8.976,58.8,,,Percent of total billed charges,,25.872,19.8,,,Percent of total billed charges,,8.712,80,,,Percent of total billed charges,,35.2,61.6,,,Percent of total billed charges,,27.104,20.6,,,Percent of total billed charges,,9.064,20.6,,,Percent of total billed charges,,9.064,65.55,,,Percent of total billed charges,,28.842,21,,,Percent of total billed charges,,9.24,90,,,Percent of total billed charges,,39.6,21,,,Percent of total billed charges,,9.24,21,,,Percent of total billed charges,,9.24,64.9,,,Percent of total billed charges,,28.556,21,,,Percent of total billed charges,,9.24,45,,,Percent of total billed charges,,19.8,8.712,39.6,
hc silvasorb gel 0.25oz,272,RC,,,,Outpatient,Facility,,,29,11.6,66,,,Percent of total billed charges,,19.14,20.8,,,Percent of total billed charges,,6.032,20.4,,,Percent of total billed charges,,5.916,58.8,,,Percent of total billed charges,,17.052,19.8,,,Percent of total billed charges,,5.742,80,,,Percent of total billed charges,,23.2,61.6,,,Percent of total billed charges,,17.864,20.6,,,Percent of total billed charges,,5.974,20.6,,,Percent of total billed charges,,5.974,65.55,,,Percent of total billed charges,,19.0095,21,,,Percent of total billed charges,,6.09,90,,,Percent of total billed charges,,26.1,21,,,Percent of total billed charges,,6.09,21,,,Percent of total billed charges,,6.09,64.9,,,Percent of total billed charges,,18.821,21,,,Percent of total billed charges,,6.09,45,,,Percent of total billed charges,,13.05,5.742,26.1,
hc sleeve scd knee,272,RC,,,,Outpatient,Facility,,,100,40,66,,,Percent of total billed charges,,66,20.8,,,Percent of total billed charges,,20.8,20.4,,,Percent of total billed charges,,20.4,58.8,,,Percent of total billed charges,,58.8,19.8,,,Percent of total billed charges,,19.8,80,,,Percent of total billed charges,,80,61.6,,,Percent of total billed charges,,61.6,20.6,,,Percent of total billed charges,,20.6,20.6,,,Percent of total billed charges,,20.6,65.55,,,Percent of total billed charges,,65.55,21,,,Percent of total billed charges,,21,90,,,Percent of total billed charges,,90,21,,,Percent of total billed charges,,21,21,,,Percent of total billed charges,,21,64.9,,,Percent of total billed charges,,64.9,21,,,Percent of total billed charges,,21,45,,,Percent of total billed charges,,45,19.8,90,
hc stabilizer-ez,272,RC,,,,Outpatient,Facility,,,81,32.4,66,,,Percent of total billed charges,,53.46,20.8,,,Percent of total billed charges,,16.848,20.4,,,Percent of total billed charges,,16.524,58.8,,,Percent of total billed charges,,47.628,19.8,,,Percent of total billed charges,,16.038,80,,,Percent of total billed charges,,64.8,61.6,,,Percent of total billed charges,,49.896,20.6,,,Percent of total billed charges,,16.686,20.6,,,Percent of total billed charges,,16.686,65.55,,,Percent of total billed charges,,53.0955,21,,,Percent of total billed charges,,17.01,90,,,Percent of total billed charges,,72.9,21,,,Percent of total billed charges,,17.01,21,,,Percent of total billed charges,,17.01,64.9,,,Percent of total billed charges,,52.569,21,,,Percent of total billed charges,,17.01,45,,,Percent of total billed charges,,36.45,16.038,72.9,
hc stryker quick press 295-2,270,RC,,,,Outpatient,Facility,,,538,215.2,66,,,Percent of total billed charges,,355.08,20.8,,,Percent of total billed charges,,111.904,20.4,,,Percent of total billed charges,,109.752,58.8,,,Percent of total billed charges,,316.344,19.8,,,Percent of total billed charges,,106.524,80,,,Percent of total billed charges,,430.4,61.6,,,Percent of total billed charges,,331.408,20.6,,,Percent of total billed charges,,110.828,20.6,,,Percent of total billed charges,,110.828,65.55,,,Percent of total billed charges,,352.659,21,,,Percent of total billed charges,,112.98,90,,,Percent of total billed charges,,484.2,21,,,Percent of total billed charges,,112.98,21,,,Percent of total billed charges,,112.98,64.9,,,Percent of total billed charges,,349.162,21,,,Percent of total billed charges,,112.98,45,,,Percent of total billed charges,,242.1,106.524,484.2,
hc suction wangesnsteen,270,RC,,,,Outpatient,Facility,,,17,6.8,66,,,Percent of total billed charges,,11.22,20.8,,,Percent of total billed charges,,3.536,20.4,,,Percent of total billed charges,,3.468,58.8,,,Percent of total billed charges,,9.996,19.8,,,Percent of total billed charges,,3.366,80,,,Percent of total billed charges,,13.6,61.6,,,Percent of total billed charges,,10.472,20.6,,,Percent of total billed charges,,3.502,20.6,,,Percent of total billed charges,,3.502,65.55,,,Percent of total billed charges,,11.1435,21,,,Percent of total billed charges,,3.57,90,,,Percent of total billed charges,,15.3,21,,,Percent of total billed charges,,3.57,21,,,Percent of total billed charges,,3.57,64.9,,,Percent of total billed charges,,11.033,21,,,Percent of total billed charges,,3.57,45,,,Percent of total billed charges,,7.65,3.366,15.3,
hc surgicel 1/2 x 2 sterile,272,RC,,,,Outpatient,Facility,,,37,14.8,66,,,Percent of total billed charges,,24.42,20.8,,,Percent of total billed charges,,7.696,20.4,,,Percent of total billed charges,,7.548,58.8,,,Percent of total billed charges,,21.756,19.8,,,Percent of total billed charges,,7.326,80,,,Percent of total billed charges,,29.6,61.6,,,Percent of total billed charges,,22.792,20.6,,,Percent of total billed charges,,7.622,20.6,,,Percent of total billed charges,,7.622,65.55,,,Percent of total billed charges,,24.2535,21,,,Percent of total billed charges,,7.77,90,,,Percent of total billed charges,,33.3,21,,,Percent of total billed charges,,7.77,21,,,Percent of total billed charges,,7.77,64.9,,,Percent of total billed charges,,24.013,21,,,Percent of total billed charges,,7.77,45,,,Percent of total billed charges,,16.65,7.326,33.3,
hc surgicel 4x8 1952,272,RC,,,,Outpatient,Facility,,,275,110,66,,,Percent of total billed charges,,181.5,20.8,,,Percent of total billed charges,,57.2,20.4,,,Percent of total billed charges,,56.1,58.8,,,Percent of total billed charges,,161.7,19.8,,,Percent of total billed charges,,54.45,80,,,Percent of total billed charges,,220,61.6,,,Percent of total billed charges,,169.4,20.6,,,Percent of total billed charges,,56.65,20.6,,,Percent of total billed charges,,56.65,65.55,,,Percent of total billed charges,,180.2625,21,,,Percent of total billed charges,,57.75,90,,,Percent of total billed charges,,247.5,21,,,Percent of total billed charges,,57.75,21,,,Percent of total billed charges,,57.75,64.9,,,Percent of total billed charges,,178.475,21,,,Percent of total billed charges,,57.75,45,,,Percent of total billed charges,,123.75,54.45,247.5,
hc suture - general,272,RC,,,,Outpatient,Facility,,,26,10.4,66,,,Percent of total billed charges,,17.16,20.8,,,Percent of total billed charges,,5.408,20.4,,,Percent of total billed charges,,5.304,58.8,,,Percent of total billed charges,,15.288,19.8,,,Percent of total billed charges,,5.148,80,,,Percent of total billed charges,,20.8,61.6,,,Percent of total billed charges,,16.016,20.6,,,Percent of total billed charges,,5.356,20.6,,,Percent of total billed charges,,5.356,65.55,,,Percent of total billed charges,,17.043,21,,,Percent of total billed charges,,5.46,90,,,Percent of total billed charges,,23.4,21,,,Percent of total billed charges,,5.46,21,,,Percent of total billed charges,,5.46,64.9,,,Percent of total billed charges,,16.874,21,,,Percent of total billed charges,,5.46,45,,,Percent of total billed charges,,11.7,5.148,23.4,
hc swing bed room,190,RC,,,,Inpatient,Facility,,,1000,400,66,,,Percent of total billed charges,,660,20.8,,,Percent of total billed charges,,208,20.4,,,Percent of total billed charges,,204,58.8,,,Percent of total billed charges,,588,19.8,,,Percent of total billed charges,,198,80,,,Percent of total billed charges,,800,61.6,,,Percent of total billed charges,,616,20.6,,,Percent of total billed charges,,206,20.6,,,Percent of total billed charges,,206,65.55,,,Percent of total billed charges,,655.5,21,,,Percent of total billed charges,,210,90,,,Percent of total billed charges,,900,21,,,Percent of total billed charges,,210,21,,,Percent of total billed charges,,210,64.9,,,Percent of total billed charges,,649,21,,,Percent of total billed charges,,210,45,,,Percent of total billed charges,,450,198,900,
hc t pods,272,RC,,,,Outpatient,Facility,,,593,237.2,66,,,Percent of total billed charges,,391.38,20.8,,,Percent of total billed charges,,123.344,20.4,,,Percent of total billed charges,,120.972,58.8,,,Percent of total billed charges,,348.684,19.8,,,Percent of total billed charges,,117.414,80,,,Percent of total billed charges,,474.4,61.6,,,Percent of total billed charges,,365.288,20.6,,,Percent of total billed charges,,122.158,20.6,,,Percent of total billed charges,,122.158,65.55,,,Percent of total billed charges,,388.7115,21,,,Percent of total billed charges,,124.53,90,,,Percent of total billed charges,,533.7,21,,,Percent of total billed charges,,124.53,21,,,Percent of total billed charges,,124.53,64.9,,,Percent of total billed charges,,384.857,21,,,Percent of total billed charges,,124.53,45,,,Percent of total billed charges,,266.85,117.414,533.7,
hc tc ez 3 cast,272,RC,,,,Outpatient,Facility,,,629,251.6,66,,,Percent of total billed charges,,415.14,20.8,,,Percent of total billed charges,,130.832,20.4,,,Percent of total billed charges,,128.316,58.8,,,Percent of total billed charges,,369.852,19.8,,,Percent of total billed charges,,124.542,80,,,Percent of total billed charges,,503.2,61.6,,,Percent of total billed charges,,387.464,20.6,,,Percent of total billed charges,,129.574,20.6,,,Percent of total billed charges,,129.574,65.55,,,Percent of total billed charges,,412.3095,21,,,Percent of total billed charges,,132.09,90,,,Percent of total billed charges,,566.1,21,,,Percent of total billed charges,,132.09,21,,,Percent of total billed charges,,132.09,64.9,,,Percent of total billed charges,,408.221,21,,,Percent of total billed charges,,132.09,45,,,Percent of total billed charges,,283.05,124.542,566.1,
hc telemetry,270,RC,,,,Outpatient,Facility,,,153,61.2,66,,,Percent of total billed charges,,100.98,20.8,,,Percent of total billed charges,,31.824,20.4,,,Percent of total billed charges,,31.212,58.8,,,Percent of total billed charges,,89.964,19.8,,,Percent of total billed charges,,30.294,80,,,Percent of total billed charges,,122.4,61.6,,,Percent of total billed charges,,94.248,20.6,,,Percent of total billed charges,,31.518,20.6,,,Percent of total billed charges,,31.518,65.55,,,Percent of total billed charges,,100.2915,21,,,Percent of total billed charges,,32.13,90,,,Percent of total billed charges,,137.7,21,,,Percent of total billed charges,,32.13,21,,,Percent of total billed charges,,32.13,64.9,,,Percent of total billed charges,,99.297,21,,,Percent of total billed charges,,32.13,45,,,Percent of total billed charges,,68.85,30.294,137.7,
hc tray cath criticore,272,RC,,,,Outpatient,Facility,,,141,56.4,66,,,Percent of total billed charges,,93.06,20.8,,,Percent of total billed charges,,29.328,20.4,,,Percent of total billed charges,,28.764,58.8,,,Percent of total billed charges,,82.908,19.8,,,Percent of total billed charges,,27.918,80,,,Percent of total billed charges,,112.8,61.6,,,Percent of total billed charges,,86.856,20.6,,,Percent of total billed charges,,29.046,20.6,,,Percent of total billed charges,,29.046,65.55,,,Percent of total billed charges,,92.4255,21,,,Percent of total billed charges,,29.61,90,,,Percent of total billed charges,,126.9,21,,,Percent of total billed charges,,29.61,21,,,Percent of total billed charges,,29.61,64.9,,,Percent of total billed charges,,91.509,21,,,Percent of total billed charges,,29.61,45,,,Percent of total billed charges,,63.45,27.918,126.9,
hc tray cath foley 16/18fr,272,RC,,,,Outpatient,Facility,,,25,10,66,,,Percent of total billed charges,,16.5,20.8,,,Percent of total billed charges,,5.2,20.4,,,Percent of total billed charges,,5.1,58.8,,,Percent of total billed charges,,14.7,19.8,,,Percent of total billed charges,,4.95,80,,,Percent of total billed charges,,20,61.6,,,Percent of total billed charges,,15.4,20.6,,,Percent of total billed charges,,5.15,20.6,,,Percent of total billed charges,,5.15,65.55,,,Percent of total billed charges,,16.3875,21,,,Percent of total billed charges,,5.25,90,,,Percent of total billed charges,,22.5,21,,,Percent of total billed charges,,5.25,21,,,Percent of total billed charges,,5.25,64.9,,,Percent of total billed charges,,16.225,21,,,Percent of total billed charges,,5.25,45,,,Percent of total billed charges,,11.25,4.95,22.5,
hc tray lumbar adlt whse/csr,272,RC,,,,Outpatient,Facility,,,69,27.6,66,,,Percent of total billed charges,,45.54,20.8,,,Percent of total billed charges,,14.352,20.4,,,Percent of total billed charges,,14.076,58.8,,,Percent of total billed charges,,40.572,19.8,,,Percent of total billed charges,,13.662,80,,,Percent of total billed charges,,55.2,61.6,,,Percent of total billed charges,,42.504,20.6,,,Percent of total billed charges,,14.214,20.6,,,Percent of total billed charges,,14.214,65.55,,,Percent of total billed charges,,45.2295,21,,,Percent of total billed charges,,14.49,90,,,Percent of total billed charges,,62.1,21,,,Percent of total billed charges,,14.49,21,,,Percent of total billed charges,,14.49,64.9,,,Percent of total billed charges,,44.781,21,,,Percent of total billed charges,,14.49,45,,,Percent of total billed charges,,31.05,13.662,62.1,
hc tray para boasberg pc1000,270,RC,,,,Outpatient,Facility,,,209,83.6,66,,,Percent of total billed charges,,137.94,20.8,,,Percent of total billed charges,,43.472,20.4,,,Percent of total billed charges,,42.636,58.8,,,Percent of total billed charges,,122.892,19.8,,,Percent of total billed charges,,41.382,80,,,Percent of total billed charges,,167.2,61.6,,,Percent of total billed charges,,128.744,20.6,,,Percent of total billed charges,,43.054,20.6,,,Percent of total billed charges,,43.054,65.55,,,Percent of total billed charges,,136.9995,21,,,Percent of total billed charges,,43.89,90,,,Percent of total billed charges,,188.1,21,,,Percent of total billed charges,,43.89,21,,,Percent of total billed charges,,43.89,64.9,,,Percent of total billed charges,,135.641,21,,,Percent of total billed charges,,43.89,45,,,Percent of total billed charges,,94.05,41.382,188.1,
hc vantage/sightpath service fee,360,RC,,,,Outpatient,Facility,,,953,381.2,66,,,Percent of total billed charges,,628.98,20.8,,,Percent of total billed charges,,198.224,20.4,,,Percent of total billed charges,,194.412,58.8,,,Percent of total billed charges,,560.364,19.8,,,Percent of total billed charges,,188.694,80,,,Percent of total billed charges,,762.4,61.6,,,Percent of total billed charges,,587.048,20.6,,,Percent of total billed charges,,196.318,20.6,,,Percent of total billed charges,,196.318,65.55,,,Percent of total billed charges,,624.6915,21,,,Percent of total billed charges,,200.13,90,,,Percent of total billed charges,,857.7,21,,,Percent of total billed charges,,200.13,21,,,Percent of total billed charges,,200.13,64.9,,,Percent of total billed charges,,618.497,21,,,Percent of total billed charges,,200.13,45,,,Percent of total billed charges,,428.85,188.694,857.7,
heart failure and shock with cc,292,MS-DRG,,,,Inpatient,Facility,,,22359.66,8943.86,,7710.21,,Case rate,DRG Factor * DRG Weight,7710.21,,1758.64,,Per Diem,,10551.84,,1724.82,,Per Diem,,10348.92,,10354.52,,Case rate,DRG Factor * DRG Weight,10354.52,,1674.09,,Per Diem,,10044.54,80,,,Percent of total billed charges,,17887.73,61.6,,,Percent of total billed charges,,13773.55,,1741.73,,Per Diem,,10450.38,,1741.73,,Per Diem,,10450.38,65.55,,,Percent of total billed charges,,14656.76,,2079,,Per Diem,,12474,90,,,Percent of total billed charges,,20123.69,,2079,,Per Diem,,12474,,2079,,Per Diem,,12474,64.9,,,Percent of total billed charges,,14511.42,,2079,,Per Diem,,12474,,8266.29,,Case rate,DRG Factor * DRG Weight,8266.29,7710.21,22359.66,
heart failure and shock with mcc,291,MS-DRG,,,,Inpatient,Facility,,,17626.59,7050.64,,11557.67,,Case rate,DRG Factor * DRG Weight,11557.67,,1758.64,,Per Diem,,5275.92,,1724.82,,Per Diem,,5174.46,,14576.1,,Case rate,DRG Factor * DRG Weight,14576.1,,1674.09,,Per Diem,,5022.27,80,,,Percent of total billed charges,,14101.27,61.6,,,Percent of total billed charges,,10857.98,,1741.73,,Per Diem,,5225.19,,1741.73,,Per Diem,,5225.19,65.55,,,Percent of total billed charges,,11554.23,,2079,,Per Diem,,6237,90,,,Percent of total billed charges,,15863.93,,2079,,Per Diem,,6237,,2079,,Per Diem,,6237,64.9,,,Percent of total billed charges,,11439.66,,2079,,Per Diem,,6237,,12391.23,,Case rate,DRG Factor * DRG Weight,12391.23,5022.27,17626.59,
"Heavy metal (eg, arsenic, barium, beryllium, bismuth, antimony, mercury); quantitative, each, not elsewhere specified",83018,CPT,,,,Outpatient,Facility,,,204,81.6,66,,,Percent of total billed charges,,134.64,20.8,,,Percent of total billed charges,,42.43,20.4,,,Percent of total billed charges,,41.62,,21.96,,Case rate,,21.96,,6.36,,Case rate,,6.36,80,,,Percent of total billed charges,,163.2,61.6,,,Percent of total billed charges,,125.66,20.6,,,Percent of total billed charges,,42.02,20.6,,,Percent of total billed charges,,42.02,65.55,,,Percent of total billed charges,,133.72,21,,,Percent of total billed charges,,42.84,90,,,Percent of total billed charges,,183.6,21,,,Percent of total billed charges,,42.84,21,,,Percent of total billed charges,,42.84,64.9,,,Percent of total billed charges,,132.4,21,,,Percent of total billed charges,,42.84,,151.04,,Case rate,,151.04,6.36,204,
"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81450,CPT,,,,Outpatient,Facility,,,4325,1730,66,,,Percent of total billed charges,,2854.5,20.8,,,Percent of total billed charges,,899.6,,774.72,,Case rate,,774.72,,759.53,,Case rate,,759.53,,48.26,,Case rate,,48.26,80,,,Percent of total billed charges,,3460,61.6,,,Percent of total billed charges,,2664.2,20.6,,,Percent of total billed charges,,890.95,20.6,,,Percent of total billed charges,,890.95,65.55,,,Percent of total billed charges,,2835.04,21,,,Percent of total billed charges,,908.25,90,,,Percent of total billed charges,,3892.5,21,,,Percent of total billed charges,,908.25,21,,,Percent of total billed charges,,908.25,64.9,,,Percent of total billed charges,,2806.92,21,,,Percent of total billed charges,,908.25,,4083.19,,Case rate,,4083.19,48.26,4325,
"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)",83021,CPT,,,,Outpatient,Facility,,,166,66.4,66,,,Percent of total billed charges,,109.56,20.8,,,Percent of total billed charges,,34.53,20.4,,,Percent of total billed charges,,33.86,,18.06,,Case rate,,18.06,,5.11,,Case rate,,5.11,80,,,Percent of total billed charges,,132.8,61.6,,,Percent of total billed charges,,102.26,20.6,,,Percent of total billed charges,,34.2,20.6,,,Percent of total billed charges,,34.2,65.55,,,Percent of total billed charges,,108.81,21,,,Percent of total billed charges,,34.86,90,,,Percent of total billed charges,,149.4,21,,,Percent of total billed charges,,34.86,21,,,Percent of total billed charges,,34.86,64.9,,,Percent of total billed charges,,107.73,21,,,Percent of total billed charges,,34.86,,120.72,,Case rate,,120.72,5.11,166,
Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen),82820,CPT,,,,Outpatient,Facility,,,1368,547.2,66,,,Percent of total billed charges,,902.88,20.8,,,Percent of total billed charges,,284.54,20.4,,,Percent of total billed charges,,279.07,,13.34,,Case rate,,13.34,,2.91,,Case rate,,2.91,80,,,Percent of total billed charges,,1094.4,61.6,,,Percent of total billed charges,,842.69,20.6,,,Percent of total billed charges,,281.81,20.6,,,Percent of total billed charges,,281.81,65.55,,,Percent of total billed charges,,896.72,21,,,Percent of total billed charges,,287.28,90,,,Percent of total billed charges,,1231.2,21,,,Percent of total billed charges,,287.28,21,,,Percent of total billed charges,,287.28,64.9,,,Percent of total billed charges,,887.83,21,,,Percent of total billed charges,,287.28,,57.76,,Case rate,,57.76,2.91,1368,
"Hemoglobin; methemoglobin, quantitative",83050,CPT,,,,Outpatient,Facility,,,40,16,66,,,Percent of total billed charges,,26.4,20.8,,,Percent of total billed charges,,8.32,20.4,,,Percent of total billed charges,,8.16,,8.2,,Case rate,,8.2,,1.26,,Case rate,,1.26,80,,,Percent of total billed charges,,32,61.6,,,Percent of total billed charges,,24.64,20.6,,,Percent of total billed charges,,8.24,20.6,,,Percent of total billed charges,,8.24,65.55,,,Percent of total billed charges,,26.22,21,,,Percent of total billed charges,,8.4,90,,,Percent of total billed charges,,36,21,,,Percent of total billed charges,,8.4,21,,,Percent of total billed charges,,8.4,64.9,,,Percent of total billed charges,,25.96,21,,,Percent of total billed charges,,8.4,,20.1,,Case rate,,20.1,1.26,40,
Heparin assay,85520,CPT,,,,Outpatient,Facility,,,169,67.6,66,,,Percent of total billed charges,,111.54,20.8,,,Percent of total billed charges,,35.15,20.4,,,Percent of total billed charges,,34.48,,13.09,,Case rate,,13.09,,1.54,,Case rate,,1.54,80,,,Percent of total billed charges,,135.2,61.6,,,Percent of total billed charges,,104.1,20.6,,,Percent of total billed charges,,34.81,20.6,,,Percent of total billed charges,,34.81,65.55,,,Percent of total billed charges,,110.78,21,,,Percent of total billed charges,,35.49,90,,,Percent of total billed charges,,152.1,21,,,Percent of total billed charges,,35.49,21,,,Percent of total billed charges,,35.49,64.9,,,Percent of total billed charges,,109.68,21,,,Percent of total billed charges,,35.49,,39.84,,Case rate,,39.84,1.54,169,
"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)",80076,CPT,,,,Outpatient,Facility,,,347,138.8,66,,,Percent of total billed charges,,229.02,20.8,,,Percent of total billed charges,,72.18,20.4,,,Percent of total billed charges,,70.79,,8.17,,Case rate,,8.17,,2.31,,Case rate,,2.31,80,,,Percent of total billed charges,,277.6,61.6,,,Percent of total billed charges,,213.75,20.6,,,Percent of total billed charges,,71.48,20.6,,,Percent of total billed charges,,71.48,65.55,,,Percent of total billed charges,,227.46,21,,,Percent of total billed charges,,72.87,90,,,Percent of total billed charges,,312.3,21,,,Percent of total billed charges,,72.87,21,,,Percent of total billed charges,,72.87,64.9,,,Percent of total billed charges,,225.2,21,,,Percent of total billed charges,,72.87,,45.45,,Case rate,,45.45,2.31,347,
"Hepatitis A antibody (HAAb), IgM antibody",86709,CPT,,,,Outpatient,Facility,,,106,42.4,66,,,Percent of total billed charges,,69.96,20.8,,,Percent of total billed charges,,22.05,20.4,,,Percent of total billed charges,,21.62,,11.26,,Case rate,,11.26,,3.08,,Case rate,,3.08,80,,,Percent of total billed charges,,84.8,61.6,,,Percent of total billed charges,,65.3,20.6,,,Percent of total billed charges,,21.84,20.6,,,Percent of total billed charges,,21.84,65.55,,,Percent of total billed charges,,69.48,21,,,Percent of total billed charges,,22.26,90,,,Percent of total billed charges,,95.4,21,,,Percent of total billed charges,,22.26,21,,,Percent of total billed charges,,22.26,64.9,,,Percent of total billed charges,,68.79,21,,,Percent of total billed charges,,22.26,,75.59,,Case rate,,75.59,3.08,106,
Hepatitis B core antibody (HBcAb); total,86704,CPT,,,,Outpatient,Facility,,,141,56.4,66,,,Percent of total billed charges,,93.06,20.8,,,Percent of total billed charges,,29.33,20.4,,,Percent of total billed charges,,28.76,,12.05,,Case rate,,12.05,,3.3,,Case rate,,3.3,80,,,Percent of total billed charges,,112.8,61.6,,,Percent of total billed charges,,86.86,20.6,,,Percent of total billed charges,,29.05,20.6,,,Percent of total billed charges,,29.05,65.55,,,Percent of total billed charges,,92.43,21,,,Percent of total billed charges,,29.61,90,,,Percent of total billed charges,,126.9,21,,,Percent of total billed charges,,29.61,21,,,Percent of total billed charges,,29.61,64.9,,,Percent of total billed charges,,91.51,21,,,Percent of total billed charges,,29.61,,66.21,,Case rate,,66.21,3.3,141,
"Hepatitis c antibody screening, for individual at high risk and other covered indication(s)",G0472,CPT,,,,Outpatient,Facility,,,166,66.4,66,,,Percent of total billed charges,,109.56,20.8,,,Percent of total billed charges,,34.53,20.4,,,Percent of total billed charges,,33.86,,46.35,,Case rate,,46.35,,0.98,,Case rate,,0.98,80,,,Percent of total billed charges,,132.8,61.6,,,Percent of total billed charges,,102.26,20.6,,,Percent of total billed charges,,34.2,20.6,,,Percent of total billed charges,,34.2,65.55,,,Percent of total billed charges,,108.81,21,,,Percent of total billed charges,,34.86,90,,,Percent of total billed charges,,149.4,21,,,Percent of total billed charges,,34.86,21,,,Percent of total billed charges,,34.86,64.9,,,Percent of total billed charges,,107.73,21,,,Percent of total billed charges,,34.86,,38.54,,Case rate,,38.54,0.98,166,
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,34178226,CDM,TC,Outpatient,Facility,,,708,283.2,66,,,Percent of total billed charges,,467.28,20.8,,,Percent of total billed charges,,147.26,20.4,,,Percent of total billed charges,,144.43,,254.16,,Case rate,,254.16,,22.17,,Case rate,,22.17,80,,,Percent of total billed charges,,566.4,61.6,,,Percent of total billed charges,,436.13,20.6,,,Percent of total billed charges,,145.85,20.6,,,Percent of total billed charges,,145.85,65.55,,,Percent of total billed charges,,464.09,21,,,Percent of total billed charges,,148.68,90,,,Percent of total billed charges,,637.2,21,,,Percent of total billed charges,,148.68,21,,,Percent of total billed charges,,148.68,64.9,,,Percent of total billed charges,,459.49,21,,,Percent of total billed charges,,148.68,,583.49,,Case rate,,583.49,22.17,708,
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,34178227,CDM,TC,Outpatient,Facility,,,1038,415.2,66,,,Percent of total billed charges,,685.08,20.8,,,Percent of total billed charges,,215.9,20.4,,,Percent of total billed charges,,211.75,,345.82,,Case rate,,345.82,,22.17,,Case rate,,22.17,80,,,Percent of total billed charges,,830.4,61.6,,,Percent of total billed charges,,639.41,20.6,,,Percent of total billed charges,,213.83,20.6,,,Percent of total billed charges,,213.83,65.55,,,Percent of total billed charges,,680.41,21,,,Percent of total billed charges,,217.98,90,,,Percent of total billed charges,,934.2,21,,,Percent of total billed charges,,217.98,21,,,Percent of total billed charges,,217.98,64.9,,,Percent of total billed charges,,673.66,21,,,Percent of total billed charges,,217.98,,873.86,,Case rate,,873.86,22.17,1038,
"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer); genomic sequence analysis panel, must include sequencing of at least 10 genes, always including BRCA1, BRCA2, CDH1, MLH1, MSH2, MSH6, PALB2, PTEN, STK11, and TP53",81432,CPT,,,,Outpatient,Facility,,,2528,1011.2,66,,,Percent of total billed charges,,1668.48,20.8,,,Percent of total billed charges,,525.82,,692.63,,Case rate,,692.63,,679.05,,Case rate,,679.05,,64.35,,Case rate,,64.35,80,,,Percent of total billed charges,,2022.4,61.6,,,Percent of total billed charges,,1557.25,20.6,,,Percent of total billed charges,,520.77,20.6,,,Percent of total billed charges,,520.77,65.55,,,Percent of total billed charges,,1657.1,21,,,Percent of total billed charges,,530.88,90,,,Percent of total billed charges,,2275.2,21,,,Percent of total billed charges,,530.88,21,,,Percent of total billed charges,,530.88,64.9,,,Percent of total billed charges,,1640.67,21,,,Percent of total billed charges,,530.88,,1348.61,,Case rate,,1348.61,64.35,2528,
"Hereditary neuroendocrine tumor disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma); genomic sequence analysis panel, must include sequencing of at least 6 genes, including MAX, SDHB, SDHC, SDHD, TMEM127, and VHL",81437,CPT,,,,Outpatient,Facility,,,2484,993.6,66,,,Percent of total billed charges,,1639.44,20.8,,,Percent of total billed charges,,516.67,,447.71,,Case rate,,447.71,,438.93,,Case rate,,438.93,,41.59,,Case rate,,41.59,80,,,Percent of total billed charges,,1987.2,61.6,,,Percent of total billed charges,,1530.14,20.6,,,Percent of total billed charges,,511.7,20.6,,,Percent of total billed charges,,511.7,65.55,,,Percent of total billed charges,,1628.26,21,,,Percent of total billed charges,,521.64,90,,,Percent of total billed charges,,2235.6,21,,,Percent of total billed charges,,521.64,21,,,Percent of total billed charges,,521.64,64.9,,,Percent of total billed charges,,1612.12,21,,,Percent of total billed charges,,521.64,45,,,Percent of total billed charges,,1117.8,41.59,2484,
Heroin metabolite,80356,CPT,,,,Outpatient,Facility,,,133,53.2,66,,,Percent of total billed charges,,87.78,20.8,,,Percent of total billed charges,,27.66,20.4,,,Percent of total billed charges,,27.13,,18.54,,Case rate,,18.54,,1.38,,Case rate,,1.38,80,,,Percent of total billed charges,,106.4,61.6,,,Percent of total billed charges,,81.93,20.6,,,Percent of total billed charges,,27.4,20.6,,,Percent of total billed charges,,27.4,65.55,,,Percent of total billed charges,,87.18,21,,,Percent of total billed charges,,27.93,90,,,Percent of total billed charges,,119.7,21,,,Percent of total billed charges,,27.93,21,,,Percent of total billed charges,,27.93,64.9,,,Percent of total billed charges,,86.32,21,,,Percent of total billed charges,,27.93,45,,,Percent of total billed charges,,59.85,1.38,133,
Heterophile antibodies; screening,86308,CPT,,,,Outpatient,Facility,,,56,22.4,66,,,Percent of total billed charges,,36.96,20.8,,,Percent of total billed charges,,11.65,20.4,,,Percent of total billed charges,,11.42,,5.18,,Case rate,,5.18,,1.07,,Case rate,,1.07,80,,,Percent of total billed charges,,44.8,61.6,,,Percent of total billed charges,,34.5,20.6,,,Percent of total billed charges,,11.54,20.6,,,Percent of total billed charges,,11.54,65.55,,,Percent of total billed charges,,36.71,21,,,Percent of total billed charges,,11.76,90,,,Percent of total billed charges,,50.4,21,,,Percent of total billed charges,,11.76,21,,,Percent of total billed charges,,11.76,64.9,,,Percent of total billed charges,,36.34,21,,,Percent of total billed charges,,11.76,,15.6,,Case rate,,15.6,1.07,56,
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml",Q9963,CPT,,,,Outpatient,Facility,,,4.9,1.96,66,,,Percent of total billed charges,,3.23,20.8,,,Percent of total billed charges,,1.02,20.4,,,Percent of total billed charges,,1,,0.67,,Case rate,,0.67,,0.02,,Case rate,,0.02,80,,,Percent of total billed charges,,3.92,61.6,,,Percent of total billed charges,,3.02,20.6,,,Percent of total billed charges,,1.01,20.6,,,Percent of total billed charges,,1.01,65.55,,,Percent of total billed charges,,3.21,21,,,Percent of total billed charges,,1.03,90,,,Percent of total billed charges,,4.41,21,,,Percent of total billed charges,,1.03,21,,,Percent of total billed charges,,1.03,64.9,,,Percent of total billed charges,,3.18,21,,,Percent of total billed charges,,1.03,,0.25,,Case rate,,0.25,0.02,4.9,
"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each",81381,CPT,,,,Outpatient,Facility,,,809,323.6,66,,,Percent of total billed charges,,533.94,20.8,,,Percent of total billed charges,,168.27,20.4,,,Percent of total billed charges,,165.04,,169.9,,Case rate,,169.9,,20.35,,Case rate,,20.35,80,,,Percent of total billed charges,,647.2,61.6,,,Percent of total billed charges,,498.34,20.6,,,Percent of total billed charges,,166.65,20.6,,,Percent of total billed charges,,166.65,65.55,,,Percent of total billed charges,,530.3,21,,,Percent of total billed charges,,169.89,90,,,Percent of total billed charges,,728.1,21,,,Percent of total billed charges,,169.89,21,,,Percent of total billed charges,,169.89,64.9,,,Percent of total billed charges,,525.04,21,,,Percent of total billed charges,,169.89,,609.53,,Case rate,,609.53,20.35,809,
"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each",81383,CPT,,,,Outpatient,Facility,,,945,378,66,,,Percent of total billed charges,,623.7,20.8,,,Percent of total billed charges,,196.56,20.4,,,Percent of total billed charges,,192.78,,109.13,,Case rate,,109.13,,27.13,,Case rate,,27.13,80,,,Percent of total billed charges,,756,61.6,,,Percent of total billed charges,,582.12,20.6,,,Percent of total billed charges,,194.67,20.6,,,Percent of total billed charges,,194.67,65.55,,,Percent of total billed charges,,619.45,21,,,Percent of total billed charges,,198.45,90,,,Percent of total billed charges,,850.5,21,,,Percent of total billed charges,,198.45,21,,,Percent of total billed charges,,198.45,64.9,,,Percent of total billed charges,,613.3,21,,,Percent of total billed charges,,198.45,,551.5,,Case rate,,551.5,27.13,945,
"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each",81376,CPT,,,,Outpatient,Facility,,,592,236.8,66,,,Percent of total billed charges,,390.72,20.8,,,Percent of total billed charges,,123.14,20.4,,,Percent of total billed charges,,120.77,,122.22,,Case rate,,122.22,,27.13,,Case rate,,27.13,80,,,Percent of total billed charges,,473.6,61.6,,,Percent of total billed charges,,364.67,20.6,,,Percent of total billed charges,,121.95,20.6,,,Percent of total billed charges,,121.95,65.55,,,Percent of total billed charges,,388.06,21,,,Percent of total billed charges,,124.32,90,,,Percent of total billed charges,,532.8,21,,,Percent of total billed charges,,124.32,21,,,Percent of total billed charges,,124.32,64.9,,,Percent of total billed charges,,384.21,21,,,Percent of total billed charges,,124.32,,370.33,,Case rate,,370.33,27.13,592,
"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",86812,CPT,,,,Outpatient,Facility,,,251,100.4,66,,,Percent of total billed charges,,165.66,20.8,,,Percent of total billed charges,,52.21,20.4,,,Percent of total billed charges,,51.2,,25.81,,Case rate,,25.81,,5.31,,Case rate,,5.31,80,,,Percent of total billed charges,,200.8,61.6,,,Percent of total billed charges,,154.62,20.6,,,Percent of total billed charges,,51.71,20.6,,,Percent of total billed charges,,51.71,65.55,,,Percent of total billed charges,,164.53,21,,,Percent of total billed charges,,52.71,90,,,Percent of total billed charges,,225.9,21,,,Percent of total billed charges,,52.71,21,,,Percent of total billed charges,,52.71,64.9,,,Percent of total billed charges,,162.9,21,,,Percent of total billed charges,,52.71,,113.71,,Case rate,,113.71,5.31,251,
"Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation",G0398,CPT,,,,Outpatient,Facility,,,765,306,66,,,Percent of total billed charges,,504.9,20.8,,,Percent of total billed charges,,159.12,20.4,,,Percent of total billed charges,,156.06,,103.06,,Case rate,,103.06,,21.78,,Case rate,,21.78,80,,,Percent of total billed charges,,612,61.6,,,Percent of total billed charges,,471.24,20.6,,,Percent of total billed charges,,157.59,20.6,,,Percent of total billed charges,,157.59,65.55,,,Percent of total billed charges,,501.46,21,,,Percent of total billed charges,,160.65,90,,,Percent of total billed charges,,688.5,21,,,Percent of total billed charges,,160.65,21,,,Percent of total billed charges,,160.65,64.9,,,Percent of total billed charges,,496.48,21,,,Percent of total billed charges,,160.65,45,,,Percent of total billed charges,,344.25,21.78,765,
"Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation",G0398,CPT,74000398,CDM,TC,Outpatient,Facility,,,765,306,66,,,Percent of total billed charges,,504.9,20.8,,,Percent of total billed charges,,159.12,20.4,,,Percent of total billed charges,,156.06,,103.06,,Case rate,,103.06,,21.78,,Case rate,,21.78,80,,,Percent of total billed charges,,612,61.6,,,Percent of total billed charges,,471.24,20.6,,,Percent of total billed charges,,157.59,20.6,,,Percent of total billed charges,,157.59,65.55,,,Percent of total billed charges,,501.46,21,,,Percent of total billed charges,,160.65,90,,,Percent of total billed charges,,688.5,21,,,Percent of total billed charges,,160.65,21,,,Percent of total billed charges,,160.65,64.9,,,Percent of total billed charges,,496.48,21,,,Percent of total billed charges,,160.65,45,,,Percent of total billed charges,,344.25,21.78,765,
"Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation",G0399,CPT,,,,Outpatient,Facility,,,941,376.4,66,,,Percent of total billed charges,,621.06,20.8,,,Percent of total billed charges,,195.73,20.4,,,Percent of total billed charges,,191.96,,45.83,,Case rate,,45.83,,23.76,,Case rate,,23.76,80,,,Percent of total billed charges,,752.8,61.6,,,Percent of total billed charges,,579.66,20.6,,,Percent of total billed charges,,193.85,20.6,,,Percent of total billed charges,,193.85,65.55,,,Percent of total billed charges,,616.83,21,,,Percent of total billed charges,,197.61,90,,,Percent of total billed charges,,846.9,21,,,Percent of total billed charges,,197.61,21,,,Percent of total billed charges,,197.61,64.9,,,Percent of total billed charges,,610.71,21,,,Percent of total billed charges,,197.61,,684.05,,Case rate,,684.05,23.76,941,
Homocysteine,83090,CPT,,,,Outpatient,Facility,,,257,102.8,66,,,Percent of total billed charges,,169.62,20.8,,,Percent of total billed charges,,53.46,20.4,,,Percent of total billed charges,,52.43,,17.92,,Case rate,,17.92,,4.77,,Case rate,,4.77,80,,,Percent of total billed charges,,205.6,61.6,,,Percent of total billed charges,,158.31,20.6,,,Percent of total billed charges,,52.94,20.6,,,Percent of total billed charges,,52.94,65.55,,,Percent of total billed charges,,168.46,21,,,Percent of total billed charges,,53.97,90,,,Percent of total billed charges,,231.3,21,,,Percent of total billed charges,,53.97,21,,,Percent of total billed charges,,53.97,64.9,,,Percent of total billed charges,,166.79,21,,,Percent of total billed charges,,53.97,,89.8,,Case rate,,89.8,4.77,257,
"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 [platelet glycoprotein IIIa], antigen CD61 [GPIIIa]) (eg, neonatal alloimmune thrombocytopenia [NAIT], post-transfusion purpura), gene analysis, common variant, HPA-1a/b (L33P)",81105,CPT,,,,Outpatient,Facility,,,904,361.6,66,,,Percent of total billed charges,,596.64,20.8,,,Percent of total billed charges,,188.03,20.4,,,Percent of total billed charges,,184.42,,122.22,,Case rate,,122.22,,10.19,,Case rate,,10.19,80,,,Percent of total billed charges,,723.2,61.6,,,Percent of total billed charges,,556.86,20.6,,,Percent of total billed charges,,186.22,20.6,,,Percent of total billed charges,,186.22,65.55,,,Percent of total billed charges,,592.57,21,,,Percent of total billed charges,,189.84,90,,,Percent of total billed charges,,813.6,21,,,Percent of total billed charges,,189.84,21,,,Percent of total billed charges,,189.84,64.9,,,Percent of total billed charges,,586.7,21,,,Percent of total billed charges,,189.84,45,,,Percent of total billed charges,,406.8,10.19,904,
"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib [platelet], alpha polypeptide [GPIba]) (eg, neonatal alloimmune thrombocytopenia [NAIT], post-transfusion purpura), gene analysis, common variant, HPA-2a/b (T145M)",81106,CPT,,,,Outpatient,Facility,,,904,361.6,66,,,Percent of total billed charges,,596.64,20.8,,,Percent of total billed charges,,188.03,,124.66,,Case rate,,124.66,,122.22,,Case rate,,122.22,,10.19,,Case rate,,10.19,80,,,Percent of total billed charges,,723.2,61.6,,,Percent of total billed charges,,556.86,20.6,,,Percent of total billed charges,,186.22,20.6,,,Percent of total billed charges,,186.22,65.55,,,Percent of total billed charges,,592.57,21,,,Percent of total billed charges,,189.84,90,,,Percent of total billed charges,,813.6,21,,,Percent of total billed charges,,189.84,21,,,Percent of total billed charges,,189.84,64.9,,,Percent of total billed charges,,586.7,21,,,Percent of total billed charges,,189.84,45,,,Percent of total billed charges,,406.8,10.19,904,
"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b [platelet glycoprotein IIb of IIb/IIIa complex], antigen CD41 [GPIIb]) (eg, neonatal alloimmune thrombocytopenia [NAIT], post-transfusion purpura), gene analysis, common variant, HPA-3a/b (I843S)",81107,CPT,,,,Outpatient,Facility,,,904,361.6,66,,,Percent of total billed charges,,596.64,20.8,,,Percent of total billed charges,,188.03,,124.66,,Case rate,,124.66,,122.22,,Case rate,,122.22,,10.19,,Case rate,,10.19,80,,,Percent of total billed charges,,723.2,61.6,,,Percent of total billed charges,,556.86,20.6,,,Percent of total billed charges,,186.22,20.6,,,Percent of total billed charges,,186.22,65.55,,,Percent of total billed charges,,592.57,21,,,Percent of total billed charges,,189.84,90,,,Percent of total billed charges,,813.6,21,,,Percent of total billed charges,,189.84,21,,,Percent of total billed charges,,189.84,64.9,,,Percent of total billed charges,,586.7,21,,,Percent of total billed charges,,189.84,45,,,Percent of total billed charges,,406.8,10.19,904,
"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b [platelet glycoprotein IIb of IIb/IIIa complex, antigen CD41] [GPIIb]) (eg, neonatal alloimmune thrombocytopenia [NAIT], post-transfusion purpura), gene analysis, common variant, HPA-9a/b (V837M)",81111,CPT,,,,Outpatient,Facility,,,904,361.6,66,,,Percent of total billed charges,,596.64,20.8,,,Percent of total billed charges,,188.03,,124.66,,Case rate,,124.66,,122.22,,Case rate,,122.22,,10.19,,Case rate,,10.19,80,,,Percent of total billed charges,,723.2,61.6,,,Percent of total billed charges,,556.86,20.6,,,Percent of total billed charges,,186.22,20.6,,,Percent of total billed charges,,186.22,65.55,,,Percent of total billed charges,,592.57,21,,,Percent of total billed charges,,189.84,90,,,Percent of total billed charges,,813.6,21,,,Percent of total billed charges,,189.84,21,,,Percent of total billed charges,,189.84,64.9,,,Percent of total billed charges,,586.7,21,,,Percent of total billed charges,,189.84,45,,,Percent of total billed charges,,406.8,10.19,904,
Immune complex assay,86332,CPT,,,,Outpatient,Facility,,,153,61.2,66,,,Percent of total billed charges,,100.98,20.8,,,Percent of total billed charges,,31.82,20.4,,,Percent of total billed charges,,31.21,,24.37,,Case rate,,24.37,,5.02,,Case rate,,5.02,80,,,Percent of total billed charges,,122.4,61.6,,,Percent of total billed charges,,94.25,20.6,,,Percent of total billed charges,,31.52,20.6,,,Percent of total billed charges,,31.52,65.55,,,Percent of total billed charges,,100.29,21,,,Percent of total billed charges,,32.13,90,,,Percent of total billed charges,,137.7,21,,,Percent of total billed charges,,32.13,21,,,Percent of total billed charges,,32.13,64.9,,,Percent of total billed charges,,99.3,21,,,Percent of total billed charges,,32.13,,105.95,,Case rate,,105.95,5.02,153,
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)",90471,CPT,,,,Outpatient,Facility,,,75,30,66,,,Percent of total billed charges,,49.5,20.8,,,Percent of total billed charges,,15.6,20.4,,,Percent of total billed charges,,15.3,,19.35,,Case rate,,19.35,,0.4,,Case rate,,0.4,80,,,Percent of total billed charges,,60,61.6,,,Percent of total billed charges,,46.2,20.6,,,Percent of total billed charges,,15.45,20.6,,,Percent of total billed charges,,15.45,65.55,,,Percent of total billed charges,,49.16,21,,,Percent of total billed charges,,15.75,90,,,Percent of total billed charges,,67.5,21,,,Percent of total billed charges,,15.75,21,,,Percent of total billed charges,,15.75,64.9,,,Percent of total billed charges,,48.68,21,,,Percent of total billed charges,,15.75,,0.98,,Case rate,,0.98,0.4,75,
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method",83516,CPT,,,,Outpatient,Facility,,,205,82,66,,,Percent of total billed charges,,135.3,20.8,,,Percent of total billed charges,,42.64,20.4,,,Percent of total billed charges,,41.82,,11.53,,Case rate,,11.53,,3.07,,Case rate,,3.07,80,,,Percent of total billed charges,,164,61.6,,,Percent of total billed charges,,126.28,20.6,,,Percent of total billed charges,,42.23,20.6,,,Percent of total billed charges,,42.23,65.55,,,Percent of total billed charges,,134.38,21,,,Percent of total billed charges,,43.05,90,,,Percent of total billed charges,,184.5,21,,,Percent of total billed charges,,43.05,21,,,Percent of total billed charges,,43.05,64.9,,,Percent of total billed charges,,133.04,21,,,Percent of total billed charges,,43.05,,75.36,,Case rate,,75.36,3.07,205,
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified",83520,CPT,,,,Outpatient,Facility,,,79,31.6,66,,,Percent of total billed charges,,52.14,20.8,,,Percent of total billed charges,,16.43,,17.62,,Case rate,,17.62,,17.27,,Case rate,,17.27,,2.67,,Case rate,,2.67,80,,,Percent of total billed charges,,63.2,61.6,,,Percent of total billed charges,,48.66,20.6,,,Percent of total billed charges,,16.27,20.6,,,Percent of total billed charges,,16.27,65.55,,,Percent of total billed charges,,51.78,21,,,Percent of total billed charges,,16.59,90,,,Percent of total billed charges,,71.1,21,,,Percent of total billed charges,,16.59,21,,,Percent of total billed charges,,16.59,64.9,,,Percent of total billed charges,,51.27,21,,,Percent of total billed charges,,16.59,,66.67,,Case rate,,66.67,2.67,79,
"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each",86316,CPT,,,,Outpatient,Facility,,,208,83.2,66,,,Percent of total billed charges,,137.28,20.8,,,Percent of total billed charges,,43.26,20.4,,,Percent of total billed charges,,42.43,,20.81,,Case rate,,20.81,,4.28,,Case rate,,4.28,80,,,Percent of total billed charges,,166.4,61.6,,,Percent of total billed charges,,128.13,20.6,,,Percent of total billed charges,,42.85,20.6,,,Percent of total billed charges,,42.85,65.55,,,Percent of total billed charges,,136.34,21,,,Percent of total billed charges,,43.68,90,,,Percent of total billed charges,,187.2,21,,,Percent of total billed charges,,43.68,21,,,Percent of total billed charges,,43.68,64.9,,,Percent of total billed charges,,134.99,21,,,Percent of total billed charges,,43.68,,90.07,,Case rate,,90.07,4.28,208,
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,,,,Outpatient,Facility,,,783,313.2,66,,,Percent of total billed charges,,516.78,20.8,,,Percent of total billed charges,,162.86,20.4,,,Percent of total billed charges,,159.73,,110.33,,Case rate,,110.33,,2.09,,Case rate,,2.09,80,,,Percent of total billed charges,,626.4,61.6,,,Percent of total billed charges,,482.33,20.6,,,Percent of total billed charges,,161.3,20.6,,,Percent of total billed charges,,161.3,65.55,,,Percent of total billed charges,,513.26,21,,,Percent of total billed charges,,164.43,90,,,Percent of total billed charges,,704.7,21,,,Percent of total billed charges,,164.43,21,,,Percent of total billed charges,,164.43,64.9,,,Percent of total billed charges,,508.17,21,,,Percent of total billed charges,,164.43,,52.42,,Case rate,,52.42,2.09,783,
"Immunofluorescence, per specimen; initial single antibody stain procedure",88346,CPT,31088346,CDM,TC,Outpatient,Facility,,,783,313.2,66,,,Percent of total billed charges,,516.78,20.8,,,Percent of total billed charges,,162.86,20.4,,,Percent of total billed charges,,159.73,,110.33,,Case rate,,110.33,,2.09,,Case rate,,2.09,80,,,Percent of total billed charges,,626.4,61.6,,,Percent of total billed charges,,482.33,20.6,,,Percent of total billed charges,,161.3,20.6,,,Percent of total billed charges,,161.3,65.55,,,Percent of total billed charges,,513.26,21,,,Percent of total billed charges,,164.43,90,,,Percent of total billed charges,,704.7,21,,,Percent of total billed charges,,164.43,21,,,Percent of total billed charges,,164.43,64.9,,,Percent of total billed charges,,508.17,21,,,Percent of total billed charges,,164.43,,52.42,,Case rate,,52.42,2.09,783,
"Immunoglobulin light chains (ie, kappa, lambda), free, each",83521,CPT,,,,Outpatient,Facility,,,67,26.8,66,,,Percent of total billed charges,,44.22,20.8,,,Percent of total billed charges,,13.94,20.4,,,Percent of total billed charges,,13.67,,17.27,,Case rate,,17.27,,0.78,,Case rate,,0.78,80,,,Percent of total billed charges,,53.6,61.6,,,Percent of total billed charges,,41.27,20.6,,,Percent of total billed charges,,13.8,20.6,,,Percent of total billed charges,,13.8,65.55,,,Percent of total billed charges,,43.92,21,,,Percent of total billed charges,,14.07,90,,,Percent of total billed charges,,60.3,21,,,Percent of total billed charges,,14.07,21,,,Percent of total billed charges,,14.07,64.9,,,Percent of total billed charges,,43.48,21,,,Percent of total billed charges,,14.07,,60.54,,Case rate,,60.54,0.78,67,
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,,,,Outpatient,Facility,,,1183,473.2,66,,,Percent of total billed charges,,780.78,20.8,,,Percent of total billed charges,,246.06,20.4,,,Percent of total billed charges,,241.33,,123.3,,Case rate,,123.3,,5.14,,Case rate,,5.14,80,,,Percent of total billed charges,,946.4,61.6,,,Percent of total billed charges,,728.73,20.6,,,Percent of total billed charges,,243.7,20.6,,,Percent of total billed charges,,243.7,65.55,,,Percent of total billed charges,,775.46,21,,,Percent of total billed charges,,248.43,90,,,Percent of total billed charges,,1064.7,21,,,Percent of total billed charges,,248.43,21,,,Percent of total billed charges,,248.43,64.9,,,Percent of total billed charges,,767.77,21,,,Percent of total billed charges,,248.43,,856.03,,Case rate,,856.03,5.14,1183,
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,,,,Outpatient,Facility,,,320,128,66,,,Percent of total billed charges,,211.2,20.8,,,Percent of total billed charges,,66.56,20.4,,,Percent of total billed charges,,65.28,,62.28,,Case rate,,62.28,,4.18,,Case rate,,4.18,80,,,Percent of total billed charges,,256,61.6,,,Percent of total billed charges,,197.12,20.6,,,Percent of total billed charges,,65.92,20.6,,,Percent of total billed charges,,65.92,65.55,,,Percent of total billed charges,,209.76,21,,,Percent of total billed charges,,67.2,90,,,Percent of total billed charges,,288,21,,,Percent of total billed charges,,67.2,21,,,Percent of total billed charges,,67.2,64.9,,,Percent of total billed charges,,207.68,21,,,Percent of total billed charges,,67.2,,85.71,,Case rate,,85.71,4.18,320,
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure",88342,CPT,31288342,CDM,TC,Outpatient,Facility,,,320,128,66,,,Percent of total billed charges,,211.2,20.8,,,Percent of total billed charges,,66.56,20.4,,,Percent of total billed charges,,65.28,,62.28,,Case rate,,62.28,,4.18,,Case rate,,4.18,80,,,Percent of total billed charges,,256,61.6,,,Percent of total billed charges,,197.12,20.6,,,Percent of total billed charges,,65.92,20.6,,,Percent of total billed charges,,65.92,65.55,,,Percent of total billed charges,,209.76,21,,,Percent of total billed charges,,67.2,90,,,Percent of total billed charges,,288,21,,,Percent of total billed charges,,67.2,21,,,Percent of total billed charges,,67.2,64.9,,,Percent of total billed charges,,207.68,21,,,Percent of total billed charges,,67.2,,85.71,,Case rate,,85.71,4.18,320,
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,,,,Outpatient,Facility,,,200,80,66,,,Percent of total billed charges,,132,20.8,,,Percent of total billed charges,,41.6,20.4,,,Percent of total billed charges,,40.8,,130.56,,Case rate,,130.56,,2.79,,Case rate,,2.79,80,,,Percent of total billed charges,,160,61.6,,,Percent of total billed charges,,123.2,20.6,,,Percent of total billed charges,,41.2,20.6,,,Percent of total billed charges,,41.2,65.55,,,Percent of total billed charges,,131.1,21,,,Percent of total billed charges,,42,90,,,Percent of total billed charges,,180,21,,,Percent of total billed charges,,42,21,,,Percent of total billed charges,,42,64.9,,,Percent of total billed charges,,129.8,21,,,Percent of total billed charges,,42,,54.51,,Case rate,,54.51,2.79,200,
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple",10061,CPT,,,,Outpatient,Facility,,,1026,410.4,66,,,Percent of total billed charges,,677.16,20.8,,,Percent of total billed charges,,213.41,20.4,,,Percent of total billed charges,,209.3,,206.69,,Case rate,,206.69,,35.64,,Case rate,,35.64,80,,,Percent of total billed charges,,820.8,61.6,,,Percent of total billed charges,,632.02,20.6,,,Percent of total billed charges,,211.36,20.6,,,Percent of total billed charges,,211.36,65.55,,,Percent of total billed charges,,672.54,21,,,Percent of total billed charges,,215.46,90,,,Percent of total billed charges,,923.4,21,,,Percent of total billed charges,,215.46,21,,,Percent of total billed charges,,215.46,64.9,,,Percent of total billed charges,,665.87,21,,,Percent of total billed charges,,215.46,,869.08,,Case rate,,869.08,35.64,1026,
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single",10060,CPT,,,,Outpatient,Facility,,,405,162,66,,,Percent of total billed charges,,267.3,20.8,,,Percent of total billed charges,,84.24,20.4,,,Percent of total billed charges,,82.62,,121.54,,Case rate,,121.54,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,324,61.6,,,Percent of total billed charges,,249.48,20.6,,,Percent of total billed charges,,83.43,20.6,,,Percent of total billed charges,,83.43,65.55,,,Percent of total billed charges,,265.48,21,,,Percent of total billed charges,,85.05,90,,,Percent of total billed charges,,364.5,21,,,Percent of total billed charges,,85.05,21,,,Percent of total billed charges,,85.05,64.9,,,Percent of total billed charges,,262.84,21,,,Percent of total billed charges,,85.05,,333.41,,Case rate,,333.41,13.86,405,
Incision and drainage of Bartholin's gland abscess,56420,CPT,,,,Outpatient,Facility,,,1756,702.4,66,,,Percent of total billed charges,,1158.96,20.8,,,Percent of total billed charges,,365.25,20.4,,,Percent of total billed charges,,358.22,,181.04,,Case rate,,181.04,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1404.8,61.6,,,Percent of total billed charges,,1081.7,20.6,,,Percent of total billed charges,,361.74,20.6,,,Percent of total billed charges,,361.74,65.55,,,Percent of total billed charges,,1151.06,21,,,Percent of total billed charges,,368.76,90,,,Percent of total billed charges,,1580.4,21,,,Percent of total billed charges,,368.76,21,,,Percent of total billed charges,,368.76,64.9,,,Percent of total billed charges,,1139.64,21,,,Percent of total billed charges,,368.76,,1435.1,,Case rate,,1435.1,58.06,1756,
Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure),46040,CPT,,,,Outpatient,Facility,,,5099,2039.6,66,,,Percent of total billed charges,,3365.34,20.8,,,Percent of total billed charges,,1060.59,20.4,,,Percent of total billed charges,,1040.2,,539.47,,Case rate,,539.47,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,4079.2,61.6,,,Percent of total billed charges,,3140.98,20.6,,,Percent of total billed charges,,1050.39,20.6,,,Percent of total billed charges,,1050.39,65.55,,,Percent of total billed charges,,3342.39,21,,,Percent of total billed charges,,1070.79,90,,,Percent of total billed charges,,4589.1,21,,,Percent of total billed charges,,1070.79,21,,,Percent of total billed charges,,1070.79,64.9,,,Percent of total billed charges,,3309.25,21,,,Percent of total billed charges,,1070.79,,2186.48,,Case rate,,2186.48,89.15,5099,
Incision and drainage of vulva or perineal abscess,56405,CPT,,,,Outpatient,Facility,,,2069,827.6,66,,,Percent of total billed charges,,1365.54,20.8,,,Percent of total billed charges,,430.35,20.4,,,Percent of total billed charges,,422.08,,144.16,,Case rate,,144.16,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1655.2,61.6,,,Percent of total billed charges,,1274.5,20.6,,,Percent of total billed charges,,426.21,20.6,,,Percent of total billed charges,,426.21,65.55,,,Percent of total billed charges,,1356.23,21,,,Percent of total billed charges,,434.49,90,,,Percent of total billed charges,,1862.1,21,,,Percent of total billed charges,,434.49,21,,,Percent of total billed charges,,434.49,64.9,,,Percent of total billed charges,,1342.78,21,,,Percent of total billed charges,,434.49,,1920.25,,Case rate,,1920.25,77.74,2069,
"Incision and drainage, leg or ankle; deep abscess or hematoma",27603,CPT,,,,Outpatient,Facility,,,2341,936.4,66,,,Percent of total billed charges,,1545.06,20.8,,,Percent of total billed charges,,486.93,20.4,,,Percent of total billed charges,,477.56,,514.33,,Case rate,,514.33,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1872.8,61.6,,,Percent of total billed charges,,1442.06,20.6,,,Percent of total billed charges,,482.25,20.6,,,Percent of total billed charges,,482.25,65.55,,,Percent of total billed charges,,1534.53,21,,,Percent of total billed charges,,491.61,90,,,Percent of total billed charges,,2106.9,21,,,Percent of total billed charges,,491.61,21,,,Percent of total billed charges,,491.61,64.9,,,Percent of total billed charges,,1519.31,21,,,Percent of total billed charges,,491.61,,1921.32,,Case rate,,1921.32,77.74,2341,
"Incision and drainage, leg or ankle; infected bursa",27604,CPT,,,,Outpatient,Facility,,,3623,1449.2,66,,,Percent of total billed charges,,2391.18,20.8,,,Percent of total billed charges,,753.58,20.4,,,Percent of total billed charges,,739.09,,437.56,,Case rate,,437.56,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,2898.4,61.6,,,Percent of total billed charges,,2231.77,20.6,,,Percent of total billed charges,,746.34,20.6,,,Percent of total billed charges,,746.34,65.55,,,Percent of total billed charges,,2374.88,21,,,Percent of total billed charges,,760.83,90,,,Percent of total billed charges,,3260.7,21,,,Percent of total billed charges,,760.83,21,,,Percent of total billed charges,,760.83,64.9,,,Percent of total billed charges,,2351.33,21,,,Percent of total billed charges,,760.83,,1906.51,,Case rate,,1906.51,77.74,3623,
"Incision and drainage, upper arm or elbow area; bursa",23931,CPT,,,,Outpatient,Facility,,,2276,910.4,66,,,Percent of total billed charges,,1502.16,20.8,,,Percent of total billed charges,,473.41,20.4,,,Percent of total billed charges,,464.3,,294.1,,Case rate,,294.1,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1820.8,61.6,,,Percent of total billed charges,,1402.02,20.6,,,Percent of total billed charges,,468.86,20.6,,,Percent of total billed charges,,468.86,65.55,,,Percent of total billed charges,,1491.92,21,,,Percent of total billed charges,,477.96,90,,,Percent of total billed charges,,2048.4,21,,,Percent of total billed charges,,477.96,21,,,Percent of total billed charges,,477.96,64.9,,,Percent of total billed charges,,1477.12,21,,,Percent of total billed charges,,477.96,,1921.27,,Case rate,,1921.27,77.74,2276,
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion",11106,CPT,,,,Outpatient,Facility,,,1049,419.6,66,,,Percent of total billed charges,,692.34,20.8,,,Percent of total billed charges,,218.19,20.4,,,Percent of total billed charges,,214,,150.15,,Case rate,,150.15,,9.53,,Case rate,,9.53,80,,,Percent of total billed charges,,839.2,61.6,,,Percent of total billed charges,,646.18,20.6,,,Percent of total billed charges,,216.09,20.6,,,Percent of total billed charges,,216.09,65.55,,,Percent of total billed charges,,687.62,21,,,Percent of total billed charges,,220.29,90,,,Percent of total billed charges,,944.1,21,,,Percent of total billed charges,,220.29,21,,,Percent of total billed charges,,220.29,64.9,,,Percent of total billed charges,,680.8,21,,,Percent of total billed charges,,220.29,,706.94,,Case rate,,706.94,9.53,1049,
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Aspergillus",87305,CPT,,,,Outpatient,Facility,,,168,67.2,66,,,Percent of total billed charges,,110.88,20.8,,,Percent of total billed charges,,34.94,20.4,,,Percent of total billed charges,,34.27,,11.98,,Case rate,,11.98,,3.05,,Case rate,,3.05,80,,,Percent of total billed charges,,134.4,61.6,,,Percent of total billed charges,,103.49,20.6,,,Percent of total billed charges,,34.61,20.6,,,Percent of total billed charges,,34.61,65.55,,,Percent of total billed charges,,110.12,21,,,Percent of total billed charges,,35.28,90,,,Percent of total billed charges,,151.2,21,,,Percent of total billed charges,,35.28,21,,,Percent of total billed charges,,35.28,64.9,,,Percent of total billed charges,,109.03,21,,,Percent of total billed charges,,35.28,,141.66,,Case rate,,141.66,3.05,168,
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Clostridium difficile toxin(s)",87324,CPT,,,,Outpatient,Facility,,,138,55.2,66,,,Percent of total billed charges,,91.08,20.8,,,Percent of total billed charges,,28.7,,12.22,,Case rate,,12.22,,11.98,,Case rate,,11.98,,3.35,,Case rate,,3.35,80,,,Percent of total billed charges,,110.4,61.6,,,Percent of total billed charges,,85.01,20.6,,,Percent of total billed charges,,28.43,20.6,,,Percent of total billed charges,,28.43,65.55,,,Percent of total billed charges,,90.46,21,,,Percent of total billed charges,,28.98,90,,,Percent of total billed charges,,124.2,21,,,Percent of total billed charges,,28.98,21,,,Percent of total billed charges,,28.98,64.9,,,Percent of total billed charges,,89.56,21,,,Percent of total billed charges,,28.98,,66.16,,Case rate,,66.16,3.35,138,
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; cryptosporidium",87328,CPT,,,,Outpatient,Facility,,,66,26.4,66,,,Percent of total billed charges,,43.56,20.8,,,Percent of total billed charges,,13.73,,14.1,,Case rate,,14.1,,13.82,,Case rate,,13.82,,1.69,,Case rate,,1.69,80,,,Percent of total billed charges,,52.8,61.6,,,Percent of total billed charges,,40.66,20.6,,,Percent of total billed charges,,13.6,20.6,,,Percent of total billed charges,,13.6,65.55,,,Percent of total billed charges,,43.26,21,,,Percent of total billed charges,,13.86,90,,,Percent of total billed charges,,59.4,21,,,Percent of total billed charges,,13.86,21,,,Percent of total billed charges,,13.86,64.9,,,Percent of total billed charges,,42.83,21,,,Percent of total billed charges,,13.86,,42.67,,Case rate,,42.67,1.69,66,
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Entamoeba histolytica group",87337,CPT,,,,Outpatient,Facility,,,65,26,66,,,Percent of total billed charges,,42.9,20.8,,,Percent of total billed charges,,13.52,20.4,,,Percent of total billed charges,,13.26,,11.98,,Case rate,,11.98,,3.11,,Case rate,,3.11,80,,,Percent of total billed charges,,52,61.6,,,Percent of total billed charges,,40.04,20.6,,,Percent of total billed charges,,13.39,20.6,,,Percent of total billed charges,,13.39,65.55,,,Percent of total billed charges,,42.61,21,,,Percent of total billed charges,,13.65,90,,,Percent of total billed charges,,58.5,21,,,Percent of total billed charges,,13.65,21,,,Percent of total billed charges,,13.65,64.9,,,Percent of total billed charges,,42.18,21,,,Percent of total billed charges,,13.65,,45.32,,Case rate,,45.32,3.11,65,
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; giardia",87329,CPT,,,,Outpatient,Facility,,,95,38,66,,,Percent of total billed charges,,62.7,20.8,,,Percent of total billed charges,,19.76,20.4,,,Percent of total billed charges,,19.38,,11.98,,Case rate,,11.98,,3.15,,Case rate,,3.15,80,,,Percent of total billed charges,,76,61.6,,,Percent of total billed charges,,58.52,20.6,,,Percent of total billed charges,,19.57,20.6,,,Percent of total billed charges,,19.57,65.55,,,Percent of total billed charges,,62.27,21,,,Percent of total billed charges,,19.95,90,,,Percent of total billed charges,,85.5,21,,,Percent of total billed charges,,19.95,21,,,Percent of total billed charges,,19.95,64.9,,,Percent of total billed charges,,61.66,21,,,Percent of total billed charges,,19.95,,51.4,,Case rate,,51.4,3.15,95,
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Histoplasma capsulatum",87385,CPT,,,,Outpatient,Facility,,,110,44,66,,,Percent of total billed charges,,72.6,20.8,,,Percent of total billed charges,,22.88,,13.52,,Case rate,,13.52,,13.25,,Case rate,,13.25,,3.91,,Case rate,,3.91,80,,,Percent of total billed charges,,88,61.6,,,Percent of total billed charges,,67.76,20.6,,,Percent of total billed charges,,22.66,20.6,,,Percent of total billed charges,,22.66,65.55,,,Percent of total billed charges,,72.1,21,,,Percent of total billed charges,,23.1,90,,,Percent of total billed charges,,99,21,,,Percent of total billed charges,,23.1,21,,,Percent of total billed charges,,23.1,64.9,,,Percent of total billed charges,,71.39,21,,,Percent of total billed charges,,23.1,,79.49,,Case rate,,79.49,3.91,110,
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result",87389,CPT,,,,Outpatient,Facility,,,143,57.2,66,,,Percent of total billed charges,,94.38,20.8,,,Percent of total billed charges,,29.74,20.4,,,Percent of total billed charges,,29.17,,24.08,,Case rate,,24.08,,4.63,,Case rate,,4.63,80,,,Percent of total billed charges,,114.4,61.6,,,Percent of total billed charges,,88.09,20.6,,,Percent of total billed charges,,29.46,20.6,,,Percent of total billed charges,,29.46,65.55,,,Percent of total billed charges,,93.74,21,,,Percent of total billed charges,,30.03,90,,,Percent of total billed charges,,128.7,21,,,Percent of total billed charges,,30.03,21,,,Percent of total billed charges,,30.03,64.9,,,Percent of total billed charges,,92.81,21,,,Percent of total billed charges,,30.03,,81.44,,Case rate,,81.44,4.63,143,
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; not otherwise specified, each organism",87449,CPT,,,,Outpatient,Facility,,,81,32.4,66,,,Percent of total billed charges,,53.46,20.8,,,Percent of total billed charges,,16.85,,12.22,,Case rate,,12.22,,11.98,,Case rate,,11.98,,3.11,,Case rate,,3.11,80,,,Percent of total billed charges,,64.8,61.6,,,Percent of total billed charges,,49.9,20.6,,,Percent of total billed charges,,16.69,20.6,,,Percent of total billed charges,,16.69,65.55,,,Percent of total billed charges,,53.1,21,,,Percent of total billed charges,,17.01,90,,,Percent of total billed charges,,72.9,21,,,Percent of total billed charges,,17.01,21,,,Percent of total billed charges,,17.01,64.9,,,Percent of total billed charges,,52.57,21,,,Percent of total billed charges,,17.01,,61.84,,Case rate,,61.84,3.11,81,
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; respiratory syncytial virus",87420,CPT,,,,Outpatient,Facility,,,119,47.6,66,,,Percent of total billed charges,,78.54,20.8,,,Percent of total billed charges,,24.75,,14.19,,Case rate,,14.19,,13.91,,Case rate,,13.91,,3.34,,Case rate,,3.34,80,,,Percent of total billed charges,,95.2,61.6,,,Percent of total billed charges,,73.3,20.6,,,Percent of total billed charges,,24.51,20.6,,,Percent of total billed charges,,24.51,65.55,,,Percent of total billed charges,,78,21,,,Percent of total billed charges,,24.99,90,,,Percent of total billed charges,,107.1,21,,,Percent of total billed charges,,24.99,21,,,Percent of total billed charges,,24.99,64.9,,,Percent of total billed charges,,77.23,21,,,Percent of total billed charges,,24.99,,79.58,,Case rate,,79.58,3.34,119,
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])",87426,CPT,,,,Outpatient,Facility,,,145,58,66,,,Percent of total billed charges,,95.7,20.8,,,Percent of total billed charges,,30.16,20.4,,,Percent of total billed charges,,29.58,,35.33,,Case rate,,35.33,,8.96,,Case rate,,8.96,80,,,Percent of total billed charges,,116,61.6,,,Percent of total billed charges,,89.32,20.6,,,Percent of total billed charges,,29.87,20.6,,,Percent of total billed charges,,29.87,65.55,,,Percent of total billed charges,,95.05,21,,,Percent of total billed charges,,30.45,90,,,Percent of total billed charges,,130.5,21,,,Percent of total billed charges,,30.45,21,,,Percent of total billed charges,,30.45,64.9,,,Percent of total billed charges,,94.1,21,,,Percent of total billed charges,,30.45,,51.07,,Case rate,,51.07,8.96,145,
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Streptococcus, group A",87430,CPT,,,,Outpatient,Facility,,,55,22,66,,,Percent of total billed charges,,36.3,20.8,,,Percent of total billed charges,,11.44,20.4,,,Percent of total billed charges,,11.22,,16.81,,Case rate,,16.81,,1.69,,Case rate,,1.69,80,,,Percent of total billed charges,,44,61.6,,,Percent of total billed charges,,33.88,20.6,,,Percent of total billed charges,,11.33,20.6,,,Percent of total billed charges,,11.33,65.55,,,Percent of total billed charges,,36.05,21,,,Percent of total billed charges,,11.55,90,,,Percent of total billed charges,,49.5,21,,,Percent of total billed charges,,11.55,21,,,Percent of total billed charges,,11.55,64.9,,,Percent of total billed charges,,35.7,21,,,Percent of total billed charges,,11.55,,43.46,,Case rate,,43.46,1.69,55,
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies",87806,CPT,,,,Outpatient,Facility,,,138,55.2,66,,,Percent of total billed charges,,91.08,20.8,,,Percent of total billed charges,,28.7,20.4,,,Percent of total billed charges,,28.15,,32.77,,Case rate,,32.77,,2.36,,Case rate,,2.36,80,,,Percent of total billed charges,,110.4,61.6,,,Percent of total billed charges,,85.01,20.6,,,Percent of total billed charges,,28.43,20.6,,,Percent of total billed charges,,28.43,65.55,,,Percent of total billed charges,,90.46,21,,,Percent of total billed charges,,28.98,90,,,Percent of total billed charges,,124.2,21,,,Percent of total billed charges,,28.98,21,,,Percent of total billed charges,,28.98,64.9,,,Percent of total billed charges,,89.56,21,,,Percent of total billed charges,,28.98,,172.72,,Case rate,,172.72,2.36,172.72,
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza",87804,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,16.55,,Case rate,,16.55,,3.11,,Case rate,,3.11,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,58.04,,Case rate,,58.04,3.11,92,
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified",87899,CPT,,,,Outpatient,Facility,,,65,26,66,,,Percent of total billed charges,,42.9,20.8,,,Percent of total billed charges,,13.52,20.4,,,Percent of total billed charges,,13.26,,16.07,,Case rate,,16.07,,3.11,,Case rate,,3.11,80,,,Percent of total billed charges,,52,61.6,,,Percent of total billed charges,,40.04,20.6,,,Percent of total billed charges,,13.39,20.6,,,Percent of total billed charges,,13.39,65.55,,,Percent of total billed charges,,42.61,21,,,Percent of total billed charges,,13.65,90,,,Percent of total billed charges,,58.5,21,,,Percent of total billed charges,,13.65,21,,,Percent of total billed charges,,13.65,64.9,,,Percent of total billed charges,,42.18,21,,,Percent of total billed charges,,13.65,,62.49,,Case rate,,62.49,3.11,65,
Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii,87281,CPT,,,,Outpatient,Facility,,,87,34.8,66,,,Percent of total billed charges,,57.42,20.8,,,Percent of total billed charges,,18.1,20.4,,,Percent of total billed charges,,17.75,,11.98,,Case rate,,11.98,,3.11,,Case rate,,3.11,80,,,Percent of total billed charges,,69.6,61.6,,,Percent of total billed charges,,53.59,20.6,,,Percent of total billed charges,,17.92,20.6,,,Percent of total billed charges,,17.92,65.55,,,Percent of total billed charges,,57.03,21,,,Percent of total billed charges,,18.27,90,,,Percent of total billed charges,,78.3,21,,,Percent of total billed charges,,18.27,21,,,Percent of total billed charges,,18.27,64.9,,,Percent of total billed charges,,56.46,21,,,Percent of total billed charges,,18.27,,57.99,,Case rate,,57.99,3.11,87,
Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus,87290,CPT,,,,Outpatient,Facility,,,116,46.4,66,,,Percent of total billed charges,,76.56,20.8,,,Percent of total billed charges,,24.13,,13.69,,Case rate,,13.69,,13.42,,Case rate,,13.42,,3.34,,Case rate,,3.34,80,,,Percent of total billed charges,,92.8,61.6,,,Percent of total billed charges,,71.46,20.6,,,Percent of total billed charges,,23.9,20.6,,,Percent of total billed charges,,23.9,65.55,,,Percent of total billed charges,,76.04,21,,,Percent of total billed charges,,24.36,90,,,Percent of total billed charges,,104.4,21,,,Percent of total billed charges,,24.36,21,,,Percent of total billed charges,,24.36,64.9,,,Percent of total billed charges,,75.28,21,,,Percent of total billed charges,,24.36,,80.14,,Case rate,,80.14,3.34,116,
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism",87798,CPT,,,,Outpatient,Facility,,,281,112.4,66,,,Percent of total billed charges,,185.46,20.8,,,Percent of total billed charges,,58.45,20.4,,,Percent of total billed charges,,57.32,,35.09,,Case rate,,35.09,,9.6,,Case rate,,9.6,80,,,Percent of total billed charges,,224.8,61.6,,,Percent of total billed charges,,173.1,20.6,,,Percent of total billed charges,,57.89,20.6,,,Percent of total billed charges,,57.89,65.55,,,Percent of total billed charges,,184.2,21,,,Percent of total billed charges,,59.01,90,,,Percent of total billed charges,,252.9,21,,,Percent of total billed charges,,59.01,21,,,Percent of total billed charges,,59.01,64.9,,,Percent of total billed charges,,182.37,21,,,Percent of total billed charges,,59.01,,219.01,,Case rate,,219.01,9.6,281,
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism",87799,CPT,,,,Outpatient,Facility,,,347,138.8,66,,,Percent of total billed charges,,229.02,20.8,,,Percent of total billed charges,,72.18,20.4,,,Percent of total billed charges,,70.79,,42.84,,Case rate,,42.84,,12.11,,Case rate,,12.11,80,,,Percent of total billed charges,,277.6,61.6,,,Percent of total billed charges,,213.75,20.6,,,Percent of total billed charges,,71.48,20.6,,,Percent of total billed charges,,71.48,65.55,,,Percent of total billed charges,,227.46,21,,,Percent of total billed charges,,72.87,90,,,Percent of total billed charges,,312.3,21,,,Percent of total billed charges,,72.87,21,,,Percent of total billed charges,,72.87,64.9,,,Percent of total billed charges,,225.2,21,,,Percent of total billed charges,,72.87,,261.4,,Case rate,,261.4,12.11,347,
"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique",87468,CPT,,,,Outpatient,Facility,,,133,53.2,66,,,Percent of total billed charges,,87.78,20.8,,,Percent of total billed charges,,27.66,20.4,,,Percent of total billed charges,,27.13,,35.09,,Case rate,,35.09,19.8,,,Percent of total billed charges,,26.33,80,,,Percent of total billed charges,,106.4,61.6,,,Percent of total billed charges,,81.93,20.6,,,Percent of total billed charges,,27.4,20.6,,,Percent of total billed charges,,27.4,65.55,,,Percent of total billed charges,,87.18,21,,,Percent of total billed charges,,27.93,90,,,Percent of total billed charges,,119.7,21,,,Percent of total billed charges,,27.93,21,,,Percent of total billed charges,,27.93,64.9,,,Percent of total billed charges,,86.32,21,,,Percent of total billed charges,,27.93,,47.22,,Case rate,,47.22,26.33,133,
"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique",87469,CPT,,,,Outpatient,Facility,,,133,53.2,66,,,Percent of total billed charges,,87.78,20.8,,,Percent of total billed charges,,27.66,20.4,,,Percent of total billed charges,,27.13,,35.09,,Case rate,,35.09,19.8,,,Percent of total billed charges,,26.33,80,,,Percent of total billed charges,,106.4,61.6,,,Percent of total billed charges,,81.93,20.6,,,Percent of total billed charges,,27.4,20.6,,,Percent of total billed charges,,27.4,65.55,,,Percent of total billed charges,,87.18,21,,,Percent of total billed charges,,27.93,90,,,Percent of total billed charges,,119.7,21,,,Percent of total billed charges,,27.93,21,,,Percent of total billed charges,,27.93,64.9,,,Percent of total billed charges,,86.32,21,,,Percent of total billed charges,,27.93,,48.24,,Case rate,,48.24,26.33,133,
"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique",87476,CPT,,,,Outpatient,Facility,,,276,110.4,66,,,Percent of total billed charges,,182.16,20.8,,,Percent of total billed charges,,57.41,20.4,,,Percent of total billed charges,,56.3,,35.09,,Case rate,,35.09,,9.6,,Case rate,,9.6,80,,,Percent of total billed charges,,220.8,61.6,,,Percent of total billed charges,,170.02,20.6,,,Percent of total billed charges,,56.86,20.6,,,Percent of total billed charges,,56.86,65.55,,,Percent of total billed charges,,180.92,21,,,Percent of total billed charges,,57.96,90,,,Percent of total billed charges,,248.4,21,,,Percent of total billed charges,,57.96,21,,,Percent of total billed charges,,57.96,64.9,,,Percent of total billed charges,,179.12,21,,,Percent of total billed charges,,57.96,,205.59,,Case rate,,205.59,9.6,276,
"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus agalactiae, enterovirus, human parechovirus, herpes simplex virus type 1 and 2, human herpesvirus 6, cytomegalovirus, varicella zoster virus, Cryptococcus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87483,CPT,,,,Outpatient,Facility,,,2725,1090,66,,,Percent of total billed charges,,1798.5,20.8,,,Percent of total billed charges,,566.8,20.4,,,Percent of total billed charges,,555.9,,416.78,,Case rate,,416.78,,39.49,,Case rate,,39.49,80,,,Percent of total billed charges,,2180,61.6,,,Percent of total billed charges,,1678.6,20.6,,,Percent of total billed charges,,561.35,20.6,,,Percent of total billed charges,,561.35,65.55,,,Percent of total billed charges,,1786.24,21,,,Percent of total billed charges,,572.25,90,,,Percent of total billed charges,,2452.5,21,,,Percent of total billed charges,,572.25,21,,,Percent of total billed charges,,572.25,64.9,,,Percent of total billed charges,,1768.52,21,,,Percent of total billed charges,,572.25,,2055.6,,Case rate,,2055.6,39.49,2725,
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique",87486,CPT,,,,Outpatient,Facility,,,290,116,66,,,Percent of total billed charges,,191.4,20.8,,,Percent of total billed charges,,60.32,20.4,,,Percent of total billed charges,,59.16,,35.09,,Case rate,,35.09,,9.6,,Case rate,,9.6,80,,,Percent of total billed charges,,232,61.6,,,Percent of total billed charges,,178.64,20.6,,,Percent of total billed charges,,59.74,20.6,,,Percent of total billed charges,,59.74,65.55,,,Percent of total billed charges,,190.1,21,,,Percent of total billed charges,,60.9,90,,,Percent of total billed charges,,261,21,,,Percent of total billed charges,,60.9,21,,,Percent of total billed charges,,60.9,64.9,,,Percent of total billed charges,,188.21,21,,,Percent of total billed charges,,60.9,,219.57,,Case rate,,219.57,9.6,290,
"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique",87493,CPT,,,,Outpatient,Facility,,,290,116,66,,,Percent of total billed charges,,191.4,20.8,,,Percent of total billed charges,,60.32,20.4,,,Percent of total billed charges,,59.16,,37.27,,Case rate,,37.27,,9.95,,Case rate,,9.95,80,,,Percent of total billed charges,,232,61.6,,,Percent of total billed charges,,178.64,20.6,,,Percent of total billed charges,,59.74,20.6,,,Percent of total billed charges,,59.74,65.55,,,Percent of total billed charges,,190.1,21,,,Percent of total billed charges,,60.9,90,,,Percent of total billed charges,,261,21,,,Percent of total billed charges,,60.9,21,,,Percent of total billed charges,,60.9,64.9,,,Percent of total billed charges,,188.21,21,,,Percent of total billed charges,,60.9,,123.13,,Case rate,,123.13,9.95,290,
"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87507,CPT,,,,Outpatient,Facility,,,3617,1446.8,66,,,Percent of total billed charges,,2387.22,20.8,,,Percent of total billed charges,,752.34,,425.12,,Case rate,,425.12,,416.78,,Case rate,,416.78,,40.84,,Case rate,,40.84,80,,,Percent of total billed charges,,2893.6,61.6,,,Percent of total billed charges,,2228.07,20.6,,,Percent of total billed charges,,745.1,20.6,,,Percent of total billed charges,,745.1,65.55,,,Percent of total billed charges,,2370.94,21,,,Percent of total billed charges,,759.57,90,,,Percent of total billed charges,,3255.3,21,,,Percent of total billed charges,,759.57,21,,,Percent of total billed charges,,759.57,64.9,,,Percent of total billed charges,,2347.43,21,,,Percent of total billed charges,,759.57,,2734.68,,Case rate,,2734.68,40.84,3617,
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification",87517,CPT,,,,Outpatient,Facility,,,354,141.6,66,,,Percent of total billed charges,,233.64,20.8,,,Percent of total billed charges,,73.63,20.4,,,Percent of total billed charges,,72.22,,42.84,,Case rate,,42.84,,12.11,,Case rate,,12.11,80,,,Percent of total billed charges,,283.2,61.6,,,Percent of total billed charges,,218.06,20.6,,,Percent of total billed charges,,72.92,20.6,,,Percent of total billed charges,,72.92,65.55,,,Percent of total billed charges,,232.05,21,,,Percent of total billed charges,,74.34,90,,,Percent of total billed charges,,318.6,21,,,Percent of total billed charges,,74.34,21,,,Percent of total billed charges,,74.34,64.9,,,Percent of total billed charges,,229.75,21,,,Percent of total billed charges,,74.34,,262.28,,Case rate,,262.28,12.11,354,
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed",87522,CPT,,,,Outpatient,Facility,,,354,141.6,66,,,Percent of total billed charges,,233.64,20.8,,,Percent of total billed charges,,73.63,20.4,,,Percent of total billed charges,,72.22,,42.84,,Case rate,,42.84,,12.11,,Case rate,,12.11,80,,,Percent of total billed charges,,283.2,61.6,,,Percent of total billed charges,,218.06,20.6,,,Percent of total billed charges,,72.92,20.6,,,Percent of total billed charges,,72.92,65.55,,,Percent of total billed charges,,232.05,21,,,Percent of total billed charges,,74.34,90,,,Percent of total billed charges,,318.6,21,,,Percent of total billed charges,,74.34,21,,,Percent of total billed charges,,74.34,64.9,,,Percent of total billed charges,,229.75,21,,,Percent of total billed charges,,74.34,,275.75,,Case rate,,275.75,12.11,354,
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique",87529,CPT,,,,Outpatient,Facility,,,281,112.4,66,,,Percent of total billed charges,,185.46,20.8,,,Percent of total billed charges,,58.45,,35.79,,Case rate,,35.79,,35.09,,Case rate,,35.09,,9.6,,Case rate,,9.6,80,,,Percent of total billed charges,,224.8,61.6,,,Percent of total billed charges,,173.1,20.6,,,Percent of total billed charges,,57.89,20.6,,,Percent of total billed charges,,57.89,65.55,,,Percent of total billed charges,,184.2,21,,,Percent of total billed charges,,59.01,90,,,Percent of total billed charges,,252.9,21,,,Percent of total billed charges,,59.01,21,,,Percent of total billed charges,,59.01,64.9,,,Percent of total billed charges,,182.37,21,,,Percent of total billed charges,,59.01,,220.45,,Case rate,,220.45,9.6,281,
"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68)",87624,CPT,,,,Outpatient,Facility,,,261,104.4,66,,,Percent of total billed charges,,172.26,20.8,,,Percent of total billed charges,,54.29,20.4,,,Percent of total billed charges,,53.24,,35.09,,Case rate,,35.09,,3.44,,Case rate,,3.44,80,,,Percent of total billed charges,,208.8,61.6,,,Percent of total billed charges,,160.78,20.6,,,Percent of total billed charges,,53.77,20.6,,,Percent of total billed charges,,53.77,65.55,,,Percent of total billed charges,,171.09,21,,,Percent of total billed charges,,54.81,90,,,Percent of total billed charges,,234.9,21,,,Percent of total billed charges,,54.81,21,,,Percent of total billed charges,,54.81,64.9,,,Percent of total billed charges,,169.39,21,,,Percent of total billed charges,,54.81,,263.63,,Case rate,,263.63,3.44,263.63,
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-types",87502,CPT,,,,Outpatient,Facility,,,713,285.2,66,,,Percent of total billed charges,,470.58,20.8,,,Percent of total billed charges,,148.3,20.4,,,Percent of total billed charges,,145.45,,95.8,,Case rate,,95.8,,23.71,,Case rate,,23.71,80,,,Percent of total billed charges,,570.4,61.6,,,Percent of total billed charges,,439.21,20.6,,,Percent of total billed charges,,146.88,20.6,,,Percent of total billed charges,,146.88,65.55,,,Percent of total billed charges,,467.37,21,,,Percent of total billed charges,,149.73,90,,,Percent of total billed charges,,641.7,21,,,Percent of total billed charges,,149.73,21,,,Percent of total billed charges,,149.73,64.9,,,Percent of total billed charges,,462.74,21,,,Percent of total billed charges,,149.73,,298.54,,Case rate,,298.54,23.71,713,
"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique",87541,CPT,,,,Outpatient,Facility,,,294,117.6,66,,,Percent of total billed charges,,194.04,20.8,,,Percent of total billed charges,,61.15,20.4,,,Percent of total billed charges,,59.98,,35.09,,Case rate,,35.09,,9.6,,Case rate,,9.6,80,,,Percent of total billed charges,,235.2,61.6,,,Percent of total billed charges,,181.1,20.6,,,Percent of total billed charges,,60.56,20.6,,,Percent of total billed charges,,60.56,65.55,,,Percent of total billed charges,,192.72,21,,,Percent of total billed charges,,61.74,90,,,Percent of total billed charges,,264.6,21,,,Percent of total billed charges,,61.74,21,,,Percent of total billed charges,,61.74,64.9,,,Percent of total billed charges,,190.81,21,,,Percent of total billed charges,,61.74,,219.75,,Case rate,,219.75,9.6,294,
"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique",87551,CPT,,,,Outpatient,Facility,,,509,203.6,66,,,Percent of total billed charges,,335.94,20.8,,,Percent of total billed charges,,105.87,20.4,,,Percent of total billed charges,,103.84,,48.24,,Case rate,,48.24,,9.6,,Case rate,,9.6,80,,,Percent of total billed charges,,407.2,61.6,,,Percent of total billed charges,,313.54,20.6,,,Percent of total billed charges,,104.85,20.6,,,Percent of total billed charges,,104.85,65.55,,,Percent of total billed charges,,333.65,21,,,Percent of total billed charges,,106.89,90,,,Percent of total billed charges,,458.1,21,,,Percent of total billed charges,,106.89,21,,,Percent of total billed charges,,106.89,64.9,,,Percent of total billed charges,,330.34,21,,,Percent of total billed charges,,106.89,,205.36,,Case rate,,205.36,9.6,509,
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique",87634,CPT,,,,Outpatient,Facility,,,495,198,66,,,Percent of total billed charges,,326.7,20.8,,,Percent of total billed charges,,102.96,20.4,,,Percent of total billed charges,,100.98,,70.2,,Case rate,,70.2,,5.85,,Case rate,,5.85,80,,,Percent of total billed charges,,396,61.6,,,Percent of total billed charges,,304.92,20.6,,,Percent of total billed charges,,101.97,20.6,,,Percent of total billed charges,,101.97,65.55,,,Percent of total billed charges,,324.47,21,,,Percent of total billed charges,,103.95,90,,,Percent of total billed charges,,445.5,21,,,Percent of total billed charges,,103.95,21,,,Percent of total billed charges,,103.95,64.9,,,Percent of total billed charges,,321.26,21,,,Percent of total billed charges,,103.95,,280.86,,Case rate,,280.86,5.85,495,
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique",87636,CPT,,,,Outpatient,Facility,,,890,356,66,,,Percent of total billed charges,,587.4,20.8,,,Percent of total billed charges,,185.12,20.4,,,Percent of total billed charges,,181.56,,142.63,,Case rate,,142.63,,24.35,,Case rate,,24.35,80,,,Percent of total billed charges,,712,61.6,,,Percent of total billed charges,,548.24,20.6,,,Percent of total billed charges,,183.34,20.6,,,Percent of total billed charges,,183.34,65.55,,,Percent of total billed charges,,583.4,21,,,Percent of total billed charges,,186.9,90,,,Percent of total billed charges,,801,21,,,Percent of total billed charges,,186.9,21,,,Percent of total billed charges,,186.9,64.9,,,Percent of total billed charges,,577.61,21,,,Percent of total billed charges,,186.9,,213.58,,Case rate,,213.58,24.35,890,
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique",87637,CPT,,,,Outpatient,Facility,,,1034,413.6,66,,,Percent of total billed charges,,682.44,20.8,,,Percent of total billed charges,,215.07,20.4,,,Percent of total billed charges,,210.94,,142.63,,Case rate,,142.63,,28.24,,Case rate,,28.24,80,,,Percent of total billed charges,,827.2,61.6,,,Percent of total billed charges,,636.94,20.6,,,Percent of total billed charges,,213,20.6,,,Percent of total billed charges,,213,65.55,,,Percent of total billed charges,,677.79,21,,,Percent of total billed charges,,217.14,90,,,Percent of total billed charges,,930.6,21,,,Percent of total billed charges,,217.14,21,,,Percent of total billed charges,,217.14,64.9,,,Percent of total billed charges,,671.07,21,,,Percent of total billed charges,,217.14,,195.01,,Case rate,,195.01,28.24,1034,
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique",87661,CPT,,,,Outpatient,Facility,,,166,66.4,66,,,Percent of total billed charges,,109.56,20.8,,,Percent of total billed charges,,34.53,20.4,,,Percent of total billed charges,,33.86,,35.09,,Case rate,,35.09,,3.76,,Case rate,,3.76,80,,,Percent of total billed charges,,132.8,61.6,,,Percent of total billed charges,,102.26,20.6,,,Percent of total billed charges,,34.2,20.6,,,Percent of total billed charges,,34.2,65.55,,,Percent of total billed charges,,108.81,21,,,Percent of total billed charges,,34.86,90,,,Percent of total billed charges,,149.4,21,,,Percent of total billed charges,,34.86,21,,,Percent of total billed charges,,34.86,64.9,,,Percent of total billed charges,,107.73,21,,,Percent of total billed charges,,34.86,,278.86,,Case rate,,278.86,3.76,278.86,
"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique",87660,CPT,,,,Outpatient,Facility,,,83,33.2,66,,,Percent of total billed charges,,54.78,20.8,,,Percent of total billed charges,,17.26,20.4,,,Percent of total billed charges,,16.93,,20.05,,Case rate,,20.05,,5.73,,Case rate,,5.73,80,,,Percent of total billed charges,,66.4,61.6,,,Percent of total billed charges,,51.13,20.6,,,Percent of total billed charges,,17.1,20.6,,,Percent of total billed charges,,17.1,65.55,,,Percent of total billed charges,,54.41,21,,,Percent of total billed charges,,17.43,90,,,Percent of total billed charges,,74.7,21,,,Percent of total billed charges,,17.43,21,,,Percent of total billed charges,,17.43,64.9,,,Percent of total billed charges,,53.87,21,,,Percent of total billed charges,,17.43,,41.69,,Case rate,,41.69,5.73,83,
"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid)",87905,CPT,,,,Outpatient,Facility,,,87,34.8,66,,,Percent of total billed charges,,57.42,20.8,,,Percent of total billed charges,,18.1,20.4,,,Percent of total billed charges,,17.75,,12.22,,Case rate,,12.22,,3.53,,Case rate,,3.53,80,,,Percent of total billed charges,,69.6,61.6,,,Percent of total billed charges,,53.59,20.6,,,Percent of total billed charges,,17.92,20.6,,,Percent of total billed charges,,17.92,65.55,,,Percent of total billed charges,,57.03,21,,,Percent of total billed charges,,18.27,90,,,Percent of total billed charges,,78.3,21,,,Percent of total billed charges,,18.27,21,,,Percent of total billed charges,,18.27,64.9,,,Percent of total billed charges,,56.46,21,,,Percent of total billed charges,,18.27,45,,,Percent of total billed charges,,39.15,3.53,87,
Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus,87902,CPT,,,,Outpatient,Facility,,,2091,836.4,66,,,Percent of total billed charges,,1380.06,20.8,,,Percent of total billed charges,,434.93,,262.6,,Case rate,,262.6,,257.45,,Case rate,,257.45,,72.79,,Case rate,,72.79,80,,,Percent of total billed charges,,1672.8,61.6,,,Percent of total billed charges,,1288.06,20.6,,,Percent of total billed charges,,430.75,20.6,,,Percent of total billed charges,,430.75,65.55,,,Percent of total billed charges,,1370.65,21,,,Percent of total billed charges,,439.11,90,,,Percent of total billed charges,,1881.9,21,,,Percent of total billed charges,,439.11,21,,,Percent of total billed charges,,439.11,64.9,,,Percent of total billed charges,,1357.06,21,,,Percent of total billed charges,,439.11,,613.53,,Case rate,,613.53,72.79,2091,
infectious and parasitic diseases with o.r. procedures with cc,854,MS-DRG,,,,Inpatient,Facility,,,29067.4,11626.96,,18347.88,,Case rate,DRG Factor * DRG Weight,18347.88,,1758.64,,Per Diem,,5275.92,,1724.82,,Per Diem,,5174.46,,23817.05,,Case rate,DRG Factor * DRG Weight,23817.05,,1674.09,,Per Diem,,5022.27,80,,,Percent of total billed charges,,23253.92,61.6,,,Percent of total billed charges,,17905.52,,1741.73,,Per Diem,,5225.19,,1741.73,,Per Diem,,5225.19,65.55,,,Percent of total billed charges,,19053.68,,2079,,Per Diem,,6237,90,,,Percent of total billed charges,,26160.66,,2079,,Per Diem,,6237,,2079,,Per Diem,,6237,64.9,,,Percent of total billed charges,,18864.75,,2079,,Per Diem,,6237,,19671.16,,Case rate,DRG Factor * DRG Weight,19671.16,5022.27,29067.4,
Infliximab,80230,CPT,,,,Outpatient,Facility,,,186,74.4,66,,,Percent of total billed charges,,122.76,20.8,,,Percent of total billed charges,,38.69,20.4,,,Percent of total billed charges,,37.94,,38.57,,Case rate,,38.57,,2.3,,Case rate,,2.3,80,,,Percent of total billed charges,,148.8,61.6,,,Percent of total billed charges,,114.58,20.6,,,Percent of total billed charges,,38.32,20.6,,,Percent of total billed charges,,38.32,65.55,,,Percent of total billed charges,,121.92,21,,,Percent of total billed charges,,39.06,90,,,Percent of total billed charges,,167.4,21,,,Percent of total billed charges,,39.06,21,,,Percent of total billed charges,,39.06,64.9,,,Percent of total billed charges,,120.71,21,,,Percent of total billed charges,,39.06,,250.68,,Case rate,,250.68,2.3,250.68,
"Infusion, albumin (human), 25%, 50 ml",P9047,CPT,,,,Outpatient,Facility,,,670.98,268.39,66,,,Percent of total billed charges,,442.84,20.8,,,Percent of total billed charges,,139.56,20.4,,,Percent of total billed charges,,136.88,,51.3,,Case rate,,51.3,,16.93,,Case rate,,16.93,80,,,Percent of total billed charges,,536.78,61.6,,,Percent of total billed charges,,413.32,20.6,,,Percent of total billed charges,,138.22,20.6,,,Percent of total billed charges,,138.22,65.55,,,Percent of total billed charges,,439.82,21,,,Percent of total billed charges,,140.9,90,,,Percent of total billed charges,,603.88,21,,,Percent of total billed charges,,140.9,21,,,Percent of total billed charges,,140.9,64.9,,,Percent of total billed charges,,435.46,21,,,Percent of total billed charges,,140.9,,61.59,,Case rate,,61.59,16.93,670.98,
"Infusion, normal saline solution , 1000 cc",J7030,HCPCS,,,,Outpatient,Facility,1000,ML,33.33,13.33,66,,,Percent of total billed charges,,22,20.8,,,Percent of total billed charges,,6.93,20.4,,,Percent of total billed charges,,6.8,,6.27,,Case rate,,6.27,,1.61,,Case rate,,1.61,80,,,Percent of total billed charges,,26.66,61.6,,,Percent of total billed charges,,20.53,20.6,,,Percent of total billed charges,,6.87,20.6,,,Percent of total billed charges,,6.87,65.55,,,Percent of total billed charges,,21.85,21,,,Percent of total billed charges,,7,90,,,Percent of total billed charges,,30,21,,,Percent of total billed charges,,7,21,,,Percent of total billed charges,,7,64.9,,,Percent of total billed charges,,21.63,21,,,Percent of total billed charges,,7,,3.12,,Case rate,,3.12,1.61,33.33,
"Infusion, normal saline solution, 250 cc",J7050,HCPCS,,,,Outpatient,Facility,250,ML,38.6,15.44,66,,,Percent of total billed charges,,25.48,20.8,,,Percent of total billed charges,,8.03,20.4,,,Percent of total billed charges,,7.87,,5.34,,Case rate,,5.34,,1.4,,Case rate,,1.4,80,,,Percent of total billed charges,,30.88,61.6,,,Percent of total billed charges,,23.78,20.6,,,Percent of total billed charges,,7.95,20.6,,,Percent of total billed charges,,7.95,65.55,,,Percent of total billed charges,,25.3,21,,,Percent of total billed charges,,8.11,90,,,Percent of total billed charges,,34.74,21,,,Percent of total billed charges,,8.11,21,,,Percent of total billed charges,,8.11,64.9,,,Percent of total billed charges,,25.05,21,,,Percent of total billed charges,,8.11,,0.78,,Case rate,,0.78,0.78,38.6,
"Infusion, normal saline solution, sterile (500 ml = 1 unit)",J7040,HCPCS,,,,Outpatient,Facility,500,ML,27.77,11.11,66,,,Percent of total billed charges,,18.33,20.8,,,Percent of total billed charges,,5.78,20.4,,,Percent of total billed charges,,5.67,,4.79,,Case rate,,4.79,,1.4,,Case rate,,1.4,80,,,Percent of total billed charges,,22.22,61.6,,,Percent of total billed charges,,17.11,20.6,,,Percent of total billed charges,,5.72,20.6,,,Percent of total billed charges,,5.72,65.55,,,Percent of total billed charges,,18.2,21,,,Percent of total billed charges,,5.83,90,,,Percent of total billed charges,,24.99,21,,,Percent of total billed charges,,5.83,21,,,Percent of total billed charges,,5.83,64.9,,,Percent of total billed charges,,18.02,21,,,Percent of total billed charges,,5.83,,1.56,,Case rate,,1.56,1.4,27.77,
"Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compounds",95070,CPT,,,,Outpatient,Facility,,,331,132.4,66,,,Percent of total billed charges,,218.46,20.8,,,Percent of total billed charges,,68.85,20.4,,,Percent of total billed charges,,67.52,,32.55,,Case rate,,32.55,,6.49,,Case rate,,6.49,80,,,Percent of total billed charges,,264.8,61.6,,,Percent of total billed charges,,203.9,20.6,,,Percent of total billed charges,,68.19,20.6,,,Percent of total billed charges,,68.19,65.55,,,Percent of total billed charges,,216.97,21,,,Percent of total billed charges,,69.51,90,,,Percent of total billed charges,,297.9,21,,,Percent of total billed charges,,69.51,21,,,Percent of total billed charges,,69.51,64.9,,,Percent of total billed charges,,214.82,21,,,Percent of total billed charges,,69.51,,163.25,,Case rate,,163.25,6.49,331,
Inhibin A,86336,CPT,,,,Outpatient,Facility,,,789,315.6,66,,,Percent of total billed charges,,520.74,20.8,,,Percent of total billed charges,,164.11,,15.9,,Case rate,,15.9,,15.59,,Case rate,,15.59,,27.03,,Case rate,,27.03,80,,,Percent of total billed charges,,631.2,61.6,,,Percent of total billed charges,,486.02,20.6,,,Percent of total billed charges,,162.53,20.6,,,Percent of total billed charges,,162.53,65.55,,,Percent of total billed charges,,517.19,21,,,Percent of total billed charges,,165.69,90,,,Percent of total billed charges,,710.1,21,,,Percent of total billed charges,,165.69,21,,,Percent of total billed charges,,165.69,64.9,,,Percent of total billed charges,,512.06,21,,,Percent of total billed charges,,165.69,,172.49,,Case rate,,172.49,15.59,789,
"Initial treatment, first degree burn, when no more than local treatment is required",16000,CPT,,,,Outpatient,Facility,,,309,123.6,66,,,Percent of total billed charges,,203.94,20.8,,,Percent of total billed charges,,64.27,20.4,,,Percent of total billed charges,,63.04,,76.19,,Case rate,,76.19,,10.06,,Case rate,,10.06,80,,,Percent of total billed charges,,247.2,61.6,,,Percent of total billed charges,,190.34,20.6,,,Percent of total billed charges,,63.65,20.6,,,Percent of total billed charges,,63.65,65.55,,,Percent of total billed charges,,202.55,21,,,Percent of total billed charges,,64.89,90,,,Percent of total billed charges,,278.1,21,,,Percent of total billed charges,,64.89,21,,,Percent of total billed charges,,64.89,64.9,,,Percent of total billed charges,,200.54,21,,,Percent of total billed charges,,64.89,,252.63,,Case rate,,252.63,10.06,309,
"Injection fluconazole, 200 mg",J1450,HCPCS,,,,Outpatient,Facility,200,ME,59.98,23.99,66,,,Percent of total billed charges,,39.59,20.8,,,Percent of total billed charges,,12.48,20.4,,,Percent of total billed charges,,12.24,,8.55,,Case rate,,8.55,,16.1,,Case rate,,16.1,80,,,Percent of total billed charges,,47.98,61.6,,,Percent of total billed charges,,36.95,20.6,,,Percent of total billed charges,,12.36,20.6,,,Percent of total billed charges,,12.36,65.55,,,Percent of total billed charges,,39.32,21,,,Percent of total billed charges,,12.6,90,,,Percent of total billed charges,,53.98,21,,,Percent of total billed charges,,12.6,21,,,Percent of total billed charges,,12.6,64.9,,,Percent of total billed charges,,38.93,21,,,Percent of total billed charges,,12.6,,2.84,,Case rate,,2.84,2.84,59.98,
Injection procedure; radioactive tracer for identification of sentinel node,38792,CPT,,,,Outpatient,Facility,,,1641,656.4,66,,,Percent of total billed charges,,1083.06,20.8,,,Percent of total billed charges,,341.33,,384.66,,Case rate,,384.66,,79.5,,Case rate,,79.5,,7.29,,Case rate,,7.29,80,,,Percent of total billed charges,,1312.8,61.6,,,Percent of total billed charges,,1010.86,20.6,,,Percent of total billed charges,,338.05,20.6,,,Percent of total billed charges,,338.05,65.55,,,Percent of total billed charges,,1075.68,21,,,Percent of total billed charges,,344.61,90,,,Percent of total billed charges,,1476.9,21,,,Percent of total billed charges,,344.61,21,,,Percent of total billed charges,,344.61,64.9,,,Percent of total billed charges,,1065.01,21,,,Percent of total billed charges,,344.61,,1193.53,,Case rate,,1193.53,7.29,1641,
"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)",20552,CPT,,,,Outpatient,Facility,,,333,133.2,66,,,Percent of total billed charges,,219.78,20.8,,,Percent of total billed charges,,69.26,20.4,,,Percent of total billed charges,,67.93,,51.38,,Case rate,,51.38,,10.2,,Case rate,,10.2,80,,,Percent of total billed charges,,266.4,61.6,,,Percent of total billed charges,,205.13,20.6,,,Percent of total billed charges,,68.6,20.6,,,Percent of total billed charges,,68.6,65.55,,,Percent of total billed charges,,218.28,21,,,Percent of total billed charges,,69.93,90,,,Percent of total billed charges,,299.7,21,,,Percent of total billed charges,,69.93,21,,,Percent of total billed charges,,69.93,64.9,,,Percent of total billed charges,,216.12,21,,,Percent of total billed charges,,69.93,,182.42,,Case rate,,182.42,10.2,333,
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia)",20550,CPT,,,,Outpatient,Facility,,,840,336,66,,,Percent of total billed charges,,554.4,20.8,,,Percent of total billed charges,,174.72,20.4,,,Percent of total billed charges,,171.36,,56.31,,Case rate,,56.31,,21.78,,Case rate,,21.78,80,,,Percent of total billed charges,,672,61.6,,,Percent of total billed charges,,517.44,20.6,,,Percent of total billed charges,,173.04,20.6,,,Percent of total billed charges,,173.04,65.55,,,Percent of total billed charges,,550.62,21,,,Percent of total billed charges,,176.4,90,,,Percent of total billed charges,,756,21,,,Percent of total billed charges,,176.4,21,,,Percent of total billed charges,,176.4,64.9,,,Percent of total billed charges,,545.16,21,,,Percent of total billed charges,,176.4,,542.44,,Case rate,,542.44,21.78,840,
"Injection, acyclovir, 5 mg",J0133,HCPCS,,,,Outpatient,Facility,5,ME,0.83,0.33,66,,,Percent of total billed charges,,0.55,20.8,,,Percent of total billed charges,,0.17,20.4,,,Percent of total billed charges,,0.17,,0.16,,Case rate,,0.16,,0.15,,Case rate,,0.15,80,,,Percent of total billed charges,,0.67,61.6,,,Percent of total billed charges,,0.51,20.6,,,Percent of total billed charges,,0.17,20.6,,,Percent of total billed charges,,0.17,65.55,,,Percent of total billed charges,,0.55,21,,,Percent of total billed charges,,0.17,90,,,Percent of total billed charges,,0.75,21,,,Percent of total billed charges,,0.17,21,,,Percent of total billed charges,,0.17,64.9,,,Percent of total billed charges,,0.54,21,,,Percent of total billed charges,,0.17,,0.05,,Case rate,,0.05,0.05,0.83,
"Injection, adrenalin, epinephrine, 0.1 mg",J0171,HCPCS,,,,Outpatient,Facility,0.1,ME,9.72,3.89,66,,,Percent of total billed charges,,6.42,20.8,,,Percent of total billed charges,,2.02,20.4,,,Percent of total billed charges,,1.98,,0.96,,Case rate,,0.96,,3.69,,Case rate,,3.69,80,,,Percent of total billed charges,,7.78,61.6,,,Percent of total billed charges,,5.99,20.6,,,Percent of total billed charges,,2,20.6,,,Percent of total billed charges,,2,65.55,,,Percent of total billed charges,,6.37,21,,,Percent of total billed charges,,2.04,90,,,Percent of total billed charges,,8.75,21,,,Percent of total billed charges,,2.04,21,,,Percent of total billed charges,,2.04,64.9,,,Percent of total billed charges,,6.31,21,,,Percent of total billed charges,,2.04,,0.94,,Case rate,,0.94,0.94,9.72,
"Injection, amiodarone hydrochloride (nexterone), 30 mg",J0283,HCPCS,,,,Outpatient,Facility,30,ME,25.64,10.26,66,,,Percent of total billed charges,,16.92,20.8,,,Percent of total billed charges,,5.33,20.4,,,Percent of total billed charges,,5.23,,4.38,,Case rate,,4.38,19.8,,,Percent of total billed charges,,5.08,80,,,Percent of total billed charges,,20.51,61.6,,,Percent of total billed charges,,15.79,20.6,,,Percent of total billed charges,,5.28,20.6,,,Percent of total billed charges,,5.28,65.55,,,Percent of total billed charges,,16.81,21,,,Percent of total billed charges,,5.38,90,,,Percent of total billed charges,,23.08,21,,,Percent of total billed charges,,5.38,21,,,Percent of total billed charges,,5.38,64.9,,,Percent of total billed charges,,16.64,21,,,Percent of total billed charges,,5.38,,2.81,,Case rate,,2.81,2.81,25.64,
"Injection, azithromycin, 500 mg",J0456,HCPCS,,,,Outpatient,Facility,500,ME,61.09,24.44,66,,,Percent of total billed charges,,40.32,20.8,,,Percent of total billed charges,,12.71,20.4,,,Percent of total billed charges,,12.46,,4.67,,Case rate,,4.67,,4.46,,Case rate,,4.46,80,,,Percent of total billed charges,,48.87,61.6,,,Percent of total billed charges,,37.63,20.6,,,Percent of total billed charges,,12.58,20.6,,,Percent of total billed charges,,12.58,65.55,,,Percent of total billed charges,,40.04,21,,,Percent of total billed charges,,12.83,90,,,Percent of total billed charges,,54.98,21,,,Percent of total billed charges,,12.83,21,,,Percent of total billed charges,,12.83,64.9,,,Percent of total billed charges,,39.65,21,,,Percent of total billed charges,,12.83,,2.52,,Case rate,,2.52,2.52,61.09,
"Injection, benztropine mesylate, per 1 mg",J0515,HCPCS,,,,Outpatient,Facility,1,ME,74.41,29.76,66,,,Percent of total billed charges,,49.11,20.8,,,Percent of total billed charges,,15.48,20.4,,,Percent of total billed charges,,15.18,,28.5,,Case rate,,28.5,,1.23,,Case rate,,1.23,80,,,Percent of total billed charges,,59.53,61.6,,,Percent of total billed charges,,45.84,20.6,,,Percent of total billed charges,,15.33,20.6,,,Percent of total billed charges,,15.33,65.55,,,Percent of total billed charges,,48.78,21,,,Percent of total billed charges,,15.63,90,,,Percent of total billed charges,,66.97,21,,,Percent of total billed charges,,15.63,21,,,Percent of total billed charges,,15.63,64.9,,,Percent of total billed charges,,48.29,21,,,Percent of total billed charges,,15.63,,18.9,,Case rate,,18.9,1.23,74.41,
"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg",J0687,HCPCS,,,,Outpatient,Facility,500,ME,13.83,5.53,66,,,Percent of total billed charges,,9.13,20.8,,,Percent of total billed charges,,2.88,20.4,,,Percent of total billed charges,,2.82,,1.39,,Case rate,,1.39,19.8,,,Percent of total billed charges,,2.74,80,,,Percent of total billed charges,,11.06,61.6,,,Percent of total billed charges,,8.52,20.6,,,Percent of total billed charges,,2.85,20.6,,,Percent of total billed charges,,2.85,65.55,,,Percent of total billed charges,,9.07,21,,,Percent of total billed charges,,2.9,90,,,Percent of total billed charges,,12.45,21,,,Percent of total billed charges,,2.9,21,,,Percent of total billed charges,,2.9,64.9,,,Percent of total billed charges,,8.98,21,,,Percent of total billed charges,,2.9,,1.25,,Case rate,,1.25,1.25,13.83,
"Injection, cefazolin sodium, 500 mg",J0690,HCPCS,,,,Outpatient,Facility,500,ME,10.15,4.06,66,,,Percent of total billed charges,,6.7,20.8,,,Percent of total billed charges,,2.11,20.4,,,Percent of total billed charges,,2.07,,2.28,,Case rate,,2.28,,0.28,,Case rate,,0.28,80,,,Percent of total billed charges,,8.12,61.6,,,Percent of total billed charges,,6.25,20.6,,,Percent of total billed charges,,2.09,20.6,,,Percent of total billed charges,,2.09,65.55,,,Percent of total billed charges,,6.65,21,,,Percent of total billed charges,,2.13,90,,,Percent of total billed charges,,9.14,21,,,Percent of total billed charges,,2.13,21,,,Percent of total billed charges,,2.13,64.9,,,Percent of total billed charges,,6.59,21,,,Percent of total billed charges,,2.13,,0.95,,Case rate,,0.95,0.28,10.15,
"Injection, ceftazidime, per 500 mg",J0713,HCPCS,,,,Outpatient,Facility,500,ME,14.21,5.68,66,,,Percent of total billed charges,,9.38,20.8,,,Percent of total billed charges,,2.96,20.4,,,Percent of total billed charges,,2.9,,2.43,,Case rate,,2.43,,1.41,,Case rate,,1.41,80,,,Percent of total billed charges,,11.37,61.6,,,Percent of total billed charges,,8.75,20.6,,,Percent of total billed charges,,2.93,20.6,,,Percent of total billed charges,,2.93,65.55,,,Percent of total billed charges,,9.31,21,,,Percent of total billed charges,,2.98,90,,,Percent of total billed charges,,12.79,21,,,Percent of total billed charges,,2.98,21,,,Percent of total billed charges,,2.98,64.9,,,Percent of total billed charges,,9.22,21,,,Percent of total billed charges,,2.98,,1.88,,Case rate,,1.88,1.41,14.21,
"Injection, chlorpromazine hcl, up to 50 mg",J3230,HCPCS,,,,Outpatient,Facility,50,ME,192.52,77.01,66,,,Percent of total billed charges,,127.06,20.8,,,Percent of total billed charges,,40.04,20.4,,,Percent of total billed charges,,39.27,,47.32,,Case rate,,47.32,,0.4,,Case rate,,0.4,80,,,Percent of total billed charges,,154.02,61.6,,,Percent of total billed charges,,118.59,20.6,,,Percent of total billed charges,,39.66,20.6,,,Percent of total billed charges,,39.66,65.55,,,Percent of total billed charges,,126.2,21,,,Percent of total billed charges,,40.43,90,,,Percent of total billed charges,,173.27,21,,,Percent of total billed charges,,40.43,21,,,Percent of total billed charges,,40.43,64.9,,,Percent of total billed charges,,124.95,21,,,Percent of total billed charges,,40.43,,34.92,,Case rate,,34.92,0.4,192.52,
"Injection, ciprofloxacin for intravenous infusion, 200 mg",J0744,HCPCS,,,,Outpatient,Facility,200,ME,13.84,5.53,66,,,Percent of total billed charges,,9.13,20.8,,,Percent of total billed charges,,2.88,20.4,,,Percent of total billed charges,,2.82,,3.71,,Case rate,,3.71,,2.71,,Case rate,,2.71,80,,,Percent of total billed charges,,11.07,61.6,,,Percent of total billed charges,,8.52,20.6,,,Percent of total billed charges,,2.85,20.6,,,Percent of total billed charges,,2.85,65.55,,,Percent of total billed charges,,9.07,21,,,Percent of total billed charges,,2.91,90,,,Percent of total billed charges,,12.45,21,,,Percent of total billed charges,,2.91,21,,,Percent of total billed charges,,2.91,64.9,,,Percent of total billed charges,,8.98,21,,,Percent of total billed charges,,2.91,,2.14,,Case rate,,2.14,2.14,13.84,
"Injection, clindamycin phosphate, 300 mg",J0736,HCPCS,,,,Outpatient,Facility,300,ME,33.51,13.4,66,,,Percent of total billed charges,,22.11,20.8,,,Percent of total billed charges,,6.97,20.4,,,Percent of total billed charges,,6.84,,1.34,,Case rate,,1.34,19.8,,,Percent of total billed charges,,6.63,80,,,Percent of total billed charges,,26.81,61.6,,,Percent of total billed charges,,20.64,20.6,,,Percent of total billed charges,,6.9,20.6,,,Percent of total billed charges,,6.9,65.55,,,Percent of total billed charges,,21.96,21,,,Percent of total billed charges,,7.04,90,,,Percent of total billed charges,,30.16,21,,,Percent of total billed charges,,7.04,21,,,Percent of total billed charges,,7.04,64.9,,,Percent of total billed charges,,21.75,21,,,Percent of total billed charges,,7.04,,2.77,,Case rate,,2.77,1.34,33.51,
"Injection, cosyntropin, 0.25 mg",J0834,HCPCS,,,,Outpatient,Facility,0.25,ME,794.58,317.83,66,,,Percent of total billed charges,,524.42,20.8,,,Percent of total billed charges,,165.27,20.4,,,Percent of total billed charges,,162.09,,91.43,,Case rate,,91.43,,22.55,,Case rate,,22.55,80,,,Percent of total billed charges,,635.66,61.6,,,Percent of total billed charges,,489.46,20.6,,,Percent of total billed charges,,163.68,20.6,,,Percent of total billed charges,,163.68,65.55,,,Percent of total billed charges,,520.85,21,,,Percent of total billed charges,,166.86,90,,,Percent of total billed charges,,715.12,21,,,Percent of total billed charges,,166.86,21,,,Percent of total billed charges,,166.86,64.9,,,Percent of total billed charges,,515.68,21,,,Percent of total billed charges,,166.86,,25.22,,Case rate,,25.22,22.55,794.58,
"Injection, dexamethasone sodium phosphate, 1 mg",J1100,HCPCS,,,,Outpatient,Facility,1,ME,6.92,2.77,66,,,Percent of total billed charges,,4.56,20.8,,,Percent of total billed charges,,1.44,20.4,,,Percent of total billed charges,,1.41,,0.25,,Case rate,,0.25,,0.2,,Case rate,,0.2,80,,,Percent of total billed charges,,5.53,61.6,,,Percent of total billed charges,,4.26,20.6,,,Percent of total billed charges,,1.42,20.6,,,Percent of total billed charges,,1.42,65.55,,,Percent of total billed charges,,4.53,21,,,Percent of total billed charges,,1.45,90,,,Percent of total billed charges,,6.22,21,,,Percent of total billed charges,,1.45,21,,,Percent of total billed charges,,1.45,64.9,,,Percent of total billed charges,,4.49,21,,,Percent of total billed charges,,1.45,,0.13,,Case rate,,0.13,0.13,6.92,
"Injection, dicyclomine hcl, up to 20 mg",J0500,HCPCS,,,,Outpatient,Facility,20,ME,161.54,64.62,66,,,Percent of total billed charges,,106.62,20.8,,,Percent of total billed charges,,33.6,20.4,,,Percent of total billed charges,,32.95,,39.9,,Case rate,,39.9,,0.36,,Case rate,,0.36,80,,,Percent of total billed charges,,129.23,61.6,,,Percent of total billed charges,,99.51,20.6,,,Percent of total billed charges,,33.28,20.6,,,Percent of total billed charges,,33.28,65.55,,,Percent of total billed charges,,105.89,21,,,Percent of total billed charges,,33.92,90,,,Percent of total billed charges,,145.39,21,,,Percent of total billed charges,,33.92,21,,,Percent of total billed charges,,33.92,64.9,,,Percent of total billed charges,,104.84,21,,,Percent of total billed charges,,33.92,,23.59,,Case rate,,23.59,0.36,161.54,
"Injection, digoxin, up to 0.5 mg",J1160,HCPCS,,,,Outpatient,Facility,0.5,ME,27.67,11.07,66,,,Percent of total billed charges,,18.26,20.8,,,Percent of total billed charges,,5.76,20.4,,,Percent of total billed charges,,5.64,,6.69,,Case rate,,6.69,,0.33,,Case rate,,0.33,80,,,Percent of total billed charges,,22.14,61.6,,,Percent of total billed charges,,17.04,20.6,,,Percent of total billed charges,,5.7,20.6,,,Percent of total billed charges,,5.7,65.55,,,Percent of total billed charges,,18.14,21,,,Percent of total billed charges,,5.81,90,,,Percent of total billed charges,,24.9,21,,,Percent of total billed charges,,5.81,21,,,Percent of total billed charges,,5.81,64.9,,,Percent of total billed charges,,17.96,21,,,Percent of total billed charges,,5.81,,8.32,,Case rate,,8.32,0.33,27.67,
"Injection, diphenhydramine hcl, up to 50 mg",J1200,HCPCS,,,,Outpatient,Facility,50,ME,27.67,11.07,66,,,Percent of total billed charges,,18.26,20.8,,,Percent of total billed charges,,5.76,20.4,,,Percent of total billed charges,,5.64,,1.82,,Case rate,,1.82,,0.26,,Case rate,,0.26,80,,,Percent of total billed charges,,22.14,61.6,,,Percent of total billed charges,,17.04,20.6,,,Percent of total billed charges,,5.7,20.6,,,Percent of total billed charges,,5.7,65.55,,,Percent of total billed charges,,18.14,21,,,Percent of total billed charges,,5.81,90,,,Percent of total billed charges,,24.9,21,,,Percent of total billed charges,,5.81,21,,,Percent of total billed charges,,5.81,64.9,,,Percent of total billed charges,,17.96,21,,,Percent of total billed charges,,5.81,,1.05,,Case rate,,1.05,0.26,27.67,
"Injection, dopamine hcl, 40 mg",J1265,HCPCS,,,,Outpatient,Facility,40,ME,9.86,3.94,66,,,Percent of total billed charges,,6.51,20.8,,,Percent of total billed charges,,2.05,20.4,,,Percent of total billed charges,,2.01,,0.67,,Case rate,,0.67,,0.08,,Case rate,,0.08,80,,,Percent of total billed charges,,7.89,61.6,,,Percent of total billed charges,,6.07,20.6,,,Percent of total billed charges,,2.03,20.6,,,Percent of total billed charges,,2.03,65.55,,,Percent of total billed charges,,6.46,21,,,Percent of total billed charges,,2.07,90,,,Percent of total billed charges,,8.87,21,,,Percent of total billed charges,,2.07,21,,,Percent of total billed charges,,2.07,64.9,,,Percent of total billed charges,,6.4,21,,,Percent of total billed charges,,2.07,,0.91,,Case rate,,0.91,0.08,9.86,
"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units",Q5106,CPT,,,,Outpatient,Facility,,,56.07,22.43,66,,,Percent of total billed charges,,37.01,20.8,,,Percent of total billed charges,,11.66,20.4,,,Percent of total billed charges,,11.44,,12.58,,Case rate,,12.58,,0.82,,Case rate,,0.82,80,,,Percent of total billed charges,,44.86,61.6,,,Percent of total billed charges,,34.54,20.6,,,Percent of total billed charges,,11.55,20.6,,,Percent of total billed charges,,11.55,65.55,,,Percent of total billed charges,,36.76,21,,,Percent of total billed charges,,11.78,90,,,Percent of total billed charges,,50.47,21,,,Percent of total billed charges,,11.78,21,,,Percent of total billed charges,,11.78,64.9,,,Percent of total billed charges,,36.39,21,,,Percent of total billed charges,,11.78,,7.91,,Case rate,,7.91,0.82,56.07,
"Injection, famotidine, 20 mg",S0028,CPT,,,,Outpatient,Facility,,,27.67,11.07,66,,,Percent of total billed charges,,18.26,20.8,,,Percent of total billed charges,,5.76,20.4,,,Percent of total billed charges,,5.64,,1.03,,Case rate,,1.03,,0.78,,Case rate,,0.78,80,,,Percent of total billed charges,,22.14,61.6,,,Percent of total billed charges,,17.04,20.6,,,Percent of total billed charges,,5.7,20.6,,,Percent of total billed charges,,5.7,65.55,,,Percent of total billed charges,,18.14,21,,,Percent of total billed charges,,5.81,90,,,Percent of total billed charges,,24.9,21,,,Percent of total billed charges,,5.81,21,,,Percent of total billed charges,,5.81,64.9,,,Percent of total billed charges,,17.96,21,,,Percent of total billed charges,,5.81,,12.63,,Case rate,,12.63,0.78,27.67,
"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)",Q0138,CPT,,,,Outpatient,Facility,,,8.94,3.58,66,,,Percent of total billed charges,,5.9,20.8,,,Percent of total billed charges,,1.86,20.4,,,Percent of total billed charges,,1.82,,2.02,,Case rate,,2.02,,0.17,,Case rate,,0.17,80,,,Percent of total billed charges,,7.15,61.6,,,Percent of total billed charges,,5.51,20.6,,,Percent of total billed charges,,1.84,20.6,,,Percent of total billed charges,,1.84,65.55,,,Percent of total billed charges,,5.86,21,,,Percent of total billed charges,,1.88,90,,,Percent of total billed charges,,8.05,21,,,Percent of total billed charges,,1.88,21,,,Percent of total billed charges,,1.88,64.9,,,Percent of total billed charges,,5.8,21,,,Percent of total billed charges,,1.88,,0.38,,Case rate,,0.38,0.17,8.94,
"Injection, furosemide, up to 20 mg",J1940,HCPCS,,,,Outpatient,Facility,20,ME,27.67,11.07,66,,,Percent of total billed charges,,18.26,20.8,,,Percent of total billed charges,,5.76,20.4,,,Percent of total billed charges,,5.64,,1.33,,Case rate,,1.33,,0.22,,Case rate,,0.22,80,,,Percent of total billed charges,,22.14,61.6,,,Percent of total billed charges,,17.04,20.6,,,Percent of total billed charges,,5.7,20.6,,,Percent of total billed charges,,5.7,65.55,,,Percent of total billed charges,,18.14,21,,,Percent of total billed charges,,5.81,90,,,Percent of total billed charges,,24.9,21,,,Percent of total billed charges,,5.81,21,,,Percent of total billed charges,,5.81,64.9,,,Percent of total billed charges,,17.96,21,,,Percent of total billed charges,,5.81,,0.51,,Case rate,,0.51,0.22,27.67,
"Injection, gadobenate dimeglumine (multihance), per ml",A9577,CPT,,,,Outpatient,Facility,,,37.81,15.13,66,,,Percent of total billed charges,,24.96,20.8,,,Percent of total billed charges,,7.87,20.4,,,Percent of total billed charges,,7.71,,5.99,,Case rate,,5.99,,1.38,,Case rate,,1.38,80,,,Percent of total billed charges,,30.25,61.6,,,Percent of total billed charges,,23.29,20.6,,,Percent of total billed charges,,7.79,20.6,,,Percent of total billed charges,,7.79,65.55,,,Percent of total billed charges,,24.79,21,,,Percent of total billed charges,,7.94,90,,,Percent of total billed charges,,34.03,21,,,Percent of total billed charges,,7.94,21,,,Percent of total billed charges,,7.94,64.9,,,Percent of total billed charges,,24.54,21,,,Percent of total billed charges,,7.94,,2.13,,Case rate,,2.13,1.38,37.81,
"Injection, gadoxetate disodium, 1 ml",A9581,CPT,,,,Outpatient,Facility,,,105.83,42.33,66,,,Percent of total billed charges,,69.85,20.8,,,Percent of total billed charges,,22.01,20.4,,,Percent of total billed charges,,21.59,,16.19,,Case rate,,16.19,,1.76,,Case rate,,1.76,80,,,Percent of total billed charges,,84.67,61.6,,,Percent of total billed charges,,65.19,20.6,,,Percent of total billed charges,,21.8,20.6,,,Percent of total billed charges,,21.8,65.55,,,Percent of total billed charges,,69.37,21,,,Percent of total billed charges,,22.23,90,,,Percent of total billed charges,,95.25,21,,,Percent of total billed charges,,22.23,21,,,Percent of total billed charges,,22.23,64.9,,,Percent of total billed charges,,68.69,21,,,Percent of total billed charges,,22.23,,17.09,,Case rate,,17.09,1.76,105.83,
"Injection, glycopyrrolate, 0.1 mg",J1596,HCPCS,,,,Outpatient,Facility,0.1,ME,13.84,5.53,66,,,Percent of total billed charges,,9.13,20.8,,,Percent of total billed charges,,2.88,20.4,,,Percent of total billed charges,,2.82,,1.53,,Case rate,,1.53,19.8,,,Percent of total billed charges,,2.74,80,,,Percent of total billed charges,,11.07,61.6,,,Percent of total billed charges,,8.52,20.6,,,Percent of total billed charges,,2.85,20.6,,,Percent of total billed charges,,2.85,65.55,,,Percent of total billed charges,,9.07,21,,,Percent of total billed charges,,2.91,90,,,Percent of total billed charges,,12.45,21,,,Percent of total billed charges,,2.91,21,,,Percent of total billed charges,,2.91,64.9,,,Percent of total billed charges,,8.98,21,,,Percent of total billed charges,,2.91,,0.53,,Case rate,,0.53,0.53,13.84,
"Injection, haloperidol, up to 5 mg",J1630,HCPCS,,,,Outpatient,Facility,5,ME,27.67,11.07,66,,,Percent of total billed charges,,18.26,20.8,,,Percent of total billed charges,,5.76,20.4,,,Percent of total billed charges,,5.64,,3.42,,Case rate,,3.42,,1.24,,Case rate,,1.24,80,,,Percent of total billed charges,,22.14,61.6,,,Percent of total billed charges,,17.04,20.6,,,Percent of total billed charges,,5.7,20.6,,,Percent of total billed charges,,5.7,65.55,,,Percent of total billed charges,,18.14,21,,,Percent of total billed charges,,5.81,90,,,Percent of total billed charges,,24.9,21,,,Percent of total billed charges,,5.81,21,,,Percent of total billed charges,,5.81,64.9,,,Percent of total billed charges,,17.96,21,,,Percent of total billed charges,,5.81,,1.34,,Case rate,,1.34,1.24,27.67,
"Injection, heparin sodium, (heparin lock flush), per 10 units",J1642,HCPCS,,,,Outpatient,Facility,10,UN,0.92,0.37,66,,,Percent of total billed charges,,0.61,20.8,,,Percent of total billed charges,,0.19,20.4,,,Percent of total billed charges,,0.19,,0.38,,Case rate,,0.38,,0.12,,Case rate,,0.12,80,,,Percent of total billed charges,,0.74,61.6,,,Percent of total billed charges,,0.57,20.6,,,Percent of total billed charges,,0.19,20.6,,,Percent of total billed charges,,0.19,65.55,,,Percent of total billed charges,,0.6,21,,,Percent of total billed charges,,0.19,90,,,Percent of total billed charges,,0.83,21,,,Percent of total billed charges,,0.19,21,,,Percent of total billed charges,,0.19,64.9,,,Percent of total billed charges,,0.6,21,,,Percent of total billed charges,,0.19,,0.02,,Case rate,,0.02,0.02,0.92,
"Injection, heparin sodium, per 1000 units",J1644,HCPCS,,,,Outpatient,Facility,1000,UN,5.53,2.21,66,,,Percent of total billed charges,,3.65,20.8,,,Percent of total billed charges,,1.15,20.4,,,Percent of total billed charges,,1.13,,0.48,,Case rate,,0.48,,0.17,,Case rate,,0.17,80,,,Percent of total billed charges,,4.43,61.6,,,Percent of total billed charges,,3.41,20.6,,,Percent of total billed charges,,1.14,20.6,,,Percent of total billed charges,,1.14,65.55,,,Percent of total billed charges,,3.63,21,,,Percent of total billed charges,,1.16,90,,,Percent of total billed charges,,4.98,21,,,Percent of total billed charges,,1.16,21,,,Percent of total billed charges,,1.16,64.9,,,Percent of total billed charges,,3.59,21,,,Percent of total billed charges,,1.16,,0.27,,Case rate,,0.27,0.17,5.53,
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",J1561,HCPCS,,,,Outpatient,Facility,500,ME,329.68,131.87,66,,,Percent of total billed charges,,217.59,20.8,,,Percent of total billed charges,,68.57,20.4,,,Percent of total billed charges,,67.26,,80.8,,Case rate,,80.8,,9.76,,Case rate,,9.76,80,,,Percent of total billed charges,,263.75,61.6,,,Percent of total billed charges,,203.08,20.6,,,Percent of total billed charges,,67.91,20.6,,,Percent of total billed charges,,67.91,65.55,,,Percent of total billed charges,,216.11,21,,,Percent of total billed charges,,69.23,90,,,Percent of total billed charges,,296.71,21,,,Percent of total billed charges,,69.23,21,,,Percent of total billed charges,,69.23,64.9,,,Percent of total billed charges,,213.96,21,,,Percent of total billed charges,,69.23,,57.53,,Case rate,,57.53,9.76,329.68,
"Injection, iron sucrose, 1 mg",J1756,HCPCS,,,,Outpatient,Facility,1,ME,4.15,1.66,66,,,Percent of total billed charges,,2.74,20.8,,,Percent of total billed charges,,0.86,20.4,,,Percent of total billed charges,,0.85,,0.69,,Case rate,,0.69,,0.13,,Case rate,,0.13,80,,,Percent of total billed charges,,3.32,61.6,,,Percent of total billed charges,,2.56,20.6,,,Percent of total billed charges,,0.86,20.6,,,Percent of total billed charges,,0.86,65.55,,,Percent of total billed charges,,2.72,21,,,Percent of total billed charges,,0.87,90,,,Percent of total billed charges,,3.74,21,,,Percent of total billed charges,,0.87,21,,,Percent of total billed charges,,0.87,64.9,,,Percent of total billed charges,,2.7,21,,,Percent of total billed charges,,0.87,,0.26,,Case rate,,0.26,0.13,4.15,
"Injection, levofloxacin, 250 mg",J1956,HCPCS,,,,Outpatient,Facility,250,ME,20.28,8.11,66,,,Percent of total billed charges,,13.38,20.8,,,Percent of total billed charges,,4.22,20.4,,,Percent of total billed charges,,4.14,,9.69,,Case rate,,9.69,,3.92,,Case rate,,3.92,80,,,Percent of total billed charges,,16.22,61.6,,,Percent of total billed charges,,12.49,20.6,,,Percent of total billed charges,,4.18,20.6,,,Percent of total billed charges,,4.18,65.55,,,Percent of total billed charges,,13.29,21,,,Percent of total billed charges,,4.26,90,,,Percent of total billed charges,,18.25,21,,,Percent of total billed charges,,4.26,21,,,Percent of total billed charges,,4.26,64.9,,,Percent of total billed charges,,13.16,21,,,Percent of total billed charges,,4.26,,1.08,,Case rate,,1.08,1.08,20.28,
"Injection, magnesium sulfate, per 500 mg",J3475,HCPCS,,,,Outpatient,Facility,500,ME,21.39,8.55,66,,,Percent of total billed charges,,14.11,20.8,,,Percent of total billed charges,,4.45,20.4,,,Percent of total billed charges,,4.36,,0.57,,Case rate,,0.57,,0.06,,Case rate,,0.06,80,,,Percent of total billed charges,,17.11,61.6,,,Percent of total billed charges,,13.17,20.6,,,Percent of total billed charges,,4.41,20.6,,,Percent of total billed charges,,4.41,65.55,,,Percent of total billed charges,,14.02,21,,,Percent of total billed charges,,4.49,90,,,Percent of total billed charges,,19.25,21,,,Percent of total billed charges,,4.49,21,,,Percent of total billed charges,,4.49,64.9,,,Percent of total billed charges,,13.88,21,,,Percent of total billed charges,,4.49,,0.58,,Case rate,,0.58,0.06,21.38,
"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg",J2183,HCPCS,,,,Outpatient,Facility,100,ME,19.39,7.76,66,,,Percent of total billed charges,,12.8,20.8,,,Percent of total billed charges,,4.03,20.4,,,Percent of total billed charges,,3.96,,1.87,,Case rate,,1.87,19.8,,,Percent of total billed charges,,3.84,80,,,Percent of total billed charges,,15.51,61.6,,,Percent of total billed charges,,11.95,20.6,,,Percent of total billed charges,,3.99,20.6,,,Percent of total billed charges,,3.99,65.55,,,Percent of total billed charges,,12.71,21,,,Percent of total billed charges,,4.07,90,,,Percent of total billed charges,,17.45,21,,,Percent of total billed charges,,4.07,21,,,Percent of total billed charges,,4.07,64.9,,,Percent of total billed charges,,12.59,21,,,Percent of total billed charges,,4.07,,1.86,,Case rate,,1.86,1.86,19.39,
"Injection, methylprednisolone sodium succinate, 5 mg",J2919,HCPCS,,,,Outpatient,Facility,5,ME,5.07,2.03,66,,,Percent of total billed charges,,3.34,20.8,,,Percent of total billed charges,,1.05,20.4,,,Percent of total billed charges,,1.03,,0.25,,Case rate,,0.25,19.8,,,Percent of total billed charges,,1,80,,,Percent of total billed charges,,4.05,61.6,,,Percent of total billed charges,,3.12,20.6,,,Percent of total billed charges,,1.04,20.6,,,Percent of total billed charges,,1.04,65.55,,,Percent of total billed charges,,3.32,21,,,Percent of total billed charges,,1.06,90,,,Percent of total billed charges,,4.56,21,,,Percent of total billed charges,,1.06,21,,,Percent of total billed charges,,1.06,64.9,,,Percent of total billed charges,,3.29,21,,,Percent of total billed charges,,1.06,,0.34,,Case rate,,0.34,0.25,5.06,
"Injection, midazolam hydrochloride, per 1 mg",J2250,HCPCS,,,,Outpatient,Facility,1,ME,13.83,5.53,66,,,Percent of total billed charges,,9.13,20.8,,,Percent of total billed charges,,2.88,20.4,,,Percent of total billed charges,,2.82,,0.37,,Case rate,,0.37,,0.3,,Case rate,,0.3,80,,,Percent of total billed charges,,11.07,61.6,,,Percent of total billed charges,,8.52,20.6,,,Percent of total billed charges,,2.85,20.6,,,Percent of total billed charges,,2.85,65.55,,,Percent of total billed charges,,9.07,21,,,Percent of total billed charges,,2.9,90,,,Percent of total billed charges,,12.45,21,,,Percent of total billed charges,,2.9,21,,,Percent of total billed charges,,2.9,64.9,,,Percent of total billed charges,,8.98,21,,,Percent of total billed charges,,2.9,,0.17,,Case rate,,0.17,0.17,13.83,
"Injection, milrinone lactate, 5 mg",J2260,HCPCS,,,,Outpatient,Facility,5,ME,,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Case rate,Use Lesser of logic,,,10.25,,Case rate,,10.25,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,1.61,,Case rate,,1.61,1.61,10.25,
"Injection, naloxone hydrochloride, per 1 mg",J2310,HCPCS,,,,Outpatient,Facility,1,ME,102.68,41.07,66,,,Percent of total billed charges,,67.77,20.8,,,Percent of total billed charges,,21.36,20.4,,,Percent of total billed charges,,20.95,,17.87,,Case rate,,17.87,,0.68,,Case rate,,0.68,80,,,Percent of total billed charges,,82.14,61.6,,,Percent of total billed charges,,63.25,20.6,,,Percent of total billed charges,,21.15,20.6,,,Percent of total billed charges,,21.15,65.55,,,Percent of total billed charges,,67.3,21,,,Percent of total billed charges,,21.56,90,,,Percent of total billed charges,,92.41,21,,,Percent of total billed charges,,21.56,21,,,Percent of total billed charges,,21.56,64.9,,,Percent of total billed charges,,66.64,21,,,Percent of total billed charges,,21.56,,10.83,,Case rate,,10.83,0.68,102.68,
"Injection, neostigmine methylsulfate, up to 0.5 mg",J2710,HCPCS,,,,Outpatient,Facility,0.5,ME,5.55,2.22,66,,,Percent of total billed charges,,3.67,20.8,,,Percent of total billed charges,,1.16,20.4,,,Percent of total billed charges,,1.13,,0.91,,Case rate,,0.91,,0.2,,Case rate,,0.2,80,,,Percent of total billed charges,,4.44,61.6,,,Percent of total billed charges,,3.42,20.6,,,Percent of total billed charges,,1.14,20.6,,,Percent of total billed charges,,1.14,65.55,,,Percent of total billed charges,,3.64,21,,,Percent of total billed charges,,1.17,90,,,Percent of total billed charges,,5,21,,,Percent of total billed charges,,1.17,21,,,Percent of total billed charges,,1.17,64.9,,,Percent of total billed charges,,3.6,21,,,Percent of total billed charges,,1.17,45,,,Percent of total billed charges,,2.5,0.2,5.55,
"Injection, ondansetron hydrochloride, per 1 mg",J2405,HCPCS,,,,Outpatient,Facility,1,ME,6.92,2.77,66,,,Percent of total billed charges,,4.57,20.8,,,Percent of total billed charges,,1.44,20.4,,,Percent of total billed charges,,1.41,,0.21,,Case rate,,0.21,,1.21,,Case rate,,1.21,80,,,Percent of total billed charges,,5.53,61.6,,,Percent of total billed charges,,4.26,20.6,,,Percent of total billed charges,,1.43,20.6,,,Percent of total billed charges,,1.43,65.55,,,Percent of total billed charges,,4.53,21,,,Percent of total billed charges,,1.45,90,,,Percent of total billed charges,,6.23,21,,,Percent of total billed charges,,1.45,21,,,Percent of total billed charges,,1.45,64.9,,,Percent of total billed charges,,4.49,21,,,Percent of total billed charges,,1.45,,0.11,,Case rate,,0.11,0.11,6.92,
"Injection, orphenadrine citrate, up to 60 mg",J2360,HCPCS,,,,Outpatient,Facility,60,ME,103.97,41.59,66,,,Percent of total billed charges,,68.62,20.8,,,Percent of total billed charges,,21.63,20.4,,,Percent of total billed charges,,21.21,,17.78,,Case rate,,17.78,,0.33,,Case rate,,0.33,80,,,Percent of total billed charges,,83.18,61.6,,,Percent of total billed charges,,64.05,20.6,,,Percent of total billed charges,,21.42,20.6,,,Percent of total billed charges,,21.42,65.55,,,Percent of total billed charges,,68.15,21,,,Percent of total billed charges,,21.83,90,,,Percent of total billed charges,,93.57,21,,,Percent of total billed charges,,21.83,21,,,Percent of total billed charges,,21.83,64.9,,,Percent of total billed charges,,67.48,21,,,Percent of total billed charges,,21.83,,10.55,,Case rate,,10.55,0.33,103.97,
"Injection, oxacillin sodium, up to 250 mg",J2700,HCPCS,,,,Outpatient,Facility,250,ME,17.9,7.16,66,,,Percent of total billed charges,,11.82,20.8,,,Percent of total billed charges,,3.72,20.4,,,Percent of total billed charges,,3.65,,3.33,,Case rate,,3.33,,0.24,,Case rate,,0.24,80,,,Percent of total billed charges,,14.32,61.6,,,Percent of total billed charges,,11.03,20.6,,,Percent of total billed charges,,3.69,20.6,,,Percent of total billed charges,,3.69,65.55,,,Percent of total billed charges,,11.74,21,,,Percent of total billed charges,,3.76,90,,,Percent of total billed charges,,16.11,21,,,Percent of total billed charges,,3.76,21,,,Percent of total billed charges,,3.76,64.9,,,Percent of total billed charges,,11.62,21,,,Percent of total billed charges,,3.76,,1.09,,Case rate,,1.09,0.24,17.9,
"Injection, phenylephrine hydrochloride, 20 micrograms",J2371,HCPCS,,,,Outpatient,Facility,20,UN,9.22,3.69,66,,,Percent of total billed charges,,6.09,20.8,,,Percent of total billed charges,,1.92,20.4,,,Percent of total billed charges,,1.88,,0.01,,Case rate,,0.01,19.8,,,Percent of total billed charges,,1.83,80,,,Percent of total billed charges,,7.38,61.6,,,Percent of total billed charges,,5.68,20.6,,,Percent of total billed charges,,1.9,20.6,,,Percent of total billed charges,,1.9,65.55,,,Percent of total billed charges,,6.05,21,,,Percent of total billed charges,,1.94,90,,,Percent of total billed charges,,8.3,21,,,Percent of total billed charges,,1.94,21,,,Percent of total billed charges,,1.94,64.9,,,Percent of total billed charges,,5.99,21,,,Percent of total billed charges,,1.94,45,,,Percent of total billed charges,,4.15,0.01,9.22,
"Injection, prochlorperazine, up to 10 mg",J0780,HCPCS,,,,Outpatient,Facility,10,ME,27.67,11.07,66,,,Percent of total billed charges,,18.26,20.8,,,Percent of total billed charges,,5.76,20.4,,,Percent of total billed charges,,5.64,,8.55,,Case rate,,8.55,,0.55,,Case rate,,0.55,80,,,Percent of total billed charges,,22.14,61.6,,,Percent of total billed charges,,17.04,20.6,,,Percent of total billed charges,,5.7,20.6,,,Percent of total billed charges,,5.7,65.55,,,Percent of total billed charges,,18.14,21,,,Percent of total billed charges,,5.81,90,,,Percent of total billed charges,,24.9,21,,,Percent of total billed charges,,5.81,21,,,Percent of total billed charges,,5.81,64.9,,,Percent of total billed charges,,17.96,21,,,Percent of total billed charges,,5.81,,4.23,,Case rate,,4.23,0.55,27.67,
"Injection, propofol, 10 mg",J2704,HCPCS,,,,Outpatient,Facility,10,ME,1.38,0.55,66,,,Percent of total billed charges,,0.91,20.8,,,Percent of total billed charges,,0.29,20.4,,,Percent of total billed charges,,0.28,,0.13,,Case rate,,0.13,,0.02,,Case rate,,0.02,80,,,Percent of total billed charges,,1.11,61.6,,,Percent of total billed charges,,0.85,20.6,,,Percent of total billed charges,,0.29,20.6,,,Percent of total billed charges,,0.29,65.55,,,Percent of total billed charges,,0.91,21,,,Percent of total billed charges,,0.29,90,,,Percent of total billed charges,,1.25,21,,,Percent of total billed charges,,0.29,21,,,Percent of total billed charges,,0.29,64.9,,,Percent of total billed charges,,0.9,21,,,Percent of total billed charges,,0.29,,0.1,,Case rate,,0.1,0.02,1.38,
"Injection, regadenoson, 0.1 mg",J2785,HCPCS,,,,Outpatient,Facility,0.1,ME,466.42,186.57,66,,,Percent of total billed charges,,307.84,20.8,,,Percent of total billed charges,,97.02,20.4,,,Percent of total billed charges,,95.15,,10.69,,Case rate,,10.69,,11.42,,Case rate,,11.42,80,,,Percent of total billed charges,,373.14,61.6,,,Percent of total billed charges,,287.31,20.6,,,Percent of total billed charges,,96.08,20.6,,,Percent of total billed charges,,96.08,65.55,,,Percent of total billed charges,,305.74,21,,,Percent of total billed charges,,97.95,90,,,Percent of total billed charges,,419.78,21,,,Percent of total billed charges,,97.95,21,,,Percent of total billed charges,,97.95,64.9,,,Percent of total billed charges,,302.71,21,,,Percent of total billed charges,,97.95,,3.93,,Case rate,,3.93,3.93,466.42,
"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg",J2916,HCPCS,,,,Outpatient,Facility,12.5,ME,42.39,16.95,66,,,Percent of total billed charges,,27.97,20.8,,,Percent of total billed charges,,8.82,20.4,,,Percent of total billed charges,,8.65,,7.25,,Case rate,,7.25,,1.62,,Case rate,,1.62,80,,,Percent of total billed charges,,33.91,61.6,,,Percent of total billed charges,,26.11,20.6,,,Percent of total billed charges,,8.73,20.6,,,Percent of total billed charges,,8.73,65.55,,,Percent of total billed charges,,27.78,21,,,Percent of total billed charges,,8.9,90,,,Percent of total billed charges,,38.15,21,,,Percent of total billed charges,,8.9,21,,,Percent of total billed charges,,8.9,64.9,,,Percent of total billed charges,,27.51,21,,,Percent of total billed charges,,8.9,,2.48,,Case rate,,2.48,1.62,42.38,
"Injection, succinylcholine chloride, up to 20 mg",J0330,HCPCS,,,,Outpatient,Facility,20,ME,5.7,2.28,66,,,Percent of total billed charges,,3.76,20.8,,,Percent of total billed charges,,1.19,20.4,,,Percent of total billed charges,,1.16,,0.92,,Case rate,,0.92,,0.2,,Case rate,,0.2,80,,,Percent of total billed charges,,4.56,61.6,,,Percent of total billed charges,,3.51,20.6,,,Percent of total billed charges,,1.18,20.6,,,Percent of total billed charges,,1.18,65.55,,,Percent of total billed charges,,3.74,21,,,Percent of total billed charges,,1.2,90,,,Percent of total billed charges,,5.13,21,,,Percent of total billed charges,,1.2,21,,,Percent of total billed charges,,1.2,64.9,,,Percent of total billed charges,,3.7,21,,,Percent of total billed charges,,1.2,45,,,Percent of total billed charges,,2.57,0.2,5.7,
"Injection, tbo-filgrastim, 1 microgram",J1447,HCPCS,,,,Outpatient,Facility,1,UN,6.21,2.48,66,,,Percent of total billed charges,,4.1,20.8,,,Percent of total billed charges,,1.29,20.4,,,Percent of total billed charges,,1.27,,0.95,,Case rate,,0.95,,0.08,,Case rate,,0.08,80,,,Percent of total billed charges,,4.97,61.6,,,Percent of total billed charges,,3.82,20.6,,,Percent of total billed charges,,1.28,20.6,,,Percent of total billed charges,,1.28,65.55,,,Percent of total billed charges,,4.07,21,,,Percent of total billed charges,,1.3,90,,,Percent of total billed charges,,5.59,21,,,Percent of total billed charges,,1.3,21,,,Percent of total billed charges,,1.3,64.9,,,Percent of total billed charges,,4.03,21,,,Percent of total billed charges,,1.3,,0.46,,Case rate,,0.46,0.08,6.21,
"Injection, tetanus immune globulin, human, up to 250 units",J1670,HCPCS,,,,Outpatient,Facility,250,UN,3204,1281.6,66,,,Percent of total billed charges,,2114.64,20.8,,,Percent of total billed charges,,666.43,20.4,,,Percent of total billed charges,,653.62,,740.05,,Case rate,,740.05,,19.8,,Case rate,,19.8,80,,,Percent of total billed charges,,2563.2,61.6,,,Percent of total billed charges,,1973.66,20.6,,,Percent of total billed charges,,660.02,20.6,,,Percent of total billed charges,,660.02,65.55,,,Percent of total billed charges,,2100.22,21,,,Percent of total billed charges,,672.84,90,,,Percent of total billed charges,,2883.6,21,,,Percent of total billed charges,,672.84,21,,,Percent of total billed charges,,672.84,64.9,,,Percent of total billed charges,,2079.4,21,,,Percent of total billed charges,,672.84,,655.52,,Case rate,,655.52,19.8,3204,
"Injection, therapeutic (eg, local anesthetic, corticosteroid), carpal tunnel",20526,CPT,,,,Outpatient,Facility,,,531,212.4,66,,,Percent of total billed charges,,350.46,20.8,,,Percent of total billed charges,,110.45,20.4,,,Percent of total billed charges,,108.32,,79.75,,Case rate,,79.75,,14.45,,Case rate,,14.45,80,,,Percent of total billed charges,,424.8,61.6,,,Percent of total billed charges,,327.1,20.6,,,Percent of total billed charges,,109.39,20.6,,,Percent of total billed charges,,109.39,65.55,,,Percent of total billed charges,,348.07,21,,,Percent of total billed charges,,111.51,90,,,Percent of total billed charges,,477.9,21,,,Percent of total billed charges,,111.51,21,,,Percent of total billed charges,,111.51,64.9,,,Percent of total billed charges,,344.62,21,,,Percent of total billed charges,,111.51,,451.11,,Case rate,,451.11,14.45,531,
"Injection, thiamine hcl, 100 mg",J3411,HCPCS,,,,Outpatient,Facility,100,ME,33.16,13.26,66,,,Percent of total billed charges,,21.89,20.8,,,Percent of total billed charges,,6.9,20.4,,,Percent of total billed charges,,6.76,,3.74,,Case rate,,3.74,,0.05,,Case rate,,0.05,80,,,Percent of total billed charges,,26.53,61.6,,,Percent of total billed charges,,20.43,20.6,,,Percent of total billed charges,,6.83,20.6,,,Percent of total billed charges,,6.83,65.55,,,Percent of total billed charges,,21.74,21,,,Percent of total billed charges,,6.96,90,,,Percent of total billed charges,,29.84,21,,,Percent of total billed charges,,6.96,21,,,Percent of total billed charges,,6.96,64.9,,,Percent of total billed charges,,21.52,21,,,Percent of total billed charges,,6.96,,2.25,,Case rate,,2.25,0.05,33.16,
"Injection, triamcinolone acetonide, not otherwise specified, 10 mg",J3301,HCPCS,,,,Outpatient,Facility,10,ME,12.92,5.17,66,,,Percent of total billed charges,,8.53,20.8,,,Percent of total billed charges,,2.69,20.4,,,Percent of total billed charges,,2.64,,2.02,,Case rate,,2.02,,0.18,,Case rate,,0.18,80,,,Percent of total billed charges,,10.33,61.6,,,Percent of total billed charges,,7.96,20.6,,,Percent of total billed charges,,2.66,20.6,,,Percent of total billed charges,,2.66,65.55,,,Percent of total billed charges,,8.47,21,,,Percent of total billed charges,,2.71,90,,,Percent of total billed charges,,11.63,21,,,Percent of total billed charges,,2.71,21,,,Percent of total billed charges,,2.71,64.9,,,Percent of total billed charges,,8.38,21,,,Percent of total billed charges,,2.71,,1.19,,Case rate,,1.19,0.18,12.92,
"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg",J3420,HCPCS,,,,Outpatient,Facility,1000,UN,44.28,17.71,66,,,Percent of total billed charges,,29.22,20.8,,,Percent of total billed charges,,9.21,20.4,,,Percent of total billed charges,,9.03,,4.03,,Case rate,,4.03,,0.2,,Case rate,,0.2,80,,,Percent of total billed charges,,35.42,61.6,,,Percent of total billed charges,,27.28,20.6,,,Percent of total billed charges,,9.12,20.6,,,Percent of total billed charges,,9.12,65.55,,,Percent of total billed charges,,29.03,21,,,Percent of total billed charges,,9.3,90,,,Percent of total billed charges,,39.85,21,,,Percent of total billed charges,,9.3,21,,,Percent of total billed charges,,9.3,64.9,,,Percent of total billed charges,,28.74,21,,,Percent of total billed charges,,9.3,,1.29,,Case rate,,1.29,0.2,44.28,
"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed",37191,CPT,,,,Outpatient,Facility,,,9708,3883.2,66,,,Percent of total billed charges,,6407.28,20.8,,,Percent of total billed charges,,2019.26,20.4,,,Percent of total billed charges,,1980.43,,1949.86,,Case rate,,1949.86,,333.66,,Case rate,,333.66,80,,,Percent of total billed charges,,7766.4,61.6,,,Percent of total billed charges,,5980.13,20.6,,,Percent of total billed charges,,1999.85,20.6,,,Percent of total billed charges,,1999.85,65.55,,,Percent of total billed charges,,6363.59,21,,,Percent of total billed charges,,2038.68,90,,,Percent of total billed charges,,8737.2,21,,,Percent of total billed charges,,2038.68,21,,,Percent of total billed charges,,2038.68,64.9,,,Percent of total billed charges,,6300.49,21,,,Percent of total billed charges,,2038.68,,3722.9,,Case rate,,3722.9,333.66,9708,
"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older",36569,CPT,,,,Outpatient,Facility,,,1692,676.8,66,,,Percent of total billed charges,,1116.72,20.8,,,Percent of total billed charges,,351.94,20.4,,,Percent of total billed charges,,345.17,,91.02,,Case rate,,91.02,,62.25,,Case rate,,62.25,80,,,Percent of total billed charges,,1353.6,61.6,,,Percent of total billed charges,,1042.27,20.6,,,Percent of total billed charges,,348.55,20.6,,,Percent of total billed charges,,348.55,65.55,,,Percent of total billed charges,,1109.11,21,,,Percent of total billed charges,,355.32,90,,,Percent of total billed charges,,1522.8,21,,,Percent of total billed charges,,355.32,21,,,Percent of total billed charges,,355.32,64.9,,,Percent of total billed charges,,1098.11,21,,,Percent of total billed charges,,355.32,,511.38,,Case rate,,511.38,62.25,1692,
"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon)",51703,CPT,,,,Outpatient,Facility,,,1210,484,66,,,Percent of total billed charges,,798.6,20.8,,,Percent of total billed charges,,251.68,20.4,,,Percent of total billed charges,,246.84,,144.82,,Case rate,,144.82,,30.46,,Case rate,,30.46,80,,,Percent of total billed charges,,968,61.6,,,Percent of total billed charges,,745.36,20.6,,,Percent of total billed charges,,249.26,20.6,,,Percent of total billed charges,,249.26,65.55,,,Percent of total billed charges,,793.16,21,,,Percent of total billed charges,,254.1,90,,,Percent of total billed charges,,1089,21,,,Percent of total billed charges,,254.1,21,,,Percent of total billed charges,,254.1,64.9,,,Percent of total billed charges,,785.29,21,,,Percent of total billed charges,,254.1,,856.31,,Case rate,,856.31,30.46,1210,
"Insertion of temporary indwelling bladder catheter; simple (eg, Foley)",51702,CPT,,,,Outpatient,Facility,,,554,221.6,66,,,Percent of total billed charges,,365.64,20.8,,,Percent of total billed charges,,115.23,20.4,,,Percent of total billed charges,,113.02,,59.26,,Case rate,,59.26,,18.29,,Case rate,,18.29,80,,,Percent of total billed charges,,443.2,61.6,,,Percent of total billed charges,,341.26,20.6,,,Percent of total billed charges,,114.12,20.6,,,Percent of total billed charges,,114.12,65.55,,,Percent of total billed charges,,363.15,21,,,Percent of total billed charges,,116.34,90,,,Percent of total billed charges,,498.6,21,,,Percent of total billed charges,,116.34,21,,,Percent of total billed charges,,116.34,64.9,,,Percent of total billed charges,,359.55,21,,,Percent of total billed charges,,116.34,,155.03,,Case rate,,155.03,18.29,554,
Insulin antibodies,86337,CPT,,,,Outpatient,Facility,,,370,148,66,,,Percent of total billed charges,,244.2,20.8,,,Percent of total billed charges,,76.96,20.4,,,Percent of total billed charges,,75.48,,21.41,,Case rate,,21.41,,2.66,,Case rate,,2.66,80,,,Percent of total billed charges,,296,61.6,,,Percent of total billed charges,,227.92,20.6,,,Percent of total billed charges,,76.22,20.6,,,Percent of total billed charges,,76.22,65.55,,,Percent of total billed charges,,242.54,21,,,Percent of total billed charges,,77.7,90,,,Percent of total billed charges,,333,21,,,Percent of total billed charges,,77.7,21,,,Percent of total billed charges,,77.7,64.9,,,Percent of total billed charges,,240.13,21,,,Percent of total billed charges,,77.7,,65.05,,Case rate,,65.05,2.66,370,
Insulin; free,83527,CPT,,,,Outpatient,Facility,,,111,44.4,66,,,Percent of total billed charges,,73.26,20.8,,,Percent of total billed charges,,23.09,20.4,,,Percent of total billed charges,,22.64,,12.95,,Case rate,,12.95,,3.78,,Case rate,,3.78,80,,,Percent of total billed charges,,88.8,61.6,,,Percent of total billed charges,,68.38,20.6,,,Percent of total billed charges,,22.87,20.6,,,Percent of total billed charges,,22.87,65.55,,,Percent of total billed charges,,72.76,21,,,Percent of total billed charges,,23.31,90,,,Percent of total billed charges,,99.9,21,,,Percent of total billed charges,,23.31,21,,,Percent of total billed charges,,23.31,64.9,,,Percent of total billed charges,,72.04,21,,,Percent of total billed charges,,23.31,,77.68,,Case rate,,77.68,3.78,111,
Insulin; total,83525,CPT,,,,Outpatient,Facility,,,188,75.2,66,,,Percent of total billed charges,,124.08,20.8,,,Percent of total billed charges,,39.1,20.4,,,Percent of total billed charges,,38.35,,11.43,,Case rate,,11.43,,2.35,,Case rate,,2.35,80,,,Percent of total billed charges,,150.4,61.6,,,Percent of total billed charges,,115.81,20.6,,,Percent of total billed charges,,38.73,20.6,,,Percent of total billed charges,,38.73,65.55,,,Percent of total billed charges,,123.23,21,,,Percent of total billed charges,,39.48,90,,,Percent of total billed charges,,169.2,21,,,Percent of total billed charges,,39.48,21,,,Percent of total billed charges,,39.48,64.9,,,Percent of total billed charges,,122.01,21,,,Percent of total billed charges,,39.48,,45.59,,Case rate,,45.59,2.35,188,
Interleukin-6 (IL-6),83529,CPT,,,,Outpatient,Facility,,,67,26.8,66,,,Percent of total billed charges,,44.22,20.8,,,Percent of total billed charges,,13.94,20.4,,,Percent of total billed charges,,13.67,,17.27,,Case rate,,17.27,,0.78,,Case rate,,0.78,80,,,Percent of total billed charges,,53.6,61.6,,,Percent of total billed charges,,41.27,20.6,,,Percent of total billed charges,,13.8,20.6,,,Percent of total billed charges,,13.8,65.55,,,Percent of total billed charges,,43.92,21,,,Percent of total billed charges,,14.07,90,,,Percent of total billed charges,,60.3,21,,,Percent of total billed charges,,14.07,21,,,Percent of total billed charges,,14.07,64.9,,,Percent of total billed charges,,43.48,21,,,Percent of total billed charges,,14.07,,60.54,,Case rate,,60.54,0.78,67,
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,,,,Outpatient,Facility,,,554,221.6,66,,,Percent of total billed charges,,365.64,20.8,,,Percent of total billed charges,,115.23,20.4,,,Percent of total billed charges,,113.02,,261.12,,Case rate,,261.12,,18.31,,Case rate,,18.31,80,,,Percent of total billed charges,,443.2,61.6,,,Percent of total billed charges,,341.26,20.6,,,Percent of total billed charges,,114.12,20.6,,,Percent of total billed charges,,114.12,65.55,,,Percent of total billed charges,,363.15,21,,,Percent of total billed charges,,116.34,90,,,Percent of total billed charges,,498.6,21,,,Percent of total billed charges,,116.34,21,,,Percent of total billed charges,,116.34,64.9,,,Percent of total billed charges,,359.55,21,,,Percent of total billed charges,,116.34,,441.64,,Case rate,,441.64,18.31,554,
"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure)",38900,CPT,,,,Outpatient,Facility,,,7622.3,3048.92,66,,,Percent of total billed charges,,5030.72,20.8,,,Percent of total billed charges,,1585.44,20.4,,,Percent of total billed charges,,1554.95,,133.51,,Case rate,,133.51,,27.25,,Case rate,,27.25,80,,,Percent of total billed charges,,6097.84,61.6,,,Percent of total billed charges,,4695.34,20.6,,,Percent of total billed charges,,1570.19,20.6,,,Percent of total billed charges,,1570.19,65.55,,,Percent of total billed charges,,4996.42,21,,,Percent of total billed charges,,1600.68,90,,,Percent of total billed charges,,6860.07,21,,,Percent of total billed charges,,1600.68,21,,,Percent of total billed charges,,1600.68,64.9,,,Percent of total billed charges,,4946.87,21,,,Percent of total billed charges,,1600.68,,2418.07,,Case rate,,2418.07,27.25,7622.3,
"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space",41007,CPT,,,,Outpatient,Facility,,,4272,1708.8,66,,,Percent of total billed charges,,2819.52,20.8,,,Percent of total billed charges,,888.58,20.4,,,Percent of total billed charges,,871.49,,318.1,,Case rate,,318.1,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,3417.6,61.6,,,Percent of total billed charges,,2631.55,20.6,,,Percent of total billed charges,,880.03,20.6,,,Percent of total billed charges,,880.03,65.55,,,Percent of total billed charges,,2800.3,21,,,Percent of total billed charges,,897.12,90,,,Percent of total billed charges,,3844.8,21,,,Percent of total billed charges,,897.12,21,,,Percent of total billed charges,,897.12,64.9,,,Percent of total billed charges,,2772.53,21,,,Percent of total billed charges,,897.12,,1421.97,,Case rate,,1421.97,58.06,4272,
"Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring",M0243,CPT,,,,Outpatient,Facility,,,1381,552.4,66,,,Percent of total billed charges,,911.46,20.8,,,Percent of total billed charges,,287.25,20.4,,,Percent of total billed charges,,281.72,,371.52,,Case rate,,371.52,,29.54,,Case rate,,29.54,80,,,Percent of total billed charges,,1104.8,61.6,,,Percent of total billed charges,,850.7,20.6,,,Percent of total billed charges,,284.49,20.6,,,Percent of total billed charges,,284.49,65.55,,,Percent of total billed charges,,905.25,21,,,Percent of total billed charges,,290.01,90,,,Percent of total billed charges,,1242.9,21,,,Percent of total billed charges,,290.01,21,,,Percent of total billed charges,,290.01,64.9,,,Percent of total billed charges,,896.27,21,,,Percent of total billed charges,,290.01,,445.73,,Case rate,,445.73,29.54,1381,
"Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring",M0245,CPT,,,,Outpatient,Facility,,,1381,552.4,66,,,Percent of total billed charges,,911.46,20.8,,,Percent of total billed charges,,287.25,20.4,,,Percent of total billed charges,,281.72,,371.52,,Case rate,,371.52,,16.78,,Case rate,,16.78,80,,,Percent of total billed charges,,1104.8,61.6,,,Percent of total billed charges,,850.7,20.6,,,Percent of total billed charges,,284.49,20.6,,,Percent of total billed charges,,284.49,65.55,,,Percent of total billed charges,,905.25,21,,,Percent of total billed charges,,290.01,90,,,Percent of total billed charges,,1242.9,21,,,Percent of total billed charges,,290.01,21,,,Percent of total billed charges,,290.01,64.9,,,Percent of total billed charges,,896.27,21,,,Percent of total billed charges,,290.01,,510.73,,Case rate,,510.73,16.78,1381,
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour",96365,CPT,,,,Outpatient,Facility,,,426,170.4,66,,,Percent of total billed charges,,281.16,20.8,,,Percent of total billed charges,,88.61,20.4,,,Percent of total billed charges,,86.9,,60.83,,Case rate,,60.83,,13.91,,Case rate,,13.91,80,,,Percent of total billed charges,,340.8,61.6,,,Percent of total billed charges,,262.42,20.6,,,Percent of total billed charges,,87.76,20.6,,,Percent of total billed charges,,87.76,65.55,,,Percent of total billed charges,,279.24,21,,,Percent of total billed charges,,89.46,90,,,Percent of total billed charges,,383.4,21,,,Percent of total billed charges,,89.46,21,,,Percent of total billed charges,,89.46,64.9,,,Percent of total billed charges,,276.47,21,,,Percent of total billed charges,,89.46,,183.96,,Case rate,,183.96,13.91,426,
"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)",96361,CPT,,,,Outpatient,Facility,,,112,44.8,66,,,Percent of total billed charges,,73.92,20.8,,,Percent of total billed charges,,23.3,20.4,,,Percent of total billed charges,,22.85,,12.21,,Case rate,,12.21,,3.63,,Case rate,,3.63,80,,,Percent of total billed charges,,89.6,61.6,,,Percent of total billed charges,,68.99,20.6,,,Percent of total billed charges,,23.07,20.6,,,Percent of total billed charges,,23.07,65.55,,,Percent of total billed charges,,73.42,21,,,Percent of total billed charges,,23.52,90,,,Percent of total billed charges,,100.8,21,,,Percent of total billed charges,,23.52,21,,,Percent of total billed charges,,23.52,64.9,,,Percent of total billed charges,,72.69,21,,,Percent of total billed charges,,23.52,,62.26,,Case rate,,62.26,3.63,112,
"Intravenous infusion, hydration; initial, 31 minutes to 1 hour",96360,CPT,,,,Outpatient,Facility,,,345,138,66,,,Percent of total billed charges,,227.7,20.8,,,Percent of total billed charges,,71.76,20.4,,,Percent of total billed charges,,70.38,,31.05,,Case rate,,31.05,,11.38,,Case rate,,11.38,80,,,Percent of total billed charges,,276,61.6,,,Percent of total billed charges,,212.52,20.6,,,Percent of total billed charges,,71.07,20.6,,,Percent of total billed charges,,71.07,65.55,,,Percent of total billed charges,,226.15,21,,,Percent of total billed charges,,72.45,90,,,Percent of total billed charges,,310.5,21,,,Percent of total billed charges,,72.45,21,,,Percent of total billed charges,,72.45,64.9,,,Percent of total billed charges,,223.9,21,,,Percent of total billed charges,,72.45,,157.86,,Case rate,,157.86,11.38,345,
"Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away",C1766,CPT,,,,Outpatient,Facility,,,567.61,227.04,66,,,Percent of total billed charges,,374.62,20.8,,,Percent of total billed charges,,118.06,20.4,,,Percent of total billed charges,,115.79,48.3,,,Percent of total billed charges,,274.16,,6.38,,Case rate,,6.38,80,,,Percent of total billed charges,,454.09,61.6,,,Percent of total billed charges,,349.65,20.6,,,Percent of total billed charges,,116.93,20.6,,,Percent of total billed charges,,116.93,65.55,,,Percent of total billed charges,,372.07,21,,,Percent of total billed charges,,119.2,90,,,Percent of total billed charges,,510.85,21,,,Percent of total billed charges,,119.2,21,,,Percent of total billed charges,,119.2,64.9,,,Percent of total billed charges,,368.38,21,,,Percent of total billed charges,,119.2,,131.26,,Case rate,,131.26,6.38,567.61,
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,32074340,CDM,TC,Outpatient,Facility,,,471,188.4,66,,,Percent of total billed charges,,310.86,20.8,,,Percent of total billed charges,,97.97,20.4,,,Percent of total billed charges,,96.08,,106.12,,Case rate,,106.12,,15.57,,Case rate,,15.57,80,,,Percent of total billed charges,,376.8,61.6,,,Percent of total billed charges,,290.14,20.6,,,Percent of total billed charges,,97.03,20.6,,,Percent of total billed charges,,97.03,65.55,,,Percent of total billed charges,,308.74,21,,,Percent of total billed charges,,98.91,90,,,Percent of total billed charges,,423.9,21,,,Percent of total billed charges,,98.91,21,,,Percent of total billed charges,,98.91,64.9,,,Percent of total billed charges,,305.68,21,,,Percent of total billed charges,,98.91,,390.62,,Case rate,,390.62,15.57,471,
"Intubation, endotracheal, emergency procedure",31500,CPT,,,,Outpatient,Facility,,,1526,610.4,66,,,Percent of total billed charges,,1007.16,20.8,,,Percent of total billed charges,,317.41,20.4,,,Percent of total billed charges,,311.3,,138.26,,Case rate,,138.26,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1220.8,61.6,,,Percent of total billed charges,,940.02,20.6,,,Percent of total billed charges,,314.36,20.6,,,Percent of total billed charges,,314.36,65.55,,,Percent of total billed charges,,1000.29,21,,,Percent of total billed charges,,320.46,90,,,Percent of total billed charges,,1373.4,21,,,Percent of total billed charges,,320.46,21,,,Percent of total billed charges,,320.46,64.9,,,Percent of total billed charges,,990.37,21,,,Percent of total billed charges,,320.46,,1421.78,,Case rate,,1421.78,58.06,1526,
"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",J7644,HCPCS,,,,Outpatient,Facility,1,ME,3.96,1.58,66,,,Percent of total billed charges,,2.61,20.8,,,Percent of total billed charges,,0.82,20.4,,,Percent of total billed charges,,0.81,,0.53,,Case rate,,0.53,,0.66,,Case rate,,0.66,80,,,Percent of total billed charges,,3.17,61.6,,,Percent of total billed charges,,2.44,20.6,,,Percent of total billed charges,,0.82,20.6,,,Percent of total billed charges,,0.82,65.55,,,Percent of total billed charges,,2.6,21,,,Percent of total billed charges,,0.83,90,,,Percent of total billed charges,,3.56,21,,,Percent of total billed charges,,0.83,21,,,Percent of total billed charges,,0.83,64.9,,,Percent of total billed charges,,2.57,21,,,Percent of total billed charges,,0.83,,0.44,,Case rate,,0.44,0.44,3.96,
Iron,83540,CPT,,,,Outpatient,Facility,,,75,30,66,,,Percent of total billed charges,,49.5,20.8,,,Percent of total billed charges,,15.6,20.4,,,Percent of total billed charges,,15.3,,6.47,,Case rate,,6.47,,1.33,,Case rate,,1.33,80,,,Percent of total billed charges,,60,61.6,,,Percent of total billed charges,,46.2,20.6,,,Percent of total billed charges,,15.45,20.6,,,Percent of total billed charges,,15.45,65.55,,,Percent of total billed charges,,49.16,21,,,Percent of total billed charges,,15.75,90,,,Percent of total billed charges,,67.5,21,,,Percent of total billed charges,,15.75,21,,,Percent of total billed charges,,15.75,64.9,,,Percent of total billed charges,,48.68,21,,,Percent of total billed charges,,15.75,,22.33,,Case rate,,22.33,1.33,75,
"Irradiation of blood product, each unit",86945,CPT,,,,Outpatient,Facility,,,128,51.2,66,,,Percent of total billed charges,,84.48,20.8,,,Percent of total billed charges,,26.62,20.4,,,Percent of total billed charges,,26.11,58.8,,,Percent of total billed charges,,75.26,,4.05,,Case rate,,4.05,80,,,Percent of total billed charges,,102.4,61.6,,,Percent of total billed charges,,78.85,20.6,,,Percent of total billed charges,,26.37,20.6,,,Percent of total billed charges,,26.37,65.55,,,Percent of total billed charges,,83.9,21,,,Percent of total billed charges,,26.88,90,,,Percent of total billed charges,,115.2,21,,,Percent of total billed charges,,26.88,21,,,Percent of total billed charges,,26.88,64.9,,,Percent of total billed charges,,83.07,21,,,Percent of total billed charges,,26.88,,84.32,,Case rate,,84.32,4.05,128,
Irrigation of implanted venous access device for drug delivery systems,96523,CPT,,,,Outpatient,Facility,,,143,57.2,66,,,Percent of total billed charges,,94.38,20.8,,,Percent of total billed charges,,29.74,20.4,,,Percent of total billed charges,,29.17,,24.11,,Case rate,,24.11,,5.03,,Case rate,,5.03,80,,,Percent of total billed charges,,114.4,61.6,,,Percent of total billed charges,,88.09,20.6,,,Percent of total billed charges,,29.46,20.6,,,Percent of total billed charges,,29.46,65.55,,,Percent of total billed charges,,93.74,21,,,Percent of total billed charges,,30.03,90,,,Percent of total billed charges,,128.7,21,,,Percent of total billed charges,,30.03,21,,,Percent of total billed charges,,30.03,64.9,,,Percent of total billed charges,,92.81,21,,,Percent of total billed charges,,30.03,,70.95,,Case rate,,70.95,5.03,143,
Islet cell antibody,86341,CPT,,,,Outpatient,Facility,,,179,71.6,66,,,Percent of total billed charges,,118.14,20.8,,,Percent of total billed charges,,37.23,20.4,,,Percent of total billed charges,,36.52,,23.57,,Case rate,,23.57,,5.73,,Case rate,,5.73,80,,,Percent of total billed charges,,143.2,61.6,,,Percent of total billed charges,,110.26,20.6,,,Percent of total billed charges,,36.87,20.6,,,Percent of total billed charges,,36.87,65.55,,,Percent of total billed charges,,117.33,21,,,Percent of total billed charges,,37.59,90,,,Percent of total billed charges,,161.1,21,,,Percent of total billed charges,,37.59,21,,,Percent of total billed charges,,37.59,64.9,,,Percent of total billed charges,,116.17,21,,,Percent of total billed charges,,37.59,,122.34,,Case rate,,122.34,5.73,179,
Itraconazole,80189,CPT,,,,Outpatient,Facility,,,81,32.4,66,,,Percent of total billed charges,,53.46,20.8,,,Percent of total billed charges,,16.85,20.4,,,Percent of total billed charges,,16.52,,27.11,,Case rate,,27.11,,2.16,,Case rate,,2.16,80,,,Percent of total billed charges,,64.8,61.6,,,Percent of total billed charges,,49.9,20.6,,,Percent of total billed charges,,16.69,20.6,,,Percent of total billed charges,,16.69,65.55,,,Percent of total billed charges,,53.1,21,,,Percent of total billed charges,,17.01,90,,,Percent of total billed charges,,72.9,21,,,Percent of total billed charges,,17.01,21,,,Percent of total billed charges,,17.01,64.9,,,Percent of total billed charges,,52.57,21,,,Percent of total billed charges,,17.01,45,,,Percent of total billed charges,,36.45,2.16,81,
"Joint survey, single view, 2 or more joints (specify)",77077,CPT,,,,Outpatient,Facility,,,220,88,66,,,Percent of total billed charges,,145.2,20.8,,,Percent of total billed charges,,45.76,20.4,,,Percent of total billed charges,,44.88,,29.08,,Case rate,,29.08,,6.94,,Case rate,,6.94,80,,,Percent of total billed charges,,176,61.6,,,Percent of total billed charges,,135.52,20.6,,,Percent of total billed charges,,45.32,20.6,,,Percent of total billed charges,,45.32,65.55,,,Percent of total billed charges,,144.21,21,,,Percent of total billed charges,,46.2,90,,,Percent of total billed charges,,198,21,,,Percent of total billed charges,,46.2,21,,,Percent of total billed charges,,46.2,64.9,,,Percent of total billed charges,,142.78,21,,,Percent of total billed charges,,46.2,,121.69,,Case rate,,121.69,6.94,220,
"Joint survey, single view, 2 or more joints (specify)",77077,CPT,32077077,CDM,TC,Outpatient,Facility,,,220,88,66,,,Percent of total billed charges,,145.2,20.8,,,Percent of total billed charges,,45.76,20.4,,,Percent of total billed charges,,44.88,,29.08,,Case rate,,29.08,,6.94,,Case rate,,6.94,80,,,Percent of total billed charges,,176,61.6,,,Percent of total billed charges,,135.52,20.6,,,Percent of total billed charges,,45.32,20.6,,,Percent of total billed charges,,45.32,65.55,,,Percent of total billed charges,,144.21,21,,,Percent of total billed charges,,46.2,90,,,Percent of total billed charges,,198,21,,,Percent of total billed charges,,46.2,21,,,Percent of total billed charges,,46.2,64.9,,,Percent of total billed charges,,142.78,21,,,Percent of total billed charges,,46.2,,121.69,,Case rate,,121.69,6.94,220,
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative",82010,CPT,,,,Outpatient,Facility,,,53,21.2,66,,,Percent of total billed charges,,34.98,20.8,,,Percent of total billed charges,,11.02,20.4,,,Percent of total billed charges,,10.81,,8.17,,Case rate,,8.17,,1.37,,Case rate,,1.37,80,,,Percent of total billed charges,,42.4,61.6,,,Percent of total billed charges,,32.65,20.6,,,Percent of total billed charges,,10.92,20.6,,,Percent of total billed charges,,10.92,65.55,,,Percent of total billed charges,,34.74,21,,,Percent of total billed charges,,11.13,90,,,Percent of total billed charges,,47.7,21,,,Percent of total billed charges,,11.13,21,,,Percent of total billed charges,,11.13,64.9,,,Percent of total billed charges,,34.4,21,,,Percent of total billed charges,,11.13,,36.17,,Case rate,,36.17,1.37,53,
kidney and urinary tract infections with mcc,689,MS-DRG,,,,Inpatient,Facility,,,9194.52,3677.81,,10571.95,,Case rate,DRG Factor * DRG Weight,10571.95,,1758.64,,Per Diem,,5275.92,,1724.82,,Per Diem,,5174.46,,16221.52,,Case rate,DRG Factor * DRG Weight,16221.52,,1674.09,,Per Diem,,5022.27,80,,,Percent of total billed charges,,7355.62,61.6,,,Percent of total billed charges,,5663.82,,1741.73,,Per Diem,,5225.19,,1741.73,,Per Diem,,5225.19,65.55,,,Percent of total billed charges,,6027.01,,2079,,Per Diem,,6237,90,,,Percent of total billed charges,,8275.07,,2079,,Per Diem,,6237,,2079,,Per Diem,,6237,64.9,,,Percent of total billed charges,,5967.24,,2079,,Per Diem,,6237,,11334.42,,Case rate,DRG Factor * DRG Weight,11334.42,5022.27,16221.52,
kidney and urinary tract infections without mcc,690,MS-DRG,,,,Inpatient,Facility,,,11677.93,4671.17,,7263.71,,Case rate,DRG Factor * DRG Weight,7263.71,,1758.64,,Per Diem,,3517.28,,1724.82,,Per Diem,,3449.64,,8260.34,,Case rate,DRG Factor * DRG Weight,8260.34,,1674.09,,Per Diem,,3348.18,80,,,Percent of total billed charges,,9342.34,61.6,,,Percent of total billed charges,,7193.6,,1741.73,,Per Diem,,3483.46,,1741.73,,Per Diem,,3483.46,65.55,,,Percent of total billed charges,,7654.88,,2079,,Per Diem,,4158,90,,,Percent of total billed charges,,10510.14,,2079,,Per Diem,,4158,,2079,,Per Diem,,4158,64.9,,,Percent of total billed charges,,7578.98,,2079,,Per Diem,,4158,,7787.59,,Case rate,DRG Factor * DRG Weight,7787.59,3348.18,11677.93,
Kidney imaging morphology; with vascular flow,78701,CPT,34178701,CDM,TC,Outpatient,Facility,,,586,234.4,66,,,Percent of total billed charges,,386.76,20.8,,,Percent of total billed charges,,121.89,20.4,,,Percent of total billed charges,,119.54,,177.97,,Case rate,,177.97,,18.97,,Case rate,,18.97,80,,,Percent of total billed charges,,468.8,61.6,,,Percent of total billed charges,,360.98,20.6,,,Percent of total billed charges,,120.72,20.6,,,Percent of total billed charges,,120.72,65.55,,,Percent of total billed charges,,384.12,21,,,Percent of total billed charges,,123.06,90,,,Percent of total billed charges,,527.4,21,,,Percent of total billed charges,,123.06,21,,,Percent of total billed charges,,123.06,64.9,,,Percent of total billed charges,,380.31,21,,,Percent of total billed charges,,123.06,,458.36,,Case rate,,458.36,18.97,586,
"Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78709,CPT,,,,Outpatient,Facility,,,971,388.4,66,,,Percent of total billed charges,,640.86,20.8,,,Percent of total billed charges,,201.97,20.4,,,Percent of total billed charges,,198.08,,265.53,,Case rate,,265.53,,26.35,,Case rate,,26.35,80,,,Percent of total billed charges,,776.8,61.6,,,Percent of total billed charges,,598.14,20.6,,,Percent of total billed charges,,200.03,20.6,,,Percent of total billed charges,,200.03,65.55,,,Percent of total billed charges,,636.49,21,,,Percent of total billed charges,,203.91,90,,,Percent of total billed charges,,873.9,21,,,Percent of total billed charges,,203.91,21,,,Percent of total billed charges,,203.91,64.9,,,Percent of total billed charges,,630.18,21,,,Percent of total billed charges,,203.91,,639.29,,Case rate,,639.29,26.35,971,
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,,,,Outpatient,Facility,,,803,321.2,66,,,Percent of total billed charges,,529.98,20.8,,,Percent of total billed charges,,167.02,20.4,,,Percent of total billed charges,,163.81,,165.32,,Case rate,,165.32,,25.57,,Case rate,,25.57,80,,,Percent of total billed charges,,642.4,61.6,,,Percent of total billed charges,,494.65,20.6,,,Percent of total billed charges,,165.42,20.6,,,Percent of total billed charges,,165.42,65.55,,,Percent of total billed charges,,526.37,21,,,Percent of total billed charges,,168.63,90,,,Percent of total billed charges,,722.7,21,,,Percent of total billed charges,,168.63,21,,,Percent of total billed charges,,168.63,64.9,,,Percent of total billed charges,,521.15,21,,,Percent of total billed charges,,168.63,,621.84,,Case rate,,621.84,25.57,803,
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention",78707,CPT,34178707,CDM,TC,Outpatient,Facility,,,803,321.2,66,,,Percent of total billed charges,,529.98,20.8,,,Percent of total billed charges,,167.02,20.4,,,Percent of total billed charges,,163.81,,165.32,,Case rate,,165.32,,25.57,,Case rate,,25.57,80,,,Percent of total billed charges,,642.4,61.6,,,Percent of total billed charges,,494.65,20.6,,,Percent of total billed charges,,165.42,20.6,,,Percent of total billed charges,,165.42,65.55,,,Percent of total billed charges,,526.37,21,,,Percent of total billed charges,,168.63,90,,,Percent of total billed charges,,722.7,21,,,Percent of total billed charges,,168.63,21,,,Percent of total billed charges,,168.63,64.9,,,Percent of total billed charges,,521.15,21,,,Percent of total billed charges,,168.63,,621.84,,Case rate,,621.84,25.57,803,
"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s)",81273,CPT,,,,Outpatient,Facility,,,1542,616.8,66,,,Percent of total billed charges,,1017.72,20.8,,,Percent of total billed charges,,320.74,20.4,,,Percent of total billed charges,,314.57,,124.87,,Case rate,,124.87,,9.29,,Case rate,,9.29,80,,,Percent of total billed charges,,1233.6,61.6,,,Percent of total billed charges,,949.87,20.6,,,Percent of total billed charges,,317.65,20.6,,,Percent of total billed charges,,317.65,65.55,,,Percent of total billed charges,,1010.78,21,,,Percent of total billed charges,,323.82,90,,,Percent of total billed charges,,1387.8,21,,,Percent of total billed charges,,323.82,21,,,Percent of total billed charges,,323.82,64.9,,,Percent of total billed charges,,1000.76,21,,,Percent of total billed charges,,323.82,,663.62,,Case rate,,663.62,9.29,1542,
"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146)",81276,CPT,,,,Outpatient,Facility,,,1819,727.6,66,,,Percent of total billed charges,,1200.54,20.8,,,Percent of total billed charges,,378.35,20.4,,,Percent of total billed charges,,371.08,,193.25,,Case rate,,193.25,,14.68,,Case rate,,14.68,80,,,Percent of total billed charges,,1455.2,61.6,,,Percent of total billed charges,,1120.5,20.6,,,Percent of total billed charges,,374.71,20.6,,,Percent of total billed charges,,374.71,65.55,,,Percent of total billed charges,,1192.35,21,,,Percent of total billed charges,,381.99,90,,,Percent of total billed charges,,1637.1,21,,,Percent of total billed charges,,381.99,21,,,Percent of total billed charges,,381.99,64.9,,,Percent of total billed charges,,1180.53,21,,,Percent of total billed charges,,381.99,,1388.02,,Case rate,,1388.02,14.68,1819,
Lacosamide,80235,CPT,,,,Outpatient,Facility,,,142,56.8,66,,,Percent of total billed charges,,93.72,20.8,,,Percent of total billed charges,,29.54,20.4,,,Percent of total billed charges,,28.97,,27.11,,Case rate,,27.11,,1.62,,Case rate,,1.62,80,,,Percent of total billed charges,,113.6,61.6,,,Percent of total billed charges,,87.47,20.6,,,Percent of total billed charges,,29.25,20.6,,,Percent of total billed charges,,29.25,65.55,,,Percent of total billed charges,,93.08,21,,,Percent of total billed charges,,29.82,90,,,Percent of total billed charges,,127.8,21,,,Percent of total billed charges,,29.82,21,,,Percent of total billed charges,,29.82,64.9,,,Percent of total billed charges,,92.16,21,,,Percent of total billed charges,,29.82,,116.77,,Case rate,,116.77,1.62,142,
Lamotrigine,80175,CPT,,,,Outpatient,Facility,,,40,16,66,,,Percent of total billed charges,,26.4,20.8,,,Percent of total billed charges,,8.32,20.4,,,Percent of total billed charges,,8.16,,13.25,,Case rate,,13.25,,1.42,,Case rate,,1.42,80,,,Percent of total billed charges,,32,61.6,,,Percent of total billed charges,,24.64,20.6,,,Percent of total billed charges,,8.24,20.6,,,Percent of total billed charges,,8.24,65.55,,,Percent of total billed charges,,26.22,21,,,Percent of total billed charges,,8.4,90,,,Percent of total billed charges,,36,21,,,Percent of total billed charges,,8.4,21,,,Percent of total billed charges,,8.4,64.9,,,Percent of total billed charges,,25.96,21,,,Percent of total billed charges,,8.4,,80.51,,Case rate,,80.51,1.42,80.51,
"Laryngoscopy, indirect; with removal of foreign body",31511,CPT,,,,Outpatient,Facility,,,2242,896.8,66,,,Percent of total billed charges,,1479.72,20.8,,,Percent of total billed charges,,466.34,20.4,,,Percent of total billed charges,,457.37,,205.08,,Case rate,,205.08,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1793.6,61.6,,,Percent of total billed charges,,1381.07,20.6,,,Percent of total billed charges,,461.85,20.6,,,Percent of total billed charges,,461.85,65.55,,,Percent of total billed charges,,1469.63,21,,,Percent of total billed charges,,470.82,90,,,Percent of total billed charges,,2017.8,21,,,Percent of total billed charges,,470.82,21,,,Percent of total billed charges,,470.82,64.9,,,Percent of total billed charges,,1455.06,21,,,Percent of total billed charges,,470.82,,1904.56,,Case rate,,1904.56,77.74,2242,
"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",J7614,HCPCS,,,,Outpatient,Facility,0.5,ME,3.38,1.35,66,,,Percent of total billed charges,,2.23,20.8,,,Percent of total billed charges,,0.7,20.4,,,Percent of total billed charges,,0.69,,1.27,,Case rate,,1.27,,0.3,,Case rate,,0.3,80,,,Percent of total billed charges,,2.7,61.6,,,Percent of total billed charges,,2.08,20.6,,,Percent of total billed charges,,0.7,20.6,,,Percent of total billed charges,,0.7,65.55,,,Percent of total billed charges,,2.22,21,,,Percent of total billed charges,,0.71,90,,,Percent of total billed charges,,3.04,21,,,Percent of total billed charges,,0.71,21,,,Percent of total billed charges,,0.71,64.9,,,Percent of total billed charges,,2.19,21,,,Percent of total billed charges,,0.71,,0.06,,Case rate,,0.06,0.06,3.38,
"Level I - Surgical pathology, gross examination only",88300,CPT,,,,Outpatient,Facility,,,116,46.4,66,,,Percent of total billed charges,,76.56,20.8,,,Percent of total billed charges,,24.13,20.4,,,Percent of total billed charges,,23.66,,11.06,,Case rate,,11.06,,0.77,,Case rate,,0.77,80,,,Percent of total billed charges,,92.8,61.6,,,Percent of total billed charges,,71.46,20.6,,,Percent of total billed charges,,23.9,20.6,,,Percent of total billed charges,,23.9,65.55,,,Percent of total billed charges,,76.04,21,,,Percent of total billed charges,,24.36,90,,,Percent of total billed charges,,104.4,21,,,Percent of total billed charges,,24.36,21,,,Percent of total billed charges,,24.36,64.9,,,Percent of total billed charges,,75.28,21,,,Percent of total billed charges,,24.36,,23.49,,Case rate,,23.49,0.77,116,
"Level I - Surgical pathology, gross examination only",88300,CPT,31088300,CDM,TC,Outpatient,Facility,,,116,46.4,66,,,Percent of total billed charges,,76.56,20.8,,,Percent of total billed charges,,24.13,20.4,,,Percent of total billed charges,,23.66,,11.06,,Case rate,,11.06,,0.77,,Case rate,,0.77,80,,,Percent of total billed charges,,92.8,61.6,,,Percent of total billed charges,,71.46,20.6,,,Percent of total billed charges,,23.9,20.6,,,Percent of total billed charges,,23.9,65.55,,,Percent of total billed charges,,76.04,21,,,Percent of total billed charges,,24.36,90,,,Percent of total billed charges,,104.4,21,,,Percent of total billed charges,,24.36,21,,,Percent of total billed charges,,24.36,64.9,,,Percent of total billed charges,,75.28,21,,,Percent of total billed charges,,24.36,,23.49,,Case rate,,23.49,0.77,116,
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,31088307,CDM,TC,Outpatient,Facility,,,397,158.8,66,,,Percent of total billed charges,,262.02,20.8,,,Percent of total billed charges,,82.58,20.4,,,Percent of total billed charges,,80.99,,197.57,,Case rate,,197.57,,5.23,,Case rate,,5.23,80,,,Percent of total billed charges,,317.6,61.6,,,Percent of total billed charges,,244.55,20.6,,,Percent of total billed charges,,81.78,20.6,,,Percent of total billed charges,,81.78,65.55,,,Percent of total billed charges,,260.23,21,,,Percent of total billed charges,,83.37,90,,,Percent of total billed charges,,357.3,21,,,Percent of total billed charges,,83.37,21,,,Percent of total billed charges,,83.37,64.9,,,Percent of total billed charges,,257.65,21,,,Percent of total billed charges,,83.37,,108.27,,Case rate,,108.27,5.23,397,
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil -resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,31088309,CDM,TC,Outpatient,Facility,,,744,297.6,66,,,Percent of total billed charges,,491.04,20.8,,,Percent of total billed charges,,154.75,20.4,,,Percent of total billed charges,,151.78,,279.14,,Case rate,,279.14,,7.11,,Case rate,,7.11,80,,,Percent of total billed charges,,595.2,61.6,,,Percent of total billed charges,,458.3,20.6,,,Percent of total billed charges,,153.26,20.6,,,Percent of total billed charges,,153.26,65.55,,,Percent of total billed charges,,487.69,21,,,Percent of total billed charges,,156.24,90,,,Percent of total billed charges,,669.6,21,,,Percent of total billed charges,,156.24,21,,,Percent of total billed charges,,156.24,64.9,,,Percent of total billed charges,,482.86,21,,,Percent of total billed charges,,156.24,,163.34,,Case rate,,163.34,7.11,744,
Levetiracetam,80177,CPT,,,,Outpatient,Facility,,,55,22,66,,,Percent of total billed charges,,36.3,20.8,,,Percent of total billed charges,,11.44,20.4,,,Percent of total billed charges,,11.22,,13.25,,Case rate,,13.25,,1.42,,Case rate,,1.42,80,,,Percent of total billed charges,,44,61.6,,,Percent of total billed charges,,33.88,20.6,,,Percent of total billed charges,,11.33,20.6,,,Percent of total billed charges,,11.33,65.55,,,Percent of total billed charges,,36.05,21,,,Percent of total billed charges,,11.55,90,,,Percent of total billed charges,,49.5,21,,,Percent of total billed charges,,11.55,21,,,Percent of total billed charges,,11.55,64.9,,,Percent of total billed charges,,35.7,21,,,Percent of total billed charges,,11.55,,82.46,,Case rate,,82.46,1.42,82.46,
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,,,,Outpatient,Facility,,,229,91.6,66,,,Percent of total billed charges,,151.14,20.8,,,Percent of total billed charges,,47.63,20.4,,,Percent of total billed charges,,46.72,,66.38,,Case rate,,66.38,,8.04,,Case rate,,8.04,80,,,Percent of total billed charges,,183.2,61.6,,,Percent of total billed charges,,141.06,20.6,,,Percent of total billed charges,,47.17,20.6,,,Percent of total billed charges,,47.17,65.55,,,Percent of total billed charges,,150.11,21,,,Percent of total billed charges,,48.09,90,,,Percent of total billed charges,,206.1,21,,,Percent of total billed charges,,48.09,21,,,Percent of total billed charges,,48.09,64.9,,,Percent of total billed charges,,148.62,21,,,Percent of total billed charges,,48.09,,186.18,,Case rate,,186.18,8.04,229,
Lipase,83690,CPT,,,,Outpatient,Facility,,,112,44.8,66,,,Percent of total billed charges,,73.92,20.8,,,Percent of total billed charges,,23.3,20.4,,,Percent of total billed charges,,22.85,,6.89,,Case rate,,6.89,,1.42,,Case rate,,1.42,80,,,Percent of total billed charges,,89.6,61.6,,,Percent of total billed charges,,68.99,20.6,,,Percent of total billed charges,,23.07,20.6,,,Percent of total billed charges,,23.07,65.55,,,Percent of total billed charges,,73.42,21,,,Percent of total billed charges,,23.52,90,,,Percent of total billed charges,,100.8,21,,,Percent of total billed charges,,23.52,21,,,Percent of total billed charges,,23.52,64.9,,,Percent of total billed charges,,72.69,21,,,Percent of total billed charges,,23.52,,36.73,,Case rate,,36.73,1.42,112,
"Lipoprotein, direct measurement; LDL cholesterol",83721,CPT,,,,Outpatient,Facility,,,120,48,66,,,Percent of total billed charges,,79.2,20.8,,,Percent of total billed charges,,24.96,20.4,,,Percent of total billed charges,,24.48,,10.5,,Case rate,,10.5,,0.98,,Case rate,,0.98,80,,,Percent of total billed charges,,96,61.6,,,Percent of total billed charges,,73.92,20.6,,,Percent of total billed charges,,24.72,20.6,,,Percent of total billed charges,,24.72,65.55,,,Percent of total billed charges,,78.66,21,,,Percent of total billed charges,,25.2,90,,,Percent of total billed charges,,108,21,,,Percent of total billed charges,,25.2,21,,,Percent of total billed charges,,25.2,64.9,,,Percent of total billed charges,,77.88,21,,,Percent of total billed charges,,25.2,,28.83,,Case rate,,28.83,0.98,120,
Magnesium,83735,CPT,,,,Outpatient,Facility,,,75,30,66,,,Percent of total billed charges,,49.5,20.8,,,Percent of total billed charges,,15.6,20.4,,,Percent of total billed charges,,15.3,,6.7,,Case rate,,6.7,,1.37,,Case rate,,1.37,80,,,Percent of total billed charges,,60,61.6,,,Percent of total billed charges,,46.2,20.6,,,Percent of total billed charges,,15.45,20.6,,,Percent of total billed charges,,15.45,65.55,,,Percent of total billed charges,,49.16,21,,,Percent of total billed charges,,15.75,90,,,Percent of total billed charges,,67.5,21,,,Percent of total billed charges,,15.75,21,,,Percent of total billed charges,,15.75,64.9,,,Percent of total billed charges,,48.68,21,,,Percent of total billed charges,,15.75,,22.38,,Case rate,,22.38,1.37,75,
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,,,,Outpatient,Facility,,,2052,820.8,66,,,Percent of total billed charges,,1354.32,20.8,,,Percent of total billed charges,,426.82,20.4,,,Percent of total billed charges,,418.61,,128.35,,Case rate,,128.35,,61.27,,Case rate,,61.27,80,,,Percent of total billed charges,,1641.6,61.6,,,Percent of total billed charges,,1264.03,20.6,,,Percent of total billed charges,,422.71,20.6,,,Percent of total billed charges,,422.71,65.55,,,Percent of total billed charges,,1345.09,21,,,Percent of total billed charges,,430.92,90,,,Percent of total billed charges,,1846.8,21,,,Percent of total billed charges,,430.92,21,,,Percent of total billed charges,,430.92,64.9,,,Percent of total billed charges,,1331.75,21,,,Percent of total billed charges,,430.92,,1514.45,,Case rate,,1514.45,61.27,2052,
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",74181,CPT,61074181,CDM,TC,Outpatient,Facility,,,2052,820.8,66,,,Percent of total billed charges,,1354.32,20.8,,,Percent of total billed charges,,426.82,20.4,,,Percent of total billed charges,,418.61,,128.35,,Case rate,,128.35,,61.27,,Case rate,,61.27,80,,,Percent of total billed charges,,1641.6,61.6,,,Percent of total billed charges,,1264.03,20.6,,,Percent of total billed charges,,422.71,20.6,,,Percent of total billed charges,,422.71,65.55,,,Percent of total billed charges,,1345.09,21,,,Percent of total billed charges,,430.92,90,,,Percent of total billed charges,,1846.8,21,,,Percent of total billed charges,,430.92,21,,,Percent of total billed charges,,430.92,64.9,,,Percent of total billed charges,,1331.75,21,,,Percent of total billed charges,,430.92,,1514.45,,Case rate,,1514.45,61.27,2052,
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,61074183,CDM,TC,Outpatient,Facility,,,3211,1284.4,66,,,Percent of total billed charges,,2119.26,20.8,,,Percent of total billed charges,,667.89,20.4,,,Percent of total billed charges,,655.04,,237.41,,Case rate,,237.41,,106.61,,Case rate,,106.61,80,,,Percent of total billed charges,,2568.8,61.6,,,Percent of total billed charges,,1977.98,20.6,,,Percent of total billed charges,,661.47,20.6,,,Percent of total billed charges,,661.47,65.55,,,Percent of total billed charges,,2104.81,21,,,Percent of total billed charges,,674.31,90,,,Percent of total billed charges,,2889.9,21,,,Percent of total billed charges,,674.31,21,,,Percent of total billed charges,,674.31,64.9,,,Percent of total billed charges,,2083.94,21,,,Percent of total billed charges,,674.31,,1705.37,,Case rate,,1705.37,106.61,3211,
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,61073722,CDM,TC,Outpatient,Facility,,,1662,664.8,66,,,Percent of total billed charges,,1096.92,20.8,,,Percent of total billed charges,,345.7,20.4,,,Percent of total billed charges,,339.05,,238.37,,Case rate,,238.37,,57.5,,Case rate,,57.5,80,,,Percent of total billed charges,,1329.6,61.6,,,Percent of total billed charges,,1023.79,20.6,,,Percent of total billed charges,,342.37,20.6,,,Percent of total billed charges,,342.37,65.55,,,Percent of total billed charges,,1089.44,21,,,Percent of total billed charges,,349.02,90,,,Percent of total billed charges,,1495.8,21,,,Percent of total billed charges,,349.02,21,,,Percent of total billed charges,,349.02,64.9,,,Percent of total billed charges,,1078.64,21,,,Percent of total billed charges,,349.02,,1060.09,,Case rate,,1060.09,57.5,1662,
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,,,,Outpatient,Facility,,,3207,1282.8,66,,,Percent of total billed charges,,2116.62,20.8,,,Percent of total billed charges,,667.06,20.4,,,Percent of total billed charges,,654.23,,287.36,,Case rate,,287.36,,106.4,,Case rate,,106.4,80,,,Percent of total billed charges,,2565.6,61.6,,,Percent of total billed charges,,1975.51,20.6,,,Percent of total billed charges,,660.64,20.6,,,Percent of total billed charges,,660.64,65.55,,,Percent of total billed charges,,2102.19,21,,,Percent of total billed charges,,673.47,90,,,Percent of total billed charges,,2886.3,21,,,Percent of total billed charges,,673.47,21,,,Percent of total billed charges,,673.47,64.9,,,Percent of total billed charges,,2081.34,21,,,Percent of total billed charges,,673.47,,2155.47,,Case rate,,2155.47,106.4,3207,
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",73723,CPT,61073723,CDM,TC,Outpatient,Facility,,,3207,1282.8,66,,,Percent of total billed charges,,2116.62,20.8,,,Percent of total billed charges,,667.06,20.4,,,Percent of total billed charges,,654.23,,287.36,,Case rate,,287.36,,106.4,,Case rate,,106.4,80,,,Percent of total billed charges,,2565.6,61.6,,,Percent of total billed charges,,1975.51,20.6,,,Percent of total billed charges,,660.64,20.6,,,Percent of total billed charges,,660.64,65.55,,,Percent of total billed charges,,2102.19,21,,,Percent of total billed charges,,673.47,90,,,Percent of total billed charges,,2886.3,21,,,Percent of total billed charges,,673.47,21,,,Percent of total billed charges,,673.47,64.9,,,Percent of total billed charges,,2081.34,21,,,Percent of total billed charges,,673.47,,2155.47,,Case rate,,2155.47,106.4,3207,
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,,,,Outpatient,Facility,,,1970,788,66,,,Percent of total billed charges,,1300.2,20.8,,,Percent of total billed charges,,409.76,20.4,,,Percent of total billed charges,,401.88,,138.78,,Case rate,,138.78,,56.89,,Case rate,,56.89,80,,,Percent of total billed charges,,1576,61.6,,,Percent of total billed charges,,1213.52,20.6,,,Percent of total billed charges,,405.82,20.6,,,Percent of total billed charges,,405.82,65.55,,,Percent of total billed charges,,1291.34,21,,,Percent of total billed charges,,413.7,90,,,Percent of total billed charges,,1773,21,,,Percent of total billed charges,,413.7,21,,,Percent of total billed charges,,413.7,64.9,,,Percent of total billed charges,,1278.53,21,,,Percent of total billed charges,,413.7,,1407.76,,Case rate,,1407.76,56.89,1970,
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",73221,CPT,61073221,CDM,TC,Outpatient,Facility,,,1970,788,66,,,Percent of total billed charges,,1300.2,20.8,,,Percent of total billed charges,,409.76,20.4,,,Percent of total billed charges,,401.88,,138.78,,Case rate,,138.78,,56.89,,Case rate,,56.89,80,,,Percent of total billed charges,,1576,61.6,,,Percent of total billed charges,,1213.52,20.6,,,Percent of total billed charges,,405.82,20.6,,,Percent of total billed charges,,405.82,65.55,,,Percent of total billed charges,,1291.34,21,,,Percent of total billed charges,,413.7,90,,,Percent of total billed charges,,1773,21,,,Percent of total billed charges,,413.7,21,,,Percent of total billed charges,,413.7,64.9,,,Percent of total billed charges,,1278.53,21,,,Percent of total billed charges,,413.7,,1407.76,,Case rate,,1407.76,56.89,1970,
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,,,,Outpatient,Facility,,,3570,1428,66,,,Percent of total billed charges,,2356.2,20.8,,,Percent of total billed charges,,742.56,20.4,,,Percent of total billed charges,,728.28,,187.45,,Case rate,,187.45,,72.57,,Case rate,,72.57,80,,,Percent of total billed charges,,2856,61.6,,,Percent of total billed charges,,2199.12,20.6,,,Percent of total billed charges,,735.42,20.6,,,Percent of total billed charges,,735.42,65.55,,,Percent of total billed charges,,2340.14,21,,,Percent of total billed charges,,749.7,90,,,Percent of total billed charges,,3213,21,,,Percent of total billed charges,,749.7,21,,,Percent of total billed charges,,749.7,64.9,,,Percent of total billed charges,,2316.93,21,,,Percent of total billed charges,,749.7,,1777.85,,Case rate,,1777.85,72.57,3570,
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",70552,CPT,61170552,CDM,TC,Outpatient,Facility,,,3570,1428,66,,,Percent of total billed charges,,2356.2,20.8,,,Percent of total billed charges,,742.56,20.4,,,Percent of total billed charges,,728.28,,187.45,,Case rate,,187.45,,72.57,,Case rate,,72.57,80,,,Percent of total billed charges,,2856,61.6,,,Percent of total billed charges,,2199.12,20.6,,,Percent of total billed charges,,735.42,20.6,,,Percent of total billed charges,,735.42,65.55,,,Percent of total billed charges,,2340.14,21,,,Percent of total billed charges,,749.7,90,,,Percent of total billed charges,,3213,21,,,Percent of total billed charges,,749.7,21,,,Percent of total billed charges,,749.7,64.9,,,Percent of total billed charges,,2316.93,21,,,Percent of total billed charges,,749.7,,1777.85,,Case rate,,1777.85,72.57,3570,
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,61170551,CDM,TC,Outpatient,Facility,,,2917,1166.8,66,,,Percent of total billed charges,,1925.22,20.8,,,Percent of total billed charges,,606.74,20.4,,,Percent of total billed charges,,595.07,,126.76,,Case rate,,126.76,,60.43,,Case rate,,60.43,80,,,Percent of total billed charges,,2333.6,61.6,,,Percent of total billed charges,,1796.87,20.6,,,Percent of total billed charges,,600.9,20.6,,,Percent of total billed charges,,600.9,65.55,,,Percent of total billed charges,,1912.09,21,,,Percent of total billed charges,,612.57,90,,,Percent of total billed charges,,2625.3,21,,,Percent of total billed charges,,612.57,21,,,Percent of total billed charges,,612.57,64.9,,,Percent of total billed charges,,1893.13,21,,,Percent of total billed charges,,612.57,,1493.37,,Case rate,,1493.37,60.43,2917,
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,,,,Outpatient,Facility,,,3927,1570.8,66,,,Percent of total billed charges,,2591.82,20.8,,,Percent of total billed charges,,816.82,20.4,,,Percent of total billed charges,,801.11,,212.43,,Case rate,,212.43,,128.11,,Case rate,,128.11,80,,,Percent of total billed charges,,3141.6,61.6,,,Percent of total billed charges,,2419.03,20.6,,,Percent of total billed charges,,808.96,20.6,,,Percent of total billed charges,,808.96,65.55,,,Percent of total billed charges,,2574.15,21,,,Percent of total billed charges,,824.67,90,,,Percent of total billed charges,,3534.3,21,,,Percent of total billed charges,,824.67,21,,,Percent of total billed charges,,824.67,64.9,,,Percent of total billed charges,,2548.62,21,,,Percent of total billed charges,,824.67,,3160.77,,Case rate,,3160.77,128.11,3927,
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",70553,CPT,61170553,CDM,TC,Outpatient,Facility,,,3927,1570.8,66,,,Percent of total billed charges,,2591.82,20.8,,,Percent of total billed charges,,816.82,20.4,,,Percent of total billed charges,,801.11,,212.43,,Case rate,,212.43,,128.11,,Case rate,,128.11,80,,,Percent of total billed charges,,3141.6,61.6,,,Percent of total billed charges,,2419.03,20.6,,,Percent of total billed charges,,808.96,20.6,,,Percent of total billed charges,,808.96,65.55,,,Percent of total billed charges,,2574.15,21,,,Percent of total billed charges,,824.67,90,,,Percent of total billed charges,,3534.3,21,,,Percent of total billed charges,,824.67,21,,,Percent of total billed charges,,824.67,64.9,,,Percent of total billed charges,,2548.62,21,,,Percent of total billed charges,,824.67,,3160.77,,Case rate,,3160.77,128.11,3927,
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,61071550,CDM,TC,Outpatient,Facility,,,1970,788,66,,,Percent of total billed charges,,1300.2,20.8,,,Percent of total billed charges,,409.76,20.4,,,Percent of total billed charges,,401.88,,217.81,,Case rate,,217.81,,61.27,,Case rate,,61.27,80,,,Percent of total billed charges,,1576,61.6,,,Percent of total billed charges,,1213.52,20.6,,,Percent of total billed charges,,405.82,20.6,,,Percent of total billed charges,,405.82,65.55,,,Percent of total billed charges,,1291.34,21,,,Percent of total billed charges,,413.7,90,,,Percent of total billed charges,,1773,21,,,Percent of total billed charges,,413.7,21,,,Percent of total billed charges,,413.7,64.9,,,Percent of total billed charges,,1278.53,21,,,Percent of total billed charges,,413.7,,1500.2,,Case rate,,1500.2,61.27,1970,
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,61071552,CDM,TC,Outpatient,Facility,,,3191,1276.4,66,,,Percent of total billed charges,,2106.06,20.8,,,Percent of total billed charges,,663.73,20.4,,,Percent of total billed charges,,650.96,,343.95,,Case rate,,343.95,,105.91,,Case rate,,105.91,80,,,Percent of total billed charges,,2552.8,61.6,,,Percent of total billed charges,,1965.66,20.6,,,Percent of total billed charges,,657.35,20.6,,,Percent of total billed charges,,657.35,65.55,,,Percent of total billed charges,,2091.7,21,,,Percent of total billed charges,,670.11,90,,,Percent of total billed charges,,2871.9,21,,,Percent of total billed charges,,670.11,21,,,Percent of total billed charges,,670.11,64.9,,,Percent of total billed charges,,2070.96,21,,,Percent of total billed charges,,670.11,,2024.35,,Case rate,,2024.35,105.91,3191,
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,61073718,CDM,TC,Outpatient,Facility,,,1970,788,66,,,Percent of total billed charges,,1300.2,20.8,,,Percent of total billed charges,,409.76,20.4,,,Percent of total billed charges,,401.88,,160.91,,Case rate,,160.91,,47.94,,Case rate,,47.94,80,,,Percent of total billed charges,,1576,61.6,,,Percent of total billed charges,,1213.52,20.6,,,Percent of total billed charges,,405.82,20.6,,,Percent of total billed charges,,405.82,65.55,,,Percent of total billed charges,,1291.34,21,,,Percent of total billed charges,,413.7,90,,,Percent of total billed charges,,1773,21,,,Percent of total billed charges,,413.7,21,,,Percent of total billed charges,,413.7,64.9,,,Percent of total billed charges,,1278.53,21,,,Percent of total billed charges,,413.7,,1257.74,,Case rate,,1257.74,47.94,1970,
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,,,,Outpatient,Facility,,,2611,1044.4,66,,,Percent of total billed charges,,1723.26,20.8,,,Percent of total billed charges,,543.09,20.4,,,Percent of total billed charges,,532.64,,238.35,,Case rate,,238.35,,60.43,,Case rate,,60.43,80,,,Percent of total billed charges,,2088.8,61.6,,,Percent of total billed charges,,1608.38,20.6,,,Percent of total billed charges,,537.87,20.6,,,Percent of total billed charges,,537.87,65.55,,,Percent of total billed charges,,1711.51,21,,,Percent of total billed charges,,548.31,90,,,Percent of total billed charges,,2349.9,21,,,Percent of total billed charges,,548.31,21,,,Percent of total billed charges,,548.31,64.9,,,Percent of total billed charges,,1694.54,21,,,Percent of total billed charges,,548.31,,1479.12,,Case rate,,1479.12,60.43,2611,
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73720,CPT,61073720,CDM,TC,Outpatient,Facility,,,2611,1044.4,66,,,Percent of total billed charges,,1723.26,20.8,,,Percent of total billed charges,,543.09,20.4,,,Percent of total billed charges,,532.64,,238.35,,Case rate,,238.35,,60.43,,Case rate,,60.43,80,,,Percent of total billed charges,,2088.8,61.6,,,Percent of total billed charges,,1608.38,20.6,,,Percent of total billed charges,,537.87,20.6,,,Percent of total billed charges,,537.87,65.55,,,Percent of total billed charges,,1711.51,21,,,Percent of total billed charges,,548.31,90,,,Percent of total billed charges,,2349.9,21,,,Percent of total billed charges,,548.31,21,,,Percent of total billed charges,,548.31,64.9,,,Percent of total billed charges,,1694.54,21,,,Percent of total billed charges,,548.31,,1479.12,,Case rate,,1479.12,60.43,2611,
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,,,,Outpatient,Facility,,,2494,997.6,66,,,Percent of total billed charges,,1646.04,20.8,,,Percent of total billed charges,,518.75,20.4,,,Percent of total billed charges,,508.78,,193.48,,Case rate,,193.48,,57.5,,Case rate,,57.5,80,,,Percent of total billed charges,,1995.2,61.6,,,Percent of total billed charges,,1536.3,20.6,,,Percent of total billed charges,,513.76,20.6,,,Percent of total billed charges,,513.76,65.55,,,Percent of total billed charges,,1634.82,21,,,Percent of total billed charges,,523.74,90,,,Percent of total billed charges,,2244.6,21,,,Percent of total billed charges,,523.74,21,,,Percent of total billed charges,,523.74,64.9,,,Percent of total billed charges,,1618.61,21,,,Percent of total billed charges,,523.74,,2105.65,,Case rate,,2105.65,57.5,2494,
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,,,,Outpatient,Facility,,,2052,820.8,66,,,Percent of total billed charges,,1354.32,20.8,,,Percent of total billed charges,,426.82,20.4,,,Percent of total billed charges,,418.61,,163.76,,Case rate,,163.76,,60.43,,Case rate,,60.43,80,,,Percent of total billed charges,,1641.6,61.6,,,Percent of total billed charges,,1264.03,20.6,,,Percent of total billed charges,,422.71,20.6,,,Percent of total billed charges,,422.71,65.55,,,Percent of total billed charges,,1345.09,21,,,Percent of total billed charges,,430.92,90,,,Percent of total billed charges,,1846.8,21,,,Percent of total billed charges,,430.92,21,,,Percent of total billed charges,,430.92,64.9,,,Percent of total billed charges,,1331.75,21,,,Percent of total billed charges,,430.92,,1492.72,,Case rate,,1492.72,60.43,2052,
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,,,,Outpatient,Facility,,,3207,1282.8,66,,,Percent of total billed charges,,2116.62,20.8,,,Percent of total billed charges,,667.06,20.4,,,Percent of total billed charges,,654.23,,239.93,,Case rate,,239.93,,106.4,,Case rate,,106.4,80,,,Percent of total billed charges,,2565.6,61.6,,,Percent of total billed charges,,1975.51,20.6,,,Percent of total billed charges,,660.64,20.6,,,Percent of total billed charges,,660.64,65.55,,,Percent of total billed charges,,2102.19,21,,,Percent of total billed charges,,673.47,90,,,Percent of total billed charges,,2886.3,21,,,Percent of total billed charges,,673.47,21,,,Percent of total billed charges,,673.47,64.9,,,Percent of total billed charges,,2081.34,21,,,Percent of total billed charges,,673.47,,1939.1,,Case rate,,1939.1,106.4,3207,
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,,,,Outpatient,Facility,,,2932,1172.8,66,,,Percent of total billed charges,,1935.12,20.8,,,Percent of total billed charges,,609.86,20.4,,,Percent of total billed charges,,598.13,,188.42,,Case rate,,188.42,,61.27,,Case rate,,61.27,80,,,Percent of total billed charges,,2345.6,61.6,,,Percent of total billed charges,,1806.11,20.6,,,Percent of total billed charges,,603.99,20.6,,,Percent of total billed charges,,603.99,65.55,,,Percent of total billed charges,,1921.93,21,,,Percent of total billed charges,,615.72,90,,,Percent of total billed charges,,2638.8,21,,,Percent of total billed charges,,615.72,21,,,Percent of total billed charges,,615.72,64.9,,,Percent of total billed charges,,1902.87,21,,,Percent of total billed charges,,615.72,,1499.5,,Case rate,,1499.5,61.27,2932,
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",72196,CPT,61072196,CDM,TC,Outpatient,Facility,,,2932,1172.8,66,,,Percent of total billed charges,,1935.12,20.8,,,Percent of total billed charges,,609.86,20.4,,,Percent of total billed charges,,598.13,,188.42,,Case rate,,188.42,,61.27,,Case rate,,61.27,80,,,Percent of total billed charges,,2345.6,61.6,,,Percent of total billed charges,,1806.11,20.6,,,Percent of total billed charges,,603.99,20.6,,,Percent of total billed charges,,603.99,65.55,,,Percent of total billed charges,,1921.93,21,,,Percent of total billed charges,,615.72,90,,,Percent of total billed charges,,2638.8,21,,,Percent of total billed charges,,615.72,21,,,Percent of total billed charges,,615.72,64.9,,,Percent of total billed charges,,1902.87,21,,,Percent of total billed charges,,615.72,,1499.5,,Case rate,,1499.5,61.27,2932,
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,,,,Outpatient,Facility,,,1970,788,66,,,Percent of total billed charges,,1300.2,20.8,,,Percent of total billed charges,,409.76,20.4,,,Percent of total billed charges,,401.88,,161.23,,Case rate,,161.23,,48.11,,Case rate,,48.11,80,,,Percent of total billed charges,,1576,61.6,,,Percent of total billed charges,,1213.52,20.6,,,Percent of total billed charges,,405.82,20.6,,,Percent of total billed charges,,405.82,65.55,,,Percent of total billed charges,,1291.34,21,,,Percent of total billed charges,,413.7,90,,,Percent of total billed charges,,1773,21,,,Percent of total billed charges,,413.7,21,,,Percent of total billed charges,,413.7,64.9,,,Percent of total billed charges,,1278.53,21,,,Percent of total billed charges,,413.7,,1290.2,,Case rate,,1290.2,48.11,1970,
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,,,,Outpatient,Facility,,,3279,1311.6,66,,,Percent of total billed charges,,2164.14,20.8,,,Percent of total billed charges,,682.03,20.4,,,Percent of total billed charges,,668.92,,191.9,,Case rate,,191.9,,73.5,,Case rate,,73.5,80,,,Percent of total billed charges,,2623.2,61.6,,,Percent of total billed charges,,2019.86,20.6,,,Percent of total billed charges,,675.47,20.6,,,Percent of total billed charges,,675.47,65.55,,,Percent of total billed charges,,2149.38,21,,,Percent of total billed charges,,688.59,90,,,Percent of total billed charges,,2951.1,21,,,Percent of total billed charges,,688.59,21,,,Percent of total billed charges,,688.59,64.9,,,Percent of total billed charges,,2128.07,21,,,Percent of total billed charges,,688.59,,1801.21,,Case rate,,1801.21,73.5,3279,
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,,,,Outpatient,Facility,,,3269,1307.6,66,,,Percent of total billed charges,,2157.54,20.8,,,Percent of total billed charges,,679.95,20.4,,,Percent of total billed charges,,666.88,,187.47,,Case rate,,187.47,,72.57,,Case rate,,72.57,80,,,Percent of total billed charges,,2615.2,61.6,,,Percent of total billed charges,,2013.7,20.6,,,Percent of total billed charges,,673.41,20.6,,,Percent of total billed charges,,673.41,65.55,,,Percent of total billed charges,,2142.83,21,,,Percent of total billed charges,,686.49,90,,,Percent of total billed charges,,2942.1,21,,,Percent of total billed charges,,686.49,21,,,Percent of total billed charges,,686.49,64.9,,,Percent of total billed charges,,2121.58,21,,,Percent of total billed charges,,686.49,,1792.57,,Case rate,,1792.57,72.57,3269,
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,,,,Outpatient,Facility,,,3113,1245.2,66,,,Percent of total billed charges,,2054.58,20.8,,,Percent of total billed charges,,647.5,20.4,,,Percent of total billed charges,,635.05,,122.02,,Case rate,,122.02,,65.99,,Case rate,,65.99,80,,,Percent of total billed charges,,2490.4,61.6,,,Percent of total billed charges,,1917.61,20.6,,,Percent of total billed charges,,641.28,20.6,,,Percent of total billed charges,,641.28,65.55,,,Percent of total billed charges,,2040.57,21,,,Percent of total billed charges,,653.73,90,,,Percent of total billed charges,,2801.7,21,,,Percent of total billed charges,,653.73,21,,,Percent of total billed charges,,653.73,64.9,,,Percent of total billed charges,,2020.34,21,,,Percent of total billed charges,,653.73,,1615.81,,Case rate,,1615.81,65.99,3113,
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",72148,CPT,61272148,CDM,TC,Outpatient,Facility,,,3113,1245.2,66,,,Percent of total billed charges,,2054.58,20.8,,,Percent of total billed charges,,647.5,20.4,,,Percent of total billed charges,,635.05,,122.02,,Case rate,,122.02,,65.99,,Case rate,,65.99,80,,,Percent of total billed charges,,2490.4,61.6,,,Percent of total billed charges,,1917.61,20.6,,,Percent of total billed charges,,641.28,20.6,,,Percent of total billed charges,,641.28,65.55,,,Percent of total billed charges,,2040.57,21,,,Percent of total billed charges,,653.73,90,,,Percent of total billed charges,,2801.7,21,,,Percent of total billed charges,,653.73,21,,,Percent of total billed charges,,653.73,64.9,,,Percent of total billed charges,,2020.34,21,,,Percent of total billed charges,,653.73,,1615.81,,Case rate,,1615.81,65.99,3113,
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,,,,Outpatient,Facility,,,3132,1252.8,66,,,Percent of total billed charges,,2067.12,20.8,,,Percent of total billed charges,,651.46,20.4,,,Percent of total billed charges,,638.93,,121.39,,Case rate,,121.39,,66.83,,Case rate,,66.83,80,,,Percent of total billed charges,,2505.6,61.6,,,Percent of total billed charges,,1929.31,20.6,,,Percent of total billed charges,,645.19,20.6,,,Percent of total billed charges,,645.19,65.55,,,Percent of total billed charges,,2053.03,21,,,Percent of total billed charges,,657.72,90,,,Percent of total billed charges,,2818.8,21,,,Percent of total billed charges,,657.72,21,,,Percent of total billed charges,,657.72,64.9,,,Percent of total billed charges,,2032.67,21,,,Percent of total billed charges,,657.72,,1636.1,,Case rate,,1636.1,66.83,3132,
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",72146,CPT,61272146,CDM,TC,Outpatient,Facility,,,3132,1252.8,66,,,Percent of total billed charges,,2067.12,20.8,,,Percent of total billed charges,,651.46,20.4,,,Percent of total billed charges,,638.93,,121.39,,Case rate,,121.39,,66.83,,Case rate,,66.83,80,,,Percent of total billed charges,,2505.6,61.6,,,Percent of total billed charges,,1929.31,20.6,,,Percent of total billed charges,,645.19,20.6,,,Percent of total billed charges,,645.19,65.55,,,Percent of total billed charges,,2053.03,21,,,Percent of total billed charges,,657.72,90,,,Percent of total billed charges,,2818.8,21,,,Percent of total billed charges,,657.72,21,,,Percent of total billed charges,,657.72,64.9,,,Percent of total billed charges,,2032.67,21,,,Percent of total billed charges,,657.72,,1636.1,,Case rate,,1636.1,66.83,3132,
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,,,,Outpatient,Facility,,,3898,1559.2,66,,,Percent of total billed charges,,2572.68,20.8,,,Percent of total billed charges,,810.78,20.4,,,Percent of total billed charges,,795.19,,214.01,,Case rate,,214.01,,129.42,,Case rate,,129.42,80,,,Percent of total billed charges,,3118.4,61.6,,,Percent of total billed charges,,2401.17,20.6,,,Percent of total billed charges,,802.99,20.6,,,Percent of total billed charges,,802.99,65.55,,,Percent of total billed charges,,2555.14,21,,,Percent of total billed charges,,818.58,90,,,Percent of total billed charges,,3508.2,21,,,Percent of total billed charges,,818.58,21,,,Percent of total billed charges,,818.58,64.9,,,Percent of total billed charges,,2529.8,21,,,Percent of total billed charges,,818.58,,3179.06,,Case rate,,3179.06,129.42,3898,
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",72156,CPT,61072156,CDM,TC,Outpatient,Facility,,,3898,1559.2,66,,,Percent of total billed charges,,2572.68,20.8,,,Percent of total billed charges,,810.78,20.4,,,Percent of total billed charges,,795.19,,214.01,,Case rate,,214.01,,129.42,,Case rate,,129.42,80,,,Percent of total billed charges,,3118.4,61.6,,,Percent of total billed charges,,2401.17,20.6,,,Percent of total billed charges,,802.99,20.6,,,Percent of total billed charges,,802.99,65.55,,,Percent of total billed charges,,2555.14,21,,,Percent of total billed charges,,818.58,90,,,Percent of total billed charges,,3508.2,21,,,Percent of total billed charges,,818.58,21,,,Percent of total billed charges,,818.58,64.9,,,Percent of total billed charges,,2529.8,21,,,Percent of total billed charges,,818.58,,3179.06,,Case rate,,3179.06,129.42,3898,
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,,,,Outpatient,Facility,,,3861,1544.4,66,,,Percent of total billed charges,,2548.26,20.8,,,Percent of total billed charges,,803.09,20.4,,,Percent of total billed charges,,787.64,,213.38,,Case rate,,213.38,,128.11,,Case rate,,128.11,80,,,Percent of total billed charges,,3088.8,61.6,,,Percent of total billed charges,,2378.38,20.6,,,Percent of total billed charges,,795.37,20.6,,,Percent of total billed charges,,795.37,65.55,,,Percent of total billed charges,,2530.89,21,,,Percent of total billed charges,,810.81,90,,,Percent of total billed charges,,3474.9,21,,,Percent of total billed charges,,810.81,21,,,Percent of total billed charges,,810.81,64.9,,,Percent of total billed charges,,2505.79,21,,,Percent of total billed charges,,810.81,,3146.28,,Case rate,,3146.28,128.11,3861,
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,,,,Outpatient,Facility,,,3898,1559.2,66,,,Percent of total billed charges,,2572.68,20.8,,,Percent of total billed charges,,810.78,20.4,,,Percent of total billed charges,,795.19,,214.64,,Case rate,,214.64,,129.42,,Case rate,,129.42,80,,,Percent of total billed charges,,3118.4,61.6,,,Percent of total billed charges,,2401.17,20.6,,,Percent of total billed charges,,802.99,20.6,,,Percent of total billed charges,,802.99,65.55,,,Percent of total billed charges,,2555.14,21,,,Percent of total billed charges,,818.58,90,,,Percent of total billed charges,,3508.2,21,,,Percent of total billed charges,,818.58,21,,,Percent of total billed charges,,818.58,64.9,,,Percent of total billed charges,,2529.8,21,,,Percent of total billed charges,,818.58,,3178.27,,Case rate,,3178.27,129.42,3898,
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,,,,Outpatient,Facility,,,2107,842.8,66,,,Percent of total billed charges,,1390.62,20.8,,,Percent of total billed charges,,438.26,20.4,,,Percent of total billed charges,,429.83,,196.95,,Case rate,,196.95,,56.89,,Case rate,,56.89,80,,,Percent of total billed charges,,1685.6,61.6,,,Percent of total billed charges,,1297.91,20.6,,,Percent of total billed charges,,434.04,20.6,,,Percent of total billed charges,,434.04,65.55,,,Percent of total billed charges,,1381.14,21,,,Percent of total billed charges,,442.47,90,,,Percent of total billed charges,,1896.3,21,,,Percent of total billed charges,,442.47,21,,,Percent of total billed charges,,442.47,64.9,,,Percent of total billed charges,,1367.44,21,,,Percent of total billed charges,,442.47,,1406.64,,Case rate,,1406.64,56.89,2107,
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,61000036,CDM,TC,Outpatient,Facility,,,2107,842.8,66,,,Percent of total billed charges,,1390.62,20.8,,,Percent of total billed charges,,438.26,20.4,,,Percent of total billed charges,,429.83,,196.95,,Case rate,,196.95,,56.89,,Case rate,,56.89,80,,,Percent of total billed charges,,1685.6,61.6,,,Percent of total billed charges,,1297.91,20.6,,,Percent of total billed charges,,434.04,20.6,,,Percent of total billed charges,,434.04,65.55,,,Percent of total billed charges,,1381.14,21,,,Percent of total billed charges,,442.47,90,,,Percent of total billed charges,,1896.3,21,,,Percent of total billed charges,,442.47,21,,,Percent of total billed charges,,442.47,64.9,,,Percent of total billed charges,,1367.44,21,,,Percent of total billed charges,,442.47,,1406.64,,Case rate,,1406.64,56.89,2107,
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,61070336,CDM,TC,Outpatient,Facility,,,2107,842.8,66,,,Percent of total billed charges,,1390.62,20.8,,,Percent of total billed charges,,438.26,20.4,,,Percent of total billed charges,,429.83,,196.95,,Case rate,,196.95,,56.89,,Case rate,,56.89,80,,,Percent of total billed charges,,1685.6,61.6,,,Percent of total billed charges,,1297.91,20.6,,,Percent of total billed charges,,434.04,20.6,,,Percent of total billed charges,,434.04,65.55,,,Percent of total billed charges,,1381.14,21,,,Percent of total billed charges,,442.47,90,,,Percent of total billed charges,,1896.3,21,,,Percent of total billed charges,,442.47,21,,,Percent of total billed charges,,442.47,64.9,,,Percent of total billed charges,,1367.44,21,,,Percent of total billed charges,,442.47,,1406.64,,Case rate,,1406.64,56.89,2107,
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,,,,Outpatient,Facility,,,1970,788,66,,,Percent of total billed charges,,1300.2,20.8,,,Percent of total billed charges,,409.76,20.4,,,Percent of total billed charges,,401.88,,218.12,,Case rate,,218.12,,47.94,,Case rate,,47.94,80,,,Percent of total billed charges,,1576,61.6,,,Percent of total billed charges,,1213.52,20.6,,,Percent of total billed charges,,405.82,20.6,,,Percent of total billed charges,,405.82,65.55,,,Percent of total billed charges,,1291.34,21,,,Percent of total billed charges,,413.7,90,,,Percent of total billed charges,,1773,21,,,Percent of total billed charges,,413.7,21,,,Percent of total billed charges,,413.7,64.9,,,Percent of total billed charges,,1278.53,21,,,Percent of total billed charges,,413.7,,1245.25,,Case rate,,1245.25,47.94,1970,
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",73218,CPT,61073218,CDM,TC,Outpatient,Facility,,,1970,788,66,,,Percent of total billed charges,,1300.2,20.8,,,Percent of total billed charges,,409.76,20.4,,,Percent of total billed charges,,401.88,,218.12,,Case rate,,218.12,,47.94,,Case rate,,47.94,80,,,Percent of total billed charges,,1576,61.6,,,Percent of total billed charges,,1213.52,20.6,,,Percent of total billed charges,,405.82,20.6,,,Percent of total billed charges,,405.82,65.55,,,Percent of total billed charges,,1291.34,21,,,Percent of total billed charges,,413.7,90,,,Percent of total billed charges,,1773,21,,,Percent of total billed charges,,413.7,21,,,Percent of total billed charges,,413.7,64.9,,,Percent of total billed charges,,1278.53,21,,,Percent of total billed charges,,413.7,,1245.25,,Case rate,,1245.25,47.94,1970,
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,,,,Outpatient,Facility,,,2611,1044.4,66,,,Percent of total billed charges,,1723.26,20.8,,,Percent of total billed charges,,543.09,20.4,,,Percent of total billed charges,,532.64,,311.39,,Case rate,,311.39,,60.43,,Case rate,,60.43,80,,,Percent of total billed charges,,2088.8,61.6,,,Percent of total billed charges,,1608.38,20.6,,,Percent of total billed charges,,537.87,20.6,,,Percent of total billed charges,,537.87,65.55,,,Percent of total billed charges,,1711.51,21,,,Percent of total billed charges,,548.31,90,,,Percent of total billed charges,,2349.9,21,,,Percent of total billed charges,,548.31,21,,,Percent of total billed charges,,548.31,64.9,,,Percent of total billed charges,,1694.54,21,,,Percent of total billed charges,,548.31,,1493.7,,Case rate,,1493.7,60.43,2611,
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,61008902,CDM,TC,Outpatient,Facility,,,1883,753.2,66,,,Percent of total billed charges,,1242.78,20.8,,,Percent of total billed charges,,391.66,20.4,,,Percent of total billed charges,,384.13,,253.53,,Case rate,,253.53,,62.13,,Case rate,,62.13,80,,,Percent of total billed charges,,1506.4,61.6,,,Percent of total billed charges,,1159.93,20.6,,,Percent of total billed charges,,387.9,20.6,,,Percent of total billed charges,,387.9,65.55,,,Percent of total billed charges,,1234.31,21,,,Percent of total billed charges,,395.43,90,,,Percent of total billed charges,,1694.7,21,,,Percent of total billed charges,,395.43,21,,,Percent of total billed charges,,395.43,64.9,,,Percent of total billed charges,,1222.07,21,,,Percent of total billed charges,,395.43,,1535.77,,Case rate,,1535.77,62.13,1883,
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,61000555,CDM,TC,Outpatient,Facility,,,1647,658.8,66,,,Percent of total billed charges,,1087.02,20.8,,,Percent of total billed charges,,342.58,20.4,,,Percent of total billed charges,,335.99,,249.74,,Case rate,,249.74,,62.18,,Case rate,,62.18,80,,,Percent of total billed charges,,1317.6,61.6,,,Percent of total billed charges,,1014.55,20.6,,,Percent of total billed charges,,339.28,20.6,,,Percent of total billed charges,,339.28,65.55,,,Percent of total billed charges,,1079.61,21,,,Percent of total billed charges,,345.87,90,,,Percent of total billed charges,,1482.3,21,,,Percent of total billed charges,,345.87,21,,,Percent of total billed charges,,345.87,64.9,,,Percent of total billed charges,,1068.9,21,,,Percent of total billed charges,,345.87,,1537.07,,Case rate,,1537.07,62.18,1647,
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,,,,Outpatient,Facility,,,1682,672.8,66,,,Percent of total billed charges,,1110.12,20.8,,,Percent of total billed charges,,349.86,20.4,,,Percent of total billed charges,,343.13,,158.7,,Case rate,,158.7,,48.53,,Case rate,,48.53,80,,,Percent of total billed charges,,1345.6,61.6,,,Percent of total billed charges,,1036.11,20.6,,,Percent of total billed charges,,346.49,20.6,,,Percent of total billed charges,,346.49,65.55,,,Percent of total billed charges,,1102.55,21,,,Percent of total billed charges,,353.22,90,,,Percent of total billed charges,,1513.8,21,,,Percent of total billed charges,,353.22,21,,,Percent of total billed charges,,353.22,64.9,,,Percent of total billed charges,,1091.62,21,,,Percent of total billed charges,,353.22,,1311.79,,Case rate,,1311.79,48.53,1682,
"Magnetic resonance angiography, head; without contrast material(s)",70544,CPT,61070544,CDM,TC,Outpatient,Facility,,,1682,672.8,66,,,Percent of total billed charges,,1110.12,20.8,,,Percent of total billed charges,,349.86,20.4,,,Percent of total billed charges,,343.13,,158.7,,Case rate,,158.7,,48.53,,Case rate,,48.53,80,,,Percent of total billed charges,,1345.6,61.6,,,Percent of total billed charges,,1036.11,20.6,,,Percent of total billed charges,,346.49,20.6,,,Percent of total billed charges,,346.49,65.55,,,Percent of total billed charges,,1102.55,21,,,Percent of total billed charges,,353.22,90,,,Percent of total billed charges,,1513.8,21,,,Percent of total billed charges,,353.22,21,,,Percent of total billed charges,,353.22,64.9,,,Percent of total billed charges,,1091.62,21,,,Percent of total billed charges,,353.22,,1311.79,,Case rate,,1311.79,48.53,1682,
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,,,,Outpatient,Facility,,,1719,687.6,66,,,Percent of total billed charges,,1134.54,20.8,,,Percent of total billed charges,,357.55,20.4,,,Percent of total billed charges,,350.68,,259.22,,Case rate,,259.22,,95.31,,Case rate,,95.31,80,,,Percent of total billed charges,,1375.2,61.6,,,Percent of total billed charges,,1058.9,20.6,,,Percent of total billed charges,,354.11,20.6,,,Percent of total billed charges,,354.11,65.55,,,Percent of total billed charges,,1126.8,21,,,Percent of total billed charges,,360.99,90,,,Percent of total billed charges,,1547.1,21,,,Percent of total billed charges,,360.99,21,,,Percent of total billed charges,,360.99,64.9,,,Percent of total billed charges,,1115.63,21,,,Percent of total billed charges,,360.99,,1228.72,,Case rate,,1228.72,95.31,1719,
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,,,,Outpatient,Facility,,,2088,835.2,66,,,Percent of total billed charges,,1378.08,20.8,,,Percent of total billed charges,,434.3,20.4,,,Percent of total billed charges,,425.95,,251.32,,Case rate,,251.32,,61.9,,Case rate,,61.9,80,,,Percent of total billed charges,,1670.4,61.6,,,Percent of total billed charges,,1286.21,20.6,,,Percent of total billed charges,,430.13,20.6,,,Percent of total billed charges,,430.13,65.55,,,Percent of total billed charges,,1368.68,21,,,Percent of total billed charges,,438.48,90,,,Percent of total billed charges,,1879.2,21,,,Percent of total billed charges,,438.48,21,,,Percent of total billed charges,,438.48,64.9,,,Percent of total billed charges,,1355.11,21,,,Percent of total billed charges,,438.48,,1530.15,,Case rate,,1530.15,61.9,2088,
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,61008912,CDM,TC,Outpatient,Facility,,,2088,835.2,66,,,Percent of total billed charges,,1378.08,20.8,,,Percent of total billed charges,,434.3,20.4,,,Percent of total billed charges,,425.95,,251.32,,Case rate,,251.32,,61.9,,Case rate,,61.9,80,,,Percent of total billed charges,,1670.4,61.6,,,Percent of total billed charges,,1286.21,20.6,,,Percent of total billed charges,,430.13,20.6,,,Percent of total billed charges,,430.13,65.55,,,Percent of total billed charges,,1368.68,21,,,Percent of total billed charges,,438.48,90,,,Percent of total billed charges,,1879.2,21,,,Percent of total billed charges,,438.48,21,,,Percent of total billed charges,,438.48,64.9,,,Percent of total billed charges,,1355.11,21,,,Percent of total billed charges,,438.48,,1530.15,,Case rate,,1530.15,61.9,2088,
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,61008914,CDM,TC,Outpatient,Facility,,,2088,835.2,66,,,Percent of total billed charges,,1378.08,20.8,,,Percent of total billed charges,,434.3,20.4,,,Percent of total billed charges,,425.95,,251.32,,Case rate,,251.32,,61.9,,Case rate,,61.9,80,,,Percent of total billed charges,,1670.4,61.6,,,Percent of total billed charges,,1286.21,20.6,,,Percent of total billed charges,,430.13,20.6,,,Percent of total billed charges,,430.13,65.55,,,Percent of total billed charges,,1368.68,21,,,Percent of total billed charges,,438.48,90,,,Percent of total billed charges,,1879.2,21,,,Percent of total billed charges,,438.48,21,,,Percent of total billed charges,,438.48,64.9,,,Percent of total billed charges,,1355.11,21,,,Percent of total billed charges,,438.48,,1530.15,,Case rate,,1530.15,61.9,2088,
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,,,,Outpatient,Facility,,,3234,1293.6,66,,,Percent of total billed charges,,2134.44,20.8,,,Percent of total billed charges,,672.67,20.4,,,Percent of total billed charges,,659.74,,175.75,,Case rate,,175.75,,48.53,,Case rate,,48.53,80,,,Percent of total billed charges,,2587.2,61.6,,,Percent of total billed charges,,1992.14,20.6,,,Percent of total billed charges,,666.2,20.6,,,Percent of total billed charges,,666.2,65.55,,,Percent of total billed charges,,2119.89,21,,,Percent of total billed charges,,679.14,90,,,Percent of total billed charges,,2910.6,21,,,Percent of total billed charges,,679.14,21,,,Percent of total billed charges,,679.14,64.9,,,Percent of total billed charges,,2098.87,21,,,Percent of total billed charges,,679.14,,2740.25,,Case rate,,2740.25,48.53,3234,
"Magnetic resonance angiography, neck; with contrast material(s)",70548,CPT,61070548,CDM,TC,Outpatient,Facility,,,3234,1293.6,66,,,Percent of total billed charges,,2134.44,20.8,,,Percent of total billed charges,,672.67,20.4,,,Percent of total billed charges,,659.74,,175.75,,Case rate,,175.75,,48.53,,Case rate,,48.53,80,,,Percent of total billed charges,,2587.2,61.6,,,Percent of total billed charges,,1992.14,20.6,,,Percent of total billed charges,,666.2,20.6,,,Percent of total billed charges,,666.2,65.55,,,Percent of total billed charges,,2119.89,21,,,Percent of total billed charges,,679.14,90,,,Percent of total billed charges,,2910.6,21,,,Percent of total billed charges,,679.14,21,,,Percent of total billed charges,,679.14,64.9,,,Percent of total billed charges,,2098.87,21,,,Percent of total billed charges,,679.14,,2740.25,,Case rate,,2740.25,48.53,3234,
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,,,,Outpatient,Facility,,,1682,672.8,66,,,Percent of total billed charges,,1110.12,20.8,,,Percent of total billed charges,,349.86,20.4,,,Percent of total billed charges,,343.13,,159.01,,Case rate,,159.01,,48.53,,Case rate,,48.53,80,,,Percent of total billed charges,,1345.6,61.6,,,Percent of total billed charges,,1036.11,20.6,,,Percent of total billed charges,,346.49,20.6,,,Percent of total billed charges,,346.49,65.55,,,Percent of total billed charges,,1102.55,21,,,Percent of total billed charges,,353.22,90,,,Percent of total billed charges,,1513.8,21,,,Percent of total billed charges,,353.22,21,,,Percent of total billed charges,,353.22,64.9,,,Percent of total billed charges,,1091.62,21,,,Percent of total billed charges,,353.22,,1130.94,,Case rate,,1130.94,48.53,1682,
"Magnetic resonance angiography, neck; without contrast material(s)",70547,CPT,61070547,CDM,TC,Outpatient,Facility,,,1682,672.8,66,,,Percent of total billed charges,,1110.12,20.8,,,Percent of total billed charges,,349.86,20.4,,,Percent of total billed charges,,343.13,,159.01,,Case rate,,159.01,,48.53,,Case rate,,48.53,80,,,Percent of total billed charges,,1345.6,61.6,,,Percent of total billed charges,,1036.11,20.6,,,Percent of total billed charges,,346.49,20.6,,,Percent of total billed charges,,346.49,65.55,,,Percent of total billed charges,,1102.55,21,,,Percent of total billed charges,,353.22,90,,,Percent of total billed charges,,1513.8,21,,,Percent of total billed charges,,353.22,21,,,Percent of total billed charges,,353.22,64.9,,,Percent of total billed charges,,1091.62,21,,,Percent of total billed charges,,353.22,,1130.94,,Case rate,,1130.94,48.53,1682,
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,,,,Outpatient,Facility,,,1957,782.8,66,,,Percent of total billed charges,,1291.62,20.8,,,Percent of total billed charges,,407.06,20.4,,,Percent of total billed charges,,399.23,,254.16,,Case rate,,254.16,,62.13,,Case rate,,62.13,80,,,Percent of total billed charges,,1565.6,61.6,,,Percent of total billed charges,,1205.51,20.6,,,Percent of total billed charges,,403.14,20.6,,,Percent of total billed charges,,403.14,65.55,,,Percent of total billed charges,,1282.81,21,,,Percent of total billed charges,,410.97,90,,,Percent of total billed charges,,1761.3,21,,,Percent of total billed charges,,410.97,21,,,Percent of total billed charges,,410.97,64.9,,,Percent of total billed charges,,1270.09,21,,,Percent of total billed charges,,410.97,,1537.02,,Case rate,,1537.02,62.13,1957,
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,61008919,CDM,TC,Outpatient,Facility,,,1957,782.8,66,,,Percent of total billed charges,,1291.62,20.8,,,Percent of total billed charges,,407.06,20.4,,,Percent of total billed charges,,399.23,,254.16,,Case rate,,254.16,,62.13,,Case rate,,62.13,80,,,Percent of total billed charges,,1565.6,61.6,,,Percent of total billed charges,,1205.51,20.6,,,Percent of total billed charges,,403.14,20.6,,,Percent of total billed charges,,403.14,65.55,,,Percent of total billed charges,,1282.81,21,,,Percent of total billed charges,,410.97,90,,,Percent of total billed charges,,1761.3,21,,,Percent of total billed charges,,410.97,21,,,Percent of total billed charges,,410.97,64.9,,,Percent of total billed charges,,1270.09,21,,,Percent of total billed charges,,410.97,,1537.02,,Case rate,,1537.02,62.13,1957,
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,61008920,CDM,TC,Outpatient,Facility,,,1957,782.8,66,,,Percent of total billed charges,,1291.62,20.8,,,Percent of total billed charges,,407.06,20.4,,,Percent of total billed charges,,399.23,,254.16,,Case rate,,254.16,,62.13,,Case rate,,62.13,80,,,Percent of total billed charges,,1565.6,61.6,,,Percent of total billed charges,,1205.51,20.6,,,Percent of total billed charges,,403.14,20.6,,,Percent of total billed charges,,403.14,65.55,,,Percent of total billed charges,,1282.81,21,,,Percent of total billed charges,,410.97,90,,,Percent of total billed charges,,1761.3,21,,,Percent of total billed charges,,410.97,21,,,Percent of total billed charges,,410.97,64.9,,,Percent of total billed charges,,1270.09,21,,,Percent of total billed charges,,410.97,,1537.02,,Case rate,,1537.02,62.13,1957,
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,,,,Outpatient,Facility,,,1008,403.2,66,,,Percent of total billed charges,,665.28,20.8,,,Percent of total billed charges,,209.66,20.4,,,Percent of total billed charges,,205.63,,145.73,,Case rate,,145.73,,10.82,,Case rate,,10.82,80,,,Percent of total billed charges,,806.4,61.6,,,Percent of total billed charges,,620.93,20.6,,,Percent of total billed charges,,207.65,20.6,,,Percent of total billed charges,,207.65,65.55,,,Percent of total billed charges,,660.74,21,,,Percent of total billed charges,,211.68,90,,,Percent of total billed charges,,907.2,21,,,Percent of total billed charges,,211.68,21,,,Percent of total billed charges,,211.68,64.9,,,Percent of total billed charges,,654.19,21,,,Percent of total billed charges,,211.68,,582.98,,Case rate,,582.98,10.82,1008,
major chest trauma without cc/mcc,185,MS-DRG,,,,Inpatient,Facility,,,13709.32,5483.73,,6802.81,,Case rate,DRG Factor * DRG Weight,6802.81,,1758.64,,Per Diem,,1758.64,,1724.82,,Per Diem,,1724.82,,9855.9,,Case rate,DRG Factor * DRG Weight,9855.9,,1674.09,,Per Diem,,1674.09,80,,,Percent of total billed charges,,10967.45,61.6,,,Percent of total billed charges,,8444.94,,1741.73,,Per Diem,,1741.73,,1741.73,,Per Diem,,1741.73,65.55,,,Percent of total billed charges,,8986.46,,2079,,Per Diem,,2079,90,,,Percent of total billed charges,,12338.39,,2079,,Per Diem,,2079,,2079,,Per Diem,,2079,64.9,,,Percent of total billed charges,,8897.35,,2079,,Per Diem,,2079,,7293.44,,Case rate,DRG Factor * DRG Weight,7293.44,1674.09,13709.32,
major gastrointestinal disorders and peritoneal infections with mcc,371,MS-DRG,,,,Inpatient,Facility,,,108027.1,43210.84,,15732.8,,Case rate,DRG Factor * DRG Weight,15732.8,,1758.64,,Per Diem,,35172.8,,1724.82,,Per Diem,,34496.4,,18930.65,,Case rate,DRG Factor * DRG Weight,18930.65,,1674.09,,Per Diem,,33481.8,80,,,Percent of total billed charges,,86421.68,61.6,,,Percent of total billed charges,,66544.69,,1741.73,,Per Diem,,34834.6,,1741.73,,Per Diem,,34834.6,65.55,,,Percent of total billed charges,,70811.77,,2079,,Per Diem,,41580,90,,,Percent of total billed charges,,97224.39,,2079,,Per Diem,,41580,,2079,,Per Diem,,41580,64.9,,,Percent of total billed charges,,70109.59,,2079,,Per Diem,,41580,,16867.47,,Case rate,DRG Factor * DRG Weight,16867.47,15732.8,108027.1,
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent",94668,CPT,,,,Outpatient,Facility,,,105,42,66,,,Percent of total billed charges,,69.3,20.8,,,Percent of total billed charges,,21.84,,114.19,,Case rate,,114.19,,34.44,,Case rate,,34.44,,3.28,,Case rate,,3.28,80,,,Percent of total billed charges,,84,61.6,,,Percent of total billed charges,,64.68,20.6,,,Percent of total billed charges,,21.63,20.6,,,Percent of total billed charges,,21.63,65.55,,,Percent of total billed charges,,68.83,21,,,Percent of total billed charges,,22.05,90,,,Percent of total billed charges,,94.5,21,,,Percent of total billed charges,,22.05,21,,,Percent of total billed charges,,22.05,64.9,,,Percent of total billed charges,,68.14,21,,,Percent of total billed charges,,22.05,,86.27,,Case rate,,86.27,3.28,114.19,
"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated",77071,CPT,,,,Outpatient,Facility,,,166,66.4,66,,,Percent of total billed charges,,109.56,20.8,,,Percent of total billed charges,,34.53,20.4,,,Percent of total billed charges,,33.86,,52.72,,Case rate,,52.72,,5.37,,Case rate,,5.37,80,,,Percent of total billed charges,,132.8,61.6,,,Percent of total billed charges,,102.26,20.6,,,Percent of total billed charges,,34.2,20.6,,,Percent of total billed charges,,34.2,65.55,,,Percent of total billed charges,,108.81,21,,,Percent of total billed charges,,34.86,90,,,Percent of total billed charges,,149.4,21,,,Percent of total billed charges,,34.86,21,,,Percent of total billed charges,,34.86,64.9,,,Percent of total billed charges,,107.73,21,,,Percent of total billed charges,,34.86,,115.66,,Case rate,,115.66,5.37,166,
"Maximum breathing capacity, maximal voluntary ventilation",94200,CPT,,,,Outpatient,Facility,,,345,138,66,,,Percent of total billed charges,,227.7,20.8,,,Percent of total billed charges,,71.76,20.4,,,Percent of total billed charges,,70.38,,11.37,,Case rate,,11.37,,1.95,,Case rate,,1.95,80,,,Percent of total billed charges,,276,61.6,,,Percent of total billed charges,,212.52,20.6,,,Percent of total billed charges,,71.07,20.6,,,Percent of total billed charges,,71.07,65.55,,,Percent of total billed charges,,226.15,21,,,Percent of total billed charges,,72.45,90,,,Percent of total billed charges,,310.5,21,,,Percent of total billed charges,,72.45,21,,,Percent of total billed charges,,72.45,64.9,,,Percent of total billed charges,,223.9,21,,,Percent of total billed charges,,72.45,,54.28,,Case rate,,54.28,1.95,345,
"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging",51798,CPT,,,,Outpatient,Facility,,,415,166,66,,,Percent of total billed charges,,273.9,20.8,,,Percent of total billed charges,,86.32,20.4,,,Percent of total billed charges,,84.66,,10.11,,Case rate,,10.11,,1.24,,Case rate,,1.24,80,,,Percent of total billed charges,,332,61.6,,,Percent of total billed charges,,255.64,20.6,,,Percent of total billed charges,,85.49,20.6,,,Percent of total billed charges,,85.49,65.55,,,Percent of total billed charges,,272.03,21,,,Percent of total billed charges,,87.15,90,,,Percent of total billed charges,,373.5,21,,,Percent of total billed charges,,87.15,21,,,Percent of total billed charges,,87.15,64.9,,,Percent of total billed charges,,269.34,21,,,Percent of total billed charges,,87.15,,348.04,,Case rate,,348.04,1.24,415,
"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis",81302,CPT,,,,Outpatient,Facility,,,2178,871.2,66,,,Percent of total billed charges,,1437.48,20.8,,,Percent of total billed charges,,453.02,20.4,,,Percent of total billed charges,,444.31,,527.87,,Case rate,,527.87,,55.67,,Case rate,,55.67,80,,,Percent of total billed charges,,1742.4,61.6,,,Percent of total billed charges,,1341.65,20.6,,,Percent of total billed charges,,448.67,20.6,,,Percent of total billed charges,,448.67,65.55,,,Percent of total billed charges,,1427.68,21,,,Percent of total billed charges,,457.38,90,,,Percent of total billed charges,,1960.2,21,,,Percent of total billed charges,,457.38,21,,,Percent of total billed charges,,457.38,64.9,,,Percent of total billed charges,,1413.52,21,,,Percent of total billed charges,,457.38,,707.87,,Case rate,,707.87,55.67,2178,
"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes",G0271,CPT,,,,Outpatient,Facility,,,24,9.6,66,,,Percent of total billed charges,,15.84,20.8,,,Percent of total billed charges,,4.99,20.4,,,Percent of total billed charges,,4.9,,16.37,,Case rate,,16.37,,0.57,,Case rate,,0.57,80,,,Percent of total billed charges,,19.2,61.6,,,Percent of total billed charges,,14.78,20.6,,,Percent of total billed charges,,4.94,20.6,,,Percent of total billed charges,,4.94,65.55,,,Percent of total billed charges,,15.73,21,,,Percent of total billed charges,,5.04,90,,,Percent of total billed charges,,21.6,21,,,Percent of total billed charges,,5.04,21,,,Percent of total billed charges,,5.04,64.9,,,Percent of total billed charges,,15.58,21,,,Percent of total billed charges,,5.04,45,,,Percent of total billed charges,,10.8,0.57,24,
"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97802,CPT,,,,Outpatient,Facility,,,53,21.2,66,,,Percent of total billed charges,,34.98,20.8,,,Percent of total billed charges,,11.02,20.4,,,Percent of total billed charges,,10.81,,35.66,,Case rate,,35.66,,1.38,,Case rate,,1.38,80,,,Percent of total billed charges,,42.4,61.6,,,Percent of total billed charges,,32.65,20.6,,,Percent of total billed charges,,10.92,20.6,,,Percent of total billed charges,,10.92,65.55,,,Percent of total billed charges,,34.74,21,,,Percent of total billed charges,,11.13,90,,,Percent of total billed charges,,47.7,21,,,Percent of total billed charges,,11.13,21,,,Percent of total billed charges,,11.13,64.9,,,Percent of total billed charges,,34.4,21,,,Percent of total billed charges,,11.13,,21.91,,Case rate,,21.91,1.38,53,
"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes",G0270,CPT,,,,Outpatient,Facility,,,46,18.4,66,,,Percent of total billed charges,,30.36,20.8,,,Percent of total billed charges,,9.57,20.4,,,Percent of total billed charges,,9.38,,31.05,,Case rate,,31.05,,1.38,,Case rate,,1.38,80,,,Percent of total billed charges,,36.8,61.6,,,Percent of total billed charges,,28.34,20.6,,,Percent of total billed charges,,9.48,20.6,,,Percent of total billed charges,,9.48,65.55,,,Percent of total billed charges,,30.15,21,,,Percent of total billed charges,,9.66,90,,,Percent of total billed charges,,41.4,21,,,Percent of total billed charges,,9.66,21,,,Percent of total billed charges,,9.66,64.9,,,Percent of total billed charges,,29.85,21,,,Percent of total billed charges,,9.66,,31.48,,Case rate,,31.48,1.38,46,
"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report",76145,CPT,,,,Outpatient,Facility,,,3005,1202,66,,,Percent of total billed charges,,1983.3,20.8,,,Percent of total billed charges,,625.04,20.4,,,Percent of total billed charges,,613.02,,862.67,,Case rate,,862.67,,63.26,,Case rate,,63.26,80,,,Percent of total billed charges,,2404,61.6,,,Percent of total billed charges,,1851.08,20.6,,,Percent of total billed charges,,619.03,20.6,,,Percent of total billed charges,,619.03,65.55,,,Percent of total billed charges,,1969.78,21,,,Percent of total billed charges,,631.05,90,,,Percent of total billed charges,,2704.5,21,,,Percent of total billed charges,,631.05,21,,,Percent of total billed charges,,631.05,64.9,,,Percent of total billed charges,,1950.24,21,,,Percent of total billed charges,,631.05,45,,,Percent of total billed charges,,1352.25,63.26,3005,
"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter",Q4126,CPT,,,,Outpatient,Facility,,,310,124,66,,,Percent of total billed charges,,204.6,20.8,,,Percent of total billed charges,,64.48,20.4,,,Percent of total billed charges,,63.24,,86.32,,Case rate,,86.32,19.8,,,Percent of total billed charges,,61.38,80,,,Percent of total billed charges,,248,61.6,,,Percent of total billed charges,,190.96,20.6,,,Percent of total billed charges,,63.86,20.6,,,Percent of total billed charges,,63.86,65.55,,,Percent of total billed charges,,203.2,21,,,Percent of total billed charges,,65.1,90,,,Percent of total billed charges,,279,21,,,Percent of total billed charges,,65.1,21,,,Percent of total billed charges,,65.1,64.9,,,Percent of total billed charges,,201.19,21,,,Percent of total billed charges,,65.1,,93.9,,Case rate,,93.9,61.38,310,
Mesh (implantable),C1781,CPT,,,,Outpatient,Facility,,,3922.3,1568.92,66,,,Percent of total billed charges,,2588.72,20.8,,,Percent of total billed charges,,815.84,20.4,,,Percent of total billed charges,,800.15,48.3,,,Percent of total billed charges,,1894.47,,22.3,,Case rate,,22.3,80,,,Percent of total billed charges,,3137.84,61.6,,,Percent of total billed charges,,2416.14,20.6,,,Percent of total billed charges,,807.99,20.6,,,Percent of total billed charges,,807.99,65.55,,,Percent of total billed charges,,2571.07,21,,,Percent of total billed charges,,823.68,90,,,Percent of total billed charges,,3530.07,21,,,Percent of total billed charges,,823.68,21,,,Percent of total billed charges,,823.68,64.9,,,Percent of total billed charges,,2545.57,21,,,Percent of total billed charges,,823.68,,1073.04,,Case rate,,1073.04,22.3,3922.3,
Metanephrines,83835,CPT,,,,Outpatient,Facility,,,186,74.4,66,,,Percent of total billed charges,,122.76,20.8,,,Percent of total billed charges,,38.69,20.4,,,Percent of total billed charges,,37.94,,16.94,,Case rate,,16.94,,3.49,,Case rate,,3.49,80,,,Percent of total billed charges,,148.8,61.6,,,Percent of total billed charges,,114.58,20.6,,,Percent of total billed charges,,38.32,20.6,,,Percent of total billed charges,,38.32,65.55,,,Percent of total billed charges,,121.92,21,,,Percent of total billed charges,,39.06,90,,,Percent of total billed charges,,167.4,21,,,Percent of total billed charges,,39.06,21,,,Percent of total billed charges,,39.06,64.9,,,Percent of total billed charges,,120.71,21,,,Percent of total billed charges,,39.06,,72.38,,Case rate,,72.38,3.49,186,
"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis",81287,CPT,,,,Outpatient,Facility,,,965,386,66,,,Percent of total billed charges,,636.9,20.8,,,Percent of total billed charges,,200.72,20.4,,,Percent of total billed charges,,196.86,,124.64,,Case rate,,124.64,,6.19,,Case rate,,6.19,80,,,Percent of total billed charges,,772,61.6,,,Percent of total billed charges,,594.44,20.6,,,Percent of total billed charges,,198.79,20.6,,,Percent of total billed charges,,198.79,65.55,,,Percent of total billed charges,,632.56,21,,,Percent of total billed charges,,202.65,90,,,Percent of total billed charges,,868.5,21,,,Percent of total billed charges,,202.65,21,,,Percent of total billed charges,,202.65,64.9,,,Percent of total billed charges,,626.28,21,,,Percent of total billed charges,,202.65,,758.99,,Case rate,,758.99,6.19,965,
"Microdissection (ie, sample preparation of microscopically identified target); laser capture",88380,CPT,,,,Outpatient,Facility,,,1694,677.6,66,,,Percent of total billed charges,,1118.04,20.8,,,Percent of total billed charges,,352.35,20.4,,,Percent of total billed charges,,345.58,,67.01,,Case rate,,67.01,,15.87,,Case rate,,15.87,80,,,Percent of total billed charges,,1355.2,61.6,,,Percent of total billed charges,,1043.5,20.6,,,Percent of total billed charges,,348.96,20.6,,,Percent of total billed charges,,348.96,65.55,,,Percent of total billed charges,,1110.42,21,,,Percent of total billed charges,,355.74,90,,,Percent of total billed charges,,1524.6,21,,,Percent of total billed charges,,355.74,21,,,Percent of total billed charges,,355.74,64.9,,,Percent of total billed charges,,1099.41,21,,,Percent of total billed charges,,355.74,45,,,Percent of total billed charges,,762.3,15.87,1694,
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,,,,Outpatient,Facility,,,279,111.6,66,,,Percent of total billed charges,,184.14,20.8,,,Percent of total billed charges,,58.03,20.4,,,Percent of total billed charges,,56.92,,168.48,,Case rate,,168.48,,28.75,,Case rate,,28.75,80,,,Percent of total billed charges,,223.2,61.6,,,Percent of total billed charges,,171.86,20.6,,,Percent of total billed charges,,57.47,20.6,,,Percent of total billed charges,,57.47,65.55,,,Percent of total billed charges,,182.88,21,,,Percent of total billed charges,,58.59,90,,,Percent of total billed charges,,251.1,21,,,Percent of total billed charges,,58.59,21,,,Percent of total billed charges,,58.59,64.9,,,Percent of total billed charges,,181.07,21,,,Percent of total billed charges,,58.59,,197.84,,Case rate,,197.84,28.75,279,
"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and normal tissue, if performed",81301,CPT,,,,Outpatient,Facility,,,1196,478.4,66,,,Percent of total billed charges,,789.36,20.8,,,Percent of total billed charges,,248.77,20.4,,,Percent of total billed charges,,243.98,,348.56,,Case rate,,348.56,,28.14,,Case rate,,28.14,80,,,Percent of total billed charges,,956.8,61.6,,,Percent of total billed charges,,736.74,20.6,,,Percent of total billed charges,,246.38,20.6,,,Percent of total billed charges,,246.38,65.55,,,Percent of total billed charges,,783.98,21,,,Percent of total billed charges,,251.16,90,,,Percent of total billed charges,,1076.4,21,,,Percent of total billed charges,,251.16,21,,,Percent of total billed charges,,251.16,64.9,,,Percent of total billed charges,,776.2,21,,,Percent of total billed charges,,251.16,,852.83,,Case rate,,852.83,28.14,1196,
"Microsomal antibodies (eg, thyroid or liver-kidney), each",86376,CPT,,,,Outpatient,Facility,,,164,65.6,66,,,Percent of total billed charges,,108.24,20.8,,,Percent of total billed charges,,34.11,20.4,,,Percent of total billed charges,,33.46,,14.55,,Case rate,,14.55,,1.9,,Case rate,,1.9,80,,,Percent of total billed charges,,131.2,61.6,,,Percent of total billed charges,,101.02,20.6,,,Percent of total billed charges,,33.78,20.6,,,Percent of total billed charges,,33.78,65.55,,,Percent of total billed charges,,107.5,21,,,Percent of total billed charges,,34.44,90,,,Percent of total billed charges,,147.6,21,,,Percent of total billed charges,,34.44,21,,,Percent of total billed charges,,34.44,64.9,,,Percent of total billed charges,,106.44,21,,,Percent of total billed charges,,34.44,,48.75,,Case rate,,48.75,1.9,164,
"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants",81294,CPT,,,,Outpatient,Facility,,,840,336,66,,,Percent of total billed charges,,554.4,20.8,,,Percent of total billed charges,,174.72,20.4,,,Percent of total billed charges,,171.36,,202.4,,Case rate,,202.4,,69.49,,Case rate,,69.49,80,,,Percent of total billed charges,,672,61.6,,,Percent of total billed charges,,517.44,20.6,,,Percent of total billed charges,,173.04,20.6,,,Percent of total billed charges,,173.04,65.55,,,Percent of total billed charges,,550.62,21,,,Percent of total billed charges,,176.4,90,,,Percent of total billed charges,,756,21,,,Percent of total billed charges,,176.4,21,,,Percent of total billed charges,,176.4,64.9,,,Percent of total billed charges,,545.16,21,,,Percent of total billed charges,,176.4,45,,,Percent of total billed charges,,378,69.49,840,
"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells",88275,CPT,,,,Outpatient,Facility,,,325,130,66,,,Percent of total billed charges,,214.5,20.8,,,Percent of total billed charges,,67.6,,52.21,,Case rate,,52.21,,51.19,,Case rate,,51.19,,11.25,,Case rate,,11.25,80,,,Percent of total billed charges,,260,61.6,,,Percent of total billed charges,,200.2,20.6,,,Percent of total billed charges,,66.95,20.6,,,Percent of total billed charges,,66.95,65.55,,,Percent of total billed charges,,213.04,21,,,Percent of total billed charges,,68.25,90,,,Percent of total billed charges,,292.5,21,,,Percent of total billed charges,,68.25,21,,,Percent of total billed charges,,68.25,64.9,,,Percent of total billed charges,,210.92,21,,,Percent of total billed charges,,68.25,,256.53,,Case rate,,256.53,11.25,325,
"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells",88274,CPT,,,,Outpatient,Facility,,,279,111.6,66,,,Percent of total billed charges,,184.14,20.8,,,Percent of total billed charges,,58.03,,43.23,,Case rate,,43.23,,42.38,,Case rate,,42.38,,9.21,,Case rate,,9.21,80,,,Percent of total billed charges,,223.2,61.6,,,Percent of total billed charges,,171.86,20.6,,,Percent of total billed charges,,57.47,20.6,,,Percent of total billed charges,,57.47,65.55,,,Percent of total billed charges,,182.88,21,,,Percent of total billed charges,,58.59,90,,,Percent of total billed charges,,251.1,21,,,Percent of total billed charges,,58.59,21,,,Percent of total billed charges,,58.59,64.9,,,Percent of total billed charges,,181.07,21,,,Percent of total billed charges,,58.59,,197.88,,Case rate,,197.88,9.21,279,
"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), K304E variant ACE (angiotensin converting enzyme) (eg, hereditary blood pressure regulation), insertion/deletion variant AGTR1 (angiotensin II receptor, type 1) (eg, essential hypertension), 1166A>C variant BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide) (eg, maple syrup urine disease, type 1A), Y438N variant CCR5 (chemokine C-C motif receptor 5) (eg, HIV resistance), 32-bp deletion mutation/794 825del32 deletion CLRN1 (clarin 1) (eg, Usher syndrome, type 3), N48K variant F2 (coagulation factor 2) (eg, hereditary hypercoagulability), 1199G>A variant F5 (coagulation factor V) (eg, hereditary hypercoagulability), HR2 variant F7 (coagulation factor VII [serum prothrombin conversion accelerator]) (eg, hereditary hypercoagulability), R353Q variant F13B (coagulation factor XIII, B polypeptide) (eg, hereditary hypercoagulability), V34L variant FGB (fibrinogen beta chain) (eg, hereditary ischemic heart disease), -455G>A variant FGFR1 (fibroblast growth factor receptor 1) (eg, Pfeiffer syndrome type 1, craniosynostosis), P252R variant FGFR3 (fibroblast growth factor receptor 3) (eg, Muenke syndrome), P250R variant FKTN (fukutin) (eg, Fukuyama congenital muscular dystrophy), retrotransposon insertion variant GNE (glucosamine [UDP-N-acetyl]-2-epimerase/N-acetylmannosamine kinase) (eg, inclusion body myopathy 2 [IBM2], Nonaka myopathy), M712T variant IVD (isovaleryl-CoA dehydrogenase) (eg, isovaleric acidemia), A282V variant LCT (lactase-phlorizin hydrolase) (eg, lactose intolerance), 13910 C>T variant NEB (nebulin) (eg, nemaline myopathy 2), exon 55 deletion variant PCDH15 (protocadherin-related 15) (eg, Usher syndrome type 1F), R245X variant SERPINE1 (serpine peptidase inhi",81400,CPT,,,,Outpatient,Facility,,,620,248,66,,,Percent of total billed charges,,409.2,20.8,,,Percent of total billed charges,,128.96,,65.24,,Case rate,,65.24,,63.96,,Case rate,,63.96,,20.35,,Case rate,,20.35,80,,,Percent of total billed charges,,496,61.6,,,Percent of total billed charges,,381.92,20.6,,,Percent of total billed charges,,127.72,20.6,,,Percent of total billed charges,,127.72,65.55,,,Percent of total billed charges,,406.41,21,,,Percent of total billed charges,,130.2,90,,,Percent of total billed charges,,558,21,,,Percent of total billed charges,,130.2,21,,,Percent of total billed charges,,130.2,64.9,,,Percent of total billed charges,,402.38,21,,,Percent of total billed charges,,130.2,,257.27,,Case rate,,257.27,20.35,620,
"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis], or detection of a dynamic mutation disorder/triplet repeat) ABCC8 (ATP-binding cassette, sub-family C [CFTR/MRP], member 8) (eg, familial hyperinsulinism), common variants (eg, c.3898-9G>A [c.3992-9G>A], F1388del) ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib resistance), T315I variant ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), commons variants (eg, K304E, Y42H) ADRB2 (adrenergic beta-2 receptor surface) (eg, drug metabolism), common variants (eg, G16R, Q27E) APOB (apolipoprotein B) (eg, familial hypercholesterolemia type B), common variants (eg, R3500Q, R3500W) APOE (apolipoprotein E) (eg, hyperlipoproteinemia type III, cardiovascular disease, Alzheimer disease), common variants (eg, *2, *3, *4) CBFB/MYH11 (inv(16)) (eg, acute myeloid leukemia), qualitative, and quantitative, if performed CBS (cystathionine-beta-synthase) (eg, homocystinuria, cystathionine beta-synthase deficiency), common variants (eg, I278T, G307S) CFH/ARMS2 (complement factor H/age-related maculopathy susceptibility 2) (eg, macular degeneration), common variants (eg, Y402H [CFH], A69S [ARMS2]) DEK/NUP214 (t(6;9)) (eg, acute myeloid leukemia), translocation analysis, qualitative, and quantitative, if performed E2A/PBX1 (t(1;19)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EML4/ALK (inv(2)) (eg, non-small cell lung cancer), translocation or inversion analysis ETV6/RUNX1 (t(12;21)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed EWSR1/ATF1 (t(12;22)) (eg, clear cell sarcoma), translocation analysis, qualitative, and quantitative, if performed EWSR1/ERG (t(21;22)) (eg, Ewing sarcoma/peripheral neuroectodermal tumor), translocation a",81401,CPT,,,,Outpatient,Facility,,,524,209.6,66,,,Percent of total billed charges,,345.84,20.8,,,Percent of total billed charges,,108.99,,139.74,,Case rate,,139.74,,137,,Case rate,,137,,25.78,,Case rate,,25.78,80,,,Percent of total billed charges,,419.2,61.6,,,Percent of total billed charges,,322.78,20.6,,,Percent of total billed charges,,107.94,20.6,,,Percent of total billed charges,,107.94,65.55,,,Percent of total billed charges,,343.48,21,,,Percent of total billed charges,,110.04,90,,,Percent of total billed charges,,471.6,21,,,Percent of total billed charges,,110.04,21,,,Percent of total billed charges,,110.04,64.9,,,Percent of total billed charges,,340.08,21,,,Percent of total billed charges,,110.04,,312.8,,Case rate,,312.8,25.78,524,
"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very long chain) (eg, very long chain acyl-coenzyme A dehydrogenase deficiency), full gene sequence ACTN4 (actinin, alpha 4) (eg, focal segmental glomerulosclerosis), full gene sequence AFG3L2 (AFG3 ATPase family gene 3-like 2 [S. cerevisiae]) (eg, spinocerebellar ataxia), full gene sequence AIRE (autoimmune regulator) (eg, autoimmune polyendocrinopathy syndrome type 1), full gene sequence ALDH7A1 (aldehyde dehydrogenase 7 family, member A1) (eg, pyridoxine-dependent epilepsy), full gene sequence ANO5 (anoctamin 5) (eg, limb-girdle muscular dystrophy), full gene sequence ANOS1 (anosmin-1) (eg, Kallmann syndrome 1), full gene sequence APP (amyloid beta [A4] precursor protein) (eg, Alzheimer disease), full gene sequence ASS1 (argininosuccinate synthase 1) (eg, citrullinemia type I), full gene sequence ATL1 (atlastin GTPase 1) (eg, spastic paraplegia), full gene sequence ATP1A2 (ATPase, Na+/K+ transporting, alpha 2 polypeptide) (eg, familial hemiplegic migraine), full gene sequence ATP7B (ATPase, Cu++ transporting, beta polypeptide) (eg, Wilson disease), full gene sequence BBS1 (Bardet-Biedl syndrome 1) (eg, Bardet-Biedl syndrome), full gene sequence BBS2 (Bardet-Biedl syndrome 2) (eg, Bardet-Biedl syndrome), full gene sequence BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease, type 1B), full gene sequence BEST1 (bestrophin 1) (eg, vitelliform macular dystrophy), full gene sequence BMPR2 (bone morphogenetic protein receptor, type II [serine/threonine kinase]) (eg, heritable pulmonary arterial hypertension), full gene sequence BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, Noonan syndrome), full gene sequence BSCL2 (Berardinelli-Seip congenital lipodystrophy 2 [seipin]) (eg, Berardinelli-Seip congenital lipodystrophy), f",81406,CPT,,,,Outpatient,Facility,,,4351,1740.4,66,,,Percent of total billed charges,,2871.66,20.8,,,Percent of total billed charges,,905.01,,288.54,,Case rate,,288.54,,282.88,,Case rate,,282.88,,113.96,,Case rate,,113.96,80,,,Percent of total billed charges,,3480.8,61.6,,,Percent of total billed charges,,2680.22,20.6,,,Percent of total billed charges,,896.31,20.6,,,Percent of total billed charges,,896.31,65.55,,,Percent of total billed charges,,2852.08,21,,,Percent of total billed charges,,913.71,90,,,Percent of total billed charges,,3915.9,21,,,Percent of total billed charges,,913.71,21,,,Percent of total billed charges,,913.71,64.9,,,Percent of total billed charges,,2823.8,21,,,Percent of total billed charges,,913.71,,1637.03,,Case rate,,1637.03,113.96,4351,
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,31000101,CDM,TC,Outpatient,Facility,,,2268,907.2,66,,,Percent of total billed charges,,1496.88,20.8,,,Percent of total billed charges,,471.74,20.4,,,Percent of total billed charges,,462.67,,314.88,,Case rate,,314.88,,9.93,,Case rate,,9.93,80,,,Percent of total billed charges,,1814.4,61.6,,,Percent of total billed charges,,1397.09,20.6,,,Percent of total billed charges,,467.21,20.6,,,Percent of total billed charges,,467.21,65.55,,,Percent of total billed charges,,1486.67,21,,,Percent of total billed charges,,476.28,90,,,Percent of total billed charges,,2041.2,21,,,Percent of total billed charges,,476.28,21,,,Percent of total billed charges,,476.28,64.9,,,Percent of total billed charges,,1471.93,21,,,Percent of total billed charges,,476.28,,544.3,,Case rate,,544.3,9.93,2268,
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,31000102,CDM,TC,Outpatient,Facility,,,2268,907.2,66,,,Percent of total billed charges,,1496.88,20.8,,,Percent of total billed charges,,471.74,20.4,,,Percent of total billed charges,,462.67,,314.88,,Case rate,,314.88,,9.93,,Case rate,,9.93,80,,,Percent of total billed charges,,1814.4,61.6,,,Percent of total billed charges,,1397.09,20.6,,,Percent of total billed charges,,467.21,20.6,,,Percent of total billed charges,,467.21,65.55,,,Percent of total billed charges,,1486.67,21,,,Percent of total billed charges,,476.28,90,,,Percent of total billed charges,,2041.2,21,,,Percent of total billed charges,,476.28,21,,,Percent of total billed charges,,476.28,64.9,,,Percent of total billed charges,,1471.93,21,,,Percent of total billed charges,,476.28,,544.3,,Case rate,,544.3,9.93,2268,
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,31000103,CDM,TC,Outpatient,Facility,,,2268,907.2,66,,,Percent of total billed charges,,1496.88,20.8,,,Percent of total billed charges,,471.74,20.4,,,Percent of total billed charges,,462.67,,314.88,,Case rate,,314.88,,9.93,,Case rate,,9.93,80,,,Percent of total billed charges,,1814.4,61.6,,,Percent of total billed charges,,1397.09,20.6,,,Percent of total billed charges,,467.21,20.6,,,Percent of total billed charges,,467.21,65.55,,,Percent of total billed charges,,1486.67,21,,,Percent of total billed charges,,476.28,90,,,Percent of total billed charges,,2041.2,21,,,Percent of total billed charges,,476.28,21,,,Percent of total billed charges,,476.28,64.9,,,Percent of total billed charges,,1471.93,21,,,Percent of total billed charges,,476.28,,544.3,,Case rate,,544.3,9.93,2268,
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,31000104,CDM,TC,Outpatient,Facility,,,2268,907.2,66,,,Percent of total billed charges,,1496.88,20.8,,,Percent of total billed charges,,471.74,20.4,,,Percent of total billed charges,,462.67,,314.88,,Case rate,,314.88,,9.93,,Case rate,,9.93,80,,,Percent of total billed charges,,1814.4,61.6,,,Percent of total billed charges,,1397.09,20.6,,,Percent of total billed charges,,467.21,20.6,,,Percent of total billed charges,,467.21,65.55,,,Percent of total billed charges,,1486.67,21,,,Percent of total billed charges,,476.28,90,,,Percent of total billed charges,,2041.2,21,,,Percent of total billed charges,,476.28,21,,,Percent of total billed charges,,476.28,64.9,,,Percent of total billed charges,,1471.93,21,,,Percent of total billed charges,,476.28,,544.3,,Case rate,,544.3,9.93,2268,
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,,,,Outpatient,Facility,,,2088,835.2,66,,,Percent of total billed charges,,1378.08,20.8,,,Percent of total billed charges,,434.3,20.4,,,Percent of total billed charges,,425.95,,246.6,,Case rate,,246.6,,10.67,,Case rate,,10.67,80,,,Percent of total billed charges,,1670.4,61.6,,,Percent of total billed charges,,1286.21,20.6,,,Percent of total billed charges,,430.13,20.6,,,Percent of total billed charges,,430.13,65.55,,,Percent of total billed charges,,1368.68,21,,,Percent of total billed charges,,438.48,90,,,Percent of total billed charges,,1879.2,21,,,Percent of total billed charges,,438.48,21,,,Percent of total billed charges,,438.48,64.9,,,Percent of total billed charges,,1355.11,21,,,Percent of total billed charges,,438.48,,491.42,,Case rate,,491.42,10.67,2088,
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,,,,Outpatient,Facility,,,631,252.4,66,,,Percent of total billed charges,,416.46,20.8,,,Percent of total billed charges,,131.25,20.4,,,Percent of total billed charges,,128.72,,73.03,,Case rate,,73.03,,8.78,,Case rate,,8.78,80,,,Percent of total billed charges,,504.8,61.6,,,Percent of total billed charges,,388.7,20.6,,,Percent of total billed charges,,129.99,20.6,,,Percent of total billed charges,,129.99,65.55,,,Percent of total billed charges,,413.62,21,,,Percent of total billed charges,,132.51,90,,,Percent of total billed charges,,567.9,21,,,Percent of total billed charges,,132.51,21,,,Percent of total billed charges,,132.51,64.9,,,Percent of total billed charges,,409.52,21,,,Percent of total billed charges,,132.51,,535.57,,Case rate,,535.57,8.78,631,
"Most recent diastolic blood pressure greater than or equal to 90 mm Hg (HTN, CKD, CAD) (DM)",3080F,CPT,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Case rate,,,,,,Case rate,,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
"Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)",3078F,CPT,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Case rate,,,,,,Case rate,,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
Most recent hemoglobin A1c (HbA1c) level greater than or equal to 7.0% and less than 8.0% (DM),3051F,CPT,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,58.8,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
Most recent hemoglobin A1c (HbA1c) level less than 7.0% (DM),3044F,CPT,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Case rate,,,,,,Case rate,,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
Most recent hemoglobin A1c level greater than 9.0% (DM),3046F,CPT,9900020,CDM,8P,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Case rate,,,,,,Case rate,,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
Most recent LDL-C 100-129 mg/dL (CAD) (DM),3049F,CPT,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Case rate,,,,,,Case rate,,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
Most recent LDL-C less than 100 mg/dL (CAD) (DM),3048F,CPT,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Case rate,,,,,,Case rate,,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
Most recent LDL-C less than 100 mg/dL (CAD) (DM),3048F,CPT,9900021,CDM,8P,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Case rate,,,,,,Case rate,,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
"Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD)",3075F,CPT,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Case rate,,,,,,Case rate,,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
"Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN, CKD, CAD) (DM)",3077F,CPT,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Case rate,,,,,,Case rate,,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
Motion fluoroscopic evaluation of swallowing function by cine or video recording,92611,CPT,,,,Outpatient,Facility,,,653,261.2,66,,,Percent of total billed charges,,430.98,20.8,,,Percent of total billed charges,,135.82,20.4,,,Percent of total billed charges,,133.21,,89.28,,Case rate,,89.28,,23.77,,Case rate,,23.77,80,,,Percent of total billed charges,,522.4,61.6,,,Percent of total billed charges,,402.25,20.6,,,Percent of total billed charges,,134.52,20.6,,,Percent of total billed charges,,134.52,65.55,,,Percent of total billed charges,,428.04,21,,,Percent of total billed charges,,137.13,90,,,Percent of total billed charges,,587.7,21,,,Percent of total billed charges,,137.13,21,,,Percent of total billed charges,,137.13,64.9,,,Percent of total billed charges,,423.8,21,,,Percent of total billed charges,,137.13,,145.37,,Case rate,,145.37,23.77,653,
"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R)",81338,CPT,,,,Outpatient,Facility,,,442,176.8,66,,,Percent of total billed charges,,291.72,20.8,,,Percent of total billed charges,,91.94,,153.34,,Case rate,,153.34,,150.33,,Case rate,,150.33,,11.95,,Case rate,,11.95,80,,,Percent of total billed charges,,353.6,61.6,,,Percent of total billed charges,,272.27,20.6,,,Percent of total billed charges,,91.05,20.6,,,Percent of total billed charges,,91.05,65.55,,,Percent of total billed charges,,289.73,21,,,Percent of total billed charges,,92.82,90,,,Percent of total billed charges,,397.8,21,,,Percent of total billed charges,,92.82,21,,,Percent of total billed charges,,92.82,64.9,,,Percent of total billed charges,,286.86,21,,,Percent of total billed charges,,92.82,45,,,Percent of total billed charges,,198.9,11.95,442,
"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10",81339,CPT,,,,Outpatient,Facility,,,668,267.2,66,,,Percent of total billed charges,,440.88,20.8,,,Percent of total billed charges,,138.94,,188.9,,Case rate,,188.9,,185.2,,Case rate,,185.2,,14.73,,Case rate,,14.73,80,,,Percent of total billed charges,,534.4,61.6,,,Percent of total billed charges,,411.49,20.6,,,Percent of total billed charges,,137.61,20.6,,,Percent of total billed charges,,137.61,65.55,,,Percent of total billed charges,,437.87,21,,,Percent of total billed charges,,140.28,90,,,Percent of total billed charges,,601.2,21,,,Percent of total billed charges,,140.28,21,,,Percent of total billed charges,,140.28,64.9,,,Percent of total billed charges,,433.53,21,,,Percent of total billed charges,,140.28,,649.42,,Case rate,,649.42,14.73,668,
"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants",81297,CPT,,,,Outpatient,Facility,,,879,351.6,66,,,Percent of total billed charges,,580.14,20.8,,,Percent of total billed charges,,182.83,20.4,,,Percent of total billed charges,,179.32,,213.3,,Case rate,,213.3,,55.68,,Case rate,,55.68,80,,,Percent of total billed charges,,703.2,61.6,,,Percent of total billed charges,,541.46,20.6,,,Percent of total billed charges,,181.07,20.6,,,Percent of total billed charges,,181.07,65.55,,,Percent of total billed charges,,576.18,21,,,Percent of total billed charges,,184.59,90,,,Percent of total billed charges,,791.1,21,,,Percent of total billed charges,,184.59,21,,,Percent of total billed charges,,184.59,64.9,,,Percent of total billed charges,,570.47,21,,,Percent of total billed charges,,184.59,45,,,Percent of total billed charges,,395.55,55.68,879,
"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)",81291,CPT,,,,Outpatient,Facility,,,255,102,66,,,Percent of total billed charges,,168.3,20.8,,,Percent of total billed charges,,53.04,,66.65,,Case rate,,66.65,,65.34,,Case rate,,65.34,,8.71,,Case rate,,8.71,80,,,Percent of total billed charges,,204,61.6,,,Percent of total billed charges,,157.08,20.6,,,Percent of total billed charges,,52.53,20.6,,,Percent of total billed charges,,52.53,65.55,,,Percent of total billed charges,,167.15,21,,,Percent of total billed charges,,53.55,90,,,Percent of total billed charges,,229.5,21,,,Percent of total billed charges,,53.55,21,,,Percent of total billed charges,,53.55,64.9,,,Percent of total billed charges,,165.5,21,,,Percent of total billed charges,,53.55,,154.75,,Case rate,,154.75,8.71,255,
"Mucin, synovial fluid (Ropes test)",83872,CPT,,,,Outpatient,Facility,,,45,18,66,,,Percent of total billed charges,,29.7,20.8,,,Percent of total billed charges,,9.36,20.4,,,Percent of total billed charges,,9.18,,5.86,,Case rate,,5.86,,1.21,,Case rate,,1.21,80,,,Percent of total billed charges,,36,61.6,,,Percent of total billed charges,,27.72,20.6,,,Percent of total billed charges,,9.27,20.6,,,Percent of total billed charges,,9.27,65.55,,,Percent of total billed charges,,29.5,21,,,Percent of total billed charges,,9.45,90,,,Percent of total billed charges,,40.5,21,,,Percent of total billed charges,,9.45,21,,,Percent of total billed charges,,9.45,64.9,,,Percent of total billed charges,,29.2,21,,,Percent of total billed charges,,9.45,,33.52,,Case rate,,33.52,1.21,45,
Muramidase,85549,CPT,,,,Outpatient,Facility,,,132,52.8,66,,,Percent of total billed charges,,87.12,20.8,,,Percent of total billed charges,,27.46,20.4,,,Percent of total billed charges,,26.93,,18.75,,Case rate,,18.75,,3.89,,Case rate,,3.89,80,,,Percent of total billed charges,,105.6,61.6,,,Percent of total billed charges,,81.31,20.6,,,Percent of total billed charges,,27.19,20.6,,,Percent of total billed charges,,27.19,65.55,,,Percent of total billed charges,,86.53,21,,,Percent of total billed charges,,27.72,90,,,Percent of total billed charges,,118.8,21,,,Percent of total billed charges,,27.72,21,,,Percent of total billed charges,,27.72,64.9,,,Percent of total billed charges,,85.67,21,,,Percent of total billed charges,,27.72,,94.21,,Case rate,,94.21,3.89,132,
Muscle-specific kinase (MuSK) antibody,86366,CPT,,,,Outpatient,Facility,,,138,55.2,66,,,Percent of total billed charges,,91.08,20.8,,,Percent of total billed charges,,28.7,20.4,,,Percent of total billed charges,,28.15,,3.7,,Case rate,,3.7,19.8,,,Percent of total billed charges,,27.32,80,,,Percent of total billed charges,,110.4,61.6,,,Percent of total billed charges,,85.01,20.6,,,Percent of total billed charges,,28.43,20.6,,,Percent of total billed charges,,28.43,65.55,,,Percent of total billed charges,,90.46,21,,,Percent of total billed charges,,28.98,90,,,Percent of total billed charges,,124.2,21,,,Percent of total billed charges,,28.98,21,,,Percent of total billed charges,,28.98,64.9,,,Percent of total billed charges,,89.56,21,,,Percent of total billed charges,,28.98,45,,,Percent of total billed charges,,62.1,3.7,138,
Mycophenolate (mycophenolic acid),80180,CPT,,,,Outpatient,Facility,,,124,49.6,66,,,Percent of total billed charges,,81.84,20.8,,,Percent of total billed charges,,25.79,20.4,,,Percent of total billed charges,,25.3,,18.05,,Case rate,,18.05,,1.93,,Case rate,,1.93,80,,,Percent of total billed charges,,99.2,61.6,,,Percent of total billed charges,,76.38,20.6,,,Percent of total billed charges,,25.54,20.6,,,Percent of total billed charges,,25.54,65.55,,,Percent of total billed charges,,81.28,21,,,Percent of total billed charges,,26.04,90,,,Percent of total billed charges,,111.6,21,,,Percent of total billed charges,,26.04,21,,,Percent of total billed charges,,26.04,64.9,,,Percent of total billed charges,,80.48,21,,,Percent of total billed charges,,26.04,,97.46,,Case rate,,97.46,1.93,124,
"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant",81305,CPT,,,,Outpatient,Facility,,,1110,444,66,,,Percent of total billed charges,,732.6,20.8,,,Percent of total billed charges,,230.88,,178.91,,Case rate,,178.91,,175.4,,Case rate,,175.4,,11.41,,Case rate,,11.41,80,,,Percent of total billed charges,,888,61.6,,,Percent of total billed charges,,683.76,20.6,,,Percent of total billed charges,,228.66,20.6,,,Percent of total billed charges,,228.66,65.55,,,Percent of total billed charges,,727.6,21,,,Percent of total billed charges,,233.1,90,,,Percent of total billed charges,,999,21,,,Percent of total billed charges,,233.1,21,,,Percent of total billed charges,,233.1,64.9,,,Percent of total billed charges,,720.39,21,,,Percent of total billed charges,,233.1,,679.83,,Case rate,,679.83,11.41,1110,
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,34178452,CDM,TC,Outpatient,Facility,,,3318,1327.2,66,,,Percent of total billed charges,,2189.88,20.8,,,Percent of total billed charges,,690.14,20.4,,,Percent of total billed charges,,676.87,,343.61,,Case rate,,343.61,,55.06,,Case rate,,55.06,80,,,Percent of total billed charges,,2654.4,61.6,,,Percent of total billed charges,,2043.89,20.6,,,Percent of total billed charges,,683.51,20.6,,,Percent of total billed charges,,683.51,65.55,,,Percent of total billed charges,,2174.95,21,,,Percent of total billed charges,,696.78,90,,,Percent of total billed charges,,2986.2,21,,,Percent of total billed charges,,696.78,21,,,Percent of total billed charges,,696.78,64.9,,,Percent of total billed charges,,2153.38,21,,,Percent of total billed charges,,696.78,,2047.33,,Case rate,,2047.33,55.06,3318,
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,,,,Outpatient,Facility,,,2488,995.2,66,,,Percent of total billed charges,,1642.08,20.8,,,Percent of total billed charges,,517.5,20.4,,,Percent of total billed charges,,507.55,,238.99,,Case rate,,238.99,,28.5,,Case rate,,28.5,80,,,Percent of total billed charges,,1990.4,61.6,,,Percent of total billed charges,,1532.61,20.6,,,Percent of total billed charges,,512.53,20.6,,,Percent of total billed charges,,512.53,65.55,,,Percent of total billed charges,,1630.88,21,,,Percent of total billed charges,,522.48,90,,,Percent of total billed charges,,2239.2,21,,,Percent of total billed charges,,522.48,21,,,Percent of total billed charges,,522.48,64.9,,,Percent of total billed charges,,1614.71,21,,,Percent of total billed charges,,522.48,,1437.7,,Case rate,,1437.7,28.5,2488,
Myocardial strain imaging using speckle tracking-derived assessment of myocardial mechanics (List separately in addition to codes for echocardiography imaging),93356,CPT,,,,Outpatient,Facility,,,252,100.8,66,,,Percent of total billed charges,,166.32,20.8,,,Percent of total billed charges,,52.42,20.4,,,Percent of total billed charges,,51.41,,35.62,,Case rate,,35.62,,2.31,,Case rate,,2.31,80,,,Percent of total billed charges,,201.6,61.6,,,Percent of total billed charges,,155.23,20.6,,,Percent of total billed charges,,51.91,20.6,,,Percent of total billed charges,,51.91,65.55,,,Percent of total billed charges,,165.19,21,,,Percent of total billed charges,,52.92,90,,,Percent of total billed charges,,226.8,21,,,Percent of total billed charges,,52.92,21,,,Percent of total billed charges,,52.92,64.9,,,Percent of total billed charges,,163.55,21,,,Percent of total billed charges,,52.92,,46.66,,Case rate,,46.66,2.31,252,
"Natural killer (NK) cells, total count",86357,CPT,,,,Outpatient,Facility,,,290,116,66,,,Percent of total billed charges,,191.4,20.8,,,Percent of total billed charges,,60.32,20.4,,,Percent of total billed charges,,59.16,,37.73,,Case rate,,37.73,,10.43,,Case rate,,10.43,80,,,Percent of total billed charges,,232,61.6,,,Percent of total billed charges,,178.64,20.6,,,Percent of total billed charges,,59.74,20.6,,,Percent of total billed charges,,59.74,65.55,,,Percent of total billed charges,,190.1,21,,,Percent of total billed charges,,60.9,90,,,Percent of total billed charges,,261,21,,,Percent of total billed charges,,60.9,21,,,Percent of total billed charges,,60.9,64.9,,,Percent of total billed charges,,188.21,21,,,Percent of total billed charges,,60.9,,173.14,,Case rate,,173.14,10.43,290,
Negative microalbuminuria test result documented and reviewed (DM),3061F,CPT,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Case rate,,,,,,Case rate,,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97608,CPT,,,,Outpatient,Facility,,,385,154,66,,,Percent of total billed charges,,254.1,20.8,,,Percent of total billed charges,,80.08,20.4,,,Percent of total billed charges,,78.54,,348.74,,Case rate,,348.74,,3.76,,Case rate,,3.76,80,,,Percent of total billed charges,,308,61.6,,,Percent of total billed charges,,237.16,20.6,,,Percent of total billed charges,,79.31,20.6,,,Percent of total billed charges,,79.31,65.55,,,Percent of total billed charges,,252.37,21,,,Percent of total billed charges,,80.85,90,,,Percent of total billed charges,,346.5,21,,,Percent of total billed charges,,80.85,21,,,Percent of total billed charges,,80.85,64.9,,,Percent of total billed charges,,249.86,21,,,Percent of total billed charges,,80.85,45,,,Percent of total billed charges,,173.25,3.76,385,
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97607,CPT,,,,Outpatient,Facility,,,377,150.8,66,,,Percent of total billed charges,,248.82,20.8,,,Percent of total billed charges,,78.42,20.4,,,Percent of total billed charges,,76.91,,347.39,,Case rate,,347.39,,3.17,,Case rate,,3.17,80,,,Percent of total billed charges,,301.6,61.6,,,Percent of total billed charges,,232.23,20.6,,,Percent of total billed charges,,77.66,20.6,,,Percent of total billed charges,,77.66,65.55,,,Percent of total billed charges,,247.12,21,,,Percent of total billed charges,,79.17,90,,,Percent of total billed charges,,339.3,21,,,Percent of total billed charges,,79.17,21,,,Percent of total billed charges,,79.17,64.9,,,Percent of total billed charges,,244.67,21,,,Percent of total billed charges,,79.17,45,,,Percent of total billed charges,,169.65,3.17,377,
"Nephelometry, each analyte not elsewhere specified",83883,CPT,,,,Outpatient,Facility,,,232,92.8,66,,,Percent of total billed charges,,153.12,20.8,,,Percent of total billed charges,,48.26,20.4,,,Percent of total billed charges,,47.33,,13.6,,Case rate,,13.6,,2.8,,Case rate,,2.8,80,,,Percent of total billed charges,,185.6,61.6,,,Percent of total billed charges,,142.91,20.6,,,Percent of total billed charges,,47.79,20.6,,,Percent of total billed charges,,47.79,65.55,,,Percent of total billed charges,,152.08,21,,,Percent of total billed charges,,48.72,90,,,Percent of total billed charges,,208.8,21,,,Percent of total billed charges,,48.72,21,,,Percent of total billed charges,,48.72,64.9,,,Percent of total billed charges,,150.57,21,,,Percent of total billed charges,,48.72,,56.6,,Case rate,,56.6,2.8,232,
"Neutralization test, viral",86382,CPT,,,,Outpatient,Facility,,,164,65.6,66,,,Percent of total billed charges,,108.24,20.8,,,Percent of total billed charges,,34.11,,17.25,,Case rate,,17.25,,16.91,,Case rate,,16.91,,4.89,,Case rate,,4.89,80,,,Percent of total billed charges,,131.2,61.6,,,Percent of total billed charges,,101.02,20.6,,,Percent of total billed charges,,33.78,20.6,,,Percent of total billed charges,,33.78,65.55,,,Percent of total billed charges,,107.5,21,,,Percent of total billed charges,,34.44,90,,,Percent of total billed charges,,147.6,21,,,Percent of total billed charges,,34.44,21,,,Percent of total billed charges,,34.44,64.9,,,Percent of total billed charges,,106.44,21,,,Percent of total billed charges,,34.44,,116.03,,Case rate,,116.03,4.89,164,
"Non-cardiac vascular flow imaging (ie, angiography, venography)",78445,CPT,34178445,CDM,TC,Outpatient,Facility,,,475,190,66,,,Percent of total billed charges,,313.5,20.8,,,Percent of total billed charges,,98.8,20.4,,,Percent of total billed charges,,96.9,,163.42,,Case rate,,163.42,,12.29,,Case rate,,12.29,80,,,Percent of total billed charges,,380,61.6,,,Percent of total billed charges,,292.6,20.6,,,Percent of total billed charges,,97.85,20.6,,,Percent of total billed charges,,97.85,65.55,,,Percent of total billed charges,,311.36,21,,,Percent of total billed charges,,99.75,90,,,Percent of total billed charges,,427.5,21,,,Percent of total billed charges,,99.75,21,,,Percent of total billed charges,,99.75,64.9,,,Percent of total billed charges,,308.28,21,,,Percent of total billed charges,,99.75,,294.04,,Case rate,,294.04,12.29,475,
Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure),94762,CPT,,,,Outpatient,Facility,,,179,71.6,66,,,Percent of total billed charges,,118.14,20.8,,,Percent of total billed charges,,37.23,,142.34,,Case rate,,142.34,,24.02,,Case rate,,24.02,,3.37,,Case rate,,3.37,80,,,Percent of total billed charges,,143.2,61.6,,,Percent of total billed charges,,110.26,20.6,,,Percent of total billed charges,,36.87,20.6,,,Percent of total billed charges,,36.87,65.55,,,Percent of total billed charges,,117.33,21,,,Percent of total billed charges,,37.59,90,,,Percent of total billed charges,,161.1,21,,,Percent of total billed charges,,37.59,21,,,Percent of total billed charges,,37.59,64.9,,,Percent of total billed charges,,116.17,21,,,Percent of total billed charges,,37.59,,73.59,,Case rate,,73.59,3.37,179,
"Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise)",94761,CPT,,,,Outpatient,Facility,,,58,23.2,66,,,Percent of total billed charges,,38.28,20.8,,,Percent of total billed charges,,12.06,20.4,,,Percent of total billed charges,,11.83,,3.47,,Case rate,,3.47,,1.79,,Case rate,,1.79,80,,,Percent of total billed charges,,46.4,61.6,,,Percent of total billed charges,,35.73,20.6,,,Percent of total billed charges,,11.95,20.6,,,Percent of total billed charges,,11.95,65.55,,,Percent of total billed charges,,38.02,21,,,Percent of total billed charges,,12.18,90,,,Percent of total billed charges,,52.2,21,,,Percent of total billed charges,,12.18,21,,,Percent of total billed charges,,12.18,64.9,,,Percent of total billed charges,,37.64,21,,,Percent of total billed charges,,12.18,,35.84,,Case rate,,35.84,1.79,58,
"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of at least 12 genes, including BRAF, CBL, HRAS, KRAS, MAP2K1, MAP2K2, NRAS, PTPN11, RAF1, RIT1, SHOC2, and SOS1",81442,CPT,,,,Outpatient,Facility,,,15038,6015.2,66,,,Percent of total billed charges,,9925.08,20.8,,,Percent of total billed charges,,3127.9,,2186.47,,Case rate,,2186.47,,2143.6,,Case rate,,2143.6,,41.59,,Case rate,,41.59,80,,,Percent of total billed charges,,12030.4,61.6,,,Percent of total billed charges,,9263.41,20.6,,,Percent of total billed charges,,3097.83,20.6,,,Percent of total billed charges,,3097.83,65.55,,,Percent of total billed charges,,9857.41,21,,,Percent of total billed charges,,3157.98,90,,,Percent of total billed charges,,13534.2,21,,,Percent of total billed charges,,3157.98,21,,,Percent of total billed charges,,3157.98,64.9,,,Percent of total billed charges,,9759.66,21,,,Percent of total billed charges,,3157.98,45,,,Percent of total billed charges,,6767.1,41.59,15038,
"NRAS (neuroblastoma RAS viral [v-ras] oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61)",81311,CPT,,,,Outpatient,Facility,,,2465,986,66,,,Percent of total billed charges,,1626.9,20.8,,,Percent of total billed charges,,512.72,20.4,,,Percent of total billed charges,,502.86,,295.79,,Case rate,,295.79,,22.02,,Case rate,,22.02,80,,,Percent of total billed charges,,1972,61.6,,,Percent of total billed charges,,1518.44,20.6,,,Percent of total billed charges,,507.79,20.6,,,Percent of total billed charges,,507.79,65.55,,,Percent of total billed charges,,1615.81,21,,,Percent of total billed charges,,517.65,90,,,Percent of total billed charges,,2218.5,21,,,Percent of total billed charges,,517.65,21,,,Percent of total billed charges,,517.65,64.9,,,Percent of total billed charges,,1599.78,21,,,Percent of total billed charges,,517.65,,1863.33,,Case rate,,1863.33,22.02,2465,
Nucleotidase 5'-,83915,CPT,,,,Outpatient,Facility,,,72,28.8,66,,,Percent of total billed charges,,47.52,20.8,,,Percent of total billed charges,,14.98,20.4,,,Percent of total billed charges,,14.69,,11.15,,Case rate,,11.15,,2.3,,Case rate,,2.3,80,,,Percent of total billed charges,,57.6,61.6,,,Percent of total billed charges,,44.35,20.6,,,Percent of total billed charges,,14.83,20.6,,,Percent of total billed charges,,14.83,65.55,,,Percent of total billed charges,,47.2,21,,,Percent of total billed charges,,15.12,90,,,Percent of total billed charges,,64.8,21,,,Percent of total billed charges,,15.12,21,,,Percent of total billed charges,,15.12,64.9,,,Percent of total billed charges,,46.73,21,,,Percent of total billed charges,,15.12,,58.69,,Case rate,,58.69,2.3,72,
"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6)",81306,CPT,,,,Outpatient,Facility,,,2008,803.2,66,,,Percent of total billed charges,,1325.28,20.8,,,Percent of total billed charges,,417.66,,297.19,,Case rate,,297.19,,291.36,,Case rate,,291.36,,18.95,,Case rate,,18.95,80,,,Percent of total billed charges,,1606.4,61.6,,,Percent of total billed charges,,1236.93,20.6,,,Percent of total billed charges,,413.65,20.6,,,Percent of total billed charges,,413.65,65.55,,,Percent of total billed charges,,1316.24,21,,,Percent of total billed charges,,421.68,90,,,Percent of total billed charges,,1807.2,21,,,Percent of total billed charges,,421.68,21,,,Percent of total billed charges,,421.68,64.9,,,Percent of total billed charges,,1303.19,21,,,Percent of total billed charges,,421.68,45,,,Percent of total billed charges,,903.6,18.95,2008,
"Oasis wound matrix, per square centimeter",Q4102,CPT,,,,Outpatient,Facility,,,45,18,66,,,Percent of total billed charges,,29.7,20.8,,,Percent of total billed charges,,9.36,20.4,,,Percent of total billed charges,,9.18,,12.71,,Case rate,,12.71,,0.86,,Case rate,,0.86,80,,,Percent of total billed charges,,36,61.6,,,Percent of total billed charges,,27.72,20.6,,,Percent of total billed charges,,9.27,20.6,,,Percent of total billed charges,,9.27,65.55,,,Percent of total billed charges,,29.5,21,,,Percent of total billed charges,,9.45,90,,,Percent of total billed charges,,40.5,21,,,Percent of total billed charges,,9.45,21,,,Percent of total billed charges,,9.45,64.9,,,Percent of total billed charges,,29.2,21,,,Percent of total billed charges,,9.45,,13.68,,Case rate,,13.68,0.86,45,
"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) Antibody, rubella (86762) Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) (86592) Antibody screen, RBC, each serum technique (86850) Blood typing, ABO (86900) AND Blood typing, Rh (D) (86901)",80055,CPT,,,,Outpatient,Facility,,,539,215.6,66,,,Percent of total billed charges,,355.74,20.8,,,Percent of total billed charges,,112.11,20.4,,,Percent of total billed charges,,109.96,,47.81,,Case rate,,47.81,,3.88,,Case rate,,3.88,80,,,Percent of total billed charges,,431.2,61.6,,,Percent of total billed charges,,332.02,20.6,,,Percent of total billed charges,,111.03,20.6,,,Percent of total billed charges,,111.03,65.55,,,Percent of total billed charges,,353.31,21,,,Percent of total billed charges,,113.19,90,,,Percent of total billed charges,,485.1,21,,,Percent of total billed charges,,113.19,21,,,Percent of total billed charges,,113.19,64.9,,,Percent of total billed charges,,349.81,21,,,Percent of total billed charges,,113.19,,80.09,,Case rate,,80.09,3.88,539,
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.",97167,CPT,,,,Outpatient,Facility,,,387,154.8,66,,,Percent of total billed charges,,255.42,20.8,,,Percent of total billed charges,,80.5,20.4,,,Percent of total billed charges,,78.95,,98.31,,Case rate,,98.31,,5.33,,Case rate,,5.33,80,,,Percent of total billed charges,,309.6,61.6,,,Percent of total billed charges,,238.39,20.6,,,Percent of total billed charges,,79.72,20.6,,,Percent of total billed charges,,79.72,65.55,,,Percent of total billed charges,,253.68,21,,,Percent of total billed charges,,81.27,90,,,Percent of total billed charges,,348.3,21,,,Percent of total billed charges,,81.27,21,,,Percent of total billed charges,,81.27,64.9,,,Percent of total billed charges,,251.16,21,,,Percent of total billed charges,,81.27,,172.07,,Case rate,,172.07,5.33,387,
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97166,CPT,,,,Outpatient,Facility,,,352,140.8,66,,,Percent of total billed charges,,232.32,20.8,,,Percent of total billed charges,,73.22,20.4,,,Percent of total billed charges,,71.81,,98.31,,Case rate,,98.31,,5.33,,Case rate,,5.33,80,,,Percent of total billed charges,,281.6,61.6,,,Percent of total billed charges,,216.83,20.6,,,Percent of total billed charges,,72.51,20.6,,,Percent of total billed charges,,72.51,65.55,,,Percent of total billed charges,,230.74,21,,,Percent of total billed charges,,73.92,90,,,Percent of total billed charges,,316.8,21,,,Percent of total billed charges,,73.92,21,,,Percent of total billed charges,,73.92,64.9,,,Percent of total billed charges,,228.45,21,,,Percent of total billed charges,,73.92,,191.8,,Case rate,,191.8,5.33,352,
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.",99205,CPT,,,,Outpatient,Facility,,,453,181.2,66,,,Percent of total billed charges,,298.98,20.8,,,Percent of total billed charges,,94.22,20.4,,,Percent of total billed charges,,92.41,,15.69,,Case rate,,15.69,,3.11,,Case rate,,3.11,80,,,Percent of total billed charges,,362.4,61.6,,,Percent of total billed charges,,279.05,20.6,,,Percent of total billed charges,,93.32,20.6,,,Percent of total billed charges,,93.32,65.55,,,Percent of total billed charges,,296.94,21,,,Percent of total billed charges,,95.13,90,,,Percent of total billed charges,,407.7,21,,,Percent of total billed charges,,95.13,21,,,Percent of total billed charges,,95.13,64.9,,,Percent of total billed charges,,294,21,,,Percent of total billed charges,,95.13,,375.34,,Case rate,,375.34,3.11,453,
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99203,CPT,,,,Outpatient,Facility,,,286,114.4,66,,,Percent of total billed charges,,188.76,20.8,,,Percent of total billed charges,,59.49,20.4,,,Percent of total billed charges,,58.34,,13.37,,Case rate,,13.37,,2.65,,Case rate,,2.65,80,,,Percent of total billed charges,,228.8,61.6,,,Percent of total billed charges,,176.18,20.6,,,Percent of total billed charges,,58.92,20.6,,,Percent of total billed charges,,58.92,65.55,,,Percent of total billed charges,,187.47,21,,,Percent of total billed charges,,60.06,90,,,Percent of total billed charges,,257.4,21,,,Percent of total billed charges,,60.06,21,,,Percent of total billed charges,,60.06,64.9,,,Percent of total billed charges,,185.61,21,,,Percent of total billed charges,,60.06,,239.81,,Case rate,,239.81,2.65,286,
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.",99204,CPT,,,,Outpatient,Facility,,,380,152,66,,,Percent of total billed charges,,250.8,20.8,,,Percent of total billed charges,,79.04,20.4,,,Percent of total billed charges,,77.52,,14.62,,Case rate,,14.62,,2.89,,Case rate,,2.89,80,,,Percent of total billed charges,,304,61.6,,,Percent of total billed charges,,234.08,20.6,,,Percent of total billed charges,,78.28,20.6,,,Percent of total billed charges,,78.28,65.55,,,Percent of total billed charges,,249.09,21,,,Percent of total billed charges,,79.8,90,,,Percent of total billed charges,,342,21,,,Percent of total billed charges,,79.8,21,,,Percent of total billed charges,,79.8,64.9,,,Percent of total billed charges,,246.62,21,,,Percent of total billed charges,,79.8,,307.65,,Case rate,,307.65,2.89,380,
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional,99211,CPT,,,,Outpatient,Facility,,,130,52,66,,,Percent of total billed charges,,85.8,20.8,,,Percent of total billed charges,,27.04,20.4,,,Percent of total billed charges,,26.52,,5.38,,Case rate,,5.38,,1.07,,Case rate,,1.07,80,,,Percent of total billed charges,,104,61.6,,,Percent of total billed charges,,80.08,20.6,,,Percent of total billed charges,,26.78,20.6,,,Percent of total billed charges,,26.78,65.55,,,Percent of total billed charges,,85.22,21,,,Percent of total billed charges,,27.3,90,,,Percent of total billed charges,,117,21,,,Percent of total billed charges,,27.3,21,,,Percent of total billed charges,,27.3,64.9,,,Percent of total billed charges,,84.37,21,,,Percent of total billed charges,,27.3,,77.63,,Case rate,,77.63,1.07,130,
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.",99212,CPT,,,,Outpatient,Facility,,,136,54.4,66,,,Percent of total billed charges,,89.76,20.8,,,Percent of total billed charges,,28.29,20.4,,,Percent of total billed charges,,27.74,,8.15,,Case rate,,8.15,,1.61,,Case rate,,1.61,80,,,Percent of total billed charges,,108.8,61.6,,,Percent of total billed charges,,83.78,20.6,,,Percent of total billed charges,,28.02,20.6,,,Percent of total billed charges,,28.02,65.55,,,Percent of total billed charges,,89.15,21,,,Percent of total billed charges,,28.56,90,,,Percent of total billed charges,,122.4,21,,,Percent of total billed charges,,28.56,21,,,Percent of total billed charges,,28.56,64.9,,,Percent of total billed charges,,88.26,21,,,Percent of total billed charges,,28.56,,110.36,,Case rate,,110.36,1.61,136,
"Oncology (breast cancer), DNA, PIK3CA (phosphatidylinositol-4,5-bisphosphate 3-kinase, catalytic subunit alpha) (eg, breast cancer) gene analysis (ie, p.C420R, p.E542K, p.E545A, p.E545D [g.1635G>T only], p.E545G, p.E545K, p.Q546E, p.Q546R, p.H1047L, p.H1047R, p.H1047Y), utilizing formalin-fixed paraffin-embedded breast tumor tissue, reported as PIK3CA gene mutation status",0155U,CPT,,,,Outpatient,Facility,,,1069,427.6,66,,,Percent of total billed charges,,705.54,20.8,,,Percent of total billed charges,,222.35,20.4,,,Percent of total billed charges,,218.08,,274.83,,Case rate,,274.83,,8.63,,Case rate,,8.63,80,,,Percent of total billed charges,,855.2,61.6,,,Percent of total billed charges,,658.5,20.6,,,Percent of total billed charges,,220.21,20.6,,,Percent of total billed charges,,220.21,65.55,,,Percent of total billed charges,,700.73,21,,,Percent of total billed charges,,224.49,90,,,Percent of total billed charges,,962.1,21,,,Percent of total billed charges,,224.49,21,,,Percent of total billed charges,,224.49,64.9,,,Percent of total billed charges,,693.78,21,,,Percent of total billed charges,,224.49,45,,,Percent of total billed charges,,481.05,8.63,1069,
"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score",81503,CPT,,,,Outpatient,Facility,,,1269,507.6,66,,,Percent of total billed charges,,837.54,20.8,,,Percent of total billed charges,,263.95,20.4,,,Percent of total billed charges,,258.88,,897,,Case rate,,897,,7.19,,Case rate,,7.19,80,,,Percent of total billed charges,,1015.2,61.6,,,Percent of total billed charges,,781.7,20.6,,,Percent of total billed charges,,261.41,20.6,,,Percent of total billed charges,,261.41,65.55,,,Percent of total billed charges,,831.83,21,,,Percent of total billed charges,,266.49,90,,,Percent of total billed charges,,1142.1,21,,,Percent of total billed charges,,266.49,21,,,Percent of total billed charges,,266.49,64.9,,,Percent of total billed charges,,823.58,21,,,Percent of total billed charges,,266.49,,2522.82,,Case rate,,2522.82,7.19,2522.82,
"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score",81500,CPT,,,,Outpatient,Facility,,,782,312.8,66,,,Percent of total billed charges,,516.12,20.8,,,Percent of total billed charges,,162.66,,265.71,,Case rate,,265.71,,260.5,,Case rate,,260.5,,2.74,,Case rate,,2.74,80,,,Percent of total billed charges,,625.6,61.6,,,Percent of total billed charges,,481.71,20.6,,,Percent of total billed charges,,161.09,20.6,,,Percent of total billed charges,,161.09,65.55,,,Percent of total billed charges,,512.6,21,,,Percent of total billed charges,,164.22,90,,,Percent of total billed charges,,703.8,21,,,Percent of total billed charges,,164.22,21,,,Percent of total billed charges,,164.22,64.9,,,Percent of total billed charges,,507.52,21,,,Percent of total billed charges,,164.22,45,,,Percent of total billed charges,,351.9,2.74,782,
"Oncology (thyroid), DNA and mRNA of 112 genes, next-generation sequencing, fine needle aspirate of thyroid nodule, algorithmic analysis reported as a categorical result (Positive, high probability of malignancy or Negative, low probability of malignancy)",0026U,CPT,,,,Outpatient,Facility,,,6524,2609.6,66,,,Percent of total billed charges,,4305.84,20.8,,,Percent of total billed charges,,1356.99,20.4,,,Percent of total billed charges,,1330.9,,3600,,Case rate,,3600,,234.2,,Case rate,,234.2,80,,,Percent of total billed charges,,5219.2,61.6,,,Percent of total billed charges,,4018.78,20.6,,,Percent of total billed charges,,1343.94,20.6,,,Percent of total billed charges,,1343.94,65.55,,,Percent of total billed charges,,4276.48,21,,,Percent of total billed charges,,1370.04,90,,,Percent of total billed charges,,5871.6,21,,,Percent of total billed charges,,1370.04,21,,,Percent of total billed charges,,1370.04,64.9,,,Percent of total billed charges,,4234.08,21,,,Percent of total billed charges,,1370.04,,4745.8,,Case rate,,4745.8,234.2,6524,
Oncoprotein; des-gamma-carboxy-prothrombin (DCP),83951,CPT,,,,Outpatient,Facility,,,464,185.6,66,,,Percent of total billed charges,,306.24,20.8,,,Percent of total billed charges,,96.51,20.4,,,Percent of total billed charges,,94.66,,64.41,,Case rate,,64.41,,18.62,,Case rate,,18.62,80,,,Percent of total billed charges,,371.2,61.6,,,Percent of total billed charges,,285.82,20.6,,,Percent of total billed charges,,95.58,20.6,,,Percent of total billed charges,,95.58,65.55,,,Percent of total billed charges,,304.15,21,,,Percent of total billed charges,,97.44,90,,,Percent of total billed charges,,417.6,21,,,Percent of total billed charges,,97.44,21,,,Percent of total billed charges,,97.44,64.9,,,Percent of total billed charges,,301.14,21,,,Percent of total billed charges,,97.44,,348.41,,Case rate,,348.41,18.62,464,
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0162,CPT,,,,Outpatient,Facility,,,43.33,17.33,66,,,Percent of total billed charges,,28.6,20.8,,,Percent of total billed charges,,9.01,20.4,,,Percent of total billed charges,,8.84,,0.13,,Case rate,,0.13,,0.29,,Case rate,,0.29,80,,,Percent of total billed charges,,34.67,61.6,,,Percent of total billed charges,,26.69,20.6,,,Percent of total billed charges,,8.93,20.6,,,Percent of total billed charges,,8.93,65.55,,,Percent of total billed charges,,28.4,21,,,Percent of total billed charges,,9.1,90,,,Percent of total billed charges,,39,21,,,Percent of total billed charges,,9.1,21,,,Percent of total billed charges,,9.1,64.9,,,Percent of total billed charges,,28.12,21,,,Percent of total billed charges,,9.1,,0.02,,Case rate,,0.02,0.02,43.33,
"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed",27829,CPT,,,,Outpatient,Facility,,,4727.7,1891.08,66,,,Percent of total billed charges,,3120.28,20.8,,,Percent of total billed charges,,983.36,20.4,,,Percent of total billed charges,,964.45,,693.22,,Case rate,,693.22,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,3782.16,61.6,,,Percent of total billed charges,,2912.26,20.6,,,Percent of total billed charges,,973.91,20.6,,,Percent of total billed charges,,973.91,65.55,,,Percent of total billed charges,,3099,21,,,Percent of total billed charges,,992.82,90,,,Percent of total billed charges,,4254.93,21,,,Percent of total billed charges,,992.82,21,,,Percent of total billed charges,,992.82,64.9,,,Percent of total billed charges,,3068.27,21,,,Percent of total billed charges,,992.82,,1920.95,,Case rate,,1920.95,77.74,4727.7,
"Ophthalmic ultrasound, diagnostic; B-scan (with or without superimposed non-quantitative A-scan)",76512,CPT,,,,Outpatient,Facility,,,345,138,66,,,Percent of total billed charges,,227.7,20.8,,,Percent of total billed charges,,71.76,20.4,,,Percent of total billed charges,,70.38,,16.75,,Case rate,,16.75,,11.38,,Case rate,,11.38,80,,,Percent of total billed charges,,276,61.6,,,Percent of total billed charges,,212.52,20.6,,,Percent of total billed charges,,71.07,20.6,,,Percent of total billed charges,,71.07,65.55,,,Percent of total billed charges,,226.15,21,,,Percent of total billed charges,,72.45,90,,,Percent of total billed charges,,310.5,21,,,Percent of total billed charges,,72.45,21,,,Percent of total billed charges,,72.45,64.9,,,Percent of total billed charges,,223.9,21,,,Percent of total billed charges,,72.45,,285.64,,Case rate,,285.64,11.38,345,
"Opiates, 1 or more",80361,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,12.62,,Case rate,,12.62,,0.94,,Case rate,,0.94,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,45,,,Percent of total billed charges,,41.4,0.94,92,
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes",97760,CPT,,,,Outpatient,Facility,,,166,66.4,66,,,Percent of total billed charges,,109.56,20.8,,,Percent of total billed charges,,34.53,20.4,,,Percent of total billed charges,,33.86,,46.97,,Case rate,,46.97,,5.86,,Case rate,,5.86,80,,,Percent of total billed charges,,132.8,61.6,,,Percent of total billed charges,,102.26,20.6,,,Percent of total billed charges,,34.2,20.6,,,Percent of total billed charges,,34.2,65.55,,,Percent of total billed charges,,108.81,21,,,Percent of total billed charges,,34.86,90,,,Percent of total billed charges,,149.4,21,,,Percent of total billed charges,,34.86,21,,,Percent of total billed charges,,34.86,64.9,,,Percent of total billed charges,,107.73,21,,,Percent of total billed charges,,34.86,,61.71,,Case rate,,61.71,5.86,166,
"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes",97763,CPT,,,,Outpatient,Facility,,,138,55.2,66,,,Percent of total billed charges,,91.08,20.8,,,Percent of total billed charges,,28.7,20.4,,,Percent of total billed charges,,28.15,,51.35,,Case rate,,51.35,,3.19,,Case rate,,3.19,80,,,Percent of total billed charges,,110.4,61.6,,,Percent of total billed charges,,85.01,20.6,,,Percent of total billed charges,,28.43,20.6,,,Percent of total billed charges,,28.43,65.55,,,Percent of total billed charges,,90.46,21,,,Percent of total billed charges,,28.98,90,,,Percent of total billed charges,,124.2,21,,,Percent of total billed charges,,28.98,21,,,Percent of total billed charges,,28.98,64.9,,,Percent of total billed charges,,89.56,21,,,Percent of total billed charges,,28.98,,104.51,,Case rate,,104.51,3.19,138,
"Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure)",28110,CPT,,,,Outpatient,Facility,,,4891.36,1956.54,66,,,Percent of total billed charges,,3228.3,20.8,,,Percent of total billed charges,,1017.4,20.4,,,Percent of total billed charges,,997.84,,441.07,,Case rate,,441.07,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,3913.09,61.6,,,Percent of total billed charges,,3013.08,20.6,,,Percent of total billed charges,,1007.62,20.6,,,Percent of total billed charges,,1007.62,65.55,,,Percent of total billed charges,,3206.29,21,,,Percent of total billed charges,,1027.19,90,,,Percent of total billed charges,,4402.22,21,,,Percent of total billed charges,,1027.19,21,,,Percent of total billed charges,,1027.19,64.9,,,Percent of total billed charges,,3174.49,21,,,Percent of total billed charges,,1027.19,,2187.55,,Case rate,,2187.55,89.15,4891.36,
Osteopathic manipulative treatment (OMT); 1-2 body regions involved,98925,CPT,,,,Outpatient,Facility,,,86,34.4,66,,,Percent of total billed charges,,56.76,20.8,,,Percent of total billed charges,,17.89,20.4,,,Percent of total billed charges,,17.54,,30.41,,Case rate,,30.41,,2.52,,Case rate,,2.52,80,,,Percent of total billed charges,,68.8,61.6,,,Percent of total billed charges,,52.98,20.6,,,Percent of total billed charges,,17.72,20.6,,,Percent of total billed charges,,17.72,65.55,,,Percent of total billed charges,,56.37,21,,,Percent of total billed charges,,18.06,90,,,Percent of total billed charges,,77.4,21,,,Percent of total billed charges,,18.06,21,,,Percent of total billed charges,,18.06,64.9,,,Percent of total billed charges,,55.81,21,,,Percent of total billed charges,,18.06,,67.14,,Case rate,,67.14,2.52,86,
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each",28308,CPT,,,,Outpatient,Facility,,,4388.44,1755.38,66,,,Percent of total billed charges,,2896.37,20.8,,,Percent of total billed charges,,912.8,20.4,,,Percent of total billed charges,,895.24,,548.7,,Case rate,,548.7,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,3510.76,61.6,,,Percent of total billed charges,,2703.28,20.6,,,Percent of total billed charges,,904.02,20.6,,,Percent of total billed charges,,904.02,65.55,,,Percent of total billed charges,,2876.63,21,,,Percent of total billed charges,,921.57,90,,,Percent of total billed charges,,3949.6,21,,,Percent of total billed charges,,921.57,21,,,Percent of total billed charges,,921.57,64.9,,,Percent of total billed charges,,2848.1,21,,,Percent of total billed charges,,921.57,,1906.18,,Case rate,,1906.18,77.74,4388.44,
"other ear, nose, mouth and throat diagnoses without cc/mcc",156,MS-DRG,,,,Inpatient,Facility,,,7571.69,3028.68,,5900.81,,Case rate,DRG Factor * DRG Weight,5900.81,,1758.64,,Per Diem,,5275.92,,1724.82,,Per Diem,,5174.46,,8160.62,,Case rate,DRG Factor * DRG Weight,8160.62,,1674.09,,Per Diem,,5022.27,80,,,Percent of total billed charges,,6057.35,61.6,,,Percent of total billed charges,,4664.16,,1741.73,,Per Diem,,5225.19,,1741.73,,Per Diem,,5225.19,65.55,,,Percent of total billed charges,,4963.24,,2079,,Per Diem,,6237,90,,,Percent of total billed charges,,6814.52,,2079,,Per Diem,,6237,,2079,,Per Diem,,6237,64.9,,,Percent of total billed charges,,4914.03,,2079,,Per Diem,,6237,,6326.39,,Case rate,DRG Factor * DRG Weight,6326.39,4664.16,8160.62,
other infectious and parasitic diseases diagnoses with cc,868,MS-DRG,,,,Inpatient,Facility,,,14644.86,5857.94,,9771.67,,Case rate,DRG Factor * DRG Weight,9771.67,,1758.64,,Per Diem,,7034.56,,1724.82,,Per Diem,,6899.28,,12581.65,,Case rate,DRG Factor * DRG Weight,12581.65,,1674.09,,Per Diem,,6696.36,80,,,Percent of total billed charges,,11715.89,61.6,,,Percent of total billed charges,,9021.23,,1741.73,,Per Diem,,6966.92,,1741.73,,Per Diem,,6966.92,65.55,,,Percent of total billed charges,,9599.71,,2079,,Per Diem,,8316,90,,,Percent of total billed charges,,13180.38,,2079,,Per Diem,,8316,,2079,,Per Diem,,8316,64.9,,,Percent of total billed charges,,9504.52,,2079,,Per Diem,,8316,,10476.42,,Case rate,DRG Factor * DRG Weight,10476.42,6696.36,14644.86,
"other skin, subcutaneous tissue and breast procedures with cc",580,MS-DRG,,,,Inpatient,Facility,,,20859.17,8343.67,,15722.89,,Case rate,DRG Factor * DRG Weight,15722.89,,1758.64,,Per Diem,,10551.84,,1724.82,,Per Diem,,10348.92,,20526.21,,Case rate,DRG Factor * DRG Weight,20526.21,,1674.09,,Per Diem,,10044.54,80,,,Percent of total billed charges,,16687.34,61.6,,,Percent of total billed charges,,12849.25,,1741.73,,Per Diem,,10450.38,,1741.73,,Per Diem,,10450.38,65.55,,,Percent of total billed charges,,13673.19,,2079,,Per Diem,,12474,90,,,Percent of total billed charges,,18773.25,,2079,,Per Diem,,12474,,2079,,Per Diem,,12474,64.9,,,Percent of total billed charges,,13537.6,,2079,,Per Diem,,12474,,16856.86,,Case rate,DRG Factor * DRG Weight,16856.86,10044.54,20859.17,
"Ova and parasites, direct smears, concentration and identification",87177,CPT,,,,Outpatient,Facility,,,110,44,66,,,Percent of total billed charges,,72.6,20.8,,,Percent of total billed charges,,22.88,20.4,,,Percent of total billed charges,,22.44,,8.9,,Case rate,,8.9,,1.82,,Case rate,,1.82,80,,,Percent of total billed charges,,88,61.6,,,Percent of total billed charges,,67.76,20.6,,,Percent of total billed charges,,22.66,20.6,,,Percent of total billed charges,,22.66,65.55,,,Percent of total billed charges,,72.1,21,,,Percent of total billed charges,,23.1,90,,,Percent of total billed charges,,99,21,,,Percent of total billed charges,,23.1,21,,,Percent of total billed charges,,23.1,64.9,,,Percent of total billed charges,,71.39,21,,,Percent of total billed charges,,23.1,,45.22,,Case rate,,45.22,1.82,110,
Oxycodone,80365,CPT,,,,Outpatient,Facility,,,133,53.2,66,,,Percent of total billed charges,,87.78,20.8,,,Percent of total billed charges,,27.66,20.4,,,Percent of total billed charges,,27.13,,18.54,,Case rate,,18.54,,1.38,,Case rate,,1.38,80,,,Percent of total billed charges,,106.4,61.6,,,Percent of total billed charges,,81.93,20.6,,,Percent of total billed charges,,27.4,20.6,,,Percent of total billed charges,,27.4,65.55,,,Percent of total billed charges,,87.18,21,,,Percent of total billed charges,,27.93,90,,,Percent of total billed charges,,119.7,21,,,Percent of total billed charges,,27.93,21,,,Percent of total billed charges,,27.93,64.9,,,Percent of total billed charges,,86.32,21,,,Percent of total billed charges,,27.93,45,,,Percent of total billed charges,,59.85,1.38,133,
Parathormone (parathyroid hormone),83970,CPT,,,,Outpatient,Facility,,,250,100,66,,,Percent of total billed charges,,165,20.8,,,Percent of total billed charges,,52,20.4,,,Percent of total billed charges,,51,,41.28,,Case rate,,41.28,,8.5,,Case rate,,8.5,80,,,Percent of total billed charges,,200,61.6,,,Percent of total billed charges,,154,20.6,,,Percent of total billed charges,,51.5,20.6,,,Percent of total billed charges,,51.5,65.55,,,Percent of total billed charges,,163.88,21,,,Percent of total billed charges,,52.5,90,,,Percent of total billed charges,,225,21,,,Percent of total billed charges,,52.5,21,,,Percent of total billed charges,,52.5,64.9,,,Percent of total billed charges,,162.25,21,,,Percent of total billed charges,,52.5,,185.86,,Case rate,,185.86,8.5,250,
"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization",78072,CPT,,,,Outpatient,Facility,,,1009,403.6,66,,,Percent of total billed charges,,665.94,20.8,,,Percent of total billed charges,,209.87,20.4,,,Percent of total billed charges,,205.84,,316.76,,Case rate,,316.76,,30.7,,Case rate,,30.7,80,,,Percent of total billed charges,,807.2,61.6,,,Percent of total billed charges,,621.54,20.6,,,Percent of total billed charges,,207.85,20.6,,,Percent of total billed charges,,207.85,65.55,,,Percent of total billed charges,,661.4,21,,,Percent of total billed charges,,211.89,90,,,Percent of total billed charges,,908.1,21,,,Percent of total billed charges,,211.89,21,,,Percent of total billed charges,,211.89,64.9,,,Percent of total billed charges,,654.84,21,,,Percent of total billed charges,,211.89,,1640.65,,Case rate,,1640.65,30.7,1640.65,
"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions",11056,CPT,,,,Outpatient,Facility,,,421,168.4,66,,,Percent of total billed charges,,277.86,20.8,,,Percent of total billed charges,,87.57,20.4,,,Percent of total billed charges,,85.88,,79.19,,Case rate,,79.19,,9.4,,Case rate,,9.4,80,,,Percent of total billed charges,,336.8,61.6,,,Percent of total billed charges,,259.34,20.6,,,Percent of total billed charges,,86.73,20.6,,,Percent of total billed charges,,86.73,65.55,,,Percent of total billed charges,,275.97,21,,,Percent of total billed charges,,88.41,90,,,Percent of total billed charges,,378.9,21,,,Percent of total billed charges,,88.41,21,,,Percent of total billed charges,,88.41,64.9,,,Percent of total billed charges,,273.23,21,,,Percent of total billed charges,,88.41,,348.64,,Case rate,,348.64,9.4,421,
"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions",11057,CPT,,,,Outpatient,Facility,,,430,172,66,,,Percent of total billed charges,,283.8,20.8,,,Percent of total billed charges,,89.44,20.4,,,Percent of total billed charges,,87.72,,86.49,,Case rate,,86.49,,11.62,,Case rate,,11.62,80,,,Percent of total billed charges,,344,61.6,,,Percent of total billed charges,,264.88,20.6,,,Percent of total billed charges,,88.58,20.6,,,Percent of total billed charges,,88.58,65.55,,,Percent of total billed charges,,281.86,21,,,Percent of total billed charges,,90.3,90,,,Percent of total billed charges,,387,21,,,Percent of total billed charges,,90.3,21,,,Percent of total billed charges,,90.3,64.9,,,Percent of total billed charges,,279.07,21,,,Percent of total billed charges,,90.3,,348.64,,Case rate,,348.64,11.62,430,
Patient screened for future fall risk; documentation of no falls in the past year or only 1 fall without injury in the past year (GER),1101F,CPT,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Case rate,,,,,,Case rate,,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor [GIST]), gene analysis, targeted sequence analysis (eg, exons 12, 18)",81314,CPT,,,,Outpatient,Facility,,,1287,514.8,66,,,Percent of total billed charges,,849.42,20.8,,,Percent of total billed charges,,267.7,20.4,,,Percent of total billed charges,,262.55,,329.51,,Case rate,,329.51,,24.53,,Case rate,,24.53,80,,,Percent of total billed charges,,1029.6,61.6,,,Percent of total billed charges,,792.79,20.6,,,Percent of total billed charges,,265.12,20.6,,,Percent of total billed charges,,265.12,65.55,,,Percent of total billed charges,,843.63,21,,,Percent of total billed charges,,270.27,90,,,Percent of total billed charges,,1158.3,21,,,Percent of total billed charges,,270.27,21,,,Percent of total billed charges,,270.27,64.9,,,Percent of total billed charges,,835.26,21,,,Percent of total billed charges,,270.27,45,,,Percent of total billed charges,,579.15,24.53,1287,
peripheral vascular disorders with cc,300,MS-DRG,,,,Inpatient,Facility,,,4800.56,1920.22,,9605.13,,Case rate,DRG Factor * DRG Weight,9605.13,,1758.64,,Per Diem,,1758.64,,1724.82,,Per Diem,,1724.82,,10902.99,,Case rate,DRG Factor * DRG Weight,10902.99,,1674.09,,Per Diem,,1674.09,80,,,Percent of total billed charges,,3840.45,61.6,,,Percent of total billed charges,,2957.14,,1741.73,,Per Diem,,1741.73,,1741.73,,Per Diem,,1741.73,65.55,,,Percent of total billed charges,,3146.77,,2079,,Per Diem,,2079,90,,,Percent of total billed charges,,4320.5,,2079,,Per Diem,,2079,,2079,,Per Diem,,2079,64.9,,,Percent of total billed charges,,3115.56,,2079,,Per Diem,,2079,,10297.87,,Case rate,DRG Factor * DRG Weight,10297.87,1674.09,10902.99,
peripheral vascular disorders with mcc,299,MS-DRG,,,,Inpatient,Facility,,,4074.78,1629.91,,14188.95,,Case rate,DRG Factor * DRG Weight,14188.95,,1758.64,,Per Diem,,7034.56,,1724.82,,Per Diem,,6899.28,,15240.92,,Case rate,DRG Factor * DRG Weight,15240.92,,1674.09,,Per Diem,,6696.36,80,,,Percent of total billed charges,,3259.82,61.6,,,Percent of total billed charges,,2510.06,,1741.73,,Per Diem,,6966.92,,1741.73,,Per Diem,,6966.92,65.55,,,Percent of total billed charges,,2671.02,,2079,,Per Diem,,8316,90,,,Percent of total billed charges,,3667.3,,2079,,Per Diem,,8316,,2079,,Per Diem,,8316,64.9,,,Percent of total billed charges,,2644.53,,2079,,Per Diem,,8316,,15212.28,,Case rate,DRG Factor * DRG Weight,15212.28,2510.06,15240.92,
"pH; body fluid, not otherwise specified",83986,CPT,,,,Outpatient,Facility,,,28,11.2,66,,,Percent of total billed charges,,18.48,20.8,,,Percent of total billed charges,,5.82,20.4,,,Percent of total billed charges,,5.71,,3.58,,Case rate,,3.58,,0.75,,Case rate,,0.75,80,,,Percent of total billed charges,,22.4,61.6,,,Percent of total billed charges,,17.25,20.6,,,Percent of total billed charges,,5.77,20.6,,,Percent of total billed charges,,5.77,65.55,,,Percent of total billed charges,,18.35,21,,,Percent of total billed charges,,5.88,90,,,Percent of total billed charges,,25.2,21,,,Percent of total billed charges,,5.88,21,,,Percent of total billed charges,,5.88,64.9,,,Percent of total billed charges,,18.17,21,,,Percent of total billed charges,,5.88,,22.19,,Case rate,,22.19,0.75,28,
Phenobarbital,80184,CPT,,,,Outpatient,Facility,,,210,84,66,,,Percent of total billed charges,,138.6,20.8,,,Percent of total billed charges,,43.68,20.4,,,Percent of total billed charges,,42.84,,15.3,,Case rate,,15.3,,2.35,,Case rate,,2.35,80,,,Percent of total billed charges,,168,61.6,,,Percent of total billed charges,,129.36,20.6,,,Percent of total billed charges,,43.26,20.6,,,Percent of total billed charges,,43.26,65.55,,,Percent of total billed charges,,137.66,21,,,Percent of total billed charges,,44.1,90,,,Percent of total billed charges,,189,21,,,Percent of total billed charges,,44.1,21,,,Percent of total billed charges,,44.1,64.9,,,Percent of total billed charges,,136.29,21,,,Percent of total billed charges,,44.1,,45.83,,Case rate,,45.83,2.35,210,
Phenytoin; total,80185,CPT,,,,Outpatient,Facility,,,134,53.6,66,,,Percent of total billed charges,,88.44,20.8,,,Percent of total billed charges,,27.87,20.4,,,Percent of total billed charges,,27.34,,13.25,,Case rate,,13.25,,2.73,,Case rate,,2.73,80,,,Percent of total billed charges,,107.2,61.6,,,Percent of total billed charges,,82.54,20.6,,,Percent of total billed charges,,27.6,20.6,,,Percent of total billed charges,,27.6,65.55,,,Percent of total billed charges,,87.84,21,,,Percent of total billed charges,,28.14,90,,,Percent of total billed charges,,120.6,21,,,Percent of total billed charges,,28.14,21,,,Percent of total billed charges,,28.14,64.9,,,Percent of total billed charges,,86.97,21,,,Percent of total billed charges,,28.14,,54.04,,Case rate,,54.04,2.73,134,
"Phosphatase, alkaline; heat stable (total not included)",84078,CPT,,,,Outpatient,Facility,,,58,23.2,66,,,Percent of total billed charges,,38.28,20.8,,,Percent of total billed charges,,12.06,20.4,,,Percent of total billed charges,,11.83,,8.26,,Case rate,,8.26,,2.11,,Case rate,,2.11,80,,,Percent of total billed charges,,46.4,61.6,,,Percent of total billed charges,,35.73,20.6,,,Percent of total billed charges,,11.95,20.6,,,Percent of total billed charges,,11.95,65.55,,,Percent of total billed charges,,38.02,21,,,Percent of total billed charges,,12.18,90,,,Percent of total billed charges,,52.2,21,,,Percent of total billed charges,,12.18,21,,,Percent of total billed charges,,12.18,64.9,,,Percent of total billed charges,,37.64,21,,,Percent of total billed charges,,12.18,,39.05,,Case rate,,39.05,2.11,58,
"Phosphatase, alkaline; isoenzymes",84080,CPT,,,,Outpatient,Facility,,,90,36,66,,,Percent of total billed charges,,59.4,20.8,,,Percent of total billed charges,,18.72,,15.08,,Case rate,,15.08,,14.78,,Case rate,,14.78,,3.05,,Case rate,,3.05,80,,,Percent of total billed charges,,72,61.6,,,Percent of total billed charges,,55.44,20.6,,,Percent of total billed charges,,18.54,20.6,,,Percent of total billed charges,,18.54,65.55,,,Percent of total billed charges,,59,21,,,Percent of total billed charges,,18.9,90,,,Percent of total billed charges,,81,21,,,Percent of total billed charges,,18.9,21,,,Percent of total billed charges,,18.9,64.9,,,Percent of total billed charges,,58.41,21,,,Percent of total billed charges,,18.9,,60.59,,Case rate,,60.59,3.05,90,
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.",97161,CPT,,,,Outpatient,Facility,,,316,126.4,66,,,Percent of total billed charges,,208.56,20.8,,,Percent of total billed charges,,65.73,20.4,,,Percent of total billed charges,,64.46,,98.31,,Case rate,,98.31,,5.49,,Case rate,,5.49,80,,,Percent of total billed charges,,252.8,61.6,,,Percent of total billed charges,,194.66,20.6,,,Percent of total billed charges,,65.1,20.6,,,Percent of total billed charges,,65.1,65.55,,,Percent of total billed charges,,207.14,21,,,Percent of total billed charges,,66.36,90,,,Percent of total billed charges,,284.4,21,,,Percent of total billed charges,,66.36,21,,,Percent of total billed charges,,66.36,64.9,,,Percent of total billed charges,,205.08,21,,,Percent of total billed charges,,66.36,,158.98,,Case rate,,158.98,5.49,316,
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97162,CPT,,,,Outpatient,Facility,,,352,140.8,66,,,Percent of total billed charges,,232.32,20.8,,,Percent of total billed charges,,73.22,20.4,,,Percent of total billed charges,,71.81,,98.31,,Case rate,,98.31,,5.49,,Case rate,,5.49,80,,,Percent of total billed charges,,281.6,61.6,,,Percent of total billed charges,,216.83,20.6,,,Percent of total billed charges,,72.51,20.6,,,Percent of total billed charges,,72.51,65.55,,,Percent of total billed charges,,230.74,21,,,Percent of total billed charges,,73.92,90,,,Percent of total billed charges,,316.8,21,,,Percent of total billed charges,,73.92,21,,,Percent of total billed charges,,73.92,64.9,,,Percent of total billed charges,,228.45,21,,,Percent of total billed charges,,73.92,,175.37,,Case rate,,175.37,5.49,352,
"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20)",81309,CPT,,,,Outpatient,Facility,,,1906,762.4,66,,,Percent of total billed charges,,1257.96,20.8,,,Percent of total billed charges,,396.45,,280.33,,Case rate,,280.33,,274.83,,Case rate,,274.83,,16.39,,Case rate,,16.39,80,,,Percent of total billed charges,,1524.8,61.6,,,Percent of total billed charges,,1174.1,20.6,,,Percent of total billed charges,,392.64,20.6,,,Percent of total billed charges,,392.64,65.55,,,Percent of total billed charges,,1249.38,21,,,Percent of total billed charges,,400.26,90,,,Percent of total billed charges,,1715.4,21,,,Percent of total billed charges,,400.26,21,,,Percent of total billed charges,,400.26,64.9,,,Percent of total billed charges,,1236.99,21,,,Percent of total billed charges,,400.26,,1065.2,,Case rate,,1065.2,16.39,1906,
Placement of needle for intraosseous infusion,36680,CPT,,,,Outpatient,Facility,,,609,243.6,66,,,Percent of total billed charges,,401.94,20.8,,,Percent of total billed charges,,126.67,20.4,,,Percent of total billed charges,,124.24,,58.17,,Case rate,,58.17,,13.04,,Case rate,,13.04,80,,,Percent of total billed charges,,487.2,61.6,,,Percent of total billed charges,,375.14,20.6,,,Percent of total billed charges,,125.45,20.6,,,Percent of total billed charges,,125.45,65.55,,,Percent of total billed charges,,399.2,21,,,Percent of total billed charges,,127.89,90,,,Percent of total billed charges,,548.1,21,,,Percent of total billed charges,,127.89,21,,,Percent of total billed charges,,127.89,64.9,,,Percent of total billed charges,,395.24,21,,,Percent of total billed charges,,127.89,,412.86,,Case rate,,412.86,13.04,609,
"Platelet, aggregation (in vitro), each agent",85576,CPT,,,,Outpatient,Facility,,,179,71.6,66,,,Percent of total billed charges,,118.14,20.8,,,Percent of total billed charges,,37.23,20.4,,,Percent of total billed charges,,36.52,,24.91,,Case rate,,24.91,,6.22,,Case rate,,6.22,80,,,Percent of total billed charges,,143.2,61.6,,,Percent of total billed charges,,110.26,20.6,,,Percent of total billed charges,,36.87,20.6,,,Percent of total billed charges,,36.87,65.55,,,Percent of total billed charges,,117.33,21,,,Percent of total billed charges,,37.59,90,,,Percent of total billed charges,,161.1,21,,,Percent of total billed charges,,37.59,21,,,Percent of total billed charges,,37.59,64.9,,,Percent of total billed charges,,116.17,21,,,Percent of total billed charges,,37.59,,134.55,,Case rate,,134.55,6.22,179,
"Platelets, each unit",P9019,CPT,,,,Outpatient,Facility,,,895,358,66,,,Percent of total billed charges,,590.7,20.8,,,Percent of total billed charges,,186.16,20.4,,,Percent of total billed charges,,182.58,,45.35,,Case rate,,45.35,,14.74,,Case rate,,14.74,80,,,Percent of total billed charges,,716,61.6,,,Percent of total billed charges,,551.32,20.6,,,Percent of total billed charges,,184.37,20.6,,,Percent of total billed charges,,184.37,65.55,,,Percent of total billed charges,,586.67,21,,,Percent of total billed charges,,187.95,90,,,Percent of total billed charges,,805.5,21,,,Percent of total billed charges,,187.95,21,,,Percent of total billed charges,,187.95,64.9,,,Percent of total billed charges,,580.86,21,,,Percent of total billed charges,,187.95,,162.18,,Case rate,,162.18,14.74,895,
"Platelets, pheresis, leukocytes reduced, irradiated, each unit",P9037,CPT,,,,Outpatient,Facility,,,2455,982,66,,,Percent of total billed charges,,1620.3,20.8,,,Percent of total billed charges,,510.64,20.4,,,Percent of total billed charges,,500.82,,465,,Case rate,,465,,92.07,,Case rate,,92.07,80,,,Percent of total billed charges,,1964,61.6,,,Percent of total billed charges,,1512.28,20.6,,,Percent of total billed charges,,505.73,20.6,,,Percent of total billed charges,,505.73,65.55,,,Percent of total billed charges,,1609.25,21,,,Percent of total billed charges,,515.55,90,,,Percent of total billed charges,,2209.5,21,,,Percent of total billed charges,,515.55,21,,,Percent of total billed charges,,515.55,64.9,,,Percent of total billed charges,,1593.3,21,,,Percent of total billed charges,,515.55,,1424.52,,Case rate,,1424.52,92.07,2455,
"Plethysmography for determination of lung volumes and, when performed, airway resistance",94726,CPT,46094726,CDM,TC,Outpatient,Facility,,,799,319.6,66,,,Percent of total billed charges,,527.34,20.8,,,Percent of total billed charges,,166.19,20.4,,,Percent of total billed charges,,163,,40.13,,Case rate,,40.13,,3.66,,Case rate,,3.66,80,,,Percent of total billed charges,,639.2,61.6,,,Percent of total billed charges,,492.18,20.6,,,Percent of total billed charges,,164.59,20.6,,,Percent of total billed charges,,164.59,65.55,,,Percent of total billed charges,,523.74,21,,,Percent of total billed charges,,167.79,90,,,Percent of total billed charges,,719.1,21,,,Percent of total billed charges,,167.79,21,,,Percent of total billed charges,,167.79,64.9,,,Percent of total billed charges,,518.55,21,,,Percent of total billed charges,,167.79,,184.93,,Case rate,,184.93,3.66,799,
"PMS2 (postmeiotic segregation increased 2 [S. cerevisiae]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants",81319,CPT,,,,Outpatient,Facility,,,840,336,66,,,Percent of total billed charges,,554.4,20.8,,,Percent of total billed charges,,174.72,20.4,,,Percent of total billed charges,,171.36,,203.5,,Case rate,,203.5,,46.31,,Case rate,,46.31,80,,,Percent of total billed charges,,672,61.6,,,Percent of total billed charges,,517.44,20.6,,,Percent of total billed charges,,173.04,20.6,,,Percent of total billed charges,,173.04,65.55,,,Percent of total billed charges,,550.62,21,,,Percent of total billed charges,,176.4,90,,,Percent of total billed charges,,756,21,,,Percent of total billed charges,,176.4,21,,,Percent of total billed charges,,176.4,64.9,,,Percent of total billed charges,,545.16,21,,,Percent of total billed charges,,176.4,45,,,Percent of total billed charges,,378,46.31,840,
"PMS2 (postmeiotic segregation increased 2 [S. cerevisiae]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis",81317,CPT,,,,Outpatient,Facility,,,2790,1116,66,,,Percent of total billed charges,,1841.4,20.8,,,Percent of total billed charges,,580.32,20.4,,,Percent of total billed charges,,569.16,,676.5,,Case rate,,676.5,,157.87,,Case rate,,157.87,80,,,Percent of total billed charges,,2232,61.6,,,Percent of total billed charges,,1718.64,20.6,,,Percent of total billed charges,,574.74,20.6,,,Percent of total billed charges,,574.74,65.55,,,Percent of total billed charges,,1828.84,21,,,Percent of total billed charges,,585.9,90,,,Percent of total billed charges,,2511,21,,,Percent of total billed charges,,585.9,21,,,Percent of total billed charges,,585.9,64.9,,,Percent of total billed charges,,1810.71,21,,,Percent of total billed charges,,585.9,45,,,Percent of total billed charges,,1255.5,157.87,2790,
"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist",95810,CPT,74095810,CDM,TC,Outpatient,Facility,,,3790,1516,66,,,Percent of total billed charges,,2501.4,20.8,,,Percent of total billed charges,,788.32,20.4,,,Percent of total billed charges,,773.16,,464.01,,Case rate,,464.01,,53.75,,Case rate,,53.75,80,,,Percent of total billed charges,,3032,61.6,,,Percent of total billed charges,,2334.64,20.6,,,Percent of total billed charges,,780.74,20.6,,,Percent of total billed charges,,780.74,65.55,,,Percent of total billed charges,,2484.34,21,,,Percent of total billed charges,,795.9,90,,,Percent of total billed charges,,3411,21,,,Percent of total billed charges,,795.9,21,,,Percent of total billed charges,,795.9,64.9,,,Percent of total billed charges,,2459.71,21,,,Percent of total billed charges,,795.9,,782.86,,Case rate,,782.86,53.75,3790,
"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist",95811,CPT,,,,Outpatient,Facility,,,4589,1835.6,66,,,Percent of total billed charges,,3028.74,20.8,,,Percent of total billed charges,,954.51,20.4,,,Percent of total billed charges,,936.16,,486.43,,Case rate,,486.43,,60.42,,Case rate,,60.42,80,,,Percent of total billed charges,,3671.2,61.6,,,Percent of total billed charges,,2826.82,20.6,,,Percent of total billed charges,,945.33,20.6,,,Percent of total billed charges,,945.33,65.55,,,Percent of total billed charges,,3008.09,21,,,Percent of total billed charges,,963.69,90,,,Percent of total billed charges,,4130.1,21,,,Percent of total billed charges,,963.69,21,,,Percent of total billed charges,,963.69,64.9,,,Percent of total billed charges,,2978.26,21,,,Percent of total billed charges,,963.69,,1450.71,,Case rate,,1450.71,60.42,4589,
"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist",95811,CPT,74095811,CDM,TC,Outpatient,Facility,,,4589,1835.6,66,,,Percent of total billed charges,,3028.74,20.8,,,Percent of total billed charges,,954.51,20.4,,,Percent of total billed charges,,936.16,,486.43,,Case rate,,486.43,,60.42,,Case rate,,60.42,80,,,Percent of total billed charges,,3671.2,61.6,,,Percent of total billed charges,,2826.82,20.6,,,Percent of total billed charges,,945.33,20.6,,,Percent of total billed charges,,945.33,65.55,,,Percent of total billed charges,,3008.09,21,,,Percent of total billed charges,,963.69,90,,,Percent of total billed charges,,4130.1,21,,,Percent of total billed charges,,963.69,21,,,Percent of total billed charges,,963.69,64.9,,,Percent of total billed charges,,2978.26,21,,,Percent of total billed charges,,963.69,,1450.71,,Case rate,,1450.71,60.42,4589,
Posaconazole,80187,CPT,,,,Outpatient,Facility,,,186,74.4,66,,,Percent of total billed charges,,122.76,20.8,,,Percent of total billed charges,,38.69,20.4,,,Percent of total billed charges,,37.94,,27.11,,Case rate,,27.11,,1.62,,Case rate,,1.62,80,,,Percent of total billed charges,,148.8,61.6,,,Percent of total billed charges,,114.58,20.6,,,Percent of total billed charges,,38.32,20.6,,,Percent of total billed charges,,38.32,65.55,,,Percent of total billed charges,,121.92,21,,,Percent of total billed charges,,39.06,90,,,Percent of total billed charges,,167.4,21,,,Percent of total billed charges,,39.06,21,,,Percent of total billed charges,,39.06,64.9,,,Percent of total billed charges,,120.71,21,,,Percent of total billed charges,,39.06,,105.07,,Case rate,,105.07,1.62,186,
Positive macroalbuminuria test result documented and reviewed (DM),3062F,CPT,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Case rate,,,,,,Case rate,,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
Positive microalbuminuria test result documented and reviewed (DM),3060F,CPT,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Case rate,,,,,,Case rate,,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
"Potassium; serum, plasma or whole blood",84132,CPT,,,,Outpatient,Facility,,,28,11.2,66,,,Percent of total billed charges,,18.48,20.8,,,Percent of total billed charges,,5.82,20.4,,,Percent of total billed charges,,5.71,,4.76,,Case rate,,4.76,,0.95,,Case rate,,0.95,80,,,Percent of total billed charges,,22.4,61.6,,,Percent of total billed charges,,17.25,20.6,,,Percent of total billed charges,,5.77,20.6,,,Percent of total billed charges,,5.77,65.55,,,Percent of total billed charges,,18.35,21,,,Percent of total billed charges,,5.88,90,,,Percent of total billed charges,,25.2,21,,,Percent of total billed charges,,5.88,21,,,Percent of total billed charges,,5.88,64.9,,,Percent of total billed charges,,18.17,21,,,Percent of total billed charges,,5.88,,13.7,,Case rate,,13.7,0.95,28,
Prealbumin,84134,CPT,,,,Outpatient,Facility,,,90,36,66,,,Percent of total billed charges,,59.4,20.8,,,Percent of total billed charges,,18.72,20.4,,,Percent of total billed charges,,18.36,,14.59,,Case rate,,14.59,,3.01,,Case rate,,3.01,80,,,Percent of total billed charges,,72,61.6,,,Percent of total billed charges,,55.44,20.6,,,Percent of total billed charges,,18.54,20.6,,,Percent of total billed charges,,18.54,65.55,,,Percent of total billed charges,,59,21,,,Percent of total billed charges,,18.9,90,,,Percent of total billed charges,,81,21,,,Percent of total billed charges,,18.9,21,,,Percent of total billed charges,,18.9,64.9,,,Percent of total billed charges,,58.41,21,,,Percent of total billed charges,,18.9,,61.61,,Case rate,,61.61,3.01,90,
Pregabalin,80366,CPT,,,,Outpatient,Facility,,,67,26.8,66,,,Percent of total billed charges,,44.22,20.8,,,Percent of total billed charges,,13.94,20.4,,,Percent of total billed charges,,13.67,,12.62,,Case rate,,12.62,,0.94,,Case rate,,0.94,80,,,Percent of total billed charges,,53.6,61.6,,,Percent of total billed charges,,41.27,20.6,,,Percent of total billed charges,,13.8,20.6,,,Percent of total billed charges,,13.8,65.55,,,Percent of total billed charges,,43.92,21,,,Percent of total billed charges,,14.07,90,,,Percent of total billed charges,,60.3,21,,,Percent of total billed charges,,14.07,21,,,Percent of total billed charges,,14.07,64.9,,,Percent of total billed charges,,43.48,21,,,Percent of total billed charges,,14.07,45,,,Percent of total billed charges,,30.15,0.94,67,
Pregnancy-associated plasma protein-A (PAPP-A),84163,CPT,,,,Outpatient,Facility,,,132,52.8,66,,,Percent of total billed charges,,87.12,20.8,,,Percent of total billed charges,,27.46,20.4,,,Percent of total billed charges,,26.93,,15.05,,Case rate,,15.05,,4.15,,Case rate,,4.15,80,,,Percent of total billed charges,,105.6,61.6,,,Percent of total billed charges,,81.31,20.6,,,Percent of total billed charges,,27.19,20.6,,,Percent of total billed charges,,27.19,65.55,,,Percent of total billed charges,,86.53,21,,,Percent of total billed charges,,27.72,90,,,Percent of total billed charges,,118.8,21,,,Percent of total billed charges,,27.72,21,,,Percent of total billed charges,,27.72,64.9,,,Percent of total billed charges,,85.67,21,,,Percent of total billed charges,,27.72,,51.03,,Case rate,,51.03,4.15,132,
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,,,,Outpatient,Facility,,,234,93.6,66,,,Percent of total billed charges,,154.44,20.8,,,Percent of total billed charges,,48.67,,191.64,,Case rate,,191.64,,8.53,,Case rate,,8.53,,2.63,,Case rate,,2.63,80,,,Percent of total billed charges,,187.2,61.6,,,Percent of total billed charges,,144.14,20.6,,,Percent of total billed charges,,48.2,20.6,,,Percent of total billed charges,,48.2,65.55,,,Percent of total billed charges,,153.39,21,,,Percent of total billed charges,,49.14,90,,,Percent of total billed charges,,210.6,21,,,Percent of total billed charges,,49.14,21,,,Percent of total billed charges,,49.14,64.9,,,Percent of total billed charges,,151.87,21,,,Percent of total billed charges,,49.14,,54.93,,Case rate,,54.93,2.63,234,
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device",94640,CPT,41094641,CDM,76,Outpatient,Facility,,,234,93.6,66,,,Percent of total billed charges,,154.44,20.8,,,Percent of total billed charges,,48.67,,191.64,,Case rate,,191.64,,8.53,,Case rate,,8.53,,2.63,,Case rate,,2.63,80,,,Percent of total billed charges,,187.2,61.6,,,Percent of total billed charges,,144.14,20.6,,,Percent of total billed charges,,48.2,20.6,,,Percent of total billed charges,,48.2,65.55,,,Percent of total billed charges,,153.39,21,,,Percent of total billed charges,,49.14,90,,,Percent of total billed charges,,210.6,21,,,Percent of total billed charges,,49.14,21,,,Percent of total billed charges,,49.14,64.9,,,Percent of total billed charges,,151.87,21,,,Percent of total billed charges,,49.14,,54.93,,Case rate,,54.93,2.63,234,
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each",86970,CPT,,,,Outpatient,Facility,,,153,61.2,66,,,Percent of total billed charges,,100.98,20.8,,,Percent of total billed charges,,31.82,20.4,,,Percent of total billed charges,,31.21,58.8,,,Percent of total billed charges,,89.96,,5.14,,Case rate,,5.14,80,,,Percent of total billed charges,,122.4,61.6,,,Percent of total billed charges,,94.25,20.6,,,Percent of total billed charges,,31.52,20.6,,,Percent of total billed charges,,31.52,65.55,,,Percent of total billed charges,,100.29,21,,,Percent of total billed charges,,32.13,90,,,Percent of total billed charges,,137.7,21,,,Percent of total billed charges,,32.13,21,,,Percent of total billed charges,,32.13,64.9,,,Percent of total billed charges,,99.3,21,,,Percent of total billed charges,,32.13,,109.34,,Case rate,,109.34,5.14,153,
"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each",86971,CPT,,,,Outpatient,Facility,,,1121,448.4,66,,,Percent of total billed charges,,739.86,20.8,,,Percent of total billed charges,,233.17,20.4,,,Percent of total billed charges,,228.68,58.8,,,Percent of total billed charges,,659.15,,6.29,,Case rate,,6.29,80,,,Percent of total billed charges,,896.8,61.6,,,Percent of total billed charges,,690.54,20.6,,,Percent of total billed charges,,230.93,20.6,,,Percent of total billed charges,,230.93,65.55,,,Percent of total billed charges,,734.82,21,,,Percent of total billed charges,,235.41,90,,,Percent of total billed charges,,1008.9,21,,,Percent of total billed charges,,235.41,21,,,Percent of total billed charges,,235.41,64.9,,,Percent of total billed charges,,727.53,21,,,Percent of total billed charges,,235.41,,134.04,,Case rate,,134.04,6.29,1121,
"Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0164,CPT,,,,Outpatient,Facility,,,8.95,3.58,66,,,Percent of total billed charges,,5.91,20.8,,,Percent of total billed charges,,1.86,20.4,,,Percent of total billed charges,,1.83,,0.4,,Case rate,,0.4,,0.11,,Case rate,,0.11,80,,,Percent of total billed charges,,7.16,61.6,,,Percent of total billed charges,,5.51,20.6,,,Percent of total billed charges,,1.84,20.6,,,Percent of total billed charges,,1.84,65.55,,,Percent of total billed charges,,5.87,21,,,Percent of total billed charges,,1.88,90,,,Percent of total billed charges,,8.06,21,,,Percent of total billed charges,,1.88,21,,,Percent of total billed charges,,1.88,64.9,,,Percent of total billed charges,,5.81,21,,,Percent of total billed charges,,1.88,45,,,Percent of total billed charges,,4.03,0.11,8.95,
Proinsulin,84206,CPT,,,,Outpatient,Facility,,,151,60.4,66,,,Percent of total billed charges,,99.66,20.8,,,Percent of total billed charges,,31.41,20.4,,,Percent of total billed charges,,30.8,,26.69,,Case rate,,26.69,,5.16,,Case rate,,5.16,80,,,Percent of total billed charges,,120.8,61.6,,,Percent of total billed charges,,93.02,20.6,,,Percent of total billed charges,,31.11,20.6,,,Percent of total billed charges,,31.11,65.55,,,Percent of total billed charges,,98.98,21,,,Percent of total billed charges,,31.71,90,,,Percent of total billed charges,,135.9,21,,,Percent of total billed charges,,31.71,21,,,Percent of total billed charges,,31.71,64.9,,,Percent of total billed charges,,98,21,,,Percent of total billed charges,,31.71,,108.74,,Case rate,,108.74,5.16,151,
Prolactin,84146,CPT,,,,Outpatient,Facility,,,298,119.2,66,,,Percent of total billed charges,,196.68,20.8,,,Percent of total billed charges,,61.98,20.4,,,Percent of total billed charges,,60.79,,19.38,,Case rate,,19.38,,3.99,,Case rate,,3.99,80,,,Percent of total billed charges,,238.4,61.6,,,Percent of total billed charges,,183.57,20.6,,,Percent of total billed charges,,61.39,20.6,,,Percent of total billed charges,,61.39,65.55,,,Percent of total billed charges,,195.34,21,,,Percent of total billed charges,,62.58,90,,,Percent of total billed charges,,268.2,21,,,Percent of total billed charges,,62.58,21,,,Percent of total billed charges,,62.58,64.9,,,Percent of total billed charges,,193.4,21,,,Percent of total billed charges,,62.58,,96.2,,Case rate,,96.2,3.99,298,
"Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0169,CPT,,,,Outpatient,Facility,,,1.98,0.79,66,,,Percent of total billed charges,,1.3,20.8,,,Percent of total billed charges,,0.41,20.4,,,Percent of total billed charges,,0.4,,0.1,,Case rate,,0.1,,0.08,,Case rate,,0.08,80,,,Percent of total billed charges,,1.58,61.6,,,Percent of total billed charges,,1.22,20.6,,,Percent of total billed charges,,0.41,20.6,,,Percent of total billed charges,,0.41,65.55,,,Percent of total billed charges,,1.29,21,,,Percent of total billed charges,,0.41,90,,,Percent of total billed charges,,1.78,21,,,Percent of total billed charges,,0.41,21,,,Percent of total billed charges,,0.41,64.9,,,Percent of total billed charges,,1.28,21,,,Percent of total billed charges,,0.41,45,,,Percent of total billed charges,,0.89,0.08,1.98,
"Prostaglandin, each",84150,CPT,,,,Outpatient,Facility,,,428,171.2,66,,,Percent of total billed charges,,282.48,20.8,,,Percent of total billed charges,,89.02,20.4,,,Percent of total billed charges,,87.31,,41.77,,Case rate,,41.77,,4.98,,Case rate,,4.98,80,,,Percent of total billed charges,,342.4,61.6,,,Percent of total billed charges,,263.65,20.6,,,Percent of total billed charges,,88.17,20.6,,,Percent of total billed charges,,88.17,65.55,,,Percent of total billed charges,,280.55,21,,,Percent of total billed charges,,89.88,90,,,Percent of total billed charges,,385.2,21,,,Percent of total billed charges,,89.88,21,,,Percent of total billed charges,,89.88,64.9,,,Percent of total billed charges,,277.77,21,,,Percent of total billed charges,,89.88,,118.91,,Case rate,,118.91,4.98,428,
Prostate specific antigen (PSA); free,84154,CPT,,,,Outpatient,Facility,,,153,61.2,66,,,Percent of total billed charges,,100.98,20.8,,,Percent of total billed charges,,31.82,20.4,,,Percent of total billed charges,,31.21,,18.39,,Case rate,,18.39,,5.2,,Case rate,,5.2,80,,,Percent of total billed charges,,122.4,61.6,,,Percent of total billed charges,,94.25,20.6,,,Percent of total billed charges,,31.52,20.6,,,Percent of total billed charges,,31.52,65.55,,,Percent of total billed charges,,100.29,21,,,Percent of total billed charges,,32.13,90,,,Percent of total billed charges,,137.7,21,,,Percent of total billed charges,,32.13,21,,,Percent of total billed charges,,32.13,64.9,,,Percent of total billed charges,,99.3,21,,,Percent of total billed charges,,32.13,,110.55,,Case rate,,110.55,5.2,153,
Prostate specific antigen (PSA); total,84153,CPT,,,,Outpatient,Facility,,,116,46.4,66,,,Percent of total billed charges,,76.56,20.8,,,Percent of total billed charges,,24.13,20.4,,,Percent of total billed charges,,23.66,,18.39,,Case rate,,18.39,,3.79,,Case rate,,3.79,80,,,Percent of total billed charges,,92.8,61.6,,,Percent of total billed charges,,71.46,20.6,,,Percent of total billed charges,,23.9,20.6,,,Percent of total billed charges,,23.9,65.55,,,Percent of total billed charges,,76.04,21,,,Percent of total billed charges,,24.36,90,,,Percent of total billed charges,,104.4,21,,,Percent of total billed charges,,24.36,21,,,Percent of total billed charges,,24.36,64.9,,,Percent of total billed charges,,75.28,21,,,Percent of total billed charges,,24.36,,78.37,,Case rate,,78.37,3.79,116,
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes",97761,CPT,,,,Outpatient,Facility,,,151,60.4,66,,,Percent of total billed charges,,99.66,20.8,,,Percent of total billed charges,,31.41,20.4,,,Percent of total billed charges,,30.8,,40.65,,Case rate,,40.65,,5.39,,Case rate,,5.39,80,,,Percent of total billed charges,,120.8,61.6,,,Percent of total billed charges,,93.02,20.6,,,Percent of total billed charges,,31.11,20.6,,,Percent of total billed charges,,31.11,65.55,,,Percent of total billed charges,,98.98,21,,,Percent of total billed charges,,31.71,90,,,Percent of total billed charges,,135.9,21,,,Percent of total billed charges,,31.71,21,,,Percent of total billed charges,,31.71,64.9,,,Percent of total billed charges,,98,21,,,Percent of total billed charges,,31.71,,80.18,,Case rate,,80.18,5.39,151,
"Protein, total, except by refractometry; serum, plasma or whole blood",84155,CPT,,,,Outpatient,Facility,,,35,14,66,,,Percent of total billed charges,,23.1,20.8,,,Percent of total billed charges,,7.28,20.4,,,Percent of total billed charges,,7.14,,3.67,,Case rate,,3.67,,0.75,,Case rate,,0.75,80,,,Percent of total billed charges,,28,61.6,,,Percent of total billed charges,,21.56,20.6,,,Percent of total billed charges,,7.21,20.6,,,Percent of total billed charges,,7.21,65.55,,,Percent of total billed charges,,22.94,21,,,Percent of total billed charges,,7.35,90,,,Percent of total billed charges,,31.5,21,,,Percent of total billed charges,,7.35,21,,,Percent of total billed charges,,7.35,64.9,,,Percent of total billed charges,,22.72,21,,,Percent of total billed charges,,7.35,,23.17,,Case rate,,23.17,0.75,35,
"Protein, total, except by refractometry; urine",84156,CPT,,,,Outpatient,Facility,,,42,16.8,66,,,Percent of total billed charges,,27.72,20.8,,,Percent of total billed charges,,8.74,20.4,,,Percent of total billed charges,,8.57,,3.67,,Case rate,,3.67,,1.05,,Case rate,,1.05,80,,,Percent of total billed charges,,33.6,61.6,,,Percent of total billed charges,,25.87,20.6,,,Percent of total billed charges,,8.65,20.6,,,Percent of total billed charges,,8.65,65.55,,,Percent of total billed charges,,27.53,21,,,Percent of total billed charges,,8.82,90,,,Percent of total billed charges,,37.8,21,,,Percent of total billed charges,,8.82,21,,,Percent of total billed charges,,8.82,64.9,,,Percent of total billed charges,,27.26,21,,,Percent of total billed charges,,8.82,,19.31,,Case rate,,19.31,1.05,42,
"Protein; electrophoretic fractionation and quantitation, serum",84165,CPT,,,,Outpatient,Facility,,,145,58,66,,,Percent of total billed charges,,95.7,20.8,,,Percent of total billed charges,,30.16,20.4,,,Percent of total billed charges,,29.58,,10.74,,Case rate,,10.74,,2.21,,Case rate,,2.21,80,,,Percent of total billed charges,,116,61.6,,,Percent of total billed charges,,89.32,20.6,,,Percent of total billed charges,,29.87,20.6,,,Percent of total billed charges,,29.87,65.55,,,Percent of total billed charges,,95.05,21,,,Percent of total billed charges,,30.45,90,,,Percent of total billed charges,,130.5,21,,,Percent of total billed charges,,30.45,21,,,Percent of total billed charges,,30.45,64.9,,,Percent of total billed charges,,94.1,21,,,Percent of total billed charges,,30.45,,55.44,,Case rate,,55.44,2.21,145,
"Protein; Western Blot, with interpretation and report, blood or other body fluid",84181,CPT,,,,Outpatient,Facility,,,237,94.8,66,,,Percent of total billed charges,,156.42,20.8,,,Percent of total billed charges,,49.3,20.4,,,Percent of total billed charges,,48.35,,17.03,,Case rate,,17.03,,4.93,,Case rate,,4.93,80,,,Percent of total billed charges,,189.6,61.6,,,Percent of total billed charges,,145.99,20.6,,,Percent of total billed charges,,48.82,20.6,,,Percent of total billed charges,,48.82,65.55,,,Percent of total billed charges,,155.35,21,,,Percent of total billed charges,,49.77,90,,,Percent of total billed charges,,213.3,21,,,Percent of total billed charges,,49.77,21,,,Percent of total billed charges,,49.77,64.9,,,Percent of total billed charges,,153.81,21,,,Percent of total billed charges,,49.77,,118.03,,Case rate,,118.03,4.93,237,
"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each",84182,CPT,,,,Outpatient,Facility,,,465,186,66,,,Percent of total billed charges,,306.9,20.8,,,Percent of total billed charges,,96.72,20.4,,,Percent of total billed charges,,94.86,,29.21,,Case rate,,29.21,,5.21,,Case rate,,5.21,80,,,Percent of total billed charges,,372,61.6,,,Percent of total billed charges,,286.44,20.6,,,Percent of total billed charges,,95.79,20.6,,,Percent of total billed charges,,95.79,65.55,,,Percent of total billed charges,,304.81,21,,,Percent of total billed charges,,97.65,90,,,Percent of total billed charges,,418.5,21,,,Percent of total billed charges,,97.65,21,,,Percent of total billed charges,,97.65,64.9,,,Percent of total billed charges,,301.78,21,,,Percent of total billed charges,,97.65,,125.08,,Case rate,,125.08,5.21,465,
"Prothrombin time; substitution, plasma fractions, each",85611,CPT,,,,Outpatient,Facility,,,40,16,66,,,Percent of total billed charges,,26.4,20.8,,,Percent of total billed charges,,8.32,20.4,,,Percent of total billed charges,,8.16,,3.94,,Case rate,,3.94,,1.14,,Case rate,,1.14,80,,,Percent of total billed charges,,32,61.6,,,Percent of total billed charges,,24.64,20.6,,,Percent of total billed charges,,8.24,20.6,,,Percent of total billed charges,,8.24,65.55,,,Percent of total billed charges,,26.22,21,,,Percent of total billed charges,,8.4,90,,,Percent of total billed charges,,36,21,,,Percent of total billed charges,,8.4,21,,,Percent of total billed charges,,8.4,64.9,,,Percent of total billed charges,,25.96,21,,,Percent of total billed charges,,8.4,,30.69,,Case rate,,30.69,1.14,40,
pulmonary edema and respiratory failure,189,MS-DRG,,,,Inpatient,Facility,,,8415.38,3366.15,,11090.46,,Case rate,DRG Factor * DRG Weight,11090.46,,1758.64,,Per Diem,,3517.28,,1724.82,,Per Diem,,3449.64,,14842.03,,Case rate,DRG Factor * DRG Weight,14842.03,,1674.09,,Per Diem,,3348.18,80,,,Percent of total billed charges,,6732.3,61.6,,,Percent of total billed charges,,5183.87,,1741.73,,Per Diem,,3483.46,,1741.73,,Per Diem,,3483.46,65.55,,,Percent of total billed charges,,5516.28,,2079,,Per Diem,,4158,90,,,Percent of total billed charges,,7573.84,,2079,,Per Diem,,4158,,2079,,Per Diem,,4158,64.9,,,Percent of total billed charges,,5461.58,,2079,,Per Diem,,4158,,11890.33,,Case rate,DRG Factor * DRG Weight,11890.33,3348.18,14842.03,
pulmonary embolism without mcc,176,MS-DRG,,,,Inpatient,Facility,,,6925.34,2770.14,,7342.03,,Case rate,DRG Factor * DRG Weight,7342.03,,1758.64,,Per Diem,,3517.28,,1724.82,,Per Diem,,3449.64,,10553.96,,Case rate,DRG Factor * DRG Weight,10553.96,,1674.09,,Per Diem,,3348.18,80,,,Percent of total billed charges,,5540.27,61.6,,,Percent of total billed charges,,4266.01,,1741.73,,Per Diem,,3483.46,,1741.73,,Per Diem,,3483.46,65.55,,,Percent of total billed charges,,4539.56,,2079,,Per Diem,,4158,90,,,Percent of total billed charges,,6232.81,,2079,,Per Diem,,4158,,2079,,Per Diem,,4158,64.9,,,Percent of total billed charges,,4494.55,,2079,,Per Diem,,4158,,7871.55,,Case rate,DRG Factor * DRG Weight,7871.55,3348.18,10553.96,
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,,,,Outpatient,Facility,,,716,286.4,66,,,Percent of total billed charges,,472.56,20.8,,,Percent of total billed charges,,148.93,20.4,,,Percent of total billed charges,,146.06,,176.7,,Case rate,,176.7,,20.49,,Case rate,,20.49,80,,,Percent of total billed charges,,572.8,61.6,,,Percent of total billed charges,,441.06,20.6,,,Percent of total billed charges,,147.5,20.6,,,Percent of total billed charges,,147.5,65.55,,,Percent of total billed charges,,469.34,21,,,Percent of total billed charges,,150.36,90,,,Percent of total billed charges,,644.4,21,,,Percent of total billed charges,,150.36,21,,,Percent of total billed charges,,150.36,64.9,,,Percent of total billed charges,,464.68,21,,,Percent of total billed charges,,150.36,,509.85,,Case rate,,509.85,20.49,716,
"Pulmonary perfusion imaging (eg, particulate)",78580,CPT,34178580,CDM,TC,Outpatient,Facility,,,716,286.4,66,,,Percent of total billed charges,,472.56,20.8,,,Percent of total billed charges,,148.93,20.4,,,Percent of total billed charges,,146.06,,176.7,,Case rate,,176.7,,20.49,,Case rate,,20.49,80,,,Percent of total billed charges,,572.8,61.6,,,Percent of total billed charges,,441.06,20.6,,,Percent of total billed charges,,147.5,20.6,,,Percent of total billed charges,,147.5,65.55,,,Percent of total billed charges,,469.34,21,,,Percent of total billed charges,,150.36,90,,,Percent of total billed charges,,644.4,21,,,Percent of total billed charges,,150.36,21,,,Percent of total billed charges,,150.36,64.9,,,Percent of total billed charges,,464.68,21,,,Percent of total billed charges,,150.36,,509.85,,Case rate,,509.85,20.49,716,
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,,,,Outpatient,Facility,,,400,160,66,,,Percent of total billed charges,,264,20.8,,,Percent of total billed charges,,83.2,20.4,,,Percent of total billed charges,,81.6,,11.06,,Case rate,,11.06,,0.73,,Case rate,,0.73,80,,,Percent of total billed charges,,320,61.6,,,Percent of total billed charges,,246.4,20.6,,,Percent of total billed charges,,82.4,20.6,,,Percent of total billed charges,,82.4,65.55,,,Percent of total billed charges,,262.2,21,,,Percent of total billed charges,,84,90,,,Percent of total billed charges,,360,21,,,Percent of total billed charges,,84,21,,,Percent of total billed charges,,84,64.9,,,Percent of total billed charges,,259.6,21,,,Percent of total billed charges,,84,,129.4,,Case rate,,129.4,0.73,400,
"Puncture aspiration of abscess, hematoma, bulla, or cyst",10160,CPT,,,,Outpatient,Facility,,,410,164,66,,,Percent of total billed charges,,270.6,20.8,,,Percent of total billed charges,,85.28,20.4,,,Percent of total billed charges,,83.64,,125.99,,Case rate,,125.99,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,328,61.6,,,Percent of total billed charges,,252.56,20.6,,,Percent of total billed charges,,84.46,20.6,,,Percent of total billed charges,,84.46,65.55,,,Percent of total billed charges,,268.76,21,,,Percent of total billed charges,,86.1,90,,,Percent of total billed charges,,369,21,,,Percent of total billed charges,,86.1,21,,,Percent of total billed charges,,86.1,64.9,,,Percent of total billed charges,,266.09,21,,,Percent of total billed charges,,86.1,,348.32,,Case rate,,348.32,13.86,410,
"Puraply am, per square centimeter",Q4196,CPT,,,,Outpatient,Facility,,,3232.32,1292.93,66,,,Percent of total billed charges,,2133.33,20.8,,,Percent of total billed charges,,672.32,20.4,,,Percent of total billed charges,,659.39,,108.34,,Case rate,,108.34,,3.89,,Case rate,,3.89,80,,,Percent of total billed charges,,2585.86,61.6,,,Percent of total billed charges,,1991.11,20.6,,,Percent of total billed charges,,665.86,20.6,,,Percent of total billed charges,,665.86,65.55,,,Percent of total billed charges,,2118.79,21,,,Percent of total billed charges,,678.79,90,,,Percent of total billed charges,,2909.09,21,,,Percent of total billed charges,,678.79,21,,,Percent of total billed charges,,678.79,64.9,,,Percent of total billed charges,,2097.78,21,,,Percent of total billed charges,,678.79,,120.38,,Case rate,,120.38,3.89,3232.32,
"Rabies vaccine, for intramuscular use",90675,CPT,,,,Outpatient,Facility,,,3020.62,1208.25,66,,,Percent of total billed charges,,1993.61,20.8,,,Percent of total billed charges,,628.29,20.4,,,Percent of total billed charges,,616.21,,471.86,,Case rate,,471.86,,27.23,,Case rate,,27.23,80,,,Percent of total billed charges,,2416.5,61.6,,,Percent of total billed charges,,1860.7,20.6,,,Percent of total billed charges,,622.25,20.6,,,Percent of total billed charges,,622.25,65.55,,,Percent of total billed charges,,1980.02,21,,,Percent of total billed charges,,634.33,90,,,Percent of total billed charges,,2718.56,21,,,Percent of total billed charges,,634.33,21,,,Percent of total billed charges,,634.33,64.9,,,Percent of total billed charges,,1960.38,21,,,Percent of total billed charges,,634.33,,392.78,,Case rate,,392.78,27.23,3020.62,
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,32076010,CDM,TC,Outpatient,Facility,,,174,69.6,66,,,Percent of total billed charges,,114.84,20.8,,,Percent of total billed charges,,36.19,20.4,,,Percent of total billed charges,,35.5,,20.23,,Case rate,,20.23,,3.55,,Case rate,,3.55,80,,,Percent of total billed charges,,139.2,61.6,,,Percent of total billed charges,,107.18,20.6,,,Percent of total billed charges,,35.84,20.6,,,Percent of total billed charges,,35.84,65.55,,,Percent of total billed charges,,114.06,21,,,Percent of total billed charges,,36.54,90,,,Percent of total billed charges,,156.6,21,,,Percent of total billed charges,,36.54,21,,,Percent of total billed charges,,36.54,64.9,,,Percent of total billed charges,,112.93,21,,,Percent of total billed charges,,36.54,,93.74,,Case rate,,93.74,3.55,174,
"Radiologic examination, abdomen; 1 view",74018,CPT,32074018,CDM,TC,Outpatient,Facility,,,184,73.6,66,,,Percent of total billed charges,,121.44,20.8,,,Percent of total billed charges,,38.27,20.4,,,Percent of total billed charges,,37.54,,20.23,,Case rate,,20.23,,1.16,,Case rate,,1.16,80,,,Percent of total billed charges,,147.2,61.6,,,Percent of total billed charges,,113.34,20.6,,,Percent of total billed charges,,37.9,20.6,,,Percent of total billed charges,,37.9,65.55,,,Percent of total billed charges,,120.61,21,,,Percent of total billed charges,,38.64,90,,,Percent of total billed charges,,165.6,21,,,Percent of total billed charges,,38.64,21,,,Percent of total billed charges,,38.64,64.9,,,Percent of total billed charges,,119.42,21,,,Percent of total billed charges,,38.64,,196.49,,Case rate,,196.49,1.16,196.49,
"Radiologic examination, abdomen; 3 or more views",74021,CPT,,,,Outpatient,Facility,,,365,146,66,,,Percent of total billed charges,,240.9,20.8,,,Percent of total billed charges,,75.92,20.4,,,Percent of total billed charges,,74.46,,28.76,,Case rate,,28.76,,1.62,,Case rate,,1.62,80,,,Percent of total billed charges,,292,61.6,,,Percent of total billed charges,,224.84,20.6,,,Percent of total billed charges,,75.19,20.6,,,Percent of total billed charges,,75.19,65.55,,,Percent of total billed charges,,239.26,21,,,Percent of total billed charges,,76.65,90,,,Percent of total billed charges,,328.5,21,,,Percent of total billed charges,,76.65,21,,,Percent of total billed charges,,76.65,64.9,,,Percent of total billed charges,,236.88,21,,,Percent of total billed charges,,76.65,,376.92,,Case rate,,376.92,1.62,376.92,
"Radiologic examination, abdomen; 3 or more views",74021,CPT,32074021,CDM,TC,Outpatient,Facility,,,365,146,66,,,Percent of total billed charges,,240.9,20.8,,,Percent of total billed charges,,75.92,20.4,,,Percent of total billed charges,,74.46,,28.76,,Case rate,,28.76,,1.62,,Case rate,,1.62,80,,,Percent of total billed charges,,292,61.6,,,Percent of total billed charges,,224.84,20.6,,,Percent of total billed charges,,75.19,20.6,,,Percent of total billed charges,,75.19,65.55,,,Percent of total billed charges,,239.26,21,,,Percent of total billed charges,,76.65,90,,,Percent of total billed charges,,328.5,21,,,Percent of total billed charges,,76.65,21,,,Percent of total billed charges,,76.65,64.9,,,Percent of total billed charges,,236.88,21,,,Percent of total billed charges,,76.65,,376.92,,Case rate,,376.92,1.62,376.92,
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,,,,Outpatient,Facility,,,475,190,66,,,Percent of total billed charges,,313.5,20.8,,,Percent of total billed charges,,98.8,20.4,,,Percent of total billed charges,,96.9,,33.5,,Case rate,,33.5,,8.44,,Case rate,,8.44,80,,,Percent of total billed charges,,380,61.6,,,Percent of total billed charges,,292.6,20.6,,,Percent of total billed charges,,97.85,20.6,,,Percent of total billed charges,,97.85,65.55,,,Percent of total billed charges,,311.36,21,,,Percent of total billed charges,,99.75,90,,,Percent of total billed charges,,427.5,21,,,Percent of total billed charges,,99.75,21,,,Percent of total billed charges,,99.75,64.9,,,Percent of total billed charges,,308.28,21,,,Percent of total billed charges,,99.75,,214.51,,Case rate,,214.51,8.44,475,
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation",76080,CPT,32076080,CDM,TC,Outpatient,Facility,,,475,190,66,,,Percent of total billed charges,,313.5,20.8,,,Percent of total billed charges,,98.8,20.4,,,Percent of total billed charges,,96.9,,33.5,,Case rate,,33.5,,8.44,,Case rate,,8.44,80,,,Percent of total billed charges,,380,61.6,,,Percent of total billed charges,,292.6,20.6,,,Percent of total billed charges,,97.85,20.6,,,Percent of total billed charges,,97.85,65.55,,,Percent of total billed charges,,311.36,21,,,Percent of total billed charges,,99.75,90,,,Percent of total billed charges,,427.5,21,,,Percent of total billed charges,,99.75,21,,,Percent of total billed charges,,99.75,64.9,,,Percent of total billed charges,,308.28,21,,,Percent of total billed charges,,99.75,,214.51,,Case rate,,214.51,8.44,475,
"Radiologic examination, ankle; 2 views",73600,CPT,32073600,CDM,TC,Outpatient,Facility,,,232,92.8,66,,,Percent of total billed charges,,153.12,20.8,,,Percent of total billed charges,,48.26,20.4,,,Percent of total billed charges,,47.33,,23.39,,Case rate,,23.39,,3.33,,Case rate,,3.33,80,,,Percent of total billed charges,,185.6,61.6,,,Percent of total billed charges,,142.91,20.6,,,Percent of total billed charges,,47.79,20.6,,,Percent of total billed charges,,47.79,65.55,,,Percent of total billed charges,,152.08,21,,,Percent of total billed charges,,48.72,90,,,Percent of total billed charges,,208.8,21,,,Percent of total billed charges,,48.72,21,,,Percent of total billed charges,,48.72,64.9,,,Percent of total billed charges,,150.57,21,,,Percent of total billed charges,,48.72,,74.1,,Case rate,,74.1,3.33,232,
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,,,,Outpatient,Facility,,,276,110.4,66,,,Percent of total billed charges,,182.16,20.8,,,Percent of total billed charges,,57.41,20.4,,,Percent of total billed charges,,56.3,,27.18,,Case rate,,27.18,,3.55,,Case rate,,3.55,80,,,Percent of total billed charges,,220.8,61.6,,,Percent of total billed charges,,170.02,20.6,,,Percent of total billed charges,,56.86,20.6,,,Percent of total billed charges,,56.86,65.55,,,Percent of total billed charges,,180.92,21,,,Percent of total billed charges,,57.96,90,,,Percent of total billed charges,,248.4,21,,,Percent of total billed charges,,57.96,21,,,Percent of total billed charges,,57.96,64.9,,,Percent of total billed charges,,179.12,21,,,Percent of total billed charges,,57.96,,78.42,,Case rate,,78.42,3.55,276,
"Radiologic examination, chest; 3 views",71047,CPT,32471047,CDM,TC,Outpatient,Facility,,,344,137.6,66,,,Percent of total billed charges,,227.04,20.8,,,Percent of total billed charges,,71.55,20.4,,,Percent of total billed charges,,70.18,,27.81,,Case rate,,27.81,,1.6,,Case rate,,1.6,80,,,Percent of total billed charges,,275.2,61.6,,,Percent of total billed charges,,211.9,20.6,,,Percent of total billed charges,,70.86,20.6,,,Percent of total billed charges,,70.86,65.55,,,Percent of total billed charges,,225.49,21,,,Percent of total billed charges,,72.24,90,,,Percent of total billed charges,,309.6,21,,,Percent of total billed charges,,72.24,21,,,Percent of total billed charges,,72.24,64.9,,,Percent of total billed charges,,223.26,21,,,Percent of total billed charges,,72.24,,188.74,,Case rate,,188.74,1.6,344,
"Radiologic examination, chest; 4 or more views",71048,CPT,,,,Outpatient,Facility,,,344,137.6,66,,,Percent of total billed charges,,227.04,20.8,,,Percent of total billed charges,,71.55,20.4,,,Percent of total billed charges,,70.18,,30.03,,Case rate,,30.03,,1.64,,Case rate,,1.64,80,,,Percent of total billed charges,,275.2,61.6,,,Percent of total billed charges,,211.9,20.6,,,Percent of total billed charges,,70.86,20.6,,,Percent of total billed charges,,70.86,65.55,,,Percent of total billed charges,,225.49,21,,,Percent of total billed charges,,72.24,90,,,Percent of total billed charges,,309.6,21,,,Percent of total billed charges,,72.24,21,,,Percent of total billed charges,,72.24,64.9,,,Percent of total billed charges,,223.26,21,,,Percent of total billed charges,,72.24,,358.53,,Case rate,,358.53,1.64,358.53,
"Radiologic examination, chest; 4 or more views",71048,CPT,32471048,CDM,TC,Outpatient,Facility,,,344,137.6,66,,,Percent of total billed charges,,227.04,20.8,,,Percent of total billed charges,,71.55,20.4,,,Percent of total billed charges,,70.18,,30.03,,Case rate,,30.03,,1.64,,Case rate,,1.64,80,,,Percent of total billed charges,,275.2,61.6,,,Percent of total billed charges,,211.9,20.6,,,Percent of total billed charges,,70.86,20.6,,,Percent of total billed charges,,70.86,65.55,,,Percent of total billed charges,,225.49,21,,,Percent of total billed charges,,72.24,90,,,Percent of total billed charges,,309.6,21,,,Percent of total billed charges,,72.24,21,,,Percent of total billed charges,,72.24,64.9,,,Percent of total billed charges,,223.26,21,,,Percent of total billed charges,,72.24,,358.53,,Case rate,,358.53,1.64,358.53,
"Radiologic examination, chest; single view",71045,CPT,32471045,CDM,TC,Outpatient,Facility,,,287,114.8,66,,,Percent of total billed charges,,189.42,20.8,,,Percent of total billed charges,,59.7,20.4,,,Percent of total billed charges,,58.55,,16.43,,Case rate,,16.43,,0.69,,Case rate,,0.69,80,,,Percent of total billed charges,,229.6,61.6,,,Percent of total billed charges,,176.79,20.6,,,Percent of total billed charges,,59.12,20.6,,,Percent of total billed charges,,59.12,65.55,,,Percent of total billed charges,,188.13,21,,,Percent of total billed charges,,60.27,90,,,Percent of total billed charges,,258.3,21,,,Percent of total billed charges,,60.27,21,,,Percent of total billed charges,,60.27,64.9,,,Percent of total billed charges,,186.26,21,,,Percent of total billed charges,,60.27,,94.53,,Case rate,,94.53,0.69,287,
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,,,,Outpatient,Facility,,,925,370,66,,,Percent of total billed charges,,610.5,20.8,,,Percent of total billed charges,,192.4,20.4,,,Percent of total billed charges,,188.7,,156.48,,Case rate,,156.48,,16.78,,Case rate,,16.78,80,,,Percent of total billed charges,,740,61.6,,,Percent of total billed charges,,569.8,20.6,,,Percent of total billed charges,,190.55,20.6,,,Percent of total billed charges,,190.55,65.55,,,Percent of total billed charges,,606.34,21,,,Percent of total billed charges,,194.25,90,,,Percent of total billed charges,,832.5,21,,,Percent of total billed charges,,194.25,21,,,Percent of total billed charges,,194.25,64.9,,,Percent of total billed charges,,600.32,21,,,Percent of total billed charges,,194.25,,419.5,,Case rate,,419.5,16.78,925,
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,,,,Outpatient,Facility,,,403,161.2,66,,,Percent of total billed charges,,265.98,20.8,,,Percent of total billed charges,,83.82,20.4,,,Percent of total billed charges,,82.21,,32.87,,Case rate,,32.87,,5.51,,Case rate,,5.51,80,,,Percent of total billed charges,,322.4,61.6,,,Percent of total billed charges,,248.25,20.6,,,Percent of total billed charges,,83.02,20.6,,,Percent of total billed charges,,83.02,65.55,,,Percent of total billed charges,,264.17,21,,,Percent of total billed charges,,84.63,90,,,Percent of total billed charges,,362.7,21,,,Percent of total billed charges,,84.63,21,,,Percent of total billed charges,,84.63,64.9,,,Percent of total billed charges,,261.55,21,,,Percent of total billed charges,,84.63,,140.64,,Case rate,,140.64,5.51,403,
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study",74221,CPT,,,,Outpatient,Facility,,,294,117.6,66,,,Percent of total billed charges,,194.04,20.8,,,Percent of total billed charges,,61.15,20.4,,,Percent of total billed charges,,59.98,,74.92,,Case rate,,74.92,,4.17,,Case rate,,4.17,80,,,Percent of total billed charges,,235.2,61.6,,,Percent of total billed charges,,181.1,20.6,,,Percent of total billed charges,,60.56,20.6,,,Percent of total billed charges,,60.56,65.55,,,Percent of total billed charges,,192.72,21,,,Percent of total billed charges,,61.74,90,,,Percent of total billed charges,,264.6,21,,,Percent of total billed charges,,61.74,21,,,Percent of total billed charges,,61.74,64.9,,,Percent of total billed charges,,190.81,21,,,Percent of total billed charges,,61.74,,224.49,,Case rate,,224.49,4.17,294,
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,32074220,CDM,TC,Outpatient,Facility,,,341,136.4,66,,,Percent of total billed charges,,225.06,20.8,,,Percent of total billed charges,,70.93,20.4,,,Percent of total billed charges,,69.56,,67.33,,Case rate,,67.33,,8.43,,Case rate,,8.43,80,,,Percent of total billed charges,,272.8,61.6,,,Percent of total billed charges,,210.06,20.6,,,Percent of total billed charges,,70.25,20.6,,,Percent of total billed charges,,70.25,65.55,,,Percent of total billed charges,,223.53,21,,,Percent of total billed charges,,71.61,90,,,Percent of total billed charges,,306.9,21,,,Percent of total billed charges,,71.61,21,,,Percent of total billed charges,,71.61,64.9,,,Percent of total billed charges,,221.31,21,,,Percent of total billed charges,,71.61,,198.67,,Case rate,,198.67,8.43,341,
"Radiologic examination, eye, for detection of foreign body",70030,CPT,32070030,CDM,TC,Outpatient,Facility,,,184,73.6,66,,,Percent of total billed charges,,121.44,20.8,,,Percent of total billed charges,,38.27,20.4,,,Percent of total billed charges,,37.54,,22.75,,Case rate,,22.75,,3.07,,Case rate,,3.07,80,,,Percent of total billed charges,,147.2,61.6,,,Percent of total billed charges,,113.34,20.6,,,Percent of total billed charges,,37.9,20.6,,,Percent of total billed charges,,37.9,65.55,,,Percent of total billed charges,,120.61,21,,,Percent of total billed charges,,38.64,90,,,Percent of total billed charges,,165.6,21,,,Percent of total billed charges,,38.64,21,,,Percent of total billed charges,,38.64,64.9,,,Percent of total billed charges,,119.42,21,,,Percent of total billed charges,,38.64,,81.53,,Case rate,,81.53,3.07,184,
"Radiologic examination, facial bones; less than 3 views",70140,CPT,32070140,CDM,TC,Outpatient,Facility,,,151,60.4,66,,,Percent of total billed charges,,99.66,20.8,,,Percent of total billed charges,,31.41,20.4,,,Percent of total billed charges,,30.8,,21.49,,Case rate,,21.49,,4.85,,Case rate,,4.85,80,,,Percent of total billed charges,,120.8,61.6,,,Percent of total billed charges,,93.02,20.6,,,Percent of total billed charges,,31.11,20.6,,,Percent of total billed charges,,31.11,65.55,,,Percent of total billed charges,,98.98,21,,,Percent of total billed charges,,31.71,90,,,Percent of total billed charges,,135.9,21,,,Percent of total billed charges,,31.71,21,,,Percent of total billed charges,,31.71,64.9,,,Percent of total billed charges,,98,21,,,Percent of total billed charges,,31.71,,126.34,,Case rate,,126.34,4.85,151,
"Radiologic examination, femur; 1 view",73551,CPT,32073551,CDM,TC,Outpatient,Facility,,,222,88.8,66,,,Percent of total billed charges,,146.52,20.8,,,Percent of total billed charges,,46.18,20.4,,,Percent of total billed charges,,45.29,,20.23,,Case rate,,20.23,,1.34,,Case rate,,1.34,80,,,Percent of total billed charges,,177.6,61.6,,,Percent of total billed charges,,136.75,20.6,,,Percent of total billed charges,,45.73,20.6,,,Percent of total billed charges,,45.73,65.55,,,Percent of total billed charges,,145.52,21,,,Percent of total billed charges,,46.62,90,,,Percent of total billed charges,,199.8,21,,,Percent of total billed charges,,46.62,21,,,Percent of total billed charges,,46.62,64.9,,,Percent of total billed charges,,144.08,21,,,Percent of total billed charges,,46.62,,190.78,,Case rate,,190.78,1.34,222,
"Radiologic examination, femur; minimum 2 views",73552,CPT,,,,Outpatient,Facility,,,290,116,66,,,Percent of total billed charges,,191.4,20.8,,,Percent of total billed charges,,60.32,20.4,,,Percent of total billed charges,,59.16,,25.6,,Case rate,,25.6,,1.59,,Case rate,,1.59,80,,,Percent of total billed charges,,232,61.6,,,Percent of total billed charges,,178.64,20.6,,,Percent of total billed charges,,59.74,20.6,,,Percent of total billed charges,,59.74,65.55,,,Percent of total billed charges,,190.1,21,,,Percent of total billed charges,,60.9,90,,,Percent of total billed charges,,261,21,,,Percent of total billed charges,,60.9,21,,,Percent of total billed charges,,60.9,64.9,,,Percent of total billed charges,,188.21,21,,,Percent of total billed charges,,60.9,,172.72,,Case rate,,172.72,1.59,290,
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,,,,Outpatient,Facility,,,345,138,66,,,Percent of total billed charges,,227.7,20.8,,,Percent of total billed charges,,71.76,20.4,,,Percent of total billed charges,,70.38,,29.71,,Case rate,,29.71,,2.81,,Case rate,,2.81,80,,,Percent of total billed charges,,276,61.6,,,Percent of total billed charges,,212.52,20.6,,,Percent of total billed charges,,71.07,20.6,,,Percent of total billed charges,,71.07,65.55,,,Percent of total billed charges,,226.15,21,,,Percent of total billed charges,,72.45,90,,,Percent of total billed charges,,310.5,21,,,Percent of total billed charges,,72.45,21,,,Percent of total billed charges,,72.45,64.9,,,Percent of total billed charges,,223.9,21,,,Percent of total billed charges,,72.45,,75.77,,Case rate,,75.77,2.81,345,
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,,,,Outpatient,Facility,,,276,110.4,66,,,Percent of total billed charges,,182.16,20.8,,,Percent of total billed charges,,57.41,20.4,,,Percent of total billed charges,,56.3,,24.97,,Case rate,,24.97,,3.55,,Case rate,,3.55,80,,,Percent of total billed charges,,220.8,61.6,,,Percent of total billed charges,,170.02,20.6,,,Percent of total billed charges,,56.86,20.6,,,Percent of total billed charges,,56.86,65.55,,,Percent of total billed charges,,180.92,21,,,Percent of total billed charges,,57.96,90,,,Percent of total billed charges,,248.4,21,,,Percent of total billed charges,,57.96,21,,,Percent of total billed charges,,57.96,64.9,,,Percent of total billed charges,,179.12,21,,,Percent of total billed charges,,57.96,,93.32,,Case rate,,93.32,3.55,276,
"Radiologic examination, hand; 2 views",73120,CPT,32073120,CDM,TC,Outpatient,Facility,,,232,92.8,66,,,Percent of total billed charges,,153.12,20.8,,,Percent of total billed charges,,48.26,20.4,,,Percent of total billed charges,,47.33,,22.12,,Case rate,,22.12,,3.34,,Case rate,,3.34,80,,,Percent of total billed charges,,185.6,61.6,,,Percent of total billed charges,,142.91,20.6,,,Percent of total billed charges,,47.79,20.6,,,Percent of total billed charges,,47.79,65.55,,,Percent of total billed charges,,152.08,21,,,Percent of total billed charges,,48.72,90,,,Percent of total billed charges,,208.8,21,,,Percent of total billed charges,,48.72,21,,,Percent of total billed charges,,48.72,64.9,,,Percent of total billed charges,,150.57,21,,,Percent of total billed charges,,48.72,,88.91,,Case rate,,88.91,3.34,232,
"Radiologic examination, hand; minimum of 3 views",73130,CPT,32073130,CDM,TC,Outpatient,Facility,,,389,155.6,66,,,Percent of total billed charges,,256.74,20.8,,,Percent of total billed charges,,80.91,20.4,,,Percent of total billed charges,,79.36,,27.18,,Case rate,,27.18,,3.55,,Case rate,,3.55,80,,,Percent of total billed charges,,311.2,61.6,,,Percent of total billed charges,,239.62,20.6,,,Percent of total billed charges,,80.13,20.6,,,Percent of total billed charges,,80.13,65.55,,,Percent of total billed charges,,254.99,21,,,Percent of total billed charges,,81.69,90,,,Percent of total billed charges,,350.1,21,,,Percent of total billed charges,,81.69,21,,,Percent of total billed charges,,81.69,64.9,,,Percent of total billed charges,,252.46,21,,,Percent of total billed charges,,81.69,,79.95,,Case rate,,79.95,3.55,389,
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,,,,Outpatient,Facility,,,361,144.4,66,,,Percent of total billed charges,,238.26,20.8,,,Percent of total billed charges,,75.09,20.4,,,Percent of total billed charges,,73.64,,37.61,,Case rate,,37.61,,2.33,,Case rate,,2.33,80,,,Percent of total billed charges,,288.8,61.6,,,Percent of total billed charges,,222.38,20.6,,,Percent of total billed charges,,74.37,20.6,,,Percent of total billed charges,,74.37,65.55,,,Percent of total billed charges,,236.64,21,,,Percent of total billed charges,,75.81,90,,,Percent of total billed charges,,324.9,21,,,Percent of total billed charges,,75.81,21,,,Percent of total billed charges,,75.81,64.9,,,Percent of total billed charges,,234.29,21,,,Percent of total billed charges,,75.81,,344.28,,Case rate,,344.28,2.33,361,
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,,,,Outpatient,Facility,,,688,275.2,66,,,Percent of total billed charges,,454.08,20.8,,,Percent of total billed charges,,143.1,20.4,,,Percent of total billed charges,,140.35,,44.57,,Case rate,,44.57,,2.8,,Case rate,,2.8,80,,,Percent of total billed charges,,550.4,61.6,,,Percent of total billed charges,,423.81,20.6,,,Percent of total billed charges,,141.73,20.6,,,Percent of total billed charges,,141.73,65.55,,,Percent of total billed charges,,450.98,21,,,Percent of total billed charges,,144.48,90,,,Percent of total billed charges,,619.2,21,,,Percent of total billed charges,,144.48,21,,,Percent of total billed charges,,144.48,64.9,,,Percent of total billed charges,,446.51,21,,,Percent of total billed charges,,144.48,,688.42,,Case rate,,688.42,2.8,688.42,
"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views",73523,CPT,32073523,CDM,TC,Outpatient,Facility,,,688,275.2,66,,,Percent of total billed charges,,454.08,20.8,,,Percent of total billed charges,,143.1,20.4,,,Percent of total billed charges,,140.35,,44.57,,Case rate,,44.57,,2.8,,Case rate,,2.8,80,,,Percent of total billed charges,,550.4,61.6,,,Percent of total billed charges,,423.81,20.6,,,Percent of total billed charges,,141.73,20.6,,,Percent of total billed charges,,141.73,65.55,,,Percent of total billed charges,,450.98,21,,,Percent of total billed charges,,144.48,90,,,Percent of total billed charges,,619.2,21,,,Percent of total billed charges,,144.48,21,,,Percent of total billed charges,,144.48,64.9,,,Percent of total billed charges,,446.51,21,,,Percent of total billed charges,,144.48,,688.42,,Case rate,,688.42,2.8,688.42,
"Radiologic examination, knee; 1 or 2 views",73560,CPT,,,,Outpatient,Facility,,,232,92.8,66,,,Percent of total billed charges,,153.12,20.8,,,Percent of total billed charges,,48.26,20.4,,,Percent of total billed charges,,47.33,,24.97,,Case rate,,24.97,,3.46,,Case rate,,3.46,80,,,Percent of total billed charges,,185.6,61.6,,,Percent of total billed charges,,142.91,20.6,,,Percent of total billed charges,,47.79,20.6,,,Percent of total billed charges,,47.79,65.55,,,Percent of total billed charges,,152.08,21,,,Percent of total billed charges,,48.72,90,,,Percent of total billed charges,,208.8,21,,,Percent of total billed charges,,48.72,21,,,Percent of total billed charges,,48.72,64.9,,,Percent of total billed charges,,150.57,21,,,Percent of total billed charges,,48.72,,90.12,,Case rate,,90.12,3.46,232,
"Radiologic examination, knee; 3 views",73562,CPT,,,,Outpatient,Facility,,,437,174.8,66,,,Percent of total billed charges,,288.42,20.8,,,Percent of total billed charges,,90.9,20.4,,,Percent of total billed charges,,89.15,,30.03,,Case rate,,30.03,,3.82,,Case rate,,3.82,80,,,Percent of total billed charges,,349.6,61.6,,,Percent of total billed charges,,269.19,20.6,,,Percent of total billed charges,,90.02,20.6,,,Percent of total billed charges,,90.02,65.55,,,Percent of total billed charges,,286.45,21,,,Percent of total billed charges,,91.77,90,,,Percent of total billed charges,,393.3,21,,,Percent of total billed charges,,91.77,21,,,Percent of total billed charges,,91.77,64.9,,,Percent of total billed charges,,283.61,21,,,Percent of total billed charges,,91.77,,100.85,,Case rate,,100.85,3.82,437,
"Radiologic examination, knee; 3 views",73562,CPT,32073562,CDM,TC,Outpatient,Facility,,,437,174.8,66,,,Percent of total billed charges,,288.42,20.8,,,Percent of total billed charges,,90.9,20.4,,,Percent of total billed charges,,89.15,,30.03,,Case rate,,30.03,,3.82,,Case rate,,3.82,80,,,Percent of total billed charges,,349.6,61.6,,,Percent of total billed charges,,269.19,20.6,,,Percent of total billed charges,,90.02,20.6,,,Percent of total billed charges,,90.02,65.55,,,Percent of total billed charges,,286.45,21,,,Percent of total billed charges,,91.77,90,,,Percent of total billed charges,,393.3,21,,,Percent of total billed charges,,91.77,21,,,Percent of total billed charges,,91.77,64.9,,,Percent of total billed charges,,283.61,21,,,Percent of total billed charges,,91.77,,100.85,,Case rate,,100.85,3.82,437,
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,,,,Outpatient,Facility,,,229,91.6,66,,,Percent of total billed charges,,151.14,20.8,,,Percent of total billed charges,,47.63,20.4,,,Percent of total billed charges,,46.72,,30.03,,Case rate,,30.03,,3.34,,Case rate,,3.34,80,,,Percent of total billed charges,,183.2,61.6,,,Percent of total billed charges,,141.06,20.6,,,Percent of total billed charges,,47.17,20.6,,,Percent of total billed charges,,47.17,65.55,,,Percent of total billed charges,,150.11,21,,,Percent of total billed charges,,48.09,90,,,Percent of total billed charges,,206.1,21,,,Percent of total billed charges,,48.09,21,,,Percent of total billed charges,,48.09,64.9,,,Percent of total billed charges,,148.62,21,,,Percent of total billed charges,,48.09,,73.68,,Case rate,,73.68,3.34,229,
"Radiologic examination, knee; both knees, standing, anteroposterior",73565,CPT,32073565,CDM,TC,Outpatient,Facility,,,229,91.6,66,,,Percent of total billed charges,,151.14,20.8,,,Percent of total billed charges,,47.63,20.4,,,Percent of total billed charges,,46.72,,30.03,,Case rate,,30.03,,3.34,,Case rate,,3.34,80,,,Percent of total billed charges,,183.2,61.6,,,Percent of total billed charges,,141.06,20.6,,,Percent of total billed charges,,47.17,20.6,,,Percent of total billed charges,,47.17,65.55,,,Percent of total billed charges,,150.11,21,,,Percent of total billed charges,,48.09,90,,,Percent of total billed charges,,206.1,21,,,Percent of total billed charges,,48.09,21,,,Percent of total billed charges,,48.09,64.9,,,Percent of total billed charges,,148.62,21,,,Percent of total billed charges,,48.09,,73.68,,Case rate,,73.68,3.34,229,
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,,,,Outpatient,Facility,,,238,95.2,66,,,Percent of total billed charges,,157.08,20.8,,,Percent of total billed charges,,49.5,20.4,,,Percent of total billed charges,,48.55,,43.94,,Case rate,,43.94,,5.85,,Case rate,,5.85,80,,,Percent of total billed charges,,190.4,61.6,,,Percent of total billed charges,,146.61,20.6,,,Percent of total billed charges,,49.03,20.6,,,Percent of total billed charges,,49.03,65.55,,,Percent of total billed charges,,156.01,21,,,Percent of total billed charges,,49.98,90,,,Percent of total billed charges,,214.2,21,,,Percent of total billed charges,,49.98,21,,,Percent of total billed charges,,49.98,64.9,,,Percent of total billed charges,,154.46,21,,,Percent of total billed charges,,49.98,,134.83,,Case rate,,134.83,5.85,238,
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,32070160,CDM,TC,Outpatient,Facility,,,344,137.6,66,,,Percent of total billed charges,,227.04,20.8,,,Percent of total billed charges,,71.55,20.4,,,Percent of total billed charges,,70.18,,28.45,,Case rate,,28.45,,3.72,,Case rate,,3.72,80,,,Percent of total billed charges,,275.2,61.6,,,Percent of total billed charges,,211.9,20.6,,,Percent of total billed charges,,70.86,20.6,,,Percent of total billed charges,,70.86,65.55,,,Percent of total billed charges,,225.49,21,,,Percent of total billed charges,,72.24,90,,,Percent of total billed charges,,309.6,21,,,Percent of total billed charges,,72.24,21,,,Percent of total billed charges,,72.24,64.9,,,Percent of total billed charges,,223.26,21,,,Percent of total billed charges,,72.24,,98.9,,Case rate,,98.9,3.72,344,
"Radiologic examination, osseous survey, infant",77076,CPT,32077076,CDM,TC,Outpatient,Facility,,,380,152,66,,,Percent of total billed charges,,250.8,20.8,,,Percent of total billed charges,,79.04,20.4,,,Percent of total billed charges,,77.52,,70.49,,Case rate,,70.49,,6.95,,Case rate,,6.95,80,,,Percent of total billed charges,,304,61.6,,,Percent of total billed charges,,234.08,20.6,,,Percent of total billed charges,,78.28,20.6,,,Percent of total billed charges,,78.28,65.55,,,Percent of total billed charges,,249.09,21,,,Percent of total billed charges,,79.8,90,,,Percent of total billed charges,,342,21,,,Percent of total billed charges,,79.8,21,,,Percent of total billed charges,,79.8,64.9,,,Percent of total billed charges,,246.62,21,,,Percent of total billed charges,,79.8,,169.79,,Case rate,,169.79,6.95,380,
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,,,,Outpatient,Facility,,,690,276,66,,,Percent of total billed charges,,455.4,20.8,,,Percent of total billed charges,,143.52,20.4,,,Percent of total billed charges,,140.76,,69.85,,Case rate,,69.85,,11.19,,Case rate,,11.19,80,,,Percent of total billed charges,,552,61.6,,,Percent of total billed charges,,425.04,20.6,,,Percent of total billed charges,,142.14,20.6,,,Percent of total billed charges,,142.14,65.55,,,Percent of total billed charges,,452.3,21,,,Percent of total billed charges,,144.9,90,,,Percent of total billed charges,,621,21,,,Percent of total billed charges,,144.9,21,,,Percent of total billed charges,,144.9,64.9,,,Percent of total billed charges,,447.81,21,,,Percent of total billed charges,,144.9,,369.16,,Case rate,,369.16,11.19,690,
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)",77075,CPT,32077075,CDM,TC,Outpatient,Facility,,,690,276,66,,,Percent of total billed charges,,455.4,20.8,,,Percent of total billed charges,,143.52,20.4,,,Percent of total billed charges,,140.76,,69.85,,Case rate,,69.85,,11.19,,Case rate,,11.19,80,,,Percent of total billed charges,,552,61.6,,,Percent of total billed charges,,425.04,20.6,,,Percent of total billed charges,,142.14,20.6,,,Percent of total billed charges,,142.14,65.55,,,Percent of total billed charges,,452.3,21,,,Percent of total billed charges,,144.9,90,,,Percent of total billed charges,,621,21,,,Percent of total billed charges,,144.9,21,,,Percent of total billed charges,,144.9,64.9,,,Percent of total billed charges,,447.81,21,,,Percent of total billed charges,,144.9,,369.16,,Case rate,,369.16,11.19,690,
"Radiologic examination, pelvis; complete, minimum of 3 views",72190,CPT,,,,Outpatient,Facility,,,477,190.8,66,,,Percent of total billed charges,,314.82,20.8,,,Percent of total billed charges,,99.22,20.4,,,Percent of total billed charges,,97.31,,28.76,,Case rate,,28.76,,4.43,,Case rate,,4.43,80,,,Percent of total billed charges,,381.6,61.6,,,Percent of total billed charges,,293.83,20.6,,,Percent of total billed charges,,98.26,20.6,,,Percent of total billed charges,,98.26,65.55,,,Percent of total billed charges,,312.67,21,,,Percent of total billed charges,,100.17,90,,,Percent of total billed charges,,429.3,21,,,Percent of total billed charges,,100.17,21,,,Percent of total billed charges,,100.17,64.9,,,Percent of total billed charges,,309.57,21,,,Percent of total billed charges,,100.17,,115.33,,Case rate,,115.33,4.43,477,
"Radiologic examination, pelvis; complete, minimum of 3 views",72190,CPT,32072190,CDM,TC,Outpatient,Facility,,,477,190.8,66,,,Percent of total billed charges,,314.82,20.8,,,Percent of total billed charges,,99.22,20.4,,,Percent of total billed charges,,97.31,,28.76,,Case rate,,28.76,,4.43,,Case rate,,4.43,80,,,Percent of total billed charges,,381.6,61.6,,,Percent of total billed charges,,293.83,20.6,,,Percent of total billed charges,,98.26,20.6,,,Percent of total billed charges,,98.26,65.55,,,Percent of total billed charges,,312.67,21,,,Percent of total billed charges,,100.17,90,,,Percent of total billed charges,,429.3,21,,,Percent of total billed charges,,100.17,21,,,Percent of total billed charges,,100.17,64.9,,,Percent of total billed charges,,309.57,21,,,Percent of total billed charges,,100.17,,115.33,,Case rate,,115.33,4.43,477,
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,32071111,CDM,TC,Outpatient,Facility,,,615,246,66,,,Percent of total billed charges,,405.9,20.8,,,Percent of total billed charges,,127.92,20.4,,,Percent of total billed charges,,125.46,,35.4,,Case rate,,35.4,,6.22,,Case rate,,6.22,80,,,Percent of total billed charges,,492,61.6,,,Percent of total billed charges,,378.84,20.6,,,Percent of total billed charges,,126.69,20.6,,,Percent of total billed charges,,126.69,65.55,,,Percent of total billed charges,,403.13,21,,,Percent of total billed charges,,129.15,90,,,Percent of total billed charges,,553.5,21,,,Percent of total billed charges,,129.15,21,,,Percent of total billed charges,,129.15,64.9,,,Percent of total billed charges,,399.14,21,,,Percent of total billed charges,,129.15,,158.33,,Case rate,,158.33,6.22,615,
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,,,,Outpatient,Facility,,,409,163.6,66,,,Percent of total billed charges,,269.94,20.8,,,Percent of total billed charges,,85.07,20.4,,,Percent of total billed charges,,83.44,,28.13,,Case rate,,28.13,,5.15,,Case rate,,5.15,80,,,Percent of total billed charges,,327.2,61.6,,,Percent of total billed charges,,251.94,20.6,,,Percent of total billed charges,,84.25,20.6,,,Percent of total billed charges,,84.25,65.55,,,Percent of total billed charges,,268.1,21,,,Percent of total billed charges,,85.89,90,,,Percent of total billed charges,,368.1,21,,,Percent of total billed charges,,85.89,21,,,Percent of total billed charges,,85.89,64.9,,,Percent of total billed charges,,265.44,21,,,Percent of total billed charges,,85.89,,118.16,,Case rate,,118.16,5.15,409,
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views",71101,CPT,32071101,CDM,TC,Outpatient,Facility,,,409,163.6,66,,,Percent of total billed charges,,269.94,20.8,,,Percent of total billed charges,,85.07,20.4,,,Percent of total billed charges,,83.44,,28.13,,Case rate,,28.13,,5.15,,Case rate,,5.15,80,,,Percent of total billed charges,,327.2,61.6,,,Percent of total billed charges,,251.94,20.6,,,Percent of total billed charges,,84.25,20.6,,,Percent of total billed charges,,84.25,65.55,,,Percent of total billed charges,,268.1,21,,,Percent of total billed charges,,85.89,90,,,Percent of total billed charges,,368.1,21,,,Percent of total billed charges,,85.89,21,,,Percent of total billed charges,,85.89,64.9,,,Percent of total billed charges,,265.44,21,,,Percent of total billed charges,,85.89,,118.16,,Case rate,,118.16,5.15,409,
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,,,,Outpatient,Facility,,,276,110.4,66,,,Percent of total billed charges,,182.16,20.8,,,Percent of total billed charges,,57.41,20.4,,,Percent of total billed charges,,56.3,,27.18,,Case rate,,27.18,,4.08,,Case rate,,4.08,80,,,Percent of total billed charges,,220.8,61.6,,,Percent of total billed charges,,170.02,20.6,,,Percent of total billed charges,,56.86,20.6,,,Percent of total billed charges,,56.86,65.55,,,Percent of total billed charges,,180.92,21,,,Percent of total billed charges,,57.96,90,,,Percent of total billed charges,,248.4,21,,,Percent of total billed charges,,57.96,21,,,Percent of total billed charges,,57.96,64.9,,,Percent of total billed charges,,179.12,21,,,Percent of total billed charges,,57.96,,105.49,,Case rate,,105.49,4.08,276,
"Radiologic examination, sacroiliac joints; 3 or more views",72202,CPT,32072202,CDM,TC,Outpatient,Facility,,,276,110.4,66,,,Percent of total billed charges,,182.16,20.8,,,Percent of total billed charges,,57.41,20.4,,,Percent of total billed charges,,56.3,,27.18,,Case rate,,27.18,,4.08,,Case rate,,4.08,80,,,Percent of total billed charges,,220.8,61.6,,,Percent of total billed charges,,170.02,20.6,,,Percent of total billed charges,,56.86,20.6,,,Percent of total billed charges,,56.86,65.55,,,Percent of total billed charges,,180.92,21,,,Percent of total billed charges,,57.96,90,,,Percent of total billed charges,,248.4,21,,,Percent of total billed charges,,57.96,21,,,Percent of total billed charges,,57.96,64.9,,,Percent of total billed charges,,179.12,21,,,Percent of total billed charges,,57.96,,105.49,,Case rate,,105.49,4.08,276,
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,32072220,CDM,TC,Outpatient,Facility,,,455,182,66,,,Percent of total billed charges,,300.3,20.8,,,Percent of total billed charges,,94.64,20.4,,,Percent of total billed charges,,92.82,,23.07,,Case rate,,23.07,,3.85,,Case rate,,3.85,80,,,Percent of total billed charges,,364,61.6,,,Percent of total billed charges,,280.28,20.6,,,Percent of total billed charges,,93.73,20.6,,,Percent of total billed charges,,93.73,65.55,,,Percent of total billed charges,,298.25,21,,,Percent of total billed charges,,95.55,90,,,Percent of total billed charges,,409.5,21,,,Percent of total billed charges,,95.55,21,,,Percent of total billed charges,,95.55,64.9,,,Percent of total billed charges,,295.3,21,,,Percent of total billed charges,,95.55,,100.61,,Case rate,,100.61,3.85,455,
"Radiologic examination, sella turcica",70240,CPT,,,,Outpatient,Facility,,,146,58.4,66,,,Percent of total billed charges,,96.36,20.8,,,Percent of total billed charges,,30.37,20.4,,,Percent of total billed charges,,29.78,,22.75,,Case rate,,22.75,,3.2,,Case rate,,3.2,80,,,Percent of total billed charges,,116.8,61.6,,,Percent of total billed charges,,89.94,20.6,,,Percent of total billed charges,,30.08,20.6,,,Percent of total billed charges,,30.08,65.55,,,Percent of total billed charges,,95.7,21,,,Percent of total billed charges,,30.66,90,,,Percent of total billed charges,,131.4,21,,,Percent of total billed charges,,30.66,21,,,Percent of total billed charges,,30.66,64.9,,,Percent of total billed charges,,94.75,21,,,Percent of total billed charges,,30.66,,70.95,,Case rate,,70.95,3.2,146,
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,,,,Outpatient,Facility,,,579,231.6,66,,,Percent of total billed charges,,382.14,20.8,,,Percent of total billed charges,,120.43,20.4,,,Percent of total billed charges,,118.12,,99.9,,Case rate,,99.9,,13.16,,Case rate,,13.16,80,,,Percent of total billed charges,,463.2,61.6,,,Percent of total billed charges,,356.66,20.6,,,Percent of total billed charges,,119.27,20.6,,,Percent of total billed charges,,119.27,65.55,,,Percent of total billed charges,,379.53,21,,,Percent of total billed charges,,121.59,90,,,Percent of total billed charges,,521.1,21,,,Percent of total billed charges,,121.59,21,,,Percent of total billed charges,,121.59,64.9,,,Percent of total billed charges,,375.77,21,,,Percent of total billed charges,,121.59,,328.82,,Case rate,,328.82,13.16,579,
"Radiologic examination, shoulder; 1 view",73020,CPT,32073020,CDM,TC,Outpatient,Facility,,,160,64,66,,,Percent of total billed charges,,105.6,20.8,,,Percent of total billed charges,,33.28,20.4,,,Percent of total billed charges,,32.64,,13.59,,Case rate,,13.59,,3.15,,Case rate,,3.15,80,,,Percent of total billed charges,,128,61.6,,,Percent of total billed charges,,98.56,20.6,,,Percent of total billed charges,,32.96,20.6,,,Percent of total billed charges,,32.96,65.55,,,Percent of total billed charges,,104.88,21,,,Percent of total billed charges,,33.6,90,,,Percent of total billed charges,,144,21,,,Percent of total billed charges,,33.6,21,,,Percent of total billed charges,,33.6,64.9,,,Percent of total billed charges,,103.84,21,,,Percent of total billed charges,,33.6,,84.73,,Case rate,,84.73,3.15,160,
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,,,,Outpatient,Facility,,,479,191.6,66,,,Percent of total billed charges,,316.14,20.8,,,Percent of total billed charges,,99.63,20.4,,,Percent of total billed charges,,97.72,,24.34,,Case rate,,24.34,,3.78,,Case rate,,3.78,80,,,Percent of total billed charges,,383.2,61.6,,,Percent of total billed charges,,295.06,20.6,,,Percent of total billed charges,,98.67,20.6,,,Percent of total billed charges,,98.67,65.55,,,Percent of total billed charges,,313.98,21,,,Percent of total billed charges,,100.59,90,,,Percent of total billed charges,,431.1,21,,,Percent of total billed charges,,100.59,21,,,Percent of total billed charges,,100.59,64.9,,,Percent of total billed charges,,310.87,21,,,Percent of total billed charges,,100.59,,85.38,,Case rate,,85.38,3.78,479,
"Radiologic examination, shoulder; complete, minimum of 2 views",73030,CPT,32073030,CDM,TC,Outpatient,Facility,,,479,191.6,66,,,Percent of total billed charges,,316.14,20.8,,,Percent of total billed charges,,99.63,20.4,,,Percent of total billed charges,,97.72,,24.34,,Case rate,,24.34,,3.78,,Case rate,,3.78,80,,,Percent of total billed charges,,383.2,61.6,,,Percent of total billed charges,,295.06,20.6,,,Percent of total billed charges,,98.67,20.6,,,Percent of total billed charges,,98.67,65.55,,,Percent of total billed charges,,313.98,21,,,Percent of total billed charges,,100.59,90,,,Percent of total billed charges,,431.1,21,,,Percent of total billed charges,,100.59,21,,,Percent of total billed charges,,100.59,64.9,,,Percent of total billed charges,,310.87,21,,,Percent of total billed charges,,100.59,,85.38,,Case rate,,85.38,3.78,479,
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,,,,Outpatient,Facility,,,617,246.8,66,,,Percent of total billed charges,,407.22,20.8,,,Percent of total billed charges,,128.34,20.4,,,Percent of total billed charges,,125.87,,25.92,,Case rate,,25.92,,5.29,,Case rate,,5.29,80,,,Percent of total billed charges,,493.6,61.6,,,Percent of total billed charges,,380.07,20.6,,,Percent of total billed charges,,127.1,20.6,,,Percent of total billed charges,,127.1,65.55,,,Percent of total billed charges,,404.44,21,,,Percent of total billed charges,,129.57,90,,,Percent of total billed charges,,555.3,21,,,Percent of total billed charges,,129.57,21,,,Percent of total billed charges,,129.57,64.9,,,Percent of total billed charges,,400.43,21,,,Percent of total billed charges,,129.57,,122.76,,Case rate,,122.76,5.29,617,
"Radiologic examination, skull; less than 4 views",70250,CPT,32070250,CDM,TC,Outpatient,Facility,,,374,149.6,66,,,Percent of total billed charges,,246.84,20.8,,,Percent of total billed charges,,77.79,20.4,,,Percent of total billed charges,,76.3,,25.92,,Case rate,,25.92,,4.94,,Case rate,,4.94,80,,,Percent of total billed charges,,299.2,61.6,,,Percent of total billed charges,,230.38,20.6,,,Percent of total billed charges,,77.04,20.6,,,Percent of total billed charges,,77.04,65.55,,,Percent of total billed charges,,245.16,21,,,Percent of total billed charges,,78.54,90,,,Percent of total billed charges,,336.6,21,,,Percent of total billed charges,,78.54,21,,,Percent of total billed charges,,78.54,64.9,,,Percent of total billed charges,,242.73,21,,,Percent of total billed charges,,78.54,,128.24,,Case rate,,128.24,4.94,374,
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,,,,Outpatient,Facility,,,459,183.6,66,,,Percent of total billed charges,,302.94,20.8,,,Percent of total billed charges,,95.47,20.4,,,Percent of total billed charges,,93.64,,81.56,,Case rate,,81.56,,9.01,,Case rate,,9.01,80,,,Percent of total billed charges,,367.2,61.6,,,Percent of total billed charges,,282.74,20.6,,,Percent of total billed charges,,94.55,20.6,,,Percent of total billed charges,,94.55,65.55,,,Percent of total billed charges,,300.87,21,,,Percent of total billed charges,,96.39,90,,,Percent of total billed charges,,413.1,21,,,Percent of total billed charges,,96.39,21,,,Percent of total billed charges,,96.39,64.9,,,Percent of total billed charges,,297.89,21,,,Percent of total billed charges,,96.39,,212.46,,Case rate,,212.46,9.01,459,
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study",74250,CPT,32074250,CDM,TC,Outpatient,Facility,,,459,183.6,66,,,Percent of total billed charges,,302.94,20.8,,,Percent of total billed charges,,95.47,20.4,,,Percent of total billed charges,,93.64,,81.56,,Case rate,,81.56,,9.01,,Case rate,,9.01,80,,,Percent of total billed charges,,367.2,61.6,,,Percent of total billed charges,,282.74,20.6,,,Percent of total billed charges,,94.55,20.6,,,Percent of total billed charges,,94.55,65.55,,,Percent of total billed charges,,300.87,21,,,Percent of total billed charges,,96.39,90,,,Percent of total billed charges,,413.1,21,,,Percent of total billed charges,,96.39,21,,,Percent of total billed charges,,96.39,64.9,,,Percent of total billed charges,,297.89,21,,,Percent of total billed charges,,96.39,,212.46,,Case rate,,212.46,9.01,459,
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,,,,Outpatient,Facility,,,713,285.2,66,,,Percent of total billed charges,,470.58,20.8,,,Percent of total billed charges,,148.3,20.4,,,Percent of total billed charges,,145.45,,38.25,,Case rate,,38.25,,6.13,,Case rate,,6.13,80,,,Percent of total billed charges,,570.4,61.6,,,Percent of total billed charges,,439.21,20.6,,,Percent of total billed charges,,146.88,20.6,,,Percent of total billed charges,,146.88,65.55,,,Percent of total billed charges,,467.37,21,,,Percent of total billed charges,,149.73,90,,,Percent of total billed charges,,641.7,21,,,Percent of total billed charges,,149.73,21,,,Percent of total billed charges,,149.73,64.9,,,Percent of total billed charges,,462.74,21,,,Percent of total billed charges,,149.73,,142.73,,Case rate,,142.73,6.13,713,
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,,,,Outpatient,Facility,,,721,288.4,66,,,Percent of total billed charges,,475.86,20.8,,,Percent of total billed charges,,149.97,20.4,,,Percent of total billed charges,,147.08,,45.52,,Case rate,,45.52,,7.54,,Case rate,,7.54,80,,,Percent of total billed charges,,576.8,61.6,,,Percent of total billed charges,,444.14,20.6,,,Percent of total billed charges,,148.53,20.6,,,Percent of total billed charges,,148.53,65.55,,,Percent of total billed charges,,472.62,21,,,Percent of total billed charges,,151.41,90,,,Percent of total billed charges,,648.9,21,,,Percent of total billed charges,,151.41,21,,,Percent of total billed charges,,151.41,64.9,,,Percent of total billed charges,,467.93,21,,,Percent of total billed charges,,151.41,,191.2,,Case rate,,191.2,7.54,721,
"Radiologic examination, spine, cervical; 6 or more views",72052,CPT,32072052,CDM,TC,Outpatient,Facility,,,721,288.4,66,,,Percent of total billed charges,,475.86,20.8,,,Percent of total billed charges,,149.97,20.4,,,Percent of total billed charges,,147.08,,45.52,,Case rate,,45.52,,7.54,,Case rate,,7.54,80,,,Percent of total billed charges,,576.8,61.6,,,Percent of total billed charges,,444.14,20.6,,,Percent of total billed charges,,148.53,20.6,,,Percent of total billed charges,,148.53,65.55,,,Percent of total billed charges,,472.62,21,,,Percent of total billed charges,,151.41,90,,,Percent of total billed charges,,648.9,21,,,Percent of total billed charges,,151.41,21,,,Percent of total billed charges,,151.41,64.9,,,Percent of total billed charges,,467.93,21,,,Percent of total billed charges,,151.41,,191.2,,Case rate,,191.2,7.54,721,
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,,,,Outpatient,Facility,,,365,146,66,,,Percent of total billed charges,,240.9,20.8,,,Percent of total billed charges,,75.92,20.4,,,Percent of total billed charges,,74.46,,52.47,,Case rate,,52.47,,3.2,,Case rate,,3.2,80,,,Percent of total billed charges,,292,61.6,,,Percent of total billed charges,,224.84,20.6,,,Percent of total billed charges,,75.19,20.6,,,Percent of total billed charges,,75.19,65.55,,,Percent of total billed charges,,239.26,21,,,Percent of total billed charges,,76.65,90,,,Percent of total billed charges,,328.5,21,,,Percent of total billed charges,,76.65,21,,,Percent of total billed charges,,76.65,64.9,,,Percent of total billed charges,,236.88,21,,,Percent of total billed charges,,76.65,,292.09,,Case rate,,292.09,3.2,365,
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views",72082,CPT,32072082,CDM,TC,Outpatient,Facility,,,365,146,66,,,Percent of total billed charges,,240.9,20.8,,,Percent of total billed charges,,75.92,20.4,,,Percent of total billed charges,,74.46,,52.47,,Case rate,,52.47,,3.2,,Case rate,,3.2,80,,,Percent of total billed charges,,292,61.6,,,Percent of total billed charges,,224.84,20.6,,,Percent of total billed charges,,75.19,20.6,,,Percent of total billed charges,,75.19,65.55,,,Percent of total billed charges,,239.26,21,,,Percent of total billed charges,,76.65,90,,,Percent of total billed charges,,328.5,21,,,Percent of total billed charges,,76.65,21,,,Percent of total billed charges,,76.65,64.9,,,Percent of total billed charges,,236.88,21,,,Percent of total billed charges,,76.65,,292.09,,Case rate,,292.09,3.2,365,
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,,,,Outpatient,Facility,,,529,211.6,66,,,Percent of total billed charges,,349.14,20.8,,,Percent of total billed charges,,110.03,20.4,,,Percent of total billed charges,,107.92,,75.23,,Case rate,,75.23,,4.19,,Case rate,,4.19,80,,,Percent of total billed charges,,423.2,61.6,,,Percent of total billed charges,,325.86,20.6,,,Percent of total billed charges,,108.97,20.6,,,Percent of total billed charges,,108.97,65.55,,,Percent of total billed charges,,346.76,21,,,Percent of total billed charges,,111.09,90,,,Percent of total billed charges,,476.1,21,,,Percent of total billed charges,,111.09,21,,,Percent of total billed charges,,111.09,64.9,,,Percent of total billed charges,,343.32,21,,,Percent of total billed charges,,111.09,,400.23,,Case rate,,400.23,4.19,529,
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,32072081,CDM,TC,Outpatient,Facility,,,222,88.8,66,,,Percent of total billed charges,,146.52,20.8,,,Percent of total billed charges,,46.18,20.4,,,Percent of total billed charges,,45.29,,28.76,,Case rate,,28.76,,1.76,,Case rate,,1.76,80,,,Percent of total billed charges,,177.6,61.6,,,Percent of total billed charges,,136.75,20.6,,,Percent of total billed charges,,45.73,20.6,,,Percent of total billed charges,,45.73,65.55,,,Percent of total billed charges,,145.52,21,,,Percent of total billed charges,,46.62,90,,,Percent of total billed charges,,199.8,21,,,Percent of total billed charges,,46.62,21,,,Percent of total billed charges,,46.62,64.9,,,Percent of total billed charges,,144.08,21,,,Percent of total billed charges,,46.62,,189.25,,Case rate,,189.25,1.76,222,
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,32072100,CDM,TC,Outpatient,Facility,,,528,211.2,66,,,Percent of total billed charges,,348.48,20.8,,,Percent of total billed charges,,109.82,20.4,,,Percent of total billed charges,,107.71,,27.81,,Case rate,,27.81,,4.55,,Case rate,,4.55,80,,,Percent of total billed charges,,422.4,61.6,,,Percent of total billed charges,,325.25,20.6,,,Percent of total billed charges,,108.77,20.6,,,Percent of total billed charges,,108.77,65.55,,,Percent of total billed charges,,346.1,21,,,Percent of total billed charges,,110.88,90,,,Percent of total billed charges,,475.2,21,,,Percent of total billed charges,,110.88,21,,,Percent of total billed charges,,110.88,64.9,,,Percent of total billed charges,,342.67,21,,,Percent of total billed charges,,110.88,,102.42,,Case rate,,102.42,4.55,528,
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,32072120,CDM,TC,Outpatient,Facility,,,386,154.4,66,,,Percent of total billed charges,,254.76,20.8,,,Percent of total billed charges,,80.29,20.4,,,Percent of total billed charges,,78.74,,28.45,,Case rate,,28.45,,5.51,,Case rate,,5.51,80,,,Percent of total billed charges,,308.8,61.6,,,Percent of total billed charges,,237.78,20.6,,,Percent of total billed charges,,79.52,20.6,,,Percent of total billed charges,,79.52,65.55,,,Percent of total billed charges,,253.02,21,,,Percent of total billed charges,,81.06,90,,,Percent of total billed charges,,347.4,21,,,Percent of total billed charges,,81.06,21,,,Percent of total billed charges,,81.06,64.9,,,Percent of total billed charges,,250.51,21,,,Percent of total billed charges,,81.06,,128.29,,Case rate,,128.29,5.51,386,
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,,,,Outpatient,Facility,,,728,291.2,66,,,Percent of total billed charges,,480.48,20.8,,,Percent of total billed charges,,151.42,20.4,,,Percent of total billed charges,,148.51,,36.98,,Case rate,,36.98,,6.22,,Case rate,,6.22,80,,,Percent of total billed charges,,582.4,61.6,,,Percent of total billed charges,,448.45,20.6,,,Percent of total billed charges,,149.97,20.6,,,Percent of total billed charges,,149.97,65.55,,,Percent of total billed charges,,477.2,21,,,Percent of total billed charges,,152.88,90,,,Percent of total billed charges,,655.2,21,,,Percent of total billed charges,,152.88,21,,,Percent of total billed charges,,152.88,64.9,,,Percent of total billed charges,,472.47,21,,,Percent of total billed charges,,152.88,,159.21,,Case rate,,159.21,6.22,728,
"Radiologic examination, spine, single view, specify level",72020,CPT,32072020,CDM,TC,Outpatient,Facility,,,186,74.4,66,,,Percent of total billed charges,,122.76,20.8,,,Percent of total billed charges,,38.69,20.4,,,Percent of total billed charges,,37.94,,16.12,,Case rate,,16.12,,2.94,,Case rate,,2.94,80,,,Percent of total billed charges,,148.8,61.6,,,Percent of total billed charges,,114.58,20.6,,,Percent of total billed charges,,38.32,20.6,,,Percent of total billed charges,,38.32,65.55,,,Percent of total billed charges,,121.92,21,,,Percent of total billed charges,,39.06,90,,,Percent of total billed charges,,167.4,21,,,Percent of total billed charges,,39.06,21,,,Percent of total billed charges,,39.06,64.9,,,Percent of total billed charges,,120.71,21,,,Percent of total billed charges,,39.06,,77.72,,Case rate,,77.72,2.94,186,
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,32072070,CDM,TC,Outpatient,Facility,,,524,209.6,66,,,Percent of total billed charges,,345.84,20.8,,,Percent of total billed charges,,108.99,20.4,,,Percent of total billed charges,,106.9,,22.12,,Case rate,,22.12,,4.44,,Case rate,,4.44,80,,,Percent of total billed charges,,419.2,61.6,,,Percent of total billed charges,,322.78,20.6,,,Percent of total billed charges,,107.94,20.6,,,Percent of total billed charges,,107.94,65.55,,,Percent of total billed charges,,343.48,21,,,Percent of total billed charges,,110.04,90,,,Percent of total billed charges,,471.6,21,,,Percent of total billed charges,,110.04,21,,,Percent of total billed charges,,110.04,64.9,,,Percent of total billed charges,,340.08,21,,,Percent of total billed charges,,110.04,,114.91,,Case rate,,114.91,4.44,524,
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,,,,Outpatient,Facility,,,576,230.4,66,,,Percent of total billed charges,,380.16,20.8,,,Percent of total billed charges,,119.81,20.4,,,Percent of total billed charges,,117.5,,27.18,,Case rate,,27.18,,4.8,,Case rate,,4.8,80,,,Percent of total billed charges,,460.8,61.6,,,Percent of total billed charges,,354.82,20.6,,,Percent of total billed charges,,118.66,20.6,,,Percent of total billed charges,,118.66,65.55,,,Percent of total billed charges,,377.57,21,,,Percent of total billed charges,,120.96,90,,,Percent of total billed charges,,518.4,21,,,Percent of total billed charges,,120.96,21,,,Percent of total billed charges,,120.96,64.9,,,Percent of total billed charges,,373.82,21,,,Percent of total billed charges,,120.96,,124.94,,Case rate,,124.94,4.8,576,
"Radiologic examination, spine; thoracic, minimum of 4 views",72074,CPT,,,,Outpatient,Facility,,,220,88,66,,,Percent of total billed charges,,145.2,20.8,,,Percent of total billed charges,,45.76,20.4,,,Percent of total billed charges,,44.88,,30.98,,Case rate,,30.98,,5.6,,Case rate,,5.6,80,,,Percent of total billed charges,,176,61.6,,,Percent of total billed charges,,135.52,20.6,,,Percent of total billed charges,,45.32,20.6,,,Percent of total billed charges,,45.32,65.55,,,Percent of total billed charges,,144.21,21,,,Percent of total billed charges,,46.2,90,,,Percent of total billed charges,,198,21,,,Percent of total billed charges,,46.2,21,,,Percent of total billed charges,,46.2,64.9,,,Percent of total billed charges,,142.78,21,,,Percent of total billed charges,,46.2,,144.12,,Case rate,,144.12,5.6,220,
"Radiologic examination, spine; thoracic, minimum of 4 views",72074,CPT,32072074,CDM,TC,Outpatient,Facility,,,220,88,66,,,Percent of total billed charges,,145.2,20.8,,,Percent of total billed charges,,45.76,20.4,,,Percent of total billed charges,,44.88,,30.98,,Case rate,,30.98,,5.6,,Case rate,,5.6,80,,,Percent of total billed charges,,176,61.6,,,Percent of total billed charges,,135.52,20.6,,,Percent of total billed charges,,45.32,20.6,,,Percent of total billed charges,,45.32,65.55,,,Percent of total billed charges,,144.21,21,,,Percent of total billed charges,,46.2,90,,,Percent of total billed charges,,198,21,,,Percent of total billed charges,,46.2,21,,,Percent of total billed charges,,46.2,64.9,,,Percent of total billed charges,,142.78,21,,,Percent of total billed charges,,46.2,,144.12,,Case rate,,144.12,5.6,220,
"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views",72080,CPT,,,,Outpatient,Facility,,,243,97.2,66,,,Percent of total billed charges,,160.38,20.8,,,Percent of total billed charges,,50.54,20.4,,,Percent of total billed charges,,49.57,,23.39,,Case rate,,23.39,,4.48,,Case rate,,4.48,80,,,Percent of total billed charges,,194.4,61.6,,,Percent of total billed charges,,149.69,20.6,,,Percent of total billed charges,,50.06,20.6,,,Percent of total billed charges,,50.06,65.55,,,Percent of total billed charges,,159.29,21,,,Percent of total billed charges,,51.03,90,,,Percent of total billed charges,,218.7,21,,,Percent of total billed charges,,51.03,21,,,Percent of total billed charges,,51.03,64.9,,,Percent of total billed charges,,157.71,21,,,Percent of total billed charges,,51.03,,102.19,,Case rate,,102.19,4.48,243,
"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views",72080,CPT,32072080,CDM,TC,Outpatient,Facility,,,243,97.2,66,,,Percent of total billed charges,,160.38,20.8,,,Percent of total billed charges,,50.54,20.4,,,Percent of total billed charges,,49.57,,23.39,,Case rate,,23.39,,4.48,,Case rate,,4.48,80,,,Percent of total billed charges,,194.4,61.6,,,Percent of total billed charges,,149.69,20.6,,,Percent of total billed charges,,50.06,20.6,,,Percent of total billed charges,,50.06,65.55,,,Percent of total billed charges,,159.29,21,,,Percent of total billed charges,,51.03,90,,,Percent of total billed charges,,218.7,21,,,Percent of total billed charges,,51.03,21,,,Percent of total billed charges,,51.03,64.9,,,Percent of total billed charges,,157.71,21,,,Percent of total billed charges,,51.03,,102.19,,Case rate,,102.19,4.48,243,
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,32074230,CDM,TC,Outpatient,Facility,,,551,220.4,66,,,Percent of total billed charges,,363.66,20.8,,,Percent of total billed charges,,114.61,20.4,,,Percent of total billed charges,,112.4,,96.74,,Case rate,,96.74,,9.5,,Case rate,,9.5,80,,,Percent of total billed charges,,440.8,61.6,,,Percent of total billed charges,,339.42,20.6,,,Percent of total billed charges,,113.51,20.6,,,Percent of total billed charges,,113.51,65.55,,,Percent of total billed charges,,361.18,21,,,Percent of total billed charges,,115.71,90,,,Percent of total billed charges,,495.9,21,,,Percent of total billed charges,,115.71,21,,,Percent of total billed charges,,115.71,64.9,,,Percent of total billed charges,,357.6,21,,,Percent of total billed charges,,115.71,,226.67,,Case rate,,226.67,9.5,551,
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,,,,Outpatient,Facility,,,276,110.4,66,,,Percent of total billed charges,,182.16,20.8,,,Percent of total billed charges,,57.41,20.4,,,Percent of total billed charges,,56.3,,39.51,,Case rate,,39.51,,5.42,,Case rate,,5.42,80,,,Percent of total billed charges,,220.8,61.6,,,Percent of total billed charges,,170.02,20.6,,,Percent of total billed charges,,56.86,20.6,,,Percent of total billed charges,,56.86,65.55,,,Percent of total billed charges,,180.92,21,,,Percent of total billed charges,,57.96,90,,,Percent of total billed charges,,248.4,21,,,Percent of total billed charges,,57.96,21,,,Percent of total billed charges,,57.96,64.9,,,Percent of total billed charges,,179.12,21,,,Percent of total billed charges,,57.96,,124.39,,Case rate,,124.39,5.42,276,
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral",70330,CPT,32070330,CDM,TC,Outpatient,Facility,,,276,110.4,66,,,Percent of total billed charges,,182.16,20.8,,,Percent of total billed charges,,57.41,20.4,,,Percent of total billed charges,,56.3,,39.51,,Case rate,,39.51,,5.42,,Case rate,,5.42,80,,,Percent of total billed charges,,220.8,61.6,,,Percent of total billed charges,,170.02,20.6,,,Percent of total billed charges,,56.86,20.6,,,Percent of total billed charges,,56.86,65.55,,,Percent of total billed charges,,180.92,21,,,Percent of total billed charges,,57.96,90,,,Percent of total billed charges,,248.4,21,,,Percent of total billed charges,,57.96,21,,,Percent of total billed charges,,57.96,64.9,,,Percent of total billed charges,,179.12,21,,,Percent of total billed charges,,57.96,,124.39,,Case rate,,124.39,5.42,276,
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,,,,Outpatient,Facility,,,726,290.4,66,,,Percent of total billed charges,,479.16,20.8,,,Percent of total billed charges,,151.01,20.4,,,Percent of total billed charges,,148.1,,94.21,,Case rate,,94.21,,12.12,,Case rate,,12.12,80,,,Percent of total billed charges,,580.8,61.6,,,Percent of total billed charges,,447.22,20.6,,,Percent of total billed charges,,149.56,20.6,,,Percent of total billed charges,,149.56,65.55,,,Percent of total billed charges,,475.89,21,,,Percent of total billed charges,,152.46,90,,,Percent of total billed charges,,653.4,21,,,Percent of total billed charges,,152.46,21,,,Percent of total billed charges,,152.46,64.9,,,Percent of total billed charges,,471.17,21,,,Percent of total billed charges,,152.46,,304.49,,Case rate,,304.49,12.12,726,
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered",74246,CPT,32074246,CDM,TC,Outpatient,Facility,,,726,290.4,66,,,Percent of total billed charges,,479.16,20.8,,,Percent of total billed charges,,151.01,20.4,,,Percent of total billed charges,,148.1,,94.21,,Case rate,,94.21,,12.12,,Case rate,,12.12,80,,,Percent of total billed charges,,580.8,61.6,,,Percent of total billed charges,,447.22,20.6,,,Percent of total billed charges,,149.56,20.6,,,Percent of total billed charges,,149.56,65.55,,,Percent of total billed charges,,475.89,21,,,Percent of total billed charges,,152.46,90,,,Percent of total billed charges,,653.4,21,,,Percent of total billed charges,,152.46,21,,,Percent of total billed charges,,152.46,64.9,,,Percent of total billed charges,,471.17,21,,,Percent of total billed charges,,152.46,,304.49,,Case rate,,304.49,12.12,726,
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,32074240,CDM,TC,Outpatient,Facility,,,352,140.8,66,,,Percent of total billed charges,,232.32,20.8,,,Percent of total billed charges,,73.22,20.4,,,Percent of total billed charges,,71.81,,82.19,,Case rate,,82.19,,11.27,,Case rate,,11.27,80,,,Percent of total billed charges,,281.6,61.6,,,Percent of total billed charges,,216.83,20.6,,,Percent of total billed charges,,72.51,20.6,,,Percent of total billed charges,,72.51,65.55,,,Percent of total billed charges,,230.74,21,,,Percent of total billed charges,,73.92,90,,,Percent of total billed charges,,316.8,21,,,Percent of total billed charges,,73.92,21,,,Percent of total billed charges,,73.92,64.9,,,Percent of total billed charges,,228.45,21,,,Percent of total billed charges,,73.92,,269.62,,Case rate,,269.62,11.27,352,
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,,,,Outpatient,Facility,,,475,190,66,,,Percent of total billed charges,,313.5,20.8,,,Percent of total billed charges,,98.8,20.4,,,Percent of total billed charges,,96.9,,103.38,,Case rate,,103.38,,10.8,,Case rate,,10.8,80,,,Percent of total billed charges,,380,61.6,,,Percent of total billed charges,,292.6,20.6,,,Percent of total billed charges,,97.85,20.6,,,Percent of total billed charges,,97.85,65.55,,,Percent of total billed charges,,311.36,21,,,Percent of total billed charges,,99.75,90,,,Percent of total billed charges,,427.5,21,,,Percent of total billed charges,,99.75,21,,,Percent of total billed charges,,99.75,64.9,,,Percent of total billed charges,,308.28,21,,,Percent of total billed charges,,99.75,,271.43,,Case rate,,271.43,10.8,475,
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation",73115,CPT,32273115,CDM,TC,Outpatient,Facility,,,475,190,66,,,Percent of total billed charges,,313.5,20.8,,,Percent of total billed charges,,98.8,20.4,,,Percent of total billed charges,,96.9,,103.38,,Case rate,,103.38,,10.8,,Case rate,,10.8,80,,,Percent of total billed charges,,380,61.6,,,Percent of total billed charges,,292.6,20.6,,,Percent of total billed charges,,97.85,20.6,,,Percent of total billed charges,,97.85,65.55,,,Percent of total billed charges,,311.36,21,,,Percent of total billed charges,,99.75,90,,,Percent of total billed charges,,427.5,21,,,Percent of total billed charges,,99.75,21,,,Percent of total billed charges,,99.75,64.9,,,Percent of total billed charges,,308.28,21,,,Percent of total billed charges,,99.75,,271.43,,Case rate,,271.43,10.8,475,
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,32073110,CDM,TC,Outpatient,Facility,,,410,164,66,,,Percent of total billed charges,,270.6,20.8,,,Percent of total billed charges,,85.28,20.4,,,Percent of total billed charges,,83.64,,30.98,,Case rate,,30.98,,3.55,,Case rate,,3.55,80,,,Percent of total billed charges,,328,61.6,,,Percent of total billed charges,,252.56,20.6,,,Percent of total billed charges,,84.46,20.6,,,Percent of total billed charges,,84.46,65.55,,,Percent of total billed charges,,268.76,21,,,Percent of total billed charges,,86.1,90,,,Percent of total billed charges,,369,21,,,Percent of total billed charges,,86.1,21,,,Percent of total billed charges,,86.1,64.9,,,Percent of total billed charges,,266.09,21,,,Percent of total billed charges,,86.1,,92.35,,Case rate,,92.35,3.55,410,
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,,,,Outpatient,Facility,,,276,110.4,66,,,Percent of total billed charges,,182.16,20.8,,,Percent of total billed charges,,57.41,20.4,,,Percent of total billed charges,,56.3,,18.64,,Case rate,,18.64,,4.35,,Case rate,,4.35,80,,,Percent of total billed charges,,220.8,61.6,,,Percent of total billed charges,,170.02,20.6,,,Percent of total billed charges,,56.86,20.6,,,Percent of total billed charges,,56.86,65.55,,,Percent of total billed charges,,180.92,21,,,Percent of total billed charges,,57.96,90,,,Percent of total billed charges,,248.4,21,,,Percent of total billed charges,,57.96,21,,,Percent of total billed charges,,57.96,64.9,,,Percent of total billed charges,,179.12,21,,,Percent of total billed charges,,57.96,,111.99,,Case rate,,111.99,4.35,276,
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction",73050,CPT,32073050,CDM,TC,Outpatient,Facility,,,276,110.4,66,,,Percent of total billed charges,,182.16,20.8,,,Percent of total billed charges,,57.41,20.4,,,Percent of total billed charges,,56.3,,18.64,,Case rate,,18.64,,4.35,,Case rate,,4.35,80,,,Percent of total billed charges,,220.8,61.6,,,Percent of total billed charges,,170.02,20.6,,,Percent of total billed charges,,56.86,20.6,,,Percent of total billed charges,,56.86,65.55,,,Percent of total billed charges,,180.92,21,,,Percent of total billed charges,,57.96,90,,,Percent of total billed charges,,248.4,21,,,Percent of total billed charges,,57.96,21,,,Percent of total billed charges,,57.96,64.9,,,Percent of total billed charges,,179.12,21,,,Percent of total billed charges,,57.96,,111.99,,Case rate,,111.99,4.35,276,
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,,,,Outpatient,Facility,,,207,82.8,66,,,Percent of total billed charges,,136.62,20.8,,,Percent of total billed charges,,43.06,20.4,,,Percent of total billed charges,,42.23,,19.91,,Case rate,,19.91,,3.25,,Case rate,,3.25,80,,,Percent of total billed charges,,165.6,61.6,,,Percent of total billed charges,,127.51,20.6,,,Percent of total billed charges,,42.64,20.6,,,Percent of total billed charges,,42.64,65.55,,,Percent of total billed charges,,135.69,21,,,Percent of total billed charges,,43.47,90,,,Percent of total billed charges,,186.3,21,,,Percent of total billed charges,,43.47,21,,,Percent of total billed charges,,43.47,64.9,,,Percent of total billed charges,,134.34,21,,,Percent of total billed charges,,43.47,,85.57,,Case rate,,85.57,3.25,207,
"Radiologic examination; calcaneus, minimum of 2 views",73650,CPT,32073650,CDM,TC,Outpatient,Facility,,,207,82.8,66,,,Percent of total billed charges,,136.62,20.8,,,Percent of total billed charges,,43.06,20.4,,,Percent of total billed charges,,42.23,,19.91,,Case rate,,19.91,,3.25,,Case rate,,3.25,80,,,Percent of total billed charges,,165.6,61.6,,,Percent of total billed charges,,127.51,20.6,,,Percent of total billed charges,,42.64,20.6,,,Percent of total billed charges,,42.64,65.55,,,Percent of total billed charges,,135.69,21,,,Percent of total billed charges,,43.47,90,,,Percent of total billed charges,,186.3,21,,,Percent of total billed charges,,43.47,21,,,Percent of total billed charges,,43.47,64.9,,,Percent of total billed charges,,134.34,21,,,Percent of total billed charges,,43.47,,85.57,,Case rate,,85.57,3.25,207,
"Radiologic examination; forearm, 2 views",73090,CPT,,,,Outpatient,Facility,,,374,149.6,66,,,Percent of total billed charges,,246.84,20.8,,,Percent of total billed charges,,77.79,20.4,,,Percent of total billed charges,,76.3,,20.54,,Case rate,,20.54,,3.54,,Case rate,,3.54,80,,,Percent of total billed charges,,299.2,61.6,,,Percent of total billed charges,,230.38,20.6,,,Percent of total billed charges,,77.04,20.6,,,Percent of total billed charges,,77.04,65.55,,,Percent of total billed charges,,245.16,21,,,Percent of total billed charges,,78.54,90,,,Percent of total billed charges,,336.6,21,,,Percent of total billed charges,,78.54,21,,,Percent of total billed charges,,78.54,64.9,,,Percent of total billed charges,,242.73,21,,,Percent of total billed charges,,78.54,,92.21,,Case rate,,92.21,3.54,374,
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,,,,Outpatient,Facility,,,325,130,66,,,Percent of total billed charges,,214.5,20.8,,,Percent of total billed charges,,67.6,20.4,,,Percent of total billed charges,,66.3,,23.07,,Case rate,,23.07,,3.78,,Case rate,,3.78,80,,,Percent of total billed charges,,260,61.6,,,Percent of total billed charges,,200.2,20.6,,,Percent of total billed charges,,66.95,20.6,,,Percent of total billed charges,,66.95,65.55,,,Percent of total billed charges,,213.04,21,,,Percent of total billed charges,,68.25,90,,,Percent of total billed charges,,292.5,21,,,Percent of total billed charges,,68.25,21,,,Percent of total billed charges,,68.25,64.9,,,Percent of total billed charges,,210.92,21,,,Percent of total billed charges,,68.25,,83.67,,Case rate,,83.67,3.78,325,
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,,,,Outpatient,Facility,,,138,55.2,66,,,Percent of total billed charges,,91.08,20.8,,,Percent of total billed charges,,28.7,20.4,,,Percent of total billed charges,,28.15,,22.75,,Case rate,,22.75,,3.28,,Case rate,,3.28,80,,,Percent of total billed charges,,110.4,61.6,,,Percent of total billed charges,,85.01,20.6,,,Percent of total billed charges,,28.43,20.6,,,Percent of total billed charges,,28.43,65.55,,,Percent of total billed charges,,90.46,21,,,Percent of total billed charges,,28.98,90,,,Percent of total billed charges,,124.2,21,,,Percent of total billed charges,,28.98,21,,,Percent of total billed charges,,28.98,64.9,,,Percent of total billed charges,,89.56,21,,,Percent of total billed charges,,28.98,,87.89,,Case rate,,87.89,3.28,138,
"Radiologic examination; lower extremity, infant, minimum of 2 views",73592,CPT,32073592,CDM,TC,Outpatient,Facility,,,138,55.2,66,,,Percent of total billed charges,,91.08,20.8,,,Percent of total billed charges,,28.7,20.4,,,Percent of total billed charges,,28.15,,22.75,,Case rate,,22.75,,3.28,,Case rate,,3.28,80,,,Percent of total billed charges,,110.4,61.6,,,Percent of total billed charges,,85.01,20.6,,,Percent of total billed charges,,28.43,20.6,,,Percent of total billed charges,,28.43,65.55,,,Percent of total billed charges,,90.46,21,,,Percent of total billed charges,,28.98,90,,,Percent of total billed charges,,124.2,21,,,Percent of total billed charges,,28.98,21,,,Percent of total billed charges,,28.98,64.9,,,Percent of total billed charges,,89.56,21,,,Percent of total billed charges,,28.98,,87.89,,Case rate,,87.89,3.28,138,
"Radiologic examination; neck, soft tissue",70360,CPT,,,,Outpatient,Facility,,,341,136.4,66,,,Percent of total billed charges,,225.06,20.8,,,Percent of total billed charges,,70.93,20.4,,,Percent of total billed charges,,69.56,,21.81,,Case rate,,21.81,,3.07,,Case rate,,3.07,80,,,Percent of total billed charges,,272.8,61.6,,,Percent of total billed charges,,210.06,20.6,,,Percent of total billed charges,,70.25,20.6,,,Percent of total billed charges,,70.25,65.55,,,Percent of total billed charges,,223.53,21,,,Percent of total billed charges,,71.61,90,,,Percent of total billed charges,,306.9,21,,,Percent of total billed charges,,71.61,21,,,Percent of total billed charges,,71.61,64.9,,,Percent of total billed charges,,221.31,21,,,Percent of total billed charges,,71.61,,82.18,,Case rate,,82.18,3.07,341,
"Radiologic examination; neck, soft tissue",70360,CPT,32070360,CDM,TC,Outpatient,Facility,,,341,136.4,66,,,Percent of total billed charges,,225.06,20.8,,,Percent of total billed charges,,70.93,20.4,,,Percent of total billed charges,,69.56,,21.81,,Case rate,,21.81,,3.07,,Case rate,,3.07,80,,,Percent of total billed charges,,272.8,61.6,,,Percent of total billed charges,,210.06,20.6,,,Percent of total billed charges,,70.25,20.6,,,Percent of total billed charges,,70.25,65.55,,,Percent of total billed charges,,223.53,21,,,Percent of total billed charges,,71.61,90,,,Percent of total billed charges,,306.9,21,,,Percent of total billed charges,,71.61,21,,,Percent of total billed charges,,71.61,64.9,,,Percent of total billed charges,,221.31,21,,,Percent of total billed charges,,71.61,,82.18,,Case rate,,82.18,3.07,341,
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,,,,Outpatient,Facility,,,272,108.8,66,,,Percent of total billed charges,,179.52,20.8,,,Percent of total billed charges,,56.58,20.4,,,Percent of total billed charges,,55.49,,32.87,,Case rate,,32.87,,5.6,,Case rate,,5.6,80,,,Percent of total billed charges,,217.6,61.6,,,Percent of total billed charges,,167.55,20.6,,,Percent of total billed charges,,56.03,20.6,,,Percent of total billed charges,,56.03,65.55,,,Percent of total billed charges,,178.3,21,,,Percent of total billed charges,,57.12,90,,,Percent of total billed charges,,244.8,21,,,Percent of total billed charges,,57.12,21,,,Percent of total billed charges,,57.12,64.9,,,Percent of total billed charges,,176.53,21,,,Percent of total billed charges,,57.12,,130.47,,Case rate,,130.47,5.6,272,
"Radiologic examination; scapula, complete",73010,CPT,,,,Outpatient,Facility,,,253,101.2,66,,,Percent of total billed charges,,166.98,20.8,,,Percent of total billed charges,,52.62,20.4,,,Percent of total billed charges,,51.61,,14.22,,Case rate,,14.22,,3.61,,Case rate,,3.61,80,,,Percent of total billed charges,,202.4,61.6,,,Percent of total billed charges,,155.85,20.6,,,Percent of total billed charges,,52.12,20.6,,,Percent of total billed charges,,52.12,65.55,,,Percent of total billed charges,,165.84,21,,,Percent of total billed charges,,53.13,90,,,Percent of total billed charges,,227.7,21,,,Percent of total billed charges,,53.13,21,,,Percent of total billed charges,,53.13,64.9,,,Percent of total billed charges,,164.2,21,,,Percent of total billed charges,,53.13,,95.51,,Case rate,,95.51,3.61,253,
"Radiologic examination; scapula, complete",73010,CPT,32073010,CDM,TC,Outpatient,Facility,,,253,101.2,66,,,Percent of total billed charges,,166.98,20.8,,,Percent of total billed charges,,52.62,20.4,,,Percent of total billed charges,,51.61,,14.22,,Case rate,,14.22,,3.61,,Case rate,,3.61,80,,,Percent of total billed charges,,202.4,61.6,,,Percent of total billed charges,,155.85,20.6,,,Percent of total billed charges,,52.12,20.6,,,Percent of total billed charges,,52.12,65.55,,,Percent of total billed charges,,165.84,21,,,Percent of total billed charges,,53.13,90,,,Percent of total billed charges,,227.7,21,,,Percent of total billed charges,,53.13,21,,,Percent of total billed charges,,53.13,64.9,,,Percent of total billed charges,,164.2,21,,,Percent of total billed charges,,53.13,,95.51,,Case rate,,95.51,3.61,253,
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,,,,Outpatient,Facility,,,156,62.4,66,,,Percent of total billed charges,,102.96,20.8,,,Percent of total billed charges,,32.45,20.4,,,Percent of total billed charges,,31.82,,29.39,,Case rate,,29.39,,4.61,,Case rate,,4.61,80,,,Percent of total billed charges,,124.8,61.6,,,Percent of total billed charges,,96.1,20.6,,,Percent of total billed charges,,32.14,20.6,,,Percent of total billed charges,,32.14,65.55,,,Percent of total billed charges,,102.26,21,,,Percent of total billed charges,,32.76,90,,,Percent of total billed charges,,140.4,21,,,Percent of total billed charges,,32.76,21,,,Percent of total billed charges,,32.76,64.9,,,Percent of total billed charges,,101.24,21,,,Percent of total billed charges,,32.76,,105.95,,Case rate,,105.95,4.61,156,
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,32071120,CDM,TC,Outpatient,Facility,,,178,71.2,66,,,Percent of total billed charges,,117.48,20.8,,,Percent of total billed charges,,37.02,20.4,,,Percent of total billed charges,,36.31,,23.07,,Case rate,,23.07,,4.26,,Case rate,,4.26,80,,,Percent of total billed charges,,142.4,61.6,,,Percent of total billed charges,,109.65,20.6,,,Percent of total billed charges,,36.67,20.6,,,Percent of total billed charges,,36.67,65.55,,,Percent of total billed charges,,116.68,21,,,Percent of total billed charges,,37.38,90,,,Percent of total billed charges,,160.2,21,,,Percent of total billed charges,,37.38,21,,,Percent of total billed charges,,37.38,64.9,,,Percent of total billed charges,,115.52,21,,,Percent of total billed charges,,37.38,,95.88,,Case rate,,95.88,4.26,178,
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,,,,Outpatient,Facility,,,403,161.2,66,,,Percent of total billed charges,,265.98,20.8,,,Percent of total billed charges,,83.82,20.4,,,Percent of total billed charges,,82.21,,22.75,,Case rate,,22.75,,3.52,,Case rate,,3.52,80,,,Percent of total billed charges,,322.4,61.6,,,Percent of total billed charges,,248.25,20.6,,,Percent of total billed charges,,83.02,20.6,,,Percent of total billed charges,,83.02,65.55,,,Percent of total billed charges,,264.17,21,,,Percent of total billed charges,,84.63,90,,,Percent of total billed charges,,362.7,21,,,Percent of total billed charges,,84.63,21,,,Percent of total billed charges,,84.63,64.9,,,Percent of total billed charges,,261.55,21,,,Percent of total billed charges,,84.63,,79.12,,Case rate,,79.12,3.52,403,
"Radiologic examination; tibia and fibula, 2 views",73590,CPT,32073590,CDM,TC,Outpatient,Facility,,,403,161.2,66,,,Percent of total billed charges,,265.98,20.8,,,Percent of total billed charges,,83.82,20.4,,,Percent of total billed charges,,82.21,,22.75,,Case rate,,22.75,,3.52,,Case rate,,3.52,80,,,Percent of total billed charges,,322.4,61.6,,,Percent of total billed charges,,248.25,20.6,,,Percent of total billed charges,,83.02,20.6,,,Percent of total billed charges,,83.02,65.55,,,Percent of total billed charges,,264.17,21,,,Percent of total billed charges,,84.63,90,,,Percent of total billed charges,,362.7,21,,,Percent of total billed charges,,84.63,21,,,Percent of total billed charges,,84.63,64.9,,,Percent of total billed charges,,261.55,21,,,Percent of total billed charges,,84.63,,79.12,,Case rate,,79.12,3.52,403,
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,,,,Outpatient,Facility,,,275,110,66,,,Percent of total billed charges,,181.5,20.8,,,Percent of total billed charges,,57.2,20.4,,,Percent of total billed charges,,56.1,,21.81,,Case rate,,21.81,,2.84,,Case rate,,2.84,80,,,Percent of total billed charges,,220,61.6,,,Percent of total billed charges,,169.4,20.6,,,Percent of total billed charges,,56.65,20.6,,,Percent of total billed charges,,56.65,65.55,,,Percent of total billed charges,,180.26,21,,,Percent of total billed charges,,57.75,90,,,Percent of total billed charges,,247.5,21,,,Percent of total billed charges,,57.75,21,,,Percent of total billed charges,,57.75,64.9,,,Percent of total billed charges,,178.48,21,,,Percent of total billed charges,,57.75,,60.13,,Case rate,,60.13,2.84,275,
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,,,,Outpatient,Facility,,,136,54.4,66,,,Percent of total billed charges,,89.76,20.8,,,Percent of total billed charges,,28.29,20.4,,,Percent of total billed charges,,27.74,,22.75,,Case rate,,22.75,,3.28,,Case rate,,3.28,80,,,Percent of total billed charges,,108.8,61.6,,,Percent of total billed charges,,83.78,20.6,,,Percent of total billed charges,,28.02,20.6,,,Percent of total billed charges,,28.02,65.55,,,Percent of total billed charges,,89.15,21,,,Percent of total billed charges,,28.56,90,,,Percent of total billed charges,,122.4,21,,,Percent of total billed charges,,28.56,21,,,Percent of total billed charges,,28.56,64.9,,,Percent of total billed charges,,88.26,21,,,Percent of total billed charges,,28.56,,87.01,,Case rate,,87.01,3.28,136,
"Radiologic examination; upper extremity, infant, minimum of 2 views",73092,CPT,32073092,CDM,TC,Outpatient,Facility,,,136,54.4,66,,,Percent of total billed charges,,89.76,20.8,,,Percent of total billed charges,,28.29,20.4,,,Percent of total billed charges,,27.74,,22.75,,Case rate,,22.75,,3.28,,Case rate,,3.28,80,,,Percent of total billed charges,,108.8,61.6,,,Percent of total billed charges,,83.78,20.6,,,Percent of total billed charges,,28.02,20.6,,,Percent of total billed charges,,28.02,65.55,,,Percent of total billed charges,,89.15,21,,,Percent of total billed charges,,28.56,90,,,Percent of total billed charges,,122.4,21,,,Percent of total billed charges,,28.56,21,,,Percent of total billed charges,,28.56,64.9,,,Percent of total billed charges,,88.26,21,,,Percent of total billed charges,,28.56,,87.01,,Case rate,,87.01,3.28,136,
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,32074248,CDM,TC,Outpatient,Facility,,,840,336,66,,,Percent of total billed charges,,554.4,20.8,,,Percent of total billed charges,,174.72,20.4,,,Percent of total billed charges,,171.36,,48.05,,Case rate,,48.05,,2.68,,Case rate,,2.68,80,,,Percent of total billed charges,,672,61.6,,,Percent of total billed charges,,517.44,20.6,,,Percent of total billed charges,,173.04,20.6,,,Percent of total billed charges,,173.04,65.55,,,Percent of total billed charges,,550.62,21,,,Percent of total billed charges,,176.4,90,,,Percent of total billed charges,,756,21,,,Percent of total billed charges,,176.4,21,,,Percent of total billed charges,,176.4,64.9,,,Percent of total billed charges,,545.16,21,,,Percent of total billed charges,,176.4,,165.94,,Case rate,,165.94,2.68,840,
"Radiological examination, surgical specimen",76098,CPT,,,,Outpatient,Facility,,,585,234,66,,,Percent of total billed charges,,386.1,20.8,,,Percent of total billed charges,,121.68,20.4,,,Percent of total billed charges,,119.34,,25.6,,Case rate,,25.6,,2.98,,Case rate,,2.98,80,,,Percent of total billed charges,,468,61.6,,,Percent of total billed charges,,360.36,20.6,,,Percent of total billed charges,,120.51,20.6,,,Percent of total billed charges,,120.51,65.55,,,Percent of total billed charges,,383.47,21,,,Percent of total billed charges,,122.85,90,,,Percent of total billed charges,,526.5,21,,,Percent of total billed charges,,122.85,21,,,Percent of total billed charges,,122.85,64.9,,,Percent of total billed charges,,379.66,21,,,Percent of total billed charges,,122.85,,79.21,,Case rate,,79.21,2.98,585,
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,34178800,CDM,TC,Outpatient,Facility,,,585,234,66,,,Percent of total billed charges,,386.1,20.8,,,Percent of total billed charges,,121.68,20.4,,,Percent of total billed charges,,119.34,,194.41,,Case rate,,194.41,,20.36,,Case rate,,20.36,80,,,Percent of total billed charges,,468,61.6,,,Percent of total billed charges,,360.36,20.6,,,Percent of total billed charges,,120.51,20.6,,,Percent of total billed charges,,120.51,65.55,,,Percent of total billed charges,,383.47,21,,,Percent of total billed charges,,122.85,90,,,Percent of total billed charges,,526.5,21,,,Percent of total billed charges,,122.85,21,,,Percent of total billed charges,,122.85,64.9,,,Percent of total billed charges,,379.66,21,,,Percent of total billed charges,,122.85,,493.04,,Case rate,,493.04,20.36,585,
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,,,,Outpatient,Facility,,,988,395.2,66,,,Percent of total billed charges,,652.08,20.8,,,Percent of total billed charges,,205.5,20.4,,,Percent of total billed charges,,201.55,,238.35,,Case rate,,238.35,,32.77,,Case rate,,32.77,80,,,Percent of total billed charges,,790.4,61.6,,,Percent of total billed charges,,608.61,20.6,,,Percent of total billed charges,,203.53,20.6,,,Percent of total billed charges,,203.53,65.55,,,Percent of total billed charges,,647.63,21,,,Percent of total billed charges,,207.48,90,,,Percent of total billed charges,,889.2,21,,,Percent of total billed charges,,207.48,21,,,Percent of total billed charges,,207.48,64.9,,,Percent of total billed charges,,641.21,21,,,Percent of total billed charges,,207.48,,798.87,,Case rate,,798.87,32.77,988,
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging",78802,CPT,34178802,CDM,TC,Outpatient,Facility,,,988,395.2,66,,,Percent of total billed charges,,652.08,20.8,,,Percent of total billed charges,,205.5,20.4,,,Percent of total billed charges,,201.55,,238.35,,Case rate,,238.35,,32.77,,Case rate,,32.77,80,,,Percent of total billed charges,,790.4,61.6,,,Percent of total billed charges,,608.61,20.6,,,Percent of total billed charges,,203.53,20.6,,,Percent of total billed charges,,203.53,65.55,,,Percent of total billed charges,,647.63,21,,,Percent of total billed charges,,207.48,90,,,Percent of total billed charges,,889.2,21,,,Percent of total billed charges,,207.48,21,,,Percent of total billed charges,,207.48,64.9,,,Percent of total billed charges,,641.21,21,,,Percent of total billed charges,,207.48,,798.87,,Case rate,,798.87,32.77,988,
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,34178832,CDM,TC,Outpatient,Facility,,,2306,922.4,66,,,Percent of total billed charges,,1521.96,20.8,,,Percent of total billed charges,,479.65,20.4,,,Percent of total billed charges,,470.42,,710.02,,Case rate,,710.02,,47.55,,Case rate,,47.55,80,,,Percent of total billed charges,,1844.8,61.6,,,Percent of total billed charges,,1420.5,20.6,,,Percent of total billed charges,,475.04,20.6,,,Percent of total billed charges,,475.04,65.55,,,Percent of total billed charges,,1511.58,21,,,Percent of total billed charges,,484.26,90,,,Percent of total billed charges,,2075.4,21,,,Percent of total billed charges,,484.26,21,,,Percent of total billed charges,,484.26,64.9,,,Percent of total billed charges,,1496.59,21,,,Percent of total billed charges,,484.26,,4966.9,,Case rate,,4966.9,47.55,4966.9,
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,,,,Outpatient,Facility,,,5017,2006.8,66,,,Percent of total billed charges,,3311.22,20.8,,,Percent of total billed charges,,1043.54,20.4,,,Percent of total billed charges,,1023.47,,360.06,,Case rate,,360.06,,24.26,,Case rate,,24.26,80,,,Percent of total billed charges,,4013.6,61.6,,,Percent of total billed charges,,3090.47,20.6,,,Percent of total billed charges,,1033.5,20.6,,,Percent of total billed charges,,1033.5,65.55,,,Percent of total billed charges,,3288.64,21,,,Percent of total billed charges,,1053.57,90,,,Percent of total billed charges,,4515.3,21,,,Percent of total billed charges,,1053.57,21,,,Percent of total billed charges,,1053.57,64.9,,,Percent of total billed charges,,3256.03,21,,,Percent of total billed charges,,1053.57,,5109.95,,Case rate,,5109.95,24.26,5109.95,
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,,,,Outpatient,Facility,,,1060,424,66,,,Percent of total billed charges,,699.6,20.8,,,Percent of total billed charges,,220.48,20.4,,,Percent of total billed charges,,216.24,,289.26,,Case rate,,289.26,,36.8,,Case rate,,36.8,80,,,Percent of total billed charges,,848,61.6,,,Percent of total billed charges,,652.96,20.6,,,Percent of total billed charges,,218.36,20.6,,,Percent of total billed charges,,218.36,65.55,,,Percent of total billed charges,,694.83,21,,,Percent of total billed charges,,222.6,90,,,Percent of total billed charges,,954,21,,,Percent of total billed charges,,222.6,21,,,Percent of total billed charges,,222.6,64.9,,,Percent of total billed charges,,687.94,21,,,Percent of total billed charges,,222.6,,896.61,,Case rate,,896.61,36.8,1060,
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97168,CPT,,,,Outpatient,Facility,,,135,54,66,,,Percent of total billed charges,,89.1,20.8,,,Percent of total billed charges,,28.08,20.4,,,Percent of total billed charges,,27.54,,67.59,,Case rate,,67.59,,3.51,,Case rate,,3.51,80,,,Percent of total billed charges,,108,61.6,,,Percent of total billed charges,,83.16,20.6,,,Percent of total billed charges,,27.81,20.6,,,Percent of total billed charges,,27.81,65.55,,,Percent of total billed charges,,88.49,21,,,Percent of total billed charges,,28.35,90,,,Percent of total billed charges,,121.5,21,,,Percent of total billed charges,,28.35,21,,,Percent of total billed charges,,28.35,64.9,,,Percent of total billed charges,,87.62,21,,,Percent of total billed charges,,28.35,,169.52,,Case rate,,169.52,3.51,169.52,
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family.",97164,CPT,,,,Outpatient,Facility,,,135,54,66,,,Percent of total billed charges,,89.1,20.8,,,Percent of total billed charges,,28.08,20.4,,,Percent of total billed charges,,27.54,,67.91,,Case rate,,67.91,,3.72,,Case rate,,3.72,80,,,Percent of total billed charges,,108,61.6,,,Percent of total billed charges,,83.16,20.6,,,Percent of total billed charges,,27.81,20.6,,,Percent of total billed charges,,27.81,65.55,,,Percent of total billed charges,,88.49,21,,,Percent of total billed charges,,28.35,90,,,Percent of total billed charges,,121.5,21,,,Percent of total billed charges,,28.35,21,,,Percent of total billed charges,,28.35,64.9,,,Percent of total billed charges,,87.62,21,,,Percent of total billed charges,,28.35,,128.98,,Case rate,,128.98,3.72,135,
"Red blood cell antigen typing, DNA, human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups, utilizing whole blood, common RBC alleles reported",0001U,CPT,,,,Outpatient,Facility,,,2622,1048.8,66,,,Percent of total billed charges,,1730.52,20.8,,,Percent of total billed charges,,545.38,20.4,,,Percent of total billed charges,,534.89,,720,,Case rate,,720,,34.05,,Case rate,,34.05,80,,,Percent of total billed charges,,2097.6,61.6,,,Percent of total billed charges,,1615.15,20.6,,,Percent of total billed charges,,540.13,20.6,,,Percent of total billed charges,,540.13,65.55,,,Percent of total billed charges,,1718.72,21,,,Percent of total billed charges,,550.62,90,,,Percent of total billed charges,,2359.8,21,,,Percent of total billed charges,,550.62,21,,,Percent of total billed charges,,550.62,64.9,,,Percent of total billed charges,,1701.68,21,,,Percent of total billed charges,,550.62,45,,,Percent of total billed charges,,1179.9,34.05,2622,
red blood cell disorders with mcc,811,MS-DRG,,,,Inpatient,Facility,,,13727.69,5491.08,,12635.21,,Case rate,DRG Factor * DRG Weight,12635.21,,1758.64,,Per Diem,,5275.92,,1724.82,,Per Diem,,5174.46,,17301.85,,Case rate,DRG Factor * DRG Weight,17301.85,,1674.09,,Per Diem,,5022.27,80,,,Percent of total billed charges,,10982.15,61.6,,,Percent of total billed charges,,8456.26,,1741.73,,Per Diem,,5225.19,,1741.73,,Per Diem,,5225.19,65.55,,,Percent of total billed charges,,8998.5,,2079,,Per Diem,,6237,90,,,Percent of total billed charges,,12354.92,,2079,,Per Diem,,6237,,2079,,Per Diem,,6237,64.9,,,Percent of total billed charges,,8909.27,,2079,,Per Diem,,6237,,13546.48,,Case rate,DRG Factor * DRG Weight,13546.48,5022.27,17301.85,
red blood cell disorders without mcc,812,MS-DRG,,,,Inpatient,Facility,,,8564.36,3425.74,,8108.1,,Case rate,DRG Factor * DRG Weight,8108.1,,1758.64,,Per Diem,,1758.64,,1724.82,,Per Diem,,1724.82,,11534.56,,Case rate,DRG Factor * DRG Weight,11534.56,,1674.09,,Per Diem,,1674.09,80,,,Percent of total billed charges,,6851.49,61.6,,,Percent of total billed charges,,5275.64,,1741.73,,Per Diem,,1741.73,,1741.73,,Per Diem,,1741.73,65.55,,,Percent of total billed charges,,5613.94,,2079,,Per Diem,,2079,90,,,Percent of total billed charges,,7707.92,,2079,,Per Diem,,2079,,2079,,Per Diem,,2079,64.9,,,Percent of total billed charges,,5558.27,,2079,,Per Diem,,2079,,8692.87,,Case rate,DRG Factor * DRG Weight,8692.87,1674.09,11534.56,
"Red blood cells, leukocytes reduced, each unit",P9016,CPT,,,,Outpatient,Facility,,,1070,428,66,,,Percent of total billed charges,,706.2,20.8,,,Percent of total billed charges,,222.56,20.4,,,Percent of total billed charges,,218.28,,118,,Case rate,,118,,42.06,,Case rate,,42.06,80,,,Percent of total billed charges,,856,61.6,,,Percent of total billed charges,,659.12,20.6,,,Percent of total billed charges,,220.42,20.6,,,Percent of total billed charges,,220.42,65.55,,,Percent of total billed charges,,701.38,21,,,Percent of total billed charges,,224.7,90,,,Percent of total billed charges,,963,21,,,Percent of total billed charges,,224.7,21,,,Percent of total billed charges,,224.7,64.9,,,Percent of total billed charges,,694.43,21,,,Percent of total billed charges,,224.7,,105.67,,Case rate,,105.67,42.06,1070,
"Release, tarsal tunnel (posterior tibial nerve decompression)",28035,CPT,,,,Outpatient,Facility,,,4266.09,1706.43,66,,,Percent of total billed charges,,2815.62,20.8,,,Percent of total billed charges,,887.35,20.4,,,Percent of total billed charges,,870.28,,510.51,,Case rate,,510.51,,109.82,,Case rate,,109.82,80,,,Percent of total billed charges,,3412.87,61.6,,,Percent of total billed charges,,2627.91,20.6,,,Percent of total billed charges,,878.81,20.6,,,Percent of total billed charges,,878.81,65.55,,,Percent of total billed charges,,2796.42,21,,,Percent of total billed charges,,895.88,90,,,Percent of total billed charges,,3839.48,21,,,Percent of total billed charges,,895.88,21,,,Percent of total billed charges,,895.88,64.9,,,Percent of total billed charges,,2768.69,21,,,Percent of total billed charges,,895.88,,2694.33,,Case rate,,2694.33,109.82,4266.08,
"Removal foreign body, intranasal; office type procedure",30300,CPT,,,,Outpatient,Facility,,,295,118,66,,,Percent of total billed charges,,194.7,20.8,,,Percent of total billed charges,,61.36,20.4,,,Percent of total billed charges,,60.18,,203.72,,Case rate,,203.72,,9.9,,Case rate,,9.9,80,,,Percent of total billed charges,,236,61.6,,,Percent of total billed charges,,181.72,20.6,,,Percent of total billed charges,,60.77,20.6,,,Percent of total billed charges,,60.77,65.55,,,Percent of total billed charges,,193.37,21,,,Percent of total billed charges,,61.95,90,,,Percent of total billed charges,,265.5,21,,,Percent of total billed charges,,61.95,21,,,Percent of total billed charges,,61.95,64.9,,,Percent of total billed charges,,191.46,21,,,Percent of total billed charges,,61.95,,234.98,,Case rate,,234.98,9.9,295,
"Removal impacted cerumen requiring instrumentation, unilateral",69210,CPT,,,,Outpatient,Facility,,,75,30,66,,,Percent of total billed charges,,49.5,20.8,,,Percent of total billed charges,,15.6,20.4,,,Percent of total billed charges,,15.3,,46.21,,Case rate,,46.21,,1.98,,Case rate,,1.98,80,,,Percent of total billed charges,,60,61.6,,,Percent of total billed charges,,46.2,20.6,,,Percent of total billed charges,,15.45,20.6,,,Percent of total billed charges,,15.45,65.55,,,Percent of total billed charges,,49.16,21,,,Percent of total billed charges,,15.75,90,,,Percent of total billed charges,,67.5,21,,,Percent of total billed charges,,15.75,21,,,Percent of total billed charges,,15.75,64.9,,,Percent of total billed charges,,48.68,21,,,Percent of total billed charges,,15.75,,40.44,,Case rate,,40.44,1.98,75,
"Removal impacted cerumen using irrigation/lavage, unilateral",69209,CPT,,,,Outpatient,Facility,,,194,77.6,66,,,Percent of total billed charges,,128.04,20.8,,,Percent of total billed charges,,40.35,20.4,,,Percent of total billed charges,,39.58,,14.53,,Case rate,,14.53,,0.89,,Case rate,,0.89,80,,,Percent of total billed charges,,155.2,61.6,,,Percent of total billed charges,,119.5,20.6,,,Percent of total billed charges,,39.96,20.6,,,Percent of total billed charges,,39.96,65.55,,,Percent of total billed charges,,127.17,21,,,Percent of total billed charges,,40.74,90,,,Percent of total billed charges,,174.6,21,,,Percent of total billed charges,,40.74,21,,,Percent of total billed charges,,40.74,64.9,,,Percent of total billed charges,,125.91,21,,,Percent of total billed charges,,40.74,,133.16,,Case rate,,133.16,0.89,194,
Removal of foreign body from pharynx,42809,CPT,,,,Outpatient,Facility,,,197,78.8,66,,,Percent of total billed charges,,130.02,20.8,,,Percent of total billed charges,,40.98,20.4,,,Percent of total billed charges,,40.19,,198.4,,Case rate,Use Lesser of logic,197,,5.94,,Case rate,,5.94,80,,,Percent of total billed charges,,157.6,61.6,,,Percent of total billed charges,,121.35,20.6,,,Percent of total billed charges,,40.58,20.6,,,Percent of total billed charges,,40.58,65.55,,,Percent of total billed charges,,129.13,21,,,Percent of total billed charges,,41.37,90,,,Percent of total billed charges,,177.3,21,,,Percent of total billed charges,,41.37,21,,,Percent of total billed charges,,41.37,64.9,,,Percent of total billed charges,,127.85,21,,,Percent of total billed charges,,41.37,,137.94,,Case rate,,137.94,5.94,197,
"Removal of foreign body, external eye; corneal, with slit lamp",65222,CPT,,,,Outpatient,Facility,,,425,170,66,,,Percent of total billed charges,,280.5,20.8,,,Percent of total billed charges,,88.4,20.4,,,Percent of total billed charges,,86.7,,65.1,,Case rate,,65.1,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,340,61.6,,,Percent of total billed charges,,261.8,20.6,,,Percent of total billed charges,,87.55,20.6,,,Percent of total billed charges,,87.55,65.55,,,Percent of total billed charges,,278.59,21,,,Percent of total billed charges,,89.25,90,,,Percent of total billed charges,,382.5,21,,,Percent of total billed charges,,89.25,21,,,Percent of total billed charges,,89.25,64.9,,,Percent of total billed charges,,275.82,21,,,Percent of total billed charges,,89.25,,347.81,,Case rate,,347.81,13.86,425,
"Removal of foreign body, external eye; corneal, without slit lamp",65220,CPT,,,,Outpatient,Facility,,,306,122.4,66,,,Percent of total billed charges,,201.96,20.8,,,Percent of total billed charges,,63.65,20.4,,,Percent of total billed charges,,62.42,,58.43,,Case rate,,58.43,,9.9,,Case rate,,9.9,80,,,Percent of total billed charges,,244.8,61.6,,,Percent of total billed charges,,188.5,20.6,,,Percent of total billed charges,,63.04,20.6,,,Percent of total billed charges,,63.04,65.55,,,Percent of total billed charges,,200.58,21,,,Percent of total billed charges,,64.26,90,,,Percent of total billed charges,,275.4,21,,,Percent of total billed charges,,64.26,21,,,Percent of total billed charges,,64.26,64.9,,,Percent of total billed charges,,198.59,21,,,Percent of total billed charges,,64.26,,248.73,,Case rate,,248.73,9.9,306,
Removal of sutures or staples not requiring anesthesia (List separately in addition to E/M code),15853,CPT,,,,Outpatient,Facility,,,41,16.4,66,,,Percent of total billed charges,,27.06,20.8,,,Percent of total billed charges,,8.53,20.4,,,Percent of total billed charges,,8.36,,10.74,,Case rate,,10.74,19.8,,,Percent of total billed charges,,8.12,80,,,Percent of total billed charges,,32.8,61.6,,,Percent of total billed charges,,25.26,20.6,,,Percent of total billed charges,,8.45,20.6,,,Percent of total billed charges,,8.45,65.55,,,Percent of total billed charges,,26.88,21,,,Percent of total billed charges,,8.61,90,,,Percent of total billed charges,,36.9,21,,,Percent of total billed charges,,8.61,21,,,Percent of total billed charges,,8.61,64.9,,,Percent of total billed charges,,26.61,21,,,Percent of total billed charges,,8.61,45,,,Percent of total billed charges,,18.45,8.12,41,
"Removal of tunneled central venous catheter, without subcutaneous port or pump",36589,CPT,,,,Outpatient,Facility,,,1692,676.8,66,,,Percent of total billed charges,,1116.72,20.8,,,Percent of total billed charges,,351.94,20.4,,,Percent of total billed charges,,345.17,,160.74,,Case rate,,160.74,,62.25,,Case rate,,62.25,80,,,Percent of total billed charges,,1353.6,61.6,,,Percent of total billed charges,,1042.27,20.6,,,Percent of total billed charges,,348.55,20.6,,,Percent of total billed charges,,348.55,65.55,,,Percent of total billed charges,,1109.11,21,,,Percent of total billed charges,,355.32,90,,,Percent of total billed charges,,1522.8,21,,,Percent of total billed charges,,355.32,21,,,Percent of total billed charges,,355.32,64.9,,,Percent of total billed charges,,1098.11,21,,,Percent of total billed charges,,355.32,,865.92,,Case rate,,865.92,62.25,1692,
Removal or bivalving; full arm or full leg cast,29705,CPT,,,,Outpatient,Facility,,,444,177.6,66,,,Percent of total billed charges,,293.04,20.8,,,Percent of total billed charges,,92.35,20.4,,,Percent of total billed charges,,90.58,,61.06,,Case rate,,61.06,,9.9,,Case rate,,9.9,80,,,Percent of total billed charges,,355.2,61.6,,,Percent of total billed charges,,273.5,20.6,,,Percent of total billed charges,,91.46,20.6,,,Percent of total billed charges,,91.46,65.55,,,Percent of total billed charges,,291.04,21,,,Percent of total billed charges,,93.24,90,,,Percent of total billed charges,,399.6,21,,,Percent of total billed charges,,93.24,21,,,Percent of total billed charges,,93.24,64.9,,,Percent of total billed charges,,288.16,21,,,Percent of total billed charges,,93.24,,249.33,,Case rate,,249.33,9.9,444,
renal failure with cc,683,MS-DRG,,,,Inpatient,Facility,,,17203.97,6881.59,,8109,,Case rate,DRG Factor * DRG Weight,8109,,1758.64,,Per Diem,,3517.28,,1724.82,,Per Diem,,3449.64,,9806.04,,Case rate,DRG Factor * DRG Weight,9806.04,,1674.09,,Per Diem,,3348.18,80,,,Percent of total billed charges,,13763.18,61.6,,,Percent of total billed charges,,10597.65,,1741.73,,Per Diem,,3483.46,,1741.73,,Per Diem,,3483.46,65.55,,,Percent of total billed charges,,11277.2,,2079,,Per Diem,,4158,90,,,Percent of total billed charges,,15483.57,,2079,,Per Diem,,4158,,2079,,Per Diem,,4158,64.9,,,Percent of total billed charges,,11165.38,,2079,,Per Diem,,4158,,8693.84,,Case rate,DRG Factor * DRG Weight,8693.84,3348.18,17203.97,
"Repair blood vessel, direct; lower extremity",35226,CPT,,,,Outpatient,Facility,,,2921,1168.4,66,,,Percent of total billed charges,,1927.86,20.8,,,Percent of total billed charges,,607.57,20.4,,,Percent of total billed charges,,595.88,,801.9,,Case rate,,801.9,,26.2,,Case rate,,26.2,80,,,Percent of total billed charges,,2336.8,61.6,,,Percent of total billed charges,,1799.34,20.6,,,Percent of total billed charges,,601.73,20.6,,,Percent of total billed charges,,601.73,65.55,,,Percent of total billed charges,,1914.72,21,,,Percent of total billed charges,,613.41,90,,,Percent of total billed charges,,2628.9,21,,,Percent of total billed charges,,613.41,21,,,Percent of total billed charges,,613.41,64.9,,,Percent of total billed charges,,1895.73,21,,,Percent of total billed charges,,613.41,,636.69,,Case rate,,636.69,26.2,2921,
"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated",49507,CPT,,,,Outpatient,Facility,,,7591.53,3036.61,66,,,Percent of total billed charges,,5010.41,20.8,,,Percent of total billed charges,,1579.04,20.4,,,Percent of total billed charges,,1548.67,,576.94,,Case rate,,576.94,,173.78,,Case rate,,173.78,80,,,Percent of total billed charges,,6073.22,61.6,,,Percent of total billed charges,,4676.38,20.6,,,Percent of total billed charges,,1563.86,20.6,,,Percent of total billed charges,,1563.86,65.55,,,Percent of total billed charges,,4976.25,21,,,Percent of total billed charges,,1594.22,90,,,Percent of total billed charges,,6832.38,21,,,Percent of total billed charges,,1594.22,21,,,Percent of total billed charges,,1594.22,64.9,,,Percent of total billed charges,,4926.9,21,,,Percent of total billed charges,,1594.22,,4270.96,,Case rate,,4270.96,173.78,7591.53,
"Repair initial inguinal hernia, age 5 years or older; reducible",49505,CPT,,,,Outpatient,Facility,,,5737.11,2294.84,66,,,Percent of total billed charges,,3786.49,20.8,,,Percent of total billed charges,,1193.32,20.4,,,Percent of total billed charges,,1170.37,,512.97,,Case rate,,512.97,,109.82,,Case rate,,109.82,80,,,Percent of total billed charges,,4589.69,61.6,,,Percent of total billed charges,,3534.06,20.6,,,Percent of total billed charges,,1181.84,20.6,,,Percent of total billed charges,,1181.84,65.55,,,Percent of total billed charges,,3760.68,21,,,Percent of total billed charges,,1204.79,90,,,Percent of total billed charges,,5163.4,21,,,Percent of total billed charges,,1204.79,21,,,Percent of total billed charges,,1204.79,64.9,,,Percent of total billed charges,,3723.38,21,,,Percent of total billed charges,,1204.79,,2695.08,,Case rate,,2695.08,109.82,5737.11,
"Repair lip, full thickness; up to half vertical height",40652,CPT,,,,Outpatient,Facility,,,3706,1482.4,66,,,Percent of total billed charges,,2445.96,20.8,,,Percent of total billed charges,,770.85,20.4,,,Percent of total billed charges,,756.02,,504.49,,Case rate,,504.49,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,2964.8,61.6,,,Percent of total billed charges,,2282.9,20.6,,,Percent of total billed charges,,763.44,20.6,,,Percent of total billed charges,,763.44,65.55,,,Percent of total billed charges,,2429.28,21,,,Percent of total billed charges,,778.26,90,,,Percent of total billed charges,,3335.4,21,,,Percent of total billed charges,,778.26,21,,,Percent of total billed charges,,778.26,64.9,,,Percent of total billed charges,,2405.19,21,,,Percent of total billed charges,,778.26,,2200.87,,Case rate,,2200.87,89.15,3706,
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated",49594,CPT,,,,Outpatient,Facility,,,6631.92,2652.77,66,,,Percent of total billed charges,,4377.07,20.8,,,Percent of total billed charges,,1379.44,20.4,,,Percent of total billed charges,,1352.91,,731.02,,Case rate,,731.02,19.8,,,Percent of total billed charges,,1313.12,80,,,Percent of total billed charges,,5305.54,61.6,,,Percent of total billed charges,,4085.26,20.6,,,Percent of total billed charges,,1366.18,20.6,,,Percent of total billed charges,,1366.18,65.55,,,Percent of total billed charges,,4347.22,21,,,Percent of total billed charges,,1392.7,90,,,Percent of total billed charges,,5968.73,21,,,Percent of total billed charges,,1392.7,21,,,Percent of total billed charges,,1392.7,64.9,,,Percent of total billed charges,,4304.12,21,,,Percent of total billed charges,,1392.7,,4065.36,,Case rate,,4065.36,731.02,6631.92,
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue,41250,CPT,,,,Outpatient,Facility,,,2242,896.8,66,,,Percent of total billed charges,,1479.72,20.8,,,Percent of total billed charges,,466.34,20.4,,,Percent of total billed charges,,457.37,,276.02,,Case rate,,276.02,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1793.6,61.6,,,Percent of total billed charges,,1381.07,20.6,,,Percent of total billed charges,,461.85,20.6,,,Percent of total billed charges,,461.85,65.55,,,Percent of total billed charges,,1469.63,21,,,Percent of total billed charges,,470.82,90,,,Percent of total billed charges,,2017.8,21,,,Percent of total billed charges,,470.82,21,,,Percent of total billed charges,,470.82,64.9,,,Percent of total billed charges,,1455.06,21,,,Percent of total billed charges,,470.82,,1905.16,,Case rate,,1905.16,77.74,2242,
"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex",41252,CPT,,,,Outpatient,Facility,,,2536,1014.4,66,,,Percent of total billed charges,,1673.76,20.8,,,Percent of total billed charges,,527.49,20.4,,,Percent of total billed charges,,517.34,,320.05,,Case rate,,320.05,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,2028.8,61.6,,,Percent of total billed charges,,1562.18,20.6,,,Percent of total billed charges,,522.42,20.6,,,Percent of total billed charges,,522.42,65.55,,,Percent of total billed charges,,1662.35,21,,,Percent of total billed charges,,532.56,90,,,Percent of total billed charges,,2282.4,21,,,Percent of total billed charges,,532.56,21,,,Percent of total billed charges,,532.56,64.9,,,Percent of total billed charges,,1645.86,21,,,Percent of total billed charges,,532.56,,1905.35,,Case rate,,1905.35,77.74,2536,
"Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm",13151,CPT,,,,Outpatient,Facility,,,3218,1287.2,66,,,Percent of total billed charges,,2123.88,20.8,,,Percent of total billed charges,,669.34,20.4,,,Percent of total billed charges,,656.47,,411.84,,Case rate,,411.84,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,2574.4,61.6,,,Percent of total billed charges,,1982.29,20.6,,,Percent of total billed charges,,662.91,20.6,,,Percent of total billed charges,,662.91,65.55,,,Percent of total billed charges,,2109.4,21,,,Percent of total billed charges,,675.78,90,,,Percent of total billed charges,,2896.2,21,,,Percent of total billed charges,,675.78,21,,,Percent of total billed charges,,675.78,64.9,,,Percent of total billed charges,,2088.48,21,,,Percent of total billed charges,,675.78,,2185.74,,Case rate,,2185.74,89.15,3218,
"Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure)",13122,CPT,,,,Outpatient,Facility,,,1279,511.6,66,,,Percent of total billed charges,,844.14,20.8,,,Percent of total billed charges,,266.03,20.4,,,Percent of total billed charges,,260.92,,123.84,,Case rate,,123.84,,22.09,,Case rate,,22.09,80,,,Percent of total billed charges,,1023.2,61.6,,,Percent of total billed charges,,787.86,20.6,,,Percent of total billed charges,,263.47,20.6,,,Percent of total billed charges,,263.47,65.55,,,Percent of total billed charges,,838.38,21,,,Percent of total billed charges,,268.59,90,,,Percent of total billed charges,,1151.1,21,,,Percent of total billed charges,,268.59,21,,,Percent of total billed charges,,268.59,64.9,,,Percent of total billed charges,,830.07,21,,,Percent of total billed charges,,268.59,,1085.21,,Case rate,,1085.21,22.09,1279,
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm",12054,CPT,,,,Outpatient,Facility,,,2354,941.6,66,,,Percent of total billed charges,,1553.64,20.8,,,Percent of total billed charges,,489.63,20.4,,,Percent of total billed charges,,480.22,,373.89,,Case rate,,373.89,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1883.2,61.6,,,Percent of total billed charges,,1450.06,20.6,,,Percent of total billed charges,,484.92,20.6,,,Percent of total billed charges,,484.92,65.55,,,Percent of total billed charges,,1543.05,21,,,Percent of total billed charges,,494.34,90,,,Percent of total billed charges,,2118.6,21,,,Percent of total billed charges,,494.34,21,,,Percent of total billed charges,,494.34,64.9,,,Percent of total billed charges,,1527.75,21,,,Percent of total billed charges,,494.34,,1904.79,,Case rate,,1904.79,77.74,2354,
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 12.6 cm to 20.0 cm",12045,CPT,,,,Outpatient,Facility,,,2354,941.6,66,,,Percent of total billed charges,,1553.64,20.8,,,Percent of total billed charges,,489.63,20.4,,,Percent of total billed charges,,480.22,,402.48,,Case rate,,402.48,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1883.2,61.6,,,Percent of total billed charges,,1450.06,20.6,,,Percent of total billed charges,,484.92,20.6,,,Percent of total billed charges,,484.92,65.55,,,Percent of total billed charges,,1543.05,21,,,Percent of total billed charges,,494.34,90,,,Percent of total billed charges,,2118.6,21,,,Percent of total billed charges,,494.34,21,,,Percent of total billed charges,,494.34,64.9,,,Percent of total billed charges,,1527.75,21,,,Percent of total billed charges,,494.34,,1919.74,,Case rate,,1919.74,77.74,2354,
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less",12041,CPT,,,,Outpatient,Facility,,,430,172,66,,,Percent of total billed charges,,283.8,20.8,,,Percent of total billed charges,,89.44,20.4,,,Percent of total billed charges,,87.72,,255.88,,Case rate,,255.88,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,344,61.6,,,Percent of total billed charges,,264.88,20.6,,,Percent of total billed charges,,88.58,20.6,,,Percent of total billed charges,,88.58,65.55,,,Percent of total billed charges,,281.86,21,,,Percent of total billed charges,,90.3,90,,,Percent of total billed charges,,387,21,,,Percent of total billed charges,,90.3,21,,,Percent of total billed charges,,90.3,64.9,,,Percent of total billed charges,,279.07,21,,,Percent of total billed charges,,90.3,,331.93,,Case rate,,331.93,13.86,430,
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm",12042,CPT,,,,Outpatient,Facility,,,631,252.4,66,,,Percent of total billed charges,,416.46,20.8,,,Percent of total billed charges,,131.25,20.4,,,Percent of total billed charges,,128.72,,300.4,,Case rate,,300.4,,21.78,,Case rate,,21.78,80,,,Percent of total billed charges,,504.8,61.6,,,Percent of total billed charges,,388.7,20.6,,,Percent of total billed charges,,129.99,20.6,,,Percent of total billed charges,,129.99,65.55,,,Percent of total billed charges,,413.62,21,,,Percent of total billed charges,,132.51,90,,,Percent of total billed charges,,567.9,21,,,Percent of total billed charges,,132.51,21,,,Percent of total billed charges,,132.51,64.9,,,Percent of total billed charges,,409.52,21,,,Percent of total billed charges,,132.51,,527.54,,Case rate,,527.54,21.78,631,
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm",12036,CPT,,,,Outpatient,Facility,,,2371,948.4,66,,,Percent of total billed charges,,1564.86,20.8,,,Percent of total billed charges,,493.17,20.4,,,Percent of total billed charges,,483.68,,419.54,,Case rate,,419.54,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1896.8,61.6,,,Percent of total billed charges,,1460.54,20.6,,,Percent of total billed charges,,488.43,20.6,,,Percent of total billed charges,,488.43,65.55,,,Percent of total billed charges,,1554.19,21,,,Percent of total billed charges,,497.91,90,,,Percent of total billed charges,,2133.9,21,,,Percent of total billed charges,,497.91,21,,,Percent of total billed charges,,497.91,64.9,,,Percent of total billed charges,,1538.78,21,,,Percent of total billed charges,,497.91,,1919.83,,Case rate,,1919.83,77.74,2371,
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm",12034,CPT,,,,Outpatient,Facility,,,2354,941.6,66,,,Percent of total billed charges,,1553.64,20.8,,,Percent of total billed charges,,489.63,20.4,,,Percent of total billed charges,,480.22,,324.13,,Case rate,,324.13,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1883.2,61.6,,,Percent of total billed charges,,1450.06,20.6,,,Percent of total billed charges,,484.92,20.6,,,Percent of total billed charges,,484.92,65.55,,,Percent of total billed charges,,1543.05,21,,,Percent of total billed charges,,494.34,90,,,Percent of total billed charges,,2118.6,21,,,Percent of total billed charges,,494.34,21,,,Percent of total billed charges,,494.34,64.9,,,Percent of total billed charges,,1527.75,21,,,Percent of total billed charges,,494.34,,1906,,Case rate,,1906,77.74,2354,
"Repair, secondary, Achilles tendon, with or without graft",27654,CPT,,,,Outpatient,Facility,,,4831,1932.4,66,,,Percent of total billed charges,,3188.46,20.8,,,Percent of total billed charges,,1004.85,20.4,,,Percent of total billed charges,,985.52,,700.36,,Case rate,,700.36,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,3864.8,61.6,,,Percent of total billed charges,,2975.9,20.6,,,Percent of total billed charges,,995.19,20.6,,,Percent of total billed charges,,995.19,65.55,,,Percent of total billed charges,,3166.72,21,,,Percent of total billed charges,,1014.51,90,,,Percent of total billed charges,,4347.9,21,,,Percent of total billed charges,,1014.51,21,,,Percent of total billed charges,,1014.51,64.9,,,Percent of total billed charges,,3135.32,21,,,Percent of total billed charges,,1014.51,,2200.87,,Case rate,,2200.87,89.15,4831,
Respiratory flow volume loop,94375,CPT,46094375,CDM,TC,Outpatient,Facility,,,227,90.8,66,,,Percent of total billed charges,,149.82,20.8,,,Percent of total billed charges,,47.22,20.4,,,Percent of total billed charges,,46.31,,22.75,,Case rate,,22.75,,3.27,,Case rate,,3.27,80,,,Percent of total billed charges,,181.6,61.6,,,Percent of total billed charges,,139.83,20.6,,,Percent of total billed charges,,46.76,20.6,,,Percent of total billed charges,,46.76,65.55,,,Percent of total billed charges,,148.8,21,,,Percent of total billed charges,,47.67,90,,,Percent of total billed charges,,204.3,21,,,Percent of total billed charges,,47.67,21,,,Percent of total billed charges,,47.67,64.9,,,Percent of total billed charges,,147.32,21,,,Percent of total billed charges,,47.67,,71.13,,Case rate,,71.13,3.27,227,
respiratory infections and inflammations with mcc,177,MS-DRG,,,,Inpatient,Facility,,,13837.86,5535.14,,15270.99,,Case rate,DRG Factor * DRG Weight,15270.99,,1758.64,,Per Diem,,5275.92,,1724.82,,Per Diem,,5174.46,,18398.79,,Case rate,DRG Factor * DRG Weight,18398.79,,1674.09,,Per Diem,,5022.27,80,,,Percent of total billed charges,,11070.29,61.6,,,Percent of total billed charges,,8524.12,,1741.73,,Per Diem,,5225.19,,1741.73,,Per Diem,,5225.19,65.55,,,Percent of total billed charges,,9070.72,,2079,,Per Diem,,6237,90,,,Percent of total billed charges,,12454.07,,2079,,Per Diem,,6237,,2079,,Per Diem,,6237,64.9,,,Percent of total billed charges,,8980.77,,2079,,Per Diem,,6237,,16372.36,,Case rate,DRG Factor * DRG Weight,16372.36,5022.27,18398.79,
respiratory neoplasms with cc,181,MS-DRG,,,,Inpatient,Facility,,,7944.13,3177.65,,9912.1,,Case rate,DRG Factor * DRG Weight,9912.1,,1758.64,,Per Diem,,3517.28,,1724.82,,Per Diem,,3449.64,,15024.85,,Case rate,DRG Factor * DRG Weight,15024.85,,1674.09,,Per Diem,,3348.18,80,,,Percent of total billed charges,,6355.3,61.6,,,Percent of total billed charges,,4893.58,,1741.73,,Per Diem,,3483.46,,1741.73,,Per Diem,,3483.46,65.55,,,Percent of total billed charges,,5207.38,,2079,,Per Diem,,4158,90,,,Percent of total billed charges,,7149.72,,2079,,Per Diem,,4158,,2079,,Per Diem,,4158,64.9,,,Percent of total billed charges,,5155.74,,2079,,Per Diem,,4158,,10626.98,,Case rate,DRG Factor * DRG Weight,10626.98,3348.18,15024.85,
Rheumatoid factor; quantitative,86431,CPT,,,,Outpatient,Facility,,,96,38.4,66,,,Percent of total billed charges,,63.36,20.8,,,Percent of total billed charges,,19.97,20.4,,,Percent of total billed charges,,19.58,,5.67,,Case rate,,5.67,,1.15,,Case rate,,1.15,80,,,Percent of total billed charges,,76.8,61.6,,,Percent of total billed charges,,59.14,20.6,,,Percent of total billed charges,,19.78,20.6,,,Percent of total billed charges,,19.78,65.55,,,Percent of total billed charges,,62.93,21,,,Percent of total billed charges,,20.16,90,,,Percent of total billed charges,,86.4,21,,,Percent of total billed charges,,20.16,21,,,Percent of total billed charges,,20.16,64.9,,,Percent of total billed charges,,62.3,21,,,Percent of total billed charges,,20.16,,32.73,,Case rate,,32.73,1.15,96,
Riboflavin (Vitamin B-2),84252,CPT,,,,Outpatient,Facility,,,185,74,66,,,Percent of total billed charges,,122.1,20.8,,,Percent of total billed charges,,38.48,20.4,,,Percent of total billed charges,,37.74,,20.24,,Case rate,,20.24,,5.86,,Case rate,,5.86,80,,,Percent of total billed charges,,148,61.6,,,Percent of total billed charges,,113.96,20.6,,,Percent of total billed charges,,38.11,20.6,,,Percent of total billed charges,,38.11,65.55,,,Percent of total billed charges,,121.27,21,,,Percent of total billed charges,,38.85,90,,,Percent of total billed charges,,166.5,21,,,Percent of total billed charges,,38.85,21,,,Percent of total billed charges,,38.85,64.9,,,Percent of total billed charges,,120.06,21,,,Percent of total billed charges,,38.85,,125.18,,Case rate,,125.18,5.86,185,
"Ringers lactate infusion, up to 1000 cc",J7120,HCPCS,,,,Outpatient,Facility,1000,ML,33.33,13.33,66,,,Percent of total billed charges,,22,20.8,,,Percent of total billed charges,,6.93,20.4,,,Percent of total billed charges,,6.8,,10.66,,Case rate,,10.66,,1.97,,Case rate,,1.97,80,,,Percent of total billed charges,,26.66,61.6,,,Percent of total billed charges,,20.53,20.6,,,Percent of total billed charges,,6.87,20.6,,,Percent of total billed charges,,6.87,65.55,,,Percent of total billed charges,,21.85,21,,,Percent of total billed charges,,7,90,,,Percent of total billed charges,,30,21,,,Percent of total billed charges,,7,21,,,Percent of total billed charges,,7,64.9,,,Percent of total billed charges,,21.63,21,,,Percent of total billed charges,,7,,2.85,,Case rate,,2.85,1.97,33.33,
Salivary gland imaging,78230,CPT,,,,Outpatient,Facility,,,460,184,66,,,Percent of total billed charges,,303.6,20.8,,,Percent of total billed charges,,95.68,20.4,,,Percent of total billed charges,,93.84,,137.5,,Case rate,,137.5,,14.51,,Case rate,,14.51,80,,,Percent of total billed charges,,368,61.6,,,Percent of total billed charges,,283.36,20.6,,,Percent of total billed charges,,94.76,20.6,,,Percent of total billed charges,,94.76,65.55,,,Percent of total billed charges,,301.53,21,,,Percent of total billed charges,,96.6,90,,,Percent of total billed charges,,414,21,,,Percent of total billed charges,,96.6,21,,,Percent of total billed charges,,96.6,64.9,,,Percent of total billed charges,,298.54,21,,,Percent of total billed charges,,96.6,,349.57,,Case rate,,349.57,14.51,460,
"Screening for depression is documented as negative, a follow-up plan is not required",G8510,CPT,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Case rate,,,,,,Case rate,,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,,,,Outpatient,Facility,,,493,197.2,66,,,Percent of total billed charges,,325.38,20.8,,,Percent of total billed charges,,102.54,20.4,,,Percent of total billed charges,,100.57,,87.57,,Case rate,,87.57,,6.49,,Case rate,,6.49,80,,,Percent of total billed charges,,394.4,61.6,,,Percent of total billed charges,,303.69,20.6,,,Percent of total billed charges,,101.56,20.6,,,Percent of total billed charges,,101.56,65.55,,,Percent of total billed charges,,323.16,21,,,Percent of total billed charges,,103.53,90,,,Percent of total billed charges,,443.7,21,,,Percent of total billed charges,,103.53,21,,,Percent of total billed charges,,103.53,64.9,,,Percent of total billed charges,,319.96,21,,,Percent of total billed charges,,103.53,,457.2,,Case rate,,457.2,6.49,493,
"Secondary closure of surgical wound or dehiscence, extensive or complicated",13160,CPT,,,,Outpatient,Facility,,,6117.37,2446.95,66,,,Percent of total billed charges,,4037.46,20.8,,,Percent of total billed charges,,1272.41,20.4,,,Percent of total billed charges,,1247.94,,776.36,,Case rate,,776.36,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,4893.9,61.6,,,Percent of total billed charges,,3768.3,20.6,,,Percent of total billed charges,,1260.18,20.6,,,Percent of total billed charges,,1260.18,65.55,,,Percent of total billed charges,,4009.94,21,,,Percent of total billed charges,,1284.65,90,,,Percent of total billed charges,,5505.63,21,,,Percent of total billed charges,,1284.65,21,,,Percent of total billed charges,,1284.65,64.9,,,Percent of total billed charges,,3970.17,21,,,Percent of total billed charges,,1284.65,,1905.12,,Case rate,,1905.12,77.74,6117.37,
"Sedimentation rate, erythrocyte; non-automated",85651,CPT,,,,Outpatient,Facility,,,32,12.8,66,,,Percent of total billed charges,,21.12,20.8,,,Percent of total billed charges,,6.66,20.4,,,Percent of total billed charges,,6.53,,4.27,,Case rate,,4.27,,0.73,,Case rate,,0.73,80,,,Percent of total billed charges,,25.6,61.6,,,Percent of total billed charges,,19.71,20.6,,,Percent of total billed charges,,6.59,20.6,,,Percent of total billed charges,,6.59,65.55,,,Percent of total billed charges,,20.98,21,,,Percent of total billed charges,,6.72,90,,,Percent of total billed charges,,28.8,21,,,Percent of total billed charges,,6.72,21,,,Percent of total billed charges,,6.72,64.9,,,Percent of total billed charges,,20.77,21,,,Percent of total billed charges,,6.72,,23.26,,Case rate,,23.26,0.73,32,
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes",97535,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,,33.35,,Case rate,,33.35,,32,,Case rate,,32,,2.71,,Case rate,,2.71,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,70.53,,Case rate,,70.53,2.71,92,
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes",97533,CPT,,,,Outpatient,Facility,,,141,56.4,66,,,Percent of total billed charges,,93.06,20.8,,,Percent of total billed charges,,29.33,20.4,,,Percent of total billed charges,,28.76,,61.15,,Case rate,,61.15,,5.01,,Case rate,,5.01,80,,,Percent of total billed charges,,112.8,61.6,,,Percent of total billed charges,,86.86,20.6,,,Percent of total billed charges,,29.05,20.6,,,Percent of total billed charges,,29.05,65.55,,,Percent of total billed charges,,92.43,21,,,Percent of total billed charges,,29.61,90,,,Percent of total billed charges,,126.9,21,,,Percent of total billed charges,,29.61,21,,,Percent of total billed charges,,29.61,64.9,,,Percent of total billed charges,,91.51,21,,,Percent of total billed charges,,29.61,,34.5,,Case rate,,34.5,5.01,141,
septicemia or severe sepsis without mechanical ventilation >96 hours with mcc,871,MS-DRG,,,,Inpatient,Facility,,,16861.13,6744.45,,17847.37,,Case rate,DRG Factor * DRG Weight,17847.37,,1758.64,,Per Diem,,7034.56,,1724.82,,Per Diem,,6899.28,,22853.06,,Case rate,DRG Factor * DRG Weight,22853.06,,1674.09,,Per Diem,,6696.36,80,,,Percent of total billed charges,,13488.9,61.6,,,Percent of total billed charges,,10386.46,,1741.73,,Per Diem,,6966.92,,1741.73,,Per Diem,,6966.92,65.55,,,Percent of total billed charges,,11052.47,,2079,,Per Diem,,8316,90,,,Percent of total billed charges,,15175.02,,2079,,Per Diem,,8316,,2079,,Per Diem,,8316,64.9,,,Percent of total billed charges,,10942.87,,2079,,Per Diem,,8316,,19134.55,,Case rate,DRG Factor * DRG Weight,19134.55,6696.36,22853.06,
septicemia or severe sepsis without mechanical ventilation >96 hours without mcc,872,MS-DRG,,,,Inpatient,Facility,,,9782.6,3913.04,,9271.16,,Case rate,DRG Factor * DRG Weight,9271.16,,1758.64,,Per Diem,,1758.64,,1724.82,,Per Diem,,1724.82,,11800.49,,Case rate,DRG Factor * DRG Weight,11800.49,,1674.09,,Per Diem,,1674.09,80,,,Percent of total billed charges,,7826.08,61.6,,,Percent of total billed charges,,6026.08,,1741.73,,Per Diem,,1741.73,,1741.73,,Per Diem,,1741.73,65.55,,,Percent of total billed charges,,6412.49,,2079,,Per Diem,,2079,90,,,Percent of total billed charges,,8804.34,,2079,,Per Diem,,2079,,2079,,Per Diem,,2079,64.9,,,Percent of total billed charges,,6348.9,,2079,,Per Diem,,2079,,9939.81,,Case rate,DRG Factor * DRG Weight,9939.81,1674.09,11800.49,
Sex hormone binding globulin (SHBG),84270,CPT,,,,Outpatient,Facility,,,112,44.8,66,,,Percent of total billed charges,,73.92,20.8,,,Percent of total billed charges,,23.3,20.4,,,Percent of total billed charges,,22.85,,21.73,,Case rate,,21.73,,3.76,,Case rate,,3.76,80,,,Percent of total billed charges,,89.6,61.6,,,Percent of total billed charges,,68.99,20.6,,,Percent of total billed charges,,23.07,20.6,,,Percent of total billed charges,,23.07,65.55,,,Percent of total billed charges,,73.42,21,,,Percent of total billed charges,,23.52,90,,,Percent of total billed charges,,100.8,21,,,Percent of total billed charges,,23.52,21,,,Percent of total billed charges,,23.52,64.9,,,Percent of total billed charges,,72.69,21,,,Percent of total billed charges,,23.52,,76.52,,Case rate,,76.52,3.76,112,
"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less",11305,CPT,,,,Outpatient,Facility,,,405,162,66,,,Percent of total billed charges,,267.3,20.8,,,Percent of total billed charges,,84.24,20.4,,,Percent of total billed charges,,82.62,,102.29,,Case rate,,102.29,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,324,61.6,,,Percent of total billed charges,,249.48,20.6,,,Percent of total billed charges,,83.43,20.6,,,Percent of total billed charges,,83.43,65.55,,,Percent of total billed charges,,265.48,21,,,Percent of total billed charges,,85.05,90,,,Percent of total billed charges,,364.5,21,,,Percent of total billed charges,,85.05,21,,,Percent of total billed charges,,85.05,64.9,,,Percent of total billed charges,,262.84,21,,,Percent of total billed charges,,85.05,,331.79,,Case rate,,331.79,13.86,405,
"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm",11306,CPT,,,,Outpatient,Facility,,,426,170.4,66,,,Percent of total billed charges,,281.16,20.8,,,Percent of total billed charges,,88.61,20.4,,,Percent of total billed charges,,86.9,,119.07,,Case rate,,119.07,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,340.8,61.6,,,Percent of total billed charges,,262.42,20.6,,,Percent of total billed charges,,87.76,20.6,,,Percent of total billed charges,,87.76,65.55,,,Percent of total billed charges,,279.24,21,,,Percent of total billed charges,,89.46,90,,,Percent of total billed charges,,383.4,21,,,Percent of total billed charges,,89.46,21,,,Percent of total billed charges,,89.46,64.9,,,Percent of total billed charges,,276.47,21,,,Percent of total billed charges,,89.46,,347.71,,Case rate,,347.71,13.86,426,
"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less",11300,CPT,,,,Outpatient,Facility,,,405,162,66,,,Percent of total billed charges,,267.3,20.8,,,Percent of total billed charges,,84.24,20.4,,,Percent of total billed charges,,82.62,,97.73,,Case rate,,97.73,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,324,61.6,,,Percent of total billed charges,,249.48,20.6,,,Percent of total billed charges,,83.43,20.6,,,Percent of total billed charges,,83.43,65.55,,,Percent of total billed charges,,265.48,21,,,Percent of total billed charges,,85.05,90,,,Percent of total billed charges,,364.5,21,,,Percent of total billed charges,,85.05,21,,,Percent of total billed charges,,85.05,64.9,,,Percent of total billed charges,,262.84,21,,,Percent of total billed charges,,85.05,,332.67,,Case rate,,332.67,13.86,405,
"Sickling of RBC, reduction",85660,CPT,,,,Outpatient,Facility,,,42,16.8,66,,,Percent of total billed charges,,27.72,20.8,,,Percent of total billed charges,,8.74,20.4,,,Percent of total billed charges,,8.57,,5.51,,Case rate,,5.51,,0.98,,Case rate,,0.98,80,,,Percent of total billed charges,,33.6,61.6,,,Percent of total billed charges,,25.87,20.6,,,Percent of total billed charges,,8.65,20.6,,,Percent of total billed charges,,8.65,65.55,,,Percent of total billed charges,,27.53,21,,,Percent of total billed charges,,8.82,90,,,Percent of total billed charges,,37.8,21,,,Percent of total billed charges,,8.82,21,,,Percent of total billed charges,,8.82,64.9,,,Percent of total billed charges,,27.26,21,,,Percent of total billed charges,,8.82,,26.84,,Case rate,,26.84,0.98,42,
signs and symptoms without mcc,948,MS-DRG,,,,Inpatient,Facility,,,10487.33,4194.93,,7210.6,,Case rate,DRG Factor * DRG Weight,7210.6,,1758.64,,Per Diem,,1758.64,,1724.82,,Per Diem,,1724.82,,9939.01,,Case rate,DRG Factor * DRG Weight,9939.01,,1674.09,,Per Diem,,1674.09,80,,,Percent of total billed charges,,8389.86,61.6,,,Percent of total billed charges,,6460.2,,1741.73,,Per Diem,,1741.73,,1741.73,,Per Diem,,1741.73,65.55,,,Percent of total billed charges,,6874.44,,2079,,Per Diem,,2079,90,,,Percent of total billed charges,,9438.6,,2079,,Per Diem,,2079,,2079,,Per Diem,,2079,64.9,,,Percent of total billed charges,,6806.28,,2079,,Per Diem,,2079,,7730.64,,Case rate,DRG Factor * DRG Weight,7730.64,1674.09,10487.33,
simple pneumonia and pleurisy with cc,194,MS-DRG,,,,Inpatient,Facility,,,16351.97,6540.79,,7401.44,,Case rate,DRG Factor * DRG Weight,7401.44,,1758.64,,Per Diem,,3517.28,,1724.82,,Per Diem,,3449.64,,10121.83,,Case rate,DRG Factor * DRG Weight,10121.83,,1674.09,,Per Diem,,3348.18,80,,,Percent of total billed charges,,13081.58,61.6,,,Percent of total billed charges,,10072.81,,1741.73,,Per Diem,,3483.46,,1741.73,,Per Diem,,3483.46,65.55,,,Percent of total billed charges,,10718.72,,2079,,Per Diem,,4158,90,,,Percent of total billed charges,,14716.77,,2079,,Per Diem,,4158,,2079,,Per Diem,,4158,64.9,,,Percent of total billed charges,,10612.43,,2079,,Per Diem,,4158,,7935.25,,Case rate,DRG Factor * DRG Weight,7935.25,3348.18,16351.97,
simple pneumonia and pleurisy with mcc,193,MS-DRG,,,,Inpatient,Facility,,,16088.91,6435.56,,11942.05,,Case rate,DRG Factor * DRG Weight,11942.05,,1758.64,,Per Diem,,3517.28,,1724.82,,Per Diem,,3449.64,,14941.75,,Case rate,DRG Factor * DRG Weight,14941.75,,1674.09,,Per Diem,,3348.18,80,,,Percent of total billed charges,,12871.13,61.6,,,Percent of total billed charges,,9910.77,,1741.73,,Per Diem,,3483.46,,1741.73,,Per Diem,,3483.46,65.55,,,Percent of total billed charges,,10546.28,,2079,,Per Diem,,4158,90,,,Percent of total billed charges,,14480.02,,2079,,Per Diem,,4158,,2079,,Per Diem,,4158,64.9,,,Percent of total billed charges,,10441.7,,2079,,Per Diem,,4158,,12803.33,,Case rate,DRG Factor * DRG Weight,12803.33,3348.18,16088.91,
simple pneumonia and pleurisy without cc/mcc,195,MS-DRG,,,,Inpatient,Facility,,,21488.24,8595.3,,5631.65,,Case rate,DRG Factor * DRG Weight,5631.65,,1758.64,,Per Diem,,1758.64,,1724.82,,Per Diem,,1724.82,,7645.39,,Case rate,DRG Factor * DRG Weight,7645.39,,1674.09,,Per Diem,,1674.09,80,,,Percent of total billed charges,,17190.59,61.6,,,Percent of total billed charges,,13236.76,,1741.73,,Per Diem,,1741.73,,1741.73,,Per Diem,,1741.73,65.55,,,Percent of total billed charges,,14085.54,,2079,,Per Diem,,2079,90,,,Percent of total billed charges,,19339.42,,2079,,Per Diem,,2079,,2079,,Per Diem,,2079,64.9,,,Percent of total billed charges,,13945.87,,2079,,Per Diem,,2079,,6037.82,,Case rate,DRG Factor * DRG Weight,6037.82,1674.09,21488.24,
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm",12016,CPT,,,,Outpatient,Facility,,,2264,905.6,66,,,Percent of total billed charges,,1494.24,20.8,,,Percent of total billed charges,,470.91,20.4,,,Percent of total billed charges,,461.86,,214.29,,Case rate,,214.29,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1811.2,61.6,,,Percent of total billed charges,,1394.62,20.6,,,Percent of total billed charges,,466.38,20.6,,,Percent of total billed charges,,466.38,65.55,,,Percent of total billed charges,,1484.05,21,,,Percent of total billed charges,,475.44,90,,,Percent of total billed charges,,2037.6,21,,,Percent of total billed charges,,475.44,21,,,Percent of total billed charges,,475.44,64.9,,,Percent of total billed charges,,1469.34,21,,,Percent of total billed charges,,475.44,,1919.56,,Case rate,,1919.56,77.74,2264,
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12011,CPT,,,,Outpatient,Facility,,,430,172,66,,,Percent of total billed charges,,283.8,20.8,,,Percent of total billed charges,,89.44,20.4,,,Percent of total billed charges,,87.72,,109.11,,Case rate,,109.11,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,344,61.6,,,Percent of total billed charges,,264.88,20.6,,,Percent of total billed charges,,88.58,20.6,,,Percent of total billed charges,,88.58,65.55,,,Percent of total billed charges,,281.86,21,,,Percent of total billed charges,,90.3,90,,,Percent of total billed charges,,387,21,,,Percent of total billed charges,,90.3,21,,,Percent of total billed charges,,90.3,64.9,,,Percent of total billed charges,,279.07,21,,,Percent of total billed charges,,90.3,,348.46,,Case rate,,348.46,13.86,430,
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm",12017,CPT,,,,Outpatient,Facility,,,2280,912,66,,,Percent of total billed charges,,1504.8,20.8,,,Percent of total billed charges,,474.24,20.4,,,Percent of total billed charges,,465.12,,151.1,,Case rate,,151.1,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1824,61.6,,,Percent of total billed charges,,1404.48,20.6,,,Percent of total billed charges,,469.68,20.6,,,Percent of total billed charges,,469.68,65.55,,,Percent of total billed charges,,1494.54,21,,,Percent of total billed charges,,478.8,90,,,Percent of total billed charges,,2052,21,,,Percent of total billed charges,,478.8,21,,,Percent of total billed charges,,478.8,64.9,,,Percent of total billed charges,,1479.72,21,,,Percent of total billed charges,,478.8,,1920.16,,Case rate,,1920.16,77.74,2280,
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm",12005,CPT,,,,Outpatient,Facility,,,2354,941.6,66,,,Percent of total billed charges,,1553.64,20.8,,,Percent of total billed charges,,489.63,20.4,,,Percent of total billed charges,,480.22,,172.02,,Case rate,,172.02,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1883.2,61.6,,,Percent of total billed charges,,1450.06,20.6,,,Percent of total billed charges,,484.92,20.6,,,Percent of total billed charges,,484.92,65.55,,,Percent of total billed charges,,1543.05,21,,,Percent of total billed charges,,494.34,90,,,Percent of total billed charges,,2118.6,21,,,Percent of total billed charges,,494.34,21,,,Percent of total billed charges,,494.34,64.9,,,Percent of total billed charges,,1527.75,21,,,Percent of total billed charges,,494.34,,1904.51,,Case rate,,1904.51,77.74,2354,
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less",12001,CPT,,,,Outpatient,Facility,,,430,172,66,,,Percent of total billed charges,,283.8,20.8,,,Percent of total billed charges,,89.44,20.4,,,Percent of total billed charges,,87.72,,91.23,,Case rate,,91.23,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,344,61.6,,,Percent of total billed charges,,264.88,20.6,,,Percent of total billed charges,,88.58,20.6,,,Percent of total billed charges,,88.58,65.55,,,Percent of total billed charges,,281.86,21,,,Percent of total billed charges,,90.3,90,,,Percent of total billed charges,,387,21,,,Percent of total billed charges,,90.3,21,,,Percent of total billed charges,,90.3,64.9,,,Percent of total billed charges,,279.07,21,,,Percent of total billed charges,,90.3,,347.25,,Case rate,,347.25,13.86,430,
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm",12002,CPT,,,,Outpatient,Facility,,,453,181.2,66,,,Percent of total billed charges,,298.98,20.8,,,Percent of total billed charges,,94.22,20.4,,,Percent of total billed charges,,92.41,,110.52,,Case rate,,110.52,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,362.4,61.6,,,Percent of total billed charges,,279.05,20.6,,,Percent of total billed charges,,93.32,20.6,,,Percent of total billed charges,,93.32,65.55,,,Percent of total billed charges,,296.94,21,,,Percent of total billed charges,,95.13,90,,,Percent of total billed charges,,407.7,21,,,Percent of total billed charges,,95.13,21,,,Percent of total billed charges,,95.13,64.9,,,Percent of total billed charges,,294,21,,,Percent of total billed charges,,95.13,,346.37,,Case rate,,346.37,13.86,453,
skin ulcers with cc,593,MS-DRG,,,,Inpatient,Facility,,,13849.57,5539.83,,10891.52,,Case rate,DRG Factor * DRG Weight,10891.52,,1758.64,,Per Diem,,7034.56,,1724.82,,Per Diem,,6899.28,,11418.22,,Case rate,DRG Factor * DRG Weight,11418.22,,1674.09,,Per Diem,,6696.36,80,,,Percent of total billed charges,,11079.66,61.6,,,Percent of total billed charges,,8531.34,,1741.73,,Per Diem,,6966.92,,1741.73,,Per Diem,,6966.92,65.55,,,Percent of total billed charges,,9078.39,,2079,,Per Diem,,8316,90,,,Percent of total billed charges,,12464.61,,2079,,Per Diem,,8316,,2079,,Per Diem,,8316,64.9,,,Percent of total billed charges,,8988.37,,2079,,Per Diem,,8316,,11677.04,,Case rate,DRG Factor * DRG Weight,11677.04,6696.36,13849.57,
skin ulcers with mcc,592,MS-DRG,,,,Inpatient,Facility,,,20243.64,8097.45,,18815.08,,Case rate,DRG Factor * DRG Weight,18815.08,,1758.64,,Per Diem,,8793.2,,1724.82,,Per Diem,,8624.1,,17368.33,,Case rate,DRG Factor * DRG Weight,17368.33,,1674.09,,Per Diem,,8370.45,80,,,Percent of total billed charges,,16194.91,61.6,,,Percent of total billed charges,,12470.08,,1741.73,,Per Diem,,8708.65,,1741.73,,Per Diem,,8708.65,65.55,,,Percent of total billed charges,,13269.7,,2079,,Per Diem,,10395,90,,,Percent of total billed charges,,18219.27,,2079,,Per Diem,,10395,,2079,,Per Diem,,10395,64.9,,,Percent of total billed charges,,13138.12,,2079,,Per Diem,,10395,,20172.06,,Case rate,DRG Factor * DRG Weight,20172.06,8370.45,20243.64,
"Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist",95807,CPT,74095807,CDM,TC,Outpatient,Facility,,,1940,776,66,,,Percent of total billed charges,,1280.4,20.8,,,Percent of total billed charges,,403.52,20.4,,,Percent of total billed charges,,395.76,,310.39,,Case rate,,310.39,,73.17,,Case rate,,73.17,80,,,Percent of total billed charges,,1552,61.6,,,Percent of total billed charges,,1195.04,20.6,,,Percent of total billed charges,,399.64,20.6,,,Percent of total billed charges,,399.64,65.55,,,Percent of total billed charges,,1271.67,21,,,Percent of total billed charges,,407.4,90,,,Percent of total billed charges,,1746,21,,,Percent of total billed charges,,407.4,21,,,Percent of total billed charges,,407.4,64.9,,,Percent of total billed charges,,1259.06,21,,,Percent of total billed charges,,407.4,,716.6,,Case rate,,716.6,73.17,1940,
"Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement)",95806,CPT,,,,Outpatient,Facility,,,1243,497.2,66,,,Percent of total billed charges,,820.38,20.8,,,Percent of total billed charges,,258.54,,142.34,,Case rate,,142.34,,45.83,,Case rate,,45.83,,22.38,,Case rate,,22.38,80,,,Percent of total billed charges,,994.4,61.6,,,Percent of total billed charges,,765.69,20.6,,,Percent of total billed charges,,256.06,20.6,,,Percent of total billed charges,,256.06,65.55,,,Percent of total billed charges,,814.79,21,,,Percent of total billed charges,,261.03,90,,,Percent of total billed charges,,1118.7,21,,,Percent of total billed charges,,261.03,21,,,Percent of total billed charges,,261.03,64.9,,,Percent of total billed charges,,806.71,21,,,Percent of total billed charges,,261.03,,1049.69,,Case rate,,1049.69,22.38,1243,
"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites",87209,CPT,,,,Outpatient,Facility,,,158,63.2,66,,,Percent of total billed charges,,104.28,20.8,,,Percent of total billed charges,,32.86,20.4,,,Percent of total billed charges,,32.23,,17.98,,Case rate,,17.98,,4.97,,Case rate,,4.97,80,,,Percent of total billed charges,,126.4,61.6,,,Percent of total billed charges,,97.33,20.6,,,Percent of total billed charges,,32.55,20.6,,,Percent of total billed charges,,32.55,65.55,,,Percent of total billed charges,,103.57,21,,,Percent of total billed charges,,33.18,90,,,Percent of total billed charges,,142.2,21,,,Percent of total billed charges,,33.18,21,,,Percent of total billed charges,,33.18,64.9,,,Percent of total billed charges,,102.54,21,,,Percent of total billed charges,,33.18,,70.99,,Case rate,,70.99,4.97,158,
"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses)",87207,CPT,,,,Outpatient,Facility,,,62,24.8,66,,,Percent of total billed charges,,40.92,20.8,,,Percent of total billed charges,,12.9,20.4,,,Percent of total billed charges,,12.65,,5.99,,Case rate,,5.99,,1.23,,Case rate,,1.23,80,,,Percent of total billed charges,,49.6,61.6,,,Percent of total billed charges,,38.19,20.6,,,Percent of total billed charges,,12.77,20.6,,,Percent of total billed charges,,12.77,65.55,,,Percent of total billed charges,,40.64,21,,,Percent of total billed charges,,13.02,90,,,Percent of total billed charges,,55.8,21,,,Percent of total billed charges,,13.02,21,,,Percent of total billed charges,,13.02,64.9,,,Percent of total billed charges,,40.24,21,,,Percent of total billed charges,,13.02,,20.61,,Case rate,,20.61,1.23,62,
"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed",81329,CPT,,,,Outpatient,Facility,,,498,199.2,66,,,Percent of total billed charges,,328.68,20.8,,,Percent of total billed charges,,103.58,20.4,,,Percent of total billed charges,,101.59,,137,,Case rate,,137,,8.91,,Case rate,,8.91,80,,,Percent of total billed charges,,398.4,61.6,,,Percent of total billed charges,,306.77,20.6,,,Percent of total billed charges,,102.59,20.6,,,Percent of total billed charges,,102.59,65.55,,,Percent of total billed charges,,326.44,21,,,Percent of total billed charges,,104.58,90,,,Percent of total billed charges,,448.2,21,,,Percent of total billed charges,,104.58,21,,,Percent of total billed charges,,104.58,64.9,,,Percent of total billed charges,,323.2,21,,,Percent of total billed charges,,104.58,,832.72,,Case rate,,832.72,8.91,832.72,
"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes",99406,CPT,,,,Outpatient,Facility,,,75,30,66,,,Percent of total billed charges,,49.5,20.8,,,Percent of total billed charges,,15.6,20.4,,,Percent of total billed charges,,15.3,,14.44,,Case rate,,14.44,,2.34,,Case rate,,2.34,80,,,Percent of total billed charges,,60,61.6,,,Percent of total billed charges,,46.2,20.6,,,Percent of total billed charges,,15.45,20.6,,,Percent of total billed charges,,15.45,65.55,,,Percent of total billed charges,,49.16,21,,,Percent of total billed charges,,15.75,90,,,Percent of total billed charges,,67.5,21,,,Percent of total billed charges,,15.75,21,,,Percent of total billed charges,,15.75,64.9,,,Percent of total billed charges,,48.68,21,,,Percent of total billed charges,,15.75,,30.6,,Case rate,,30.6,2.34,75,
Sodium; urine,84300,CPT,,,,Outpatient,Facility,,,55,22,66,,,Percent of total billed charges,,36.3,20.8,,,Percent of total billed charges,,11.44,20.4,,,Percent of total billed charges,,11.22,,5.06,,Case rate,,5.06,,1,,Case rate,,1,80,,,Percent of total billed charges,,44,61.6,,,Percent of total billed charges,,33.88,20.6,,,Percent of total billed charges,,11.33,20.6,,,Percent of total billed charges,,11.33,65.55,,,Percent of total billed charges,,36.05,21,,,Percent of total billed charges,,11.55,90,,,Percent of total billed charges,,49.5,21,,,Percent of total billed charges,,11.55,21,,,Percent of total billed charges,,11.55,64.9,,,Percent of total billed charges,,35.7,21,,,Percent of total billed charges,,11.55,,27.3,,Case rate,,27.3,1,55,
"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA analysis",81445,CPT,,,,Outpatient,Facility,,,1839,735.6,66,,,Percent of total billed charges,,1213.74,20.8,,,Percent of total billed charges,,382.51,,609.87,,Case rate,,609.87,,597.91,,Case rate,,597.91,,44.51,,Case rate,,44.51,80,,,Percent of total billed charges,,1471.2,61.6,,,Percent of total billed charges,,1132.82,20.6,,,Percent of total billed charges,,378.83,20.6,,,Percent of total billed charges,,378.83,65.55,,,Percent of total billed charges,,1205.46,21,,,Percent of total billed charges,,386.19,90,,,Percent of total billed charges,,1655.1,21,,,Percent of total billed charges,,386.19,21,,,Percent of total billed charges,,386.19,64.9,,,Percent of total billed charges,,1193.51,21,,,Percent of total billed charges,,386.19,,3747.13,,Case rate,,3747.13,44.51,3747.13,
"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability",81463,CPT,,,,Outpatient,Facility,,,5198,2079.2,66,,,Percent of total billed charges,,3430.68,20.8,,,Percent of total billed charges,,1081.18,20.4,,,Percent of total billed charges,,1060.39,58.8,,,Percent of total billed charges,,3056.42,19.8,,,Percent of total billed charges,,1029.2,80,,,Percent of total billed charges,,4158.4,61.6,,,Percent of total billed charges,,3201.97,20.6,,,Percent of total billed charges,,1070.79,20.6,,,Percent of total billed charges,,1070.79,65.55,,,Percent of total billed charges,,3407.29,21,,,Percent of total billed charges,,1091.58,90,,,Percent of total billed charges,,4678.2,21,,,Percent of total billed charges,,1091.58,21,,,Percent of total billed charges,,1091.58,64.9,,,Percent of total billed charges,,3373.5,21,,,Percent of total billed charges,,1091.58,45,,,Percent of total billed charges,,2339.1,1029.2,5198,
"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutation burden, and rearrangements",81459,CPT,,,,Outpatient,Facility,,,6600,2640,66,,,Percent of total billed charges,,4356,20.8,,,Percent of total billed charges,,1372.8,20.4,,,Percent of total billed charges,,1346.4,58.8,,,Percent of total billed charges,,3880.8,19.8,,,Percent of total billed charges,,1306.8,80,,,Percent of total billed charges,,5280,61.6,,,Percent of total billed charges,,4065.6,20.6,,,Percent of total billed charges,,1359.6,20.6,,,Percent of total billed charges,,1359.6,65.55,,,Percent of total billed charges,,4326.3,21,,,Percent of total billed charges,,1386,90,,,Percent of total billed charges,,5940,21,,,Percent of total billed charges,,1386,21,,,Percent of total billed charges,,1386,64.9,,,Percent of total billed charges,,4283.4,21,,,Percent of total billed charges,,1386,45,,,Percent of total billed charges,,2970,1306.8,6600,
Somatostatin,84307,CPT,,,,Outpatient,Facility,,,428,171.2,66,,,Percent of total billed charges,,282.48,20.8,,,Percent of total billed charges,,89.02,20.4,,,Percent of total billed charges,,87.31,,18.28,,Case rate,,18.28,,4.78,,Case rate,,4.78,80,,,Percent of total billed charges,,342.4,61.6,,,Percent of total billed charges,,263.65,20.6,,,Percent of total billed charges,,88.17,20.6,,,Percent of total billed charges,,88.17,65.55,,,Percent of total billed charges,,280.55,21,,,Percent of total billed charges,,89.88,90,,,Percent of total billed charges,,385.2,21,,,Percent of total billed charges,,89.88,21,,,Percent of total billed charges,,89.88,64.9,,,Percent of total billed charges,,277.77,21,,,Percent of total billed charges,,89.88,,115.56,,Case rate,,115.56,4.78,428,
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,,,,Outpatient,Facility,,,144,57.6,66,,,Percent of total billed charges,,95.04,20.8,,,Percent of total billed charges,,29.95,20.4,,,Percent of total billed charges,,29.38,,81.56,,Case rate,,81.56,,0.85,,Case rate,,0.85,80,,,Percent of total billed charges,,115.2,61.6,,,Percent of total billed charges,,88.7,20.6,,,Percent of total billed charges,,29.66,20.6,,,Percent of total billed charges,,29.66,65.55,,,Percent of total billed charges,,94.39,21,,,Percent of total billed charges,,30.24,90,,,Percent of total billed charges,,129.6,21,,,Percent of total billed charges,,30.24,21,,,Percent of total billed charges,,30.24,64.9,,,Percent of total billed charges,,93.46,21,,,Percent of total billed charges,,30.24,,24.47,,Case rate,,24.47,0.85,144,
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)",88312,CPT,31088312,CDM,TC,Outpatient,Facility,,,144,57.6,66,,,Percent of total billed charges,,95.04,20.8,,,Percent of total billed charges,,29.95,20.4,,,Percent of total billed charges,,29.38,,81.56,,Case rate,,81.56,,0.85,,Case rate,,0.85,80,,,Percent of total billed charges,,115.2,61.6,,,Percent of total billed charges,,88.7,20.6,,,Percent of total billed charges,,29.66,20.6,,,Percent of total billed charges,,29.66,65.55,,,Percent of total billed charges,,94.39,21,,,Percent of total billed charges,,30.24,90,,,Percent of total billed charges,,129.6,21,,,Percent of total billed charges,,30.24,21,,,Percent of total billed charges,,30.24,64.9,,,Percent of total billed charges,,93.46,21,,,Percent of total billed charges,,30.24,,24.47,,Case rate,,24.47,0.85,144,
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,31088313,CDM,TC,Outpatient,Facility,,,169,67.6,66,,,Percent of total billed charges,,111.54,20.8,,,Percent of total billed charges,,35.15,20.4,,,Percent of total billed charges,,34.48,,66.07,,Case rate,,66.07,,0.67,,Case rate,,0.67,80,,,Percent of total billed charges,,135.2,61.6,,,Percent of total billed charges,,104.1,20.6,,,Percent of total billed charges,,34.81,20.6,,,Percent of total billed charges,,34.81,65.55,,,Percent of total billed charges,,110.78,21,,,Percent of total billed charges,,35.49,90,,,Percent of total billed charges,,152.1,21,,,Percent of total billed charges,,35.49,21,,,Percent of total billed charges,,35.49,64.9,,,Percent of total billed charges,,109.68,21,,,Percent of total billed charges,,35.49,,19.45,,Case rate,,19.45,0.67,169,
Specific gravity (except urine),84315,CPT,,,,Outpatient,Facility,,,14,5.6,66,,,Percent of total billed charges,,9.24,20.8,,,Percent of total billed charges,,2.91,20.4,,,Percent of total billed charges,,2.86,,3.28,,Case rate,,3.28,,0.73,,Case rate,,0.73,80,,,Percent of total billed charges,,11.2,61.6,,,Percent of total billed charges,,8.62,20.6,,,Percent of total billed charges,,2.88,20.6,,,Percent of total billed charges,,2.88,65.55,,,Percent of total billed charges,,9.18,21,,,Percent of total billed charges,,2.94,90,,,Percent of total billed charges,,12.6,21,,,Percent of total billed charges,,2.94,21,,,Percent of total billed charges,,2.94,64.9,,,Percent of total billed charges,,9.09,21,,,Percent of total billed charges,,2.94,,8.78,,Case rate,,8.78,0.73,14,
"Spinal puncture, lumbar, diagnostic",62270,CPT,,,,Outpatient,Facility,,,1673,669.2,66,,,Percent of total billed charges,,1104.18,20.8,,,Percent of total billed charges,,347.98,20.4,,,Percent of total billed charges,,341.29,,128.39,,Case rate,,128.39,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1338.4,61.6,,,Percent of total billed charges,,1030.57,20.6,,,Percent of total billed charges,,344.64,20.6,,,Percent of total billed charges,,344.64,65.55,,,Percent of total billed charges,,1096.65,21,,,Percent of total billed charges,,351.33,90,,,Percent of total billed charges,,1505.7,21,,,Percent of total billed charges,,351.33,21,,,Percent of total billed charges,,351.33,64.9,,,Percent of total billed charges,,1085.78,21,,,Percent of total billed charges,,351.33,,1420.02,,Case rate,,1420.02,58.06,1673,
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,,,,Outpatient,Facility,,,244,97.6,66,,,Percent of total billed charges,,161.04,20.8,,,Percent of total billed charges,,50.75,20.4,,,Percent of total billed charges,,49.78,,17.7,,Case rate,,17.7,,2.94,,Case rate,,2.94,80,,,Percent of total billed charges,,195.2,61.6,,,Percent of total billed charges,,150.3,20.6,,,Percent of total billed charges,,50.26,20.6,,,Percent of total billed charges,,50.26,65.55,,,Percent of total billed charges,,159.94,21,,,Percent of total billed charges,,51.24,90,,,Percent of total billed charges,,219.6,21,,,Percent of total billed charges,,51.24,21,,,Percent of total billed charges,,51.24,64.9,,,Percent of total billed charges,,158.36,21,,,Percent of total billed charges,,51.24,,61.8,,Case rate,,61.8,2.94,244,
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",94010,CPT,46094010,CDM,TC,Outpatient,Facility,,,244,97.6,66,,,Percent of total billed charges,,161.04,20.8,,,Percent of total billed charges,,50.75,20.4,,,Percent of total billed charges,,49.78,,17.7,,Case rate,,17.7,,2.94,,Case rate,,2.94,80,,,Percent of total billed charges,,195.2,61.6,,,Percent of total billed charges,,150.3,20.6,,,Percent of total billed charges,,50.26,20.6,,,Percent of total billed charges,,50.26,65.55,,,Percent of total billed charges,,159.94,21,,,Percent of total billed charges,,51.24,90,,,Percent of total billed charges,,219.6,21,,,Percent of total billed charges,,51.24,21,,,Percent of total billed charges,,51.24,64.9,,,Percent of total billed charges,,158.36,21,,,Percent of total billed charges,,51.24,,61.8,,Case rate,,61.8,2.94,244,
"Stent, non-coated/non-covered, without delivery system",C1877,CPT,,,,Outpatient,Facility,,,521.21,208.48,66,,,Percent of total billed charges,,344,20.8,,,Percent of total billed charges,,108.41,20.4,,,Percent of total billed charges,,106.33,48.3,,,Percent of total billed charges,,251.74,,68.69,,Case rate,,68.69,80,,,Percent of total billed charges,,416.97,61.6,,,Percent of total billed charges,,321.07,20.6,,,Percent of total billed charges,,107.37,20.6,,,Percent of total billed charges,,107.37,65.55,,,Percent of total billed charges,,341.65,21,,,Percent of total billed charges,,109.45,90,,,Percent of total billed charges,,469.09,21,,,Percent of total billed charges,,109.45,21,,,Percent of total billed charges,,109.45,64.9,,,Percent of total billed charges,,338.27,21,,,Percent of total billed charges,,109.45,,1097.61,,Case rate,,1097.61,68.69,1097.61,
"Stent, non-coronary, temporary, without delivery system",C2617,CPT,,,,Outpatient,Facility,,,473.66,189.46,66,,,Percent of total billed charges,,312.62,20.8,,,Percent of total billed charges,,98.52,20.4,,,Percent of total billed charges,,96.63,48.3,,,Percent of total billed charges,,228.78,19.8,,,Percent of total billed charges,,93.78,80,,,Percent of total billed charges,,378.93,61.6,,,Percent of total billed charges,,291.77,20.6,,,Percent of total billed charges,,97.57,20.6,,,Percent of total billed charges,,97.57,65.55,,,Percent of total billed charges,,310.48,21,,,Percent of total billed charges,,99.47,90,,,Percent of total billed charges,,426.29,21,,,Percent of total billed charges,,99.47,21,,,Percent of total billed charges,,99.47,64.9,,,Percent of total billed charges,,307.41,21,,,Percent of total billed charges,,99.47,,714.09,,Case rate,,714.09,93.78,714.09,
Strapping; hand or finger,29280,CPT,,,,Outpatient,Facility,,,295,118,66,,,Percent of total billed charges,,194.7,20.8,,,Percent of total billed charges,,61.36,20.4,,,Percent of total billed charges,,60.18,,28.99,,Case rate,,28.99,,9.9,,Case rate,,9.9,80,,,Percent of total billed charges,,236,61.6,,,Percent of total billed charges,,181.72,20.6,,,Percent of total billed charges,,60.77,20.6,,,Percent of total billed charges,,60.77,65.55,,,Percent of total billed charges,,193.37,21,,,Percent of total billed charges,,61.95,90,,,Percent of total billed charges,,265.5,21,,,Percent of total billed charges,,61.95,21,,,Percent of total billed charges,,61.95,64.9,,,Percent of total billed charges,,191.46,21,,,Percent of total billed charges,,61.95,,234.29,,Case rate,,234.29,9.9,295,
"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen",84377,CPT,,,,Outpatient,Facility,,,48,19.2,66,,,Percent of total billed charges,,31.68,20.8,,,Percent of total billed charges,,9.98,20.4,,,Percent of total billed charges,,9.79,,5.5,,Case rate,,5.5,,1.56,,Case rate,,1.56,80,,,Percent of total billed charges,,38.4,61.6,,,Percent of total billed charges,,29.57,20.6,,,Percent of total billed charges,,9.89,20.6,,,Percent of total billed charges,,9.89,65.55,,,Percent of total billed charges,,31.46,21,,,Percent of total billed charges,,10.08,90,,,Percent of total billed charges,,43.2,21,,,Percent of total billed charges,,10.08,21,,,Percent of total billed charges,,10.08,64.9,,,Percent of total billed charges,,31.15,21,,,Percent of total billed charges,,10.08,,27.49,,Case rate,,27.49,1.56,48,
"Sulfate, urine",84392,CPT,,,,Outpatient,Facility,,,42,16.8,66,,,Percent of total billed charges,,27.72,20.8,,,Percent of total billed charges,,8.74,,5.6,,Case rate,,5.6,,5.49,,Case rate,,5.49,,1.37,,Case rate,,1.37,80,,,Percent of total billed charges,,33.6,61.6,,,Percent of total billed charges,,25.87,20.6,,,Percent of total billed charges,,8.65,20.6,,,Percent of total billed charges,,8.65,65.55,,,Percent of total billed charges,,27.53,21,,,Percent of total billed charges,,8.82,90,,,Percent of total billed charges,,37.8,21,,,Percent of total billed charges,,8.82,21,,,Percent of total billed charges,,8.82,64.9,,,Percent of total billed charges,,27.26,21,,,Percent of total billed charges,,8.82,,22.8,,Case rate,,22.8,1.37,42,
"Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method",G0416,CPT,,,,Outpatient,Facility,,,534,213.6,66,,,Percent of total billed charges,,352.44,20.8,,,Percent of total billed charges,,111.07,20.4,,,Percent of total billed charges,,108.94,,175.75,,Case rate,,175.75,,82.51,,Case rate,,82.51,80,,,Percent of total billed charges,,427.2,61.6,,,Percent of total billed charges,,328.94,20.6,,,Percent of total billed charges,,110,20.6,,,Percent of total billed charges,,110,65.55,,,Percent of total billed charges,,350.04,21,,,Percent of total billed charges,,112.14,90,,,Percent of total billed charges,,480.6,21,,,Percent of total billed charges,,112.14,21,,,Percent of total billed charges,,112.14,64.9,,,Percent of total billed charges,,346.57,21,,,Percent of total billed charges,,112.14,,385.65,,Case rate,,385.65,82.51,534,
"Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method",G0416,CPT,31000416,CDM,TC,Outpatient,Facility,,,534,213.6,66,,,Percent of total billed charges,,352.44,20.8,,,Percent of total billed charges,,111.07,20.4,,,Percent of total billed charges,,108.94,,175.75,,Case rate,,175.75,,82.51,,Case rate,,82.51,80,,,Percent of total billed charges,,427.2,61.6,,,Percent of total billed charges,,328.94,20.6,,,Percent of total billed charges,,110,20.6,,,Percent of total billed charges,,110,65.55,,,Percent of total billed charges,,350.04,21,,,Percent of total billed charges,,112.14,90,,,Percent of total billed charges,,480.6,21,,,Percent of total billed charges,,112.14,21,,,Percent of total billed charges,,112.14,64.9,,,Percent of total billed charges,,346.57,21,,,Percent of total billed charges,,112.14,,385.65,,Case rate,,385.65,82.51,534,
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children",15004,CPT,,,,Outpatient,Facility,,,2313.83,925.53,66,,,Percent of total billed charges,,1527.13,20.8,,,Percent of total billed charges,,481.28,20.4,,,Percent of total billed charges,,472.02,,382.89,,Case rate,,382.89,,83.37,,Case rate,,83.37,80,,,Percent of total billed charges,,1851.06,61.6,,,Percent of total billed charges,,1425.32,20.6,,,Percent of total billed charges,,476.65,20.6,,,Percent of total billed charges,,476.65,65.55,,,Percent of total billed charges,,1516.72,21,,,Percent of total billed charges,,485.9,90,,,Percent of total billed charges,,2082.45,21,,,Percent of total billed charges,,485.9,21,,,Percent of total billed charges,,485.9,64.9,,,Percent of total billed charges,,1501.68,21,,,Percent of total billed charges,,485.9,,2126.49,,Case rate,,2126.49,83.37,2313.83,
"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents)",87184,CPT,,,,Outpatient,Facility,,,40,16,66,,,Percent of total billed charges,,26.4,20.8,,,Percent of total billed charges,,8.32,20.4,,,Percent of total billed charges,,8.16,,7.48,,Case rate,,7.48,,1.42,,Case rate,,1.42,80,,,Percent of total billed charges,,32,61.6,,,Percent of total billed charges,,24.64,20.6,,,Percent of total billed charges,,8.24,20.6,,,Percent of total billed charges,,8.24,65.55,,,Percent of total billed charges,,26.22,21,,,Percent of total billed charges,,8.4,90,,,Percent of total billed charges,,36,21,,,Percent of total billed charges,,8.4,21,,,Percent of total billed charges,,8.4,64.9,,,Percent of total billed charges,,25.96,21,,,Percent of total billed charges,,8.4,,23.22,,Case rate,,23.22,1.42,40,
"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent",87190,CPT,,,,Outpatient,Facility,,,56,22.4,66,,,Percent of total billed charges,,36.96,20.8,,,Percent of total billed charges,,11.65,20.4,,,Percent of total billed charges,,11.42,,7.31,,Case rate,,7.31,,1.64,,Case rate,,1.64,80,,,Percent of total billed charges,,44.8,61.6,,,Percent of total billed charges,,34.5,20.6,,,Percent of total billed charges,,11.54,20.6,,,Percent of total billed charges,,11.54,65.55,,,Percent of total billed charges,,36.71,21,,,Percent of total billed charges,,11.76,90,,,Percent of total billed charges,,50.4,21,,,Percent of total billed charges,,11.76,21,,,Percent of total billed charges,,11.76,64.9,,,Percent of total billed charges,,36.34,21,,,Percent of total billed charges,,11.76,,41.74,,Case rate,,41.74,1.64,56,
"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)",86592,CPT,,,,Outpatient,Facility,,,51,20.4,66,,,Percent of total billed charges,,33.66,20.8,,,Percent of total billed charges,,10.61,20.4,,,Percent of total billed charges,,10.4,,4.27,,Case rate,,4.27,,0.88,,Case rate,,0.88,80,,,Percent of total billed charges,,40.8,61.6,,,Percent of total billed charges,,31.42,20.6,,,Percent of total billed charges,,10.51,20.6,,,Percent of total billed charges,,10.51,65.55,,,Percent of total billed charges,,33.43,21,,,Percent of total billed charges,,10.71,90,,,Percent of total billed charges,,45.9,21,,,Percent of total billed charges,,10.71,21,,,Percent of total billed charges,,10.71,64.9,,,Percent of total billed charges,,33.1,21,,,Percent of total billed charges,,10.71,,11.79,,Case rate,,11.79,0.88,51,
T cells; absolute CD4 count,86361,CPT,,,,Outpatient,Facility,,,364,145.6,66,,,Percent of total billed charges,,240.24,20.8,,,Percent of total billed charges,,75.71,20.4,,,Percent of total billed charges,,74.26,,26.78,,Case rate,,26.78,,11.86,,Case rate,,11.86,80,,,Percent of total billed charges,,291.2,61.6,,,Percent of total billed charges,,224.22,20.6,,,Percent of total billed charges,,74.98,20.6,,,Percent of total billed charges,,74.98,65.55,,,Percent of total billed charges,,238.6,21,,,Percent of total billed charges,,76.44,90,,,Percent of total billed charges,,327.6,21,,,Percent of total billed charges,,76.44,21,,,Percent of total billed charges,,76.44,64.9,,,Percent of total billed charges,,236.24,21,,,Percent of total billed charges,,76.44,,275.7,,Case rate,,275.7,11.86,364,
"Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose",Q9969,CPT,,,,Outpatient,Facility,,,40,16,66,,,Percent of total billed charges,,26.4,20.8,,,Percent of total billed charges,,8.32,20.4,,,Percent of total billed charges,,8.16,58.8,,,Percent of total billed charges,,23.52,19.8,,,Percent of total billed charges,,7.92,80,,,Percent of total billed charges,,32,61.6,,,Percent of total billed charges,,24.64,20.6,,,Percent of total billed charges,,8.24,20.6,,,Percent of total billed charges,,8.24,65.55,,,Percent of total billed charges,,26.22,21,,,Percent of total billed charges,,8.4,90,,,Percent of total billed charges,,36,21,,,Percent of total billed charges,,8.4,21,,,Percent of total billed charges,,8.4,64.9,,,Percent of total billed charges,,25.96,21,,,Percent of total billed charges,,8.4,45,,,Percent of total billed charges,,18,7.92,40,
"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries",A9540,CPT,,,,Outpatient,Facility,,,708,283.2,66,,,Percent of total billed charges,,467.28,20.8,,,Percent of total billed charges,,147.26,20.4,,,Percent of total billed charges,,144.43,,34.2,,Case rate,,34.2,,4.35,,Case rate,,4.35,80,,,Percent of total billed charges,,566.4,61.6,,,Percent of total billed charges,,436.13,20.6,,,Percent of total billed charges,,145.85,20.6,,,Percent of total billed charges,,145.85,65.55,,,Percent of total billed charges,,464.09,21,,,Percent of total billed charges,,148.68,90,,,Percent of total billed charges,,637.2,21,,,Percent of total billed charges,,148.68,21,,,Percent of total billed charges,,148.68,64.9,,,Percent of total billed charges,,459.49,21,,,Percent of total billed charges,,148.68,,235.82,,Case rate,,235.82,4.35,708,
"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries",A9537,CPT,,,,Outpatient,Facility,,,210.1,84.04,66,,,Percent of total billed charges,,138.67,20.8,,,Percent of total billed charges,,43.7,20.4,,,Percent of total billed charges,,42.86,,63.06,,Case rate,,63.06,,10.66,,Case rate,,10.66,80,,,Percent of total billed charges,,168.08,61.6,,,Percent of total billed charges,,129.42,20.6,,,Percent of total billed charges,,43.28,20.6,,,Percent of total billed charges,,43.28,65.55,,,Percent of total billed charges,,137.72,21,,,Percent of total billed charges,,44.12,90,,,Percent of total billed charges,,189.09,21,,,Percent of total billed charges,,44.12,21,,,Percent of total billed charges,,44.12,64.9,,,Percent of total billed charges,,136.35,21,,,Percent of total billed charges,,44.12,,249.47,,Case rate,,249.47,10.66,249.47,
"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries",A9562,CPT,,,,Outpatient,Facility,,,1680.81,672.32,66,,,Percent of total billed charges,,1109.33,20.8,,,Percent of total billed charges,,349.61,20.4,,,Percent of total billed charges,,342.89,58.8,,,Percent of total billed charges,,988.32,,88.21,,Case rate,,88.21,80,,,Percent of total billed charges,,1344.65,61.6,,,Percent of total billed charges,,1035.38,20.6,,,Percent of total billed charges,,346.25,20.6,,,Percent of total billed charges,,346.25,65.55,,,Percent of total billed charges,,1101.77,21,,,Percent of total billed charges,,352.97,90,,,Percent of total billed charges,,1512.73,21,,,Percent of total billed charges,,352.97,21,,,Percent of total billed charges,,352.97,64.9,,,Percent of total billed charges,,1090.85,21,,,Percent of total billed charges,,352.97,,1202.17,,Case rate,,1202.17,88.21,1680.81,
"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries",A9538,CPT,,,,Outpatient,Facility,,,276,110.4,66,,,Percent of total billed charges,,182.16,20.8,,,Percent of total billed charges,,57.41,20.4,,,Percent of total billed charges,,56.3,,73.02,,Case rate,,73.02,,6.5,,Case rate,,6.5,80,,,Percent of total billed charges,,220.8,61.6,,,Percent of total billed charges,,170.02,20.6,,,Percent of total billed charges,,56.86,20.6,,,Percent of total billed charges,,56.86,65.55,,,Percent of total billed charges,,180.92,21,,,Percent of total billed charges,,57.96,90,,,Percent of total billed charges,,248.4,21,,,Percent of total billed charges,,57.96,21,,,Percent of total billed charges,,57.96,64.9,,,Percent of total billed charges,,179.12,21,,,Percent of total billed charges,,57.96,,153.45,,Case rate,,153.45,6.5,276,
"Technetium tc-99m sestamibi, diagnostic, per study dose",A9500,CPT,,,,Outpatient,Facility,,,447.72,179.09,66,,,Percent of total billed charges,,295.5,20.8,,,Percent of total billed charges,,93.13,20.4,,,Percent of total billed charges,,91.33,58.8,,,Percent of total billed charges,,263.26,,24.1,,Case rate,,24.1,80,,,Percent of total billed charges,,358.18,61.6,,,Percent of total billed charges,,275.8,20.6,,,Percent of total billed charges,,92.23,20.6,,,Percent of total billed charges,,92.23,65.55,,,Percent of total billed charges,,293.48,21,,,Percent of total billed charges,,94.02,90,,,Percent of total billed charges,,402.95,21,,,Percent of total billed charges,,94.02,21,,,Percent of total billed charges,,94.02,64.9,,,Percent of total billed charges,,290.57,21,,,Percent of total billed charges,,94.02,,554.28,,Case rate,,554.28,24.1,554.28,
"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries",A9541,CPT,,,,Outpatient,Facility,,,352,140.8,66,,,Percent of total billed charges,,232.32,20.8,,,Percent of total billed charges,,73.22,20.4,,,Percent of total billed charges,,71.81,,304.8,,Case rate,,304.8,,12.73,,Case rate,,12.73,80,,,Percent of total billed charges,,281.6,61.6,,,Percent of total billed charges,,216.83,20.6,,,Percent of total billed charges,,72.51,20.6,,,Percent of total billed charges,,72.51,65.55,,,Percent of total billed charges,,230.74,21,,,Percent of total billed charges,,73.92,90,,,Percent of total billed charges,,316.8,21,,,Percent of total billed charges,,73.92,21,,,Percent of total billed charges,,73.92,64.9,,,Percent of total billed charges,,228.45,21,,,Percent of total billed charges,,73.92,,347.85,,Case rate,,347.85,12.73,352,
"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries",A9520,CPT,,,,Outpatient,Facility,,,2292.26,916.9,66,,,Percent of total billed charges,,1512.89,20.8,,,Percent of total billed charges,,476.79,20.4,,,Percent of total billed charges,,467.62,,754.2,,Case rate,,754.2,,101.4,,Case rate,,101.4,80,,,Percent of total billed charges,,1833.81,61.6,,,Percent of total billed charges,,1412.03,20.6,,,Percent of total billed charges,,472.21,20.6,,,Percent of total billed charges,,472.21,65.55,,,Percent of total billed charges,,1502.58,21,,,Percent of total billed charges,,481.37,90,,,Percent of total billed charges,,2063.03,21,,,Percent of total billed charges,,481.37,21,,,Percent of total billed charges,,481.37,64.9,,,Percent of total billed charges,,1487.68,21,,,Percent of total billed charges,,481.37,45,,,Percent of total billed charges,,1031.52,101.4,2292.26,
"tendonitis, myositis and bursitis without mcc",558,MS-DRG,,,,Inpatient,Facility,,,8709.8,3483.92,,7907.36,,Case rate,DRG Factor * DRG Weight,7907.36,,1758.64,,Per Diem,,8793.2,,1724.82,,Per Diem,,8624.1,,7761.73,,Case rate,DRG Factor * DRG Weight,7761.73,,1674.09,,Per Diem,,8370.45,80,,,Percent of total billed charges,,6967.84,61.6,,,Percent of total billed charges,,5365.24,,1741.73,,Per Diem,,8708.65,,1741.73,,Per Diem,,8708.65,65.55,,,Percent of total billed charges,,5709.27,,2079,,Per Diem,,10395,90,,,Percent of total billed charges,,7838.82,,2079,,Per Diem,,10395,,2079,,Per Diem,,10395,64.9,,,Percent of total billed charges,,5652.66,,2079,,Per Diem,,10395,,8477.65,,Case rate,DRG Factor * DRG Weight,8477.65,5365.24,10395,
"Tenotomy, open, extensor, foot or toe, each tendon",28234,CPT,,,,Outpatient,Facility,,,3239.62,1295.85,66,,,Percent of total billed charges,,2138.15,20.8,,,Percent of total billed charges,,673.84,20.4,,,Percent of total billed charges,,660.88,,392.49,,Case rate,,392.49,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,2591.7,61.6,,,Percent of total billed charges,,1995.61,20.6,,,Percent of total billed charges,,667.36,20.6,,,Percent of total billed charges,,667.36,65.55,,,Percent of total billed charges,,2123.57,21,,,Percent of total billed charges,,680.32,90,,,Percent of total billed charges,,2915.66,21,,,Percent of total billed charges,,680.32,21,,,Percent of total billed charges,,680.32,64.9,,,Percent of total billed charges,,2102.52,21,,,Percent of total billed charges,,680.32,,1435.62,,Case rate,,1435.62,58.06,3239.62,
"Tenotomy, percutaneous, Achilles tendon (separate procedure); local anesthesia",27605,CPT,,,,Outpatient,Facility,,,6977.55,2791.02,66,,,Percent of total billed charges,,4605.18,20.8,,,Percent of total billed charges,,1451.33,20.4,,,Percent of total billed charges,,1423.42,,318.12,,Case rate,,318.12,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,5582.04,61.6,,,Percent of total billed charges,,4298.17,20.6,,,Percent of total billed charges,,1437.38,20.6,,,Percent of total billed charges,,1437.38,65.55,,,Percent of total billed charges,,4573.78,21,,,Percent of total billed charges,,1465.29,90,,,Percent of total billed charges,,6279.8,21,,,Percent of total billed charges,,1465.29,21,,,Percent of total billed charges,,1465.29,64.9,,,Percent of total billed charges,,4528.43,21,,,Percent of total billed charges,,1465.29,,1420.2,,Case rate,,1420.2,58.06,6977.55,
"Testosterone; bioavailable, direct measurement (eg, differential precipitation)",84410,CPT,,,,Outpatient,Facility,,,459,183.6,66,,,Percent of total billed charges,,302.94,20.8,,,Percent of total billed charges,,95.47,20.4,,,Percent of total billed charges,,93.64,,51.28,,Case rate,,51.28,,5.01,,Case rate,,5.01,80,,,Percent of total billed charges,,367.2,61.6,,,Percent of total billed charges,,282.74,20.6,,,Percent of total billed charges,,94.55,20.6,,,Percent of total billed charges,,94.55,65.55,,,Percent of total billed charges,,300.87,21,,,Percent of total billed charges,,96.39,90,,,Percent of total billed charges,,413.1,21,,,Percent of total billed charges,,96.39,21,,,Percent of total billed charges,,96.39,64.9,,,Percent of total billed charges,,297.89,21,,,Percent of total billed charges,,96.39,,336.52,,Case rate,,336.52,5.01,459,
Testosterone; total,84403,CPT,,,,Outpatient,Facility,,,246,98.4,66,,,Percent of total billed charges,,162.36,20.8,,,Percent of total billed charges,,51.17,20.4,,,Percent of total billed charges,,50.18,,25.81,,Case rate,,25.81,,5.31,,Case rate,,5.31,80,,,Percent of total billed charges,,196.8,61.6,,,Percent of total billed charges,,151.54,20.6,,,Percent of total billed charges,,50.68,20.6,,,Percent of total billed charges,,50.68,65.55,,,Percent of total billed charges,,161.25,21,,,Percent of total billed charges,,51.66,90,,,Percent of total billed charges,,221.4,21,,,Percent of total billed charges,,51.66,21,,,Percent of total billed charges,,51.66,64.9,,,Percent of total billed charges,,159.65,21,,,Percent of total billed charges,,51.66,,113.89,,Case rate,,113.89,5.31,246,
"Therapeutic procedure(s), group (2 or more individuals)",97150,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,17.41,,Case rate,,17.41,,2.71,,Case rate,,2.71,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,71.36,,Case rate,,71.36,2.71,92,
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",97116,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,28.84,,Case rate,,28.84,,2.71,,Case rate,,2.71,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,57.62,,Case rate,,57.62,2.71,92,
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)",97124,CPT,,,,Outpatient,Facility,,,107,42.8,66,,,Percent of total billed charges,,70.62,20.8,,,Percent of total billed charges,,22.26,20.4,,,Percent of total billed charges,,21.83,,29.24,,Case rate,,29.24,,2.71,,Case rate,,2.71,80,,,Percent of total billed charges,,85.6,61.6,,,Percent of total billed charges,,65.91,20.6,,,Percent of total billed charges,,22.04,20.6,,,Percent of total billed charges,,22.04,65.55,,,Percent of total billed charges,,70.14,21,,,Percent of total billed charges,,22.47,90,,,Percent of total billed charges,,96.3,21,,,Percent of total billed charges,,22.47,21,,,Percent of total billed charges,,22.47,64.9,,,Percent of total billed charges,,69.44,21,,,Percent of total billed charges,,22.47,,,,Case rate,,,2.71,107,
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",97112,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,33.06,,Case rate,,33.06,,2.71,,Case rate,,2.71,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,56.13,,Case rate,,56.13,2.71,92,
"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring)",G0238,CPT,,,,Outpatient,Facility,,,88,35.2,66,,,Percent of total billed charges,,58.08,20.8,,,Percent of total billed charges,,18.3,20.4,,,Percent of total billed charges,,17.95,,9.79,,Case rate,,9.79,,1.47,,Case rate,,1.47,80,,,Percent of total billed charges,,70.4,61.6,,,Percent of total billed charges,,54.21,20.6,,,Percent of total billed charges,,18.13,20.6,,,Percent of total billed charges,,18.13,65.55,,,Percent of total billed charges,,57.68,21,,,Percent of total billed charges,,18.48,90,,,Percent of total billed charges,,79.2,21,,,Percent of total billed charges,,18.48,21,,,Percent of total billed charges,,18.48,64.9,,,Percent of total billed charges,,57.11,21,,,Percent of total billed charges,,18.48,,37.61,,Case rate,,37.61,1.47,88,
"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring)",G0237,CPT,,,,Outpatient,Facility,,,96,38.4,66,,,Percent of total billed charges,,63.36,20.8,,,Percent of total billed charges,,19.97,20.4,,,Percent of total billed charges,,19.58,,10.11,,Case rate,,10.11,,1.41,,Case rate,,1.41,80,,,Percent of total billed charges,,76.8,61.6,,,Percent of total billed charges,,59.14,20.6,,,Percent of total billed charges,,19.78,20.6,,,Percent of total billed charges,,19.78,65.55,,,Percent of total billed charges,,62.93,21,,,Percent of total billed charges,,20.16,90,,,Percent of total billed charges,,86.4,21,,,Percent of total billed charges,,20.16,21,,,Percent of total billed charges,,20.16,64.9,,,Percent of total billed charges,,62.3,21,,,Percent of total billed charges,,20.16,,69.74,,Case rate,,69.74,1.41,96,
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)",96376,CPT,,,,Outpatient,Facility,,,142,56.8,66,,,Percent of total billed charges,,93.72,20.8,,,Percent of total billed charges,,29.54,20.4,,,Percent of total billed charges,,28.97,,10.84,,Case rate,,10.84,,0.84,,Case rate,,0.84,80,,,Percent of total billed charges,,113.6,61.6,,,Percent of total billed charges,,87.47,20.6,,,Percent of total billed charges,,29.25,20.6,,,Percent of total billed charges,,29.25,65.55,,,Percent of total billed charges,,93.08,21,,,Percent of total billed charges,,29.82,90,,,Percent of total billed charges,,127.8,21,,,Percent of total billed charges,,29.82,21,,,Percent of total billed charges,,29.82,64.9,,,Percent of total billed charges,,92.16,21,,,Percent of total billed charges,,29.82,,103.21,,Case rate,,103.21,0.84,142,
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intra-arterial",96373,CPT,,,,Outpatient,Facility,,,151,60.4,66,,,Percent of total billed charges,,99.66,20.8,,,Percent of total billed charges,,31.41,20.4,,,Percent of total billed charges,,30.8,,17.45,,Case rate,,17.45,,3.49,,Case rate,,3.49,80,,,Percent of total billed charges,,120.8,61.6,,,Percent of total billed charges,,93.02,20.6,,,Percent of total billed charges,,31.11,20.6,,,Percent of total billed charges,,31.11,65.55,,,Percent of total billed charges,,98.98,21,,,Percent of total billed charges,,31.71,90,,,Percent of total billed charges,,135.9,21,,,Percent of total billed charges,,31.71,21,,,Percent of total billed charges,,31.71,64.9,,,Percent of total billed charges,,98,21,,,Percent of total billed charges,,31.71,,43.6,,Case rate,,43.6,3.49,151,
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug",96374,CPT,,,,Outpatient,Facility,,,304,121.6,66,,,Percent of total billed charges,,200.64,20.8,,,Percent of total billed charges,,63.23,20.4,,,Percent of total billed charges,,62.02,,35.48,,Case rate,,35.48,,10.39,,Case rate,,10.39,80,,,Percent of total billed charges,,243.2,61.6,,,Percent of total billed charges,,187.26,20.6,,,Percent of total billed charges,,62.62,20.6,,,Percent of total billed charges,,62.62,65.55,,,Percent of total billed charges,,199.27,21,,,Percent of total billed charges,,63.84,90,,,Percent of total billed charges,,273.6,21,,,Percent of total billed charges,,63.84,21,,,Percent of total billed charges,,63.84,64.9,,,Percent of total billed charges,,197.3,21,,,Percent of total billed charges,,63.84,,98.34,,Case rate,,98.34,10.39,304,
"Theraskin, per square centimeter",Q4121,CPT,,,,Outpatient,Facility,,,105,42,66,,,Percent of total billed charges,,69.3,20.8,,,Percent of total billed charges,,21.84,20.4,,,Percent of total billed charges,,21.42,,45.96,,Case rate,,45.96,,1.82,,Case rate,,1.82,80,,,Percent of total billed charges,,84,61.6,,,Percent of total billed charges,,64.68,20.6,,,Percent of total billed charges,,21.63,20.6,,,Percent of total billed charges,,21.63,65.55,,,Percent of total billed charges,,68.83,21,,,Percent of total billed charges,,22.05,90,,,Percent of total billed charges,,94.5,21,,,Percent of total billed charges,,22.05,21,,,Percent of total billed charges,,22.05,64.9,,,Percent of total billed charges,,68.14,21,,,Percent of total billed charges,,22.05,,53.72,,Case rate,,53.72,1.82,105,
"Thrombolysis, cerebral, by intravenous infusion",37195,CPT,,,,Outpatient,Facility,,,1602.5,641,66,,,Percent of total billed charges,,1057.65,20.8,,,Percent of total billed charges,,333.32,20.4,,,Percent of total billed charges,,326.91,,1199.76,,Case rate,,1199.76,,58.18,,Case rate,,58.18,80,,,Percent of total billed charges,,1282,61.6,,,Percent of total billed charges,,987.14,20.6,,,Percent of total billed charges,,330.12,20.6,,,Percent of total billed charges,,330.12,65.55,,,Percent of total billed charges,,1050.44,21,,,Percent of total billed charges,,336.52,90,,,Percent of total billed charges,,1442.25,21,,,Percent of total billed charges,,336.52,21,,,Percent of total billed charges,,336.52,64.9,,,Percent of total billed charges,,1040.02,21,,,Percent of total billed charges,,336.52,,363.31,,Case rate,,363.31,58.18,1602.5,
"Thromboxane metabolite(s), including thromboxane if performed, urine",84431,CPT,,,,Outpatient,Facility,,,461,184.4,66,,,Percent of total billed charges,,304.26,20.8,,,Percent of total billed charges,,95.89,20.4,,,Percent of total billed charges,,94.04,,35.11,,Case rate,,35.11,,3.67,,Case rate,,3.67,80,,,Percent of total billed charges,,368.8,61.6,,,Percent of total billed charges,,283.98,20.6,,,Percent of total billed charges,,94.97,20.6,,,Percent of total billed charges,,94.97,65.55,,,Percent of total billed charges,,302.19,21,,,Percent of total billed charges,,96.81,90,,,Percent of total billed charges,,414.9,21,,,Percent of total billed charges,,96.81,21,,,Percent of total billed charges,,96.81,64.9,,,Percent of total billed charges,,299.19,21,,,Percent of total billed charges,,96.81,45,,,Percent of total billed charges,,207.45,3.67,461,
Thyroglobulin antibody,86800,CPT,,,,Outpatient,Facility,,,158,63.2,66,,,Percent of total billed charges,,104.28,20.8,,,Percent of total billed charges,,32.86,20.4,,,Percent of total billed charges,,32.23,,15.91,,Case rate,,15.91,,3.1,,Case rate,,3.1,80,,,Percent of total billed charges,,126.4,61.6,,,Percent of total billed charges,,97.33,20.6,,,Percent of total billed charges,,32.55,20.6,,,Percent of total billed charges,,32.55,65.55,,,Percent of total billed charges,,103.57,21,,,Percent of total billed charges,,33.18,90,,,Percent of total billed charges,,142.2,21,,,Percent of total billed charges,,33.18,21,,,Percent of total billed charges,,33.18,64.9,,,Percent of total billed charges,,102.54,21,,,Percent of total billed charges,,33.18,,62.4,,Case rate,,62.4,3.1,158,
Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR),84479,CPT,,,,Outpatient,Facility,,,72,28.8,66,,,Percent of total billed charges,,47.52,20.8,,,Percent of total billed charges,,14.98,20.4,,,Percent of total billed charges,,14.69,,6.47,,Case rate,,6.47,,1.33,,Case rate,,1.33,80,,,Percent of total billed charges,,57.6,61.6,,,Percent of total billed charges,,44.35,20.6,,,Percent of total billed charges,,14.83,20.6,,,Percent of total billed charges,,14.83,65.55,,,Percent of total billed charges,,47.2,21,,,Percent of total billed charges,,15.12,90,,,Percent of total billed charges,,64.8,21,,,Percent of total billed charges,,15.12,21,,,Percent of total billed charges,,15.12,64.9,,,Percent of total billed charges,,46.73,21,,,Percent of total billed charges,,15.12,,36.03,,Case rate,,36.03,1.33,72,
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,,,,Outpatient,Facility,,,482,192.8,66,,,Percent of total billed charges,,318.12,20.8,,,Percent of total billed charges,,100.26,20.4,,,Percent of total billed charges,,98.33,,152.36,,Case rate,,152.36,,14.41,,Case rate,,14.41,80,,,Percent of total billed charges,,385.6,61.6,,,Percent of total billed charges,,296.91,20.6,,,Percent of total billed charges,,99.29,20.6,,,Percent of total billed charges,,99.29,65.55,,,Percent of total billed charges,,315.95,21,,,Percent of total billed charges,,101.22,90,,,Percent of total billed charges,,433.8,21,,,Percent of total billed charges,,101.22,21,,,Percent of total billed charges,,101.22,64.9,,,Percent of total billed charges,,312.82,21,,,Percent of total billed charges,,101.22,,1557.54,,Case rate,,1557.54,14.41,1557.54,
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,,,,Outpatient,Facility,,,713,285.2,66,,,Percent of total billed charges,,470.58,20.8,,,Percent of total billed charges,,148.3,20.4,,,Percent of total billed charges,,145.45,,188.72,,Case rate,,188.72,,10.8,,Case rate,,10.8,80,,,Percent of total billed charges,,570.4,61.6,,,Percent of total billed charges,,439.21,20.6,,,Percent of total billed charges,,146.88,20.6,,,Percent of total billed charges,,146.88,65.55,,,Percent of total billed charges,,467.37,21,,,Percent of total billed charges,,149.73,90,,,Percent of total billed charges,,641.7,21,,,Percent of total billed charges,,149.73,21,,,Percent of total billed charges,,149.73,64.9,,,Percent of total billed charges,,462.74,21,,,Percent of total billed charges,,149.73,,660.61,,Case rate,,660.61,10.8,713,
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78014,CPT,34178014,CDM,TC,Outpatient,Facility,,,713,285.2,66,,,Percent of total billed charges,,470.58,20.8,,,Percent of total billed charges,,148.3,20.4,,,Percent of total billed charges,,145.45,,188.72,,Case rate,,188.72,,10.8,,Case rate,,10.8,80,,,Percent of total billed charges,,570.4,61.6,,,Percent of total billed charges,,439.21,20.6,,,Percent of total billed charges,,146.88,20.6,,,Percent of total billed charges,,146.88,65.55,,,Percent of total billed charges,,467.37,21,,,Percent of total billed charges,,149.73,90,,,Percent of total billed charges,,641.7,21,,,Percent of total billed charges,,149.73,21,,,Percent of total billed charges,,149.73,64.9,,,Percent of total billed charges,,462.74,21,,,Percent of total billed charges,,149.73,,660.61,,Case rate,,660.61,10.8,713,
Thyroid stimulating immune globulins (TSI),84445,CPT,,,,Outpatient,Facility,,,652,260.8,66,,,Percent of total billed charges,,430.32,20.8,,,Percent of total billed charges,,135.62,20.4,,,Percent of total billed charges,,133.01,,50.86,,Case rate,,50.86,,9.74,,Case rate,,9.74,80,,,Percent of total billed charges,,521.6,61.6,,,Percent of total billed charges,,401.63,20.6,,,Percent of total billed charges,,134.31,20.6,,,Percent of total billed charges,,134.31,65.55,,,Percent of total billed charges,,427.39,21,,,Percent of total billed charges,,136.92,90,,,Percent of total billed charges,,586.8,21,,,Percent of total billed charges,,136.92,21,,,Percent of total billed charges,,136.92,64.9,,,Percent of total billed charges,,423.15,21,,,Percent of total billed charges,,136.92,,212.6,,Case rate,,212.6,9.74,652,
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,,,,Outpatient,Facility,,,429,171.6,66,,,Percent of total billed charges,,283.14,20.8,,,Percent of total billed charges,,89.23,20.4,,,Percent of total billed charges,,87.52,,68.26,,Case rate,,68.26,,6.53,,Case rate,,6.53,80,,,Percent of total billed charges,,343.2,61.6,,,Percent of total billed charges,,264.26,20.6,,,Percent of total billed charges,,88.37,20.6,,,Percent of total billed charges,,88.37,65.55,,,Percent of total billed charges,,281.21,21,,,Percent of total billed charges,,90.09,90,,,Percent of total billed charges,,386.1,21,,,Percent of total billed charges,,90.09,21,,,Percent of total billed charges,,90.09,64.9,,,Percent of total billed charges,,278.42,21,,,Percent of total billed charges,,90.09,,1518.86,,Case rate,,1518.86,6.53,1518.86,
Thyroxine; free,84439,CPT,,,,Outpatient,Facility,,,145,58,66,,,Percent of total billed charges,,95.7,20.8,,,Percent of total billed charges,,30.16,20.4,,,Percent of total billed charges,,29.58,,9.02,,Case rate,,9.02,,1.86,,Case rate,,1.86,80,,,Percent of total billed charges,,116,61.6,,,Percent of total billed charges,,89.32,20.6,,,Percent of total billed charges,,29.87,20.6,,,Percent of total billed charges,,29.87,65.55,,,Percent of total billed charges,,95.05,21,,,Percent of total billed charges,,30.45,90,,,Percent of total billed charges,,130.5,21,,,Percent of total billed charges,,30.45,21,,,Percent of total billed charges,,30.45,64.9,,,Percent of total billed charges,,94.1,21,,,Percent of total billed charges,,30.45,,48.38,,Case rate,,48.38,1.86,145,
Thyroxine; total,84436,CPT,,,,Outpatient,Facility,,,84,33.6,66,,,Percent of total billed charges,,55.44,20.8,,,Percent of total billed charges,,17.47,20.4,,,Percent of total billed charges,,17.14,,6.87,,Case rate,,6.87,,1.42,,Case rate,,1.42,80,,,Percent of total billed charges,,67.2,61.6,,,Percent of total billed charges,,51.74,20.6,,,Percent of total billed charges,,17.3,20.6,,,Percent of total billed charges,,17.3,65.55,,,Percent of total billed charges,,55.06,21,,,Percent of total billed charges,,17.64,90,,,Percent of total billed charges,,75.6,21,,,Percent of total billed charges,,17.64,21,,,Percent of total billed charges,,17.64,64.9,,,Percent of total billed charges,,54.52,21,,,Percent of total billed charges,,17.64,,24.19,,Case rate,,24.19,1.42,84,
"Tissue culture for neoplastic disorders; bone marrow, blood cells",88237,CPT,,,,Outpatient,Facility,,,1052,420.8,66,,,Percent of total billed charges,,694.32,20.8,,,Percent of total billed charges,,218.82,20.4,,,Percent of total billed charges,,214.61,,143.75,,Case rate,,143.75,,36.57,,Case rate,,36.57,80,,,Percent of total billed charges,,841.6,61.6,,,Percent of total billed charges,,648.03,20.6,,,Percent of total billed charges,,216.71,20.6,,,Percent of total billed charges,,216.71,65.55,,,Percent of total billed charges,,689.59,21,,,Percent of total billed charges,,220.92,90,,,Percent of total billed charges,,946.8,21,,,Percent of total billed charges,,220.92,21,,,Percent of total billed charges,,220.92,64.9,,,Percent of total billed charges,,682.75,21,,,Percent of total billed charges,,220.92,,821.3,,Case rate,,821.3,36.57,1052,
"Tissue transglutaminase, each immunoglobulin (Ig) class",86364,CPT,,,,Outpatient,Facility,,,19,7.6,66,,,Percent of total billed charges,,12.54,20.8,,,Percent of total billed charges,,3.95,20.4,,,Percent of total billed charges,,3.88,,11.53,,Case rate,,11.53,,0.52,,Case rate,,0.52,80,,,Percent of total billed charges,,15.2,61.6,,,Percent of total billed charges,,11.7,20.6,,,Percent of total billed charges,,3.91,20.6,,,Percent of total billed charges,,3.91,65.55,,,Percent of total billed charges,,12.45,21,,,Percent of total billed charges,,3.99,90,,,Percent of total billed charges,,17.1,21,,,Percent of total billed charges,,3.99,21,,,Percent of total billed charges,,3.99,64.9,,,Percent of total billed charges,,12.33,21,,,Percent of total billed charges,,3.99,,40.44,,Case rate,,40.44,0.52,40.44,
Tobramycin,80200,CPT,,,,Outpatient,Facility,,,166,66.4,66,,,Percent of total billed charges,,109.56,20.8,,,Percent of total billed charges,,34.53,20.4,,,Percent of total billed charges,,33.86,,16.13,,Case rate,,16.13,,4.67,,Case rate,,4.67,80,,,Percent of total billed charges,,132.8,61.6,,,Percent of total billed charges,,102.26,20.6,,,Percent of total billed charges,,34.2,20.6,,,Percent of total billed charges,,34.2,65.55,,,Percent of total billed charges,,108.81,21,,,Percent of total billed charges,,34.86,90,,,Percent of total billed charges,,149.4,21,,,Percent of total billed charges,,34.86,21,,,Percent of total billed charges,,34.86,64.9,,,Percent of total billed charges,,107.73,21,,,Percent of total billed charges,,34.86,,98.06,,Case rate,,98.06,4.67,166,
Tracheostomy speaking valve,L8501,CPT,,,,Outpatient,Facility,,,365,146,66,,,Percent of total billed charges,,240.9,20.8,,,Percent of total billed charges,,75.92,20.4,,,Percent of total billed charges,,74.46,,138,,Case rate,,138,,16.6,,Case rate,,16.6,80,,,Percent of total billed charges,,292,61.6,,,Percent of total billed charges,,224.84,20.6,,,Percent of total billed charges,,75.19,20.6,,,Percent of total billed charges,,75.19,65.55,,,Percent of total billed charges,,239.26,21,,,Percent of total billed charges,,76.65,90,,,Percent of total billed charges,,328.5,21,,,Percent of total billed charges,,76.65,21,,,Percent of total billed charges,,76.65,64.9,,,Percent of total billed charges,,236.88,21,,,Percent of total billed charges,,76.65,,396.98,,Case rate,,396.98,16.6,396.98,
"Tracheostomy, emergency procedure; cricothyroid membrane",31605,CPT,,,,Outpatient,Facility,,,3235,1294,66,,,Percent of total billed charges,,2135.1,20.8,,,Percent of total billed charges,,672.88,20.4,,,Percent of total billed charges,,659.94,,324.9,,Case rate,,324.9,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,2588,61.6,,,Percent of total billed charges,,1992.76,20.6,,,Percent of total billed charges,,666.41,20.6,,,Percent of total billed charges,,666.41,65.55,,,Percent of total billed charges,,2120.54,21,,,Percent of total billed charges,,679.35,90,,,Percent of total billed charges,,2911.5,21,,,Percent of total billed charges,,679.35,21,,,Percent of total billed charges,,679.35,64.9,,,Percent of total billed charges,,2099.52,21,,,Percent of total billed charges,,679.35,,2201.01,,Case rate,,2201.01,89.15,3235,
Transcortin (cortisol binding globulin),84449,CPT,,,,Outpatient,Facility,,,84,33.6,66,,,Percent of total billed charges,,55.44,20.8,,,Percent of total billed charges,,17.47,20.4,,,Percent of total billed charges,,17.14,,18,,Case rate,,18,,5.24,,Case rate,,5.24,80,,,Percent of total billed charges,,67.2,61.6,,,Percent of total billed charges,,51.74,20.6,,,Percent of total billed charges,,17.3,20.6,,,Percent of total billed charges,,17.3,65.55,,,Percent of total billed charges,,55.06,21,,,Percent of total billed charges,,17.64,90,,,Percent of total billed charges,,75.6,21,,,Percent of total billed charges,,17.64,21,,,Percent of total billed charges,,17.64,64.9,,,Percent of total billed charges,,54.52,21,,,Percent of total billed charges,,17.64,,124.62,,Case rate,,124.62,5.24,124.62,
Transferase; alanine amino (ALT) (SGPT),84460,CPT,,,,Outpatient,Facility,,,66,26.4,66,,,Percent of total billed charges,,43.56,20.8,,,Percent of total billed charges,,13.73,20.4,,,Percent of total billed charges,,13.46,,5.3,,Case rate,,5.3,,1.08,,Case rate,,1.08,80,,,Percent of total billed charges,,52.8,61.6,,,Percent of total billed charges,,40.66,20.6,,,Percent of total billed charges,,13.6,20.6,,,Percent of total billed charges,,13.6,65.55,,,Percent of total billed charges,,43.26,21,,,Percent of total billed charges,,13.86,90,,,Percent of total billed charges,,59.4,21,,,Percent of total billed charges,,13.86,21,,,Percent of total billed charges,,13.86,64.9,,,Percent of total billed charges,,42.83,21,,,Percent of total billed charges,,13.86,,29.3,,Case rate,,29.3,1.08,66,
"Transfusion, blood or blood components",36430,CPT,,,,Outpatient,Facility,,,1220,488,66,,,Percent of total billed charges,,805.2,20.8,,,Percent of total billed charges,,253.76,20.4,,,Percent of total billed charges,,248.88,,36.97,,Case rate,,36.97,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,976,61.6,,,Percent of total billed charges,,751.52,20.6,,,Percent of total billed charges,,251.32,20.6,,,Percent of total billed charges,,251.32,65.55,,,Percent of total billed charges,,799.71,21,,,Percent of total billed charges,,256.2,90,,,Percent of total billed charges,,1098,21,,,Percent of total billed charges,,256.2,21,,,Percent of total billed charges,,256.2,64.9,,,Percent of total billed charges,,791.78,21,,,Percent of total billed charges,,256.2,,332.3,,Case rate,,332.3,13.86,1220,
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge,P9604,CPT,,,,Outpatient,Facility,,,151,60.4,66,,,Percent of total billed charges,,99.66,20.8,,,Percent of total billed charges,,31.41,20.4,,,Percent of total billed charges,,30.8,,11.1,,Case rate,,11.1,,5.94,,Case rate,,5.94,80,,,Percent of total billed charges,,120.8,61.6,,,Percent of total billed charges,,93.02,20.6,,,Percent of total billed charges,,31.11,20.6,,,Percent of total billed charges,,31.11,65.55,,,Percent of total billed charges,,98.98,21,,,Percent of total billed charges,,31.71,90,,,Percent of total billed charges,,135.9,21,,,Percent of total billed charges,,31.71,21,,,Percent of total billed charges,,31.71,64.9,,,Percent of total billed charges,,98,21,,,Percent of total billed charges,,31.71,,35.89,,Case rate,,35.89,5.94,151,
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals",92508,CPT,,,,Outpatient,Facility,,,112,44.8,66,,,Percent of total billed charges,,73.92,20.8,,,Percent of total billed charges,,23.3,20.4,,,Percent of total billed charges,,22.85,,23.19,,Case rate,,23.19,,3.73,,Case rate,,3.73,80,,,Percent of total billed charges,,89.6,61.6,,,Percent of total billed charges,,68.99,20.6,,,Percent of total billed charges,,23.07,20.6,,,Percent of total billed charges,,23.07,65.55,,,Percent of total billed charges,,73.42,21,,,Percent of total billed charges,,23.52,90,,,Percent of total billed charges,,100.8,21,,,Percent of total billed charges,,23.52,21,,,Percent of total billed charges,,23.52,64.9,,,Percent of total billed charges,,72.69,21,,,Percent of total billed charges,,23.52,,95.69,,Case rate,,95.69,3.73,112,
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",92507,CPT,,,,Outpatient,Facility,,,188,75.2,66,,,Percent of total billed charges,,124.08,20.8,,,Percent of total billed charges,,39.1,20.4,,,Percent of total billed charges,,38.35,,75,,Case rate,,75,,6.8,,Case rate,,6.8,80,,,Percent of total billed charges,,150.4,61.6,,,Percent of total billed charges,,115.81,20.6,,,Percent of total billed charges,,38.73,20.6,,,Percent of total billed charges,,38.73,65.55,,,Percent of total billed charges,,123.23,21,,,Percent of total billed charges,,39.48,90,,,Percent of total billed charges,,169.2,21,,,Percent of total billed charges,,39.48,21,,,Percent of total billed charges,,39.48,64.9,,,Percent of total billed charges,,122.01,21,,,Percent of total billed charges,,39.48,,155.59,,Case rate,,155.59,6.8,188,
Treatment of superficial wound dehiscence; simple closure,12020,CPT,,,,Outpatient,Facility,,,1752,700.8,66,,,Percent of total billed charges,,1156.32,20.8,,,Percent of total billed charges,,364.42,20.4,,,Percent of total billed charges,,357.41,,291.17,,Case rate,,291.17,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1401.6,61.6,,,Percent of total billed charges,,1079.23,20.6,,,Percent of total billed charges,,360.91,20.6,,,Percent of total billed charges,,360.91,65.55,,,Percent of total billed charges,,1148.44,21,,,Percent of total billed charges,,367.92,90,,,Percent of total billed charges,,1576.8,21,,,Percent of total billed charges,,367.92,21,,,Percent of total billed charges,,367.92,64.9,,,Percent of total billed charges,,1137.05,21,,,Percent of total billed charges,,367.92,,1435.1,,Case rate,,1435.1,58.06,1752,
Triglycerides,84478,CPT,,,,Outpatient,Facility,,,42,16.8,66,,,Percent of total billed charges,,27.72,20.8,,,Percent of total billed charges,,8.74,20.4,,,Percent of total billed charges,,8.57,,5.74,,Case rate,,5.74,,1.18,,Case rate,,1.18,80,,,Percent of total billed charges,,33.6,61.6,,,Percent of total billed charges,,25.87,20.6,,,Percent of total billed charges,,8.65,20.6,,,Percent of total billed charges,,8.65,65.55,,,Percent of total billed charges,,27.53,21,,,Percent of total billed charges,,8.82,90,,,Percent of total billed charges,,37.8,21,,,Percent of total billed charges,,8.82,21,,,Percent of total billed charges,,8.82,64.9,,,Percent of total billed charges,,27.26,21,,,Percent of total billed charges,,8.82,,33.34,,Case rate,,33.34,1.18,42,
Triiodothyronine T3; free,84481,CPT,,,,Outpatient,Facility,,,326,130.4,66,,,Percent of total billed charges,,215.16,20.8,,,Percent of total billed charges,,67.81,20.4,,,Percent of total billed charges,,66.5,,16.94,,Case rate,,16.94,,3.49,,Case rate,,3.49,80,,,Percent of total billed charges,,260.8,61.6,,,Percent of total billed charges,,200.82,20.6,,,Percent of total billed charges,,67.16,20.6,,,Percent of total billed charges,,67.16,65.55,,,Percent of total billed charges,,213.69,21,,,Percent of total billed charges,,68.46,90,,,Percent of total billed charges,,293.4,21,,,Percent of total billed charges,,68.46,21,,,Percent of total billed charges,,68.46,64.9,,,Percent of total billed charges,,211.57,21,,,Percent of total billed charges,,68.46,,84.18,,Case rate,,84.18,3.49,326,
Triiodothyronine T3; reverse,84482,CPT,,,,Outpatient,Facility,,,143,57.2,66,,,Percent of total billed charges,,94.38,20.8,,,Percent of total billed charges,,29.74,20.4,,,Percent of total billed charges,,29.17,,15.76,,Case rate,,15.76,,4.81,,Case rate,,4.81,80,,,Percent of total billed charges,,114.4,61.6,,,Percent of total billed charges,,88.09,20.6,,,Percent of total billed charges,,29.46,20.6,,,Percent of total billed charges,,29.46,65.55,,,Percent of total billed charges,,93.74,21,,,Percent of total billed charges,,30.03,90,,,Percent of total billed charges,,128.7,21,,,Percent of total billed charges,,30.03,21,,,Percent of total billed charges,,30.03,64.9,,,Percent of total billed charges,,92.81,21,,,Percent of total billed charges,,30.03,,115.19,,Case rate,,115.19,4.81,143,
Triiodothyronine T3; total (TT-3),84480,CPT,,,,Outpatient,Facility,,,110,44,66,,,Percent of total billed charges,,72.6,20.8,,,Percent of total billed charges,,22.88,20.4,,,Percent of total billed charges,,22.44,,14.18,,Case rate,,14.18,,2.92,,Case rate,,2.92,80,,,Percent of total billed charges,,88,61.6,,,Percent of total billed charges,,67.76,20.6,,,Percent of total billed charges,,22.66,20.6,,,Percent of total billed charges,,22.66,65.55,,,Percent of total billed charges,,72.1,21,,,Percent of total billed charges,,23.1,90,,,Percent of total billed charges,,99,21,,,Percent of total billed charges,,23.1,21,,,Percent of total billed charges,,23.1,64.9,,,Percent of total billed charges,,71.39,21,,,Percent of total billed charges,,23.1,,58.78,,Case rate,,58.78,2.92,110,
"Trimming of nondystrophic nails, any number",11719,CPT,,,,Outpatient,Facility,,,191,76.4,66,,,Percent of total billed charges,,126.06,20.8,,,Percent of total billed charges,,39.73,20.4,,,Percent of total billed charges,,38.96,,13.66,,Case rate,,13.66,,3.11,,Case rate,,3.11,80,,,Percent of total billed charges,,152.8,61.6,,,Percent of total billed charges,,117.66,20.6,,,Percent of total billed charges,,39.35,20.6,,,Percent of total billed charges,,39.35,65.55,,,Percent of total billed charges,,125.2,21,,,Percent of total billed charges,,40.11,90,,,Percent of total billed charges,,171.9,21,,,Percent of total billed charges,,40.11,21,,,Percent of total billed charges,,40.11,64.9,,,Percent of total billed charges,,123.96,21,,,Percent of total billed charges,,40.11,,128.33,,Case rate,,128.33,3.11,191,
"Troponin, quantitative",84484,CPT,,,,Outpatient,Facility,,,124,49.6,66,,,Percent of total billed charges,,81.84,20.8,,,Percent of total billed charges,,25.79,20.4,,,Percent of total billed charges,,25.3,,12.47,,Case rate,,12.47,,2.46,,Case rate,,2.46,80,,,Percent of total billed charges,,99.2,61.6,,,Percent of total billed charges,,76.38,20.6,,,Percent of total billed charges,,25.54,20.6,,,Percent of total billed charges,,25.54,65.55,,,Percent of total billed charges,,81.28,21,,,Percent of total billed charges,,26.04,90,,,Percent of total billed charges,,111.6,21,,,Percent of total billed charges,,26.04,21,,,Percent of total billed charges,,26.04,64.9,,,Percent of total billed charges,,80.48,21,,,Percent of total billed charges,,26.04,,47.68,,Case rate,,47.68,2.46,124,
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,,,,Outpatient,Facility,,,172,68.8,66,,,Percent of total billed charges,,113.52,20.8,,,Percent of total billed charges,,35.78,20.4,,,Percent of total billed charges,,35.09,,24.03,,Case rate,,24.03,,3.81,,Case rate,,3.81,80,,,Percent of total billed charges,,137.6,61.6,,,Percent of total billed charges,,105.95,20.6,,,Percent of total billed charges,,35.43,20.6,,,Percent of total billed charges,,35.43,65.55,,,Percent of total billed charges,,112.75,21,,,Percent of total billed charges,,36.12,90,,,Percent of total billed charges,,154.8,21,,,Percent of total billed charges,,36.12,21,,,Percent of total billed charges,,36.12,64.9,,,Percent of total billed charges,,111.63,21,,,Percent of total billed charges,,36.12,,121.74,,Case rate,,121.74,3.81,172,
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)",76937,CPT,40276937,CDM,TC,Outpatient,Facility,,,172,68.8,66,,,Percent of total billed charges,,113.52,20.8,,,Percent of total billed charges,,35.78,20.4,,,Percent of total billed charges,,35.09,,24.03,,Case rate,,24.03,,3.81,,Case rate,,3.81,80,,,Percent of total billed charges,,137.6,61.6,,,Percent of total billed charges,,105.95,20.6,,,Percent of total billed charges,,35.43,20.6,,,Percent of total billed charges,,35.43,65.55,,,Percent of total billed charges,,112.75,21,,,Percent of total billed charges,,36.12,90,,,Percent of total billed charges,,154.8,21,,,Percent of total billed charges,,36.12,21,,,Percent of total billed charges,,36.12,64.9,,,Percent of total billed charges,,111.63,21,,,Percent of total billed charges,,36.12,,121.74,,Case rate,,121.74,3.81,172,
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,,,,Outpatient,Facility,,,490,196,66,,,Percent of total billed charges,,323.4,20.8,,,Percent of total billed charges,,101.92,20.4,,,Percent of total billed charges,,99.96,,76.82,,Case rate,,76.82,,4.33,,Case rate,,4.33,80,,,Percent of total billed charges,,392,61.6,,,Percent of total billed charges,,301.84,20.6,,,Percent of total billed charges,,100.94,20.6,,,Percent of total billed charges,,100.94,65.55,,,Percent of total billed charges,,321.2,21,,,Percent of total billed charges,,102.9,90,,,Percent of total billed charges,,441,21,,,Percent of total billed charges,,102.9,21,,,Percent of total billed charges,,102.9,64.9,,,Percent of total billed charges,,318.01,21,,,Percent of total billed charges,,102.9,,370.65,,Case rate,,370.65,4.33,490,
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,40276700,CDM,TC,Outpatient,Facility,,,795,318,66,,,Percent of total billed charges,,524.7,20.8,,,Percent of total billed charges,,165.36,20.4,,,Percent of total billed charges,,162.18,,74.92,,Case rate,,74.92,,14.33,,Case rate,,14.33,80,,,Percent of total billed charges,,636,61.6,,,Percent of total billed charges,,489.72,20.6,,,Percent of total billed charges,,163.77,20.6,,,Percent of total billed charges,,163.77,65.55,,,Percent of total billed charges,,521.12,21,,,Percent of total billed charges,,166.95,90,,,Percent of total billed charges,,715.5,21,,,Percent of total billed charges,,166.95,21,,,Percent of total billed charges,,166.95,64.9,,,Percent of total billed charges,,515.96,21,,,Percent of total billed charges,,166.95,,345.02,,Case rate,,345.02,14.33,795,
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,40276705,CDM,TC,Outpatient,Facility,,,579,231.6,66,,,Percent of total billed charges,,382.14,20.8,,,Percent of total billed charges,,120.43,20.4,,,Percent of total billed charges,,118.12,,57.22,,Case rate,,57.22,,10.39,,Case rate,,10.39,80,,,Percent of total billed charges,,463.2,61.6,,,Percent of total billed charges,,356.66,20.6,,,Percent of total billed charges,,119.27,20.6,,,Percent of total billed charges,,119.27,65.55,,,Percent of total billed charges,,379.53,21,,,Percent of total billed charges,,121.59,90,,,Percent of total billed charges,,521.1,21,,,Percent of total billed charges,,121.59,21,,,Percent of total billed charges,,121.59,64.9,,,Percent of total billed charges,,375.77,21,,,Percent of total billed charges,,121.59,,248.12,,Case rate,,248.12,10.39,579,
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,,,,Outpatient,Facility,,,475,190,66,,,Percent of total billed charges,,313.5,20.8,,,Percent of total billed charges,,98.8,20.4,,,Percent of total billed charges,,96.9,,65.44,,Case rate,,65.44,,4.81,,Case rate,,4.81,80,,,Percent of total billed charges,,380,61.6,,,Percent of total billed charges,,292.6,20.6,,,Percent of total billed charges,,97.85,20.6,,,Percent of total billed charges,,97.85,65.55,,,Percent of total billed charges,,311.36,21,,,Percent of total billed charges,,99.75,90,,,Percent of total billed charges,,427.5,21,,,Percent of total billed charges,,99.75,21,,,Percent of total billed charges,,99.75,64.9,,,Percent of total billed charges,,308.28,21,,,Percent of total billed charges,,99.75,,366.56,,Case rate,,366.56,4.81,475,
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete",76641,CPT,40276641,CDM,TC,Outpatient,Facility,,,475,190,66,,,Percent of total billed charges,,313.5,20.8,,,Percent of total billed charges,,98.8,20.4,,,Percent of total billed charges,,96.9,,65.44,,Case rate,,65.44,,4.81,,Case rate,,4.81,80,,,Percent of total billed charges,,380,61.6,,,Percent of total billed charges,,292.6,20.6,,,Percent of total billed charges,,97.85,20.6,,,Percent of total billed charges,,97.85,65.55,,,Percent of total billed charges,,311.36,21,,,Percent of total billed charges,,99.75,90,,,Percent of total billed charges,,427.5,21,,,Percent of total billed charges,,99.75,21,,,Percent of total billed charges,,99.75,64.9,,,Percent of total billed charges,,308.28,21,,,Percent of total billed charges,,99.75,,366.56,,Case rate,,366.56,4.81,475,
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,,,,Outpatient,Facility,,,377,150.8,66,,,Percent of total billed charges,,248.82,20.8,,,Percent of total billed charges,,78.42,20.4,,,Percent of total billed charges,,76.91,,50.26,,Case rate,,50.26,,3.68,,Case rate,,3.68,80,,,Percent of total billed charges,,301.6,61.6,,,Percent of total billed charges,,232.23,20.6,,,Percent of total billed charges,,77.66,20.6,,,Percent of total billed charges,,77.66,65.55,,,Percent of total billed charges,,247.12,21,,,Percent of total billed charges,,79.17,90,,,Percent of total billed charges,,339.3,21,,,Percent of total billed charges,,79.17,21,,,Percent of total billed charges,,79.17,64.9,,,Percent of total billed charges,,244.67,21,,,Percent of total billed charges,,79.17,,162.83,,Case rate,,162.83,3.68,377,
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited",76642,CPT,40276642,CDM,TC,Outpatient,Facility,,,377,150.8,66,,,Percent of total billed charges,,248.82,20.8,,,Percent of total billed charges,,78.42,20.4,,,Percent of total billed charges,,76.91,,50.26,,Case rate,,50.26,,3.68,,Case rate,,3.68,80,,,Percent of total billed charges,,301.6,61.6,,,Percent of total billed charges,,232.23,20.6,,,Percent of total billed charges,,77.66,20.6,,,Percent of total billed charges,,77.66,65.55,,,Percent of total billed charges,,247.12,21,,,Percent of total billed charges,,79.17,90,,,Percent of total billed charges,,339.3,21,,,Percent of total billed charges,,79.17,21,,,Percent of total billed charges,,79.17,64.9,,,Percent of total billed charges,,244.67,21,,,Percent of total billed charges,,79.17,,162.83,,Case rate,,162.83,3.68,377,
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,,,,Outpatient,Facility,,,410,164,66,,,Percent of total billed charges,,270.6,20.8,,,Percent of total billed charges,,85.28,20.4,,,Percent of total billed charges,,83.64,,8.84,,Case rate,,8.84,,1.94,,Case rate,,1.94,80,,,Percent of total billed charges,,328,61.6,,,Percent of total billed charges,,252.56,20.6,,,Percent of total billed charges,,84.46,20.6,,,Percent of total billed charges,,84.46,65.55,,,Percent of total billed charges,,268.76,21,,,Percent of total billed charges,,86.1,90,,,Percent of total billed charges,,369,21,,,Percent of total billed charges,,86.1,21,,,Percent of total billed charges,,86.1,64.9,,,Percent of total billed charges,,266.09,21,,,Percent of total billed charges,,86.1,,261.35,,Case rate,,261.35,1.94,410,
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,40276856,CDM,TC,Outpatient,Facility,,,835,334,66,,,Percent of total billed charges,,551.1,20.8,,,Percent of total billed charges,,173.68,20.4,,,Percent of total billed charges,,170.34,,69.55,,Case rate,,69.55,,11.59,,Case rate,,11.59,80,,,Percent of total billed charges,,668,61.6,,,Percent of total billed charges,,514.36,20.6,,,Percent of total billed charges,,172.01,20.6,,,Percent of total billed charges,,172.01,65.55,,,Percent of total billed charges,,547.34,21,,,Percent of total billed charges,,175.35,90,,,Percent of total billed charges,,751.5,21,,,Percent of total billed charges,,175.35,21,,,Percent of total billed charges,,175.35,64.9,,,Percent of total billed charges,,541.92,21,,,Percent of total billed charges,,175.35,,277.19,,Case rate,,277.19,11.59,835,
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,40276810,CDM,TC,Outpatient,Facility,,,939,375.6,66,,,Percent of total billed charges,,619.74,20.8,,,Percent of total billed charges,,195.31,20.4,,,Percent of total billed charges,,191.56,,39.51,,Case rate,,39.51,,32.07,,Case rate,,32.07,80,,,Percent of total billed charges,,751.2,61.6,,,Percent of total billed charges,,578.42,20.6,,,Percent of total billed charges,,193.43,20.6,,,Percent of total billed charges,,193.43,65.55,,,Percent of total billed charges,,615.51,21,,,Percent of total billed charges,,197.19,90,,,Percent of total billed charges,,845.1,21,,,Percent of total billed charges,,197.19,21,,,Percent of total billed charges,,197.19,64.9,,,Percent of total billed charges,,609.41,21,,,Percent of total billed charges,,197.19,,781.09,,Case rate,,781.09,32.07,939,
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,,,,Outpatient,Facility,,,479,191.6,66,,,Percent of total billed charges,,316.14,20.8,,,Percent of total billed charges,,99.63,20.4,,,Percent of total billed charges,,97.72,,84.4,,Case rate,,84.4,,16.16,,Case rate,,16.16,80,,,Percent of total billed charges,,383.2,61.6,,,Percent of total billed charges,,295.06,20.6,,,Percent of total billed charges,,98.67,20.6,,,Percent of total billed charges,,98.67,65.55,,,Percent of total billed charges,,313.98,21,,,Percent of total billed charges,,100.59,90,,,Percent of total billed charges,,431.1,21,,,Percent of total billed charges,,100.59,21,,,Percent of total billed charges,,100.59,64.9,,,Percent of total billed charges,,310.87,21,,,Percent of total billed charges,,100.59,,403.76,,Case rate,,403.76,16.16,479,
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,,,,Outpatient,Facility,,,308,123.2,66,,,Percent of total billed charges,,203.28,20.8,,,Percent of total billed charges,,64.06,20.4,,,Percent of total billed charges,,62.83,,20.23,,Case rate,,20.23,,4.54,,Case rate,,4.54,80,,,Percent of total billed charges,,246.4,61.6,,,Percent of total billed charges,,189.73,20.6,,,Percent of total billed charges,,63.45,20.6,,,Percent of total billed charges,,63.45,65.55,,,Percent of total billed charges,,201.89,21,,,Percent of total billed charges,,64.68,90,,,Percent of total billed charges,,277.2,21,,,Percent of total billed charges,,64.68,21,,,Percent of total billed charges,,64.68,64.9,,,Percent of total billed charges,,199.89,21,,,Percent of total billed charges,,64.68,,253.79,,Case rate,,253.79,4.54,308,
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,40276801,CDM,TC,Outpatient,Facility,,,486,194.4,66,,,Percent of total billed charges,,320.76,20.8,,,Percent of total billed charges,,101.09,20.4,,,Percent of total billed charges,,99.14,,67.65,,Case rate,,67.65,,15.1,,Case rate,,15.1,80,,,Percent of total billed charges,,388.8,61.6,,,Percent of total billed charges,,299.38,20.6,,,Percent of total billed charges,,100.12,20.6,,,Percent of total billed charges,,100.12,65.55,,,Percent of total billed charges,,318.57,21,,,Percent of total billed charges,,102.06,90,,,Percent of total billed charges,,437.4,21,,,Percent of total billed charges,,102.06,21,,,Percent of total billed charges,,102.06,64.9,,,Percent of total billed charges,,315.41,21,,,Percent of total billed charges,,102.06,,406.96,,Case rate,,406.96,15.1,486,
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,,,,Outpatient,Facility,,,464,185.6,66,,,Percent of total billed charges,,306.24,20.8,,,Percent of total billed charges,,96.51,20.4,,,Percent of total billed charges,,94.66,,66.07,,Case rate,,66.07,,8.96,,Case rate,,8.96,80,,,Percent of total billed charges,,371.2,61.6,,,Percent of total billed charges,,285.82,20.6,,,Percent of total billed charges,,95.58,20.6,,,Percent of total billed charges,,95.58,65.55,,,Percent of total billed charges,,304.15,21,,,Percent of total billed charges,,97.44,90,,,Percent of total billed charges,,417.6,21,,,Percent of total billed charges,,97.44,21,,,Percent of total billed charges,,97.44,64.9,,,Percent of total billed charges,,301.14,21,,,Percent of total billed charges,,97.44,,211.26,,Case rate,,211.26,8.96,464,
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,,,,Outpatient,Facility,,,359,143.6,66,,,Percent of total billed charges,,236.94,20.8,,,Percent of total billed charges,,74.67,20.4,,,Percent of total billed charges,,73.24,,48.05,,Case rate,,48.05,,10.78,,Case rate,,10.78,80,,,Percent of total billed charges,,287.2,61.6,,,Percent of total billed charges,,221.14,20.6,,,Percent of total billed charges,,73.95,20.6,,,Percent of total billed charges,,73.95,65.55,,,Percent of total billed charges,,235.32,21,,,Percent of total billed charges,,75.39,90,,,Percent of total billed charges,,323.1,21,,,Percent of total billed charges,,75.39,21,,,Percent of total billed charges,,75.39,64.9,,,Percent of total billed charges,,232.99,21,,,Percent of total billed charges,,75.39,,271.89,,Case rate,,271.89,10.78,359,
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses",76815,CPT,40276815,CDM,TC,Outpatient,Facility,,,359,143.6,66,,,Percent of total billed charges,,236.94,20.8,,,Percent of total billed charges,,74.67,20.4,,,Percent of total billed charges,,73.24,,48.05,,Case rate,,48.05,,10.78,,Case rate,,10.78,80,,,Percent of total billed charges,,287.2,61.6,,,Percent of total billed charges,,221.14,20.6,,,Percent of total billed charges,,73.95,20.6,,,Percent of total billed charges,,73.95,65.55,,,Percent of total billed charges,,235.32,21,,,Percent of total billed charges,,75.39,90,,,Percent of total billed charges,,323.1,21,,,Percent of total billed charges,,75.39,21,,,Percent of total billed charges,,75.39,64.9,,,Percent of total billed charges,,232.99,21,,,Percent of total billed charges,,75.39,,271.89,,Case rate,,271.89,10.78,359,
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,40276817,CDM,TC,Outpatient,Facility,,,498,199.2,66,,,Percent of total billed charges,,328.68,20.8,,,Percent of total billed charges,,103.58,20.4,,,Percent of total billed charges,,101.59,,54.37,,Case rate,,54.37,,14.73,,Case rate,,14.73,80,,,Percent of total billed charges,,398.4,61.6,,,Percent of total billed charges,,306.77,20.6,,,Percent of total billed charges,,102.59,20.6,,,Percent of total billed charges,,102.59,65.55,,,Percent of total billed charges,,326.44,21,,,Percent of total billed charges,,104.58,90,,,Percent of total billed charges,,448.2,21,,,Percent of total billed charges,,104.58,21,,,Percent of total billed charges,,104.58,64.9,,,Percent of total billed charges,,323.2,21,,,Percent of total billed charges,,104.58,,420.61,,Case rate,,420.61,14.73,498,
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,,,,Outpatient,Facility,,,714,285.6,66,,,Percent of total billed charges,,471.24,20.8,,,Percent of total billed charges,,148.51,20.4,,,Percent of total billed charges,,145.66,,70.5,,Case rate,,70.5,,13.89,,Case rate,,13.89,80,,,Percent of total billed charges,,571.2,61.6,,,Percent of total billed charges,,439.82,20.6,,,Percent of total billed charges,,147.08,20.6,,,Percent of total billed charges,,147.08,65.55,,,Percent of total billed charges,,468.03,21,,,Percent of total billed charges,,149.94,90,,,Percent of total billed charges,,642.6,21,,,Percent of total billed charges,,149.94,21,,,Percent of total billed charges,,149.94,64.9,,,Percent of total billed charges,,463.39,21,,,Percent of total billed charges,,149.94,,347.16,,Case rate,,347.16,13.89,714,
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,,,,Outpatient,Facility,,,575,230,66,,,Percent of total billed charges,,379.5,20.8,,,Percent of total billed charges,,119.6,20.4,,,Percent of total billed charges,,117.3,,30.03,,Case rate,,30.03,,10.35,,Case rate,,10.35,80,,,Percent of total billed charges,,460,61.6,,,Percent of total billed charges,,354.2,20.6,,,Percent of total billed charges,,118.45,20.6,,,Percent of total billed charges,,118.45,65.55,,,Percent of total billed charges,,376.91,21,,,Percent of total billed charges,,120.75,90,,,Percent of total billed charges,,517.5,21,,,Percent of total billed charges,,120.75,21,,,Percent of total billed charges,,120.75,64.9,,,Percent of total billed charges,,373.18,21,,,Percent of total billed charges,,120.75,,260.52,,Case rate,,260.52,10.35,575,
"Ultrasound, scrotum and contents",76870,CPT,40276870,CDM,TC,Outpatient,Facility,,,608,243.2,66,,,Percent of total billed charges,,401.28,20.8,,,Percent of total billed charges,,126.46,20.4,,,Percent of total billed charges,,124.03,,67.33,,Case rate,,67.33,,11.19,,Case rate,,11.19,80,,,Percent of total billed charges,,486.4,61.6,,,Percent of total billed charges,,374.53,20.6,,,Percent of total billed charges,,125.25,20.6,,,Percent of total billed charges,,125.25,65.55,,,Percent of total billed charges,,398.54,21,,,Percent of total billed charges,,127.68,90,,,Percent of total billed charges,,547.2,21,,,Percent of total billed charges,,127.68,21,,,Percent of total billed charges,,127.68,64.9,,,Percent of total billed charges,,394.59,21,,,Percent of total billed charges,,127.68,,267.67,,Case rate,,267.67,11.19,608,
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,,,,Outpatient,Facility,,,794,317.6,66,,,Percent of total billed charges,,524.04,20.8,,,Percent of total billed charges,,165.15,20.4,,,Percent of total billed charges,,161.98,,80.3,,Case rate,,80.3,,10.22,,Case rate,,10.22,80,,,Percent of total billed charges,,635.2,61.6,,,Percent of total billed charges,,489.1,20.6,,,Percent of total billed charges,,163.56,20.6,,,Percent of total billed charges,,163.56,65.55,,,Percent of total billed charges,,520.47,21,,,Percent of total billed charges,,166.74,90,,,Percent of total billed charges,,714.6,21,,,Percent of total billed charges,,166.74,21,,,Percent of total billed charges,,166.74,64.9,,,Percent of total billed charges,,515.31,21,,,Percent of total billed charges,,166.74,,257.55,,Case rate,,257.55,10.22,794,
"Ultrasound, transvaginal",76830,CPT,,,,Outpatient,Facility,,,524,209.6,66,,,Percent of total billed charges,,345.84,20.8,,,Percent of total billed charges,,108.99,20.4,,,Percent of total billed charges,,106.9,,82.83,,Case rate,,82.83,,11.59,,Case rate,,11.59,80,,,Percent of total billed charges,,419.2,61.6,,,Percent of total billed charges,,322.78,20.6,,,Percent of total billed charges,,107.94,20.6,,,Percent of total billed charges,,107.94,65.55,,,Percent of total billed charges,,343.48,21,,,Percent of total billed charges,,110.04,90,,,Percent of total billed charges,,471.6,21,,,Percent of total billed charges,,110.04,21,,,Percent of total billed charges,,110.04,64.9,,,Percent of total billed charges,,340.08,21,,,Percent of total billed charges,,110.04,,290.65,,Case rate,,290.65,11.59,524,
"Ultrasound, transvaginal",76830,CPT,40276830,CDM,TC,Outpatient,Facility,,,524,209.6,66,,,Percent of total billed charges,,345.84,20.8,,,Percent of total billed charges,,108.99,20.4,,,Percent of total billed charges,,106.9,,82.83,,Case rate,,82.83,,11.59,,Case rate,,11.59,80,,,Percent of total billed charges,,419.2,61.6,,,Percent of total billed charges,,322.78,20.6,,,Percent of total billed charges,,107.94,20.6,,,Percent of total billed charges,,107.94,65.55,,,Percent of total billed charges,,343.48,21,,,Percent of total billed charges,,110.04,90,,,Percent of total billed charges,,471.6,21,,,Percent of total billed charges,,110.04,21,,,Percent of total billed charges,,110.04,64.9,,,Percent of total billed charges,,340.08,21,,,Percent of total billed charges,,110.04,,290.65,,Case rate,,290.65,11.59,524,
Unlisted multianalyte assay with algorithmic analysis,81599,CPT,,,,Outpatient,Facility,,,225,90,66,,,Percent of total billed charges,,148.5,20.8,,,Percent of total billed charges,,46.8,20.4,,,Percent of total billed charges,,45.9,48.3,,,Percent of total billed charges,,108.68,19.8,,,Percent of total billed charges,,44.55,80,,,Percent of total billed charges,,180,61.6,,,Percent of total billed charges,,138.6,20.6,,,Percent of total billed charges,,46.35,20.6,,,Percent of total billed charges,,46.35,65.55,,,Percent of total billed charges,,147.49,21,,,Percent of total billed charges,,47.25,90,,,Percent of total billed charges,,202.5,21,,,Percent of total billed charges,,47.25,21,,,Percent of total billed charges,,47.25,64.9,,,Percent of total billed charges,,146.02,21,,,Percent of total billed charges,,47.25,45,,,Percent of total billed charges,,101.25,44.55,225,
"Unlisted procedure, anus",46999,CPT,,,,Outpatient,Facility,,,648,259.2,66,,,Percent of total billed charges,,427.68,20.8,,,Percent of total billed charges,,134.78,20.4,,,Percent of total billed charges,,132.19,48.3,,,Percent of total billed charges,,312.98,,1.98,,Case rate,,1.98,80,,,Percent of total billed charges,,518.4,61.6,,,Percent of total billed charges,,399.17,20.6,,,Percent of total billed charges,,133.49,20.6,,,Percent of total billed charges,,133.49,65.55,,,Percent of total billed charges,,424.76,21,,,Percent of total billed charges,,136.08,90,,,Percent of total billed charges,,583.2,21,,,Percent of total billed charges,,136.08,21,,,Percent of total billed charges,,136.08,64.9,,,Percent of total billed charges,,420.55,21,,,Percent of total billed charges,,136.08,,41.32,,Case rate,,41.32,1.98,648,
"Unlisted procedure, casting or strapping",29799,CPT,,,,Outpatient,Facility,,,179,71.6,66,,,Percent of total billed charges,,118.14,20.8,,,Percent of total billed charges,,37.23,20.4,,,Percent of total billed charges,,36.52,48.3,,,Percent of total billed charges,,86.46,,1.98,,Case rate,,1.98,80,,,Percent of total billed charges,,143.2,61.6,,,Percent of total billed charges,,110.26,20.6,,,Percent of total billed charges,,36.87,20.6,,,Percent of total billed charges,,36.87,65.55,,,Percent of total billed charges,,117.33,21,,,Percent of total billed charges,,37.59,90,,,Percent of total billed charges,,161.1,21,,,Percent of total billed charges,,37.59,21,,,Percent of total billed charges,,37.59,64.9,,,Percent of total billed charges,,116.17,21,,,Percent of total billed charges,,37.59,,41.09,,Case rate,,41.09,1.98,179,
"Unlisted procedure, dentoalveolar structures",41899,CPT,,,,Outpatient,Facility,,,188,75.2,66,,,Percent of total billed charges,,124.08,20.8,,,Percent of total billed charges,,39.1,20.4,,,Percent of total billed charges,,38.35,48.3,,,Percent of total billed charges,,90.8,,1.98,,Case rate,,1.98,80,,,Percent of total billed charges,,150.4,61.6,,,Percent of total billed charges,,115.81,20.6,,,Percent of total billed charges,,38.73,20.6,,,Percent of total billed charges,,38.73,65.55,,,Percent of total billed charges,,123.23,21,,,Percent of total billed charges,,39.48,90,,,Percent of total billed charges,,169.2,21,,,Percent of total billed charges,,39.48,21,,,Percent of total billed charges,,39.48,64.9,,,Percent of total billed charges,,122.01,21,,,Percent of total billed charges,,39.48,,40.95,,Case rate,,40.95,1.98,188,
"Unlisted procedure, female genital system (nonobstetrical)",58999,CPT,,,,Outpatient,Facility,,,560,224,66,,,Percent of total billed charges,,369.6,20.8,,,Percent of total billed charges,,116.48,20.4,,,Percent of total billed charges,,114.24,48.3,,,Percent of total billed charges,,270.48,,1.98,,Case rate,,1.98,80,,,Percent of total billed charges,,448,61.6,,,Percent of total billed charges,,344.96,20.6,,,Percent of total billed charges,,115.36,20.6,,,Percent of total billed charges,,115.36,65.55,,,Percent of total billed charges,,367.08,21,,,Percent of total billed charges,,117.6,90,,,Percent of total billed charges,,504,21,,,Percent of total billed charges,,117.6,21,,,Percent of total billed charges,,117.6,64.9,,,Percent of total billed charges,,363.44,21,,,Percent of total billed charges,,117.6,,54.65,,Case rate,,54.65,1.98,560,
"Unlisted procedure, foot or toes",28899,CPT,,,,Outpatient,Facility,,,8482.82,3393.13,66,,,Percent of total billed charges,,5598.66,20.8,,,Percent of total billed charges,,1764.43,20.4,,,Percent of total billed charges,,1730.5,48.3,,,Percent of total billed charges,,4097.2,,1.98,,Case rate,,1.98,80,,,Percent of total billed charges,,6786.26,61.6,,,Percent of total billed charges,,5225.42,20.6,,,Percent of total billed charges,,1747.46,20.6,,,Percent of total billed charges,,1747.46,65.55,,,Percent of total billed charges,,5560.49,21,,,Percent of total billed charges,,1781.39,90,,,Percent of total billed charges,,7634.54,21,,,Percent of total billed charges,,1781.39,21,,,Percent of total billed charges,,1781.39,64.9,,,Percent of total billed charges,,5505.35,21,,,Percent of total billed charges,,1781.39,,40.67,,Case rate,,40.67,1.98,8482.82,
"Unlisted procedure, lips",40799,CPT,,,,Outpatient,Facility,,,188,75.2,66,,,Percent of total billed charges,,124.08,20.8,,,Percent of total billed charges,,39.1,20.4,,,Percent of total billed charges,,38.35,48.3,,,Percent of total billed charges,,90.8,,1.98,,Case rate,,1.98,80,,,Percent of total billed charges,,150.4,61.6,,,Percent of total billed charges,,115.81,20.6,,,Percent of total billed charges,,38.73,20.6,,,Percent of total billed charges,,38.73,65.55,,,Percent of total billed charges,,123.23,21,,,Percent of total billed charges,,39.48,90,,,Percent of total billed charges,,169.2,21,,,Percent of total billed charges,,39.48,21,,,Percent of total billed charges,,39.48,64.9,,,Percent of total billed charges,,122.01,21,,,Percent of total billed charges,,39.48,,55.44,,Case rate,,55.44,1.98,188,
"Unlisted procedure, musculoskeletal system, general",20999,CPT,,,,Outpatient,Facility,,,5478,2191.2,66,,,Percent of total billed charges,,3615.48,20.8,,,Percent of total billed charges,,1139.42,20.4,,,Percent of total billed charges,,1117.51,48.3,,,Percent of total billed charges,,2645.87,,1.98,,Case rate,,1.98,80,,,Percent of total billed charges,,4382.4,61.6,,,Percent of total billed charges,,3374.45,20.6,,,Percent of total billed charges,,1128.47,20.6,,,Percent of total billed charges,,1128.47,65.55,,,Percent of total billed charges,,3590.83,21,,,Percent of total billed charges,,1150.38,90,,,Percent of total billed charges,,4930.2,21,,,Percent of total billed charges,,1150.38,21,,,Percent of total billed charges,,1150.38,64.9,,,Percent of total billed charges,,3555.22,21,,,Percent of total billed charges,,1150.38,,39.51,,Case rate,,39.51,1.98,5478,
"Unlisted procedure, pharynx, adenoids, or tonsils",42999,CPT,,,,Outpatient,Facility,,,803,321.2,66,,,Percent of total billed charges,,529.98,20.8,,,Percent of total billed charges,,167.02,20.4,,,Percent of total billed charges,,163.81,48.3,,,Percent of total billed charges,,387.85,,1.98,,Case rate,,1.98,80,,,Percent of total billed charges,,642.4,61.6,,,Percent of total billed charges,,494.65,20.6,,,Percent of total billed charges,,165.42,20.6,,,Percent of total billed charges,,165.42,65.55,,,Percent of total billed charges,,526.37,21,,,Percent of total billed charges,,168.63,90,,,Percent of total billed charges,,722.7,21,,,Percent of total billed charges,,168.63,21,,,Percent of total billed charges,,168.63,64.9,,,Percent of total billed charges,,521.15,21,,,Percent of total billed charges,,168.63,,41.32,,Case rate,,41.32,1.98,803,
"Unlisted procedure, rectum",45999,CPT,,,,Outpatient,Facility,,,81,32.4,66,,,Percent of total billed charges,,53.46,20.8,,,Percent of total billed charges,,16.85,20.4,,,Percent of total billed charges,,16.52,48.3,,,Percent of total billed charges,,39.12,,1.98,,Case rate,,1.98,80,,,Percent of total billed charges,,64.8,61.6,,,Percent of total billed charges,,49.9,20.6,,,Percent of total billed charges,,16.69,20.6,,,Percent of total billed charges,,16.69,65.55,,,Percent of total billed charges,,53.1,21,,,Percent of total billed charges,,17.01,90,,,Percent of total billed charges,,72.9,21,,,Percent of total billed charges,,17.01,21,,,Percent of total billed charges,,17.01,64.9,,,Percent of total billed charges,,52.57,21,,,Percent of total billed charges,,17.01,,54.51,,Case rate,,54.51,1.98,81,
"Unlisted procedure, tongue, floor of mouth",41599,CPT,,,,Outpatient,Facility,,,188,75.2,66,,,Percent of total billed charges,,124.08,20.8,,,Percent of total billed charges,,39.1,20.4,,,Percent of total billed charges,,38.35,48.3,,,Percent of total billed charges,,90.8,,1.98,,Case rate,,1.98,80,,,Percent of total billed charges,,150.4,61.6,,,Percent of total billed charges,,115.81,20.6,,,Percent of total billed charges,,38.73,20.6,,,Percent of total billed charges,,38.73,65.55,,,Percent of total billed charges,,123.23,21,,,Percent of total billed charges,,39.48,90,,,Percent of total billed charges,,169.2,21,,,Percent of total billed charges,,39.48,21,,,Percent of total billed charges,,39.48,64.9,,,Percent of total billed charges,,122.01,21,,,Percent of total billed charges,,39.48,,39.05,,Case rate,,39.05,1.98,188,
Unlisted pulmonary service or procedure,94799,CPT,,,,Outpatient,Facility,,,459,183.6,66,,,Percent of total billed charges,,302.94,20.8,,,Percent of total billed charges,,95.47,20.4,,,Percent of total billed charges,,93.64,48.3,,,Percent of total billed charges,,221.7,,0.75,,Case rate,,0.75,80,,,Percent of total billed charges,,367.2,61.6,,,Percent of total billed charges,,282.74,20.6,,,Percent of total billed charges,,94.55,20.6,,,Percent of total billed charges,,94.55,65.55,,,Percent of total billed charges,,300.87,21,,,Percent of total billed charges,,96.39,90,,,Percent of total billed charges,,413.1,21,,,Percent of total billed charges,,96.39,21,,,Percent of total billed charges,,96.39,64.9,,,Percent of total billed charges,,297.89,21,,,Percent of total billed charges,,96.39,,24.05,,Case rate,,24.05,0.75,459,
Unlisted pulmonary service or procedure,94799,CPT,46094799,CDM,TC,Outpatient,Facility,,,459,183.6,66,,,Percent of total billed charges,,302.94,20.8,,,Percent of total billed charges,,95.47,20.4,,,Percent of total billed charges,,93.64,48.3,,,Percent of total billed charges,,221.7,,0.75,,Case rate,,0.75,80,,,Percent of total billed charges,,367.2,61.6,,,Percent of total billed charges,,282.74,20.6,,,Percent of total billed charges,,94.55,20.6,,,Percent of total billed charges,,94.55,65.55,,,Percent of total billed charges,,300.87,21,,,Percent of total billed charges,,96.39,90,,,Percent of total billed charges,,413.1,21,,,Percent of total billed charges,,96.39,21,,,Percent of total billed charges,,96.39,64.9,,,Percent of total billed charges,,297.89,21,,,Percent of total billed charges,,96.39,,24.05,,Case rate,,24.05,0.75,459,
"Unlisted ultrasound procedure (eg, diagnostic, interventional)",76999,CPT,,,,Outpatient,Facility,,,130,52,66,,,Percent of total billed charges,,85.8,20.8,,,Percent of total billed charges,,27.04,20.4,,,Percent of total billed charges,,26.52,48.3,,,Percent of total billed charges,,62.79,,1.98,,Case rate,,1.98,80,,,Percent of total billed charges,,104,61.6,,,Percent of total billed charges,,80.08,20.6,,,Percent of total billed charges,,26.78,20.6,,,Percent of total billed charges,,26.78,65.55,,,Percent of total billed charges,,85.22,21,,,Percent of total billed charges,,27.3,90,,,Percent of total billed charges,,117,21,,,Percent of total billed charges,,27.3,21,,,Percent of total billed charges,,27.3,64.9,,,Percent of total billed charges,,84.37,21,,,Percent of total billed charges,,27.3,,40.58,,Case rate,,40.58,1.98,130,
"Unlisted ultrasound procedure (eg, diagnostic, interventional)",76999,CPT,40276999,CDM,TC,Outpatient,Facility,,,130,52,66,,,Percent of total billed charges,,85.8,20.8,,,Percent of total billed charges,,27.04,20.4,,,Percent of total billed charges,,26.52,48.3,,,Percent of total billed charges,,62.79,,1.98,,Case rate,,1.98,80,,,Percent of total billed charges,,104,61.6,,,Percent of total billed charges,,80.08,20.6,,,Percent of total billed charges,,26.78,20.6,,,Percent of total billed charges,,26.78,65.55,,,Percent of total billed charges,,85.22,21,,,Percent of total billed charges,,27.3,90,,,Percent of total billed charges,,117,21,,,Percent of total billed charges,,27.3,21,,,Percent of total billed charges,,27.3,64.9,,,Percent of total billed charges,,84.37,21,,,Percent of total billed charges,,27.3,,40.58,,Case rate,,40.58,1.98,130,
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy",81003,CPT,,,,Outpatient,Facility,,,28,11.2,66,,,Percent of total billed charges,,18.48,20.8,,,Percent of total billed charges,,5.82,20.4,,,Percent of total billed charges,,5.71,,2.25,,Case rate,,2.25,,0.65,,Case rate,,0.65,80,,,Percent of total billed charges,,22.4,61.6,,,Percent of total billed charges,,17.25,20.6,,,Percent of total billed charges,,5.77,20.6,,,Percent of total billed charges,,5.77,65.55,,,Percent of total billed charges,,18.35,21,,,Percent of total billed charges,,5.88,90,,,Percent of total billed charges,,25.2,21,,,Percent of total billed charges,,5.88,21,,,Percent of total billed charges,,5.88,64.9,,,Percent of total billed charges,,18.17,21,,,Percent of total billed charges,,5.88,,19.96,,Case rate,,19.96,0.65,28,
Urinalysis; microscopic only,81015,CPT,,,,Outpatient,Facility,,,37,14.8,66,,,Percent of total billed charges,,24.42,20.8,,,Percent of total billed charges,,7.7,20.4,,,Percent of total billed charges,,7.55,,3.05,,Case rate,,3.05,,0.88,,Case rate,,0.88,80,,,Percent of total billed charges,,29.6,61.6,,,Percent of total billed charges,,22.79,20.6,,,Percent of total billed charges,,7.62,20.6,,,Percent of total billed charges,,7.62,65.55,,,Percent of total billed charges,,24.25,21,,,Percent of total billed charges,,7.77,90,,,Percent of total billed charges,,33.3,21,,,Percent of total billed charges,,7.77,21,,,Percent of total billed charges,,7.77,64.9,,,Percent of total billed charges,,24.01,21,,,Percent of total billed charges,,7.77,,24.61,,Case rate,,24.61,0.88,37,
Urinary bladder residual study (List separately in addition to code for primary procedure),78730,CPT,,,,Outpatient,Facility,,,410,164,66,,,Percent of total billed charges,,270.6,20.8,,,Percent of total billed charges,,85.28,20.4,,,Percent of total billed charges,,83.64,,57.85,,Case rate,,57.85,,10.89,,Case rate,,10.89,80,,,Percent of total billed charges,,328,61.6,,,Percent of total billed charges,,252.56,20.6,,,Percent of total billed charges,,84.46,20.6,,,Percent of total billed charges,,84.46,65.55,,,Percent of total billed charges,,268.76,21,,,Percent of total billed charges,,86.1,90,,,Percent of total billed charges,,369,21,,,Percent of total billed charges,,86.1,21,,,Percent of total billed charges,,86.1,64.9,,,Percent of total billed charges,,266.09,21,,,Percent of total billed charges,,86.1,,274.12,,Case rate,,274.12,10.89,410,
Urinary bladder residual study (List separately in addition to code for primary procedure),78730,CPT,34178730,CDM,TC,Outpatient,Facility,,,410,164,66,,,Percent of total billed charges,,270.6,20.8,,,Percent of total billed charges,,85.28,20.4,,,Percent of total billed charges,,83.64,,57.85,,Case rate,,57.85,,10.89,,Case rate,,10.89,80,,,Percent of total billed charges,,328,61.6,,,Percent of total billed charges,,252.56,20.6,,,Percent of total billed charges,,84.46,20.6,,,Percent of total billed charges,,84.46,65.55,,,Percent of total billed charges,,268.76,21,,,Percent of total billed charges,,86.1,90,,,Percent of total billed charges,,369,21,,,Percent of total billed charges,,86.1,21,,,Percent of total billed charges,,86.1,64.9,,,Percent of total billed charges,,266.09,21,,,Percent of total billed charges,,86.1,,274.12,,Case rate,,274.12,10.89,410,
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,,,,Outpatient,Facility,,,531,212.4,66,,,Percent of total billed charges,,350.46,20.8,,,Percent of total billed charges,,110.45,20.4,,,Percent of total billed charges,,108.32,,107.48,,Case rate,,107.48,,10.89,,Case rate,,10.89,80,,,Percent of total billed charges,,424.8,61.6,,,Percent of total billed charges,,327.1,20.6,,,Percent of total billed charges,,109.39,20.6,,,Percent of total billed charges,,109.39,65.55,,,Percent of total billed charges,,348.07,21,,,Percent of total billed charges,,111.51,90,,,Percent of total billed charges,,477.9,21,,,Percent of total billed charges,,111.51,21,,,Percent of total billed charges,,111.51,64.9,,,Percent of total billed charges,,344.62,21,,,Percent of total billed charges,,111.51,,275.38,,Case rate,,275.38,10.89,531,
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,32074425,CDM,TC,Outpatient,Facility,,,782,312.8,66,,,Percent of total billed charges,,516.12,20.8,,,Percent of total billed charges,,162.66,20.4,,,Percent of total billed charges,,159.53,,107.8,,Case rate,,107.8,,8.26,,Case rate,,8.26,80,,,Percent of total billed charges,,625.6,61.6,,,Percent of total billed charges,,481.71,20.6,,,Percent of total billed charges,,161.09,20.6,,,Percent of total billed charges,,161.09,65.55,,,Percent of total billed charges,,512.6,21,,,Percent of total billed charges,,164.22,90,,,Percent of total billed charges,,703.8,21,,,Percent of total billed charges,,164.22,21,,,Percent of total billed charges,,164.22,64.9,,,Percent of total billed charges,,507.52,21,,,Percent of total billed charges,,164.22,,195.47,,Case rate,,195.47,8.26,782,
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,32074415,CDM,TC,Outpatient,Facility,,,475,190,66,,,Percent of total billed charges,,313.5,20.8,,,Percent of total billed charges,,98.8,20.4,,,Percent of total billed charges,,96.9,,125.82,,Case rate,,125.82,,12.84,,Case rate,,12.84,80,,,Percent of total billed charges,,380,61.6,,,Percent of total billed charges,,292.6,20.6,,,Percent of total billed charges,,97.85,20.6,,,Percent of total billed charges,,97.85,65.55,,,Percent of total billed charges,,311.36,21,,,Percent of total billed charges,,99.75,90,,,Percent of total billed charges,,427.5,21,,,Percent of total billed charges,,99.75,21,,,Percent of total billed charges,,99.75,64.9,,,Percent of total billed charges,,308.28,21,,,Percent of total billed charges,,99.75,,322.73,,Case rate,,322.73,12.84,475,
vaginal delivery with complicating diagnoses,774,MS-DRG,,,,Inpatient,Facility,,,14440.87,5776.35,,,,Case rate,DRG Factor * DRG Weight,,,1758.64,,Per Diem,,3517.28,,1724.82,,Per Diem,,3449.64,,,,Case rate,DRG Factor * DRG Weight,,,1674.09,,Per Diem,,3348.18,80,,,Percent of total billed charges,,11552.69,61.6,,,Percent of total billed charges,,8895.57,,1741.73,,Per Diem,,3483.46,,1741.73,,Per Diem,,3483.46,65.55,,,Percent of total billed charges,,9465.99,,2079,,Per Diem,,4158,90,,,Percent of total billed charges,,12996.78,,2079,,Per Diem,,4158,,2079,,Per Diem,,4158,64.9,,,Percent of total billed charges,,9372.12,,2079,,Per Diem,,4158,,,,Case rate,DRG Factor * DRG Weight,,3348.18,14440.87,
Valproic acid (dipropylacetic acid); total,80164,CPT,,,,Outpatient,Facility,,,167,66.8,66,,,Percent of total billed charges,,110.22,20.8,,,Percent of total billed charges,,34.74,20.4,,,Percent of total billed charges,,34.07,,13.54,,Case rate,,13.54,,2.76,,Case rate,,2.76,80,,,Percent of total billed charges,,133.6,61.6,,,Percent of total billed charges,,102.87,20.6,,,Percent of total billed charges,,34.4,20.6,,,Percent of total billed charges,,34.4,65.55,,,Percent of total billed charges,,109.47,21,,,Percent of total billed charges,,35.07,90,,,Percent of total billed charges,,150.3,21,,,Percent of total billed charges,,35.07,21,,,Percent of total billed charges,,35.07,64.9,,,Percent of total billed charges,,108.38,21,,,Percent of total billed charges,,35.07,,69.09,,Case rate,,69.09,2.76,167,
"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein",36400,CPT,,,,Outpatient,Facility,,,798,319.2,66,,,Percent of total billed charges,,526.68,20.8,,,Percent of total billed charges,,165.98,20.4,,,Percent of total billed charges,,162.79,,26.75,,Case rate,,26.75,,21.78,,Case rate,,21.78,80,,,Percent of total billed charges,,638.4,61.6,,,Percent of total billed charges,,491.57,20.6,,,Percent of total billed charges,,164.39,20.6,,,Percent of total billed charges,,164.39,65.55,,,Percent of total billed charges,,523.09,21,,,Percent of total billed charges,,167.58,90,,,Percent of total billed charges,,718.2,21,,,Percent of total billed charges,,167.58,21,,,Percent of total billed charges,,167.58,64.9,,,Percent of total billed charges,,517.9,21,,,Percent of total billed charges,,167.58,,542.07,,Case rate,,542.07,21.78,798,
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day",94003,CPT,,,,Outpatient,Facility,,,528,211.2,66,,,Percent of total billed charges,,348.48,20.8,,,Percent of total billed charges,,109.82,20.4,,,Percent of total billed charges,,107.71,,62.77,,Case rate,,62.77,,11.82,,Case rate,,11.82,80,,,Percent of total billed charges,,422.4,61.6,,,Percent of total billed charges,,325.25,20.6,,,Percent of total billed charges,,108.77,20.6,,,Percent of total billed charges,,108.77,65.55,,,Percent of total billed charges,,346.1,21,,,Percent of total billed charges,,110.88,90,,,Percent of total billed charges,,475.2,21,,,Percent of total billed charges,,110.88,21,,,Percent of total billed charges,,110.88,64.9,,,Percent of total billed charges,,342.67,21,,,Percent of total billed charges,,110.88,,321.67,,Case rate,,321.67,11.82,528,
"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus",87254,CPT,,,,Outpatient,Facility,,,128,51.2,66,,,Percent of total billed charges,,84.48,20.8,,,Percent of total billed charges,,26.62,20.4,,,Percent of total billed charges,,26.11,,19.56,,Case rate,,19.56,,1.38,,Case rate,,1.38,80,,,Percent of total billed charges,,102.4,61.6,,,Percent of total billed charges,,78.85,20.6,,,Percent of total billed charges,,26.37,20.6,,,Percent of total billed charges,,26.37,65.55,,,Percent of total billed charges,,83.9,21,,,Percent of total billed charges,,26.88,90,,,Percent of total billed charges,,115.2,21,,,Percent of total billed charges,,26.88,21,,,Percent of total billed charges,,26.88,64.9,,,Percent of total billed charges,,83.07,21,,,Percent of total billed charges,,26.88,,95.83,,Case rate,,95.83,1.38,128,
"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect",87252,CPT,,,,Outpatient,Facility,,,218,87.2,66,,,Percent of total billed charges,,143.88,20.8,,,Percent of total billed charges,,45.34,20.4,,,Percent of total billed charges,,44.47,,26.07,,Case rate,,26.07,,5.37,,Case rate,,5.37,80,,,Percent of total billed charges,,174.4,61.6,,,Percent of total billed charges,,134.29,20.6,,,Percent of total billed charges,,44.91,20.6,,,Percent of total billed charges,,44.91,65.55,,,Percent of total billed charges,,142.9,21,,,Percent of total billed charges,,45.78,90,,,Percent of total billed charges,,196.2,21,,,Percent of total billed charges,,45.78,21,,,Percent of total billed charges,,45.78,64.9,,,Percent of total billed charges,,141.48,21,,,Percent of total billed charges,,45.78,,111.06,,Case rate,,111.06,5.37,218,
"Vital capacity, total (separate procedure)",94150,CPT,46094150,CDM,TC,Outpatient,Facility,,,227,90.8,66,,,Percent of total billed charges,,149.82,20.8,,,Percent of total billed charges,,47.22,20.4,,,Percent of total billed charges,,46.31,,19.91,,Case rate,,19.91,,1.12,,Case rate,,1.12,80,,,Percent of total billed charges,,181.6,61.6,,,Percent of total billed charges,,139.83,20.6,,,Percent of total billed charges,,46.76,20.6,,,Percent of total billed charges,,46.76,65.55,,,Percent of total billed charges,,148.8,21,,,Percent of total billed charges,,47.67,90,,,Percent of total billed charges,,204.3,21,,,Percent of total billed charges,,47.67,21,,,Percent of total billed charges,,47.67,64.9,,,Percent of total billed charges,,147.32,21,,,Percent of total billed charges,,47.67,,19.64,,Case rate,,19.64,1.12,227,
"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed",82652,CPT,,,,Outpatient,Facility,,,378,151.2,66,,,Percent of total billed charges,,249.48,20.8,,,Percent of total billed charges,,78.62,20.4,,,Percent of total billed charges,,77.11,,38.5,,Case rate,,38.5,,7.92,,Case rate,,7.92,80,,,Percent of total billed charges,,302.4,61.6,,,Percent of total billed charges,,232.85,20.6,,,Percent of total billed charges,,77.87,20.6,,,Percent of total billed charges,,77.87,65.55,,,Percent of total billed charges,,247.78,21,,,Percent of total billed charges,,79.38,90,,,Percent of total billed charges,,340.2,21,,,Percent of total billed charges,,79.38,21,,,Percent of total billed charges,,79.38,64.9,,,Percent of total billed charges,,245.32,21,,,Percent of total billed charges,,79.38,,185.49,,Case rate,,185.49,7.92,378,
"Vitamin D; 25 hydroxy, includes fraction(s), if performed",82306,CPT,,,,Outpatient,Facility,,,299,119.6,66,,,Percent of total billed charges,,197.34,20.8,,,Percent of total billed charges,,62.19,20.4,,,Percent of total billed charges,,61,,29.6,,Case rate,,29.6,,6.09,,Case rate,,6.09,80,,,Percent of total billed charges,,239.2,61.6,,,Percent of total billed charges,,184.18,20.6,,,Percent of total billed charges,,61.59,20.6,,,Percent of total billed charges,,61.59,65.55,,,Percent of total billed charges,,195.99,21,,,Percent of total billed charges,,62.79,90,,,Percent of total billed charges,,269.1,21,,,Percent of total billed charges,,62.79,21,,,Percent of total billed charges,,62.79,64.9,,,Percent of total billed charges,,194.05,21,,,Percent of total billed charges,,62.79,,144.44,,Case rate,,144.44,6.09,299,
Vitamin K,84597,CPT,,,,Outpatient,Facility,,,128,51.2,66,,,Percent of total billed charges,,84.48,20.8,,,Percent of total billed charges,,26.62,,13.99,,Case rate,,13.99,,13.72,,Case rate,,13.72,,3.97,,Case rate,,3.97,80,,,Percent of total billed charges,,102.4,61.6,,,Percent of total billed charges,,78.85,20.6,,,Percent of total billed charges,,26.37,20.6,,,Percent of total billed charges,,26.37,65.55,,,Percent of total billed charges,,83.9,21,,,Percent of total billed charges,,26.88,90,,,Percent of total billed charges,,115.2,21,,,Percent of total billed charges,,26.88,21,,,Percent of total billed charges,,26.88,64.9,,,Percent of total billed charges,,83.07,21,,,Percent of total billed charges,,26.88,,96.67,,Case rate,,96.67,3.97,128,
"Vitamin, not otherwise specified",84591,CPT,,,,Outpatient,Facility,,,66,26.4,66,,,Percent of total billed charges,,43.56,20.8,,,Percent of total billed charges,,13.73,20.4,,,Percent of total billed charges,,13.46,,17.06,,Case rate,,17.06,,3.28,,Case rate,,3.28,80,,,Percent of total billed charges,,52.8,61.6,,,Percent of total billed charges,,40.66,20.6,,,Percent of total billed charges,,13.6,20.6,,,Percent of total billed charges,,13.6,65.55,,,Percent of total billed charges,,43.26,21,,,Percent of total billed charges,,13.86,90,,,Percent of total billed charges,,59.4,21,,,Percent of total billed charges,,13.86,21,,,Percent of total billed charges,,13.86,64.9,,,Percent of total billed charges,,42.83,21,,,Percent of total billed charges,,13.86,,95.23,,Case rate,,95.23,3.28,95.23,
"Voltage-gated calcium channel antibody, each",86596,CPT,,,,Outpatient,Facility,,,73,29.2,66,,,Percent of total billed charges,,48.18,20.8,,,Percent of total billed charges,,15.18,20.4,,,Percent of total billed charges,,14.89,,12.05,,Case rate,,12.05,,0.83,,Case rate,,0.83,80,,,Percent of total billed charges,,58.4,61.6,,,Percent of total billed charges,,44.97,20.6,,,Percent of total billed charges,,15.04,20.6,,,Percent of total billed charges,,15.04,65.55,,,Percent of total billed charges,,47.85,21,,,Percent of total billed charges,,15.33,90,,,Percent of total billed charges,,65.7,21,,,Percent of total billed charges,,15.33,21,,,Percent of total billed charges,,15.33,64.9,,,Percent of total billed charges,,47.38,21,,,Percent of total billed charges,,15.33,,64.54,,Case rate,,64.54,0.83,73,
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes",97542,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,31.12,,Case rate,,31.12,,2.71,,Case rate,,2.71,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,57.53,,Case rate,,57.53,2.71,92,
Work hardening/conditioning; initial 2 hours,97545,CPT,,,,Outpatient,Facility,,,309,123.6,66,,,Percent of total billed charges,,203.94,20.8,,,Percent of total billed charges,,64.27,20.4,,,Percent of total billed charges,,63.04,,141.54,,Case rate,,141.54,,11.15,,Case rate,,11.15,80,,,Percent of total billed charges,,247.2,61.6,,,Percent of total billed charges,,190.34,20.6,,,Percent of total billed charges,,63.65,20.6,,,Percent of total billed charges,,63.65,65.55,,,Percent of total billed charges,,202.55,21,,,Percent of total billed charges,,64.89,90,,,Percent of total billed charges,,278.1,21,,,Percent of total billed charges,,64.89,21,,,Percent of total billed charges,,64.89,64.9,,,Percent of total billed charges,,200.54,21,,,Percent of total billed charges,,64.89,,260.1,,Case rate,,260.1,11.15,309,
17-hydroxypregnenolone,84143,CPT,,,,Outpatient,Facility,,,201,80.4,66,,,Percent of total billed charges,,132.66,20.8,,,Percent of total billed charges,,41.81,20.4,,,Percent of total billed charges,,41,,22.81,,Case rate,,22.81,,6.61,,Case rate,,6.61,80,,,Percent of total billed charges,,160.8,61.6,,,Percent of total billed charges,,123.82,20.6,,,Percent of total billed charges,,41.41,20.6,,,Percent of total billed charges,,41.41,65.55,,,Percent of total billed charges,,131.76,21,,,Percent of total billed charges,,42.21,90,,,Percent of total billed charges,,180.9,21,,,Percent of total billed charges,,42.21,21,,,Percent of total billed charges,,42.21,64.9,,,Percent of total billed charges,,130.45,21,,,Percent of total billed charges,,42.21,,141.84,,Case rate,,141.84,6.61,201,
"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc",U0002,CPT,,,,Outpatient,Facility,,,166,66.4,66,,,Percent of total billed charges,,109.56,20.8,,,Percent of total billed charges,,34.53,20.4,,,Percent of total billed charges,,33.86,,51.31,,Case rate,,51.31,,10.16,,Case rate,,10.16,80,,,Percent of total billed charges,,132.8,61.6,,,Percent of total billed charges,,102.26,20.6,,,Percent of total billed charges,,34.2,20.6,,,Percent of total billed charges,,34.2,65.55,,,Percent of total billed charges,,108.81,21,,,Percent of total billed charges,,34.86,90,,,Percent of total billed charges,,149.4,21,,,Percent of total billed charges,,34.86,21,,,Percent of total billed charges,,34.86,64.9,,,Percent of total billed charges,,107.73,21,,,Percent of total billed charges,,34.86,,44.11,,Case rate,,44.11,10.16,166,
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,,,,Outpatient,Facility,,,655,262,66,,,Percent of total billed charges,,432.3,20.8,,,Percent of total billed charges,,136.24,20.4,,,Percent of total billed charges,,133.62,,13.9,,Case rate,,13.9,,23.7,,Case rate,,23.7,80,,,Percent of total billed charges,,524,61.6,,,Percent of total billed charges,,403.48,20.6,,,Percent of total billed charges,,134.93,20.6,,,Percent of total billed charges,,134.93,65.55,,,Percent of total billed charges,,429.35,21,,,Percent of total billed charges,,137.55,90,,,Percent of total billed charges,,589.5,21,,,Percent of total billed charges,,137.55,21,,,Percent of total billed charges,,137.55,64.9,,,Percent of total billed charges,,425.1,21,,,Percent of total billed charges,,137.55,,318.14,,Case rate,,318.14,13.9,655,
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation",76376,CPT,35076376,CDM,TC,Outpatient,Facility,,,655,262,66,,,Percent of total billed charges,,432.3,20.8,,,Percent of total billed charges,,136.24,20.4,,,Percent of total billed charges,,133.62,,13.9,,Case rate,,13.9,,23.7,,Case rate,,23.7,80,,,Percent of total billed charges,,524,61.6,,,Percent of total billed charges,,403.48,20.6,,,Percent of total billed charges,,134.93,20.6,,,Percent of total billed charges,,134.93,65.55,,,Percent of total billed charges,,429.35,21,,,Percent of total billed charges,,137.55,90,,,Percent of total billed charges,,589.5,21,,,Percent of total billed charges,,137.55,21,,,Percent of total billed charges,,137.55,64.9,,,Percent of total billed charges,,425.1,21,,,Percent of total billed charges,,137.55,,318.14,,Case rate,,318.14,13.9,655,
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation",76377,CPT,,,,Outpatient,Facility,,,667,266.8,66,,,Percent of total billed charges,,440.22,20.8,,,Percent of total billed charges,,138.74,20.4,,,Percent of total billed charges,,136.07,,36.35,,Case rate,,36.35,,25.09,,Case rate,,25.09,80,,,Percent of total billed charges,,533.6,61.6,,,Percent of total billed charges,,410.87,20.6,,,Percent of total billed charges,,137.4,20.6,,,Percent of total billed charges,,137.4,65.55,,,Percent of total billed charges,,437.22,21,,,Percent of total billed charges,,140.07,90,,,Percent of total billed charges,,600.3,21,,,Percent of total billed charges,,140.07,21,,,Percent of total billed charges,,140.07,64.9,,,Percent of total billed charges,,432.88,21,,,Percent of total billed charges,,140.07,,484.36,,Case rate,,484.36,25.09,667,
"5% dextrose in lactated ringers infusion, up to 1000 cc",J7121,HCPCS,,,,Outpatient,Facility,1,EA,35.46,14.18,66,,,Percent of total billed charges,,23.4,20.8,,,Percent of total billed charges,,7.38,20.4,,,Percent of total billed charges,,7.23,,8.82,,Case rate,,8.82,,0.18,,Case rate,,0.18,80,,,Percent of total billed charges,,28.37,61.6,,,Percent of total billed charges,,21.84,20.6,,,Percent of total billed charges,,7.3,20.6,,,Percent of total billed charges,,7.3,65.55,,,Percent of total billed charges,,23.24,21,,,Percent of total billed charges,,7.45,90,,,Percent of total billed charges,,31.91,21,,,Percent of total billed charges,,7.45,21,,,Percent of total billed charges,,7.45,64.9,,,Percent of total billed charges,,23.01,21,,,Percent of total billed charges,,7.45,45,,,Percent of total billed charges,,15.96,0.18,35.46,
5% dextrose/normal saline (500 ml = 1 unit),J7042,HCPCS,,,,Outpatient,Facility,500,ML,16.67,6.67,66,,,Percent of total billed charges,,11,20.8,,,Percent of total billed charges,,3.47,20.4,,,Percent of total billed charges,,3.4,,3.71,,Case rate,,3.71,,1.46,,Case rate,,1.46,80,,,Percent of total billed charges,,13.33,61.6,,,Percent of total billed charges,,10.27,20.6,,,Percent of total billed charges,,3.43,20.6,,,Percent of total billed charges,,3.43,65.55,,,Percent of total billed charges,,10.92,21,,,Percent of total billed charges,,3.5,90,,,Percent of total billed charges,,15,21,,,Percent of total billed charges,,3.5,21,,,Percent of total billed charges,,3.5,64.9,,,Percent of total billed charges,,10.82,21,,,Percent of total billed charges,,3.5,,1.34,,Case rate,,1.34,1.34,16.66,
5% dextrose/water (500 ml = 1 unit),J7060,HCPCS,,,,Outpatient,Facility,500,ML,5.55,2.22,66,,,Percent of total billed charges,,3.67,20.8,,,Percent of total billed charges,,1.16,20.4,,,Percent of total billed charges,,1.13,,4.69,,Case rate,,4.69,,2.17,,Case rate,,2.17,80,,,Percent of total billed charges,,4.44,61.6,,,Percent of total billed charges,,3.42,20.6,,,Percent of total billed charges,,1.14,20.6,,,Percent of total billed charges,,1.14,65.55,,,Percent of total billed charges,,3.64,21,,,Percent of total billed charges,,1.17,90,,,Percent of total billed charges,,5,21,,,Percent of total billed charges,,1.17,21,,,Percent of total billed charges,,1.17,64.9,,,Percent of total billed charges,,3.6,21,,,Percent of total billed charges,,1.17,,1.95,,Case rate,,1.95,1.13,5.55,
"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram",J7608,HCPCS,,,,Outpatient,Facility,1,GR,15.81,6.32,66,,,Percent of total billed charges,,10.43,20.8,,,Percent of total billed charges,,3.29,20.4,,,Percent of total billed charges,,3.23,,17.28,,Case rate,Use Lesser of logic,15.81,,1.94,,Case rate,,1.94,80,,,Percent of total billed charges,,12.65,61.6,,,Percent of total billed charges,,9.74,20.6,,,Percent of total billed charges,,3.26,20.6,,,Percent of total billed charges,,3.26,65.55,,,Percent of total billed charges,,10.36,21,,,Percent of total billed charges,,3.32,90,,,Percent of total billed charges,,14.23,21,,,Percent of total billed charges,,3.32,21,,,Percent of total billed charges,,3.32,64.9,,,Percent of total billed charges,,10.26,21,,,Percent of total billed charges,,3.32,,10.57,,Case rate,,10.57,1.94,15.81,
Acute gastrointestinal blood loss imaging,78278,CPT,,,,Outpatient,Facility,,,831,332.4,66,,,Percent of total billed charges,,548.46,20.8,,,Percent of total billed charges,,172.85,20.4,,,Percent of total billed charges,,169.52,,263.96,,Case rate,,263.96,,27.52,,Case rate,,27.52,80,,,Percent of total billed charges,,664.8,61.6,,,Percent of total billed charges,,511.9,20.6,,,Percent of total billed charges,,171.19,20.6,,,Percent of total billed charges,,171.19,65.55,,,Percent of total billed charges,,544.72,21,,,Percent of total billed charges,,174.51,90,,,Percent of total billed charges,,747.9,21,,,Percent of total billed charges,,174.51,21,,,Percent of total billed charges,,174.51,64.9,,,Percent of total billed charges,,539.32,21,,,Percent of total billed charges,,174.51,,683.08,,Case rate,,683.08,27.52,831,
Acute gastrointestinal blood loss imaging,78278,CPT,34178278,CDM,TC,Outpatient,Facility,,,831,332.4,66,,,Percent of total billed charges,,548.46,20.8,,,Percent of total billed charges,,172.85,20.4,,,Percent of total billed charges,,169.52,,263.96,,Case rate,,263.96,,27.52,,Case rate,,27.52,80,,,Percent of total billed charges,,664.8,61.6,,,Percent of total billed charges,,511.9,20.6,,,Percent of total billed charges,,171.19,20.6,,,Percent of total billed charges,,171.19,65.55,,,Percent of total billed charges,,544.72,21,,,Percent of total billed charges,,174.51,90,,,Percent of total billed charges,,747.9,21,,,Percent of total billed charges,,174.51,21,,,Percent of total billed charges,,174.51,64.9,,,Percent of total billed charges,,539.32,21,,,Percent of total billed charges,,174.51,,683.08,,Case rate,,683.08,27.52,831,
"acute myocardial infarction, discharged alive with mcc",280,MS-DRG,,,,Inpatient,Facility,,,12593.21,5037.28,,14281.67,,Case rate,DRG Factor * DRG Weight,14281.67,,1758.64,,Per Diem,,5275.92,,1724.82,,Per Diem,,5174.46,,18830.92,,Case rate,DRG Factor * DRG Weight,18830.92,,1674.09,,Per Diem,,5022.27,80,,,Percent of total billed charges,,10074.57,61.6,,,Percent of total billed charges,,7757.42,,1741.73,,Per Diem,,5225.19,,1741.73,,Per Diem,,5225.19,65.55,,,Percent of total billed charges,,8254.85,,2079,,Per Diem,,6237,90,,,Percent of total billed charges,,11333.89,,2079,,Per Diem,,6237,,2079,,Per Diem,,6237,64.9,,,Percent of total billed charges,,8172.99,,2079,,Per Diem,,6237,,15311.69,,Case rate,DRG Factor * DRG Weight,15311.69,5022.27,18830.92,
"acute myocardial infarction, expired with mcc",283,MS-DRG,,,,Inpatient,Facility,,,16680.08,6672.03,,17746.54,,Case rate,DRG Factor * DRG Weight,17746.54,,1758.64,,Per Diem,,1758.64,,1724.82,,Per Diem,,1724.82,,29168.82,,Case rate,DRG Factor * DRG Weight,29168.82,,1674.09,,Per Diem,,1674.09,80,,,Percent of total billed charges,,13344.06,61.6,,,Percent of total billed charges,,10274.93,,1741.73,,Per Diem,,1741.73,,1741.73,,Per Diem,,1741.73,65.55,,,Percent of total billed charges,,10933.79,,2079,,Per Diem,,2079,90,,,Percent of total billed charges,,15012.07,,2079,,Per Diem,,2079,,2079,,Per Diem,,2079,64.9,,,Percent of total billed charges,,10825.37,,2079,,Per Diem,,2079,,19026.45,,Case rate,DRG Factor * DRG Weight,19026.45,1674.09,29168.82,
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less",14040,CPT,,,,Outpatient,Facility,,,2827,1130.8,66,,,Percent of total billed charges,,1865.82,20.8,,,Percent of total billed charges,,588.02,20.4,,,Percent of total billed charges,,576.71,,736.85,,Case rate,,736.85,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,2261.6,61.6,,,Percent of total billed charges,,1741.43,20.6,,,Percent of total billed charges,,582.36,20.6,,,Percent of total billed charges,,582.36,65.55,,,Percent of total billed charges,,1853.1,21,,,Percent of total billed charges,,593.67,90,,,Percent of total billed charges,,2544.3,21,,,Percent of total billed charges,,593.67,21,,,Percent of total billed charges,,593.67,64.9,,,Percent of total billed charges,,1834.72,21,,,Percent of total billed charges,,593.67,,1920.95,,Case rate,,1920.95,77.74,2827,
Adrenocorticotropic hormone (ACTH),82024,CPT,,,,Outpatient,Facility,,,406,162.4,66,,,Percent of total billed charges,,267.96,20.8,,,Percent of total billed charges,,84.45,20.4,,,Percent of total billed charges,,82.82,,38.62,,Case rate,,38.62,,7.95,,Case rate,,7.95,80,,,Percent of total billed charges,,324.8,61.6,,,Percent of total billed charges,,250.1,20.6,,,Percent of total billed charges,,83.64,20.6,,,Percent of total billed charges,,83.64,65.55,,,Percent of total billed charges,,266.13,21,,,Percent of total billed charges,,85.26,90,,,Percent of total billed charges,,365.4,21,,,Percent of total billed charges,,85.26,21,,,Percent of total billed charges,,85.26,64.9,,,Percent of total billed charges,,263.49,21,,,Percent of total billed charges,,85.26,,173.23,,Case rate,,173.23,7.95,406,
"Affinity, per square centimeter",Q4159,CPT,,,,Outpatient,Facility,,,12079,4831.6,66,,,Percent of total billed charges,,7972.14,20.8,,,Percent of total billed charges,,2512.43,20.4,,,Percent of total billed charges,,2464.12,,420.53,,Case rate,,420.53,,38.43,,Case rate,,38.43,80,,,Percent of total billed charges,,9663.2,61.6,,,Percent of total billed charges,,7440.66,20.6,,,Percent of total billed charges,,2488.27,20.6,,,Percent of total billed charges,,2488.27,65.55,,,Percent of total billed charges,,7917.78,21,,,Percent of total billed charges,,2536.59,90,,,Percent of total billed charges,,10871.1,21,,,Percent of total billed charges,,2536.59,21,,,Percent of total billed charges,,2536.59,64.9,,,Percent of total billed charges,,7839.27,21,,,Percent of total billed charges,,2536.59,,354.59,,Case rate,,354.59,38.43,12079,
"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen",86000,CPT,,,,Outpatient,Facility,,,111,44.4,66,,,Percent of total billed charges,,73.26,20.8,,,Percent of total billed charges,,23.09,20.4,,,Percent of total billed charges,,22.64,,6.98,,Case rate,,6.98,,2.02,,Case rate,,2.02,80,,,Percent of total billed charges,,88.8,61.6,,,Percent of total billed charges,,68.38,20.6,,,Percent of total billed charges,,22.87,20.6,,,Percent of total billed charges,,22.87,65.55,,,Percent of total billed charges,,72.76,21,,,Percent of total billed charges,,23.31,90,,,Percent of total billed charges,,99.9,21,,,Percent of total billed charges,,23.31,21,,,Percent of total billed charges,,23.31,64.9,,,Percent of total billed charges,,72.04,21,,,Percent of total billed charges,,23.31,,37.28,,Case rate,,37.28,2.02,111,
"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg",J7611,HCPCS,,,,Outpatient,Facility,1,ME,1.56,0.62,66,,,Percent of total billed charges,,1.03,20.8,,,Percent of total billed charges,,0.32,20.4,,,Percent of total billed charges,,0.32,,0.59,,Case rate,,0.59,,0.16,,Case rate,,0.16,80,,,Percent of total billed charges,,1.25,61.6,,,Percent of total billed charges,,0.96,20.6,,,Percent of total billed charges,,0.32,20.6,,,Percent of total billed charges,,0.32,65.55,,,Percent of total billed charges,,1.02,21,,,Percent of total billed charges,,0.33,90,,,Percent of total billed charges,,1.4,21,,,Percent of total billed charges,,0.33,21,,,Percent of total billed charges,,0.33,64.9,,,Percent of total billed charges,,1.01,21,,,Percent of total billed charges,,0.33,,0.19,,Case rate,,0.19,0.16,1.56,
"Alkaloids, not otherwise specified",80323,CPT,,,,Outpatient,Facility,,,162,64.8,66,,,Percent of total billed charges,,106.92,20.8,,,Percent of total billed charges,,33.7,20.4,,,Percent of total billed charges,,33.05,,22.56,,Case rate,,22.56,,1.68,,Case rate,,1.68,80,,,Percent of total billed charges,,129.6,61.6,,,Percent of total billed charges,,99.79,20.6,,,Percent of total billed charges,,33.37,20.6,,,Percent of total billed charges,,33.37,65.55,,,Percent of total billed charges,,106.19,21,,,Percent of total billed charges,,34.02,90,,,Percent of total billed charges,,145.8,21,,,Percent of total billed charges,,34.02,21,,,Percent of total billed charges,,34.02,64.9,,,Percent of total billed charges,,105.14,21,,,Percent of total billed charges,,34.02,45,,,Percent of total billed charges,,72.9,1.68,162,
"Allergen specific IgG quantitative or semiquantitative, each allergen",86001,CPT,,,,Outpatient,Facility,,,75,30,66,,,Percent of total billed charges,,49.5,20.8,,,Percent of total billed charges,,15.6,20.4,,,Percent of total billed charges,,15.3,,7.82,,Case rate,,7.82,,1.48,,Case rate,,1.48,80,,,Percent of total billed charges,,60,61.6,,,Percent of total billed charges,,46.2,20.6,,,Percent of total billed charges,,15.45,20.6,,,Percent of total billed charges,,15.45,65.55,,,Percent of total billed charges,,49.16,21,,,Percent of total billed charges,,15.75,90,,,Percent of total billed charges,,67.5,21,,,Percent of total billed charges,,15.75,21,,,Percent of total billed charges,,15.75,64.9,,,Percent of total billed charges,,48.68,21,,,Percent of total billed charges,,15.75,,57.62,,Case rate,,57.62,1.48,75,
"Alloderm, per square centimeter",Q4116,CPT,,,,Outpatient,Facility,,,6961.5,2784.6,66,,,Percent of total billed charges,,4594.59,20.8,,,Percent of total billed charges,,1447.99,20.4,,,Percent of total billed charges,,1420.15,58.8,,,Percent of total billed charges,,4093.36,,6.41,,Case rate,,6.41,80,,,Percent of total billed charges,,5569.2,61.6,,,Percent of total billed charges,,4288.28,20.6,,,Percent of total billed charges,,1434.07,20.6,,,Percent of total billed charges,,1434.07,65.55,,,Percent of total billed charges,,4563.26,21,,,Percent of total billed charges,,1461.92,90,,,Percent of total billed charges,,6265.35,21,,,Percent of total billed charges,,1461.92,21,,,Percent of total billed charges,,1461.92,64.9,,,Percent of total billed charges,,4518.01,21,,,Percent of total billed charges,,1461.92,,59.29,,Case rate,,59.29,6.41,6961.5,
Alpha-1-antitrypsin; phenotype,82104,CPT,,,,Outpatient,Facility,,,88,35.2,66,,,Percent of total billed charges,,58.08,20.8,,,Percent of total billed charges,,18.3,20.4,,,Percent of total billed charges,,17.95,,14.46,,Case rate,,14.46,,2.98,,Case rate,,2.98,80,,,Percent of total billed charges,,70.4,61.6,,,Percent of total billed charges,,54.21,20.6,,,Percent of total billed charges,,18.13,20.6,,,Percent of total billed charges,,18.13,65.55,,,Percent of total billed charges,,57.68,21,,,Percent of total billed charges,,18.48,90,,,Percent of total billed charges,,79.2,21,,,Percent of total billed charges,,18.48,21,,,Percent of total billed charges,,18.48,64.9,,,Percent of total billed charges,,57.11,21,,,Percent of total billed charges,,18.48,,59.85,,Case rate,,59.85,2.98,88,
Alpha-1-antitrypsin; total,82103,CPT,,,,Outpatient,Facility,,,168,67.2,66,,,Percent of total billed charges,,110.88,20.8,,,Percent of total billed charges,,34.94,20.4,,,Percent of total billed charges,,34.27,,13.44,,Case rate,,13.44,,2.76,,Case rate,,2.76,80,,,Percent of total billed charges,,134.4,61.6,,,Percent of total billed charges,,103.49,20.6,,,Percent of total billed charges,,34.61,20.6,,,Percent of total billed charges,,34.61,65.55,,,Percent of total billed charges,,110.12,21,,,Percent of total billed charges,,35.28,90,,,Percent of total billed charges,,151.2,21,,,Percent of total billed charges,,35.28,21,,,Percent of total billed charges,,35.28,64.9,,,Percent of total billed charges,,109.03,21,,,Percent of total billed charges,,35.28,,69.32,,Case rate,,69.32,2.76,168,
Alpha-fetoprotein (AFP); serum,82105,CPT,,,,Outpatient,Facility,,,208,83.2,66,,,Percent of total billed charges,,137.28,20.8,,,Percent of total billed charges,,43.26,20.4,,,Percent of total billed charges,,42.43,,16.77,,Case rate,,16.77,,3.45,,Case rate,,3.45,80,,,Percent of total billed charges,,166.4,61.6,,,Percent of total billed charges,,128.13,20.6,,,Percent of total billed charges,,42.85,20.6,,,Percent of total billed charges,,42.85,65.55,,,Percent of total billed charges,,136.34,21,,,Percent of total billed charges,,43.68,90,,,Percent of total billed charges,,187.2,21,,,Percent of total billed charges,,43.68,21,,,Percent of total billed charges,,43.68,64.9,,,Percent of total billed charges,,134.99,21,,,Percent of total billed charges,,43.68,,69.97,,Case rate,,69.97,3.45,208,
"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equipment, sensor placement, hook-up, calibration of monitor, patient training, removal of sensor, and printout of recording",95250,CPT,,,,Outpatient,Facility,,,317,126.8,66,,,Percent of total billed charges,,209.22,20.8,,,Percent of total billed charges,,65.94,20.4,,,Percent of total billed charges,,64.67,,137.18,,Case rate,,137.18,,11.86,,Case rate,,11.86,80,,,Percent of total billed charges,,253.6,61.6,,,Percent of total billed charges,,195.27,20.6,,,Percent of total billed charges,,65.3,20.6,,,Percent of total billed charges,,65.3,65.55,,,Percent of total billed charges,,207.79,21,,,Percent of total billed charges,,66.57,90,,,Percent of total billed charges,,285.3,21,,,Percent of total billed charges,,66.57,21,,,Percent of total billed charges,,66.57,64.9,,,Percent of total billed charges,,205.73,21,,,Percent of total billed charges,,66.57,,211.63,,Case rate,,211.63,11.86,317,
Amikacin,80150,CPT,,,,Outpatient,Facility,,,154,61.6,66,,,Percent of total billed charges,,101.64,20.8,,,Percent of total billed charges,,32.03,20.4,,,Percent of total billed charges,,31.42,,15.08,,Case rate,,15.08,,4.36,,Case rate,,4.36,80,,,Percent of total billed charges,,123.2,61.6,,,Percent of total billed charges,,94.86,20.6,,,Percent of total billed charges,,31.72,20.6,,,Percent of total billed charges,,31.72,65.55,,,Percent of total billed charges,,100.95,21,,,Percent of total billed charges,,32.34,90,,,Percent of total billed charges,,138.6,21,,,Percent of total billed charges,,32.34,21,,,Percent of total billed charges,,32.34,64.9,,,Percent of total billed charges,,99.95,21,,,Percent of total billed charges,,32.34,,104.14,,Case rate,,104.14,4.36,154,
"Amino acids; single, quantitative, each specimen",82131,CPT,,,,Outpatient,Facility,,,120,48,66,,,Percent of total billed charges,,79.2,20.8,,,Percent of total billed charges,,24.96,20.4,,,Percent of total billed charges,,24.48,,22.98,,Case rate,,22.98,,3.45,,Case rate,,3.45,80,,,Percent of total billed charges,,96,61.6,,,Percent of total billed charges,,73.92,20.6,,,Percent of total billed charges,,24.72,20.6,,,Percent of total billed charges,,24.72,65.55,,,Percent of total billed charges,,78.66,21,,,Percent of total billed charges,,25.2,90,,,Percent of total billed charges,,108,21,,,Percent of total billed charges,,25.2,21,,,Percent of total billed charges,,25.2,64.9,,,Percent of total billed charges,,77.88,21,,,Percent of total billed charges,,25.2,,85.25,,Case rate,,85.25,3.45,120,
Ammonia,82140,CPT,,,,Outpatient,Facility,,,135,54,66,,,Percent of total billed charges,,89.1,20.8,,,Percent of total billed charges,,28.08,20.4,,,Percent of total billed charges,,27.54,,14.57,,Case rate,,14.57,,3,,Case rate,,3,80,,,Percent of total billed charges,,108,61.6,,,Percent of total billed charges,,83.16,20.6,,,Percent of total billed charges,,27.81,20.6,,,Percent of total billed charges,,27.81,65.55,,,Percent of total billed charges,,88.49,21,,,Percent of total billed charges,,28.35,90,,,Percent of total billed charges,,121.5,21,,,Percent of total billed charges,,28.35,21,,,Percent of total billed charges,,28.35,64.9,,,Percent of total billed charges,,87.62,21,,,Percent of total billed charges,,28.35,,60.22,,Case rate,,60.22,3,135,
Amphetamines; 1 or 2,80324,CPT,,,,Outpatient,Facility,,,98,39.2,66,,,Percent of total billed charges,,64.68,20.8,,,Percent of total billed charges,,20.38,20.4,,,Percent of total billed charges,,19.99,,13.83,,Case rate,,13.83,,1.03,,Case rate,,1.03,80,,,Percent of total billed charges,,78.4,61.6,,,Percent of total billed charges,,60.37,20.6,,,Percent of total billed charges,,20.19,20.6,,,Percent of total billed charges,,20.19,65.55,,,Percent of total billed charges,,64.24,21,,,Percent of total billed charges,,20.58,90,,,Percent of total billed charges,,88.2,21,,,Percent of total billed charges,,20.58,21,,,Percent of total billed charges,,20.58,64.9,,,Percent of total billed charges,,63.6,21,,,Percent of total billed charges,,20.58,45,,,Percent of total billed charges,,44.1,1.03,98,
"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure",26951,CPT,,,,Outpatient,Facility,,,10792,4316.8,66,,,Percent of total billed charges,,7122.72,20.8,,,Percent of total billed charges,,2244.74,20.4,,,Percent of total billed charges,,2201.57,,687.06,,Case rate,,687.06,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,8633.6,61.6,,,Percent of total billed charges,,6647.87,20.6,,,Percent of total billed charges,,2223.15,20.6,,,Percent of total billed charges,,2223.15,65.55,,,Percent of total billed charges,,7074.16,21,,,Percent of total billed charges,,2266.32,90,,,Percent of total billed charges,,9712.8,21,,,Percent of total billed charges,,2266.32,21,,,Percent of total billed charges,,2266.32,64.9,,,Percent of total billed charges,,7004.01,21,,,Percent of total billed charges,,2266.32,,1919.83,,Case rate,,1919.83,77.74,10792,
"Amputation, toe; metatarsophalangeal joint",28820,CPT,,,,Outpatient,Facility,,,5655.89,2262.36,66,,,Percent of total billed charges,,3732.89,20.8,,,Percent of total billed charges,,1176.43,20.4,,,Percent of total billed charges,,1153.8,,288.66,,Case rate,,288.66,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,4524.71,61.6,,,Percent of total billed charges,,3484.03,20.6,,,Percent of total billed charges,,1165.11,20.6,,,Percent of total billed charges,,1165.11,65.55,,,Percent of total billed charges,,3707.44,21,,,Percent of total billed charges,,1187.74,90,,,Percent of total billed charges,,5090.3,21,,,Percent of total billed charges,,1187.74,21,,,Percent of total billed charges,,1187.74,64.9,,,Percent of total billed charges,,3670.67,21,,,Percent of total billed charges,,1187.74,,1904.79,,Case rate,,1904.79,77.74,5655.89,
Androstanediol glucuronide,82154,CPT,,,,Outpatient,Facility,,,255,102,66,,,Percent of total billed charges,,168.3,20.8,,,Percent of total billed charges,,53.04,20.4,,,Percent of total billed charges,,52.02,,28.83,,Case rate,,28.83,,8.35,,Case rate,,8.35,80,,,Percent of total billed charges,,204,61.6,,,Percent of total billed charges,,157.08,20.6,,,Percent of total billed charges,,52.53,20.6,,,Percent of total billed charges,,52.53,65.55,,,Percent of total billed charges,,167.15,21,,,Percent of total billed charges,,53.55,90,,,Percent of total billed charges,,229.5,21,,,Percent of total billed charges,,53.55,21,,,Percent of total billed charges,,53.55,64.9,,,Percent of total billed charges,,165.5,21,,,Percent of total billed charges,,53.55,,195.19,,Case rate,,195.19,8.35,255,
"Angiography, extremity, bilateral, radiological supervision and interpretation",75716,CPT,32075716,CDM,TC,Outpatient,Facility,,,3573,1429.2,66,,,Percent of total billed charges,,2358.18,20.8,,,Percent of total billed charges,,743.18,20.4,,,Percent of total billed charges,,728.89,,67.96,,Case rate,,67.96,,65.56,,Case rate,,65.56,80,,,Percent of total billed charges,,2858.4,61.6,,,Percent of total billed charges,,2200.97,20.6,,,Percent of total billed charges,,736.04,20.6,,,Percent of total billed charges,,736.04,65.55,,,Percent of total billed charges,,2342.1,21,,,Percent of total billed charges,,750.33,90,,,Percent of total billed charges,,3215.7,21,,,Percent of total billed charges,,750.33,21,,,Percent of total billed charges,,750.33,64.9,,,Percent of total billed charges,,2318.88,21,,,Percent of total billed charges,,750.33,,1619.62,,Case rate,,1619.62,65.56,3573,
"Angiography, extremity, unilateral, radiological supervision and interpretation",75710,CPT,,,,Outpatient,Facility,,,3573,1429.2,66,,,Percent of total billed charges,,2358.18,20.8,,,Percent of total billed charges,,743.18,20.4,,,Percent of total billed charges,,728.89,,65.43,,Case rate,,65.43,,64.41,,Case rate,,64.41,80,,,Percent of total billed charges,,2858.4,61.6,,,Percent of total billed charges,,2200.97,20.6,,,Percent of total billed charges,,736.04,20.6,,,Percent of total billed charges,,736.04,65.55,,,Percent of total billed charges,,2342.1,21,,,Percent of total billed charges,,750.33,90,,,Percent of total billed charges,,3215.7,21,,,Percent of total billed charges,,750.33,21,,,Percent of total billed charges,,750.33,64.9,,,Percent of total billed charges,,2318.88,21,,,Percent of total billed charges,,750.33,,1591.11,,Case rate,,1591.11,64.41,3573,
"Antibody identification, RBC antibodies, each panel for each serum technique",86870,CPT,,,,Outpatient,Facility,,,274,109.6,66,,,Percent of total billed charges,,180.84,20.8,,,Percent of total billed charges,,56.99,20.4,,,Percent of total billed charges,,55.9,,10.5,,Case rate,,10.5,,3.07,,Case rate,,3.07,80,,,Percent of total billed charges,,219.2,61.6,,,Percent of total billed charges,,168.78,20.6,,,Percent of total billed charges,,56.44,20.6,,,Percent of total billed charges,,56.44,65.55,,,Percent of total billed charges,,179.61,21,,,Percent of total billed charges,,57.54,90,,,Percent of total billed charges,,246.6,21,,,Percent of total billed charges,,57.54,21,,,Percent of total billed charges,,57.54,64.9,,,Percent of total billed charges,,177.83,21,,,Percent of total billed charges,,57.54,,74.43,,Case rate,,74.43,3.07,274,
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class I",86830,CPT,,,,Outpatient,Facility,,,338,135.2,66,,,Percent of total billed charges,,223.08,20.8,,,Percent of total billed charges,,70.3,20.4,,,Percent of total billed charges,,68.95,,95.52,,Case rate,,95.52,,9.62,,Case rate,,9.62,80,,,Percent of total billed charges,,270.4,61.6,,,Percent of total billed charges,,208.21,20.6,,,Percent of total billed charges,,69.63,20.6,,,Percent of total billed charges,,69.63,65.55,,,Percent of total billed charges,,221.56,21,,,Percent of total billed charges,,70.98,90,,,Percent of total billed charges,,304.2,21,,,Percent of total billed charges,,70.98,21,,,Percent of total billed charges,,70.98,64.9,,,Percent of total billed charges,,219.36,21,,,Percent of total billed charges,,70.98,,225.14,,Case rate,,225.14,9.62,338,
"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and Class II HLA antigens",86828,CPT,,,,Outpatient,Facility,,,268,107.2,66,,,Percent of total billed charges,,176.88,20.8,,,Percent of total billed charges,,55.74,20.4,,,Percent of total billed charges,,54.67,,64.19,,Case rate,,64.19,,4.94,,Case rate,,4.94,80,,,Percent of total billed charges,,214.4,61.6,,,Percent of total billed charges,,165.09,20.6,,,Percent of total billed charges,,55.21,20.6,,,Percent of total billed charges,,55.21,65.55,,,Percent of total billed charges,,175.67,21,,,Percent of total billed charges,,56.28,90,,,Percent of total billed charges,,241.2,21,,,Percent of total billed charges,,56.28,21,,,Percent of total billed charges,,56.28,64.9,,,Percent of total billed charges,,173.93,21,,,Percent of total billed charges,,56.28,45,,,Percent of total billed charges,,120.6,4.94,268,
Antibody; actinomyces,86602,CPT,,,,Outpatient,Facility,,,99,39.6,66,,,Percent of total billed charges,,65.34,20.8,,,Percent of total billed charges,,20.59,20.4,,,Percent of total billed charges,,20.2,,10.18,,Case rate,,10.18,,2.95,,Case rate,,2.95,80,,,Percent of total billed charges,,79.2,61.6,,,Percent of total billed charges,,60.98,20.6,,,Percent of total billed charges,,20.39,20.6,,,Percent of total billed charges,,20.39,65.55,,,Percent of total billed charges,,64.89,21,,,Percent of total billed charges,,20.79,90,,,Percent of total billed charges,,89.1,21,,,Percent of total billed charges,,20.79,21,,,Percent of total billed charges,,20.79,64.9,,,Percent of total billed charges,,64.25,21,,,Percent of total billed charges,,20.79,,72.94,,Case rate,,72.94,2.95,99,
"Antibody; bacterium, not elsewhere specified",86609,CPT,,,,Outpatient,Facility,,,119,47.6,66,,,Percent of total billed charges,,78.54,20.8,,,Percent of total billed charges,,24.75,20.4,,,Percent of total billed charges,,24.28,,12.88,,Case rate,,12.88,,3.73,,Case rate,,3.73,80,,,Percent of total billed charges,,95.2,61.6,,,Percent of total billed charges,,73.3,20.6,,,Percent of total billed charges,,24.51,20.6,,,Percent of total billed charges,,24.51,65.55,,,Percent of total billed charges,,78,21,,,Percent of total billed charges,,24.99,90,,,Percent of total billed charges,,107.1,21,,,Percent of total billed charges,,24.99,21,,,Percent of total billed charges,,24.99,64.9,,,Percent of total billed charges,,77.23,21,,,Percent of total billed charges,,24.99,,91.28,,Case rate,,91.28,3.73,119,
Antibody; Bartonella,86611,CPT,,,,Outpatient,Facility,,,95,38,66,,,Percent of total billed charges,,62.7,20.8,,,Percent of total billed charges,,19.76,20.4,,,Percent of total billed charges,,19.38,,10.18,,Case rate,,10.18,,2.88,,Case rate,,2.88,80,,,Percent of total billed charges,,76,61.6,,,Percent of total billed charges,,58.52,20.6,,,Percent of total billed charges,,19.57,20.6,,,Percent of total billed charges,,19.57,65.55,,,Percent of total billed charges,,62.27,21,,,Percent of total billed charges,,19.95,90,,,Percent of total billed charges,,85.5,21,,,Percent of total billed charges,,19.95,21,,,Percent of total billed charges,,19.95,64.9,,,Percent of total billed charges,,61.66,21,,,Percent of total billed charges,,19.95,,77.12,,Case rate,,77.12,2.88,95,
Antibody; Brucella,86622,CPT,,,,Outpatient,Facility,,,58,23.2,66,,,Percent of total billed charges,,38.28,20.8,,,Percent of total billed charges,,12.06,20.4,,,Percent of total billed charges,,11.83,,8.93,,Case rate,,8.93,,2.19,,Case rate,,2.19,80,,,Percent of total billed charges,,46.4,61.6,,,Percent of total billed charges,,35.73,20.6,,,Percent of total billed charges,,11.95,20.6,,,Percent of total billed charges,,11.95,65.55,,,Percent of total billed charges,,38.02,21,,,Percent of total billed charges,,12.18,90,,,Percent of total billed charges,,52.2,21,,,Percent of total billed charges,,12.18,21,,,Percent of total billed charges,,12.18,64.9,,,Percent of total billed charges,,37.64,21,,,Percent of total billed charges,,12.18,,41.14,,Case rate,,41.14,2.19,58,
Antibody; Candida,86628,CPT,,,,Outpatient,Facility,,,107,42.8,66,,,Percent of total billed charges,,70.62,20.8,,,Percent of total billed charges,,22.26,20.4,,,Percent of total billed charges,,21.83,,12.01,,Case rate,,12.01,,3.59,,Case rate,,3.59,80,,,Percent of total billed charges,,85.6,61.6,,,Percent of total billed charges,,65.91,20.6,,,Percent of total billed charges,,22.04,20.6,,,Percent of total billed charges,,22.04,65.55,,,Percent of total billed charges,,70.14,21,,,Percent of total billed charges,,22.47,90,,,Percent of total billed charges,,96.3,21,,,Percent of total billed charges,,22.47,21,,,Percent of total billed charges,,22.47,64.9,,,Percent of total billed charges,,69.44,21,,,Percent of total billed charges,,22.47,,86.41,,Case rate,,86.41,3.59,107,
"Antibody; Chlamydia, IgM",86632,CPT,,,,Outpatient,Facility,,,119,47.6,66,,,Percent of total billed charges,,78.54,20.8,,,Percent of total billed charges,,24.75,20.4,,,Percent of total billed charges,,24.28,,12.68,,Case rate,,12.68,,3.74,,Case rate,,3.74,80,,,Percent of total billed charges,,95.2,61.6,,,Percent of total billed charges,,73.3,20.6,,,Percent of total billed charges,,24.51,20.6,,,Percent of total billed charges,,24.51,65.55,,,Percent of total billed charges,,78,21,,,Percent of total billed charges,,24.99,90,,,Percent of total billed charges,,107.1,21,,,Percent of total billed charges,,24.99,21,,,Percent of total billed charges,,24.99,64.9,,,Percent of total billed charges,,77.23,21,,,Percent of total billed charges,,24.99,,76.56,,Case rate,,76.56,3.74,119,
Antibody; Coxiella burnetii (Q fever),86638,CPT,,,,Outpatient,Facility,,,128,51.2,66,,,Percent of total billed charges,,84.48,20.8,,,Percent of total billed charges,,26.62,20.4,,,Percent of total billed charges,,26.11,,12.12,,Case rate,,12.12,,3.66,,Case rate,,3.66,80,,,Percent of total billed charges,,102.4,61.6,,,Percent of total billed charges,,78.85,20.6,,,Percent of total billed charges,,26.37,20.6,,,Percent of total billed charges,,26.37,65.55,,,Percent of total billed charges,,83.9,21,,,Percent of total billed charges,,26.88,90,,,Percent of total billed charges,,115.2,21,,,Percent of total billed charges,,26.88,21,,,Percent of total billed charges,,26.88,64.9,,,Percent of total billed charges,,83.07,21,,,Percent of total billed charges,,26.88,,89.05,,Case rate,,89.05,3.66,128,
Antibody; Diphtheria,86648,CPT,,,,Outpatient,Facility,,,130,52,66,,,Percent of total billed charges,,85.8,20.8,,,Percent of total billed charges,,27.04,20.4,,,Percent of total billed charges,,26.52,,15.21,,Case rate,,15.21,,4.49,,Case rate,,4.49,80,,,Percent of total billed charges,,104,61.6,,,Percent of total billed charges,,80.08,20.6,,,Percent of total billed charges,,26.78,20.6,,,Percent of total billed charges,,26.78,65.55,,,Percent of total billed charges,,85.22,21,,,Percent of total billed charges,,27.3,90,,,Percent of total billed charges,,117,21,,,Percent of total billed charges,,27.3,21,,,Percent of total billed charges,,27.3,64.9,,,Percent of total billed charges,,84.37,21,,,Percent of total billed charges,,27.3,,93.37,,Case rate,,93.37,4.49,130,
Antibody; Ehrlichia,86666,CPT,,,,Outpatient,Facility,,,234,93.6,66,,,Percent of total billed charges,,154.44,20.8,,,Percent of total billed charges,,48.67,20.4,,,Percent of total billed charges,,47.74,,10.18,,Case rate,,10.18,,2.88,,Case rate,,2.88,80,,,Percent of total billed charges,,187.2,61.6,,,Percent of total billed charges,,144.14,20.6,,,Percent of total billed charges,,48.2,20.6,,,Percent of total billed charges,,48.2,65.55,,,Percent of total billed charges,,153.39,21,,,Percent of total billed charges,,49.14,90,,,Percent of total billed charges,,210.6,21,,,Percent of total billed charges,,49.14,21,,,Percent of total billed charges,,49.14,64.9,,,Percent of total billed charges,,151.87,21,,,Percent of total billed charges,,49.14,,73.55,,Case rate,,73.55,2.88,234,
"Antibody; encephalitis, California (La Crosse)",86651,CPT,,,,Outpatient,Facility,,,101,40.4,66,,,Percent of total billed charges,,66.66,20.8,,,Percent of total billed charges,,21.01,20.4,,,Percent of total billed charges,,20.6,,13.19,,Case rate,,13.19,,3.82,,Case rate,,3.82,80,,,Percent of total billed charges,,80.8,61.6,,,Percent of total billed charges,,62.22,20.6,,,Percent of total billed charges,,20.81,20.6,,,Percent of total billed charges,,20.81,65.55,,,Percent of total billed charges,,66.21,21,,,Percent of total billed charges,,21.21,90,,,Percent of total billed charges,,90.9,21,,,Percent of total billed charges,,21.21,21,,,Percent of total billed charges,,21.21,64.9,,,Percent of total billed charges,,65.55,21,,,Percent of total billed charges,,21.21,,80,,Case rate,,80,3.82,101,
"Antibody; encephalitis, St. Louis",86653,CPT,,,,Outpatient,Facility,,,101,40.4,66,,,Percent of total billed charges,,66.66,20.8,,,Percent of total billed charges,,21.01,20.4,,,Percent of total billed charges,,20.6,,13.19,,Case rate,,13.19,,3.82,,Case rate,,3.82,80,,,Percent of total billed charges,,80.8,61.6,,,Percent of total billed charges,,62.22,20.6,,,Percent of total billed charges,,20.81,20.6,,,Percent of total billed charges,,20.81,65.55,,,Percent of total billed charges,,66.21,21,,,Percent of total billed charges,,21.21,90,,,Percent of total billed charges,,90.9,21,,,Percent of total billed charges,,21.21,21,,,Percent of total billed charges,,21.21,64.9,,,Percent of total billed charges,,65.55,21,,,Percent of total billed charges,,21.21,,79.44,,Case rate,,79.44,3.82,101,
"Antibody; enterovirus (eg, coxsackie, echo, polio)",86658,CPT,,,,Outpatient,Facility,,,79,31.6,66,,,Percent of total billed charges,,52.14,20.8,,,Percent of total billed charges,,16.43,20.4,,,Percent of total billed charges,,16.12,,13.03,,Case rate,,13.03,,2.71,,Case rate,,2.71,80,,,Percent of total billed charges,,63.2,61.6,,,Percent of total billed charges,,48.66,20.6,,,Percent of total billed charges,,16.27,20.6,,,Percent of total billed charges,,16.27,65.55,,,Percent of total billed charges,,51.78,21,,,Percent of total billed charges,,16.59,90,,,Percent of total billed charges,,71.1,21,,,Percent of total billed charges,,16.59,21,,,Percent of total billed charges,,16.59,64.9,,,Percent of total billed charges,,51.27,21,,,Percent of total billed charges,,16.59,,67.56,,Case rate,,67.56,2.71,79,
"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)",86665,CPT,,,,Outpatient,Facility,,,163,65.2,66,,,Percent of total billed charges,,107.58,20.8,,,Percent of total billed charges,,33.9,20.4,,,Percent of total billed charges,,33.25,,18.14,,Case rate,,18.14,,3.73,,Case rate,,3.73,80,,,Percent of total billed charges,,130.4,61.6,,,Percent of total billed charges,,100.41,20.6,,,Percent of total billed charges,,33.58,20.6,,,Percent of total billed charges,,33.58,65.55,,,Percent of total billed charges,,106.85,21,,,Percent of total billed charges,,34.23,90,,,Percent of total billed charges,,146.7,21,,,Percent of total billed charges,,34.23,21,,,Percent of total billed charges,,34.23,64.9,,,Percent of total billed charges,,105.79,21,,,Percent of total billed charges,,34.23,,76.75,,Case rate,,76.75,3.73,163,
Antibody; Francisella tularensis,86668,CPT,,,,Outpatient,Facility,,,83,33.2,66,,,Percent of total billed charges,,54.78,20.8,,,Percent of total billed charges,,17.26,20.4,,,Percent of total billed charges,,16.93,,14.16,,Case rate,,14.16,,3.01,,Case rate,,3.01,80,,,Percent of total billed charges,,66.4,61.6,,,Percent of total billed charges,,51.13,20.6,,,Percent of total billed charges,,17.1,20.6,,,Percent of total billed charges,,17.1,65.55,,,Percent of total billed charges,,54.41,21,,,Percent of total billed charges,,17.43,90,,,Percent of total billed charges,,74.7,21,,,Percent of total billed charges,,17.43,21,,,Percent of total billed charges,,17.43,64.9,,,Percent of total billed charges,,53.87,21,,,Percent of total billed charges,,17.43,,59.8,,Case rate,,59.8,3.01,83,
"Antibody; fungus, not elsewhere specified",86671,CPT,,,,Outpatient,Facility,,,107,42.8,66,,,Percent of total billed charges,,70.62,20.8,,,Percent of total billed charges,,22.26,20.4,,,Percent of total billed charges,,21.83,,12.25,,Case rate,,12.25,,3.73,,Case rate,,3.73,80,,,Percent of total billed charges,,85.6,61.6,,,Percent of total billed charges,,65.91,20.6,,,Percent of total billed charges,,22.04,20.6,,,Percent of total billed charges,,22.04,65.55,,,Percent of total billed charges,,70.14,21,,,Percent of total billed charges,,22.47,90,,,Percent of total billed charges,,96.3,21,,,Percent of total billed charges,,22.47,21,,,Percent of total billed charges,,22.47,64.9,,,Percent of total billed charges,,69.44,21,,,Percent of total billed charges,,22.47,,77.82,,Case rate,,77.82,3.73,107,
Antibody; Helicobacter pylori,86677,CPT,,,,Outpatient,Facility,,,119,47.6,66,,,Percent of total billed charges,,78.54,20.8,,,Percent of total billed charges,,24.75,20.4,,,Percent of total billed charges,,24.28,,16.85,,Case rate,,16.85,,3.07,,Case rate,,3.07,80,,,Percent of total billed charges,,95.2,61.6,,,Percent of total billed charges,,73.3,20.6,,,Percent of total billed charges,,24.51,20.6,,,Percent of total billed charges,,24.51,65.55,,,Percent of total billed charges,,78,21,,,Percent of total billed charges,,24.99,90,,,Percent of total billed charges,,107.1,21,,,Percent of total billed charges,,24.99,21,,,Percent of total billed charges,,24.99,64.9,,,Percent of total billed charges,,77.23,21,,,Percent of total billed charges,,24.99,,61.43,,Case rate,,61.43,3.07,119,
"Antibody; helminth, not elsewhere specified",86682,CPT,,,,Outpatient,Facility,,,62,24.8,66,,,Percent of total billed charges,,40.92,20.8,,,Percent of total billed charges,,12.9,20.4,,,Percent of total billed charges,,12.65,,13.01,,Case rate,,13.01,,3.8,,Case rate,,3.8,80,,,Percent of total billed charges,,49.6,61.6,,,Percent of total billed charges,,38.19,20.6,,,Percent of total billed charges,,12.77,20.6,,,Percent of total billed charges,,12.77,65.55,,,Percent of total billed charges,,40.64,21,,,Percent of total billed charges,,13.02,90,,,Percent of total billed charges,,55.8,21,,,Percent of total billed charges,,13.02,21,,,Percent of total billed charges,,13.02,64.9,,,Percent of total billed charges,,40.24,21,,,Percent of total billed charges,,13.02,,91.51,,Case rate,,91.51,3.8,91.51,
"Antibody; herpes simplex, non-specific type test",86694,CPT,,,,Outpatient,Facility,,,90,36,66,,,Percent of total billed charges,,59.4,20.8,,,Percent of total billed charges,,18.72,20.4,,,Percent of total billed charges,,18.36,,14.39,,Case rate,,14.39,,2.95,,Case rate,,2.95,80,,,Percent of total billed charges,,72,61.6,,,Percent of total billed charges,,55.44,20.6,,,Percent of total billed charges,,18.54,20.6,,,Percent of total billed charges,,18.54,65.55,,,Percent of total billed charges,,59,21,,,Percent of total billed charges,,18.9,90,,,Percent of total billed charges,,81,21,,,Percent of total billed charges,,18.9,21,,,Percent of total billed charges,,18.9,64.9,,,Percent of total billed charges,,58.41,21,,,Percent of total billed charges,,18.9,,73.17,,Case rate,,73.17,2.95,90,
"Antibody; herpes simplex, type 2",86696,CPT,,,,Outpatient,Facility,,,163,65.2,66,,,Percent of total billed charges,,107.58,20.8,,,Percent of total billed charges,,33.9,20.4,,,Percent of total billed charges,,33.25,,19.35,,Case rate,,19.35,,5.47,,Case rate,,5.47,80,,,Percent of total billed charges,,130.4,61.6,,,Percent of total billed charges,,100.41,20.6,,,Percent of total billed charges,,33.58,20.6,,,Percent of total billed charges,,33.58,65.55,,,Percent of total billed charges,,106.85,21,,,Percent of total billed charges,,34.23,90,,,Percent of total billed charges,,146.7,21,,,Percent of total billed charges,,34.23,21,,,Percent of total billed charges,,34.23,64.9,,,Percent of total billed charges,,105.79,21,,,Percent of total billed charges,,34.23,,74.52,,Case rate,,74.52,5.47,163,
Antibody; histoplasma,86698,CPT,,,,Outpatient,Facility,,,88,35.2,66,,,Percent of total billed charges,,58.08,20.8,,,Percent of total billed charges,,18.3,20.4,,,Percent of total billed charges,,17.95,,13.79,,Case rate,,13.79,,2.6,,Case rate,,2.6,80,,,Percent of total billed charges,,70.4,61.6,,,Percent of total billed charges,,54.21,20.6,,,Percent of total billed charges,,18.13,20.6,,,Percent of total billed charges,,18.13,65.55,,,Percent of total billed charges,,57.68,21,,,Percent of total billed charges,,18.48,90,,,Percent of total billed charges,,79.2,21,,,Percent of total billed charges,,18.48,21,,,Percent of total billed charges,,18.48,64.9,,,Percent of total billed charges,,57.11,21,,,Percent of total billed charges,,18.48,,52,,Case rate,,52,2.6,88,
"Antibody; HIV-1 and HIV-2, single result",86703,CPT,,,,Outpatient,Facility,,,119,47.6,66,,,Percent of total billed charges,,78.54,20.8,,,Percent of total billed charges,,24.75,20.4,,,Percent of total billed charges,,24.28,,13.71,,Case rate,,13.71,,4.09,,Case rate,,4.09,80,,,Percent of total billed charges,,95.2,61.6,,,Percent of total billed charges,,73.3,20.6,,,Percent of total billed charges,,24.51,20.6,,,Percent of total billed charges,,24.51,65.55,,,Percent of total billed charges,,78,21,,,Percent of total billed charges,,24.99,90,,,Percent of total billed charges,,107.1,21,,,Percent of total billed charges,,24.99,21,,,Percent of total billed charges,,24.99,64.9,,,Percent of total billed charges,,77.23,21,,,Percent of total billed charges,,24.99,,98.2,,Case rate,,98.2,4.09,119,
Antibody; HTLV-I,86687,CPT,,,,Outpatient,Facility,,,73,29.2,66,,,Percent of total billed charges,,48.18,20.8,,,Percent of total billed charges,,15.18,20.4,,,Percent of total billed charges,,14.89,,9.09,,Case rate,,9.09,,2.43,,Case rate,,2.43,80,,,Percent of total billed charges,,58.4,61.6,,,Percent of total billed charges,,44.97,20.6,,,Percent of total billed charges,,15.04,20.6,,,Percent of total billed charges,,15.04,65.55,,,Percent of total billed charges,,47.85,21,,,Percent of total billed charges,,15.33,90,,,Percent of total billed charges,,65.7,21,,,Percent of total billed charges,,15.33,21,,,Percent of total billed charges,,15.33,64.9,,,Percent of total billed charges,,47.38,21,,,Percent of total billed charges,,15.33,,61.24,,Case rate,,61.24,2.43,73,
Antibody; JC (John Cunningham) virus,86711,CPT,,,,Outpatient,Facility,,,128,51.2,66,,,Percent of total billed charges,,84.48,20.8,,,Percent of total billed charges,,26.62,20.4,,,Percent of total billed charges,,26.11,,16.89,,Case rate,,16.89,,1.8,,Case rate,,1.8,80,,,Percent of total billed charges,,102.4,61.6,,,Percent of total billed charges,,78.85,20.6,,,Percent of total billed charges,,26.37,20.6,,,Percent of total billed charges,,26.37,65.55,,,Percent of total billed charges,,83.9,21,,,Percent of total billed charges,,26.88,90,,,Percent of total billed charges,,115.2,21,,,Percent of total billed charges,,26.88,21,,,Percent of total billed charges,,26.88,64.9,,,Percent of total billed charges,,83.07,21,,,Percent of total billed charges,,26.88,,57.43,,Case rate,,57.43,1.8,128,
Antibody; Legionella,86713,CPT,,,,Outpatient,Facility,,,86,34.4,66,,,Percent of total billed charges,,56.76,20.8,,,Percent of total billed charges,,17.89,20.4,,,Percent of total billed charges,,17.54,,15.3,,Case rate,,15.3,,3.1,,Case rate,,3.1,80,,,Percent of total billed charges,,68.8,61.6,,,Percent of total billed charges,,52.98,20.6,,,Percent of total billed charges,,17.72,20.6,,,Percent of total billed charges,,17.72,65.55,,,Percent of total billed charges,,56.37,21,,,Percent of total billed charges,,18.06,90,,,Percent of total billed charges,,77.4,21,,,Percent of total billed charges,,18.06,21,,,Percent of total billed charges,,18.06,64.9,,,Percent of total billed charges,,55.81,21,,,Percent of total billed charges,,18.06,,75.59,,Case rate,,75.59,3.1,86,
Antibody; lymphocytic choriomeningitis,86727,CPT,,,,Outpatient,Facility,,,70,28,66,,,Percent of total billed charges,,46.2,20.8,,,Percent of total billed charges,,14.56,20.4,,,Percent of total billed charges,,14.28,,12.87,,Case rate,,12.87,,2.65,,Case rate,,2.65,80,,,Percent of total billed charges,,56,61.6,,,Percent of total billed charges,,43.12,20.6,,,Percent of total billed charges,,14.42,20.6,,,Percent of total billed charges,,14.42,65.55,,,Percent of total billed charges,,45.88,21,,,Percent of total billed charges,,14.7,90,,,Percent of total billed charges,,63,21,,,Percent of total billed charges,,14.7,21,,,Percent of total billed charges,,14.7,64.9,,,Percent of total billed charges,,45.43,21,,,Percent of total billed charges,,14.7,,53.16,,Case rate,,53.16,2.65,70,
Antibody; mumps,86735,CPT,,,,Outpatient,Facility,,,120,48,66,,,Percent of total billed charges,,79.2,20.8,,,Percent of total billed charges,,24.96,,13.31,,Case rate,,13.31,,13.05,,Case rate,,13.05,,2.71,,Case rate,,2.71,80,,,Percent of total billed charges,,96,61.6,,,Percent of total billed charges,,73.92,20.6,,,Percent of total billed charges,,24.72,20.6,,,Percent of total billed charges,,24.72,65.55,,,Percent of total billed charges,,78.66,21,,,Percent of total billed charges,,25.2,90,,,Percent of total billed charges,,108,21,,,Percent of total billed charges,,25.2,21,,,Percent of total billed charges,,25.2,64.9,,,Percent of total billed charges,,77.88,21,,,Percent of total billed charges,,25.2,,66.58,,Case rate,,66.58,2.71,120,
Antibody; mycoplasma,86738,CPT,,,,Outpatient,Facility,,,73,29.2,66,,,Percent of total billed charges,,48.18,20.8,,,Percent of total billed charges,,15.18,20.4,,,Percent of total billed charges,,14.89,,13.24,,Case rate,,13.24,,2.71,,Case rate,,2.71,80,,,Percent of total billed charges,,58.4,61.6,,,Percent of total billed charges,,44.97,20.6,,,Percent of total billed charges,,15.04,20.6,,,Percent of total billed charges,,15.04,65.55,,,Percent of total billed charges,,47.85,21,,,Percent of total billed charges,,15.33,90,,,Percent of total billed charges,,65.7,21,,,Percent of total billed charges,,15.33,21,,,Percent of total billed charges,,15.33,64.9,,,Percent of total billed charges,,47.38,21,,,Percent of total billed charges,,15.33,,53.3,,Case rate,,53.3,2.71,73,
Antibody; Neisseria meningitidis,86741,CPT,,,,Outpatient,Facility,,,69,27.6,66,,,Percent of total billed charges,,45.54,20.8,,,Percent of total billed charges,,14.35,20.4,,,Percent of total billed charges,,14.08,,13.19,,Case rate,,13.19,,3.82,,Case rate,,3.82,80,,,Percent of total billed charges,,55.2,61.6,,,Percent of total billed charges,,42.5,20.6,,,Percent of total billed charges,,14.21,20.6,,,Percent of total billed charges,,14.21,65.55,,,Percent of total billed charges,,45.23,21,,,Percent of total billed charges,,14.49,90,,,Percent of total billed charges,,62.1,21,,,Percent of total billed charges,,14.49,21,,,Percent of total billed charges,,14.49,64.9,,,Percent of total billed charges,,44.78,21,,,Percent of total billed charges,,14.49,,91.88,,Case rate,,91.88,3.82,91.88,
"Antibody; protozoa, not elsewhere specified",86753,CPT,,,,Outpatient,Facility,,,95,38,66,,,Percent of total billed charges,,62.7,20.8,,,Percent of total billed charges,,19.76,20.4,,,Percent of total billed charges,,19.38,,12.39,,Case rate,,12.39,,3.66,,Case rate,,3.66,80,,,Percent of total billed charges,,76,61.6,,,Percent of total billed charges,,58.52,20.6,,,Percent of total billed charges,,19.57,20.6,,,Percent of total billed charges,,19.57,65.55,,,Percent of total billed charges,,62.27,21,,,Percent of total billed charges,,19.95,90,,,Percent of total billed charges,,85.5,21,,,Percent of total billed charges,,19.95,21,,,Percent of total billed charges,,19.95,64.9,,,Percent of total billed charges,,61.66,21,,,Percent of total billed charges,,19.95,,74.89,,Case rate,,74.89,3.66,95,
Antibody; Rickettsia,86757,CPT,,,,Outpatient,Facility,,,119,47.6,66,,,Percent of total billed charges,,78.54,20.8,,,Percent of total billed charges,,24.75,20.4,,,Percent of total billed charges,,24.28,,19.35,,Case rate,,19.35,,5.47,,Case rate,,5.47,80,,,Percent of total billed charges,,95.2,61.6,,,Percent of total billed charges,,73.3,20.6,,,Percent of total billed charges,,24.51,20.6,,,Percent of total billed charges,,24.51,65.55,,,Percent of total billed charges,,78,21,,,Percent of total billed charges,,24.99,90,,,Percent of total billed charges,,107.1,21,,,Percent of total billed charges,,24.99,21,,,Percent of total billed charges,,24.99,64.9,,,Percent of total billed charges,,77.23,21,,,Percent of total billed charges,,24.99,,74.89,,Case rate,,74.89,5.47,119,
Antibody; rotavirus,86759,CPT,,,,Outpatient,Facility,,,74,29.6,66,,,Percent of total billed charges,,48.84,20.8,,,Percent of total billed charges,,15.39,20.4,,,Percent of total billed charges,,15.1,,18.23,,Case rate,,18.23,,2.71,,Case rate,,2.71,80,,,Percent of total billed charges,,59.2,61.6,,,Percent of total billed charges,,45.58,20.6,,,Percent of total billed charges,,15.24,20.6,,,Percent of total billed charges,,15.24,65.55,,,Percent of total billed charges,,48.51,21,,,Percent of total billed charges,,15.54,90,,,Percent of total billed charges,,66.6,21,,,Percent of total billed charges,,15.54,21,,,Percent of total billed charges,,15.54,64.9,,,Percent of total billed charges,,48.03,21,,,Percent of total billed charges,,15.54,,53.26,,Case rate,,53.26,2.71,74,
Antibody; rubella,86762,CPT,,,,Outpatient,Facility,,,105,42,66,,,Percent of total billed charges,,69.3,20.8,,,Percent of total billed charges,,21.84,20.4,,,Percent of total billed charges,,21.42,,14.39,,Case rate,,14.39,,2.82,,Case rate,,2.82,80,,,Percent of total billed charges,,84,61.6,,,Percent of total billed charges,,64.68,20.6,,,Percent of total billed charges,,21.63,20.6,,,Percent of total billed charges,,21.63,65.55,,,Percent of total billed charges,,68.83,21,,,Percent of total billed charges,,22.05,90,,,Percent of total billed charges,,94.5,21,,,Percent of total billed charges,,22.05,21,,,Percent of total billed charges,,22.05,64.9,,,Percent of total billed charges,,68.14,21,,,Percent of total billed charges,,22.05,,55.53,,Case rate,,55.53,2.82,105,
Antibody; rubeola,86765,CPT,,,,Outpatient,Facility,,,131,52.4,66,,,Percent of total billed charges,,86.46,20.8,,,Percent of total billed charges,,27.25,20.4,,,Percent of total billed charges,,26.72,,12.88,,Case rate,,12.88,,1.86,,Case rate,,1.86,80,,,Percent of total billed charges,,104.8,61.6,,,Percent of total billed charges,,80.7,20.6,,,Percent of total billed charges,,26.99,20.6,,,Percent of total billed charges,,26.99,65.55,,,Percent of total billed charges,,85.87,21,,,Percent of total billed charges,,27.51,90,,,Percent of total billed charges,,117.9,21,,,Percent of total billed charges,,27.51,21,,,Percent of total billed charges,,27.51,64.9,,,Percent of total billed charges,,85.02,21,,,Percent of total billed charges,,27.51,,48.29,,Case rate,,48.29,1.86,131,
Antibody; tetanus,86774,CPT,,,,Outpatient,Facility,,,167,66.8,66,,,Percent of total billed charges,,110.22,20.8,,,Percent of total billed charges,,34.74,,15.1,,Case rate,,15.1,,14.8,,Case rate,,14.8,,3.07,,Case rate,,3.07,80,,,Percent of total billed charges,,133.6,61.6,,,Percent of total billed charges,,102.87,20.6,,,Percent of total billed charges,,34.4,20.6,,,Percent of total billed charges,,34.4,65.55,,,Percent of total billed charges,,109.47,21,,,Percent of total billed charges,,35.07,90,,,Percent of total billed charges,,150.3,21,,,Percent of total billed charges,,35.07,21,,,Percent of total billed charges,,35.07,64.9,,,Percent of total billed charges,,108.38,21,,,Percent of total billed charges,,35.07,,61.15,,Case rate,,61.15,3.07,167,
"Antibody; Toxoplasma, IgM",86778,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,14.41,,Case rate,,14.41,,3.07,,Case rate,,3.07,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,62.4,,Case rate,,62.4,3.07,92,
Antibody; Treponema pallidum,86780,CPT,,,,Outpatient,Facility,,,147,58.8,66,,,Percent of total billed charges,,97.02,20.8,,,Percent of total billed charges,,30.58,20.4,,,Percent of total billed charges,,29.99,,13.24,,Case rate,,13.24,,3.76,,Case rate,,3.76,80,,,Percent of total billed charges,,117.6,61.6,,,Percent of total billed charges,,90.55,20.6,,,Percent of total billed charges,,30.28,20.6,,,Percent of total billed charges,,30.28,65.55,,,Percent of total billed charges,,96.36,21,,,Percent of total billed charges,,30.87,90,,,Percent of total billed charges,,132.3,21,,,Percent of total billed charges,,30.87,21,,,Percent of total billed charges,,30.87,64.9,,,Percent of total billed charges,,95.4,21,,,Percent of total billed charges,,30.87,,83.57,,Case rate,,83.57,3.76,147,
"Antibody; virus, not elsewhere specified",86790,CPT,,,,Outpatient,Facility,,,243,97.2,66,,,Percent of total billed charges,,160.38,20.8,,,Percent of total billed charges,,50.54,20.4,,,Percent of total billed charges,,49.57,,12.88,,Case rate,,12.88,,3.73,,Case rate,,3.73,80,,,Percent of total billed charges,,194.4,61.6,,,Percent of total billed charges,,149.69,20.6,,,Percent of total billed charges,,50.06,20.6,,,Percent of total billed charges,,50.06,65.55,,,Percent of total billed charges,,159.29,21,,,Percent of total billed charges,,51.03,90,,,Percent of total billed charges,,218.7,21,,,Percent of total billed charges,,51.03,21,,,Percent of total billed charges,,51.03,64.9,,,Percent of total billed charges,,157.71,21,,,Percent of total billed charges,,51.03,,90.26,,Case rate,,90.26,3.73,243,
"Antibody; West Nile virus, IgM",86788,CPT,,,,Outpatient,Facility,,,134,53.6,66,,,Percent of total billed charges,,88.44,20.8,,,Percent of total billed charges,,27.87,20.4,,,Percent of total billed charges,,27.34,,16.85,,Case rate,,16.85,,4.66,,Case rate,,4.66,80,,,Percent of total billed charges,,107.2,61.6,,,Percent of total billed charges,,82.54,20.6,,,Percent of total billed charges,,27.6,20.6,,,Percent of total billed charges,,27.6,65.55,,,Percent of total billed charges,,87.84,21,,,Percent of total billed charges,,28.14,90,,,Percent of total billed charges,,120.6,21,,,Percent of total billed charges,,28.14,21,,,Percent of total billed charges,,28.14,64.9,,,Percent of total billed charges,,86.97,21,,,Percent of total billed charges,,28.14,,96.2,,Case rate,,96.2,4.66,134,
"Antibody; Zika virus, IgM",86794,CPT,,,,Outpatient,Facility,,,110,44,66,,,Percent of total billed charges,,72.6,20.8,,,Percent of total billed charges,,22.88,20.4,,,Percent of total billed charges,,22.44,,16.85,,Case rate,,16.85,,1.41,,Case rate,,1.41,80,,,Percent of total billed charges,,88,61.6,,,Percent of total billed charges,,67.76,20.6,,,Percent of total billed charges,,22.66,20.6,,,Percent of total billed charges,,22.66,65.55,,,Percent of total billed charges,,72.1,21,,,Percent of total billed charges,,23.1,90,,,Percent of total billed charges,,99,21,,,Percent of total billed charges,,23.1,21,,,Percent of total billed charges,,23.1,64.9,,,Percent of total billed charges,,71.39,21,,,Percent of total billed charges,,23.1,,83.11,,Case rate,,83.11,1.41,110,
"Antidepressants, not otherwise specified",80338,CPT,,,,Outpatient,Facility,,,208,83.2,66,,,Percent of total billed charges,,137.28,20.8,,,Percent of total billed charges,,43.26,20.4,,,Percent of total billed charges,,42.43,,17.62,,Case rate,,17.62,,1.31,,Case rate,,1.31,80,,,Percent of total billed charges,,166.4,61.6,,,Percent of total billed charges,,128.13,20.6,,,Percent of total billed charges,,42.85,20.6,,,Percent of total billed charges,,42.85,65.55,,,Percent of total billed charges,,136.34,21,,,Percent of total billed charges,,43.68,90,,,Percent of total billed charges,,187.2,21,,,Percent of total billed charges,,43.68,21,,,Percent of total billed charges,,43.68,64.9,,,Percent of total billed charges,,134.99,21,,,Percent of total billed charges,,43.68,45,,,Percent of total billed charges,,93.6,1.31,208,
"Antiepileptics, not otherwise specified; 1-3",80339,CPT,,,,Outpatient,Facility,,,142,56.8,66,,,Percent of total billed charges,,93.72,20.8,,,Percent of total billed charges,,29.54,20.4,,,Percent of total billed charges,,28.97,,13.05,,Case rate,,13.05,,0.97,,Case rate,,0.97,80,,,Percent of total billed charges,,113.6,61.6,,,Percent of total billed charges,,87.47,20.6,,,Percent of total billed charges,,29.25,20.6,,,Percent of total billed charges,,29.25,65.55,,,Percent of total billed charges,,93.08,21,,,Percent of total billed charges,,29.82,90,,,Percent of total billed charges,,127.8,21,,,Percent of total billed charges,,29.82,21,,,Percent of total billed charges,,29.82,64.9,,,Percent of total billed charges,,92.16,21,,,Percent of total billed charges,,29.82,45,,,Percent of total billed charges,,63.9,0.97,142,
"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody",86037,CPT,,,,Outpatient,Facility,,,48,19.2,66,,,Percent of total billed charges,,31.68,20.8,,,Percent of total billed charges,,9.98,20.4,,,Percent of total billed charges,,9.79,,12.05,,Case rate,,12.05,,0.54,,Case rate,,0.54,80,,,Percent of total billed charges,,38.4,61.6,,,Percent of total billed charges,,29.57,20.6,,,Percent of total billed charges,,9.89,20.6,,,Percent of total billed charges,,9.89,65.55,,,Percent of total billed charges,,31.46,21,,,Percent of total billed charges,,10.08,90,,,Percent of total billed charges,,43.2,21,,,Percent of total billed charges,,10.08,21,,,Percent of total billed charges,,10.08,64.9,,,Percent of total billed charges,,31.15,21,,,Percent of total billed charges,,10.08,,42.25,,Case rate,,42.25,0.54,48,
Antinuclear antibodies (ANA),86038,CPT,,,,Outpatient,Facility,,,88,35.2,66,,,Percent of total billed charges,,58.08,20.8,,,Percent of total billed charges,,18.3,20.4,,,Percent of total billed charges,,17.95,,12.09,,Case rate,,12.09,,2.49,,Case rate,,2.49,80,,,Percent of total billed charges,,70.4,61.6,,,Percent of total billed charges,,54.21,20.6,,,Percent of total billed charges,,18.13,20.6,,,Percent of total billed charges,,18.13,65.55,,,Percent of total billed charges,,57.68,21,,,Percent of total billed charges,,18.48,90,,,Percent of total billed charges,,79.2,21,,,Percent of total billed charges,,18.48,21,,,Percent of total billed charges,,18.48,64.9,,,Percent of total billed charges,,57.11,21,,,Percent of total billed charges,,18.48,,48.01,,Case rate,,48.01,2.49,88,
Antinuclear antibodies (ANA); titer,86039,CPT,,,,Outpatient,Facility,,,96,38.4,66,,,Percent of total billed charges,,63.36,20.8,,,Percent of total billed charges,,19.97,20.4,,,Percent of total billed charges,,19.58,,11.16,,Case rate,,11.16,,3.23,,Case rate,,3.23,80,,,Percent of total billed charges,,76.8,61.6,,,Percent of total billed charges,,59.14,20.6,,,Percent of total billed charges,,19.78,20.6,,,Percent of total billed charges,,19.78,65.55,,,Percent of total billed charges,,62.93,21,,,Percent of total billed charges,,20.16,90,,,Percent of total billed charges,,86.4,21,,,Percent of total billed charges,,20.16,21,,,Percent of total billed charges,,20.16,64.9,,,Percent of total billed charges,,62.3,21,,,Percent of total billed charges,,20.16,,64.96,,Case rate,,64.96,3.23,96,
Antistreptolysin 0; titer,86060,CPT,,,,Outpatient,Facility,,,68,27.2,66,,,Percent of total billed charges,,44.88,20.8,,,Percent of total billed charges,,14.14,20.4,,,Percent of total billed charges,,13.87,,7.3,,Case rate,,7.3,,2.11,,Case rate,,2.11,80,,,Percent of total billed charges,,54.4,61.6,,,Percent of total billed charges,,41.89,20.6,,,Percent of total billed charges,,14.01,20.6,,,Percent of total billed charges,,14.01,65.55,,,Percent of total billed charges,,44.57,21,,,Percent of total billed charges,,14.28,90,,,Percent of total billed charges,,61.2,21,,,Percent of total billed charges,,14.28,21,,,Percent of total billed charges,,14.28,64.9,,,Percent of total billed charges,,44.13,21,,,Percent of total billed charges,,14.28,,39.65,,Case rate,,39.65,2.11,68,
"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at least 9 genes, including FBN1, TGFBR1, TGFBR2, COL3A1, MYH11, ACTA2, SLC2A10, SMAD3, and MYLK",81410,CPT,,,,Outpatient,Facility,,,3973,1589.2,66,,,Percent of total billed charges,,2622.18,20.8,,,Percent of total billed charges,,826.38,,514.08,,Case rate,,514.08,,504,,Case rate,,504,,34.05,,Case rate,,34.05,80,,,Percent of total billed charges,,3178.4,61.6,,,Percent of total billed charges,,2447.37,20.6,,,Percent of total billed charges,,818.44,20.6,,,Percent of total billed charges,,818.44,65.55,,,Percent of total billed charges,,2604.3,21,,,Percent of total billed charges,,834.33,90,,,Percent of total billed charges,,3575.7,21,,,Percent of total billed charges,,834.33,21,,,Percent of total billed charges,,834.33,64.9,,,Percent of total billed charges,,2578.48,21,,,Percent of total billed charges,,834.33,,1953.45,,Case rate,,1953.45,34.05,3973,
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,,,,Outpatient,Facility,,,3573,1429.2,66,,,Percent of total billed charges,,2358.18,20.8,,,Percent of total billed charges,,743.18,20.4,,,Percent of total billed charges,,728.89,,56.9,,Case rate,,56.9,,64.41,,Case rate,,64.41,80,,,Percent of total billed charges,,2858.4,61.6,,,Percent of total billed charges,,2200.97,20.6,,,Percent of total billed charges,,736.04,20.6,,,Percent of total billed charges,,736.04,65.55,,,Percent of total billed charges,,2342.1,21,,,Percent of total billed charges,,750.33,90,,,Percent of total billed charges,,3215.7,21,,,Percent of total billed charges,,750.33,21,,,Percent of total billed charges,,750.33,64.9,,,Percent of total billed charges,,2318.88,21,,,Percent of total billed charges,,750.33,,1591.67,,Case rate,,1591.67,56.9,3573,
"Aortography, abdominal, by serialography, radiological supervision and interpretation",75625,CPT,32075625,CDM,TC,Outpatient,Facility,,,3573,1429.2,66,,,Percent of total billed charges,,2358.18,20.8,,,Percent of total billed charges,,743.18,20.4,,,Percent of total billed charges,,728.89,,56.9,,Case rate,,56.9,,64.41,,Case rate,,64.41,80,,,Percent of total billed charges,,2858.4,61.6,,,Percent of total billed charges,,2200.97,20.6,,,Percent of total billed charges,,736.04,20.6,,,Percent of total billed charges,,736.04,65.55,,,Percent of total billed charges,,2342.1,21,,,Percent of total billed charges,,750.33,90,,,Percent of total billed charges,,3215.7,21,,,Percent of total billed charges,,750.33,21,,,Percent of total billed charges,,750.33,64.9,,,Percent of total billed charges,,2318.88,21,,,Percent of total billed charges,,750.33,,1591.67,,Case rate,,1591.67,56.9,3573,
"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis [FAP], attenuated FAP) gene analysis; full gene sequence",81201,CPT,,,,Outpatient,Facility,,,2955,1182,66,,,Percent of total billed charges,,1950.3,20.8,,,Percent of total billed charges,,614.64,20.4,,,Percent of total billed charges,,602.82,,780,,Case rate,,780,,68.92,,Case rate,,68.92,80,,,Percent of total billed charges,,2364,61.6,,,Percent of total billed charges,,1820.28,20.6,,,Percent of total billed charges,,608.73,20.6,,,Percent of total billed charges,,608.73,65.55,,,Percent of total billed charges,,1937,21,,,Percent of total billed charges,,620.55,90,,,Percent of total billed charges,,2659.5,21,,,Percent of total billed charges,,620.55,21,,,Percent of total billed charges,,620.55,64.9,,,Percent of total billed charges,,1917.8,21,,,Percent of total billed charges,,620.55,45,,,Percent of total billed charges,,1329.75,68.92,2955,
"Apligraf, per square centimeter",Q4101,CPT,,,,Outpatient,Facility,,,6961.5,2784.6,66,,,Percent of total billed charges,,4594.59,20.8,,,Percent of total billed charges,,1447.99,20.4,,,Percent of total billed charges,,1420.15,,30.43,,Case rate,,30.43,,6.22,,Case rate,,6.22,80,,,Percent of total billed charges,,5569.2,61.6,,,Percent of total billed charges,,4288.28,20.6,,,Percent of total billed charges,,1434.07,20.6,,,Percent of total billed charges,,1434.07,65.55,,,Percent of total billed charges,,4563.26,21,,,Percent of total billed charges,,1461.92,90,,,Percent of total billed charges,,6265.35,21,,,Percent of total billed charges,,1461.92,21,,,Percent of total billed charges,,1461.92,64.9,,,Percent of total billed charges,,4518.01,21,,,Percent of total billed charges,,1461.92,,35.55,,Case rate,,35.55,6.22,6961.5,
"Apolipoprotein, each",82172,CPT,,,,Outpatient,Facility,,,96,38.4,66,,,Percent of total billed charges,,63.36,20.8,,,Percent of total billed charges,,19.97,20.4,,,Percent of total billed charges,,19.58,,21.09,,Case rate,,21.09,,3.19,,Case rate,,3.19,80,,,Percent of total billed charges,,76.8,61.6,,,Percent of total billed charges,,59.14,20.6,,,Percent of total billed charges,,19.78,20.6,,,Percent of total billed charges,,19.78,65.55,,,Percent of total billed charges,,62.93,21,,,Percent of total billed charges,,20.16,90,,,Percent of total billed charges,,86.4,21,,,Percent of total billed charges,,20.16,21,,,Percent of total billed charges,,20.16,64.9,,,Percent of total billed charges,,62.3,21,,,Percent of total billed charges,,20.16,,79.12,,Case rate,,79.12,3.19,96,
"Application of a modality to 1 or more areas; contrast baths, each 15 minutes",97034,CPT,,,,Outpatient,Facility,,,83,33.2,66,,,Percent of total billed charges,,54.78,20.8,,,Percent of total billed charges,,17.26,20.4,,,Percent of total billed charges,,16.93,,14.06,,Case rate,,14.06,,2.71,,Case rate,,2.71,80,,,Percent of total billed charges,,66.4,61.6,,,Percent of total billed charges,,51.13,20.6,,,Percent of total billed charges,,17.1,20.6,,,Percent of total billed charges,,17.1,65.55,,,Percent of total billed charges,,54.41,21,,,Percent of total billed charges,,17.43,90,,,Percent of total billed charges,,74.7,21,,,Percent of total billed charges,,17.43,21,,,Percent of total billed charges,,17.43,64.9,,,Percent of total billed charges,,53.87,21,,,Percent of total billed charges,,17.43,,57.67,,Case rate,,57.67,2.71,83,
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",97032,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,14.15,,Case rate,,14.15,,2.71,,Case rate,,2.71,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,72.11,,Case rate,,72.11,2.71,92,
"Application of a modality to 1 or more areas; traction, mechanical",97012,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,14.15,,Case rate,,14.15,,2.3,,Case rate,,2.3,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,62.45,,Case rate,,62.45,2.3,92,
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",97035,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,14.06,,Case rate,,14.06,,2.71,,Case rate,,2.71,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,71.87,,Case rate,,71.87,2.71,92,
Application of finger splint; static,29130,CPT,,,,Outpatient,Facility,,,174,69.6,66,,,Percent of total billed charges,,114.84,20.8,,,Percent of total billed charges,,36.19,20.4,,,Percent of total billed charges,,35.5,,40.88,,Case rate,,40.88,,5.94,,Case rate,,5.94,80,,,Percent of total billed charges,,139.2,61.6,,,Percent of total billed charges,,107.18,20.6,,,Percent of total billed charges,,35.84,20.6,,,Percent of total billed charges,,35.84,65.55,,,Percent of total billed charges,,114.06,21,,,Percent of total billed charges,,36.54,90,,,Percent of total billed charges,,156.6,21,,,Percent of total billed charges,,36.54,21,,,Percent of total billed charges,,36.54,64.9,,,Percent of total billed charges,,112.93,21,,,Percent of total billed charges,,36.54,,137.62,,Case rate,,137.62,5.94,174,
Application of long arm splint (shoulder to hand),29105,CPT,,,,Outpatient,Facility,,,425,170,66,,,Percent of total billed charges,,280.5,20.8,,,Percent of total billed charges,,88.4,20.4,,,Percent of total billed charges,,86.7,,80.7,,Case rate,,80.7,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,340,61.6,,,Percent of total billed charges,,261.8,20.6,,,Percent of total billed charges,,87.55,20.6,,,Percent of total billed charges,,87.55,65.55,,,Percent of total billed charges,,278.59,21,,,Percent of total billed charges,,89.25,90,,,Percent of total billed charges,,382.5,21,,,Percent of total billed charges,,89.25,21,,,Percent of total billed charges,,89.25,64.9,,,Percent of total billed charges,,275.82,21,,,Percent of total billed charges,,89.25,,347.25,,Case rate,,347.25,13.86,425,
Application of long leg splint (thigh to ankle or toes),29505,CPT,,,,Outpatient,Facility,,,1026,410.4,66,,,Percent of total billed charges,,677.16,20.8,,,Percent of total billed charges,,213.41,20.4,,,Percent of total billed charges,,209.3,,85.56,,Case rate,,85.56,,35.64,,Case rate,,35.64,80,,,Percent of total billed charges,,820.8,61.6,,,Percent of total billed charges,,632.02,20.6,,,Percent of total billed charges,,211.36,20.6,,,Percent of total billed charges,,211.36,65.55,,,Percent of total billed charges,,672.54,21,,,Percent of total billed charges,,215.46,90,,,Percent of total billed charges,,923.4,21,,,Percent of total billed charges,,215.46,21,,,Percent of total billed charges,,215.46,64.9,,,Percent of total billed charges,,665.87,21,,,Percent of total billed charges,,215.46,,868.84,,Case rate,,868.84,35.64,1026,
"Application of multi-layer compression system; leg (below knee), including ankle and foot",29581,CPT,,,,Outpatient,Facility,,,535,214,66,,,Percent of total billed charges,,353.1,20.8,,,Percent of total billed charges,,111.28,20.4,,,Percent of total billed charges,,109.14,,85.77,,Case rate,,85.77,,16.22,,Case rate,,16.22,80,,,Percent of total billed charges,,428,61.6,,,Percent of total billed charges,,329.56,20.6,,,Percent of total billed charges,,110.21,20.6,,,Percent of total billed charges,,110.21,65.55,,,Percent of total billed charges,,350.69,21,,,Percent of total billed charges,,112.35,90,,,Percent of total billed charges,,481.5,21,,,Percent of total billed charges,,112.35,21,,,Percent of total billed charges,,112.35,64.9,,,Percent of total billed charges,,347.22,21,,,Percent of total billed charges,,112.35,,249.51,,Case rate,,249.51,16.22,535,
Application of short arm splint (forearm to hand); static,29125,CPT,,,,Outpatient,Facility,,,306,122.4,66,,,Percent of total billed charges,,201.96,20.8,,,Percent of total billed charges,,63.65,20.4,,,Percent of total billed charges,,62.42,,64.28,,Case rate,,64.28,,9.9,,Case rate,,9.9,80,,,Percent of total billed charges,,244.8,61.6,,,Percent of total billed charges,,188.5,20.6,,,Percent of total billed charges,,63.04,20.6,,,Percent of total billed charges,,63.04,65.55,,,Percent of total billed charges,,200.58,21,,,Percent of total billed charges,,64.26,90,,,Percent of total billed charges,,275.4,21,,,Percent of total billed charges,,64.26,21,,,Percent of total billed charges,,64.26,64.9,,,Percent of total billed charges,,198.59,21,,,Percent of total billed charges,,64.26,,250.12,,Case rate,,250.12,9.9,306,
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15275,CPT,,,,Outpatient,Facility,,,2481,992.4,66,,,Percent of total billed charges,,1637.46,20.8,,,Percent of total billed charges,,516.05,20.4,,,Percent of total billed charges,,506.12,,153.84,,Case rate,,153.84,,57.53,,Case rate,,57.53,80,,,Percent of total billed charges,,1984.8,61.6,,,Percent of total billed charges,,1528.3,20.6,,,Percent of total billed charges,,511.09,20.6,,,Percent of total billed charges,,511.09,65.55,,,Percent of total billed charges,,1626.3,21,,,Percent of total billed charges,,521.01,90,,,Percent of total billed charges,,2232.9,21,,,Percent of total billed charges,,521.01,21,,,Percent of total billed charges,,521.01,64.9,,,Percent of total billed charges,,1610.17,21,,,Percent of total billed charges,,521.01,,1413,,Case rate,,1413,57.53,2481,
"Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)",15274,CPT,,,,Outpatient,Facility,,,1677.07,670.83,66,,,Percent of total billed charges,,1106.86,20.8,,,Percent of total billed charges,,348.83,20.4,,,Percent of total billed charges,,342.12,,80.06,,Case rate,,80.06,,62.25,,Case rate,,62.25,80,,,Percent of total billed charges,,1341.65,61.6,,,Percent of total billed charges,,1033.07,20.6,,,Percent of total billed charges,,345.48,20.6,,,Percent of total billed charges,,345.48,65.55,,,Percent of total billed charges,,1099.32,21,,,Percent of total billed charges,,352.18,90,,,Percent of total billed charges,,1509.36,21,,,Percent of total billed charges,,352.18,21,,,Percent of total billed charges,,352.18,64.9,,,Percent of total billed charges,,1088.42,21,,,Percent of total billed charges,,352.18,,243.76,,Case rate,,243.76,62.25,1677.07,
"Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children",15273,CPT,,,,Outpatient,Facility,,,3821.65,1528.66,66,,,Percent of total billed charges,,2522.29,20.8,,,Percent of total billed charges,,794.9,20.4,,,Percent of total billed charges,,779.62,,302.02,,Case rate,,302.02,,83.37,,Case rate,,83.37,80,,,Percent of total billed charges,,3057.32,61.6,,,Percent of total billed charges,,2354.14,20.6,,,Percent of total billed charges,,787.26,20.6,,,Percent of total billed charges,,787.26,65.55,,,Percent of total billed charges,,2505.09,21,,,Percent of total billed charges,,802.55,90,,,Percent of total billed charges,,3439.49,21,,,Percent of total billed charges,,802.55,21,,,Percent of total billed charges,,802.55,64.9,,,Percent of total billed charges,,2480.25,21,,,Percent of total billed charges,,802.55,,854.96,,Case rate,,854.96,83.37,3821.65,
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)",15272,CPT,,,,Outpatient,Facility,,,593,237.2,66,,,Percent of total billed charges,,391.38,20.8,,,Percent of total billed charges,,123.34,20.4,,,Percent of total billed charges,,120.97,,23.48,,Case rate,,23.48,,8.24,,Case rate,,8.24,80,,,Percent of total billed charges,,474.4,61.6,,,Percent of total billed charges,,365.29,20.6,,,Percent of total billed charges,,122.16,20.6,,,Percent of total billed charges,,122.16,65.55,,,Percent of total billed charges,,388.71,21,,,Percent of total billed charges,,124.53,90,,,Percent of total billed charges,,533.7,21,,,Percent of total billed charges,,124.53,21,,,Percent of total billed charges,,124.53,64.9,,,Percent of total billed charges,,384.86,21,,,Percent of total billed charges,,124.53,,353.84,,Case rate,,353.84,8.24,593,
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area",15271,CPT,,,,Outpatient,Facility,,,2608,1043.2,66,,,Percent of total billed charges,,1721.28,20.8,,,Percent of total billed charges,,542.46,20.4,,,Percent of total billed charges,,532.03,,148.64,,Case rate,,148.64,,57.53,,Case rate,,57.53,80,,,Percent of total billed charges,,2086.4,61.6,,,Percent of total billed charges,,1606.53,20.6,,,Percent of total billed charges,,537.25,20.6,,,Percent of total billed charges,,537.25,65.55,,,Percent of total billed charges,,1709.54,21,,,Percent of total billed charges,,547.68,90,,,Percent of total billed charges,,2347.2,21,,,Percent of total billed charges,,547.68,21,,,Percent of total billed charges,,547.68,64.9,,,Percent of total billed charges,,1692.59,21,,,Percent of total billed charges,,547.68,,1047.37,,Case rate,,1047.37,57.53,2608,
Aquaporin-4 (neuromyelitis optica [NMO]) antibody; enzyme-linked immunosorbent immunoassay (ELISA),86051,CPT,,,,Outpatient,Facility,,,43,17.2,66,,,Percent of total billed charges,,28.38,20.8,,,Percent of total billed charges,,8.94,20.4,,,Percent of total billed charges,,8.77,,11.53,,Case rate,,11.53,,0.52,,Case rate,,0.52,80,,,Percent of total billed charges,,34.4,61.6,,,Percent of total billed charges,,26.49,20.6,,,Percent of total billed charges,,8.86,20.6,,,Percent of total billed charges,,8.86,65.55,,,Percent of total billed charges,,28.19,21,,,Percent of total billed charges,,9.03,90,,,Percent of total billed charges,,38.7,21,,,Percent of total billed charges,,9.03,21,,,Percent of total billed charges,,9.03,64.9,,,Percent of total billed charges,,27.91,21,,,Percent of total billed charges,,9.03,,40.44,,Case rate,,40.44,0.52,43,
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance",20605,CPT,,,,Outpatient,Facility,,,300,120,66,,,Percent of total billed charges,,198,20.8,,,Percent of total billed charges,,62.4,20.4,,,Percent of total billed charges,,61.2,,53.62,,Case rate,,53.62,,1.98,,Case rate,,1.98,80,,,Percent of total billed charges,,240,61.6,,,Percent of total billed charges,,184.8,20.6,,,Percent of total billed charges,,61.8,20.6,,,Percent of total billed charges,,61.8,65.55,,,Percent of total billed charges,,196.65,21,,,Percent of total billed charges,,63,90,,,Percent of total billed charges,,270,21,,,Percent of total billed charges,,63,21,,,Percent of total billed charges,,63,64.9,,,Percent of total billed charges,,194.7,21,,,Percent of total billed charges,,63,,54,,Case rate,,54,1.98,300,
"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance",20600,CPT,,,,Outpatient,Facility,,,295,118,66,,,Percent of total billed charges,,194.7,20.8,,,Percent of total billed charges,,61.36,20.4,,,Percent of total billed charges,,60.18,,51.38,,Case rate,,51.38,,5.94,,Case rate,,5.94,80,,,Percent of total billed charges,,236,61.6,,,Percent of total billed charges,,181.72,20.6,,,Percent of total billed charges,,60.77,20.6,,,Percent of total billed charges,,60.77,65.55,,,Percent of total billed charges,,193.37,21,,,Percent of total billed charges,,61.95,90,,,Percent of total billed charges,,265.5,21,,,Percent of total billed charges,,61.95,21,,,Percent of total billed charges,,61.95,64.9,,,Percent of total billed charges,,191.46,21,,,Percent of total billed charges,,61.95,,137.15,,Case rate,,137.15,5.94,295,
"Ascorbic acid (Vitamin C), blood",82180,CPT,,,,Outpatient,Facility,,,281,112.4,66,,,Percent of total billed charges,,185.46,20.8,,,Percent of total billed charges,,58.45,20.4,,,Percent of total billed charges,,57.32,,9.89,,Case rate,,9.89,,2.86,,Case rate,,2.86,80,,,Percent of total billed charges,,224.8,61.6,,,Percent of total billed charges,,173.1,20.6,,,Percent of total billed charges,,57.89,20.6,,,Percent of total billed charges,,57.89,65.55,,,Percent of total billed charges,,184.2,21,,,Percent of total billed charges,,59.01,90,,,Percent of total billed charges,,252.9,21,,,Percent of total billed charges,,59.01,21,,,Percent of total billed charges,,59.01,64.9,,,Percent of total billed charges,,182.37,21,,,Percent of total billed charges,,59.01,,57.02,,Case rate,,57.02,2.86,281,
"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analysis panel, must include sequencing of at least 9 genes, including ASPA, BLM, CFTR, FANCC, GBA, HEXA, IKBKAP, MCOLN1, and SMPD1",81412,CPT,,,,Outpatient,Facility,,,8755,3502,66,,,Percent of total billed charges,,5778.3,20.8,,,Percent of total billed charges,,1821.04,,2497.53,,Case rate,,2497.53,,2448.56,,Case rate,,2448.56,,41.59,,Case rate,,41.59,80,,,Percent of total billed charges,,7004,61.6,,,Percent of total billed charges,,5393.08,20.6,,,Percent of total billed charges,,1803.53,20.6,,,Percent of total billed charges,,1803.53,65.55,,,Percent of total billed charges,,5738.9,21,,,Percent of total billed charges,,1838.55,90,,,Percent of total billed charges,,7879.5,21,,,Percent of total billed charges,,1838.55,21,,,Percent of total billed charges,,1838.55,64.9,,,Percent of total billed charges,,5682,21,,,Percent of total billed charges,,1838.55,,3770.35,,Case rate,,3770.35,41.59,8755,
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour",96105,CPT,,,,Outpatient,Facility,,,360,144,66,,,Percent of total billed charges,,237.6,20.8,,,Percent of total billed charges,,74.88,20.4,,,Percent of total billed charges,,73.44,,95.57,,Case rate,,95.57,,13.07,,Case rate,,13.07,80,,,Percent of total billed charges,,288,61.6,,,Percent of total billed charges,,221.76,20.6,,,Percent of total billed charges,,74.16,20.6,,,Percent of total billed charges,,74.16,65.55,,,Percent of total billed charges,,235.98,21,,,Percent of total billed charges,,75.6,90,,,Percent of total billed charges,,324,21,,,Percent of total billed charges,,75.6,21,,,Percent of total billed charges,,75.6,64.9,,,Percent of total billed charges,,233.64,21,,,Percent of total billed charges,,75.6,,123.6,,Case rate,,123.6,13.07,360,
"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score",81490,CPT,,,,Outpatient,Facility,,,5566,2226.4,66,,,Percent of total billed charges,,3673.56,20.8,,,Percent of total billed charges,,1157.73,,857.46,,Case rate,,857.46,,840.65,,Case rate,,840.65,,40.8,,Case rate,,40.8,80,,,Percent of total billed charges,,4452.8,61.6,,,Percent of total billed charges,,3428.66,20.6,,,Percent of total billed charges,,1146.6,20.6,,,Percent of total billed charges,,1146.6,65.55,,,Percent of total billed charges,,3648.51,21,,,Percent of total billed charges,,1168.86,90,,,Percent of total billed charges,,5009.4,21,,,Percent of total billed charges,,1168.86,21,,,Percent of total billed charges,,1168.86,64.9,,,Percent of total billed charges,,3612.33,21,,,Percent of total billed charges,,1168.86,45,,,Percent of total billed charges,,2504.7,40.8,5566,
"Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure)",11732,CPT,,,,Outpatient,Facility,,,285,114,66,,,Percent of total billed charges,,188.1,20.8,,,Percent of total billed charges,,59.28,20.4,,,Percent of total billed charges,,58.14,,32.44,,Case rate,,32.44,,9.9,,Case rate,,9.9,80,,,Percent of total billed charges,,228,61.6,,,Percent of total billed charges,,175.56,20.6,,,Percent of total billed charges,,58.71,20.6,,,Percent of total billed charges,,58.71,65.55,,,Percent of total billed charges,,186.82,21,,,Percent of total billed charges,,59.85,90,,,Percent of total billed charges,,256.5,21,,,Percent of total billed charges,,59.85,21,,,Percent of total billed charges,,59.85,64.9,,,Percent of total billed charges,,184.96,21,,,Percent of total billed charges,,59.85,,234.7,,Case rate,,234.7,9.9,285,
"Azathioprine, oral, 50 mg",J7500,HCPCS,,,,Outpatient,Facility,50,ME,4.28,1.71,66,,,Percent of total billed charges,,2.83,20.8,,,Percent of total billed charges,,0.89,20.4,,,Percent of total billed charges,,0.87,,4.39,,Case rate,Use Lesser of logic,4.28,,0.26,,Case rate,,0.26,80,,,Percent of total billed charges,,3.43,61.6,,,Percent of total billed charges,,2.64,20.6,,,Percent of total billed charges,,0.88,20.6,,,Percent of total billed charges,,0.88,65.55,,,Percent of total billed charges,,2.81,21,,,Percent of total billed charges,,0.9,90,,,Percent of total billed charges,,3.85,21,,,Percent of total billed charges,,0.9,21,,,Percent of total billed charges,,0.9,64.9,,,Percent of total billed charges,,2.78,21,,,Percent of total billed charges,,0.9,,2.13,,Case rate,,2.13,0.26,4.28,
"B cells, total count",86355,CPT,,,,Outpatient,Facility,,,290,116,66,,,Percent of total billed charges,,191.4,20.8,,,Percent of total billed charges,,60.32,20.4,,,Percent of total billed charges,,59.16,,37.73,,Case rate,,37.73,,10.43,,Case rate,,10.43,80,,,Percent of total billed charges,,232,61.6,,,Percent of total billed charges,,178.64,20.6,,,Percent of total billed charges,,59.74,20.6,,,Percent of total billed charges,,59.74,65.55,,,Percent of total billed charges,,190.1,21,,,Percent of total billed charges,,60.9,90,,,Percent of total billed charges,,261,21,,,Percent of total billed charges,,60.9,21,,,Percent of total billed charges,,60.9,64.9,,,Percent of total billed charges,,188.21,21,,,Percent of total billed charges,,60.9,,158.19,,Case rate,,158.19,10.43,290,
"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80048,CPT,,,,Outpatient,Facility,,,188,75.2,66,,,Percent of total billed charges,,124.08,20.8,,,Percent of total billed charges,,39.1,20.4,,,Percent of total billed charges,,38.35,,8.46,,Case rate,,8.46,,2.39,,Case rate,,2.39,80,,,Percent of total billed charges,,150.4,61.6,,,Percent of total billed charges,,115.81,20.6,,,Percent of total billed charges,,38.73,20.6,,,Percent of total billed charges,,38.73,65.55,,,Percent of total billed charges,,123.23,21,,,Percent of total billed charges,,39.48,90,,,Percent of total billed charges,,169.2,21,,,Percent of total billed charges,,39.48,21,,,Percent of total billed charges,,39.48,64.9,,,Percent of total billed charges,,122.01,21,,,Percent of total billed charges,,39.48,,45.55,,Case rate,,45.55,2.39,188,
"Biopsy thyroid, percutaneous core needle",60100,CPT,,,,Outpatient,Facility,,,685,274,66,,,Percent of total billed charges,,452.1,20.8,,,Percent of total billed charges,,142.48,20.4,,,Percent of total billed charges,,139.74,,107.71,,Case rate,,107.71,,21.78,,Case rate,,21.78,80,,,Percent of total billed charges,,548,61.6,,,Percent of total billed charges,,421.96,20.6,,,Percent of total billed charges,,141.11,20.6,,,Percent of total billed charges,,141.11,65.55,,,Percent of total billed charges,,449.02,21,,,Percent of total billed charges,,143.85,90,,,Percent of total billed charges,,616.5,21,,,Percent of total billed charges,,143.85,21,,,Percent of total billed charges,,143.85,64.9,,,Percent of total billed charges,,444.56,21,,,Percent of total billed charges,,143.85,,528.7,,Case rate,,528.7,21.78,685,
"Bladder irrigation, simple, lavage and/or instillation",51700,CPT,,,,Outpatient,Facility,,,783,313.2,66,,,Percent of total billed charges,,516.78,20.8,,,Percent of total billed charges,,162.86,20.4,,,Percent of total billed charges,,159.73,,73.38,,Case rate,,73.38,,21.78,,Case rate,,21.78,80,,,Percent of total billed charges,,626.4,61.6,,,Percent of total billed charges,,482.33,20.6,,,Percent of total billed charges,,161.3,20.6,,,Percent of total billed charges,,161.3,65.55,,,Percent of total billed charges,,513.26,21,,,Percent of total billed charges,,164.43,90,,,Percent of total billed charges,,704.7,21,,,Percent of total billed charges,,164.43,21,,,Percent of total billed charges,,164.43,64.9,,,Percent of total billed charges,,508.17,21,,,Percent of total billed charges,,164.43,,528.23,,Case rate,,528.23,21.78,783,
"Blepharotomy, drainage of abscess, eyelid",67700,CPT,,,,Outpatient,Facility,,,3820,1528,66,,,Percent of total billed charges,,2521.2,20.8,,,Percent of total billed charges,,794.56,20.4,,,Percent of total billed charges,,779.28,,272.77,,Case rate,,272.77,,131.31,,Case rate,,131.31,80,,,Percent of total billed charges,,3056,61.6,,,Percent of total billed charges,,2353.12,20.6,,,Percent of total billed charges,,786.92,20.6,,,Percent of total billed charges,,786.92,65.55,,,Percent of total billed charges,,2504.01,21,,,Percent of total billed charges,,802.2,90,,,Percent of total billed charges,,3438,21,,,Percent of total billed charges,,802.2,21,,,Percent of total billed charges,,802.2,64.9,,,Percent of total billed charges,,2479.18,21,,,Percent of total billed charges,,802.2,,3238.31,,Case rate,,3238.31,131.31,3820,
"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant",81209,CPT,,,,Outpatient,Facility,,,141,56.4,66,,,Percent of total billed charges,,93.06,20.8,,,Percent of total billed charges,,29.33,,40.1,,Case rate,,40.1,,39.31,,Case rate,,39.31,,7.9,,Case rate,,7.9,80,,,Percent of total billed charges,,112.8,61.6,,,Percent of total billed charges,,86.86,20.6,,,Percent of total billed charges,,29.05,20.6,,,Percent of total billed charges,,29.05,65.55,,,Percent of total billed charges,,92.43,21,,,Percent of total billed charges,,29.61,90,,,Percent of total billed charges,,126.9,21,,,Percent of total billed charges,,29.61,21,,,Percent of total billed charges,,29.61,64.9,,,Percent of total billed charges,,91.51,21,,,Percent of total billed charges,,29.61,45,,,Percent of total billed charges,,63.45,7.9,141,
"Blood count; blood smear, microscopic examination with manual differential WBC count",85007,CPT,,,,Outpatient,Facility,,,29,11.6,66,,,Percent of total billed charges,,19.14,20.8,,,Percent of total billed charges,,6.03,20.4,,,Percent of total billed charges,,5.92,,3.8,,Case rate,,3.8,,0.71,,Case rate,,0.71,80,,,Percent of total billed charges,,23.2,61.6,,,Percent of total billed charges,,17.86,20.6,,,Percent of total billed charges,,5.97,20.6,,,Percent of total billed charges,,5.97,65.55,,,Percent of total billed charges,,19.01,21,,,Percent of total billed charges,,6.09,90,,,Percent of total billed charges,,26.1,21,,,Percent of total billed charges,,6.09,21,,,Percent of total billed charges,,6.09,64.9,,,Percent of total billed charges,,18.82,21,,,Percent of total billed charges,,6.09,,8.17,,Case rate,,8.17,0.71,29,
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)",85027,CPT,,,,Outpatient,Facility,,,73,29.2,66,,,Percent of total billed charges,,48.18,20.8,,,Percent of total billed charges,,15.18,20.4,,,Percent of total billed charges,,14.89,,6.47,,Case rate,,6.47,,1.33,,Case rate,,1.33,80,,,Percent of total billed charges,,58.4,61.6,,,Percent of total billed charges,,44.97,20.6,,,Percent of total billed charges,,15.04,20.6,,,Percent of total billed charges,,15.04,65.55,,,Percent of total billed charges,,47.85,21,,,Percent of total billed charges,,15.33,90,,,Percent of total billed charges,,65.7,21,,,Percent of total billed charges,,15.33,21,,,Percent of total billed charges,,15.33,64.9,,,Percent of total billed charges,,47.38,21,,,Percent of total billed charges,,15.33,,21.82,,Case rate,,21.82,1.33,73,
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count",85025,CPT,,,,Outpatient,Facility,,,75,30,66,,,Percent of total billed charges,,49.5,20.8,,,Percent of total billed charges,,15.6,20.4,,,Percent of total billed charges,,15.3,,7.77,,Case rate,,7.77,,1.6,,Case rate,,1.6,80,,,Percent of total billed charges,,60,61.6,,,Percent of total billed charges,,46.2,20.6,,,Percent of total billed charges,,15.45,20.6,,,Percent of total billed charges,,15.45,65.55,,,Percent of total billed charges,,49.16,21,,,Percent of total billed charges,,15.75,90,,,Percent of total billed charges,,67.5,21,,,Percent of total billed charges,,15.75,21,,,Percent of total billed charges,,15.75,64.9,,,Percent of total billed charges,,48.68,21,,,Percent of total billed charges,,15.75,,41,,Case rate,,41,1.6,75,
Blood count; hematocrit (Hct),85014,CPT,,,,Outpatient,Facility,,,26,10.4,66,,,Percent of total billed charges,,17.16,20.8,,,Percent of total billed charges,,5.41,20.4,,,Percent of total billed charges,,5.3,,2.37,,Case rate,,2.37,,0.49,,Case rate,,0.49,80,,,Percent of total billed charges,,20.8,61.6,,,Percent of total billed charges,,16.02,20.6,,,Percent of total billed charges,,5.36,20.6,,,Percent of total billed charges,,5.36,65.55,,,Percent of total billed charges,,17.04,21,,,Percent of total billed charges,,5.46,90,,,Percent of total billed charges,,23.4,21,,,Percent of total billed charges,,5.46,21,,,Percent of total billed charges,,5.46,64.9,,,Percent of total billed charges,,16.87,21,,,Percent of total billed charges,,5.46,,17.04,,Case rate,,17.04,0.49,26,
"Blood count; leukocyte (WBC), automated",85048,CPT,,,,Outpatient,Facility,,,24,9.6,66,,,Percent of total billed charges,,15.84,20.8,,,Percent of total billed charges,,4.99,20.4,,,Percent of total billed charges,,4.9,,2.54,,Case rate,,2.54,,0.53,,Case rate,,0.53,80,,,Percent of total billed charges,,19.2,61.6,,,Percent of total billed charges,,14.78,20.6,,,Percent of total billed charges,,4.94,20.6,,,Percent of total billed charges,,4.94,65.55,,,Percent of total billed charges,,15.73,21,,,Percent of total billed charges,,5.04,90,,,Percent of total billed charges,,21.6,21,,,Percent of total billed charges,,5.04,21,,,Percent of total billed charges,,5.04,64.9,,,Percent of total billed charges,,15.58,21,,,Percent of total billed charges,,5.04,,4.13,,Case rate,,4.13,0.53,24,
"Blood count; reticulocyte, automated",85045,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,3.99,,Case rate,,3.99,,1.16,,Case rate,,1.16,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,17.41,,Case rate,,17.41,1.16,92,
"Blood count; reticulocyte, manual",85044,CPT,,,,Outpatient,Facility,,,59,23.6,66,,,Percent of total billed charges,,38.94,20.8,,,Percent of total billed charges,,12.27,20.4,,,Percent of total billed charges,,12.04,,4.31,,Case rate,,4.31,,0.89,,Case rate,,0.89,80,,,Percent of total billed charges,,47.2,61.6,,,Percent of total billed charges,,36.34,20.6,,,Percent of total billed charges,,12.15,20.6,,,Percent of total billed charges,,12.15,65.55,,,Percent of total billed charges,,38.67,21,,,Percent of total billed charges,,12.39,90,,,Percent of total billed charges,,53.1,21,,,Percent of total billed charges,,12.39,21,,,Percent of total billed charges,,12.39,64.9,,,Percent of total billed charges,,38.29,21,,,Percent of total billed charges,,12.39,,12.54,,Case rate,,12.54,0.89,59,
"Blood typing, serologic; ABO",86900,CPT,,,,Outpatient,Facility,,,107,42.8,66,,,Percent of total billed charges,,70.62,20.8,,,Percent of total billed charges,,22.26,20.4,,,Percent of total billed charges,,21.83,,2.99,,Case rate,,2.99,,0.61,,Case rate,,0.61,80,,,Percent of total billed charges,,85.6,61.6,,,Percent of total billed charges,,65.91,20.6,,,Percent of total billed charges,,22.04,20.6,,,Percent of total billed charges,,22.04,65.55,,,Percent of total billed charges,,70.14,21,,,Percent of total billed charges,,22.47,90,,,Percent of total billed charges,,96.3,21,,,Percent of total billed charges,,22.47,21,,,Percent of total billed charges,,22.47,64.9,,,Percent of total billed charges,,69.44,21,,,Percent of total billed charges,,22.47,,19.36,,Case rate,,19.36,0.61,107,
"Blood typing, serologic; Rh phenotyping, complete",86906,CPT,,,,Outpatient,Facility,,,90,36,66,,,Percent of total billed charges,,59.4,20.8,,,Percent of total billed charges,,18.72,20.4,,,Percent of total billed charges,,18.36,,7.75,,Case rate,,7.75,,2.25,,Case rate,,2.25,80,,,Percent of total billed charges,,72,61.6,,,Percent of total billed charges,,55.44,20.6,,,Percent of total billed charges,,18.54,20.6,,,Percent of total billed charges,,18.54,65.55,,,Percent of total billed charges,,59,21,,,Percent of total billed charges,,18.9,90,,,Percent of total billed charges,,81,21,,,Percent of total billed charges,,18.9,21,,,Percent of total billed charges,,18.9,64.9,,,Percent of total billed charges,,58.41,21,,,Percent of total billed charges,,18.9,,57.11,,Case rate,,57.11,2.25,90,
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)",82270,CPT,,,,Outpatient,Facility,,,24,9.6,66,,,Percent of total billed charges,,15.84,20.8,,,Percent of total billed charges,,4.99,20.4,,,Percent of total billed charges,,4.9,,4.38,,Case rate,,4.38,,0.52,,Case rate,,0.52,80,,,Percent of total billed charges,,19.2,61.6,,,Percent of total billed charges,,14.78,20.6,,,Percent of total billed charges,,4.94,20.6,,,Percent of total billed charges,,4.94,65.55,,,Percent of total billed charges,,15.73,21,,,Percent of total billed charges,,5.04,90,,,Percent of total billed charges,,21.6,21,,,Percent of total billed charges,,5.04,21,,,Percent of total billed charges,,5.04,64.9,,,Percent of total billed charges,,15.58,21,,,Percent of total billed charges,,5.04,,3.76,,Case rate,,3.76,0.52,24,
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources",82271,CPT,,,,Outpatient,Facility,,,23,9.2,66,,,Percent of total billed charges,,15.18,20.8,,,Percent of total billed charges,,4.78,20.4,,,Percent of total billed charges,,4.69,,5.32,,Case rate,,5.32,,0.9,,Case rate,,0.9,80,,,Percent of total billed charges,,18.4,61.6,,,Percent of total billed charges,,14.17,20.6,,,Percent of total billed charges,,4.74,20.6,,,Percent of total billed charges,,4.74,65.55,,,Percent of total billed charges,,15.08,21,,,Percent of total billed charges,,4.83,90,,,Percent of total billed charges,,20.7,21,,,Percent of total billed charges,,4.83,21,,,Percent of total billed charges,,4.83,64.9,,,Percent of total billed charges,,14.93,21,,,Percent of total billed charges,,4.83,,33.57,,Case rate,,33.57,0.9,33.57,
Bone age studies,77072,CPT,32077072,CDM,TC,Outpatient,Facility,,,146,58.4,66,,,Percent of total billed charges,,96.36,20.8,,,Percent of total billed charges,,30.37,20.4,,,Percent of total billed charges,,29.78,,16.12,,Case rate,,16.12,,2.43,,Case rate,,2.43,80,,,Percent of total billed charges,,116.8,61.6,,,Percent of total billed charges,,89.94,20.6,,,Percent of total billed charges,,30.08,20.6,,,Percent of total billed charges,,30.08,65.55,,,Percent of total billed charges,,95.7,21,,,Percent of total billed charges,,30.66,90,,,Percent of total billed charges,,131.4,21,,,Percent of total billed charges,,30.66,21,,,Percent of total billed charges,,30.66,64.9,,,Percent of total billed charges,,94.75,21,,,Percent of total billed charges,,30.66,,117.33,,Case rate,,117.33,2.43,146,
Bone and/or joint imaging; whole body,78306,CPT,,,,Outpatient,Facility,,,1125,450,66,,,Percent of total billed charges,,742.5,20.8,,,Percent of total billed charges,,234,20.4,,,Percent of total billed charges,,229.5,,223.18,,Case rate,,223.18,,25.07,,Case rate,,25.07,80,,,Percent of total billed charges,,900,61.6,,,Percent of total billed charges,,693,20.6,,,Percent of total billed charges,,231.75,20.6,,,Percent of total billed charges,,231.75,65.55,,,Percent of total billed charges,,737.44,21,,,Percent of total billed charges,,236.25,90,,,Percent of total billed charges,,1012.5,21,,,Percent of total billed charges,,236.25,21,,,Percent of total billed charges,,236.25,64.9,,,Percent of total billed charges,,730.12,21,,,Percent of total billed charges,,236.25,,624.34,,Case rate,,624.34,25.07,1125,
Bone and/or joint imaging; whole body,78306,CPT,34178306,CDM,TC,Outpatient,Facility,,,1125,450,66,,,Percent of total billed charges,,742.5,20.8,,,Percent of total billed charges,,234,20.4,,,Percent of total billed charges,,229.5,,223.18,,Case rate,,223.18,,25.07,,Case rate,,25.07,80,,,Percent of total billed charges,,900,61.6,,,Percent of total billed charges,,693,20.6,,,Percent of total billed charges,,231.75,20.6,,,Percent of total billed charges,,231.75,65.55,,,Percent of total billed charges,,737.44,21,,,Percent of total billed charges,,236.25,90,,,Percent of total billed charges,,1012.5,21,,,Percent of total billed charges,,236.25,21,,,Percent of total billed charges,,236.25,64.9,,,Percent of total billed charges,,730.12,21,,,Percent of total billed charges,,236.25,,624.34,,Case rate,,624.34,25.07,1125,
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,,,,Outpatient,Facility,,,499,199.6,66,,,Percent of total billed charges,,329.34,20.8,,,Percent of total billed charges,,103.79,20.4,,,Percent of total billed charges,,101.8,,30.34,,Case rate,,30.34,,5.18,,Case rate,,5.18,80,,,Percent of total billed charges,,399.2,61.6,,,Percent of total billed charges,,307.38,20.6,,,Percent of total billed charges,,102.79,20.6,,,Percent of total billed charges,,102.79,65.55,,,Percent of total billed charges,,327.09,21,,,Percent of total billed charges,,104.79,90,,,Percent of total billed charges,,449.1,21,,,Percent of total billed charges,,104.79,21,,,Percent of total billed charges,,104.79,64.9,,,Percent of total billed charges,,323.85,21,,,Percent of total billed charges,,104.79,,423.12,,Case rate,,423.12,5.18,499,
"Bone length studies (orthoroentgenogram, scanogram)",77073,CPT,32077073,CDM,TC,Outpatient,Facility,,,499,199.6,66,,,Percent of total billed charges,,329.34,20.8,,,Percent of total billed charges,,103.79,20.4,,,Percent of total billed charges,,101.8,,30.34,,Case rate,,30.34,,5.18,,Case rate,,5.18,80,,,Percent of total billed charges,,399.2,61.6,,,Percent of total billed charges,,307.38,20.6,,,Percent of total billed charges,,102.79,20.6,,,Percent of total billed charges,,102.79,65.55,,,Percent of total billed charges,,327.09,21,,,Percent of total billed charges,,104.79,90,,,Percent of total billed charges,,449.1,21,,,Percent of total billed charges,,104.79,21,,,Percent of total billed charges,,104.79,64.9,,,Percent of total billed charges,,323.85,21,,,Percent of total billed charges,,104.79,,423.12,,Case rate,,423.12,5.18,499,
"Brain imaging, vascular flow only",78610,CPT,,,,Outpatient,Facility,,,783,313.2,66,,,Percent of total billed charges,,516.78,20.8,,,Percent of total billed charges,,162.86,20.4,,,Percent of total billed charges,,159.73,,142.87,,Case rate,,142.87,,11.44,,Case rate,,11.44,80,,,Percent of total billed charges,,626.4,61.6,,,Percent of total billed charges,,482.33,20.6,,,Percent of total billed charges,,161.3,20.6,,,Percent of total billed charges,,161.3,65.55,,,Percent of total billed charges,,513.26,21,,,Percent of total billed charges,,164.43,90,,,Percent of total billed charges,,704.7,21,,,Percent of total billed charges,,164.43,21,,,Percent of total billed charges,,164.43,64.9,,,Percent of total billed charges,,508.17,21,,,Percent of total billed charges,,164.43,,288.05,,Case rate,,288.05,11.44,783,
"Brain imaging, vascular flow only",78610,CPT,34178610,CDM,TC,Outpatient,Facility,,,783,313.2,66,,,Percent of total billed charges,,516.78,20.8,,,Percent of total billed charges,,162.86,20.4,,,Percent of total billed charges,,159.73,,142.87,,Case rate,,142.87,,11.44,,Case rate,,11.44,80,,,Percent of total billed charges,,626.4,61.6,,,Percent of total billed charges,,482.33,20.6,,,Percent of total billed charges,,161.3,20.6,,,Percent of total billed charges,,161.3,65.55,,,Percent of total billed charges,,513.26,21,,,Percent of total billed charges,,164.43,90,,,Percent of total billed charges,,704.7,21,,,Percent of total billed charges,,164.43,21,,,Percent of total billed charges,,164.43,64.9,,,Percent of total billed charges,,508.17,21,,,Percent of total billed charges,,164.43,,288.05,,Case rate,,288.05,11.44,783,
bronchitis and asthma with cc/mcc,202,MS-DRG,,,,Inpatient,Facility,,,15675.73,6270.29,,8619.42,,Case rate,DRG Factor * DRG Weight,8619.42,,1758.64,,Per Diem,,5275.92,,1724.82,,Per Diem,,5174.46,,10736.78,,Case rate,DRG Factor * DRG Weight,10736.78,,1674.09,,Per Diem,,5022.27,80,,,Percent of total billed charges,,12540.58,61.6,,,Percent of total billed charges,,9656.25,,1741.73,,Per Diem,,5225.19,,1741.73,,Per Diem,,5225.19,65.55,,,Percent of total billed charges,,10275.44,,2079,,Per Diem,,6237,90,,,Percent of total billed charges,,14108.16,,2079,,Per Diem,,6237,,2079,,Per Diem,,6237,64.9,,,Percent of total billed charges,,10173.55,,2079,,Per Diem,,6237,,9241.06,,Case rate,DRG Factor * DRG Weight,9241.06,5022.27,15675.73,
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,,,,Outpatient,Facility,,,636,254.4,66,,,Percent of total billed charges,,419.76,20.8,,,Percent of total billed charges,,132.29,20.4,,,Percent of total billed charges,,129.74,,26.87,,Case rate,,26.87,,5.22,,Case rate,,5.22,80,,,Percent of total billed charges,,508.8,61.6,,,Percent of total billed charges,,391.78,20.6,,,Percent of total billed charges,,131.02,20.6,,,Percent of total billed charges,,131.02,65.55,,,Percent of total billed charges,,416.9,21,,,Percent of total billed charges,,133.56,90,,,Percent of total billed charges,,572.4,21,,,Percent of total billed charges,,133.56,21,,,Percent of total billed charges,,133.56,64.9,,,Percent of total billed charges,,412.76,21,,,Percent of total billed charges,,133.56,,117,,Case rate,,117,5.22,636,
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",94060,CPT,46094060,CDM,TC,Outpatient,Facility,,,636,254.4,66,,,Percent of total billed charges,,419.76,20.8,,,Percent of total billed charges,,132.29,20.4,,,Percent of total billed charges,,129.74,,26.87,,Case rate,,26.87,,5.22,,Case rate,,5.22,80,,,Percent of total billed charges,,508.8,61.6,,,Percent of total billed charges,,391.78,20.6,,,Percent of total billed charges,,131.02,20.6,,,Percent of total billed charges,,131.02,65.55,,,Percent of total billed charges,,416.9,21,,,Percent of total billed charges,,133.56,90,,,Percent of total billed charges,,572.4,21,,,Percent of total billed charges,,133.56,21,,,Percent of total billed charges,,133.56,64.9,,,Percent of total billed charges,,412.76,21,,,Percent of total billed charges,,133.56,,117,,Case rate,,117,5.22,636,
"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",J7626,HCPCS,,,,Outpatient,Facility,0.5,ME,58.08,23.23,66,,,Percent of total billed charges,,38.33,20.8,,,Percent of total billed charges,,12.08,20.4,,,Percent of total billed charges,,11.85,,4.56,,Case rate,,4.56,,23.3,,Case rate,,23.3,80,,,Percent of total billed charges,,46.46,61.6,,,Percent of total billed charges,,35.78,20.6,,,Percent of total billed charges,,11.96,20.6,,,Percent of total billed charges,,11.96,65.55,,,Percent of total billed charges,,38.07,21,,,Percent of total billed charges,,12.2,90,,,Percent of total billed charges,,52.27,21,,,Percent of total billed charges,,12.2,21,,,Percent of total billed charges,,12.2,64.9,,,Percent of total billed charges,,37.69,21,,,Percent of total billed charges,,12.2,,1.38,,Case rate,,1.38,1.38,58.08,
Cadmium,82300,CPT,,,,Outpatient,Facility,,,116,46.4,66,,,Percent of total billed charges,,76.56,20.8,,,Percent of total billed charges,,24.13,20.4,,,Percent of total billed charges,,23.66,,23.64,,Case rate,,23.64,,3.88,,Case rate,,3.88,80,,,Percent of total billed charges,,92.8,61.6,,,Percent of total billed charges,,71.46,20.6,,,Percent of total billed charges,,23.9,20.6,,,Percent of total billed charges,,23.9,65.55,,,Percent of total billed charges,,76.04,21,,,Percent of total billed charges,,24.36,90,,,Percent of total billed charges,,104.4,21,,,Percent of total billed charges,,24.36,21,,,Percent of total billed charges,,24.36,64.9,,,Percent of total billed charges,,75.28,21,,,Percent of total billed charges,,24.36,,93.37,,Case rate,,93.37,3.88,116,
"Calcium; urine quantitative, timed specimen",82340,CPT,,,,Outpatient,Facility,,,53,21.2,66,,,Percent of total billed charges,,34.98,20.8,,,Percent of total billed charges,,11.02,20.4,,,Percent of total billed charges,,10.81,,6.03,,Case rate,,6.03,,1.24,,Case rate,,1.24,80,,,Percent of total billed charges,,42.4,61.6,,,Percent of total billed charges,,32.65,20.6,,,Percent of total billed charges,,10.92,20.6,,,Percent of total billed charges,,10.92,65.55,,,Percent of total billed charges,,34.74,21,,,Percent of total billed charges,,11.13,90,,,Percent of total billed charges,,47.7,21,,,Percent of total billed charges,,11.13,21,,,Percent of total billed charges,,11.13,64.9,,,Percent of total billed charges,,34.4,21,,,Percent of total billed charges,,11.13,,20.1,,Case rate,,20.1,1.24,53,
"Cannabinoids, natural",80349,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,12.62,,Case rate,,12.62,,0.94,,Case rate,,0.94,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,45,,,Percent of total billed charges,,41.4,0.94,92,
Carbamazepine; free,80157,CPT,,,,Outpatient,Facility,,,81,32.4,66,,,Percent of total billed charges,,53.46,20.8,,,Percent of total billed charges,,16.85,20.4,,,Percent of total billed charges,,16.52,,13.25,,Case rate,,13.25,,2.81,,Case rate,,2.81,80,,,Percent of total billed charges,,64.8,61.6,,,Percent of total billed charges,,49.9,20.6,,,Percent of total billed charges,,16.69,20.6,,,Percent of total billed charges,,16.69,65.55,,,Percent of total billed charges,,53.1,21,,,Percent of total billed charges,,17.01,90,,,Percent of total billed charges,,72.9,21,,,Percent of total billed charges,,17.01,21,,,Percent of total billed charges,,17.01,64.9,,,Percent of total billed charges,,52.57,21,,,Percent of total billed charges,,17.01,,43.69,,Case rate,,43.69,2.81,81,
Carcinoembryonic antigen (CEA),82378,CPT,,,,Outpatient,Facility,,,221,88.4,66,,,Percent of total billed charges,,145.86,20.8,,,Percent of total billed charges,,45.97,20.4,,,Percent of total billed charges,,45.08,,18.96,,Case rate,,18.96,,3.9,,Case rate,,3.9,80,,,Percent of total billed charges,,176.8,61.6,,,Percent of total billed charges,,136.14,20.6,,,Percent of total billed charges,,45.53,20.6,,,Percent of total billed charges,,45.53,65.55,,,Percent of total billed charges,,144.87,21,,,Percent of total billed charges,,46.41,90,,,Percent of total billed charges,,198.9,21,,,Percent of total billed charges,,46.41,21,,,Percent of total billed charges,,46.41,64.9,,,Percent of total billed charges,,143.43,21,,,Percent of total billed charges,,46.41,,94.3,,Case rate,,94.3,3.9,221,
cardiac arrhythmia and conduction disorders with cc,309,MS-DRG,,,,Inpatient,Facility,,,6796.8,2718.72,,6703.79,,Case rate,DRG Factor * DRG Weight,6703.79,,1758.64,,Per Diem,,3517.28,,1724.82,,Per Diem,,3449.64,,8459.79,,Case rate,DRG Factor * DRG Weight,8459.79,,1674.09,,Per Diem,,3348.18,80,,,Percent of total billed charges,,5437.44,61.6,,,Percent of total billed charges,,4186.83,,1741.73,,Per Diem,,3483.46,,1741.73,,Per Diem,,3483.46,65.55,,,Percent of total billed charges,,4455.3,,2079,,Per Diem,,4158,90,,,Percent of total billed charges,,6117.12,,2079,,Per Diem,,4158,,2079,,Per Diem,,4158,64.9,,,Percent of total billed charges,,4411.12,,2079,,Per Diem,,4158,,7187.28,,Case rate,DRG Factor * DRG Weight,7187.28,3348.18,8459.79,
cardiac arrhythmia and conduction disorders with mcc,308,MS-DRG,,,,Inpatient,Facility,,,20417.93,8167.17,,10822.2,,Case rate,DRG Factor * DRG Weight,10822.2,,1758.64,,Per Diem,,10551.84,,1724.82,,Per Diem,,10348.92,,13379.43,,Case rate,DRG Factor * DRG Weight,13379.43,,1674.09,,Per Diem,,10044.54,80,,,Percent of total billed charges,,16334.35,61.6,,,Percent of total billed charges,,12577.45,,1741.73,,Per Diem,,10450.38,,1741.73,,Per Diem,,10450.38,65.55,,,Percent of total billed charges,,13383.96,,2079,,Per Diem,,12474,90,,,Percent of total billed charges,,18376.14,,2079,,Per Diem,,12474,,2079,,Per Diem,,12474,64.9,,,Percent of total billed charges,,13251.24,,2079,,Per Diem,,12474,,11602.72,,Case rate,DRG Factor * DRG Weight,11602.72,10044.54,20417.93,
"Cardiopulmonary exercise testing, including measurements of minute ventilation, CO2 production, O2 uptake, and electrocardiographic recordings",94621,CPT,,,,Outpatient,Facility,,,575,230,66,,,Percent of total billed charges,,379.5,20.8,,,Percent of total billed charges,,119.6,20.4,,,Percent of total billed charges,,117.3,,81.22,,Case rate,,81.22,,7.41,,Case rate,,7.41,80,,,Percent of total billed charges,,460,61.6,,,Percent of total billed charges,,354.2,20.6,,,Percent of total billed charges,,118.45,20.6,,,Percent of total billed charges,,118.45,65.55,,,Percent of total billed charges,,376.91,21,,,Percent of total billed charges,,120.75,90,,,Percent of total billed charges,,517.5,21,,,Percent of total billed charges,,120.75,21,,,Percent of total billed charges,,120.75,64.9,,,Percent of total billed charges,,373.18,21,,,Percent of total billed charges,,120.75,,183.91,,Case rate,,183.91,7.41,575,
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report",93017,CPT,,,,Outpatient,Facility,,,1243,497.2,66,,,Percent of total billed charges,,820.38,20.8,,,Percent of total billed charges,,258.54,20.4,,,Percent of total billed charges,,253.57,,33.81,,Case rate,,33.81,,5.21,,Case rate,,5.21,80,,,Percent of total billed charges,,994.4,61.6,,,Percent of total billed charges,,765.69,20.6,,,Percent of total billed charges,,256.06,20.6,,,Percent of total billed charges,,256.06,65.55,,,Percent of total billed charges,,814.79,21,,,Percent of total billed charges,,261.03,90,,,Percent of total billed charges,,1118.7,21,,,Percent of total billed charges,,261.03,21,,,Percent of total billed charges,,261.03,64.9,,,Percent of total billed charges,,806.71,21,,,Percent of total billed charges,,261.03,,131.68,,Case rate,,131.68,5.21,1243,
"Cardioversion, elective, electrical conversion of arrhythmia; external",92960,CPT,,,,Outpatient,Facility,,,1075,430,66,,,Percent of total billed charges,,709.5,20.8,,,Percent of total billed charges,,223.6,20.4,,,Percent of total billed charges,,219.3,,150.45,,Case rate,,150.45,,36.8,,Case rate,,36.8,80,,,Percent of total billed charges,,860,61.6,,,Percent of total billed charges,,662.2,20.6,,,Percent of total billed charges,,221.45,20.6,,,Percent of total billed charges,,221.45,65.55,,,Percent of total billed charges,,704.66,21,,,Percent of total billed charges,,225.75,90,,,Percent of total billed charges,,967.5,21,,,Percent of total billed charges,,225.75,21,,,Percent of total billed charges,,225.75,64.9,,,Percent of total billed charges,,697.68,21,,,Percent of total billed charges,,225.75,,879.94,,Case rate,,879.94,36.8,1075,
"Carnitine (total and free), quantitative, each specimen",82379,CPT,,,,Outpatient,Facility,,,160,64,66,,,Percent of total billed charges,,105.6,20.8,,,Percent of total billed charges,,33.28,,17.21,,Case rate,,17.21,,16.87,,Case rate,,16.87,,4.77,,Case rate,,4.77,80,,,Percent of total billed charges,,128,61.6,,,Percent of total billed charges,,98.56,20.6,,,Percent of total billed charges,,32.96,20.6,,,Percent of total billed charges,,32.96,65.55,,,Percent of total billed charges,,104.88,21,,,Percent of total billed charges,,33.6,90,,,Percent of total billed charges,,144,21,,,Percent of total billed charges,,33.6,21,,,Percent of total billed charges,,33.6,64.9,,,Percent of total billed charges,,103.84,21,,,Percent of total billed charges,,33.6,,113.43,,Case rate,,113.43,4.77,160,
Carotene,82380,CPT,,,,Outpatient,Facility,,,62,24.8,66,,,Percent of total billed charges,,40.92,20.8,,,Percent of total billed charges,,12.9,20.4,,,Percent of total billed charges,,12.65,,9.22,,Case rate,,9.22,,1.9,,Case rate,,1.9,80,,,Percent of total billed charges,,49.6,61.6,,,Percent of total billed charges,,38.19,20.6,,,Percent of total billed charges,,12.77,20.6,,,Percent of total billed charges,,12.77,65.55,,,Percent of total billed charges,,40.64,21,,,Percent of total billed charges,,13.02,90,,,Percent of total billed charges,,55.8,21,,,Percent of total billed charges,,13.02,21,,,Percent of total billed charges,,13.02,64.9,,,Percent of total billed charges,,40.24,21,,,Percent of total billed charges,,13.02,,35.1,,Case rate,,35.1,1.9,62,
Catecholamines; total urine,82382,CPT,,,,Outpatient,Facility,,,238,95.2,66,,,Percent of total billed charges,,157.08,20.8,,,Percent of total billed charges,,49.5,20.4,,,Percent of total billed charges,,48.55,,27.3,,Case rate,,27.3,,4.98,,Case rate,,4.98,80,,,Percent of total billed charges,,190.4,61.6,,,Percent of total billed charges,,146.61,20.6,,,Percent of total billed charges,,49.03,20.6,,,Percent of total billed charges,,49.03,65.55,,,Percent of total billed charges,,156.01,21,,,Percent of total billed charges,,49.98,90,,,Percent of total billed charges,,214.2,21,,,Percent of total billed charges,,49.98,21,,,Percent of total billed charges,,49.98,64.9,,,Percent of total billed charges,,154.46,21,,,Percent of total billed charges,,49.98,,119.93,,Case rate,,119.93,4.98,238,
Catheter aspiration (separate procedure); nasotracheal,31720,CPT,,,,Outpatient,Facility,,,1752,700.8,66,,,Percent of total billed charges,,1156.32,20.8,,,Percent of total billed charges,,364.42,20.4,,,Percent of total billed charges,,357.41,,47.55,,Case rate,,47.55,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1401.6,61.6,,,Percent of total billed charges,,1079.23,20.6,,,Percent of total billed charges,,360.91,20.6,,,Percent of total billed charges,,360.91,65.55,,,Percent of total billed charges,,1148.44,21,,,Percent of total billed charges,,367.92,90,,,Percent of total billed charges,,1576.8,21,,,Percent of total billed charges,,367.92,21,,,Percent of total billed charges,,367.92,64.9,,,Percent of total billed charges,,1137.05,21,,,Percent of total billed charges,,367.92,,1419.83,,Case rate,,1419.83,47.55,1752,
"Catheter, drainage",C1729,CPT,,,,Outpatient,Facility,,,5104,2041.6,66,,,Percent of total billed charges,,3368.64,20.8,,,Percent of total billed charges,,1061.63,20.4,,,Percent of total billed charges,,1041.22,48.3,,,Percent of total billed charges,,2465.23,,8.23,,Case rate,,8.23,80,,,Percent of total billed charges,,4083.2,61.6,,,Percent of total billed charges,,3144.06,20.6,,,Percent of total billed charges,,1051.42,20.6,,,Percent of total billed charges,,1051.42,65.55,,,Percent of total billed charges,,3345.67,21,,,Percent of total billed charges,,1071.84,90,,,Percent of total billed charges,,4593.6,21,,,Percent of total billed charges,,1071.84,21,,,Percent of total billed charges,,1071.84,64.9,,,Percent of total billed charges,,3312.5,21,,,Percent of total billed charges,,1071.84,,237.95,,Case rate,,237.95,8.23,5104,
"CEBPA (CCAAT/enhancer binding protein [C/EBP], alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence",81218,CPT,,,,Outpatient,Facility,,,1008,403.2,66,,,Percent of total billed charges,,665.28,20.8,,,Percent of total billed charges,,209.66,20.4,,,Percent of total billed charges,,205.63,,241.9,,Case rate,,241.9,,24.53,,Case rate,,24.53,80,,,Percent of total billed charges,,806.4,61.6,,,Percent of total billed charges,,620.93,20.6,,,Percent of total billed charges,,207.65,20.6,,,Percent of total billed charges,,207.65,65.55,,,Percent of total billed charges,,660.74,21,,,Percent of total billed charges,,211.68,90,,,Percent of total billed charges,,907.2,21,,,Percent of total billed charges,,211.68,21,,,Percent of total billed charges,,211.68,64.9,,,Percent of total billed charges,,654.19,21,,,Percent of total billed charges,,211.68,,937.56,,Case rate,,937.56,24.53,1008,
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood",89050,CPT,,,,Outpatient,Facility,,,58,23.2,66,,,Percent of total billed charges,,38.28,20.8,,,Percent of total billed charges,,12.06,20.4,,,Percent of total billed charges,,11.83,,4.72,,Case rate,,4.72,,0.97,,Case rate,,0.97,80,,,Percent of total billed charges,,46.4,61.6,,,Percent of total billed charges,,35.73,20.6,,,Percent of total billed charges,,11.95,20.6,,,Percent of total billed charges,,11.95,65.55,,,Percent of total billed charges,,38.02,21,,,Percent of total billed charges,,12.18,90,,,Percent of total billed charges,,52.2,21,,,Percent of total billed charges,,12.18,21,,,Percent of total billed charges,,12.18,64.9,,,Percent of total billed charges,,37.64,21,,,Percent of total billed charges,,12.18,,26.23,,Case rate,,26.23,0.97,58,
"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood)",86152,CPT,,,,Outpatient,Facility,,,961,384.4,66,,,Percent of total billed charges,,634.26,20.8,,,Percent of total billed charges,,199.89,20.4,,,Percent of total billed charges,,196.04,,250.78,,Case rate,,250.78,,24.07,,Case rate,,24.07,80,,,Percent of total billed charges,,768.8,61.6,,,Percent of total billed charges,,591.98,20.6,,,Percent of total billed charges,,197.97,20.6,,,Percent of total billed charges,,197.97,65.55,,,Percent of total billed charges,,629.94,21,,,Percent of total billed charges,,201.81,90,,,Percent of total billed charges,,864.9,21,,,Percent of total billed charges,,201.81,21,,,Percent of total billed charges,,201.81,64.9,,,Percent of total billed charges,,623.69,21,,,Percent of total billed charges,,201.81,,1360.63,,Case rate,,1360.63,24.07,1360.63,
"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP)",86352,CPT,,,,Outpatient,Facility,,,662,264.8,66,,,Percent of total billed charges,,436.92,20.8,,,Percent of total billed charges,,137.7,20.4,,,Percent of total billed charges,,135.05,,135.86,,Case rate,,135.86,,19.27,,Case rate,,19.27,80,,,Percent of total billed charges,,529.6,61.6,,,Percent of total billed charges,,407.79,20.6,,,Percent of total billed charges,,136.37,20.6,,,Percent of total billed charges,,136.37,65.55,,,Percent of total billed charges,,433.94,21,,,Percent of total billed charges,,139.02,90,,,Percent of total billed charges,,595.8,21,,,Percent of total billed charges,,139.02,21,,,Percent of total billed charges,,139.02,64.9,,,Percent of total billed charges,,429.64,21,,,Percent of total billed charges,,139.02,,201.46,,Case rate,,201.46,19.27,662,
cellulitis with mcc,602,MS-DRG,,,,Inpatient,Facility,,,13246.33,5298.53,,13390.48,,Case rate,DRG Factor * DRG Weight,13390.48,,1758.64,,Per Diem,,5275.92,,1724.82,,Per Diem,,5174.46,,16853.1,,Case rate,DRG Factor * DRG Weight,16853.1,,1674.09,,Per Diem,,5022.27,80,,,Percent of total billed charges,,10597.07,61.6,,,Percent of total billed charges,,8159.74,,1741.73,,Per Diem,,5225.19,,1741.73,,Per Diem,,5225.19,65.55,,,Percent of total billed charges,,8682.97,,2079,,Per Diem,,6237,90,,,Percent of total billed charges,,11921.7,,2079,,Per Diem,,6237,,2079,,Per Diem,,6237,64.9,,,Percent of total billed charges,,8596.87,,2079,,Per Diem,,6237,,14356.22,,Case rate,DRG Factor * DRG Weight,14356.22,5022.27,16853.1,
cellulitis without mcc,603,MS-DRG,,,,Inpatient,Facility,,,9721.05,3888.42,,7964.07,,Case rate,DRG Factor * DRG Weight,7964.07,,1758.64,,Per Diem,,5275.92,,1724.82,,Per Diem,,5174.46,,7794.97,,Case rate,DRG Factor * DRG Weight,7794.97,,1674.09,,Per Diem,,5022.27,80,,,Percent of total billed charges,,7776.84,61.6,,,Percent of total billed charges,,5988.17,,1741.73,,Per Diem,,5225.19,,1741.73,,Per Diem,,5225.19,65.55,,,Percent of total billed charges,,6372.15,,2079,,Per Diem,,6237,90,,,Percent of total billed charges,,8748.94,,2079,,Per Diem,,6237,,2079,,Per Diem,,6237,64.9,,,Percent of total billed charges,,6308.96,,2079,,Per Diem,,6237,,8538.45,,Case rate,DRG Factor * DRG Weight,8538.45,5022.27,9721.05,
Ceruloplasmin,82390,CPT,,,,Outpatient,Facility,,,96,38.4,66,,,Percent of total billed charges,,63.36,20.8,,,Percent of total billed charges,,19.97,20.4,,,Percent of total billed charges,,19.58,,10.74,,Case rate,,10.74,,2.21,,Case rate,,2.21,80,,,Percent of total billed charges,,76.8,61.6,,,Percent of total billed charges,,59.14,20.6,,,Percent of total billed charges,,19.78,20.6,,,Percent of total billed charges,,19.78,65.55,,,Percent of total billed charges,,62.93,21,,,Percent of total billed charges,,20.16,90,,,Percent of total billed charges,,86.4,21,,,Percent of total billed charges,,20.16,21,,,Percent of total billed charges,,20.16,64.9,,,Percent of total billed charges,,62.3,21,,,Percent of total billed charges,,20.16,,55.62,,Case rate,,55.62,2.21,96,
cesarean section with cc/mcc,765,MS-DRG,,,,Inpatient,Facility,,,29906,11962.4,,,,Case rate,DRG Factor * DRG Weight,,,1758.64,,Per Diem,,3517.28,,1724.82,,Per Diem,,3449.64,,,,Case rate,DRG Factor * DRG Weight,,,1674.09,,Per Diem,,3348.18,80,,,Percent of total billed charges,,23924.8,61.6,,,Percent of total billed charges,,18422.1,,1741.73,,Per Diem,,3483.46,,1741.73,,Per Diem,,3483.46,65.55,,,Percent of total billed charges,,19603.38,,2079,,Per Diem,,4158,90,,,Percent of total billed charges,,26915.4,,2079,,Per Diem,,4158,,2079,,Per Diem,,4158,64.9,,,Percent of total billed charges,,19409,,2079,,Per Diem,,4158,,,,Case rate,DRG Factor * DRG Weight,,3348.18,29906,
"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence",81223,CPT,,,,Outpatient,Facility,,,3202,1280.8,66,,,Percent of total billed charges,,2113.32,20.8,,,Percent of total billed charges,,666.02,20.4,,,Percent of total billed charges,,653.21,,499,,Case rate,,499,,223.99,,Case rate,,223.99,80,,,Percent of total billed charges,,2561.6,61.6,,,Percent of total billed charges,,1972.43,20.6,,,Percent of total billed charges,,659.61,20.6,,,Percent of total billed charges,,659.61,65.55,,,Percent of total billed charges,,2098.91,21,,,Percent of total billed charges,,672.42,90,,,Percent of total billed charges,,2881.8,21,,,Percent of total billed charges,,672.42,21,,,Percent of total billed charges,,672.42,64.9,,,Percent of total billed charges,,2078.1,21,,,Percent of total billed charges,,672.42,45,,,Percent of total billed charges,,1440.9,223.99,3202,
Change of cystostomy tube; simple,51705,CPT,,,,Outpatient,Facility,,,300,120,66,,,Percent of total billed charges,,198,20.8,,,Percent of total billed charges,,62.4,20.4,,,Percent of total billed charges,,61.2,,93.63,,Case rate,,93.63,,5.94,,Case rate,,5.94,80,,,Percent of total billed charges,,240,61.6,,,Percent of total billed charges,,184.8,20.6,,,Percent of total billed charges,,61.8,20.6,,,Percent of total billed charges,,61.8,65.55,,,Percent of total billed charges,,196.65,21,,,Percent of total billed charges,,63,90,,,Percent of total billed charges,,270,21,,,Percent of total billed charges,,63,21,,,Percent of total billed charges,,63,64.9,,,Percent of total billed charges,,194.7,21,,,Percent of total billed charges,,63,,151.92,,Case rate,,151.92,5.94,300,
chest pain,313,MS-DRG,,,,Inpatient,Facility,,,9684.63,3873.85,,6513.85,,Case rate,DRG Factor * DRG Weight,6513.85,,1758.64,,Per Diem,,3517.28,,1724.82,,Per Diem,,3449.64,,8459.79,,Case rate,DRG Factor * DRG Weight,8459.79,,1674.09,,Per Diem,,3348.18,80,,,Percent of total billed charges,,7747.7,61.6,,,Percent of total billed charges,,5965.73,,1741.73,,Per Diem,,3483.46,,1741.73,,Per Diem,,3483.46,65.55,,,Percent of total billed charges,,6348.27,,2079,,Per Diem,,4158,90,,,Percent of total billed charges,,8716.17,,2079,,Per Diem,,4158,,2079,,Per Diem,,4158,64.9,,,Percent of total billed charges,,6285.32,,2079,,Per Diem,,4158,,6983.64,,Case rate,DRG Factor * DRG Weight,6983.64,3348.18,9684.63,
"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each cell type",81268,CPT,,,,Outpatient,Facility,,,1904,761.6,66,,,Percent of total billed charges,,1256.64,20.8,,,Percent of total billed charges,,396.03,,266.01,,Case rate,,266.01,,260.79,,Case rate,,260.79,,54.97,,Case rate,,54.97,80,,,Percent of total billed charges,,1523.2,61.6,,,Percent of total billed charges,,1172.86,20.6,,,Percent of total billed charges,,392.22,20.6,,,Percent of total billed charges,,392.22,65.55,,,Percent of total billed charges,,1248.07,21,,,Percent of total billed charges,,399.84,90,,,Percent of total billed charges,,1713.6,21,,,Percent of total billed charges,,399.84,21,,,Percent of total billed charges,,399.84,64.9,,,Percent of total billed charges,,1235.7,21,,,Percent of total billed charges,,399.84,45,,,Percent of total billed charges,,856.8,54.97,1904,
Chloride; urine,82436,CPT,,,,Outpatient,Facility,,,43,17.2,66,,,Percent of total billed charges,,28.38,20.8,,,Percent of total billed charges,,8.94,20.4,,,Percent of total billed charges,,8.77,,5.75,,Case rate,,5.75,,1.04,,Case rate,,1.04,80,,,Percent of total billed charges,,34.4,61.6,,,Percent of total billed charges,,26.49,20.6,,,Percent of total billed charges,,8.86,20.6,,,Percent of total billed charges,,8.86,65.55,,,Percent of total billed charges,,28.19,21,,,Percent of total billed charges,,9.03,90,,,Percent of total billed charges,,38.7,21,,,Percent of total billed charges,,9.03,21,,,Percent of total billed charges,,9.03,64.9,,,Percent of total billed charges,,27.91,21,,,Percent of total billed charges,,9.03,,29.95,,Case rate,,29.95,1.04,43,
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation",74300,CPT,,,,Outpatient,Facility,,,231,92.4,66,,,Percent of total billed charges,,152.46,20.8,,,Percent of total billed charges,,48.05,20.4,,,Percent of total billed charges,,47.12,,33.26,,Case rate,,33.26,,5.95,,Case rate,,5.95,80,,,Percent of total billed charges,,184.8,61.6,,,Percent of total billed charges,,142.3,20.6,,,Percent of total billed charges,,47.59,20.6,,,Percent of total billed charges,,47.59,65.55,,,Percent of total billed charges,,151.42,21,,,Percent of total billed charges,,48.51,90,,,Percent of total billed charges,,207.9,21,,,Percent of total billed charges,,48.51,21,,,Percent of total billed charges,,48.51,64.9,,,Percent of total billed charges,,149.92,21,,,Percent of total billed charges,,48.51,,138.36,,Case rate,,138.36,5.95,231,
Chromium,82495,CPT,,,,Outpatient,Facility,,,46,18.4,66,,,Percent of total billed charges,,30.36,20.8,,,Percent of total billed charges,,9.57,20.4,,,Percent of total billed charges,,9.38,,20.28,,Case rate,,20.28,,1.87,,Case rate,,1.87,80,,,Percent of total billed charges,,36.8,61.6,,,Percent of total billed charges,,28.34,20.6,,,Percent of total billed charges,,9.48,20.6,,,Percent of total billed charges,,9.48,65.55,,,Percent of total billed charges,,30.15,21,,,Percent of total billed charges,,9.66,90,,,Percent of total billed charges,,41.4,21,,,Percent of total billed charges,,9.66,21,,,Percent of total billed charges,,9.66,64.9,,,Percent of total billed charges,,29.85,21,,,Percent of total billed charges,,9.66,,33.66,,Case rate,,33.66,1.87,46,
Chromogenic substrate assay,85130,CPT,,,,Outpatient,Facility,,,397,158.8,66,,,Percent of total billed charges,,262.02,20.8,,,Percent of total billed charges,,82.58,20.4,,,Percent of total billed charges,,80.99,,11.89,,Case rate,,11.89,,3.42,,Case rate,,3.42,80,,,Percent of total billed charges,,317.6,61.6,,,Percent of total billed charges,,244.55,20.6,,,Percent of total billed charges,,81.78,20.6,,,Percent of total billed charges,,81.78,65.55,,,Percent of total billed charges,,260.23,21,,,Percent of total billed charges,,83.37,90,,,Percent of total billed charges,,357.3,21,,,Percent of total billed charges,,83.37,21,,,Percent of total billed charges,,83.37,64.9,,,Percent of total billed charges,,257.65,21,,,Percent of total billed charges,,83.37,,82.92,,Case rate,,82.92,3.42,397,
"Chromosome analysis; additional cells counted, each study",88285,CPT,,,,Outpatient,Facility,,,200,80,66,,,Percent of total billed charges,,132,20.8,,,Percent of total billed charges,,41.6,20.4,,,Percent of total billed charges,,40.8,,26.91,,Case rate,,26.91,,5.5,,Case rate,,5.5,80,,,Percent of total billed charges,,160,61.6,,,Percent of total billed charges,,123.2,20.6,,,Percent of total billed charges,,41.2,20.6,,,Percent of total billed charges,,41.2,65.55,,,Percent of total billed charges,,131.1,21,,,Percent of total billed charges,,42,90,,,Percent of total billed charges,,180,21,,,Percent of total billed charges,,42,21,,,Percent of total billed charges,,42,64.9,,,Percent of total billed charges,,129.8,21,,,Percent of total billed charges,,42,,113.94,,Case rate,,113.94,5.5,200,
Chromosome analysis; analyze 20-25 cells,88264,CPT,,,,Outpatient,Facility,,,1089,435.6,66,,,Percent of total billed charges,,718.74,20.8,,,Percent of total billed charges,,226.51,20.4,,,Percent of total billed charges,,222.16,,144.61,,Case rate,,144.61,,35.24,,Case rate,,35.24,80,,,Percent of total billed charges,,871.2,61.6,,,Percent of total billed charges,,670.82,20.6,,,Percent of total billed charges,,224.33,20.6,,,Percent of total billed charges,,224.33,65.55,,,Percent of total billed charges,,713.84,21,,,Percent of total billed charges,,228.69,90,,,Percent of total billed charges,,980.1,21,,,Percent of total billed charges,,228.69,21,,,Percent of total billed charges,,228.69,64.9,,,Percent of total billed charges,,706.76,21,,,Percent of total billed charges,,228.69,,777.84,,Case rate,,777.84,35.24,1089,
chronic obstructive pulmonary disease with cc,191,MS-DRG,,,,Inpatient,Facility,,,10917.96,4367.18,,7642.7,,Case rate,DRG Factor * DRG Weight,7642.7,,1758.64,,Per Diem,,3517.28,,1724.82,,Per Diem,,3449.64,,10886.37,,Case rate,DRG Factor * DRG Weight,10886.37,,1674.09,,Per Diem,,3348.18,80,,,Percent of total billed charges,,8734.37,61.6,,,Percent of total billed charges,,6725.46,,1741.73,,Per Diem,,3483.46,,1741.73,,Per Diem,,3483.46,65.55,,,Percent of total billed charges,,7156.72,,2079,,Per Diem,,4158,90,,,Percent of total billed charges,,9826.16,,2079,,Per Diem,,4158,,2079,,Per Diem,,4158,64.9,,,Percent of total billed charges,,7085.76,,2079,,Per Diem,,4158,,8193.9,,Case rate,DRG Factor * DRG Weight,8193.9,3348.18,10917.96,
"Clinical decision support mechanism cranberry peak, as defined by the medicare appropriate use criteria program",G1008,CPT,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,58.8,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
"Clinical decision support mechanism evicore, as defined by the medicare appropriate use criteria program",G1001,CPT,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,58.8,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
"Clinical decision support mechanism medcurrent, as defined by the medicare appropriate use criteria program",G1002,CPT,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,58.8,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
"Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program",G1003,CPT,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,58.8,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
Closed treatment of ankle dislocation; without anesthesia,27840,CPT,,,,Outpatient,Facility,,,1679,671.6,66,,,Percent of total billed charges,,1108.14,20.8,,,Percent of total billed charges,,349.23,20.4,,,Percent of total billed charges,,342.52,,383.67,,Case rate,,383.67,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1343.2,61.6,,,Percent of total billed charges,,1034.26,20.6,,,Percent of total billed charges,,345.87,20.6,,,Percent of total billed charges,,345.87,65.55,,,Percent of total billed charges,,1100.58,21,,,Percent of total billed charges,,352.59,90,,,Percent of total billed charges,,1511.1,21,,,Percent of total billed charges,,352.59,21,,,Percent of total billed charges,,352.59,64.9,,,Percent of total billed charges,,1089.67,21,,,Percent of total billed charges,,352.59,,1420.62,,Case rate,,1420.62,58.06,1679,
"Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia",26670,CPT,,,,Outpatient,Facility,,,2498,999.2,66,,,Percent of total billed charges,,1648.68,20.8,,,Percent of total billed charges,,519.58,20.4,,,Percent of total billed charges,,509.59,,347.26,,Case rate,,347.26,,1.98,,Case rate,,1.98,80,,,Percent of total billed charges,,1998.4,61.6,,,Percent of total billed charges,,1538.77,20.6,,,Percent of total billed charges,,514.59,20.6,,,Percent of total billed charges,,514.59,65.55,,,Percent of total billed charges,,1637.44,21,,,Percent of total billed charges,,524.58,90,,,Percent of total billed charges,,2248.2,21,,,Percent of total billed charges,,524.58,21,,,Percent of total billed charges,,524.58,64.9,,,Percent of total billed charges,,1621.2,21,,,Percent of total billed charges,,524.58,,40.53,,Case rate,,40.53,1.98,2498,
"Closed treatment of carpometacarpal dislocation, thumb, with manipulation",26641,CPT,,,,Outpatient,Facility,,,623,249.2,66,,,Percent of total billed charges,,411.18,20.8,,,Percent of total billed charges,,129.58,20.4,,,Percent of total billed charges,,127.09,,415.53,,Case rate,,415.53,,63.32,,Case rate,,63.32,80,,,Percent of total billed charges,,498.4,61.6,,,Percent of total billed charges,,383.77,20.6,,,Percent of total billed charges,,128.34,20.6,,,Percent of total billed charges,,128.34,65.55,,,Percent of total billed charges,,408.38,21,,,Percent of total billed charges,,130.83,90,,,Percent of total billed charges,,560.7,21,,,Percent of total billed charges,,130.83,21,,,Percent of total billed charges,,130.83,64.9,,,Percent of total billed charges,,404.33,21,,,Percent of total billed charges,,130.83,,414.99,,Case rate,,414.99,63.32,623,
Closed treatment of clavicular fracture; without manipulation,23500,CPT,,,,Outpatient,Facility,,,1679,671.6,66,,,Percent of total billed charges,,1108.14,20.8,,,Percent of total billed charges,,349.23,20.4,,,Percent of total billed charges,,342.52,,222.77,,Case rate,,222.77,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1343.2,61.6,,,Percent of total billed charges,,1034.26,20.6,,,Percent of total billed charges,,345.87,20.6,,,Percent of total billed charges,,345.87,65.55,,,Percent of total billed charges,,1100.58,21,,,Percent of total billed charges,,352.59,90,,,Percent of total billed charges,,1511.1,21,,,Percent of total billed charges,,352.59,21,,,Percent of total billed charges,,352.59,64.9,,,Percent of total billed charges,,1089.67,21,,,Percent of total billed charges,,352.59,,1421.27,,Case rate,,1421.27,58.06,1679,
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation,27788,CPT,,,,Outpatient,Facility,,,1673,669.2,66,,,Percent of total billed charges,,1104.18,20.8,,,Percent of total billed charges,,347.98,20.4,,,Percent of total billed charges,,341.29,,422.32,,Case rate,,422.32,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1338.4,61.6,,,Percent of total billed charges,,1030.57,20.6,,,Percent of total billed charges,,344.64,20.6,,,Percent of total billed charges,,344.64,65.55,,,Percent of total billed charges,,1096.65,21,,,Percent of total billed charges,,351.33,90,,,Percent of total billed charges,,1505.7,21,,,Percent of total billed charges,,351.33,21,,,Percent of total billed charges,,351.33,64.9,,,Percent of total billed charges,,1085.78,21,,,Percent of total billed charges,,351.33,,1419.97,,Case rate,,1419.97,58.06,1673,
Closed treatment of distal fibular fracture (lateral malleolus); without manipulation,27786,CPT,,,,Outpatient,Facility,,,1692,676.8,66,,,Percent of total billed charges,,1116.72,20.8,,,Percent of total billed charges,,351.94,20.4,,,Percent of total billed charges,,345.17,,311.15,,Case rate,,311.15,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1353.6,61.6,,,Percent of total billed charges,,1042.27,20.6,,,Percent of total billed charges,,348.55,20.6,,,Percent of total billed charges,,348.55,65.55,,,Percent of total billed charges,,1109.11,21,,,Percent of total billed charges,,355.32,90,,,Percent of total billed charges,,1522.8,21,,,Percent of total billed charges,,355.32,21,,,Percent of total billed charges,,355.32,64.9,,,Percent of total billed charges,,1098.11,21,,,Percent of total billed charges,,355.32,,1436.08,,Case rate,,1436.08,58.06,1692,
"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; without manipulation",25600,CPT,,,,Outpatient,Facility,,,407,162.8,66,,,Percent of total billed charges,,268.62,20.8,,,Percent of total billed charges,,84.66,20.4,,,Percent of total billed charges,,83.03,,336.21,,Case rate,,336.21,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,325.6,61.6,,,Percent of total billed charges,,250.71,20.6,,,Percent of total billed charges,,83.84,20.6,,,Percent of total billed charges,,83.84,65.55,,,Percent of total billed charges,,266.79,21,,,Percent of total billed charges,,85.47,90,,,Percent of total billed charges,,366.3,21,,,Percent of total billed charges,,85.47,21,,,Percent of total billed charges,,85.47,64.9,,,Percent of total billed charges,,264.14,21,,,Percent of total billed charges,,85.47,,331.93,,Case rate,,331.93,13.86,407,
"Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction",27502,CPT,,,,Outpatient,Facility,,,2244,897.6,66,,,Percent of total billed charges,,1481.04,20.8,,,Percent of total billed charges,,466.75,20.4,,,Percent of total billed charges,,457.78,,742.98,,Case rate,,742.98,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1795.2,61.6,,,Percent of total billed charges,,1382.3,20.6,,,Percent of total billed charges,,462.26,20.6,,,Percent of total billed charges,,462.26,65.55,,,Percent of total billed charges,,1470.94,21,,,Percent of total billed charges,,471.24,90,,,Percent of total billed charges,,2019.6,21,,,Percent of total billed charges,,471.24,21,,,Percent of total billed charges,,471.24,64.9,,,Percent of total billed charges,,1456.36,21,,,Percent of total billed charges,,471.24,,1906.14,,Case rate,,1906.14,77.74,2244,
"Closed treatment of fracture great toe, phalanx or phalanges; with manipulation",28495,CPT,,,,Outpatient,Facility,,,2805,1122,66,,,Percent of total billed charges,,1851.3,20.8,,,Percent of total billed charges,,583.44,20.4,,,Percent of total billed charges,,572.22,,174.37,,Case rate,,174.37,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,2244,61.6,,,Percent of total billed charges,,1727.88,20.6,,,Percent of total billed charges,,577.83,20.6,,,Percent of total billed charges,,577.83,65.55,,,Percent of total billed charges,,1838.68,21,,,Percent of total billed charges,,589.05,90,,,Percent of total billed charges,,2524.5,21,,,Percent of total billed charges,,589.05,21,,,Percent of total billed charges,,589.05,64.9,,,Percent of total billed charges,,1820.44,21,,,Percent of total billed charges,,589.05,,1905.53,,Case rate,,1905.53,77.74,2805,
"Closed treatment of fracture great toe, phalanx or phalanges; without manipulation",28490,CPT,,,,Outpatient,Facility,,,989,395.6,66,,,Percent of total billed charges,,652.74,20.8,,,Percent of total billed charges,,205.71,20.4,,,Percent of total billed charges,,201.76,,138.77,,Case rate,,138.77,,9.9,,Case rate,,9.9,80,,,Percent of total billed charges,,791.2,61.6,,,Percent of total billed charges,,609.22,20.6,,,Percent of total billed charges,,203.73,20.6,,,Percent of total billed charges,,203.73,65.55,,,Percent of total billed charges,,648.29,21,,,Percent of total billed charges,,207.69,90,,,Percent of total billed charges,,890.1,21,,,Percent of total billed charges,,207.69,21,,,Percent of total billed charges,,207.69,64.9,,,Percent of total billed charges,,641.86,21,,,Percent of total billed charges,,207.69,,250.3,,Case rate,,250.3,9.9,989,
"Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; with skeletal traction and/or requiring manipulation",27825,CPT,,,,Outpatient,Facility,,,2805,1122,66,,,Percent of total billed charges,,1851.3,20.8,,,Percent of total billed charges,,583.44,20.4,,,Percent of total billed charges,,572.22,,539.47,,Case rate,,539.47,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,2244,61.6,,,Percent of total billed charges,,1727.88,20.6,,,Percent of total billed charges,,577.83,20.6,,,Percent of total billed charges,,577.83,65.55,,,Percent of total billed charges,,1838.68,21,,,Percent of total billed charges,,589.05,90,,,Percent of total billed charges,,2524.5,21,,,Percent of total billed charges,,589.05,21,,,Percent of total billed charges,,589.05,64.9,,,Percent of total billed charges,,1820.44,21,,,Percent of total billed charges,,589.05,,1904.84,,Case rate,,1904.84,77.74,2805,
"Closed treatment of fracture, phalanx or phalanges, other than great toe; with manipulation, each",28515,CPT,,,,Outpatient,Facility,,,300,120,66,,,Percent of total billed charges,,198,20.8,,,Percent of total billed charges,,62.4,20.4,,,Percent of total billed charges,,61.2,,160.51,,Case rate,,160.51,,9.9,,Case rate,,9.9,80,,,Percent of total billed charges,,240,61.6,,,Percent of total billed charges,,184.8,20.6,,,Percent of total billed charges,,61.8,20.6,,,Percent of total billed charges,,61.8,65.55,,,Percent of total billed charges,,196.65,21,,,Percent of total billed charges,,63,90,,,Percent of total billed charges,,270,21,,,Percent of total billed charges,,63,21,,,Percent of total billed charges,,63,64.9,,,Percent of total billed charges,,194.7,21,,,Percent of total billed charges,,63,,249.47,,Case rate,,249.47,9.9,300,
Closed treatment of greater humeral tuberosity fracture; without manipulation,23620,CPT,,,,Outpatient,Facility,,,765,306,66,,,Percent of total billed charges,,504.9,20.8,,,Percent of total billed charges,,159.12,20.4,,,Percent of total billed charges,,156.06,,269.96,,Case rate,,269.96,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,612,61.6,,,Percent of total billed charges,,471.24,20.6,,,Percent of total billed charges,,157.59,20.6,,,Percent of total billed charges,,157.59,65.55,,,Percent of total billed charges,,501.46,21,,,Percent of total billed charges,,160.65,90,,,Percent of total billed charges,,688.5,21,,,Percent of total billed charges,,160.65,21,,,Percent of total billed charges,,160.65,64.9,,,Percent of total billed charges,,496.48,21,,,Percent of total billed charges,,160.65,,1420.94,,Case rate,,1420.94,58.06,1420.94,
"Closed treatment of humeral shaft fracture; with manipulation, with or without skeletal traction",24505,CPT,,,,Outpatient,Facility,,,5349,2139.6,66,,,Percent of total billed charges,,3530.34,20.8,,,Percent of total billed charges,,1112.59,20.4,,,Percent of total billed charges,,1091.2,,499.11,,Case rate,,499.11,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,4279.2,61.6,,,Percent of total billed charges,,3294.98,20.6,,,Percent of total billed charges,,1101.89,20.6,,,Percent of total billed charges,,1101.89,65.55,,,Percent of total billed charges,,3506.27,21,,,Percent of total billed charges,,1123.29,90,,,Percent of total billed charges,,4814.1,21,,,Percent of total billed charges,,1123.29,21,,,Percent of total billed charges,,1123.29,64.9,,,Percent of total billed charges,,3471.5,21,,,Percent of total billed charges,,1123.29,,1421.08,,Case rate,,1421.08,58.06,5349,
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia",26775,CPT,,,,Outpatient,Facility,,,2573,1029.2,66,,,Percent of total billed charges,,1698.18,20.8,,,Percent of total billed charges,,535.18,20.4,,,Percent of total billed charges,,524.89,,392.65,,Case rate,,392.65,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,2058.4,61.6,,,Percent of total billed charges,,1584.97,20.6,,,Percent of total billed charges,,530.04,20.6,,,Percent of total billed charges,,530.04,65.55,,,Percent of total billed charges,,1686.6,21,,,Percent of total billed charges,,540.33,90,,,Percent of total billed charges,,2315.7,21,,,Percent of total billed charges,,540.33,21,,,Percent of total billed charges,,540.33,64.9,,,Percent of total billed charges,,1669.88,21,,,Percent of total billed charges,,540.33,,2185.88,,Case rate,,2185.88,89.15,2573,
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia",26770,CPT,,,,Outpatient,Facility,,,304,121.6,66,,,Percent of total billed charges,,200.64,20.8,,,Percent of total billed charges,,63.23,20.4,,,Percent of total billed charges,,62.02,,287.04,,Case rate,,287.04,,9.9,,Case rate,,9.9,80,,,Percent of total billed charges,,243.2,61.6,,,Percent of total billed charges,,187.26,20.6,,,Percent of total billed charges,,62.62,20.6,,,Percent of total billed charges,,62.62,65.55,,,Percent of total billed charges,,199.27,21,,,Percent of total billed charges,,63.84,90,,,Percent of total billed charges,,273.6,21,,,Percent of total billed charges,,63.84,21,,,Percent of total billed charges,,63.84,64.9,,,Percent of total billed charges,,197.3,21,,,Percent of total billed charges,,63.84,,250.07,,Case rate,,250.07,9.9,304,
Closed treatment of interphalangeal joint dislocation; requiring anesthesia,28665,CPT,,,,Outpatient,Facility,,,1673,669.2,66,,,Percent of total billed charges,,1104.18,20.8,,,Percent of total billed charges,,347.98,20.4,,,Percent of total billed charges,,341.29,,145.32,,Case rate,,145.32,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1338.4,61.6,,,Percent of total billed charges,,1030.57,20.6,,,Percent of total billed charges,,344.64,20.6,,,Percent of total billed charges,,344.64,65.55,,,Percent of total billed charges,,1096.65,21,,,Percent of total billed charges,,351.33,90,,,Percent of total billed charges,,1505.7,21,,,Percent of total billed charges,,351.33,21,,,Percent of total billed charges,,351.33,64.9,,,Percent of total billed charges,,1085.78,21,,,Percent of total billed charges,,351.33,,1419.92,,Case rate,,1419.92,58.06,1673,
Closed treatment of interphalangeal joint dislocation; without anesthesia,28660,CPT,,,,Outpatient,Facility,,,406,162.4,66,,,Percent of total billed charges,,267.96,20.8,,,Percent of total billed charges,,84.45,20.4,,,Percent of total billed charges,,82.82,,121.58,,Case rate,,121.58,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,324.8,61.6,,,Percent of total billed charges,,250.1,20.6,,,Percent of total billed charges,,83.64,20.6,,,Percent of total billed charges,,83.64,65.55,,,Percent of total billed charges,,266.13,21,,,Percent of total billed charges,,85.26,90,,,Percent of total billed charges,,365.4,21,,,Percent of total billed charges,,85.26,21,,,Percent of total billed charges,,85.26,64.9,,,Percent of total billed charges,,263.49,21,,,Percent of total billed charges,,85.26,,332.95,,Case rate,,332.95,13.86,406,
"Closed treatment of metacarpal fracture, single; with manipulation, each bone",26605,CPT,,,,Outpatient,Facility,,,2264,905.6,66,,,Percent of total billed charges,,1494.24,20.8,,,Percent of total billed charges,,470.91,20.4,,,Percent of total billed charges,,461.86,,328.21,,Case rate,,328.21,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1811.2,61.6,,,Percent of total billed charges,,1394.62,20.6,,,Percent of total billed charges,,466.38,20.6,,,Percent of total billed charges,,466.38,65.55,,,Percent of total billed charges,,1484.05,21,,,Percent of total billed charges,,475.44,90,,,Percent of total billed charges,,2037.6,21,,,Percent of total billed charges,,475.44,21,,,Percent of total billed charges,,475.44,64.9,,,Percent of total billed charges,,1469.34,21,,,Percent of total billed charges,,475.44,,1920.11,,Case rate,,1920.11,77.74,2264,
Closed treatment of metatarsophalangeal joint dislocation; without anesthesia,28630,CPT,,,,Outpatient,Facility,,,652,260.8,66,,,Percent of total billed charges,,430.32,20.8,,,Percent of total billed charges,,135.62,20.4,,,Percent of total billed charges,,133.01,,150.75,,Case rate,,150.75,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,521.6,61.6,,,Percent of total billed charges,,401.63,20.6,,,Percent of total billed charges,,134.31,20.6,,,Percent of total billed charges,,134.31,65.55,,,Percent of total billed charges,,427.39,21,,,Percent of total billed charges,,136.92,90,,,Percent of total billed charges,,586.8,21,,,Percent of total billed charges,,136.92,21,,,Percent of total billed charges,,136.92,64.9,,,Percent of total billed charges,,423.15,21,,,Percent of total billed charges,,136.92,,347.53,,Case rate,,347.53,13.86,652,
Closed treatment of patellar dislocation; without anesthesia,27560,CPT,,,,Outpatient,Facility,,,1673,669.2,66,,,Percent of total billed charges,,1104.18,20.8,,,Percent of total billed charges,,347.98,20.4,,,Percent of total billed charges,,341.29,,371.93,,Case rate,,371.93,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1338.4,61.6,,,Percent of total billed charges,,1030.57,20.6,,,Percent of total billed charges,,344.64,20.6,,,Percent of total billed charges,,344.64,65.55,,,Percent of total billed charges,,1096.65,21,,,Percent of total billed charges,,351.33,90,,,Percent of total billed charges,,1505.7,21,,,Percent of total billed charges,,351.33,21,,,Percent of total billed charges,,351.33,64.9,,,Percent of total billed charges,,1085.78,21,,,Percent of total billed charges,,351.33,,1420.53,,Case rate,,1420.53,58.06,1673,
"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each",26725,CPT,,,,Outpatient,Facility,,,395,158,66,,,Percent of total billed charges,,260.7,20.8,,,Percent of total billed charges,,82.16,20.4,,,Percent of total billed charges,,80.58,,340.53,,Case rate,,340.53,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,316,61.6,,,Percent of total billed charges,,243.32,20.6,,,Percent of total billed charges,,81.37,20.6,,,Percent of total billed charges,,81.37,65.55,,,Percent of total billed charges,,258.92,21,,,Percent of total billed charges,,82.95,90,,,Percent of total billed charges,,355.5,21,,,Percent of total billed charges,,82.95,21,,,Percent of total billed charges,,82.95,64.9,,,Percent of total billed charges,,256.36,21,,,Percent of total billed charges,,82.95,,333.55,,Case rate,,333.55,13.86,395,
"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; without manipulation, each",26720,CPT,,,,Outpatient,Facility,,,295,118,66,,,Percent of total billed charges,,194.7,20.8,,,Percent of total billed charges,,61.36,20.4,,,Percent of total billed charges,,60.18,,200.02,,Case rate,,200.02,,9.9,,Case rate,,9.9,80,,,Percent of total billed charges,,236,61.6,,,Percent of total billed charges,,181.72,20.6,,,Percent of total billed charges,,60.77,20.6,,,Percent of total billed charges,,60.77,65.55,,,Percent of total billed charges,,193.37,21,,,Percent of total billed charges,,61.95,90,,,Percent of total billed charges,,265.5,21,,,Percent of total billed charges,,61.95,21,,,Percent of total billed charges,,61.95,64.9,,,Percent of total billed charges,,191.46,21,,,Percent of total billed charges,,61.95,,249.19,,Case rate,,249.19,9.9,295,
Closed treatment of post hip arthroplasty dislocation; without anesthesia,27265,CPT,,,,Outpatient,Facility,,,1587,634.8,66,,,Percent of total billed charges,,1047.42,20.8,,,Percent of total billed charges,,330.1,20.4,,,Percent of total billed charges,,323.75,,411.51,,Case rate,,411.51,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1269.6,61.6,,,Percent of total billed charges,,977.59,20.6,,,Percent of total billed charges,,326.92,20.6,,,Percent of total billed charges,,326.92,65.55,,,Percent of total billed charges,,1040.28,21,,,Percent of total billed charges,,333.27,90,,,Percent of total billed charges,,1428.3,21,,,Percent of total billed charges,,333.27,21,,,Percent of total billed charges,,333.27,64.9,,,Percent of total billed charges,,1029.96,21,,,Percent of total billed charges,,333.27,,1435.01,,Case rate,,1435.01,58.06,1587,
"Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without skeletal traction",23605,CPT,,,,Outpatient,Facility,,,3246,1298.4,66,,,Percent of total billed charges,,2142.36,20.8,,,Percent of total billed charges,,675.17,20.4,,,Percent of total billed charges,,662.18,,466.16,,Case rate,,466.16,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,2596.8,61.6,,,Percent of total billed charges,,1999.54,20.6,,,Percent of total billed charges,,668.68,20.6,,,Percent of total billed charges,,668.68,65.55,,,Percent of total billed charges,,2127.75,21,,,Percent of total billed charges,,681.66,90,,,Percent of total billed charges,,2921.4,21,,,Percent of total billed charges,,681.66,21,,,Percent of total billed charges,,681.66,64.9,,,Percent of total billed charges,,2106.65,21,,,Percent of total billed charges,,681.66,,1905.77,,Case rate,,1905.77,77.74,3246,
Closed treatment of proximal humeral (surgical or anatomical neck) fracture; without manipulation,23600,CPT,,,,Outpatient,Facility,,,1692,676.8,66,,,Percent of total billed charges,,1116.72,20.8,,,Percent of total billed charges,,351.94,20.4,,,Percent of total billed charges,,345.17,,330.98,,Case rate,,330.98,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1353.6,61.6,,,Percent of total billed charges,,1042.27,20.6,,,Percent of total billed charges,,348.55,20.6,,,Percent of total billed charges,,348.55,65.55,,,Percent of total billed charges,,1109.11,21,,,Percent of total billed charges,,355.32,90,,,Percent of total billed charges,,1522.8,21,,,Percent of total billed charges,,355.32,21,,,Percent of total billed charges,,355.32,64.9,,,Percent of total billed charges,,1098.11,21,,,Percent of total billed charges,,355.32,,1436.17,,Case rate,,1436.17,58.06,1692,
"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation",24640,CPT,,,,Outpatient,Facility,,,304,121.6,66,,,Percent of total billed charges,,200.64,20.8,,,Percent of total billed charges,,63.23,20.4,,,Percent of total billed charges,,62.02,,101.71,,Case rate,,101.71,,9.9,,Case rate,,9.9,80,,,Percent of total billed charges,,243.2,61.6,,,Percent of total billed charges,,187.26,20.6,,,Percent of total billed charges,,62.62,20.6,,,Percent of total billed charges,,62.62,65.55,,,Percent of total billed charges,,199.27,21,,,Percent of total billed charges,,63.84,90,,,Percent of total billed charges,,273.6,21,,,Percent of total billed charges,,63.84,21,,,Percent of total billed charges,,63.84,64.9,,,Percent of total billed charges,,197.3,21,,,Percent of total billed charges,,63.84,,249.93,,Case rate,,249.93,9.9,304,
"Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation",25660,CPT,,,,Outpatient,Facility,,,795,318,66,,,Percent of total billed charges,,524.7,20.8,,,Percent of total billed charges,,165.36,20.4,,,Percent of total billed charges,,162.18,,444.17,,Case rate,,444.17,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,636,61.6,,,Percent of total billed charges,,489.72,20.6,,,Percent of total billed charges,,163.77,20.6,,,Percent of total billed charges,,163.77,65.55,,,Percent of total billed charges,,521.12,21,,,Percent of total billed charges,,166.95,90,,,Percent of total billed charges,,715.5,21,,,Percent of total billed charges,,166.95,21,,,Percent of total billed charges,,166.95,64.9,,,Percent of total billed charges,,515.96,21,,,Percent of total billed charges,,166.95,,1420.62,,Case rate,,1420.62,58.06,1420.62,
Closed treatment of scapular fracture; without manipulation,23570,CPT,,,,Outpatient,Facility,,,1692,676.8,66,,,Percent of total billed charges,,1116.72,20.8,,,Percent of total billed charges,,351.94,20.4,,,Percent of total billed charges,,345.17,,233.54,,Case rate,,233.54,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1353.6,61.6,,,Percent of total billed charges,,1042.27,20.6,,,Percent of total billed charges,,348.55,20.6,,,Percent of total billed charges,,348.55,65.55,,,Percent of total billed charges,,1109.11,21,,,Percent of total billed charges,,355.32,90,,,Percent of total billed charges,,1522.8,21,,,Percent of total billed charges,,355.32,21,,,Percent of total billed charges,,355.32,64.9,,,Percent of total billed charges,,1098.11,21,,,Percent of total billed charges,,355.32,,1435.34,,Case rate,,1435.34,58.06,1692,
Closed treatment of temporomandibular dislocation; initial or subsequent,21480,CPT,,,,Outpatient,Facility,,,1692,676.8,66,,,Percent of total billed charges,,1116.72,20.8,,,Percent of total billed charges,,351.94,20.4,,,Percent of total billed charges,,345.17,,136.59,,Case rate,,136.59,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1353.6,61.6,,,Percent of total billed charges,,1042.27,20.6,,,Percent of total billed charges,,348.55,20.6,,,Percent of total billed charges,,348.55,65.55,,,Percent of total billed charges,,1109.11,21,,,Percent of total billed charges,,355.32,90,,,Percent of total billed charges,,1522.8,21,,,Percent of total billed charges,,355.32,21,,,Percent of total billed charges,,355.32,64.9,,,Percent of total billed charges,,1098.11,21,,,Percent of total billed charges,,355.32,,1436.5,,Case rate,,1436.5,58.06,1692,
"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction",27752,CPT,,,,Outpatient,Facility,,,2070,828,66,,,Percent of total billed charges,,1366.2,20.8,,,Percent of total billed charges,,430.56,20.4,,,Percent of total billed charges,,422.28,,530.33,,Case rate,,530.33,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1656,61.6,,,Percent of total billed charges,,1275.12,20.6,,,Percent of total billed charges,,426.42,20.6,,,Percent of total billed charges,,426.42,65.55,,,Percent of total billed charges,,1356.88,21,,,Percent of total billed charges,,434.7,90,,,Percent of total billed charges,,1863,21,,,Percent of total billed charges,,434.7,21,,,Percent of total billed charges,,434.7,64.9,,,Percent of total billed charges,,1343.43,21,,,Percent of total billed charges,,434.7,,1435.57,,Case rate,,1435.57,58.06,2070,
"Closure of laceration, vestibule of mouth; 2.5 cm or less",40830,CPT,,,,Outpatient,Facility,,,510,204,66,,,Percent of total billed charges,,336.6,20.8,,,Percent of total billed charges,,106.08,20.4,,,Percent of total billed charges,,104.04,,219.24,,Case rate,,219.24,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,408,61.6,,,Percent of total billed charges,,314.16,20.6,,,Percent of total billed charges,,105.06,20.6,,,Percent of total billed charges,,105.06,65.55,,,Percent of total billed charges,,334.3,21,,,Percent of total billed charges,,107.1,90,,,Percent of total billed charges,,459,21,,,Percent of total billed charges,,107.1,21,,,Percent of total billed charges,,107.1,64.9,,,Percent of total billed charges,,330.99,21,,,Percent of total billed charges,,107.1,,333.14,,Case rate,,333.14,13.86,510,
"Closure of laceration, vestibule of mouth; over 2.5 cm or complex",40831,CPT,,,,Outpatient,Facility,,,1692,676.8,66,,,Percent of total billed charges,,1116.72,20.8,,,Percent of total billed charges,,351.94,20.4,,,Percent of total billed charges,,345.17,,287.91,,Case rate,,287.91,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1353.6,61.6,,,Percent of total billed charges,,1042.27,20.6,,,Percent of total billed charges,,348.55,20.6,,,Percent of total billed charges,,348.55,65.55,,,Percent of total billed charges,,1109.11,21,,,Percent of total billed charges,,355.32,90,,,Percent of total billed charges,,1522.8,21,,,Percent of total billed charges,,355.32,21,,,Percent of total billed charges,,355.32,64.9,,,Percent of total billed charges,,1098.11,21,,,Percent of total billed charges,,355.32,,1421.55,,Case rate,,1421.55,58.06,1692,
"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay",85301,CPT,,,,Outpatient,Facility,,,107,42.8,66,,,Percent of total billed charges,,70.62,20.8,,,Percent of total billed charges,,22.26,20.4,,,Percent of total billed charges,,21.83,,10.81,,Case rate,,10.81,,3.13,,Case rate,,3.13,80,,,Percent of total billed charges,,85.6,61.6,,,Percent of total billed charges,,65.91,20.6,,,Percent of total billed charges,,22.04,20.6,,,Percent of total billed charges,,22.04,65.55,,,Percent of total billed charges,,70.14,21,,,Percent of total billed charges,,22.47,90,,,Percent of total billed charges,,96.3,21,,,Percent of total billed charges,,22.47,21,,,Percent of total billed charges,,22.47,64.9,,,Percent of total billed charges,,69.44,21,,,Percent of total billed charges,,22.47,,77.31,,Case rate,,77.31,3.13,107,
"Clotting inhibitors or anticoagulants; protein C, activity",85303,CPT,,,,Outpatient,Facility,,,118,47.2,66,,,Percent of total billed charges,,77.88,20.8,,,Percent of total billed charges,,24.54,20.4,,,Percent of total billed charges,,24.07,,13.84,,Case rate,,13.84,,4.01,,Case rate,,4.01,80,,,Percent of total billed charges,,94.4,61.6,,,Percent of total billed charges,,72.69,20.6,,,Percent of total billed charges,,24.31,20.6,,,Percent of total billed charges,,24.31,65.55,,,Percent of total billed charges,,77.35,21,,,Percent of total billed charges,,24.78,90,,,Percent of total billed charges,,106.2,21,,,Percent of total billed charges,,24.78,21,,,Percent of total billed charges,,24.78,64.9,,,Percent of total billed charges,,76.58,21,,,Percent of total billed charges,,24.78,,84.36,,Case rate,,84.36,4.01,118,
"Clotting inhibitors or anticoagulants; protein C, antigen",85302,CPT,,,,Outpatient,Facility,,,75,30,66,,,Percent of total billed charges,,49.5,20.8,,,Percent of total billed charges,,15.6,20.4,,,Percent of total billed charges,,15.3,,12.01,,Case rate,,12.01,,2.48,,Case rate,,2.48,80,,,Percent of total billed charges,,60,61.6,,,Percent of total billed charges,,46.2,20.6,,,Percent of total billed charges,,15.45,20.6,,,Percent of total billed charges,,15.45,65.55,,,Percent of total billed charges,,49.16,21,,,Percent of total billed charges,,15.75,90,,,Percent of total billed charges,,67.5,21,,,Percent of total billed charges,,15.75,21,,,Percent of total billed charges,,15.75,64.9,,,Percent of total billed charges,,48.68,21,,,Percent of total billed charges,,15.75,,62.54,,Case rate,,62.54,2.48,75,
"Clotting inhibitors or anticoagulants; protein S, total",85305,CPT,,,,Outpatient,Facility,,,244,97.6,66,,,Percent of total billed charges,,161.04,20.8,,,Percent of total billed charges,,50.75,20.4,,,Percent of total billed charges,,49.78,,11.61,,Case rate,,11.61,,2.39,,Case rate,,2.39,80,,,Percent of total billed charges,,195.2,61.6,,,Percent of total billed charges,,150.3,20.6,,,Percent of total billed charges,,50.26,20.6,,,Percent of total billed charges,,50.26,65.55,,,Percent of total billed charges,,159.94,21,,,Percent of total billed charges,,51.24,90,,,Percent of total billed charges,,219.6,21,,,Percent of total billed charges,,51.24,21,,,Percent of total billed charges,,51.24,64.9,,,Percent of total billed charges,,158.36,21,,,Percent of total billed charges,,51.24,,46.57,,Case rate,,46.57,2.39,244,
"Clotting; factor V (AcG or proaccelerin), labile factor",85220,CPT,,,,Outpatient,Facility,,,142,56.8,66,,,Percent of total billed charges,,93.72,20.8,,,Percent of total billed charges,,29.54,20.4,,,Percent of total billed charges,,28.97,,17.65,,Case rate,,17.65,,4.12,,Case rate,,4.12,80,,,Percent of total billed charges,,113.6,61.6,,,Percent of total billed charges,,87.47,20.6,,,Percent of total billed charges,,29.25,20.6,,,Percent of total billed charges,,29.25,65.55,,,Percent of total billed charges,,93.08,21,,,Percent of total billed charges,,29.82,90,,,Percent of total billed charges,,127.8,21,,,Percent of total billed charges,,29.82,21,,,Percent of total billed charges,,29.82,64.9,,,Percent of total billed charges,,92.16,21,,,Percent of total billed charges,,29.82,,98.48,,Case rate,,98.48,4.12,142,
"Clotting; factor VIII, VW factor antigen",85246,CPT,,,,Outpatient,Facility,,,226,90.4,66,,,Percent of total billed charges,,149.16,20.8,,,Percent of total billed charges,,47.01,20.4,,,Percent of total billed charges,,46.1,,22.94,,Case rate,,22.94,,4.72,,Case rate,,4.72,80,,,Percent of total billed charges,,180.8,61.6,,,Percent of total billed charges,,139.22,20.6,,,Percent of total billed charges,,46.56,20.6,,,Percent of total billed charges,,46.56,65.55,,,Percent of total billed charges,,148.14,21,,,Percent of total billed charges,,47.46,90,,,Percent of total billed charges,,203.4,21,,,Percent of total billed charges,,47.46,21,,,Percent of total billed charges,,47.46,64.9,,,Percent of total billed charges,,146.67,21,,,Percent of total billed charges,,47.46,,100.47,,Case rate,,100.47,4.72,226,
"Clotting; factor VIII, VW factor, ristocetin cofactor",85245,CPT,,,,Outpatient,Facility,,,245,98,66,,,Percent of total billed charges,,161.7,20.8,,,Percent of total billed charges,,50.96,20.4,,,Percent of total billed charges,,49.98,,22.94,,Case rate,,22.94,,6.64,,Case rate,,6.64,80,,,Percent of total billed charges,,196,61.6,,,Percent of total billed charges,,150.92,20.6,,,Percent of total billed charges,,50.47,20.6,,,Percent of total billed charges,,50.47,65.55,,,Percent of total billed charges,,160.6,21,,,Percent of total billed charges,,51.45,90,,,Percent of total billed charges,,220.5,21,,,Percent of total billed charges,,51.45,21,,,Percent of total billed charges,,51.45,64.9,,,Percent of total billed charges,,159,21,,,Percent of total billed charges,,51.45,,143.65,,Case rate,,143.65,6.64,245,
Clotting; factor X (Stuart-Prower),85260,CPT,,,,Outpatient,Facility,,,142,56.8,66,,,Percent of total billed charges,,93.72,20.8,,,Percent of total billed charges,,29.54,20.4,,,Percent of total billed charges,,28.97,,17.9,,Case rate,,17.9,,4.12,,Case rate,,4.12,80,,,Percent of total billed charges,,113.6,61.6,,,Percent of total billed charges,,87.47,20.6,,,Percent of total billed charges,,29.25,20.6,,,Percent of total billed charges,,29.25,65.55,,,Percent of total billed charges,,93.08,21,,,Percent of total billed charges,,29.82,90,,,Percent of total billed charges,,127.8,21,,,Percent of total billed charges,,29.82,21,,,Percent of total billed charges,,29.82,64.9,,,Percent of total billed charges,,92.16,21,,,Percent of total billed charges,,29.82,,98.76,,Case rate,,98.76,4.12,142,
Clotting; factor XI (PTA),85270,CPT,,,,Outpatient,Facility,,,142,56.8,66,,,Percent of total billed charges,,93.72,20.8,,,Percent of total billed charges,,29.54,20.4,,,Percent of total billed charges,,28.97,,17.9,,Case rate,,17.9,,4.12,,Case rate,,4.12,80,,,Percent of total billed charges,,113.6,61.6,,,Percent of total billed charges,,87.47,20.6,,,Percent of total billed charges,,29.25,20.6,,,Percent of total billed charges,,29.25,65.55,,,Percent of total billed charges,,93.08,21,,,Percent of total billed charges,,29.82,90,,,Percent of total billed charges,,127.8,21,,,Percent of total billed charges,,29.82,21,,,Percent of total billed charges,,29.82,64.9,,,Percent of total billed charges,,92.16,21,,,Percent of total billed charges,,29.82,,85.25,,Case rate,,85.25,4.12,142,
Clotting; factor XIII (fibrin stabilizing),85290,CPT,,,,Outpatient,Facility,,,551,220.4,66,,,Percent of total billed charges,,363.66,20.8,,,Percent of total billed charges,,114.61,20.4,,,Percent of total billed charges,,112.4,,16.34,,Case rate,,16.34,,2.17,,Case rate,,2.17,80,,,Percent of total billed charges,,440.8,61.6,,,Percent of total billed charges,,339.42,20.6,,,Percent of total billed charges,,113.51,20.6,,,Percent of total billed charges,,113.51,65.55,,,Percent of total billed charges,,361.18,21,,,Percent of total billed charges,,115.71,90,,,Percent of total billed charges,,495.9,21,,,Percent of total billed charges,,115.71,21,,,Percent of total billed charges,,115.71,64.9,,,Percent of total billed charges,,357.6,21,,,Percent of total billed charges,,115.71,,42.16,,Case rate,,42.16,2.17,551,
"Clotting; factor XIII (fibrin stabilizing), screen solubility",85291,CPT,,,,Outpatient,Facility,,,59,23.6,66,,,Percent of total billed charges,,38.94,20.8,,,Percent of total billed charges,,12.27,20.4,,,Percent of total billed charges,,12.04,,9.11,,Case rate,,9.11,,2.17,,Case rate,,2.17,80,,,Percent of total billed charges,,47.2,61.6,,,Percent of total billed charges,,36.34,20.6,,,Percent of total billed charges,,12.15,20.6,,,Percent of total billed charges,,12.15,65.55,,,Percent of total billed charges,,38.67,21,,,Percent of total billed charges,,12.39,90,,,Percent of total billed charges,,53.1,21,,,Percent of total billed charges,,12.39,21,,,Percent of total billed charges,,12.39,64.9,,,Percent of total billed charges,,38.29,21,,,Percent of total billed charges,,12.39,,42.16,,Case rate,,42.16,2.17,59,
Clozapine,80159,CPT,,,,Outpatient,Facility,,,62,24.8,66,,,Percent of total billed charges,,40.92,20.8,,,Percent of total billed charges,,12.9,20.4,,,Percent of total billed charges,,12.65,,20.15,,Case rate,,20.15,,1.98,,Case rate,,1.98,80,,,Percent of total billed charges,,49.6,61.6,,,Percent of total billed charges,,38.19,20.6,,,Percent of total billed charges,,12.77,20.6,,,Percent of total billed charges,,12.77,65.55,,,Percent of total billed charges,,40.64,21,,,Percent of total billed charges,,13.02,90,,,Percent of total billed charges,,55.8,21,,,Percent of total billed charges,,13.02,21,,,Percent of total billed charges,,13.02,64.9,,,Percent of total billed charges,,40.24,21,,,Percent of total billed charges,,13.02,,129.31,,Case rate,,129.31,1.98,129.31,
"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",85397,CPT,,,,Outpatient,Facility,,,388,155.2,66,,,Percent of total billed charges,,256.08,20.8,,,Percent of total billed charges,,80.7,20.4,,,Percent of total billed charges,,79.15,,30.86,,Case rate,,30.86,,6.63,,Case rate,,6.63,80,,,Percent of total billed charges,,310.4,61.6,,,Percent of total billed charges,,239.01,20.6,,,Percent of total billed charges,,79.93,20.6,,,Percent of total billed charges,,79.93,65.55,,,Percent of total billed charges,,254.33,21,,,Percent of total billed charges,,81.48,90,,,Percent of total billed charges,,349.2,21,,,Percent of total billed charges,,81.48,21,,,Percent of total billed charges,,81.48,64.9,,,Percent of total billed charges,,251.81,21,,,Percent of total billed charges,,81.48,,123.09,,Case rate,,123.09,6.63,388,
Coagulation time; activated,85347,CPT,,,,Outpatient,Facility,,,46,18.4,66,,,Percent of total billed charges,,30.36,20.8,,,Percent of total billed charges,,9.57,20.4,,,Percent of total billed charges,,9.38,,4.28,,Case rate,,4.28,,1.23,,Case rate,,1.23,80,,,Percent of total billed charges,,36.8,61.6,,,Percent of total billed charges,,28.34,20.6,,,Percent of total billed charges,,9.48,20.6,,,Percent of total billed charges,,9.48,65.55,,,Percent of total billed charges,,30.15,21,,,Percent of total billed charges,,9.66,90,,,Percent of total billed charges,,41.4,21,,,Percent of total billed charges,,9.66,21,,,Percent of total billed charges,,9.66,64.9,,,Percent of total billed charges,,29.85,21,,,Percent of total billed charges,,9.66,,32.78,,Case rate,,32.78,1.23,46,
"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day",85396,CPT,,,,Outpatient,Facility,,,144,57.6,66,,,Percent of total billed charges,,95.04,20.8,,,Percent of total billed charges,,29.95,20.4,,,Percent of total billed charges,,29.38,,18.84,,Case rate,,18.84,,4.14,,Case rate,,4.14,80,,,Percent of total billed charges,,115.2,61.6,,,Percent of total billed charges,,88.7,20.6,,,Percent of total billed charges,,29.66,20.6,,,Percent of total billed charges,,29.66,65.55,,,Percent of total billed charges,,94.39,21,,,Percent of total billed charges,,30.24,90,,,Percent of total billed charges,,129.6,21,,,Percent of total billed charges,,30.24,21,,,Percent of total billed charges,,30.24,64.9,,,Percent of total billed charges,,93.46,21,,,Percent of total billed charges,,30.24,,75.31,,Case rate,,75.31,4.14,144,
"Collagen cross links, any method",82523,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,,19.05,,Case rate,,19.05,,18.68,,Case rate,,18.68,,3.07,,Case rate,,3.07,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,76.28,,Case rate,,76.28,3.07,92,
Collection of venous blood by venipuncture,36415,CPT,,,,Outpatient,Facility,,,17,6.8,66,,,Percent of total billed charges,,11.22,20.8,,,Percent of total billed charges,,3.54,20.4,,,Percent of total billed charges,,3.47,,8.57,,Case rate,,8.57,,,,Case rate,,,80,,,Percent of total billed charges,,13.6,61.6,,,Percent of total billed charges,,10.47,20.6,,,Percent of total billed charges,,3.5,20.6,,,Percent of total billed charges,,3.5,65.55,,,Percent of total billed charges,,11.14,21,,,Percent of total billed charges,,3.57,90,,,Percent of total billed charges,,15.3,21,,,Percent of total billed charges,,3.57,21,,,Percent of total billed charges,,3.57,64.9,,,Percent of total billed charges,,11.03,21,,,Percent of total billed charges,,3.57,,5.01,,Case rate,,5.01,3.47,17,
"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)",45388,CPT,,,,Outpatient,Facility,,,1332.89,533.16,66,,,Percent of total billed charges,,879.71,20.8,,,Percent of total billed charges,,277.24,20.4,,,Percent of total billed charges,,271.91,,2357.72,,Case rate,Use Lesser of logic,1332.89,,38.34,,Case rate,,38.34,80,,,Percent of total billed charges,,1066.31,61.6,,,Percent of total billed charges,,821.06,20.6,,,Percent of total billed charges,,274.58,20.6,,,Percent of total billed charges,,274.58,65.55,,,Percent of total billed charges,,873.71,21,,,Percent of total billed charges,,279.91,90,,,Percent of total billed charges,,1199.6,21,,,Percent of total billed charges,,279.91,21,,,Percent of total billed charges,,279.91,64.9,,,Percent of total billed charges,,865.05,21,,,Percent of total billed charges,,279.91,,1878.33,,Case rate,,1878.33,38.34,1878.33,
"Colonoscopy, flexible; with directed submucosal injection(s), any substance",45381,CPT,,,,Outpatient,Facility,,,2062.41,824.96,66,,,Percent of total billed charges,,1361.19,20.8,,,Percent of total billed charges,,428.98,20.4,,,Percent of total billed charges,,420.73,,428.51,,Case rate,,428.51,,83.63,,Case rate,,83.63,80,,,Percent of total billed charges,,1649.93,61.6,,,Percent of total billed charges,,1270.44,20.6,,,Percent of total billed charges,,424.86,20.6,,,Percent of total billed charges,,424.86,65.55,,,Percent of total billed charges,,1351.91,21,,,Percent of total billed charges,,433.11,90,,,Percent of total billed charges,,1856.17,21,,,Percent of total billed charges,,433.11,21,,,Percent of total billed charges,,433.11,64.9,,,Percent of total billed charges,,1338.5,21,,,Percent of total billed charges,,433.11,,206.52,,Case rate,,206.52,83.63,2062.41,
"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",82542,CPT,,,,Outpatient,Facility,,,179,71.6,66,,,Percent of total billed charges,,118.14,20.8,,,Percent of total billed charges,,37.23,20.4,,,Percent of total billed charges,,36.52,,24.09,,Case rate,,24.09,,5.11,,Case rate,,5.11,80,,,Percent of total billed charges,,143.2,61.6,,,Percent of total billed charges,,110.26,20.6,,,Percent of total billed charges,,36.87,20.6,,,Percent of total billed charges,,36.87,65.55,,,Percent of total billed charges,,117.33,21,,,Percent of total billed charges,,37.59,90,,,Percent of total billed charges,,161.1,21,,,Percent of total billed charges,,37.59,21,,,Percent of total billed charges,,37.59,64.9,,,Percent of total billed charges,,116.17,21,,,Percent of total billed charges,,37.59,,122.85,,Case rate,,122.85,5.11,179,
"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive technology device/adaptive equipment), direct one-on-one contact, each 15 minutes",97537,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,31.12,,Case rate,,31.12,,2.71,,Case rate,,2.71,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,71.6,,Case rate,,71.6,2.71,92,
"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient germline [eg, buccal swab or other germline tissue sample] and donor testing, twin zygosity testing, or maternal cell contamination of fetal cells)",81265,CPT,,,,Outpatient,Facility,,,1593,637.2,66,,,Percent of total billed charges,,1051.38,20.8,,,Percent of total billed charges,,331.34,,237.73,,Case rate,,237.73,,233.07,,Case rate,,233.07,,40.91,,Case rate,,40.91,80,,,Percent of total billed charges,,1274.4,61.6,,,Percent of total billed charges,,981.29,20.6,,,Percent of total billed charges,,328.16,20.6,,,Percent of total billed charges,,328.16,65.55,,,Percent of total billed charges,,1044.21,21,,,Percent of total billed charges,,334.53,90,,,Percent of total billed charges,,1433.7,21,,,Percent of total billed charges,,334.53,21,,,Percent of total billed charges,,334.53,64.9,,,Percent of total billed charges,,1033.86,21,,,Percent of total billed charges,,334.53,,1552.2,,Case rate,,1552.2,40.91,1593,
Compatibility test each unit; antiglobulin technique,86922,CPT,,,,Outpatient,Facility,,,213,85.2,66,,,Percent of total billed charges,,140.58,20.8,,,Percent of total billed charges,,44.3,20.4,,,Percent of total billed charges,,43.45,,25.2,,Case rate,,25.2,,7.37,,Case rate,,7.37,80,,,Percent of total billed charges,,170.4,61.6,,,Percent of total billed charges,,131.21,20.6,,,Percent of total billed charges,,43.88,20.6,,,Percent of total billed charges,,43.88,65.55,,,Percent of total billed charges,,139.62,21,,,Percent of total billed charges,,44.73,90,,,Percent of total billed charges,,191.7,21,,,Percent of total billed charges,,44.73,21,,,Percent of total billed charges,,44.73,64.9,,,Percent of total billed charges,,138.24,21,,,Percent of total billed charges,,44.73,,173.88,,Case rate,,173.88,7.37,213,
Compatibility test each unit; immediate spin technique,86920,CPT,,,,Outpatient,Facility,,,175,70,66,,,Percent of total billed charges,,115.5,20.8,,,Percent of total billed charges,,36.4,20.4,,,Percent of total billed charges,,35.7,,25.2,,Case rate,,25.2,,3.69,,Case rate,,3.69,80,,,Percent of total billed charges,,140,61.6,,,Percent of total billed charges,,107.8,20.6,,,Percent of total billed charges,,36.05,20.6,,,Percent of total billed charges,,36.05,65.55,,,Percent of total billed charges,,114.71,21,,,Percent of total billed charges,,36.75,90,,,Percent of total billed charges,,157.5,21,,,Percent of total billed charges,,36.75,21,,,Percent of total billed charges,,36.75,64.9,,,Percent of total billed charges,,113.58,21,,,Percent of total billed charges,,36.75,,75.96,,Case rate,,75.96,3.69,175,
Compatibility test each unit; incubation technique,86921,CPT,,,,Outpatient,Facility,,,107,42.8,66,,,Percent of total billed charges,,70.62,20.8,,,Percent of total billed charges,,22.26,20.4,,,Percent of total billed charges,,21.83,,25.2,,Case rate,,25.2,,2.58,,Case rate,,2.58,80,,,Percent of total billed charges,,85.6,61.6,,,Percent of total billed charges,,65.91,20.6,,,Percent of total billed charges,,22.04,20.6,,,Percent of total billed charges,,22.04,65.55,,,Percent of total billed charges,,70.14,21,,,Percent of total billed charges,,22.47,90,,,Percent of total billed charges,,96.3,21,,,Percent of total billed charges,,22.47,21,,,Percent of total billed charges,,22.47,64.9,,,Percent of total billed charges,,69.44,21,,,Percent of total billed charges,,22.47,,64.17,,Case rate,,64.17,2.58,107,
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)",93923,CPT,,,,Outpatient,Facility,,,515,206,66,,,Percent of total billed charges,,339.9,20.8,,,Percent of total billed charges,,107.12,20.4,,,Percent of total billed charges,,105.06,,101.16,,Case rate,,101.16,,11.32,,Case rate,,11.32,80,,,Percent of total billed charges,,412,61.6,,,Percent of total billed charges,,317.24,20.6,,,Percent of total billed charges,,106.09,20.6,,,Percent of total billed charges,,106.09,65.55,,,Percent of total billed charges,,337.58,21,,,Percent of total billed charges,,108.15,90,,,Percent of total billed charges,,463.5,21,,,Percent of total billed charges,,108.15,21,,,Percent of total billed charges,,108.15,64.9,,,Percent of total billed charges,,334.24,21,,,Percent of total billed charges,,108.15,,280.44,,Case rate,,280.44,11.32,515,
"Complex uroflowmetry (eg, calibrated electronic equipment)",51741,CPT,36151741,CDM,TC,Outpatient,Facility,,,626,250.4,66,,,Percent of total billed charges,,413.16,20.8,,,Percent of total billed charges,,130.21,20.4,,,Percent of total billed charges,,127.7,,5.37,,Case rate,,5.37,,21.78,,Case rate,,21.78,80,,,Percent of total billed charges,,500.8,61.6,,,Percent of total billed charges,,385.62,20.6,,,Percent of total billed charges,,128.96,20.6,,,Percent of total billed charges,,128.96,65.55,,,Percent of total billed charges,,410.34,21,,,Percent of total billed charges,,131.46,90,,,Percent of total billed charges,,563.4,21,,,Percent of total billed charges,,131.46,21,,,Percent of total billed charges,,131.46,64.9,,,Percent of total billed charges,,406.27,21,,,Percent of total billed charges,,131.46,,528.79,,Case rate,,528.79,5.37,626,
"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)",80053,CPT,,,,Outpatient,Facility,,,490,196,66,,,Percent of total billed charges,,323.4,20.8,,,Percent of total billed charges,,101.92,20.4,,,Percent of total billed charges,,99.96,,10.56,,Case rate,,10.56,,2.99,,Case rate,,2.99,80,,,Percent of total billed charges,,392,61.6,,,Percent of total billed charges,,301.84,20.6,,,Percent of total billed charges,,100.94,20.6,,,Percent of total billed charges,,100.94,65.55,,,Percent of total billed charges,,321.2,21,,,Percent of total billed charges,,102.9,90,,,Percent of total billed charges,,441,21,,,Percent of total billed charges,,102.9,21,,,Percent of total billed charges,,102.9,64.9,,,Percent of total billed charges,,318.01,21,,,Percent of total billed charges,,102.9,,59.76,,Case rate,,59.76,2.99,490,
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",74175,CPT,35274175,CDM,TC,Outpatient,Facility,,,1483,593.2,66,,,Percent of total billed charges,,978.78,20.8,,,Percent of total billed charges,,308.46,20.4,,,Percent of total billed charges,,302.53,,168.17,,Case rate,,168.17,,51.34,,Case rate,,51.34,80,,,Percent of total billed charges,,1186.4,61.6,,,Percent of total billed charges,,913.53,20.6,,,Percent of total billed charges,,305.5,20.6,,,Percent of total billed charges,,305.5,65.55,,,Percent of total billed charges,,972.11,21,,,Percent of total billed charges,,311.43,90,,,Percent of total billed charges,,1334.7,21,,,Percent of total billed charges,,311.43,21,,,Percent of total billed charges,,311.43,64.9,,,Percent of total billed charges,,962.47,21,,,Percent of total billed charges,,311.43,,1216,,Case rate,,1216,51.34,1483,
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",75635,CPT,,,,Outpatient,Facility,,,1949,779.6,66,,,Percent of total billed charges,,1286.34,20.8,,,Percent of total billed charges,,405.39,20.4,,,Percent of total billed charges,,397.6,,168.18,,Case rate,,168.18,,67.57,,Case rate,,67.57,80,,,Percent of total billed charges,,1559.2,61.6,,,Percent of total billed charges,,1200.58,20.6,,,Percent of total billed charges,,401.49,20.6,,,Percent of total billed charges,,401.49,65.55,,,Percent of total billed charges,,1277.57,21,,,Percent of total billed charges,,409.29,90,,,Percent of total billed charges,,1754.1,21,,,Percent of total billed charges,,409.29,21,,,Percent of total billed charges,,409.29,64.9,,,Percent of total billed charges,,1264.9,21,,,Percent of total billed charges,,409.29,,1629.69,,Case rate,,1629.69,67.57,1949,
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,,,,Outpatient,Facility,,,1445,578,66,,,Percent of total billed charges,,953.7,20.8,,,Percent of total billed charges,,300.56,20.4,,,Percent of total billed charges,,294.78,,168.17,,Case rate,,168.17,,52.84,,Case rate,,52.84,80,,,Percent of total billed charges,,1156,61.6,,,Percent of total billed charges,,890.12,20.6,,,Percent of total billed charges,,297.67,20.6,,,Percent of total billed charges,,297.67,65.55,,,Percent of total billed charges,,947.2,21,,,Percent of total billed charges,,303.45,90,,,Percent of total billed charges,,1300.5,21,,,Percent of total billed charges,,303.45,21,,,Percent of total billed charges,,303.45,64.9,,,Percent of total billed charges,,937.8,21,,,Percent of total billed charges,,303.45,,847.81,,Case rate,,847.81,52.84,1445,
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",71275,CPT,35271275,CDM,TC,Outpatient,Facility,,,1445,578,66,,,Percent of total billed charges,,953.7,20.8,,,Percent of total billed charges,,300.56,20.4,,,Percent of total billed charges,,294.78,,168.17,,Case rate,,168.17,,52.84,,Case rate,,52.84,80,,,Percent of total billed charges,,1156,61.6,,,Percent of total billed charges,,890.12,20.6,,,Percent of total billed charges,,297.67,20.6,,,Percent of total billed charges,,297.67,65.55,,,Percent of total billed charges,,947.2,21,,,Percent of total billed charges,,303.45,90,,,Percent of total billed charges,,1300.5,21,,,Percent of total billed charges,,303.45,21,,,Percent of total billed charges,,303.45,64.9,,,Percent of total billed charges,,937.8,21,,,Percent of total billed charges,,303.45,,847.81,,Case rate,,847.81,52.84,1445,
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,,,,Outpatient,Facility,,,1267,506.8,66,,,Percent of total billed charges,,836.22,20.8,,,Percent of total billed charges,,263.54,20.4,,,Percent of total billed charges,,258.47,,168.17,,Case rate,,168.17,,45.98,,Case rate,,45.98,80,,,Percent of total billed charges,,1013.6,61.6,,,Percent of total billed charges,,780.47,20.6,,,Percent of total billed charges,,261,20.6,,,Percent of total billed charges,,261,65.55,,,Percent of total billed charges,,830.52,21,,,Percent of total billed charges,,266.07,90,,,Percent of total billed charges,,1140.3,21,,,Percent of total billed charges,,266.07,21,,,Percent of total billed charges,,266.07,64.9,,,Percent of total billed charges,,822.28,21,,,Percent of total billed charges,,266.07,,949.26,,Case rate,,949.26,45.98,1267,
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70496,CPT,35170496,CDM,TC,Outpatient,Facility,,,1267,506.8,66,,,Percent of total billed charges,,836.22,20.8,,,Percent of total billed charges,,263.54,20.4,,,Percent of total billed charges,,258.47,,168.17,,Case rate,,168.17,,45.98,,Case rate,,45.98,80,,,Percent of total billed charges,,1013.6,61.6,,,Percent of total billed charges,,780.47,20.6,,,Percent of total billed charges,,261,20.6,,,Percent of total billed charges,,261,65.55,,,Percent of total billed charges,,830.52,21,,,Percent of total billed charges,,266.07,90,,,Percent of total billed charges,,1140.3,21,,,Percent of total billed charges,,266.07,21,,,Percent of total billed charges,,266.07,64.9,,,Percent of total billed charges,,822.28,21,,,Percent of total billed charges,,266.07,,949.26,,Case rate,,949.26,45.98,1267,
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,,,,Outpatient,Facility,,,1267,506.8,66,,,Percent of total billed charges,,836.22,20.8,,,Percent of total billed charges,,263.54,20.4,,,Percent of total billed charges,,258.47,,168.17,,Case rate,,168.17,,45.98,,Case rate,,45.98,80,,,Percent of total billed charges,,1013.6,61.6,,,Percent of total billed charges,,780.47,20.6,,,Percent of total billed charges,,261,20.6,,,Percent of total billed charges,,261,65.55,,,Percent of total billed charges,,830.52,21,,,Percent of total billed charges,,266.07,90,,,Percent of total billed charges,,1140.3,21,,,Percent of total billed charges,,266.07,21,,,Percent of total billed charges,,266.07,64.9,,,Percent of total billed charges,,822.28,21,,,Percent of total billed charges,,266.07,,1047.14,,Case rate,,1047.14,45.98,1267,
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing",70498,CPT,35070498,CDM,TC,Outpatient,Facility,,,1267,506.8,66,,,Percent of total billed charges,,836.22,20.8,,,Percent of total billed charges,,263.54,20.4,,,Percent of total billed charges,,258.47,,168.17,,Case rate,,168.17,,45.98,,Case rate,,45.98,80,,,Percent of total billed charges,,1013.6,61.6,,,Percent of total billed charges,,780.47,20.6,,,Percent of total billed charges,,261,20.6,,,Percent of total billed charges,,261,65.55,,,Percent of total billed charges,,830.52,21,,,Percent of total billed charges,,266.07,90,,,Percent of total billed charges,,1140.3,21,,,Percent of total billed charges,,266.07,21,,,Percent of total billed charges,,266.07,64.9,,,Percent of total billed charges,,822.28,21,,,Percent of total billed charges,,266.07,,1047.14,,Case rate,,1047.14,45.98,1267,
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing",72191,CPT,35272191,CDM,TC,Outpatient,Facility,,,1411,564.4,66,,,Percent of total billed charges,,931.26,20.8,,,Percent of total billed charges,,293.49,20.4,,,Percent of total billed charges,,287.84,,168.17,,Case rate,,168.17,,51.34,,Case rate,,51.34,80,,,Percent of total billed charges,,1128.8,61.6,,,Percent of total billed charges,,869.18,20.6,,,Percent of total billed charges,,290.67,20.6,,,Percent of total billed charges,,290.67,65.55,,,Percent of total billed charges,,924.91,21,,,Percent of total billed charges,,296.31,90,,,Percent of total billed charges,,1269.9,21,,,Percent of total billed charges,,296.31,21,,,Percent of total billed charges,,296.31,64.9,,,Percent of total billed charges,,915.74,21,,,Percent of total billed charges,,296.31,,977.49,,Case rate,,977.49,51.34,1411,
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing",73206,CPT,35273206,CDM,TC,Outpatient,Facility,,,1504,601.6,66,,,Percent of total billed charges,,992.64,20.8,,,Percent of total billed charges,,312.83,20.4,,,Percent of total billed charges,,306.82,,168.17,,Case rate,,168.17,,46.93,,Case rate,,46.93,80,,,Percent of total billed charges,,1203.2,61.6,,,Percent of total billed charges,,926.46,20.6,,,Percent of total billed charges,,309.82,20.6,,,Percent of total billed charges,,309.82,65.55,,,Percent of total billed charges,,985.87,21,,,Percent of total billed charges,,315.84,90,,,Percent of total billed charges,,1353.6,21,,,Percent of total billed charges,,315.84,21,,,Percent of total billed charges,,315.84,64.9,,,Percent of total billed charges,,976.1,21,,,Percent of total billed charges,,315.84,,1271.72,,Case rate,,1271.72,46.93,1504,
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation",77012,CPT,,,,Outpatient,Facility,,,1348,539.2,66,,,Percent of total billed charges,,889.68,20.8,,,Percent of total billed charges,,280.38,20.4,,,Percent of total billed charges,,274.99,,68.28,,Case rate,,68.28,,44.58,,Case rate,,44.58,80,,,Percent of total billed charges,,1078.4,61.6,,,Percent of total billed charges,,830.37,20.6,,,Percent of total billed charges,,277.69,20.6,,,Percent of total billed charges,,277.69,65.55,,,Percent of total billed charges,,883.61,21,,,Percent of total billed charges,,283.08,90,,,Percent of total billed charges,,1213.2,21,,,Percent of total billed charges,,283.08,21,,,Percent of total billed charges,,283.08,64.9,,,Percent of total billed charges,,874.85,21,,,Percent of total billed charges,,283.08,,1132.33,,Case rate,,1132.33,44.58,1348,
"Computed tomography, abdomen and pelvis; with contrast material(s)",74177,CPT,35074177,CDM,TC,Outpatient,Facility,,,3937,1574.8,66,,,Percent of total billed charges,,2598.42,20.8,,,Percent of total billed charges,,818.9,20.4,,,Percent of total billed charges,,803.15,,219.4,,Case rate,,219.4,,58.44,,Case rate,,58.44,80,,,Percent of total billed charges,,3149.6,61.6,,,Percent of total billed charges,,2425.19,20.6,,,Percent of total billed charges,,811.02,20.6,,,Percent of total billed charges,,811.02,65.55,,,Percent of total billed charges,,2580.7,21,,,Percent of total billed charges,,826.77,90,,,Percent of total billed charges,,3543.3,21,,,Percent of total billed charges,,826.77,21,,,Percent of total billed charges,,826.77,64.9,,,Percent of total billed charges,,2555.11,21,,,Percent of total billed charges,,826.77,,3276.98,,Case rate,,3276.98,58.44,3937,
"Computed tomography, abdomen; with contrast material(s)",74160,CPT,35274160,CDM,TC,Outpatient,Facility,,,1965,786,66,,,Percent of total billed charges,,1296.9,20.8,,,Percent of total billed charges,,408.72,20.4,,,Percent of total billed charges,,400.86,,168.18,,Case rate,,168.18,,39.34,,Case rate,,39.34,80,,,Percent of total billed charges,,1572,61.6,,,Percent of total billed charges,,1210.44,20.6,,,Percent of total billed charges,,404.79,20.6,,,Percent of total billed charges,,404.79,65.55,,,Percent of total billed charges,,1288.06,21,,,Percent of total billed charges,,412.65,90,,,Percent of total billed charges,,1768.5,21,,,Percent of total billed charges,,412.65,21,,,Percent of total billed charges,,412.65,64.9,,,Percent of total billed charges,,1275.28,21,,,Percent of total billed charges,,412.65,,975.45,,Case rate,,975.45,39.34,1965,
"Computed tomography, abdomen; without contrast material",74150,CPT,,,,Outpatient,Facility,,,1777,710.8,66,,,Percent of total billed charges,,1172.82,20.8,,,Percent of total billed charges,,369.62,20.4,,,Percent of total billed charges,,362.51,,80.93,,Case rate,,80.93,,33.47,,Case rate,,33.47,80,,,Percent of total billed charges,,1421.6,61.6,,,Percent of total billed charges,,1094.63,20.6,,,Percent of total billed charges,,366.06,20.6,,,Percent of total billed charges,,366.06,65.55,,,Percent of total billed charges,,1164.82,21,,,Percent of total billed charges,,373.17,90,,,Percent of total billed charges,,1599.3,21,,,Percent of total billed charges,,373.17,21,,,Percent of total billed charges,,373.17,64.9,,,Percent of total billed charges,,1153.27,21,,,Percent of total billed charges,,373.17,,815.03,,Case rate,,815.03,33.47,1777,
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",74170,CPT,,,,Outpatient,Facility,,,2459,983.6,66,,,Percent of total billed charges,,1622.94,20.8,,,Percent of total billed charges,,511.47,20.4,,,Percent of total billed charges,,501.64,,168.5,,Case rate,,168.5,,47.6,,Case rate,,47.6,80,,,Percent of total billed charges,,1967.2,61.6,,,Percent of total billed charges,,1514.74,20.6,,,Percent of total billed charges,,506.55,20.6,,,Percent of total billed charges,,506.55,65.55,,,Percent of total billed charges,,1611.87,21,,,Percent of total billed charges,,516.39,90,,,Percent of total billed charges,,2213.1,21,,,Percent of total billed charges,,516.39,21,,,Percent of total billed charges,,516.39,64.9,,,Percent of total billed charges,,1595.89,21,,,Percent of total billed charges,,516.39,,1177.05,,Case rate,,1177.05,47.6,2459,
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)",77078,CPT,35077078,CDM,TC,Outpatient,Facility,,,391,156.4,66,,,Percent of total billed charges,,258.06,20.8,,,Percent of total billed charges,,81.33,20.4,,,Percent of total billed charges,,79.76,,80.93,,Case rate,,80.93,,12.88,,Case rate,,12.88,80,,,Percent of total billed charges,,312.8,61.6,,,Percent of total billed charges,,240.86,20.6,,,Percent of total billed charges,,80.55,20.6,,,Percent of total billed charges,,80.55,65.55,,,Percent of total billed charges,,256.3,21,,,Percent of total billed charges,,82.11,90,,,Percent of total billed charges,,351.9,21,,,Percent of total billed charges,,82.11,21,,,Percent of total billed charges,,82.11,64.9,,,Percent of total billed charges,,253.76,21,,,Percent of total billed charges,,82.11,,195.28,,Case rate,,195.28,12.88,391,
"Computed tomography, cervical spine; with contrast material",72126,CPT,,,,Outpatient,Facility,,,2450,980,66,,,Percent of total billed charges,,1617,20.8,,,Percent of total billed charges,,509.6,20.4,,,Percent of total billed charges,,499.8,,111.27,,Case rate,,111.27,,40.01,,Case rate,,40.01,80,,,Percent of total billed charges,,1960,61.6,,,Percent of total billed charges,,1509.2,20.6,,,Percent of total billed charges,,504.7,20.6,,,Percent of total billed charges,,504.7,65.55,,,Percent of total billed charges,,1605.98,21,,,Percent of total billed charges,,514.5,90,,,Percent of total billed charges,,2205,21,,,Percent of total billed charges,,514.5,21,,,Percent of total billed charges,,514.5,64.9,,,Percent of total billed charges,,1590.05,21,,,Percent of total billed charges,,514.5,,990.96,,Case rate,,990.96,40.01,2450,
"Computed tomography, cervical spine; with contrast material",72126,CPT,35272126,CDM,TC,Outpatient,Facility,,,2450,980,66,,,Percent of total billed charges,,1617,20.8,,,Percent of total billed charges,,509.6,20.4,,,Percent of total billed charges,,499.8,,111.27,,Case rate,,111.27,,40.01,,Case rate,,40.01,80,,,Percent of total billed charges,,1960,61.6,,,Percent of total billed charges,,1509.2,20.6,,,Percent of total billed charges,,504.7,20.6,,,Percent of total billed charges,,504.7,65.55,,,Percent of total billed charges,,1605.98,21,,,Percent of total billed charges,,514.5,90,,,Percent of total billed charges,,2205,21,,,Percent of total billed charges,,514.5,21,,,Percent of total billed charges,,514.5,64.9,,,Percent of total billed charges,,1590.05,21,,,Percent of total billed charges,,514.5,,990.96,,Case rate,,990.96,40.01,2450,
"Computed tomography, cervical spine; without contrast material",72125,CPT,,,,Outpatient,Facility,,,2230,892,66,,,Percent of total billed charges,,1471.8,20.8,,,Percent of total billed charges,,463.84,20.4,,,Percent of total billed charges,,454.92,,82.83,,Case rate,,82.83,,34.41,,Case rate,,34.41,80,,,Percent of total billed charges,,1784,61.6,,,Percent of total billed charges,,1373.68,20.6,,,Percent of total billed charges,,459.38,20.6,,,Percent of total billed charges,,459.38,65.55,,,Percent of total billed charges,,1461.76,21,,,Percent of total billed charges,,468.3,90,,,Percent of total billed charges,,2007,21,,,Percent of total billed charges,,468.3,21,,,Percent of total billed charges,,468.3,64.9,,,Percent of total billed charges,,1447.27,21,,,Percent of total billed charges,,468.3,,852.97,,Case rate,,852.97,34.41,2230,
"Computed tomography, cervical spine; without contrast material",72125,CPT,35272125,CDM,TC,Outpatient,Facility,,,2230,892,66,,,Percent of total billed charges,,1471.8,20.8,,,Percent of total billed charges,,463.84,20.4,,,Percent of total billed charges,,454.92,,82.83,,Case rate,,82.83,,34.41,,Case rate,,34.41,80,,,Percent of total billed charges,,1784,61.6,,,Percent of total billed charges,,1373.68,20.6,,,Percent of total billed charges,,459.38,20.6,,,Percent of total billed charges,,459.38,65.55,,,Percent of total billed charges,,1461.76,21,,,Percent of total billed charges,,468.3,90,,,Percent of total billed charges,,2007,21,,,Percent of total billed charges,,468.3,21,,,Percent of total billed charges,,468.3,64.9,,,Percent of total billed charges,,1447.27,21,,,Percent of total billed charges,,468.3,,852.97,,Case rate,,852.97,34.41,2230,
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",70470,CPT,35170470,CDM,TC,Outpatient,Facility,,,1654,661.6,66,,,Percent of total billed charges,,1091.64,20.8,,,Percent of total billed charges,,344.03,20.4,,,Percent of total billed charges,,337.42,,113.8,,Case rate,,113.8,,40.42,,Case rate,,40.42,80,,,Percent of total billed charges,,1323.2,61.6,,,Percent of total billed charges,,1018.86,20.6,,,Percent of total billed charges,,340.72,20.6,,,Percent of total billed charges,,340.72,65.55,,,Percent of total billed charges,,1084.2,21,,,Percent of total billed charges,,347.34,90,,,Percent of total billed charges,,1488.6,21,,,Percent of total billed charges,,347.34,21,,,Percent of total billed charges,,347.34,64.9,,,Percent of total billed charges,,1073.45,21,,,Percent of total billed charges,,347.34,,987.75,,Case rate,,987.75,40.42,1654,
"Computed tomography, lower extremity; with contrast material(s)",73701,CPT,,,,Outpatient,Facility,,,1203,481.2,66,,,Percent of total billed charges,,793.98,20.8,,,Percent of total billed charges,,250.22,20.4,,,Percent of total billed charges,,245.41,,111.91,,Case rate,,111.91,,34.41,,Case rate,,34.41,80,,,Percent of total billed charges,,962.4,61.6,,,Percent of total billed charges,,741.05,20.6,,,Percent of total billed charges,,247.82,20.6,,,Percent of total billed charges,,247.82,65.55,,,Percent of total billed charges,,788.57,21,,,Percent of total billed charges,,252.63,90,,,Percent of total billed charges,,1082.7,21,,,Percent of total billed charges,,252.63,21,,,Percent of total billed charges,,252.63,64.9,,,Percent of total billed charges,,780.75,21,,,Percent of total billed charges,,252.63,,852.87,,Case rate,,852.87,34.41,1203,
"Computed tomography, lower extremity; without contrast material",73700,CPT,35273700,CDM,TC,Outpatient,Facility,,,1033,413.2,66,,,Percent of total billed charges,,681.78,20.8,,,Percent of total billed charges,,214.86,20.4,,,Percent of total billed charges,,210.73,,82.51,,Case rate,,82.51,,29.63,,Case rate,,29.63,80,,,Percent of total billed charges,,826.4,61.6,,,Percent of total billed charges,,636.33,20.6,,,Percent of total billed charges,,212.8,20.6,,,Percent of total billed charges,,212.8,65.55,,,Percent of total billed charges,,677.13,21,,,Percent of total billed charges,,216.93,90,,,Percent of total billed charges,,929.7,21,,,Percent of total billed charges,,216.93,21,,,Percent of total billed charges,,216.93,64.9,,,Percent of total billed charges,,670.42,21,,,Percent of total billed charges,,216.93,,721.1,,Case rate,,721.1,29.63,1033,
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections",73702,CPT,,,,Outpatient,Facility,,,1279,511.6,66,,,Percent of total billed charges,,844.14,20.8,,,Percent of total billed charges,,266.03,20.4,,,Percent of total billed charges,,260.92,,137.83,,Case rate,,137.83,,41.61,,Case rate,,41.61,80,,,Percent of total billed charges,,1023.2,61.6,,,Percent of total billed charges,,787.86,20.6,,,Percent of total billed charges,,263.47,20.6,,,Percent of total billed charges,,263.47,65.55,,,Percent of total billed charges,,838.38,21,,,Percent of total billed charges,,268.59,90,,,Percent of total billed charges,,1151.1,21,,,Percent of total billed charges,,268.59,21,,,Percent of total billed charges,,268.59,64.9,,,Percent of total billed charges,,830.07,21,,,Percent of total billed charges,,268.59,,1015.33,,Case rate,,1015.33,41.61,1279,
"Computed tomography, lumbar spine; without contrast material",72131,CPT,35272131,CDM,TC,Outpatient,Facility,,,1684,673.6,66,,,Percent of total billed charges,,1111.44,20.8,,,Percent of total billed charges,,350.27,20.4,,,Percent of total billed charges,,343.54,,82.19,,Case rate,,82.19,,34.41,,Case rate,,34.41,80,,,Percent of total billed charges,,1347.2,61.6,,,Percent of total billed charges,,1037.34,20.6,,,Percent of total billed charges,,346.9,20.6,,,Percent of total billed charges,,346.9,65.55,,,Percent of total billed charges,,1103.86,21,,,Percent of total billed charges,,353.64,90,,,Percent of total billed charges,,1515.6,21,,,Percent of total billed charges,,353.64,21,,,Percent of total billed charges,,353.64,64.9,,,Percent of total billed charges,,1092.92,21,,,Percent of total billed charges,,353.64,,853.43,,Case rate,,853.43,34.41,1684,
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections",72133,CPT,,,,Outpatient,Facility,,,1406,562.4,66,,,Percent of total billed charges,,927.96,20.8,,,Percent of total billed charges,,292.45,20.4,,,Percent of total billed charges,,286.82,,137.83,,Case rate,,137.83,,48.32,,Case rate,,48.32,80,,,Percent of total billed charges,,1124.8,61.6,,,Percent of total billed charges,,866.1,20.6,,,Percent of total billed charges,,289.64,20.6,,,Percent of total billed charges,,289.64,65.55,,,Percent of total billed charges,,921.63,21,,,Percent of total billed charges,,295.26,90,,,Percent of total billed charges,,1265.4,21,,,Percent of total billed charges,,295.26,21,,,Percent of total billed charges,,295.26,64.9,,,Percent of total billed charges,,912.49,21,,,Percent of total billed charges,,295.26,,1195.48,,Case rate,,1195.48,48.32,1406,
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,,,,Outpatient,Facility,,,1504,601.6,66,,,Percent of total billed charges,,992.64,20.8,,,Percent of total billed charges,,312.83,20.4,,,Percent of total billed charges,,306.82,,87.57,,Case rate,,87.57,,28.94,,Case rate,,28.94,80,,,Percent of total billed charges,,1203.2,61.6,,,Percent of total billed charges,,926.46,20.6,,,Percent of total billed charges,,309.82,20.6,,,Percent of total billed charges,,309.82,65.55,,,Percent of total billed charges,,985.87,21,,,Percent of total billed charges,,315.84,90,,,Percent of total billed charges,,1353.6,21,,,Percent of total billed charges,,315.84,21,,,Percent of total billed charges,,315.84,64.9,,,Percent of total billed charges,,976.1,21,,,Percent of total billed charges,,315.84,,704.02,,Case rate,,704.02,28.94,1504,
"Computed tomography, maxillofacial area; without contrast material",70486,CPT,35170486,CDM,TC,Outpatient,Facility,,,1504,601.6,66,,,Percent of total billed charges,,992.64,20.8,,,Percent of total billed charges,,312.83,20.4,,,Percent of total billed charges,,306.82,,87.57,,Case rate,,87.57,,28.94,,Case rate,,28.94,80,,,Percent of total billed charges,,1203.2,61.6,,,Percent of total billed charges,,926.46,20.6,,,Percent of total billed charges,,309.82,20.6,,,Percent of total billed charges,,309.82,65.55,,,Percent of total billed charges,,985.87,21,,,Percent of total billed charges,,315.84,90,,,Percent of total billed charges,,1353.6,21,,,Percent of total billed charges,,315.84,21,,,Percent of total billed charges,,315.84,64.9,,,Percent of total billed charges,,976.1,21,,,Percent of total billed charges,,315.84,,704.02,,Case rate,,704.02,28.94,1504,
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,,,,Outpatient,Facility,,,1654,661.6,66,,,Percent of total billed charges,,1091.64,20.8,,,Percent of total billed charges,,344.03,20.4,,,Percent of total billed charges,,337.42,,124.87,,Case rate,,124.87,,41.43,,Case rate,,41.43,80,,,Percent of total billed charges,,1323.2,61.6,,,Percent of total billed charges,,1018.86,20.6,,,Percent of total billed charges,,340.72,20.6,,,Percent of total billed charges,,340.72,65.55,,,Percent of total billed charges,,1084.2,21,,,Percent of total billed charges,,347.34,90,,,Percent of total billed charges,,1488.6,21,,,Percent of total billed charges,,347.34,21,,,Percent of total billed charges,,347.34,64.9,,,Percent of total billed charges,,1073.45,21,,,Percent of total billed charges,,347.34,,1027.26,,Case rate,,1027.26,41.43,1654,
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections",70488,CPT,35170488,CDM,TC,Outpatient,Facility,,,1654,661.6,66,,,Percent of total billed charges,,1091.64,20.8,,,Percent of total billed charges,,344.03,20.4,,,Percent of total billed charges,,337.42,,124.87,,Case rate,,124.87,,41.43,,Case rate,,41.43,80,,,Percent of total billed charges,,1323.2,61.6,,,Percent of total billed charges,,1018.86,20.6,,,Percent of total billed charges,,340.72,20.6,,,Percent of total billed charges,,340.72,65.55,,,Percent of total billed charges,,1084.2,21,,,Percent of total billed charges,,347.34,90,,,Percent of total billed charges,,1488.6,21,,,Percent of total billed charges,,347.34,21,,,Percent of total billed charges,,347.34,64.9,,,Percent of total billed charges,,1073.45,21,,,Percent of total billed charges,,347.34,,1027.26,,Case rate,,1027.26,41.43,1654,
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)",70481,CPT,35170481,CDM,TC,Outpatient,Facility,,,1580,632,66,,,Percent of total billed charges,,1042.8,20.8,,,Percent of total billed charges,,328.64,20.4,,,Percent of total billed charges,,322.32,,127.08,,Case rate,,127.08,,34.75,,Case rate,,34.75,80,,,Percent of total billed charges,,1264,61.6,,,Percent of total billed charges,,973.28,20.6,,,Percent of total billed charges,,325.48,20.6,,,Percent of total billed charges,,325.48,65.55,,,Percent of total billed charges,,1035.69,21,,,Percent of total billed charges,,331.8,90,,,Percent of total billed charges,,1422,21,,,Percent of total billed charges,,331.8,21,,,Percent of total billed charges,,331.8,64.9,,,Percent of total billed charges,,1025.42,21,,,Percent of total billed charges,,331.8,,847.39,,Case rate,,847.39,34.75,1580,
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",70480,CPT,,,,Outpatient,Facility,,,1504,601.6,66,,,Percent of total billed charges,,992.64,20.8,,,Percent of total billed charges,,312.83,20.4,,,Percent of total billed charges,,306.82,,98,,Case rate,,98,,29.91,,Case rate,,29.91,80,,,Percent of total billed charges,,1203.2,61.6,,,Percent of total billed charges,,926.46,20.6,,,Percent of total billed charges,,309.82,20.6,,,Percent of total billed charges,,309.82,65.55,,,Percent of total billed charges,,985.87,21,,,Percent of total billed charges,,315.84,90,,,Percent of total billed charges,,1353.6,21,,,Percent of total billed charges,,315.84,21,,,Percent of total billed charges,,315.84,64.9,,,Percent of total billed charges,,976.1,21,,,Percent of total billed charges,,315.84,,726.68,,Case rate,,726.68,29.91,1504,
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",70482,CPT,35170482,CDM,TC,Outpatient,Facility,,,1654,661.6,66,,,Percent of total billed charges,,1091.64,20.8,,,Percent of total billed charges,,344.03,20.4,,,Percent of total billed charges,,337.42,,150.79,,Case rate,,150.79,,41.61,,Case rate,,41.61,80,,,Percent of total billed charges,,1323.2,61.6,,,Percent of total billed charges,,1018.86,20.6,,,Percent of total billed charges,,340.72,20.6,,,Percent of total billed charges,,340.72,65.55,,,Percent of total billed charges,,1084.2,21,,,Percent of total billed charges,,347.34,90,,,Percent of total billed charges,,1488.6,21,,,Percent of total billed charges,,347.34,21,,,Percent of total billed charges,,347.34,64.9,,,Percent of total billed charges,,1073.45,21,,,Percent of total billed charges,,347.34,,1029.4,,Case rate,,1029.4,41.61,1654,
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,,,,Outpatient,Facility,,,1976,790.4,66,,,Percent of total billed charges,,1304.16,20.8,,,Percent of total billed charges,,411.01,20.4,,,Percent of total billed charges,,403.1,,168.18,,Case rate,,168.18,,38.58,,Case rate,,38.58,80,,,Percent of total billed charges,,1580.8,61.6,,,Percent of total billed charges,,1217.22,20.6,,,Percent of total billed charges,,407.06,20.6,,,Percent of total billed charges,,407.06,65.55,,,Percent of total billed charges,,1295.27,21,,,Percent of total billed charges,,414.96,90,,,Percent of total billed charges,,1778.4,21,,,Percent of total billed charges,,414.96,21,,,Percent of total billed charges,,414.96,64.9,,,Percent of total billed charges,,1282.42,21,,,Percent of total billed charges,,414.96,,956.88,,Case rate,,956.88,38.58,1976,
"Computed tomography, pelvis; with contrast material(s)",72193,CPT,35272193,CDM,TC,Outpatient,Facility,,,1976,790.4,66,,,Percent of total billed charges,,1304.16,20.8,,,Percent of total billed charges,,411.01,20.4,,,Percent of total billed charges,,403.1,,168.18,,Case rate,,168.18,,38.58,,Case rate,,38.58,80,,,Percent of total billed charges,,1580.8,61.6,,,Percent of total billed charges,,1217.22,20.6,,,Percent of total billed charges,,407.06,20.6,,,Percent of total billed charges,,407.06,65.55,,,Percent of total billed charges,,1295.27,21,,,Percent of total billed charges,,414.96,90,,,Percent of total billed charges,,1778.4,21,,,Percent of total billed charges,,414.96,21,,,Percent of total billed charges,,414.96,64.9,,,Percent of total billed charges,,1282.42,21,,,Percent of total billed charges,,414.96,,956.88,,Case rate,,956.88,38.58,1976,
"Computed tomography, pelvis; without contrast material",72192,CPT,,,,Outpatient,Facility,,,1624,649.6,66,,,Percent of total billed charges,,1071.84,20.8,,,Percent of total billed charges,,337.79,20.4,,,Percent of total billed charges,,331.3,,81.88,,Case rate,,81.88,,33.91,,Case rate,,33.91,80,,,Percent of total billed charges,,1299.2,61.6,,,Percent of total billed charges,,1000.38,20.6,,,Percent of total billed charges,,334.54,20.6,,,Percent of total billed charges,,334.54,65.55,,,Percent of total billed charges,,1064.53,21,,,Percent of total billed charges,,341.04,90,,,Percent of total billed charges,,1461.6,21,,,Percent of total billed charges,,341.04,21,,,Percent of total billed charges,,341.04,64.9,,,Percent of total billed charges,,1053.98,21,,,Percent of total billed charges,,341.04,,840.94,,Case rate,,840.94,33.91,1624,
"Computed tomography, pelvis; without contrast material",72192,CPT,35272192,CDM,TC,Outpatient,Facility,,,1624,649.6,66,,,Percent of total billed charges,,1071.84,20.8,,,Percent of total billed charges,,337.79,20.4,,,Percent of total billed charges,,331.3,,81.88,,Case rate,,81.88,,33.91,,Case rate,,33.91,80,,,Percent of total billed charges,,1299.2,61.6,,,Percent of total billed charges,,1000.38,20.6,,,Percent of total billed charges,,334.54,20.6,,,Percent of total billed charges,,334.54,65.55,,,Percent of total billed charges,,1064.53,21,,,Percent of total billed charges,,341.04,90,,,Percent of total billed charges,,1461.6,21,,,Percent of total billed charges,,341.04,21,,,Percent of total billed charges,,341.04,64.9,,,Percent of total billed charges,,1053.98,21,,,Percent of total billed charges,,341.04,,840.94,,Case rate,,840.94,33.91,1624,
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,,,,Outpatient,Facility,,,2174,869.6,66,,,Percent of total billed charges,,1434.84,20.8,,,Percent of total billed charges,,452.19,20.4,,,Percent of total billed charges,,443.5,,168.5,,Case rate,,168.5,,46.31,,Case rate,,46.31,80,,,Percent of total billed charges,,1739.2,61.6,,,Percent of total billed charges,,1339.18,20.6,,,Percent of total billed charges,,447.84,20.6,,,Percent of total billed charges,,447.84,65.55,,,Percent of total billed charges,,1425.06,21,,,Percent of total billed charges,,456.54,90,,,Percent of total billed charges,,1956.6,21,,,Percent of total billed charges,,456.54,21,,,Percent of total billed charges,,456.54,64.9,,,Percent of total billed charges,,1410.93,21,,,Percent of total billed charges,,456.54,,1146.22,,Case rate,,1146.22,46.31,2174,
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections",72194,CPT,35272194,CDM,TC,Outpatient,Facility,,,2174,869.6,66,,,Percent of total billed charges,,1434.84,20.8,,,Percent of total billed charges,,452.19,20.4,,,Percent of total billed charges,,443.5,,168.5,,Case rate,,168.5,,46.31,,Case rate,,46.31,80,,,Percent of total billed charges,,1739.2,61.6,,,Percent of total billed charges,,1339.18,20.6,,,Percent of total billed charges,,447.84,20.6,,,Percent of total billed charges,,447.84,65.55,,,Percent of total billed charges,,1425.06,21,,,Percent of total billed charges,,456.54,90,,,Percent of total billed charges,,1956.6,21,,,Percent of total billed charges,,456.54,21,,,Percent of total billed charges,,456.54,64.9,,,Percent of total billed charges,,1410.93,21,,,Percent of total billed charges,,456.54,,1146.22,,Case rate,,1146.22,46.31,2174,
"Computed tomography, soft tissue neck; with contrast material(s)",70491,CPT,,,,Outpatient,Facility,,,1580,632,66,,,Percent of total billed charges,,1042.8,20.8,,,Percent of total billed charges,,328.64,20.4,,,Percent of total billed charges,,322.32,,119.49,,Case rate,,119.49,,34.75,,Case rate,,34.75,80,,,Percent of total billed charges,,1264,61.6,,,Percent of total billed charges,,973.28,20.6,,,Percent of total billed charges,,325.48,20.6,,,Percent of total billed charges,,325.48,65.55,,,Percent of total billed charges,,1035.69,21,,,Percent of total billed charges,,331.8,90,,,Percent of total billed charges,,1422,21,,,Percent of total billed charges,,331.8,21,,,Percent of total billed charges,,331.8,64.9,,,Percent of total billed charges,,1025.42,21,,,Percent of total billed charges,,331.8,,846.23,,Case rate,,846.23,34.75,1580,
"Computed tomography, soft tissue neck; without contrast material",70490,CPT,,,,Outpatient,Facility,,,1504,601.6,66,,,Percent of total billed charges,,992.64,20.8,,,Percent of total billed charges,,312.83,20.4,,,Percent of total billed charges,,306.82,,89.78,,Case rate,,89.78,,29.91,,Case rate,,29.91,80,,,Percent of total billed charges,,1203.2,61.6,,,Percent of total billed charges,,926.46,20.6,,,Percent of total billed charges,,309.82,20.6,,,Percent of total billed charges,,309.82,65.55,,,Percent of total billed charges,,985.87,21,,,Percent of total billed charges,,315.84,90,,,Percent of total billed charges,,1353.6,21,,,Percent of total billed charges,,315.84,21,,,Percent of total billed charges,,315.84,64.9,,,Percent of total billed charges,,976.1,21,,,Percent of total billed charges,,315.84,,727.19,,Case rate,,727.19,29.91,1504,
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections",70492,CPT,,,,Outpatient,Facility,,,1654,661.6,66,,,Percent of total billed charges,,1091.64,20.8,,,Percent of total billed charges,,344.03,20.4,,,Percent of total billed charges,,337.42,,146.05,,Case rate,,146.05,,41.61,,Case rate,,41.61,80,,,Percent of total billed charges,,1323.2,61.6,,,Percent of total billed charges,,1018.86,20.6,,,Percent of total billed charges,,340.72,20.6,,,Percent of total billed charges,,340.72,65.55,,,Percent of total billed charges,,1084.2,21,,,Percent of total billed charges,,347.34,90,,,Percent of total billed charges,,1488.6,21,,,Percent of total billed charges,,347.34,21,,,Percent of total billed charges,,347.34,64.9,,,Percent of total billed charges,,1073.45,21,,,Percent of total billed charges,,347.34,,1031.35,,Case rate,,1031.35,41.61,1654,
"Computed tomography, thoracic spine; with contrast material",72129,CPT,,,,Outpatient,Facility,,,2450,980,66,,,Percent of total billed charges,,1617,20.8,,,Percent of total billed charges,,509.6,20.4,,,Percent of total billed charges,,499.8,,112.22,,Case rate,,112.22,,40.01,,Case rate,,40.01,80,,,Percent of total billed charges,,1960,61.6,,,Percent of total billed charges,,1509.2,20.6,,,Percent of total billed charges,,504.7,20.6,,,Percent of total billed charges,,504.7,65.55,,,Percent of total billed charges,,1605.98,21,,,Percent of total billed charges,,514.5,90,,,Percent of total billed charges,,2205,21,,,Percent of total billed charges,,514.5,21,,,Percent of total billed charges,,514.5,64.9,,,Percent of total billed charges,,1590.05,21,,,Percent of total billed charges,,514.5,,991.28,,Case rate,,991.28,40.01,2450,
"Computed tomography, thoracic spine; with contrast material",72129,CPT,35272129,CDM,TC,Outpatient,Facility,,,2450,980,66,,,Percent of total billed charges,,1617,20.8,,,Percent of total billed charges,,509.6,20.4,,,Percent of total billed charges,,499.8,,112.22,,Case rate,,112.22,,40.01,,Case rate,,40.01,80,,,Percent of total billed charges,,1960,61.6,,,Percent of total billed charges,,1509.2,20.6,,,Percent of total billed charges,,504.7,20.6,,,Percent of total billed charges,,504.7,65.55,,,Percent of total billed charges,,1605.98,21,,,Percent of total billed charges,,514.5,90,,,Percent of total billed charges,,2205,21,,,Percent of total billed charges,,514.5,21,,,Percent of total billed charges,,514.5,64.9,,,Percent of total billed charges,,1590.05,21,,,Percent of total billed charges,,514.5,,991.28,,Case rate,,991.28,40.01,2450,
"Computed tomography, thoracic spine; without contrast material",72128,CPT,,,,Outpatient,Facility,,,2230,892,66,,,Percent of total billed charges,,1471.8,20.8,,,Percent of total billed charges,,463.84,20.4,,,Percent of total billed charges,,454.92,,82.83,,Case rate,,82.83,,34.41,,Case rate,,34.41,80,,,Percent of total billed charges,,1784,61.6,,,Percent of total billed charges,,1373.68,20.6,,,Percent of total billed charges,,459.38,20.6,,,Percent of total billed charges,,459.38,65.55,,,Percent of total billed charges,,1461.76,21,,,Percent of total billed charges,,468.3,90,,,Percent of total billed charges,,2007,21,,,Percent of total billed charges,,468.3,21,,,Percent of total billed charges,,468.3,64.9,,,Percent of total billed charges,,1447.27,21,,,Percent of total billed charges,,468.3,,853.29,,Case rate,,853.29,34.41,2230,
"Computed tomography, thoracic spine; without contrast material",72128,CPT,35272128,CDM,TC,Outpatient,Facility,,,2230,892,66,,,Percent of total billed charges,,1471.8,20.8,,,Percent of total billed charges,,463.84,20.4,,,Percent of total billed charges,,454.92,,82.83,,Case rate,,82.83,,34.41,,Case rate,,34.41,80,,,Percent of total billed charges,,1784,61.6,,,Percent of total billed charges,,1373.68,20.6,,,Percent of total billed charges,,459.38,20.6,,,Percent of total billed charges,,459.38,65.55,,,Percent of total billed charges,,1461.76,21,,,Percent of total billed charges,,468.3,90,,,Percent of total billed charges,,2007,21,,,Percent of total billed charges,,468.3,21,,,Percent of total billed charges,,468.3,64.9,,,Percent of total billed charges,,1447.27,21,,,Percent of total billed charges,,468.3,,853.29,,Case rate,,853.29,34.41,2230,
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections",72130,CPT,35272130,CDM,TC,Outpatient,Facility,,,1560,624,66,,,Percent of total billed charges,,1029.6,20.8,,,Percent of total billed charges,,324.48,20.4,,,Percent of total billed charges,,318.24,,139.1,,Case rate,,139.1,,48.32,,Case rate,,48.32,80,,,Percent of total billed charges,,1248,61.6,,,Percent of total billed charges,,960.96,20.6,,,Percent of total billed charges,,321.36,20.6,,,Percent of total billed charges,,321.36,65.55,,,Percent of total billed charges,,1022.58,21,,,Percent of total billed charges,,327.6,90,,,Percent of total billed charges,,1404,21,,,Percent of total billed charges,,327.6,21,,,Percent of total billed charges,,327.6,64.9,,,Percent of total billed charges,,1012.44,21,,,Percent of total billed charges,,327.6,,1181.92,,Case rate,,1181.92,48.32,1560,
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,,,,Outpatient,Facility,,,1933,773.2,66,,,Percent of total billed charges,,1275.78,20.8,,,Percent of total billed charges,,402.06,20.4,,,Percent of total billed charges,,394.33,,111.59,,Case rate,,111.59,,40.18,,Case rate,,40.18,80,,,Percent of total billed charges,,1546.4,61.6,,,Percent of total billed charges,,1190.73,20.6,,,Percent of total billed charges,,398.2,20.6,,,Percent of total billed charges,,398.2,65.55,,,Percent of total billed charges,,1267.08,21,,,Percent of total billed charges,,405.93,90,,,Percent of total billed charges,,1739.7,21,,,Percent of total billed charges,,405.93,21,,,Percent of total billed charges,,405.93,64.9,,,Percent of total billed charges,,1254.52,21,,,Percent of total billed charges,,405.93,,981.02,,Case rate,,981.02,40.18,1933,
"Computed tomography, thorax, diagnostic; with contrast material(s)",71260,CPT,35271260,CDM,TC,Outpatient,Facility,,,1933,773.2,66,,,Percent of total billed charges,,1275.78,20.8,,,Percent of total billed charges,,402.06,20.4,,,Percent of total billed charges,,394.33,,111.59,,Case rate,,111.59,,40.18,,Case rate,,40.18,80,,,Percent of total billed charges,,1546.4,61.6,,,Percent of total billed charges,,1190.73,20.6,,,Percent of total billed charges,,398.2,20.6,,,Percent of total billed charges,,398.2,65.55,,,Percent of total billed charges,,1267.08,21,,,Percent of total billed charges,,405.93,90,,,Percent of total billed charges,,1739.7,21,,,Percent of total billed charges,,405.93,21,,,Percent of total billed charges,,405.93,64.9,,,Percent of total billed charges,,1254.52,21,,,Percent of total billed charges,,405.93,,981.02,,Case rate,,981.02,40.18,1933,
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,,,,Outpatient,Facility,,,1579,631.6,66,,,Percent of total billed charges,,1042.14,20.8,,,Percent of total billed charges,,328.43,20.4,,,Percent of total billed charges,,322.12,,82.19,,Case rate,,82.19,,34.41,,Case rate,,34.41,80,,,Percent of total billed charges,,1263.2,61.6,,,Percent of total billed charges,,972.66,20.6,,,Percent of total billed charges,,325.27,20.6,,,Percent of total billed charges,,325.27,65.55,,,Percent of total billed charges,,1035.03,21,,,Percent of total billed charges,,331.59,90,,,Percent of total billed charges,,1421.1,21,,,Percent of total billed charges,,331.59,21,,,Percent of total billed charges,,331.59,64.9,,,Percent of total billed charges,,1024.77,21,,,Percent of total billed charges,,331.59,,854.45,,Case rate,,854.45,34.41,1579,
"Computed tomography, thorax, diagnostic; without contrast material",71250,CPT,35271250,CDM,TC,Outpatient,Facility,,,1579,631.6,66,,,Percent of total billed charges,,1042.14,20.8,,,Percent of total billed charges,,328.43,20.4,,,Percent of total billed charges,,322.12,,82.19,,Case rate,,82.19,,34.41,,Case rate,,34.41,80,,,Percent of total billed charges,,1263.2,61.6,,,Percent of total billed charges,,972.66,20.6,,,Percent of total billed charges,,325.27,20.6,,,Percent of total billed charges,,325.27,65.55,,,Percent of total billed charges,,1035.03,21,,,Percent of total billed charges,,331.59,90,,,Percent of total billed charges,,1421.1,21,,,Percent of total billed charges,,331.59,21,,,Percent of total billed charges,,331.59,64.9,,,Percent of total billed charges,,1024.77,21,,,Percent of total billed charges,,331.59,,854.45,,Case rate,,854.45,34.41,1579,
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections",71270,CPT,35271270,CDM,TC,Outpatient,Facility,,,2619,1047.6,66,,,Percent of total billed charges,,1728.54,20.8,,,Percent of total billed charges,,544.75,20.4,,,Percent of total billed charges,,534.28,,137.51,,Case rate,,137.51,,49.01,,Case rate,,49.01,80,,,Percent of total billed charges,,2095.2,61.6,,,Percent of total billed charges,,1613.3,20.6,,,Percent of total billed charges,,539.51,20.6,,,Percent of total billed charges,,539.51,65.55,,,Percent of total billed charges,,1716.75,21,,,Percent of total billed charges,,549.99,90,,,Percent of total billed charges,,2357.1,21,,,Percent of total billed charges,,549.99,21,,,Percent of total billed charges,,549.99,64.9,,,Percent of total billed charges,,1699.73,21,,,Percent of total billed charges,,549.99,,1198.68,,Case rate,,1198.68,49.01,2619,
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)",71271,CPT,,,,Outpatient,Facility,,,549,219.6,66,,,Percent of total billed charges,,362.34,20.8,,,Percent of total billed charges,,114.19,20.4,,,Percent of total billed charges,,112,,86.62,,Case rate,,86.62,,7.29,,Case rate,,7.29,80,,,Percent of total billed charges,,439.2,61.6,,,Percent of total billed charges,,338.18,20.6,,,Percent of total billed charges,,113.09,20.6,,,Percent of total billed charges,,113.09,65.55,,,Percent of total billed charges,,359.87,21,,,Percent of total billed charges,,115.29,90,,,Percent of total billed charges,,494.1,21,,,Percent of total billed charges,,115.29,21,,,Percent of total billed charges,,115.29,64.9,,,Percent of total billed charges,,356.3,21,,,Percent of total billed charges,,115.29,,306.99,,Case rate,,306.99,7.29,549,
"Computed tomography, upper extremity; with contrast material(s)",73201,CPT,35273201,CDM,TC,Outpatient,Facility,,,1169,467.6,66,,,Percent of total billed charges,,771.54,20.8,,,Percent of total billed charges,,243.15,20.4,,,Percent of total billed charges,,238.48,,146.68,,Case rate,,146.68,,34.41,,Case rate,,34.41,80,,,Percent of total billed charges,,935.2,61.6,,,Percent of total billed charges,,720.1,20.6,,,Percent of total billed charges,,240.81,20.6,,,Percent of total billed charges,,240.81,65.55,,,Percent of total billed charges,,766.28,21,,,Percent of total billed charges,,245.49,90,,,Percent of total billed charges,,1052.1,21,,,Percent of total billed charges,,245.49,21,,,Percent of total billed charges,,245.49,64.9,,,Percent of total billed charges,,758.68,21,,,Percent of total billed charges,,245.49,,838.34,,Case rate,,838.34,34.41,1169,
"Computed tomography, upper extremity; without contrast material",73200,CPT,35273200,CDM,TC,Outpatient,Facility,,,1064,425.6,66,,,Percent of total billed charges,,702.24,20.8,,,Percent of total billed charges,,221.31,20.4,,,Percent of total billed charges,,217.06,,99.9,,Case rate,,99.9,,29.63,,Case rate,,29.63,80,,,Percent of total billed charges,,851.2,61.6,,,Percent of total billed charges,,655.42,20.6,,,Percent of total billed charges,,219.18,20.6,,,Percent of total billed charges,,219.18,65.55,,,Percent of total billed charges,,697.45,21,,,Percent of total billed charges,,223.44,90,,,Percent of total billed charges,,957.6,21,,,Percent of total billed charges,,223.44,21,,,Percent of total billed charges,,223.44,64.9,,,Percent of total billed charges,,690.54,21,,,Percent of total billed charges,,223.44,,735.36,,Case rate,,735.36,29.63,1064,
"Concentration (any type), for infectious agents",87015,CPT,,,,Outpatient,Facility,,,65,26,66,,,Percent of total billed charges,,42.9,20.8,,,Percent of total billed charges,,13.52,20.4,,,Percent of total billed charges,,13.26,,6.68,,Case rate,,6.68,,2.03,,Case rate,,2.03,80,,,Percent of total billed charges,,52,61.6,,,Percent of total billed charges,,40.04,20.6,,,Percent of total billed charges,,13.39,20.6,,,Percent of total billed charges,,13.39,65.55,,,Percent of total billed charges,,42.61,21,,,Percent of total billed charges,,13.65,90,,,Percent of total billed charges,,58.5,21,,,Percent of total billed charges,,13.65,21,,,Percent of total billed charges,,13.65,64.9,,,Percent of total billed charges,,42.18,21,,,Percent of total billed charges,,13.65,,51.68,,Case rate,,51.68,2.03,65,
Consultation and report on referred material requiring preparation of slides,88323,CPT,31088323,CDM,TC,Outpatient,Facility,,,292,116.8,66,,,Percent of total billed charges,,192.72,20.8,,,Percent of total billed charges,,60.74,20.4,,,Percent of total billed charges,,59.57,,26.55,,Case rate,,26.55,,1.76,,Case rate,,1.76,80,,,Percent of total billed charges,,233.6,61.6,,,Percent of total billed charges,,179.87,20.6,,,Percent of total billed charges,,60.15,20.6,,,Percent of total billed charges,,60.15,65.55,,,Percent of total billed charges,,191.41,21,,,Percent of total billed charges,,61.32,90,,,Percent of total billed charges,,262.8,21,,,Percent of total billed charges,,61.32,21,,,Percent of total billed charges,,61.32,64.9,,,Percent of total billed charges,,189.51,21,,,Percent of total billed charges,,61.32,,32.59,,Case rate,,32.59,1.76,292,
"Consultation, comprehensive, with review of records and specimens, with report on referred material",88325,CPT,,,,Outpatient,Facility,,,1213,485.2,66,,,Percent of total billed charges,,800.58,20.8,,,Percent of total billed charges,,252.3,20.4,,,Percent of total billed charges,,247.45,,152.11,,Case rate,,152.11,,7.15,,Case rate,,7.15,80,,,Percent of total billed charges,,970.4,61.6,,,Percent of total billed charges,,747.21,20.6,,,Percent of total billed charges,,249.88,20.6,,,Percent of total billed charges,,249.88,65.55,,,Percent of total billed charges,,795.12,21,,,Percent of total billed charges,,254.73,90,,,Percent of total billed charges,,1091.7,21,,,Percent of total billed charges,,254.73,21,,,Percent of total billed charges,,254.73,64.9,,,Percent of total billed charges,,787.24,21,,,Percent of total billed charges,,254.73,,152.1,,Case rate,,152.1,7.15,1213,
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour,94644,CPT,,,,Outpatient,Facility,,,474,189.6,66,,,Percent of total billed charges,,312.84,20.8,,,Percent of total billed charges,,98.59,20.4,,,Percent of total billed charges,,96.7,,56.27,,Case rate,,56.27,,6.36,,Case rate,,6.36,80,,,Percent of total billed charges,,379.2,61.6,,,Percent of total billed charges,,291.98,20.6,,,Percent of total billed charges,,97.64,20.6,,,Percent of total billed charges,,97.64,65.55,,,Percent of total billed charges,,310.71,21,,,Percent of total billed charges,,99.54,90,,,Percent of total billed charges,,426.6,21,,,Percent of total billed charges,,99.54,21,,,Percent of total billed charges,,99.54,64.9,,,Percent of total billed charges,,307.63,21,,,Percent of total billed charges,,99.54,,81.25,,Case rate,,81.25,6.36,474,
"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method",30903,CPT,,,,Outpatient,Facility,,,1756,702.4,66,,,Percent of total billed charges,,1158.96,20.8,,,Percent of total billed charges,,365.25,20.4,,,Percent of total billed charges,,358.22,,238.49,,Case rate,,238.49,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1404.8,61.6,,,Percent of total billed charges,,1081.7,20.6,,,Percent of total billed charges,,361.74,20.6,,,Percent of total billed charges,,361.74,65.55,,,Percent of total billed charges,,1151.06,21,,,Percent of total billed charges,,368.76,90,,,Percent of total billed charges,,1580.4,21,,,Percent of total billed charges,,368.76,21,,,Percent of total billed charges,,368.76,64.9,,,Percent of total billed charges,,1139.64,21,,,Percent of total billed charges,,368.76,,1421.18,,Case rate,,1421.18,58.06,1756,
"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method",30901,CPT,,,,Outpatient,Facility,,,425,170,66,,,Percent of total billed charges,,280.5,20.8,,,Percent of total billed charges,,88.4,20.4,,,Percent of total billed charges,,86.7,,152.5,,Case rate,,152.5,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,340,61.6,,,Percent of total billed charges,,261.8,20.6,,,Percent of total billed charges,,87.55,20.6,,,Percent of total billed charges,,87.55,65.55,,,Percent of total billed charges,,278.59,21,,,Percent of total billed charges,,89.25,90,,,Percent of total billed charges,,382.5,21,,,Percent of total billed charges,,89.25,21,,,Percent of total billed charges,,89.25,64.9,,,Percent of total billed charges,,275.82,21,,,Percent of total billed charges,,89.25,,348.23,,Case rate,,348.23,13.86,425,
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial",30905,CPT,,,,Outpatient,Facility,,,1692,676.8,66,,,Percent of total billed charges,,1116.72,20.8,,,Percent of total billed charges,,351.94,20.4,,,Percent of total billed charges,,345.17,,340.55,,Case rate,,340.55,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1353.6,61.6,,,Percent of total billed charges,,1042.27,20.6,,,Percent of total billed charges,,348.55,20.6,,,Percent of total billed charges,,348.55,65.55,,,Percent of total billed charges,,1109.11,21,,,Percent of total billed charges,,355.32,90,,,Percent of total billed charges,,1522.8,21,,,Percent of total billed charges,,355.32,21,,,Percent of total billed charges,,355.32,64.9,,,Percent of total billed charges,,1098.11,21,,,Percent of total billed charges,,355.32,,1435.94,,Case rate,,1435.94,58.06,1692,
"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed",32408,CPT,,,,Outpatient,Facility,,,4787,1914.8,66,,,Percent of total billed charges,,3159.42,20.8,,,Percent of total billed charges,,995.7,20.4,,,Percent of total billed charges,,976.55,,826.77,,Case rate,,826.77,,72.7,,Case rate,,72.7,80,,,Percent of total billed charges,,3829.6,61.6,,,Percent of total billed charges,,2948.79,20.6,,,Percent of total billed charges,,986.12,20.6,,,Percent of total billed charges,,986.12,65.55,,,Percent of total billed charges,,3137.88,21,,,Percent of total billed charges,,1005.27,90,,,Percent of total billed charges,,4308.3,21,,,Percent of total billed charges,,1005.27,21,,,Percent of total billed charges,,1005.27,64.9,,,Percent of total billed charges,,3106.76,21,,,Percent of total billed charges,,1005.27,,1767.03,,Case rate,,1767.03,72.7,4787,
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method",28296,CPT,,,,Outpatient,Facility,,,15794.87,6317.95,66,,,Percent of total billed charges,,10424.61,20.8,,,Percent of total billed charges,,3285.33,20.4,,,Percent of total billed charges,,3222.15,,851.46,,Case rate,,851.46,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,12635.9,61.6,,,Percent of total billed charges,,9729.64,20.6,,,Percent of total billed charges,,3253.74,20.6,,,Percent of total billed charges,,3253.74,65.55,,,Percent of total billed charges,,10353.54,21,,,Percent of total billed charges,,3316.92,90,,,Percent of total billed charges,,14215.38,21,,,Percent of total billed charges,,3316.92,21,,,Percent of total billed charges,,3316.92,64.9,,,Percent of total billed charges,,10250.87,21,,,Percent of total billed charges,,3316.92,,2187.55,,Case rate,,2187.55,89.15,15794.87,
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method",28297,CPT,,,,Outpatient,Facility,,,8965.59,3586.23,66,,,Percent of total billed charges,,5917.29,20.8,,,Percent of total billed charges,,1864.84,20.4,,,Percent of total billed charges,,1828.98,,990.08,,Case rate,,990.08,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,7172.47,61.6,,,Percent of total billed charges,,5522.8,20.6,,,Percent of total billed charges,,1846.91,20.6,,,Percent of total billed charges,,1846.91,65.55,,,Percent of total billed charges,,5876.94,21,,,Percent of total billed charges,,1882.77,90,,,Percent of total billed charges,,8069.03,21,,,Percent of total billed charges,,1882.77,21,,,Percent of total billed charges,,1882.77,64.9,,,Percent of total billed charges,,5818.66,21,,,Percent of total billed charges,,1882.77,,2186.02,,Case rate,,2186.02,89.15,8965.58,
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method",28295,CPT,,,,Outpatient,Facility,,,8079.21,3231.68,66,,,Percent of total billed charges,,5332.28,20.8,,,Percent of total billed charges,,1680.48,20.4,,,Percent of total billed charges,,1648.16,,1030.72,,Case rate,,1030.72,,64.25,,Case rate,,64.25,80,,,Percent of total billed charges,,6463.37,61.6,,,Percent of total billed charges,,4976.79,20.6,,,Percent of total billed charges,,1664.32,20.6,,,Percent of total billed charges,,1664.32,65.55,,,Percent of total billed charges,,5295.92,21,,,Percent of total billed charges,,1696.63,90,,,Percent of total billed charges,,7271.29,21,,,Percent of total billed charges,,1696.63,21,,,Percent of total billed charges,,1696.63,64.9,,,Percent of total billed charges,,5243.41,21,,,Percent of total billed charges,,1696.63,45,,,Percent of total billed charges,,3635.64,64.25,8079.21,
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method",28298,CPT,,,,Outpatient,Facility,,,7771.87,3108.75,66,,,Percent of total billed charges,,5129.43,20.8,,,Percent of total billed charges,,1616.55,20.4,,,Percent of total billed charges,,1585.46,,801.5,,Case rate,,801.5,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,6217.49,61.6,,,Percent of total billed charges,,4787.47,20.6,,,Percent of total billed charges,,1601,20.6,,,Percent of total billed charges,,1601,65.55,,,Percent of total billed charges,,5094.46,21,,,Percent of total billed charges,,1632.09,90,,,Percent of total billed charges,,6994.68,21,,,Percent of total billed charges,,1632.09,21,,,Percent of total billed charges,,1632.09,64.9,,,Percent of total billed charges,,5043.94,21,,,Percent of total billed charges,,1632.09,,2185.51,,Case rate,,2185.51,89.15,7771.86,
Cortisol; total,82533,CPT,,,,Outpatient,Facility,,,347,138.8,66,,,Percent of total billed charges,,229.02,20.8,,,Percent of total billed charges,,72.18,20.4,,,Percent of total billed charges,,70.79,,16.3,,Case rate,,16.3,,3.36,,Case rate,,3.36,80,,,Percent of total billed charges,,277.6,61.6,,,Percent of total billed charges,,213.75,20.6,,,Percent of total billed charges,,71.48,20.6,,,Percent of total billed charges,,71.48,65.55,,,Percent of total billed charges,,227.46,21,,,Percent of total billed charges,,72.87,90,,,Percent of total billed charges,,312.3,21,,,Percent of total billed charges,,72.87,21,,,Percent of total billed charges,,72.87,64.9,,,Percent of total billed charges,,225.2,21,,,Percent of total billed charges,,72.87,,81.72,,Case rate,,81.72,3.36,347,
"Creatine kinase (CK), (CPK); MB fraction only",82553,CPT,,,,Outpatient,Facility,,,99,39.6,66,,,Percent of total billed charges,,65.34,20.8,,,Percent of total billed charges,,20.59,20.4,,,Percent of total billed charges,,20.2,,11.55,,Case rate,,11.55,,2.06,,Case rate,,2.06,80,,,Percent of total billed charges,,79.2,61.6,,,Percent of total billed charges,,60.98,20.6,,,Percent of total billed charges,,20.39,20.6,,,Percent of total billed charges,,20.39,65.55,,,Percent of total billed charges,,64.89,21,,,Percent of total billed charges,,20.79,90,,,Percent of total billed charges,,89.1,21,,,Percent of total billed charges,,20.79,21,,,Percent of total billed charges,,20.79,64.9,,,Percent of total billed charges,,64.25,21,,,Percent of total billed charges,,20.79,,38.21,,Case rate,,38.21,2.06,99,
"Creatine kinase (CK), (CPK); total",82550,CPT,,,,Outpatient,Facility,,,79,31.6,66,,,Percent of total billed charges,,52.14,20.8,,,Percent of total billed charges,,16.43,20.4,,,Percent of total billed charges,,16.12,,6.51,,Case rate,,6.51,,1.35,,Case rate,,1.35,80,,,Percent of total billed charges,,63.2,61.6,,,Percent of total billed charges,,48.66,20.6,,,Percent of total billed charges,,16.27,20.6,,,Percent of total billed charges,,16.27,65.55,,,Percent of total billed charges,,51.78,21,,,Percent of total billed charges,,16.59,90,,,Percent of total billed charges,,71.1,21,,,Percent of total billed charges,,16.59,21,,,Percent of total billed charges,,16.59,64.9,,,Percent of total billed charges,,51.27,21,,,Percent of total billed charges,,16.59,,35.43,,Case rate,,35.43,1.35,79,
Creatinine; other source,82570,CPT,,,,Outpatient,Facility,,,79,31.6,66,,,Percent of total billed charges,,52.14,20.8,,,Percent of total billed charges,,16.43,20.4,,,Percent of total billed charges,,16.12,,5.18,,Case rate,,5.18,,1.07,,Case rate,,1.07,80,,,Percent of total billed charges,,63.2,61.6,,,Percent of total billed charges,,48.66,20.6,,,Percent of total billed charges,,16.27,20.6,,,Percent of total billed charges,,16.27,65.55,,,Percent of total billed charges,,51.78,21,,,Percent of total billed charges,,16.59,90,,,Percent of total billed charges,,71.1,21,,,Percent of total billed charges,,16.59,21,,,Percent of total billed charges,,16.59,64.9,,,Percent of total billed charges,,51.27,21,,,Percent of total billed charges,,16.59,,16.2,,Case rate,,16.2,1.07,79,
Cryofibrinogen,82585,CPT,,,,Outpatient,Facility,,,74,29.6,66,,,Percent of total billed charges,,48.84,20.8,,,Percent of total billed charges,,15.39,20.4,,,Percent of total billed charges,,15.1,,14.14,,Case rate,,14.14,,2.48,,Case rate,,2.48,80,,,Percent of total billed charges,,59.2,61.6,,,Percent of total billed charges,,45.58,20.6,,,Percent of total billed charges,,15.24,20.6,,,Percent of total billed charges,,15.24,65.55,,,Percent of total billed charges,,48.51,21,,,Percent of total billed charges,,15.54,90,,,Percent of total billed charges,,66.6,21,,,Percent of total billed charges,,15.54,21,,,Percent of total billed charges,,15.54,64.9,,,Percent of total billed charges,,48.03,21,,,Percent of total billed charges,,15.54,,61.1,,Case rate,,61.1,2.48,74,
"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit)",82595,CPT,,,,Outpatient,Facility,,,41,16.4,66,,,Percent of total billed charges,,27.06,20.8,,,Percent of total billed charges,,8.53,20.4,,,Percent of total billed charges,,8.36,,6.47,,Case rate,,6.47,,1.33,,Case rate,,1.33,80,,,Percent of total billed charges,,32.8,61.6,,,Percent of total billed charges,,25.26,20.6,,,Percent of total billed charges,,8.45,20.6,,,Percent of total billed charges,,8.45,65.55,,,Percent of total billed charges,,26.88,21,,,Percent of total billed charges,,8.61,90,,,Percent of total billed charges,,36.9,21,,,Percent of total billed charges,,8.61,21,,,Percent of total billed charges,,8.61,64.9,,,Percent of total billed charges,,26.61,21,,,Percent of total billed charges,,8.61,,22.43,,Case rate,,22.43,1.33,41,
"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)",89060,CPT,,,,Outpatient,Facility,,,153,61.2,66,,,Percent of total billed charges,,100.98,20.8,,,Percent of total billed charges,,31.82,20.4,,,Percent of total billed charges,,31.21,,7.33,,Case rate,,7.33,,1.47,,Case rate,,1.47,80,,,Percent of total billed charges,,122.4,61.6,,,Percent of total billed charges,,94.25,20.6,,,Percent of total billed charges,,31.52,20.6,,,Percent of total billed charges,,31.52,65.55,,,Percent of total billed charges,,100.29,21,,,Percent of total billed charges,,32.13,90,,,Percent of total billed charges,,137.7,21,,,Percent of total billed charges,,32.13,21,,,Percent of total billed charges,,32.13,64.9,,,Percent of total billed charges,,99.3,21,,,Percent of total billed charges,,32.13,,25.26,,Case rate,,25.26,1.47,153,
"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate",87077,CPT,,,,Outpatient,Facility,,,55,22,66,,,Percent of total billed charges,,36.3,20.8,,,Percent of total billed charges,,11.44,20.4,,,Percent of total billed charges,,11.22,,8.08,,Case rate,,8.08,,1.82,,Case rate,,1.82,80,,,Percent of total billed charges,,44,61.6,,,Percent of total billed charges,,33.88,20.6,,,Percent of total billed charges,,11.33,20.6,,,Percent of total billed charges,,11.33,65.55,,,Percent of total billed charges,,36.05,21,,,Percent of total billed charges,,11.55,90,,,Percent of total billed charges,,49.5,21,,,Percent of total billed charges,,11.55,21,,,Percent of total billed charges,,11.55,64.9,,,Percent of total billed charges,,35.7,21,,,Percent of total billed charges,,11.55,,36.59,,Case rate,,36.59,1.82,55,
"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)",87040,CPT,,,,Outpatient,Facility,,,145,58,66,,,Percent of total billed charges,,95.7,20.8,,,Percent of total billed charges,,30.16,20.4,,,Percent of total billed charges,,29.58,,10.32,,Case rate,,10.32,,2.13,,Case rate,,2.13,80,,,Percent of total billed charges,,116,61.6,,,Percent of total billed charges,,89.32,20.6,,,Percent of total billed charges,,29.87,20.6,,,Percent of total billed charges,,29.87,65.55,,,Percent of total billed charges,,95.05,21,,,Percent of total billed charges,,30.45,90,,,Percent of total billed charges,,130.5,21,,,Percent of total billed charges,,30.45,21,,,Percent of total billed charges,,30.45,64.9,,,Percent of total billed charges,,94.1,21,,,Percent of total billed charges,,30.45,,53.26,,Case rate,,53.26,2.13,145,
"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species",87045,CPT,,,,Outpatient,Facility,,,106,42.4,66,,,Percent of total billed charges,,69.96,20.8,,,Percent of total billed charges,,22.05,20.4,,,Percent of total billed charges,,21.62,,9.44,,Case rate,,9.44,,1.94,,Case rate,,1.94,80,,,Percent of total billed charges,,84.8,61.6,,,Percent of total billed charges,,65.3,20.6,,,Percent of total billed charges,,21.84,20.6,,,Percent of total billed charges,,21.84,65.55,,,Percent of total billed charges,,69.48,21,,,Percent of total billed charges,,22.26,90,,,Percent of total billed charges,,95.4,21,,,Percent of total billed charges,,22.26,21,,,Percent of total billed charges,,22.26,64.9,,,Percent of total billed charges,,68.79,21,,,Percent of total billed charges,,22.26,,49.59,,Case rate,,49.59,1.94,106,
"Culture, chlamydia, any source",87110,CPT,,,,Outpatient,Facility,,,96,38.4,66,,,Percent of total billed charges,,63.36,20.8,,,Percent of total billed charges,,19.97,20.4,,,Percent of total billed charges,,19.58,,19.6,,Case rate,,19.6,,3.87,,Case rate,,3.87,80,,,Percent of total billed charges,,76.8,61.6,,,Percent of total billed charges,,59.14,20.6,,,Percent of total billed charges,,19.78,20.6,,,Percent of total billed charges,,19.78,65.55,,,Percent of total billed charges,,62.93,21,,,Percent of total billed charges,,20.16,90,,,Percent of total billed charges,,86.4,21,,,Percent of total billed charges,,20.16,21,,,Percent of total billed charges,,20.16,64.9,,,Percent of total billed charges,,62.3,21,,,Percent of total billed charges,,20.16,,79.35,,Case rate,,79.35,3.87,96,
"Culture, fungi, definitive identification, each organism; yeast",87106,CPT,,,,Outpatient,Facility,,,142,56.8,66,,,Percent of total billed charges,,93.72,20.8,,,Percent of total billed charges,,29.54,20.4,,,Percent of total billed charges,,28.97,,10.32,,Case rate,,10.32,,2.99,,Case rate,,2.99,80,,,Percent of total billed charges,,113.6,61.6,,,Percent of total billed charges,,87.47,20.6,,,Percent of total billed charges,,29.25,20.6,,,Percent of total billed charges,,29.25,65.55,,,Percent of total billed charges,,93.08,21,,,Percent of total billed charges,,29.82,90,,,Percent of total billed charges,,127.8,21,,,Percent of total billed charges,,29.82,21,,,Percent of total billed charges,,29.82,64.9,,,Percent of total billed charges,,92.16,21,,,Percent of total billed charges,,29.82,,72.57,,Case rate,,72.57,2.99,142,
"Culture, presumptive, pathogenic organisms, screening only",87081,CPT,,,,Outpatient,Facility,,,62,24.8,66,,,Percent of total billed charges,,40.92,20.8,,,Percent of total billed charges,,12.9,20.4,,,Percent of total billed charges,,12.65,,6.63,,Case rate,,6.63,,1.22,,Case rate,,1.22,80,,,Percent of total billed charges,,49.6,61.6,,,Percent of total billed charges,,38.19,20.6,,,Percent of total billed charges,,12.77,20.6,,,Percent of total billed charges,,12.77,65.55,,,Percent of total billed charges,,40.64,21,,,Percent of total billed charges,,13.02,90,,,Percent of total billed charges,,55.8,21,,,Percent of total billed charges,,13.02,21,,,Percent of total billed charges,,13.02,64.9,,,Percent of total billed charges,,40.24,21,,,Percent of total billed charges,,13.02,,32.27,,Case rate,,32.27,1.22,62,
"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates",87116,CPT,,,,Outpatient,Facility,,,110,44,66,,,Percent of total billed charges,,72.6,20.8,,,Percent of total billed charges,,22.88,20.4,,,Percent of total billed charges,,22.44,,10.8,,Case rate,,10.8,,3.12,,Case rate,,3.12,80,,,Percent of total billed charges,,88,61.6,,,Percent of total billed charges,,67.76,20.6,,,Percent of total billed charges,,22.66,20.6,,,Percent of total billed charges,,22.66,65.55,,,Percent of total billed charges,,72.1,21,,,Percent of total billed charges,,23.1,90,,,Percent of total billed charges,,99,21,,,Percent of total billed charges,,23.1,21,,,Percent of total billed charges,,23.1,64.9,,,Percent of total billed charges,,71.39,21,,,Percent of total billed charges,,23.1,,62.03,,Case rate,,62.03,3.12,110,
"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene)",87153,CPT,,,,Outpatient,Facility,,,226,90.4,66,,,Percent of total billed charges,,149.16,20.8,,,Percent of total billed charges,,47.01,20.4,,,Percent of total billed charges,,46.1,,115.36,,Case rate,,115.36,,32.71,,Case rate,,32.71,80,,,Percent of total billed charges,,180.8,61.6,,,Percent of total billed charges,,139.22,20.6,,,Percent of total billed charges,,46.56,20.6,,,Percent of total billed charges,,46.56,65.55,,,Percent of total billed charges,,148.14,21,,,Percent of total billed charges,,47.46,90,,,Percent of total billed charges,,203.4,21,,,Percent of total billed charges,,47.46,21,,,Percent of total billed charges,,47.46,64.9,,,Percent of total billed charges,,146.67,21,,,Percent of total billed charges,,47.46,,153.36,,Case rate,,153.36,32.71,226,
"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum",87147,CPT,,,,Outpatient,Facility,,,48,19.2,66,,,Percent of total billed charges,,31.68,20.8,,,Percent of total billed charges,,9.98,20.4,,,Percent of total billed charges,,9.79,,5.18,,Case rate,,5.18,,1.62,,Case rate,,1.62,80,,,Percent of total billed charges,,38.4,61.6,,,Percent of total billed charges,,29.57,20.6,,,Percent of total billed charges,,9.89,20.6,,,Percent of total billed charges,,9.89,65.55,,,Percent of total billed charges,,31.46,21,,,Percent of total billed charges,,10.08,90,,,Percent of total billed charges,,43.2,21,,,Percent of total billed charges,,10.08,21,,,Percent of total billed charges,,10.08,64.9,,,Percent of total billed charges,,31.15,21,,,Percent of total billed charges,,10.08,,41.46,,Case rate,,41.46,1.62,48,
Cyanocobalamin (Vitamin B-12),82607,CPT,,,,Outpatient,Facility,,,132,52.8,66,,,Percent of total billed charges,,87.12,20.8,,,Percent of total billed charges,,27.46,20.4,,,Percent of total billed charges,,26.93,,15.08,,Case rate,,15.08,,3.1,,Case rate,,3.1,80,,,Percent of total billed charges,,105.6,61.6,,,Percent of total billed charges,,81.31,20.6,,,Percent of total billed charges,,27.19,20.6,,,Percent of total billed charges,,27.19,65.55,,,Percent of total billed charges,,86.53,21,,,Percent of total billed charges,,27.72,90,,,Percent of total billed charges,,118.8,21,,,Percent of total billed charges,,27.72,21,,,Percent of total billed charges,,27.72,64.9,,,Percent of total billed charges,,85.67,21,,,Percent of total billed charges,,27.72,,63.14,,Case rate,,63.14,3.1,132,
"Cyclic citrullinated peptide (CCP), antibody",86200,CPT,,,,Outpatient,Facility,,,191,76.4,66,,,Percent of total billed charges,,126.06,20.8,,,Percent of total billed charges,,39.73,20.4,,,Percent of total billed charges,,38.96,,12.95,,Case rate,,12.95,,3.58,,Case rate,,3.58,80,,,Percent of total billed charges,,152.8,61.6,,,Percent of total billed charges,,117.66,20.6,,,Percent of total billed charges,,39.35,20.6,,,Percent of total billed charges,,39.35,65.55,,,Percent of total billed charges,,125.2,21,,,Percent of total billed charges,,40.11,90,,,Percent of total billed charges,,171.9,21,,,Percent of total billed charges,,40.11,21,,,Percent of total billed charges,,40.11,64.9,,,Percent of total billed charges,,123.96,21,,,Percent of total billed charges,,40.11,,60.73,,Case rate,,60.73,3.58,191,
"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN)",81226,CPT,,,,Outpatient,Facility,,,1860,744,66,,,Percent of total billed charges,,1227.6,20.8,,,Percent of total billed charges,,386.88,,459.93,,Case rate,,459.93,,450.91,,Case rate,,450.91,,43.61,,Case rate,,43.61,80,,,Percent of total billed charges,,1488,61.6,,,Percent of total billed charges,,1145.76,20.6,,,Percent of total billed charges,,383.16,20.6,,,Percent of total billed charges,,383.16,65.55,,,Percent of total billed charges,,1219.23,21,,,Percent of total billed charges,,390.6,90,,,Percent of total billed charges,,1674,21,,,Percent of total billed charges,,390.6,21,,,Percent of total billed charges,,390.6,64.9,,,Percent of total billed charges,,1207.14,21,,,Percent of total billed charges,,390.6,45,,,Percent of total billed charges,,837,43.61,1860,
"Cystine and homocystine, urine, qualitative",82615,CPT,,,,Outpatient,Facility,,,83,33.2,66,,,Percent of total billed charges,,54.78,20.8,,,Percent of total billed charges,,17.26,20.4,,,Percent of total billed charges,,16.93,,9.55,,Case rate,,9.55,,2.37,,Case rate,,2.37,80,,,Percent of total billed charges,,66.4,61.6,,,Percent of total billed charges,,51.13,20.6,,,Percent of total billed charges,,17.1,20.6,,,Percent of total billed charges,,17.1,65.55,,,Percent of total billed charges,,54.41,21,,,Percent of total billed charges,,17.43,90,,,Percent of total billed charges,,74.7,21,,,Percent of total billed charges,,17.43,21,,,Percent of total billed charges,,17.43,64.9,,,Percent of total billed charges,,53.87,21,,,Percent of total billed charges,,17.43,,59.71,,Case rate,,59.71,2.37,83,
"Cystography, minimum of 3 views, radiological supervision and interpretation",74430,CPT,,,,Outpatient,Facility,,,377,150.8,66,,,Percent of total billed charges,,248.82,20.8,,,Percent of total billed charges,,78.42,20.4,,,Percent of total billed charges,,76.91,,24.97,,Case rate,,24.97,,6.93,,Case rate,,6.93,80,,,Percent of total billed charges,,301.6,61.6,,,Percent of total billed charges,,232.23,20.6,,,Percent of total billed charges,,77.66,20.6,,,Percent of total billed charges,,77.66,65.55,,,Percent of total billed charges,,247.12,21,,,Percent of total billed charges,,79.17,90,,,Percent of total billed charges,,339.3,21,,,Percent of total billed charges,,79.17,21,,,Percent of total billed charges,,79.17,64.9,,,Percent of total billed charges,,244.67,21,,,Percent of total billed charges,,79.17,,161.67,,Case rate,,161.67,6.93,377,
"Cystostomy, cystotomy with drainage",51040,CPT,,,,Outpatient,Facility,,,4544.23,1817.69,66,,,Percent of total billed charges,,2999.19,20.8,,,Percent of total billed charges,,945.2,20.4,,,Percent of total billed charges,,927.02,,282.87,,Case rate,,282.87,,109.82,,Case rate,,109.82,80,,,Percent of total billed charges,,3635.38,61.6,,,Percent of total billed charges,,2799.25,20.6,,,Percent of total billed charges,,936.11,20.6,,,Percent of total billed charges,,936.11,65.55,,,Percent of total billed charges,,2978.74,21,,,Percent of total billed charges,,954.29,90,,,Percent of total billed charges,,4089.81,21,,,Percent of total billed charges,,954.29,21,,,Percent of total billed charges,,954.29,64.9,,,Percent of total billed charges,,2949.21,21,,,Percent of total billed charges,,954.29,,2710.4,,Case rate,,2710.4,109.82,4544.23,
"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)",52344,CPT,,,,Outpatient,Facility,,,6916.86,2766.74,66,,,Percent of total billed charges,,4565.12,20.8,,,Percent of total billed charges,,1438.71,20.4,,,Percent of total billed charges,,1411.04,,355.13,,Case rate,,355.13,,95.63,,Case rate,,95.63,80,,,Percent of total billed charges,,5533.48,61.6,,,Percent of total billed charges,,4260.78,20.6,,,Percent of total billed charges,,1424.87,20.6,,,Percent of total billed charges,,1424.87,65.55,,,Percent of total billed charges,,4534,21,,,Percent of total billed charges,,1452.54,90,,,Percent of total billed charges,,6225.17,21,,,Percent of total billed charges,,1452.54,21,,,Percent of total billed charges,,1452.54,64.9,,,Percent of total billed charges,,4489.04,21,,,Percent of total billed charges,,1452.54,,3431.69,,Case rate,,3431.69,95.63,6916.86,
"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female",52281,CPT,,,,Outpatient,Facility,,,3555.79,1422.32,66,,,Percent of total billed charges,,2346.82,20.8,,,Percent of total billed charges,,739.6,20.4,,,Percent of total billed charges,,725.38,,315.46,,Case rate,,315.46,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,2844.63,61.6,,,Percent of total billed charges,,2190.37,20.6,,,Percent of total billed charges,,732.49,20.6,,,Percent of total billed charges,,732.49,65.55,,,Percent of total billed charges,,2330.82,21,,,Percent of total billed charges,,746.72,90,,,Percent of total billed charges,,3200.21,21,,,Percent of total billed charges,,746.72,21,,,Percent of total billed charges,,746.72,64.9,,,Percent of total billed charges,,2307.71,21,,,Percent of total billed charges,,746.72,,1919.14,,Case rate,,1919.14,77.74,3555.79,
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)",52240,CPT,,,,Outpatient,Facility,,,8888.79,3555.52,66,,,Percent of total billed charges,,5866.6,20.8,,,Percent of total billed charges,,1848.87,20.4,,,Percent of total billed charges,,1813.31,,377.58,,Case rate,,377.58,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,7111.03,61.6,,,Percent of total billed charges,,5475.49,20.6,,,Percent of total billed charges,,1831.09,20.6,,,Percent of total billed charges,,1831.09,65.55,,,Percent of total billed charges,,5826.6,21,,,Percent of total billed charges,,1866.65,90,,,Percent of total billed charges,,7999.91,21,,,Percent of total billed charges,,1866.65,21,,,Percent of total billed charges,,1866.65,64.9,,,Percent of total billed charges,,5768.82,21,,,Percent of total billed charges,,1866.65,,2201.01,,Case rate,,2201.01,89.15,8888.79,
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands",52214,CPT,,,,Outpatient,Facility,,,3529.35,1411.74,66,,,Percent of total billed charges,,2329.37,20.8,,,Percent of total billed charges,,734.1,20.4,,,Percent of total billed charges,,719.99,,719.57,,Case rate,,719.57,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,2823.48,61.6,,,Percent of total billed charges,,2174.08,20.6,,,Percent of total billed charges,,727.05,20.6,,,Percent of total billed charges,,727.05,65.55,,,Percent of total billed charges,,2313.49,21,,,Percent of total billed charges,,741.16,90,,,Percent of total billed charges,,3176.41,21,,,Percent of total billed charges,,741.16,21,,,Percent of total billed charges,,741.16,64.9,,,Percent of total billed charges,,2290.54,21,,,Percent of total billed charges,,741.16,,1920.34,,Case rate,,1920.34,77.74,3529.34,
"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple",52310,CPT,,,,Outpatient,Facility,,,3231.7,1292.68,66,,,Percent of total billed charges,,2132.92,20.8,,,Percent of total billed charges,,672.19,20.4,,,Percent of total billed charges,,659.27,,308,,Case rate,,308,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,2585.36,61.6,,,Percent of total billed charges,,1990.73,20.6,,,Percent of total billed charges,,665.73,20.6,,,Percent of total billed charges,,665.73,65.55,,,Percent of total billed charges,,2118.38,21,,,Percent of total billed charges,,678.66,90,,,Percent of total billed charges,,2908.53,21,,,Percent of total billed charges,,678.66,21,,,Percent of total billed charges,,678.66,64.9,,,Percent of total billed charges,,2097.37,21,,,Percent of total billed charges,,678.66,,1906.04,,Case rate,,1906.04,77.74,3231.7,
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic",52351,CPT,,,,Outpatient,Facility,,,2855.17,1142.07,66,,,Percent of total billed charges,,1884.41,20.8,,,Percent of total billed charges,,593.87,20.4,,,Percent of total billed charges,,582.45,,291.3,,Case rate,,291.3,,95.63,,Case rate,,95.63,80,,,Percent of total billed charges,,2284.13,61.6,,,Percent of total billed charges,,1758.78,20.6,,,Percent of total billed charges,,588.16,20.6,,,Percent of total billed charges,,588.16,65.55,,,Percent of total billed charges,,1871.56,21,,,Percent of total billed charges,,599.59,90,,,Percent of total billed charges,,2569.65,21,,,Percent of total billed charges,,599.59,21,,,Percent of total billed charges,,599.59,64.9,,,Percent of total billed charges,,1853,21,,,Percent of total billed charges,,599.59,,2071.06,,Case rate,,2071.06,95.63,2855.17,
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)",52352,CPT,,,,Outpatient,Facility,,,3798.09,1519.24,66,,,Percent of total billed charges,,2506.74,20.8,,,Percent of total billed charges,,790,20.4,,,Percent of total billed charges,,774.81,,341.19,,Case rate,,341.19,,118.13,,Case rate,,118.13,80,,,Percent of total billed charges,,3038.48,61.6,,,Percent of total billed charges,,2339.63,20.6,,,Percent of total billed charges,,782.41,20.6,,,Percent of total billed charges,,782.41,65.55,,,Percent of total billed charges,,2489.65,21,,,Percent of total billed charges,,797.6,90,,,Percent of total billed charges,,3418.28,21,,,Percent of total billed charges,,797.6,21,,,Percent of total billed charges,,797.6,64.9,,,Percent of total billed charges,,2464.96,21,,,Percent of total billed charges,,797.6,,1140.51,,Case rate,,1140.51,118.13,3798.09,
"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization [CGH] microarray analysis",81228,CPT,,,,Outpatient,Facility,,,3413,1365.2,66,,,Percent of total billed charges,,2252.58,20.8,,,Percent of total billed charges,,709.9,,918,,Case rate,,918,,900,,Case rate,,900,,108.54,,Case rate,,108.54,80,,,Percent of total billed charges,,2730.4,61.6,,,Percent of total billed charges,,2102.41,20.6,,,Percent of total billed charges,,703.08,20.6,,,Percent of total billed charges,,703.08,65.55,,,Percent of total billed charges,,2237.22,21,,,Percent of total billed charges,,716.73,90,,,Percent of total billed charges,,3071.7,21,,,Percent of total billed charges,,716.73,21,,,Percent of total billed charges,,716.73,64.9,,,Percent of total billed charges,,2215.04,21,,,Percent of total billed charges,,716.73,,1182.2,,Case rate,,1182.2,108.54,3413,
"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities",81277,CPT,,,,Outpatient,Facility,,,8465,3386,66,,,Percent of total billed charges,,5586.9,20.8,,,Percent of total billed charges,,1760.72,,1183.2,,Case rate,,1183.2,,1160,,Case rate,,1160,,69.17,,Case rate,,69.17,80,,,Percent of total billed charges,,6772,61.6,,,Percent of total billed charges,,5214.44,20.6,,,Percent of total billed charges,,1743.79,20.6,,,Percent of total billed charges,,1743.79,65.55,,,Percent of total billed charges,,5548.81,21,,,Percent of total billed charges,,1777.65,90,,,Percent of total billed charges,,7618.5,21,,,Percent of total billed charges,,1777.65,21,,,Percent of total billed charges,,1777.65,64.9,,,Percent of total billed charges,,5493.78,21,,,Percent of total billed charges,,1777.65,45,,,Percent of total billed charges,,3809.25,69.17,8465,
"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision",88142,CPT,,,,Outpatient,Facility,,,163,65.2,66,,,Percent of total billed charges,,107.58,20.8,,,Percent of total billed charges,,33.9,20.4,,,Percent of total billed charges,,33.25,,20.26,,Case rate,,20.26,,4.76,,Case rate,,4.76,80,,,Percent of total billed charges,,130.4,61.6,,,Percent of total billed charges,,100.41,20.6,,,Percent of total billed charges,,33.58,20.6,,,Percent of total billed charges,,33.58,65.55,,,Percent of total billed charges,,106.85,21,,,Percent of total billed charges,,34.23,90,,,Percent of total billed charges,,146.7,21,,,Percent of total billed charges,,34.23,21,,,Percent of total billed charges,,34.23,64.9,,,Percent of total billed charges,,105.79,21,,,Percent of total billed charges,,34.23,,112.17,,Case rate,,112.17,4.76,163,
"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under physician supervision",88175,CPT,,,,Outpatient,Facility,,,229,91.6,66,,,Percent of total billed charges,,151.14,20.8,,,Percent of total billed charges,,47.63,20.4,,,Percent of total billed charges,,46.72,,26.61,,Case rate,,26.61,,7.56,,Case rate,,7.56,80,,,Percent of total billed charges,,183.2,61.6,,,Percent of total billed charges,,141.06,20.6,,,Percent of total billed charges,,47.17,20.6,,,Percent of total billed charges,,47.17,65.55,,,Percent of total billed charges,,150.11,21,,,Percent of total billed charges,,48.09,90,,,Percent of total billed charges,,206.1,21,,,Percent of total billed charges,,48.09,21,,,Percent of total billed charges,,48.09,64.9,,,Percent of total billed charges,,148.62,21,,,Percent of total billed charges,,48.09,,90.07,,Case rate,,90.07,7.56,229,
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)",88108,CPT,,,,Outpatient,Facility,,,276,110.4,66,,,Percent of total billed charges,,182.16,20.8,,,Percent of total billed charges,,57.41,20.4,,,Percent of total billed charges,,56.3,,41.72,,Case rate,,41.72,,1.49,,Case rate,,1.49,80,,,Percent of total billed charges,,220.8,61.6,,,Percent of total billed charges,,170.02,20.6,,,Percent of total billed charges,,56.86,20.6,,,Percent of total billed charges,,56.86,65.55,,,Percent of total billed charges,,180.92,21,,,Percent of total billed charges,,57.96,90,,,Percent of total billed charges,,248.4,21,,,Percent of total billed charges,,57.96,21,,,Percent of total billed charges,,57.96,64.9,,,Percent of total billed charges,,179.12,21,,,Percent of total billed charges,,57.96,,25.72,,Case rate,,25.72,1.49,276,
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,,,,Outpatient,Facility,,,58,23.2,66,,,Percent of total billed charges,,38.28,20.8,,,Percent of total billed charges,,12.06,,152.14,,Case rate,,152.14,,19.59,,Case rate,,19.59,,2.15,,Case rate,,2.15,80,,,Percent of total billed charges,,46.4,61.6,,,Percent of total billed charges,,35.73,20.6,,,Percent of total billed charges,,11.95,20.6,,,Percent of total billed charges,,11.95,65.55,,,Percent of total billed charges,,38.02,21,,,Percent of total billed charges,,12.18,90,,,Percent of total billed charges,,52.2,21,,,Percent of total billed charges,,12.18,21,,,Percent of total billed charges,,12.18,64.9,,,Percent of total billed charges,,37.64,21,,,Percent of total billed charges,,12.18,,40.67,,Case rate,,40.67,2.15,152.14,
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site",88172,CPT,31188172,CDM,TC,Outpatient,Facility,,,58,23.2,66,,,Percent of total billed charges,,38.28,20.8,,,Percent of total billed charges,,12.06,,152.14,,Case rate,,152.14,,19.59,,Case rate,,19.59,,2.15,,Case rate,,2.15,80,,,Percent of total billed charges,,46.4,61.6,,,Percent of total billed charges,,35.73,20.6,,,Percent of total billed charges,,11.95,20.6,,,Percent of total billed charges,,11.95,65.55,,,Percent of total billed charges,,38.02,21,,,Percent of total billed charges,,12.18,90,,,Percent of total billed charges,,52.2,21,,,Percent of total billed charges,,12.18,21,,,Percent of total billed charges,,12.18,64.9,,,Percent of total billed charges,,37.64,21,,,Percent of total billed charges,,12.18,,40.67,,Case rate,,40.67,2.15,152.14,
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,,,,Outpatient,Facility,,,298,119.2,66,,,Percent of total billed charges,,196.68,20.8,,,Percent of total billed charges,,61.98,,50.76,,Case rate,,50.76,,87.86,,Case rate,,87.86,,2.7,,Case rate,,2.7,80,,,Percent of total billed charges,,238.4,61.6,,,Percent of total billed charges,,183.57,20.6,,,Percent of total billed charges,,61.39,20.6,,,Percent of total billed charges,,61.39,65.55,,,Percent of total billed charges,,195.34,21,,,Percent of total billed charges,,62.58,90,,,Percent of total billed charges,,268.2,21,,,Percent of total billed charges,,62.58,21,,,Percent of total billed charges,,62.58,64.9,,,Percent of total billed charges,,193.4,21,,,Percent of total billed charges,,62.58,,66.21,,Case rate,,66.21,2.7,298,
"Cytopathology, evaluation of fine needle aspirate; interpretation and report",88173,CPT,31188173,CDM,TC,Outpatient,Facility,,,298,119.2,66,,,Percent of total billed charges,,196.68,20.8,,,Percent of total billed charges,,61.98,,50.76,,Case rate,,50.76,,87.86,,Case rate,,87.86,,2.7,,Case rate,,2.7,80,,,Percent of total billed charges,,238.4,61.6,,,Percent of total billed charges,,183.57,20.6,,,Percent of total billed charges,,61.39,20.6,,,Percent of total billed charges,,61.39,65.55,,,Percent of total billed charges,,195.34,21,,,Percent of total billed charges,,62.58,90,,,Percent of total billed charges,,268.2,21,,,Percent of total billed charges,,62.58,21,,,Percent of total billed charges,,62.58,64.9,,,Percent of total billed charges,,193.4,21,,,Percent of total billed charges,,62.58,,66.21,,Case rate,,66.21,2.7,298,
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",88104,CPT,31188104,CDM,TC,Outpatient,Facility,,,200,80,66,,,Percent of total billed charges,,132,20.8,,,Percent of total billed charges,,41.6,20.4,,,Percent of total billed charges,,40.8,,40.13,,Case rate,,40.13,,1.29,,Case rate,,1.29,80,,,Percent of total billed charges,,160,61.6,,,Percent of total billed charges,,123.2,20.6,,,Percent of total billed charges,,41.2,20.6,,,Percent of total billed charges,,41.2,65.55,,,Percent of total billed charges,,131.1,21,,,Percent of total billed charges,,42,90,,,Percent of total billed charges,,180,21,,,Percent of total billed charges,,42,21,,,Percent of total billed charges,,42,64.9,,,Percent of total billed charges,,129.8,21,,,Percent of total billed charges,,42,,20.15,,Case rate,,20.15,1.29,200,
"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual",88120,CPT,30088120,CDM,TC,Outpatient,Facility,,,559,223.6,66,,,Percent of total billed charges,,368.94,20.8,,,Percent of total billed charges,,116.27,20.4,,,Percent of total billed charges,,114.04,,509.94,,Case rate,,509.94,,76.66,,Case rate,,76.66,80,,,Percent of total billed charges,,447.2,61.6,,,Percent of total billed charges,,344.34,20.6,,,Percent of total billed charges,,115.15,20.6,,,Percent of total billed charges,,115.15,65.55,,,Percent of total billed charges,,366.42,21,,,Percent of total billed charges,,117.39,90,,,Percent of total billed charges,,503.1,21,,,Percent of total billed charges,,117.39,21,,,Percent of total billed charges,,117.39,64.9,,,Percent of total billed charges,,362.79,21,,,Percent of total billed charges,,117.39,,212.7,,Case rate,,212.7,76.66,559,
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,,,,Outpatient,Facility,,,296,118.4,66,,,Percent of total billed charges,,195.36,20.8,,,Percent of total billed charges,,61.57,20.4,,,Percent of total billed charges,,60.38,,37.61,,Case rate,,37.61,,10.69,,Case rate,,10.69,80,,,Percent of total billed charges,,236.8,61.6,,,Percent of total billed charges,,182.34,20.6,,,Percent of total billed charges,,60.98,20.6,,,Percent of total billed charges,,60.98,65.55,,,Percent of total billed charges,,194.03,21,,,Percent of total billed charges,,62.16,90,,,Percent of total billed charges,,266.4,21,,,Percent of total billed charges,,62.16,21,,,Percent of total billed charges,,62.16,64.9,,,Percent of total billed charges,,192.1,21,,,Percent of total billed charges,,62.16,,118.35,,Case rate,,118.35,10.69,296,
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",88112,CPT,31188112,CDM,TC,Outpatient,Facility,,,296,118.4,66,,,Percent of total billed charges,,195.36,20.8,,,Percent of total billed charges,,61.57,20.4,,,Percent of total billed charges,,60.38,,37.61,,Case rate,,37.61,,10.69,,Case rate,,10.69,80,,,Percent of total billed charges,,236.8,61.6,,,Percent of total billed charges,,182.34,20.6,,,Percent of total billed charges,,60.98,20.6,,,Percent of total billed charges,,60.98,65.55,,,Percent of total billed charges,,194.03,21,,,Percent of total billed charges,,62.16,90,,,Percent of total billed charges,,266.4,21,,,Percent of total billed charges,,62.16,21,,,Percent of total billed charges,,62.16,64.9,,,Percent of total billed charges,,192.1,21,,,Percent of total billed charges,,62.16,,118.35,,Case rate,,118.35,10.69,296,
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",97598,CPT,,,,Outpatient,Facility,,,341,136.4,66,,,Percent of total billed charges,,225.06,20.8,,,Percent of total billed charges,,70.93,20.4,,,Percent of total billed charges,,69.56,,43.45,,Case rate,,43.45,,11.65,,Case rate,,11.65,80,,,Percent of total billed charges,,272.8,61.6,,,Percent of total billed charges,,210.06,20.6,,,Percent of total billed charges,,70.25,20.6,,,Percent of total billed charges,,70.25,65.55,,,Percent of total billed charges,,223.53,21,,,Percent of total billed charges,,71.61,90,,,Percent of total billed charges,,306.9,21,,,Percent of total billed charges,,71.61,21,,,Percent of total billed charges,,71.61,64.9,,,Percent of total billed charges,,221.31,21,,,Percent of total billed charges,,71.61,,146.25,,Case rate,,146.25,11.65,341,
"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone",11012,CPT,,,,Outpatient,Facility,,,5570,2228,66,,,Percent of total billed charges,,3676.2,20.8,,,Percent of total billed charges,,1158.56,20.4,,,Percent of total billed charges,,1136.28,,632.51,,Case rate,,632.51,,83.63,,Case rate,,83.63,80,,,Percent of total billed charges,,4456,61.6,,,Percent of total billed charges,,3431.12,20.6,,,Percent of total billed charges,,1147.42,20.6,,,Percent of total billed charges,,1147.42,65.55,,,Percent of total billed charges,,3651.14,21,,,Percent of total billed charges,,1169.7,90,,,Percent of total billed charges,,5013,21,,,Percent of total billed charges,,1169.7,21,,,Percent of total billed charges,,1169.7,64.9,,,Percent of total billed charges,,3614.93,21,,,Percent of total billed charges,,1169.7,,4734.23,,Case rate,,4734.23,83.63,5570,
Debridement of nail(s) by any method(s); 1 to 5,11720,CPT,,,,Outpatient,Facility,,,300,120,66,,,Percent of total billed charges,,198,20.8,,,Percent of total billed charges,,62.4,20.4,,,Percent of total billed charges,,61.2,,31.67,,Case rate,,31.67,,4.98,,Case rate,,4.98,80,,,Percent of total billed charges,,240,61.6,,,Percent of total billed charges,,184.8,20.6,,,Percent of total billed charges,,61.8,20.6,,,Percent of total billed charges,,61.8,65.55,,,Percent of total billed charges,,196.65,21,,,Percent of total billed charges,,63,90,,,Percent of total billed charges,,270,21,,,Percent of total billed charges,,63,21,,,Percent of total billed charges,,63,64.9,,,Percent of total billed charges,,194.7,21,,,Percent of total billed charges,,63,,251.23,,Case rate,,251.23,4.98,300,
Debridement of nail(s) by any method(s); 6 or more,11721,CPT,,,,Outpatient,Facility,,,347,138.8,66,,,Percent of total billed charges,,229.02,20.8,,,Percent of total billed charges,,72.18,20.4,,,Percent of total billed charges,,70.79,,42.92,,Case rate,,42.92,,7.5,,Case rate,,7.5,80,,,Percent of total billed charges,,277.6,61.6,,,Percent of total billed charges,,213.75,20.6,,,Percent of total billed charges,,71.48,20.6,,,Percent of total billed charges,,71.48,65.55,,,Percent of total billed charges,,227.46,21,,,Percent of total billed charges,,72.87,90,,,Percent of total billed charges,,312.3,21,,,Percent of total billed charges,,72.87,21,,,Percent of total billed charges,,72.87,64.9,,,Percent of total billed charges,,225.2,21,,,Percent of total billed charges,,72.87,,293.34,,Case rate,,293.34,7.5,347,
"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less",11044,CPT,,,,Outpatient,Facility,,,2341,936.4,66,,,Percent of total billed charges,,1545.06,20.8,,,Percent of total billed charges,,486.93,20.4,,,Percent of total billed charges,,477.56,,301.49,,Case rate,,301.49,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1872.8,61.6,,,Percent of total billed charges,,1442.06,20.6,,,Percent of total billed charges,,482.25,20.6,,,Percent of total billed charges,,482.25,65.55,,,Percent of total billed charges,,1534.53,21,,,Percent of total billed charges,,491.61,90,,,Percent of total billed charges,,2106.9,21,,,Percent of total billed charges,,491.61,21,,,Percent of total billed charges,,491.61,64.9,,,Percent of total billed charges,,1519.31,21,,,Percent of total billed charges,,491.61,,1920.81,,Case rate,,1920.81,77.74,2341,
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",11045,CPT,,,,Outpatient,Facility,,,487,194.8,66,,,Percent of total billed charges,,321.42,20.8,,,Percent of total billed charges,,101.3,20.4,,,Percent of total billed charges,,99.35,,38.69,,Case rate,,38.69,,6.03,,Case rate,,6.03,80,,,Percent of total billed charges,,389.6,61.6,,,Percent of total billed charges,,299.99,20.6,,,Percent of total billed charges,,100.32,20.6,,,Percent of total billed charges,,100.32,65.55,,,Percent of total billed charges,,319.23,21,,,Percent of total billed charges,,102.27,90,,,Percent of total billed charges,,438.3,21,,,Percent of total billed charges,,102.27,21,,,Percent of total billed charges,,102.27,64.9,,,Percent of total billed charges,,316.06,21,,,Percent of total billed charges,,102.27,,412.76,,Case rate,,412.76,6.03,487,
Declotting by thrombolytic agent of implanted vascular access device or catheter,36593,CPT,,,,Outpatient,Facility,,,723,289.2,66,,,Percent of total billed charges,,477.18,20.8,,,Percent of total billed charges,,150.38,20.4,,,Percent of total billed charges,,147.49,,31.28,,Case rate,,31.28,,6.75,,Case rate,,6.75,80,,,Percent of total billed charges,,578.4,61.6,,,Percent of total billed charges,,445.37,20.6,,,Percent of total billed charges,,148.94,20.6,,,Percent of total billed charges,,148.94,65.55,,,Percent of total billed charges,,473.93,21,,,Percent of total billed charges,,151.83,90,,,Percent of total billed charges,,650.7,21,,,Percent of total billed charges,,151.83,21,,,Percent of total billed charges,,151.83,64.9,,,Percent of total billed charges,,469.23,21,,,Percent of total billed charges,,151.83,,426.41,,Case rate,,426.41,6.75,723,
Dehydroepiandrosterone (DHEA),82626,CPT,,,,Outpatient,Facility,,,147,58.8,66,,,Percent of total billed charges,,97.02,20.8,,,Percent of total billed charges,,30.58,20.4,,,Percent of total billed charges,,29.99,,25.27,,Case rate,,25.27,,5.2,,Case rate,,5.2,80,,,Percent of total billed charges,,117.6,61.6,,,Percent of total billed charges,,90.55,20.6,,,Percent of total billed charges,,30.28,20.6,,,Percent of total billed charges,,30.28,65.55,,,Percent of total billed charges,,96.36,21,,,Percent of total billed charges,,30.87,90,,,Percent of total billed charges,,132.3,21,,,Percent of total billed charges,,30.87,21,,,Percent of total billed charges,,30.87,64.9,,,Percent of total billed charges,,95.4,21,,,Percent of total billed charges,,30.87,,110.5,,Case rate,,110.5,5.2,147,
"Deoxycortisol, 11-",82634,CPT,,,,Outpatient,Facility,,,130,52,66,,,Percent of total billed charges,,85.8,20.8,,,Percent of total billed charges,,27.04,20.4,,,Percent of total billed charges,,26.52,,29.28,,Case rate,,29.28,,4.98,,Case rate,,4.98,80,,,Percent of total billed charges,,104,61.6,,,Percent of total billed charges,,80.08,20.6,,,Percent of total billed charges,,26.78,20.6,,,Percent of total billed charges,,26.78,65.55,,,Percent of total billed charges,,85.22,21,,,Percent of total billed charges,,27.3,90,,,Percent of total billed charges,,117,21,,,Percent of total billed charges,,27.3,21,,,Percent of total billed charges,,27.3,64.9,,,Percent of total billed charges,,84.37,21,,,Percent of total billed charges,,27.3,,104.65,,Case rate,,104.65,4.98,130,
"Deoxyribonuclease, antibody",86215,CPT,,,,Outpatient,Facility,,,112,44.8,66,,,Percent of total billed charges,,73.92,20.8,,,Percent of total billed charges,,23.3,20.4,,,Percent of total billed charges,,22.85,,13.25,,Case rate,,13.25,,3.84,,Case rate,,3.84,80,,,Percent of total billed charges,,89.6,61.6,,,Percent of total billed charges,,68.99,20.6,,,Percent of total billed charges,,23.07,20.6,,,Percent of total billed charges,,23.07,65.55,,,Percent of total billed charges,,73.42,21,,,Percent of total billed charges,,23.52,90,,,Percent of total billed charges,,100.8,21,,,Percent of total billed charges,,23.52,21,,,Percent of total billed charges,,23.52,64.9,,,Percent of total billed charges,,72.69,21,,,Percent of total billed charges,,23.52,,79.77,,Case rate,,79.77,3.84,112,
"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions",17110,CPT,,,,Outpatient,Facility,,,397,158.8,66,,,Percent of total billed charges,,262.02,20.8,,,Percent of total billed charges,,82.58,20.4,,,Percent of total billed charges,,80.99,,109.34,,Case rate,,109.34,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,317.6,61.6,,,Percent of total billed charges,,244.55,20.6,,,Percent of total billed charges,,81.78,20.6,,,Percent of total billed charges,,81.78,65.55,,,Percent of total billed charges,,260.23,21,,,Percent of total billed charges,,83.37,90,,,Percent of total billed charges,,357.3,21,,,Percent of total billed charges,,83.37,21,,,Percent of total billed charges,,83.37,64.9,,,Percent of total billed charges,,257.65,21,,,Percent of total billed charges,,83.37,,332.58,,Case rate,,332.58,13.86,397,
"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion",17000,CPT,,,,Outpatient,Facility,,,426,170.4,66,,,Percent of total billed charges,,281.16,20.8,,,Percent of total billed charges,,88.61,20.4,,,Percent of total billed charges,,86.9,,64.88,,Case rate,,64.88,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,340.8,61.6,,,Percent of total billed charges,,262.42,20.6,,,Percent of total billed charges,,87.76,20.6,,,Percent of total billed charges,,87.76,65.55,,,Percent of total billed charges,,279.24,21,,,Percent of total billed charges,,89.46,90,,,Percent of total billed charges,,383.4,21,,,Percent of total billed charges,,89.46,21,,,Percent of total billed charges,,89.46,64.9,,,Percent of total billed charges,,276.47,21,,,Percent of total billed charges,,89.46,,346.37,,Case rate,,346.37,13.86,426,
"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation",54055,CPT,,,,Outpatient,Facility,,,6205.88,2482.35,66,,,Percent of total billed charges,,4095.88,20.8,,,Percent of total billed charges,,1290.82,20.4,,,Percent of total billed charges,,1266,,132.94,,Case rate,,132.94,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,4964.7,61.6,,,Percent of total billed charges,,3822.82,20.6,,,Percent of total billed charges,,1278.41,20.6,,,Percent of total billed charges,,1278.41,65.55,,,Percent of total billed charges,,4067.95,21,,,Percent of total billed charges,,1303.23,90,,,Percent of total billed charges,,5585.29,21,,,Percent of total billed charges,,1303.23,21,,,Percent of total billed charges,,1303.23,64.9,,,Percent of total billed charges,,4027.62,21,,,Percent of total billed charges,,1303.23,,333.46,,Case rate,,333.46,13.86,6205.88,
"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes",G0109,CPT,,,,Outpatient,Facility,,,184,73.6,66,,,Percent of total billed charges,,121.44,20.8,,,Percent of total billed charges,,38.27,20.4,,,Percent of total billed charges,,37.54,,15.1,,Case rate,,15.1,,5.94,,Case rate,,5.94,80,,,Percent of total billed charges,,147.2,61.6,,,Percent of total billed charges,,113.34,20.6,,,Percent of total billed charges,,37.9,20.6,,,Percent of total billed charges,,37.9,65.55,,,Percent of total billed charges,,120.61,21,,,Percent of total billed charges,,38.64,90,,,Percent of total billed charges,,165.6,21,,,Percent of total billed charges,,38.64,21,,,Percent of total billed charges,,38.64,64.9,,,Percent of total billed charges,,119.42,21,,,Percent of total billed charges,,38.64,,78.51,,Case rate,,78.51,5.94,184,
"Diabetes outpatient self-management training services, individual, per 30 minutes",G0108,CPT,,,,Outpatient,Facility,,,207,82.8,66,,,Percent of total billed charges,,136.62,20.8,,,Percent of total billed charges,,43.06,20.4,,,Percent of total billed charges,,42.23,,53.23,,Case rate,,53.23,,6.73,,Case rate,,6.73,80,,,Percent of total billed charges,,165.6,61.6,,,Percent of total billed charges,,127.51,20.6,,,Percent of total billed charges,,42.64,20.6,,,Percent of total billed charges,,42.64,65.55,,,Percent of total billed charges,,135.69,21,,,Percent of total billed charges,,43.47,90,,,Percent of total billed charges,,186.3,21,,,Percent of total billed charges,,43.47,21,,,Percent of total billed charges,,43.47,64.9,,,Percent of total billed charges,,134.34,21,,,Percent of total billed charges,,43.47,,133.25,,Case rate,,133.25,6.73,207,
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral",77066,CPT,40177066,CDM,TC,Outpatient,Facility,,,493,197.2,66,,,Percent of total billed charges,,325.38,20.8,,,Percent of total billed charges,,102.54,20.4,,,Percent of total billed charges,,100.57,,105.59,,Case rate,,105.59,,7.84,,Case rate,,7.84,80,,,Percent of total billed charges,,394.4,61.6,,,Percent of total billed charges,,303.69,20.6,,,Percent of total billed charges,,101.56,20.6,,,Percent of total billed charges,,101.56,65.55,,,Percent of total billed charges,,323.16,21,,,Percent of total billed charges,,103.53,90,,,Percent of total billed charges,,443.7,21,,,Percent of total billed charges,,103.53,21,,,Percent of total billed charges,,103.53,64.9,,,Percent of total billed charges,,319.96,21,,,Percent of total billed charges,,103.53,,559.67,,Case rate,,559.67,7.84,559.67,
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral",77065,CPT,,,,Outpatient,Facility,,,471,188.4,66,,,Percent of total billed charges,,310.86,20.8,,,Percent of total billed charges,,97.97,20.4,,,Percent of total billed charges,,96.08,,82.83,,Case rate,,82.83,,6.15,,Case rate,,6.15,80,,,Percent of total billed charges,,376.8,61.6,,,Percent of total billed charges,,290.14,20.6,,,Percent of total billed charges,,97.03,20.6,,,Percent of total billed charges,,97.03,65.55,,,Percent of total billed charges,,308.74,21,,,Percent of total billed charges,,98.91,90,,,Percent of total billed charges,,423.9,21,,,Percent of total billed charges,,98.91,21,,,Percent of total billed charges,,98.91,64.9,,,Percent of total billed charges,,305.68,21,,,Percent of total billed charges,,98.91,,302.12,,Case rate,,302.12,6.15,471,
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)",94729,CPT,,,,Outpatient,Facility,,,380,152,66,,,Percent of total billed charges,,250.8,20.8,,,Percent of total billed charges,,79.04,20.4,,,Percent of total billed charges,,77.52,,45.2,,Case rate,,45.2,,3.86,,Case rate,,3.86,80,,,Percent of total billed charges,,304,61.6,,,Percent of total billed charges,,234.08,20.6,,,Percent of total billed charges,,78.28,20.6,,,Percent of total billed charges,,78.28,65.55,,,Percent of total billed charges,,249.09,21,,,Percent of total billed charges,,79.8,90,,,Percent of total billed charges,,342,21,,,Percent of total billed charges,,79.8,21,,,Percent of total billed charges,,79.8,64.9,,,Percent of total billed charges,,246.62,21,,,Percent of total billed charges,,79.8,,253.41,,Case rate,,253.41,3.86,380,
"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use",90700,CPT,,,,Outpatient,Facility,,,192.84,77.14,66,,,Percent of total billed charges,,127.27,20.8,,,Percent of total billed charges,,40.11,20.4,,,Percent of total billed charges,,39.34,,32.4,,Case rate,,32.4,,2.18,,Case rate,,2.18,80,,,Percent of total billed charges,,154.27,61.6,,,Percent of total billed charges,,118.79,20.6,,,Percent of total billed charges,,39.73,20.6,,,Percent of total billed charges,,39.73,65.55,,,Percent of total billed charges,,126.41,21,,,Percent of total billed charges,,40.5,90,,,Percent of total billed charges,,173.56,21,,,Percent of total billed charges,,40.5,21,,,Percent of total billed charges,,40.5,64.9,,,Percent of total billed charges,,125.15,21,,,Percent of total billed charges,,40.5,,59.38,,Case rate,,59.38,2.18,192.84,
Direct admission of patient for hospital observation care,G0379,CPT,,,,Outpatient,Facility,,,937,374.8,66,,,Percent of total billed charges,,618.42,20.8,,,Percent of total billed charges,,194.9,20.4,,,Percent of total billed charges,,191.15,,,,Case rate,,,,,,Case rate,,,80,,,Percent of total billed charges,,749.6,61.6,,,Percent of total billed charges,,577.19,20.6,,,Percent of total billed charges,,193.02,20.6,,,Percent of total billed charges,,193.02,65.55,,,Percent of total billed charges,,614.2,21,,,Percent of total billed charges,,196.77,90,,,Percent of total billed charges,,843.3,21,,,Percent of total billed charges,,196.77,21,,,Percent of total billed charges,,196.77,64.9,,,Percent of total billed charges,,608.11,21,,,Percent of total billed charges,,196.77,,86.03,,Case rate,,86.03,86.03,937,
"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles",81234,CPT,,,,Outpatient,Facility,,,953,381.2,66,,,Percent of total billed charges,,628.98,20.8,,,Percent of total billed charges,,198.22,,139.74,,Case rate,,139.74,,137,,Case rate,,137,,8.91,,Case rate,,8.91,80,,,Percent of total billed charges,,762.4,61.6,,,Percent of total billed charges,,587.05,20.6,,,Percent of total billed charges,,196.32,20.6,,,Percent of total billed charges,,196.32,65.55,,,Percent of total billed charges,,624.69,21,,,Percent of total billed charges,,200.13,90,,,Percent of total billed charges,,857.7,21,,,Percent of total billed charges,,200.13,21,,,Percent of total billed charges,,200.13,64.9,,,Percent of total billed charges,,618.5,21,,,Percent of total billed charges,,200.13,,480.41,,Case rate,,480.41,8.91,953,
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,,,,Outpatient,Facility,,,331,132.4,66,,,Percent of total billed charges,,218.46,20.8,,,Percent of total billed charges,,68.85,20.4,,,Percent of total billed charges,,67.52,,19.29,,Case rate,,19.29,,9.48,,Case rate,,9.48,80,,,Percent of total billed charges,,264.8,61.6,,,Percent of total billed charges,,203.9,20.6,,,Percent of total billed charges,,68.19,20.6,,,Percent of total billed charges,,68.19,65.55,,,Percent of total billed charges,,216.97,21,,,Percent of total billed charges,,69.51,90,,,Percent of total billed charges,,297.9,21,,,Percent of total billed charges,,69.51,21,,,Percent of total billed charges,,69.51,64.9,,,Percent of total billed charges,,214.82,21,,,Percent of total billed charges,,69.51,,235.31,,Case rate,,235.31,9.48,331,
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography),93325,CPT,48093325,CDM,TC,Outpatient,Facility,,,331,132.4,66,,,Percent of total billed charges,,218.46,20.8,,,Percent of total billed charges,,68.85,20.4,,,Percent of total billed charges,,67.52,,19.29,,Case rate,,19.29,,9.48,,Case rate,,9.48,80,,,Percent of total billed charges,,264.8,61.6,,,Percent of total billed charges,,203.9,20.6,,,Percent of total billed charges,,68.19,20.6,,,Percent of total billed charges,,68.19,65.55,,,Percent of total billed charges,,216.97,21,,,Percent of total billed charges,,69.51,90,,,Percent of total billed charges,,297.9,21,,,Percent of total billed charges,,69.51,21,,,Percent of total billed charges,,69.51,64.9,,,Percent of total billed charges,,214.82,21,,,Percent of total billed charges,,69.51,,235.31,,Case rate,,235.31,9.48,331,
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete",93320,CPT,48093320,CDM,TC,Outpatient,Facility,,,710,284,66,,,Percent of total billed charges,,468.6,20.8,,,Percent of total billed charges,,147.68,20.4,,,Percent of total billed charges,,144.84,,31.29,,Case rate,,31.29,,9.07,,Case rate,,9.07,80,,,Percent of total billed charges,,568,61.6,,,Percent of total billed charges,,437.36,20.6,,,Percent of total billed charges,,146.26,20.6,,,Percent of total billed charges,,146.26,65.55,,,Percent of total billed charges,,465.4,21,,,Percent of total billed charges,,149.1,90,,,Percent of total billed charges,,639,21,,,Percent of total billed charges,,149.1,21,,,Percent of total billed charges,,149.1,64.9,,,Percent of total billed charges,,460.79,21,,,Percent of total billed charges,,149.1,,210.42,,Case rate,,210.42,9.07,710,
"Drainage external ear, abscess or hematoma; simple",69000,CPT,,,,Outpatient,Facility,,,776,310.4,66,,,Percent of total billed charges,,512.16,20.8,,,Percent of total billed charges,,161.41,20.4,,,Percent of total billed charges,,158.3,,181.21,,Case rate,,181.21,,21.78,,Case rate,,21.78,80,,,Percent of total billed charges,,620.8,61.6,,,Percent of total billed charges,,478.02,20.6,,,Percent of total billed charges,,159.86,20.6,,,Percent of total billed charges,,159.86,65.55,,,Percent of total billed charges,,508.67,21,,,Percent of total billed charges,,162.96,90,,,Percent of total billed charges,,698.4,21,,,Percent of total billed charges,,162.96,21,,,Percent of total billed charges,,162.96,64.9,,,Percent of total billed charges,,503.62,21,,,Percent of total billed charges,,162.96,,527.44,,Case rate,,527.44,21.78,776,
"Drainage of abscess of palate, uvula",42000,CPT,,,,Outpatient,Facility,,,1181,472.4,66,,,Percent of total billed charges,,779.46,20.8,,,Percent of total billed charges,,245.65,20.4,,,Percent of total billed charges,,240.92,,156.71,,Case rate,,156.71,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,944.8,61.6,,,Percent of total billed charges,,727.5,20.6,,,Percent of total billed charges,,243.29,20.6,,,Percent of total billed charges,,243.29,65.55,,,Percent of total billed charges,,774.15,21,,,Percent of total billed charges,,248.01,90,,,Percent of total billed charges,,1062.9,21,,,Percent of total billed charges,,248.01,21,,,Percent of total billed charges,,248.01,64.9,,,Percent of total billed charges,,766.47,21,,,Percent of total billed charges,,248.01,,1905.3,,Case rate,,1905.3,77.74,1905.3,
"Drainage of finger abscess; complicated (eg, felon)",26011,CPT,,,,Outpatient,Facility,,,5412,2164.8,66,,,Percent of total billed charges,,3571.92,20.8,,,Percent of total billed charges,,1125.7,20.4,,,Percent of total billed charges,,1104.05,,466,,Case rate,,466,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,4329.6,61.6,,,Percent of total billed charges,,3333.79,20.6,,,Percent of total billed charges,,1114.87,20.6,,,Percent of total billed charges,,1114.87,65.55,,,Percent of total billed charges,,3547.57,21,,,Percent of total billed charges,,1136.52,90,,,Percent of total billed charges,,4870.8,21,,,Percent of total billed charges,,1136.52,21,,,Percent of total billed charges,,1136.52,64.9,,,Percent of total billed charges,,3512.39,21,,,Percent of total billed charges,,1136.52,,1421.92,,Case rate,,1421.92,58.06,5412,
Drainage of scrotal wall abscess,55100,CPT,,,,Outpatient,Facility,,,4598,1839.2,66,,,Percent of total billed charges,,3034.68,20.8,,,Percent of total billed charges,,956.38,20.4,,,Percent of total billed charges,,937.99,,223.08,,Case rate,,223.08,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,3678.4,61.6,,,Percent of total billed charges,,2832.37,20.6,,,Percent of total billed charges,,947.19,20.6,,,Percent of total billed charges,,947.19,65.55,,,Percent of total billed charges,,3013.99,21,,,Percent of total billed charges,,965.58,90,,,Percent of total billed charges,,4138.2,21,,,Percent of total billed charges,,965.58,21,,,Percent of total billed charges,,965.58,64.9,,,Percent of total billed charges,,2984.1,21,,,Percent of total billed charges,,965.58,,1421.22,,Case rate,,1421.22,58.06,4598,
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)",16030,CPT,,,,Outpatient,Facility,,,1703,681.2,66,,,Percent of total billed charges,,1123.98,20.8,,,Percent of total billed charges,,354.22,20.4,,,Percent of total billed charges,,347.41,,190.58,,Case rate,,190.58,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1362.4,61.6,,,Percent of total billed charges,,1049.05,20.6,,,Percent of total billed charges,,350.82,20.6,,,Percent of total billed charges,,350.82,65.55,,,Percent of total billed charges,,1116.32,21,,,Percent of total billed charges,,357.63,90,,,Percent of total billed charges,,1532.7,21,,,Percent of total billed charges,,357.63,21,,,Percent of total billed charges,,357.63,64.9,,,Percent of total billed charges,,1105.25,21,,,Percent of total billed charges,,357.63,,1421.83,,Case rate,,1421.83,58.06,1703,
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)",16025,CPT,,,,Outpatient,Facility,,,308,123.2,66,,,Percent of total billed charges,,203.28,20.8,,,Percent of total billed charges,,64.06,20.4,,,Percent of total billed charges,,62.83,,151.67,,Case rate,,151.67,,9.9,,Case rate,,9.9,80,,,Percent of total billed charges,,246.4,61.6,,,Percent of total billed charges,,189.73,20.6,,,Percent of total billed charges,,63.45,20.6,,,Percent of total billed charges,,63.45,65.55,,,Percent of total billed charges,,201.89,21,,,Percent of total billed charges,,64.68,90,,,Percent of total billed charges,,277.2,21,,,Percent of total billed charges,,64.68,21,,,Percent of total billed charges,,64.68,64.9,,,Percent of total billed charges,,199.89,21,,,Percent of total billed charges,,64.68,,249.93,,Case rate,,249.93,9.9,308,
"Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",Q0167,CPT,,,,Outpatient,Facility,,,26.87,10.75,66,,,Percent of total billed charges,,17.73,20.8,,,Percent of total billed charges,,5.59,20.4,,,Percent of total billed charges,,5.48,,2.02,,Case rate,,2.02,,0.64,,Case rate,,0.64,80,,,Percent of total billed charges,,21.5,61.6,,,Percent of total billed charges,,16.55,20.6,,,Percent of total billed charges,,5.54,20.6,,,Percent of total billed charges,,5.54,65.55,,,Percent of total billed charges,,17.61,21,,,Percent of total billed charges,,5.64,90,,,Percent of total billed charges,,24.18,21,,,Percent of total billed charges,,5.64,21,,,Percent of total billed charges,,5.64,64.9,,,Percent of total billed charges,,17.44,21,,,Percent of total billed charges,,5.64,,3.12,,Case rate,,3.12,0.64,26.87,
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed",G0481,CPT,,,,Outpatient,Facility,,,416,166.4,66,,,Percent of total billed charges,,274.56,20.8,,,Percent of total billed charges,,86.53,20.4,,,Percent of total billed charges,,84.86,,156.59,,Case rate,,156.59,,9.16,,Case rate,,9.16,80,,,Percent of total billed charges,,332.8,61.6,,,Percent of total billed charges,,256.26,20.6,,,Percent of total billed charges,,85.7,20.6,,,Percent of total billed charges,,85.7,65.55,,,Percent of total billed charges,,272.69,21,,,Percent of total billed charges,,87.36,90,,,Percent of total billed charges,,374.4,21,,,Percent of total billed charges,,87.36,21,,,Percent of total billed charges,,87.36,64.9,,,Percent of total billed charges,,269.98,21,,,Percent of total billed charges,,87.36,,266.42,,Case rate,,266.42,9.16,416,
"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service",80307,CPT,,,,Outpatient,Facility,,,147,58.8,66,,,Percent of total billed charges,,97.02,20.8,,,Percent of total billed charges,,30.58,20.4,,,Percent of total billed charges,,29.99,,62.14,,Case rate,,62.14,,5.51,,Case rate,,5.51,80,,,Percent of total billed charges,,117.6,61.6,,,Percent of total billed charges,,90.55,20.6,,,Percent of total billed charges,,30.28,20.6,,,Percent of total billed charges,,30.28,65.55,,,Percent of total billed charges,,96.36,21,,,Percent of total billed charges,,30.87,90,,,Percent of total billed charges,,132.3,21,,,Percent of total billed charges,,30.87,21,,,Percent of total billed charges,,30.87,64.9,,,Percent of total billed charges,,95.4,21,,,Percent of total billed charges,,30.87,,344.93,,Case rate,,344.93,5.51,344.93,
"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay [eg, dipsticks, cups, cards, or cartridges]), includes sample validation when performed, per date of service",80305,CPT,,,,Outpatient,Facility,,,4,1.6,66,,,Percent of total billed charges,,2.64,20.8,,,Percent of total billed charges,,0.83,20.4,,,Percent of total billed charges,,0.82,,12.6,,Case rate,Use Lesser of logic,4,,1.11,,Case rate,,1.11,80,,,Percent of total billed charges,,3.2,61.6,,,Percent of total billed charges,,2.46,20.6,,,Percent of total billed charges,,0.82,20.6,,,Percent of total billed charges,,0.82,65.55,,,Percent of total billed charges,,2.62,21,,,Percent of total billed charges,,0.84,90,,,Percent of total billed charges,,3.6,21,,,Percent of total billed charges,,0.84,21,,,Percent of total billed charges,,0.84,64.9,,,Percent of total billed charges,,2.6,21,,,Percent of total billed charges,,0.84,,84.41,,Case rate,,84.41,0.82,84.41,
"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 1-3",80375,CPT,,,,Outpatient,Facility,,,304,121.6,66,,,Percent of total billed charges,,200.64,20.8,,,Percent of total billed charges,,63.23,20.4,,,Percent of total billed charges,,62.02,,12.62,,Case rate,,12.62,,0.94,,Case rate,,0.94,80,,,Percent of total billed charges,,243.2,61.6,,,Percent of total billed charges,,187.26,20.6,,,Percent of total billed charges,,62.62,20.6,,,Percent of total billed charges,,62.62,65.55,,,Percent of total billed charges,,199.27,21,,,Percent of total billed charges,,63.84,90,,,Percent of total billed charges,,273.6,21,,,Percent of total billed charges,,63.84,21,,,Percent of total billed charges,,63.84,64.9,,,Percent of total billed charges,,197.3,21,,,Percent of total billed charges,,63.84,45,,,Percent of total billed charges,,136.8,0.94,304,
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,,,,Outpatient,Facility,,,306,122.4,66,,,Percent of total billed charges,,201.96,20.8,,,Percent of total billed charges,,63.65,20.4,,,Percent of total billed charges,,62.42,,89.46,,Case rate,,89.46,,10.51,,Case rate,,10.51,80,,,Percent of total billed charges,,244.8,61.6,,,Percent of total billed charges,,188.5,20.6,,,Percent of total billed charges,,63.04,20.6,,,Percent of total billed charges,,63.04,65.55,,,Percent of total billed charges,,200.58,21,,,Percent of total billed charges,,64.26,90,,,Percent of total billed charges,,275.4,21,,,Percent of total billed charges,,64.26,21,,,Percent of total billed charges,,64.26,64.9,,,Percent of total billed charges,,198.59,21,,,Percent of total billed charges,,64.26,,245.1,,Case rate,,245.1,10.51,306,
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study",93979,CPT,92193979,CDM,TC,Outpatient,Facility,,,306,122.4,66,,,Percent of total billed charges,,201.96,20.8,,,Percent of total billed charges,,63.65,20.4,,,Percent of total billed charges,,62.42,,89.46,,Case rate,,89.46,,10.51,,Case rate,,10.51,80,,,Percent of total billed charges,,244.8,61.6,,,Percent of total billed charges,,188.5,20.6,,,Percent of total billed charges,,63.04,20.6,,,Percent of total billed charges,,63.04,65.55,,,Percent of total billed charges,,200.58,21,,,Percent of total billed charges,,64.26,90,,,Percent of total billed charges,,275.4,21,,,Percent of total billed charges,,64.26,21,,,Percent of total billed charges,,64.26,64.9,,,Percent of total billed charges,,198.59,21,,,Percent of total billed charges,,64.26,,245.1,,Case rate,,245.1,10.51,306,
"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study",93976,CPT,92193976,CDM,TC,Outpatient,Facility,,,581,232.4,66,,,Percent of total billed charges,,383.46,20.8,,,Percent of total billed charges,,120.85,20.4,,,Percent of total billed charges,,118.52,,99.89,,Case rate,,99.89,,14.69,,Case rate,,14.69,80,,,Percent of total billed charges,,464.8,61.6,,,Percent of total billed charges,,357.9,20.6,,,Percent of total billed charges,,119.69,20.6,,,Percent of total billed charges,,119.69,65.55,,,Percent of total billed charges,,380.85,21,,,Percent of total billed charges,,122.01,90,,,Percent of total billed charges,,522.9,21,,,Percent of total billed charges,,122.01,21,,,Percent of total billed charges,,122.01,64.9,,,Percent of total billed charges,,377.07,21,,,Percent of total billed charges,,122.01,,360.99,,Case rate,,360.99,14.69,581,
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,,,,Outpatient,Facility,,,1115,446,66,,,Percent of total billed charges,,735.9,20.8,,,Percent of total billed charges,,231.92,20.4,,,Percent of total billed charges,,227.46,,145.4,,Case rate,,145.4,,17.1,,Case rate,,17.1,80,,,Percent of total billed charges,,892,61.6,,,Percent of total billed charges,,686.84,20.6,,,Percent of total billed charges,,229.69,20.6,,,Percent of total billed charges,,229.69,65.55,,,Percent of total billed charges,,730.88,21,,,Percent of total billed charges,,234.15,90,,,Percent of total billed charges,,1003.5,21,,,Percent of total billed charges,,234.15,21,,,Percent of total billed charges,,234.15,64.9,,,Percent of total billed charges,,723.64,21,,,Percent of total billed charges,,234.15,,418.15,,Case rate,,418.15,17.1,1115,
Duplex scan of extracranial arteries; complete bilateral study,93880,CPT,92193880,CDM,TC,Outpatient,Facility,,,1115,446,66,,,Percent of total billed charges,,735.9,20.8,,,Percent of total billed charges,,231.92,20.4,,,Percent of total billed charges,,227.46,,145.4,,Case rate,,145.4,,17.1,,Case rate,,17.1,80,,,Percent of total billed charges,,892,61.6,,,Percent of total billed charges,,686.84,20.6,,,Percent of total billed charges,,229.69,20.6,,,Percent of total billed charges,,229.69,65.55,,,Percent of total billed charges,,730.88,21,,,Percent of total billed charges,,234.15,90,,,Percent of total billed charges,,1003.5,21,,,Percent of total billed charges,,234.15,21,,,Percent of total billed charges,,234.15,64.9,,,Percent of total billed charges,,723.64,21,,,Percent of total billed charges,,234.15,,418.15,,Case rate,,418.15,17.1,1115,
Duplex scan of extracranial arteries; unilateral or limited study,93882,CPT,92193882,CDM,TC,Outpatient,Facility,,,640,256,66,,,Percent of total billed charges,,422.4,20.8,,,Percent of total billed charges,,133.12,20.4,,,Percent of total billed charges,,130.56,,95.15,,Case rate,,95.15,,14.21,,Case rate,,14.21,80,,,Percent of total billed charges,,512,61.6,,,Percent of total billed charges,,394.24,20.6,,,Percent of total billed charges,,131.84,20.6,,,Percent of total billed charges,,131.84,65.55,,,Percent of total billed charges,,419.52,21,,,Percent of total billed charges,,134.4,90,,,Percent of total billed charges,,576,21,,,Percent of total billed charges,,134.4,21,,,Percent of total billed charges,,134.4,64.9,,,Percent of total billed charges,,415.36,21,,,Percent of total billed charges,,134.4,,350.31,,Case rate,,350.31,14.21,640,
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,93970,CPT,92193970,CDM,TC,Outpatient,Facility,,,1002,400.8,66,,,Percent of total billed charges,,661.32,20.8,,,Percent of total billed charges,,208.42,20.4,,,Percent of total billed charges,,204.41,,147.61,,Case rate,,147.61,,16.83,,Case rate,,16.83,80,,,Percent of total billed charges,,801.6,61.6,,,Percent of total billed charges,,617.23,20.6,,,Percent of total billed charges,,206.41,20.6,,,Percent of total billed charges,,206.41,65.55,,,Percent of total billed charges,,656.81,21,,,Percent of total billed charges,,210.42,90,,,Percent of total billed charges,,901.8,21,,,Percent of total billed charges,,210.42,21,,,Percent of total billed charges,,210.42,64.9,,,Percent of total billed charges,,650.3,21,,,Percent of total billed charges,,210.42,,397.35,,Case rate,,397.35,16.83,1002,
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,93971,CPT,,,,Outpatient,Facility,,,558,223.2,66,,,Percent of total billed charges,,368.28,20.8,,,Percent of total billed charges,,116.06,20.4,,,Percent of total billed charges,,113.83,,93.25,,Case rate,,93.25,,11.22,,Case rate,,11.22,80,,,Percent of total billed charges,,446.4,61.6,,,Percent of total billed charges,,343.73,20.6,,,Percent of total billed charges,,114.95,20.6,,,Percent of total billed charges,,114.95,65.55,,,Percent of total billed charges,,365.77,21,,,Percent of total billed charges,,117.18,90,,,Percent of total billed charges,,502.2,21,,,Percent of total billed charges,,117.18,21,,,Percent of total billed charges,,117.18,64.9,,,Percent of total billed charges,,362.14,21,,,Percent of total billed charges,,117.18,,277.79,,Case rate,,277.79,11.22,558,
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study,93925,CPT,92193925,CDM,TC,Outpatient,Facility,,,829,331.6,66,,,Percent of total billed charges,,547.14,20.8,,,Percent of total billed charges,,172.43,20.4,,,Percent of total billed charges,,169.12,,192.83,,Case rate,,192.83,,15.16,,Case rate,,15.16,80,,,Percent of total billed charges,,663.2,61.6,,,Percent of total billed charges,,510.66,20.6,,,Percent of total billed charges,,170.77,20.6,,,Percent of total billed charges,,170.77,65.55,,,Percent of total billed charges,,543.41,21,,,Percent of total billed charges,,174.09,90,,,Percent of total billed charges,,746.1,21,,,Percent of total billed charges,,174.09,21,,,Percent of total billed charges,,174.09,64.9,,,Percent of total billed charges,,538.02,21,,,Percent of total billed charges,,174.09,,358.72,,Case rate,,358.72,15.16,829,
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study,93926,CPT,,,,Outpatient,Facility,,,925,370,66,,,Percent of total billed charges,,610.5,20.8,,,Percent of total billed charges,,192.4,20.4,,,Percent of total billed charges,,188.7,,99.89,,Case rate,,99.89,,10.14,,Case rate,,10.14,80,,,Percent of total billed charges,,740,61.6,,,Percent of total billed charges,,569.8,20.6,,,Percent of total billed charges,,190.55,20.6,,,Percent of total billed charges,,190.55,65.55,,,Percent of total billed charges,,606.34,21,,,Percent of total billed charges,,194.25,90,,,Percent of total billed charges,,832.5,21,,,Percent of total billed charges,,194.25,21,,,Percent of total billed charges,,194.25,64.9,,,Percent of total billed charges,,600.32,21,,,Percent of total billed charges,,194.25,,250.3,,Case rate,,250.3,10.14,925,
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study,93930,CPT,92193930,CDM,TC,Outpatient,Facility,,,1386,554.4,66,,,Percent of total billed charges,,914.76,20.8,,,Percent of total billed charges,,288.29,20.4,,,Percent of total billed charges,,282.74,,150.14,,Case rate,,150.14,,15.58,,Case rate,,15.58,80,,,Percent of total billed charges,,1108.8,61.6,,,Percent of total billed charges,,853.78,20.6,,,Percent of total billed charges,,285.52,20.6,,,Percent of total billed charges,,285.52,65.55,,,Percent of total billed charges,,908.52,21,,,Percent of total billed charges,,291.06,90,,,Percent of total billed charges,,1247.4,21,,,Percent of total billed charges,,291.06,21,,,Percent of total billed charges,,291.06,64.9,,,Percent of total billed charges,,899.51,21,,,Percent of total billed charges,,291.06,,366.89,,Case rate,,366.89,15.58,1386,
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study,93931,CPT,,,,Outpatient,Facility,,,652,260.8,66,,,Percent of total billed charges,,430.32,20.8,,,Percent of total billed charges,,135.62,20.4,,,Percent of total billed charges,,133.01,,95.46,,Case rate,,95.46,,10.36,,Case rate,,10.36,80,,,Percent of total billed charges,,521.6,61.6,,,Percent of total billed charges,,401.63,20.6,,,Percent of total billed charges,,134.31,20.6,,,Percent of total billed charges,,134.31,65.55,,,Percent of total billed charges,,427.39,21,,,Percent of total billed charges,,136.92,90,,,Percent of total billed charges,,586.8,21,,,Percent of total billed charges,,136.92,21,,,Percent of total billed charges,,136.92,64.9,,,Percent of total billed charges,,423.15,21,,,Percent of total billed charges,,136.92,,241.06,,Case rate,,241.06,10.36,652,
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,,,,Outpatient,Facility,,,2196,878.4,66,,,Percent of total billed charges,,1449.36,20.8,,,Percent of total billed charges,,456.77,20.4,,,Percent of total billed charges,,447.98,,121.69,,Case rate,,121.69,,36.24,,Case rate,,36.24,80,,,Percent of total billed charges,,1756.8,61.6,,,Percent of total billed charges,,1352.74,20.6,,,Percent of total billed charges,,452.38,20.6,,,Percent of total billed charges,,452.38,65.55,,,Percent of total billed charges,,1439.48,21,,,Percent of total billed charges,,461.16,90,,,Percent of total billed charges,,1976.4,21,,,Percent of total billed charges,,461.16,21,,,Percent of total billed charges,,461.16,64.9,,,Percent of total billed charges,,1425.2,21,,,Percent of total billed charges,,461.16,,729.42,,Case rate,,729.42,36.24,2196,
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",93306,CPT,48093306,CDM,TC,Outpatient,Facility,,,2196,878.4,66,,,Percent of total billed charges,,1449.36,20.8,,,Percent of total billed charges,,456.77,20.4,,,Percent of total billed charges,,447.98,,121.69,,Case rate,,121.69,,36.24,,Case rate,,36.24,80,,,Percent of total billed charges,,1756.8,61.6,,,Percent of total billed charges,,1352.74,20.6,,,Percent of total billed charges,,452.38,20.6,,,Percent of total billed charges,,452.38,65.55,,,Percent of total billed charges,,1439.48,21,,,Percent of total billed charges,,461.16,90,,,Percent of total billed charges,,1976.4,21,,,Percent of total billed charges,,461.16,21,,,Percent of total billed charges,,461.16,64.9,,,Percent of total billed charges,,1425.2,21,,,Percent of total billed charges,,461.16,,729.42,,Case rate,,729.42,36.24,2196,
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography",93307,CPT,48093307,CDM,TC,Outpatient,Facility,,,1533,613.2,66,,,Percent of total billed charges,,1011.78,20.8,,,Percent of total billed charges,,318.86,20.4,,,Percent of total billed charges,,312.73,,88.82,,Case rate,,88.82,,19.65,,Case rate,,19.65,80,,,Percent of total billed charges,,1226.4,61.6,,,Percent of total billed charges,,944.33,20.6,,,Percent of total billed charges,,315.8,20.6,,,Percent of total billed charges,,315.8,65.55,,,Percent of total billed charges,,1004.88,21,,,Percent of total billed charges,,321.93,90,,,Percent of total billed charges,,1379.7,21,,,Percent of total billed charges,,321.93,21,,,Percent of total billed charges,,321.93,64.9,,,Percent of total billed charges,,994.92,21,,,Percent of total billed charges,,321.93,,465.18,,Case rate,,465.18,19.65,1533,
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,,,,Outpatient,Facility,,,595,238,66,,,Percent of total billed charges,,392.7,20.8,,,Percent of total billed charges,,123.76,20.4,,,Percent of total billed charges,,121.38,,111.59,,Case rate,,111.59,,17.46,,Case rate,,17.46,80,,,Percent of total billed charges,,476,61.6,,,Percent of total billed charges,,366.52,20.6,,,Percent of total billed charges,,122.57,20.6,,,Percent of total billed charges,,122.57,65.55,,,Percent of total billed charges,,390.02,21,,,Percent of total billed charges,,124.95,90,,,Percent of total billed charges,,535.5,21,,,Percent of total billed charges,,124.95,21,,,Percent of total billed charges,,124.95,64.9,,,Percent of total billed charges,,386.16,21,,,Percent of total billed charges,,124.95,,427.16,,Case rate,,427.16,17.46,595,
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report",93350,CPT,48093350,CDM,TC,Outpatient,Facility,,,595,238,66,,,Percent of total billed charges,,392.7,20.8,,,Percent of total billed charges,,123.76,20.4,,,Percent of total billed charges,,121.38,,111.59,,Case rate,,111.59,,17.46,,Case rate,,17.46,80,,,Percent of total billed charges,,476,61.6,,,Percent of total billed charges,,366.52,20.6,,,Percent of total billed charges,,122.57,20.6,,,Percent of total billed charges,,122.57,65.55,,,Percent of total billed charges,,390.02,21,,,Percent of total billed charges,,124.95,90,,,Percent of total billed charges,,535.5,21,,,Percent of total billed charges,,124.95,21,,,Percent of total billed charges,,124.95,64.9,,,Percent of total billed charges,,386.16,21,,,Percent of total billed charges,,124.95,,427.16,,Case rate,,427.16,17.46,595,
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",93308,CPT,,,,Outpatient,Facility,,,537,214.8,66,,,Percent of total billed charges,,354.42,20.8,,,Percent of total billed charges,,111.7,20.4,,,Percent of total billed charges,,109.55,,69.85,,Case rate,,69.85,,10.02,,Case rate,,10.02,80,,,Percent of total billed charges,,429.6,61.6,,,Percent of total billed charges,,330.79,20.6,,,Percent of total billed charges,,110.62,20.6,,,Percent of total billed charges,,110.62,65.55,,,Percent of total billed charges,,352,21,,,Percent of total billed charges,,112.77,90,,,Percent of total billed charges,,483.3,21,,,Percent of total billed charges,,112.77,21,,,Percent of total billed charges,,112.77,64.9,,,Percent of total billed charges,,348.51,21,,,Percent of total billed charges,,112.77,,233.54,,Case rate,,233.54,10.02,537,
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated",76506,CPT,,,,Outpatient,Facility,,,402,160.8,66,,,Percent of total billed charges,,265.32,20.8,,,Percent of total billed charges,,83.62,20.4,,,Percent of total billed charges,,82.01,,79.35,,Case rate,,79.35,,10.65,,Case rate,,10.65,80,,,Percent of total billed charges,,321.6,61.6,,,Percent of total billed charges,,247.63,20.6,,,Percent of total billed charges,,82.81,20.6,,,Percent of total billed charges,,82.81,65.55,,,Percent of total billed charges,,263.51,21,,,Percent of total billed charges,,84.42,90,,,Percent of total billed charges,,361.8,21,,,Percent of total billed charges,,84.42,21,,,Percent of total billed charges,,84.42,64.9,,,Percent of total billed charges,,260.9,21,,,Percent of total billed charges,,84.42,,267.95,,Case rate,,267.95,10.65,402,
"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative",82656,CPT,,,,Outpatient,Facility,,,359,143.6,66,,,Percent of total billed charges,,236.94,20.8,,,Percent of total billed charges,,74.67,20.4,,,Percent of total billed charges,,73.24,,11.53,,Case rate,,11.53,,3.15,,Case rate,,3.15,80,,,Percent of total billed charges,,287.2,61.6,,,Percent of total billed charges,,221.14,20.6,,,Percent of total billed charges,,73.95,20.6,,,Percent of total billed charges,,73.95,65.55,,,Percent of total billed charges,,235.32,21,,,Percent of total billed charges,,75.39,90,,,Percent of total billed charges,,323.1,21,,,Percent of total billed charges,,75.39,21,,,Percent of total billed charges,,75.39,64.9,,,Percent of total billed charges,,232.99,21,,,Percent of total billed charges,,75.39,,197.75,,Case rate,,197.75,3.15,359,
"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report",93005,CPT,,,,Outpatient,Facility,,,292,116.8,66,,,Percent of total billed charges,,192.72,20.8,,,Percent of total billed charges,,60.74,20.4,,,Percent of total billed charges,,59.57,,6,,Case rate,,6,,1.77,,Case rate,,1.77,80,,,Percent of total billed charges,,233.6,61.6,,,Percent of total billed charges,,179.87,20.6,,,Percent of total billed charges,,60.15,20.6,,,Percent of total billed charges,,60.15,65.55,,,Percent of total billed charges,,191.41,21,,,Percent of total billed charges,,61.32,90,,,Percent of total billed charges,,262.8,21,,,Percent of total billed charges,,61.32,21,,,Percent of total billed charges,,61.32,64.9,,,Percent of total billed charges,,189.51,21,,,Percent of total billed charges,,61.32,,49.87,,Case rate,,49.87,1.77,292,
"Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report",93000,CPT,,,,Outpatient,Facility,,,342,136.8,66,,,Percent of total billed charges,,225.72,20.8,,,Percent of total billed charges,,71.14,20.4,,,Percent of total billed charges,,69.77,,13.96,,Case rate,,13.96,,2.4,,Case rate,,2.4,80,,,Percent of total billed charges,,273.6,61.6,,,Percent of total billed charges,,210.67,20.6,,,Percent of total billed charges,,70.45,20.6,,,Percent of total billed charges,,70.45,65.55,,,Percent of total billed charges,,224.18,21,,,Percent of total billed charges,,71.82,90,,,Percent of total billed charges,,307.8,21,,,Percent of total billed charges,,71.82,21,,,Percent of total billed charges,,71.82,64.9,,,Percent of total billed charges,,221.96,21,,,Percent of total billed charges,,71.82,,50.61,,Case rate,,50.61,2.4,342,
Electroencephalogram (EEG) extended monitoring; 41-60 minutes,95812,CPT,,,,Outpatient,Facility,,,831,332.4,66,,,Percent of total billed charges,,548.46,20.8,,,Percent of total billed charges,,172.85,20.4,,,Percent of total billed charges,,169.52,,274.08,,Case rate,,274.08,,9.48,,Case rate,,9.48,80,,,Percent of total billed charges,,664.8,61.6,,,Percent of total billed charges,,511.9,20.6,,,Percent of total billed charges,,171.19,20.6,,,Percent of total billed charges,,171.19,65.55,,,Percent of total billed charges,,544.72,21,,,Percent of total billed charges,,174.51,90,,,Percent of total billed charges,,747.9,21,,,Percent of total billed charges,,174.51,21,,,Percent of total billed charges,,174.51,64.9,,,Percent of total billed charges,,539.32,21,,,Percent of total billed charges,,174.51,,234.89,,Case rate,,234.89,9.48,831,
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,,,,Outpatient,Facility,,,543,217.2,66,,,Percent of total billed charges,,358.38,20.8,,,Percent of total billed charges,,112.94,20.4,,,Percent of total billed charges,,110.77,,367.35,,Case rate,,367.35,,9.34,,Case rate,,9.34,80,,,Percent of total billed charges,,434.4,61.6,,,Percent of total billed charges,,334.49,20.6,,,Percent of total billed charges,,111.86,20.6,,,Percent of total billed charges,,111.86,65.55,,,Percent of total billed charges,,355.94,21,,,Percent of total billed charges,,114.03,90,,,Percent of total billed charges,,488.7,21,,,Percent of total billed charges,,114.03,21,,,Percent of total billed charges,,114.03,64.9,,,Percent of total billed charges,,352.41,21,,,Percent of total billed charges,,114.03,,216.36,,Case rate,,216.36,9.34,543,
Electroencephalogram (EEG); including recording awake and asleep,95819,CPT,74095819,CDM,TC,Outpatient,Facility,,,543,217.2,66,,,Percent of total billed charges,,358.38,20.8,,,Percent of total billed charges,,112.94,20.4,,,Percent of total billed charges,,110.77,,367.35,,Case rate,,367.35,,9.34,,Case rate,,9.34,80,,,Percent of total billed charges,,434.4,61.6,,,Percent of total billed charges,,334.49,20.6,,,Percent of total billed charges,,111.86,20.6,,,Percent of total billed charges,,111.86,65.55,,,Percent of total billed charges,,355.94,21,,,Percent of total billed charges,,114.03,90,,,Percent of total billed charges,,488.7,21,,,Percent of total billed charges,,114.03,21,,,Percent of total billed charges,,114.03,64.9,,,Percent of total billed charges,,352.41,21,,,Percent of total billed charges,,114.03,,216.36,,Case rate,,216.36,9.34,543,
Electroencephalogram (EEG); including recording awake and drowsy,95816,CPT,,,,Outpatient,Facility,,,405,162,66,,,Percent of total billed charges,,267.3,20.8,,,Percent of total billed charges,,84.24,20.4,,,Percent of total billed charges,,82.62,,309.49,,Case rate,,309.49,,8.78,,Case rate,,8.78,80,,,Percent of total billed charges,,324,61.6,,,Percent of total billed charges,,249.48,20.6,,,Percent of total billed charges,,83.43,20.6,,,Percent of total billed charges,,83.43,65.55,,,Percent of total billed charges,,265.48,21,,,Percent of total billed charges,,85.05,90,,,Percent of total billed charges,,364.5,21,,,Percent of total billed charges,,85.05,21,,,Percent of total billed charges,,85.05,64.9,,,Percent of total billed charges,,262.84,21,,,Percent of total billed charges,,85.05,,217.43,,Case rate,,217.43,8.78,405,
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making",99283,CPT,,,,Outpatient,Facility,,,602,240.8,66,,,Percent of total billed charges,,397.32,20.8,,,Percent of total billed charges,,125.22,20.4,,,Percent of total billed charges,,122.81,,70.81,,Case rate,,70.81,,11.9,,Case rate,,11.9,80,,,Percent of total billed charges,,481.6,61.6,,,Percent of total billed charges,,370.83,20.6,,,Percent of total billed charges,,124.01,20.6,,,Percent of total billed charges,,124.01,65.55,,,Percent of total billed charges,,394.61,21,,,Percent of total billed charges,,126.42,90,,,Percent of total billed charges,,541.8,21,,,Percent of total billed charges,,126.42,21,,,Percent of total billed charges,,126.42,64.9,,,Percent of total billed charges,,390.7,21,,,Percent of total billed charges,,126.42,,294.41,,Case rate,,294.41,11.9,602,
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making",99282,CPT,,,,Outpatient,Facility,,,300,120,66,,,Percent of total billed charges,,198,20.8,,,Percent of total billed charges,,62.4,20.4,,,Percent of total billed charges,,61.2,,41.22,,Case rate,,41.22,,8.85,,Case rate,,8.85,80,,,Percent of total billed charges,,240,61.6,,,Percent of total billed charges,,184.8,20.6,,,Percent of total billed charges,,61.8,20.6,,,Percent of total billed charges,,61.8,65.55,,,Percent of total billed charges,,196.65,21,,,Percent of total billed charges,,63,90,,,Percent of total billed charges,,270,21,,,Percent of total billed charges,,63,21,,,Percent of total billed charges,,63,64.9,,,Percent of total billed charges,,194.7,21,,,Percent of total billed charges,,63,,219.2,,Case rate,,219.2,8.85,300,
"Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)",C1747,CPT,,,,Outpatient,Facility,,,8806,3522.4,66,,,Percent of total billed charges,,5811.96,20.8,,,Percent of total billed charges,,1831.65,20.4,,,Percent of total billed charges,,1796.42,48.3,,,Percent of total billed charges,,4253.3,19.8,,,Percent of total billed charges,,1743.59,80,,,Percent of total billed charges,,7044.8,61.6,,,Percent of total billed charges,,5424.5,20.6,,,Percent of total billed charges,,1814.04,20.6,,,Percent of total billed charges,,1814.04,65.55,,,Percent of total billed charges,,5772.33,21,,,Percent of total billed charges,,1849.26,90,,,Percent of total billed charges,,7925.4,21,,,Percent of total billed charges,,1849.26,21,,,Percent of total billed charges,,1849.26,64.9,,,Percent of total billed charges,,5715.09,21,,,Percent of total billed charges,,1849.26,45,,,Percent of total billed charges,,3962.7,1743.59,8806,
Endoscopic plantar fasciotomy,29893,CPT,,,,Outpatient,Facility,,,6352.77,2541.11,66,,,Percent of total billed charges,,4192.83,20.8,,,Percent of total billed charges,,1321.38,20.4,,,Percent of total billed charges,,1295.97,,640.19,,Case rate,,640.19,,251.07,,Case rate,,251.07,80,,,Percent of total billed charges,,5082.22,61.6,,,Percent of total billed charges,,3913.31,20.6,,,Percent of total billed charges,,1308.67,20.6,,,Percent of total billed charges,,1308.67,65.55,,,Percent of total billed charges,,4164.24,21,,,Percent of total billed charges,,1334.08,90,,,Percent of total billed charges,,5717.49,21,,,Percent of total billed charges,,1334.08,21,,,Percent of total billed charges,,1334.08,64.9,,,Percent of total billed charges,,4122.95,21,,,Percent of total billed charges,,1334.08,,3020.46,,Case rate,,3020.46,251.07,6352.77,
Erythropoietin,82668,CPT,,,,Outpatient,Facility,,,99,39.6,66,,,Percent of total billed charges,,65.34,20.8,,,Percent of total billed charges,,20.59,20.4,,,Percent of total billed charges,,20.2,,18.79,,Case rate,,18.79,,3.31,,Case rate,,3.31,80,,,Percent of total billed charges,,79.2,61.6,,,Percent of total billed charges,,60.98,20.6,,,Percent of total billed charges,,20.39,20.6,,,Percent of total billed charges,,20.39,65.55,,,Percent of total billed charges,,64.89,21,,,Percent of total billed charges,,20.79,90,,,Percent of total billed charges,,89.1,21,,,Percent of total billed charges,,20.79,21,,,Percent of total billed charges,,20.79,64.9,,,Percent of total billed charges,,64.25,21,,,Percent of total billed charges,,20.79,,81.9,,Case rate,,81.9,3.31,99,
Esophageal motility,78258,CPT,,,,Outpatient,Facility,,,1185,474,66,,,Percent of total billed charges,,782.1,20.8,,,Percent of total billed charges,,246.48,20.4,,,Percent of total billed charges,,241.74,,158.36,,Case rate,,158.36,,18.43,,Case rate,,18.43,80,,,Percent of total billed charges,,948,61.6,,,Percent of total billed charges,,729.96,20.6,,,Percent of total billed charges,,244.11,20.6,,,Percent of total billed charges,,244.11,65.55,,,Percent of total billed charges,,776.77,21,,,Percent of total billed charges,,248.85,90,,,Percent of total billed charges,,1066.5,21,,,Percent of total billed charges,,248.85,21,,,Percent of total billed charges,,248.85,64.9,,,Percent of total billed charges,,769.06,21,,,Percent of total billed charges,,248.85,,459.19,,Case rate,,459.19,18.43,1185,
Esophageal motility,78258,CPT,34178258,CDM,TC,Outpatient,Facility,,,1185,474,66,,,Percent of total billed charges,,782.1,20.8,,,Percent of total billed charges,,246.48,20.4,,,Percent of total billed charges,,241.74,,158.36,,Case rate,,158.36,,18.43,,Case rate,,18.43,80,,,Percent of total billed charges,,948,61.6,,,Percent of total billed charges,,729.96,20.6,,,Percent of total billed charges,,244.11,20.6,,,Percent of total billed charges,,244.11,65.55,,,Percent of total billed charges,,776.77,21,,,Percent of total billed charges,,248.85,90,,,Percent of total billed charges,,1066.5,21,,,Percent of total billed charges,,248.85,21,,,Percent of total billed charges,,248.85,64.9,,,Percent of total billed charges,,769.06,21,,,Percent of total billed charges,,248.85,,459.19,,Case rate,,459.19,18.43,1185,
"esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc",391,MS-DRG,,,,Inpatient,Facility,,,21635.6,8654.24,,11483.85,,Case rate,DRG Factor * DRG Weight,11483.85,,1758.64,,Per Diem,,5275.92,,1724.82,,Per Diem,,5174.46,,14958.37,,Case rate,DRG Factor * DRG Weight,14958.37,,1674.09,,Per Diem,,5022.27,80,,,Percent of total billed charges,,17308.48,61.6,,,Percent of total billed charges,,13327.53,,1741.73,,Per Diem,,5225.19,,1741.73,,Per Diem,,5225.19,65.55,,,Percent of total billed charges,,14182.14,,2079,,Per Diem,,6237,90,,,Percent of total billed charges,,19472.04,,2079,,Per Diem,,6237,,2079,,Per Diem,,6237,64.9,,,Percent of total billed charges,,14041.51,,2079,,Per Diem,,6237,,12312.09,,Case rate,DRG Factor * DRG Weight,12312.09,5022.27,21635.6,
"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",43235,CPT,,,,Outpatient,Facility,,,2531.7,1012.68,66,,,Percent of total billed charges,,1670.92,20.8,,,Percent of total billed charges,,526.59,20.4,,,Percent of total billed charges,,516.47,,278.31,,Case rate,,278.31,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,2025.36,61.6,,,Percent of total billed charges,,1559.53,20.6,,,Percent of total billed charges,,521.53,20.6,,,Percent of total billed charges,,521.53,65.55,,,Percent of total billed charges,,1659.53,21,,,Percent of total billed charges,,531.66,90,,,Percent of total billed charges,,2278.53,21,,,Percent of total billed charges,,531.66,21,,,Percent of total billed charges,,531.66,64.9,,,Percent of total billed charges,,1643.07,21,,,Percent of total billed charges,,531.66,,1420.62,,Case rate,,1420.62,58.06,2531.7,
"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple",43239,CPT,,,,Outpatient,Facility,,,2597.44,1038.98,66,,,Percent of total billed charges,,1714.31,20.8,,,Percent of total billed charges,,540.27,20.4,,,Percent of total billed charges,,529.88,,363.7,,Case rate,,363.7,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,2077.95,61.6,,,Percent of total billed charges,,1600.02,20.6,,,Percent of total billed charges,,535.07,20.6,,,Percent of total billed charges,,535.07,65.55,,,Percent of total billed charges,,1702.62,21,,,Percent of total billed charges,,545.46,90,,,Percent of total billed charges,,2337.7,21,,,Percent of total billed charges,,545.46,21,,,Percent of total billed charges,,545.46,64.9,,,Percent of total billed charges,,1685.74,21,,,Percent of total billed charges,,545.46,,1920.62,,Case rate,,1920.62,77.74,2597.44,
"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",43251,CPT,,,,Outpatient,Facility,,,2498.17,999.27,66,,,Percent of total billed charges,,1648.79,20.8,,,Percent of total billed charges,,519.62,20.4,,,Percent of total billed charges,,509.63,,479.22,,Case rate,,479.22,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1998.53,61.6,,,Percent of total billed charges,,1538.87,20.6,,,Percent of total billed charges,,514.62,20.6,,,Percent of total billed charges,,514.62,65.55,,,Percent of total billed charges,,1637.55,21,,,Percent of total billed charges,,524.61,90,,,Percent of total billed charges,,2248.35,21,,,Percent of total billed charges,,524.61,21,,,Percent of total billed charges,,524.61,64.9,,,Percent of total billed charges,,1621.31,21,,,Percent of total billed charges,,524.61,,1920.72,,Case rate,,1920.72,77.74,2498.16,
Estriol,82677,CPT,,,,Outpatient,Facility,,,187,74.8,66,,,Percent of total billed charges,,123.42,20.8,,,Percent of total billed charges,,38.9,20.4,,,Percent of total billed charges,,38.15,,24.18,,Case rate,,24.18,,5,,Case rate,,5,80,,,Percent of total billed charges,,149.6,61.6,,,Percent of total billed charges,,115.19,20.6,,,Percent of total billed charges,,38.52,20.6,,,Percent of total billed charges,,38.52,65.55,,,Percent of total billed charges,,122.58,21,,,Percent of total billed charges,,39.27,90,,,Percent of total billed charges,,168.3,21,,,Percent of total billed charges,,39.27,21,,,Percent of total billed charges,,39.27,64.9,,,Percent of total billed charges,,121.36,21,,,Percent of total billed charges,,39.27,,105.49,,Case rate,,105.49,5,187,
Estrogens; total,82672,CPT,,,,Outpatient,Facility,,,178,71.2,66,,,Percent of total billed charges,,117.48,20.8,,,Percent of total billed charges,,37.02,20.4,,,Percent of total billed charges,,36.31,,21.7,,Case rate,,21.7,,6.23,,Case rate,,6.23,80,,,Percent of total billed charges,,142.4,61.6,,,Percent of total billed charges,,109.65,20.6,,,Percent of total billed charges,,36.67,20.6,,,Percent of total billed charges,,36.67,65.55,,,Percent of total billed charges,,116.68,21,,,Percent of total billed charges,,37.38,90,,,Percent of total billed charges,,160.2,21,,,Percent of total billed charges,,37.38,21,,,Percent of total billed charges,,37.38,64.9,,,Percent of total billed charges,,115.52,21,,,Percent of total billed charges,,37.38,,133.9,,Case rate,,133.9,6.23,178,
Estrone,82679,CPT,,,,Outpatient,Facility,,,151,60.4,66,,,Percent of total billed charges,,99.66,20.8,,,Percent of total billed charges,,31.41,20.4,,,Percent of total billed charges,,30.8,,24.95,,Case rate,,24.95,,5.14,,Case rate,,5.14,80,,,Percent of total billed charges,,120.8,61.6,,,Percent of total billed charges,,93.02,20.6,,,Percent of total billed charges,,31.11,20.6,,,Percent of total billed charges,,31.11,65.55,,,Percent of total billed charges,,98.98,21,,,Percent of total billed charges,,31.71,90,,,Percent of total billed charges,,135.9,21,,,Percent of total billed charges,,31.71,21,,,Percent of total billed charges,,31.71,64.9,,,Percent of total billed charges,,98,21,,,Percent of total billed charges,,31.71,,108.37,,Case rate,,108.37,5.14,151,
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech,92597,CPT,,,,Outpatient,Facility,,,499,199.6,66,,,Percent of total billed charges,,329.34,20.8,,,Percent of total billed charges,,103.79,20.4,,,Percent of total billed charges,,101.8,,70.48,,Case rate,,70.48,,18.07,,Case rate,,18.07,80,,,Percent of total billed charges,,399.2,61.6,,,Percent of total billed charges,,307.38,20.6,,,Percent of total billed charges,,102.79,20.6,,,Percent of total billed charges,,102.79,65.55,,,Percent of total billed charges,,327.09,21,,,Percent of total billed charges,,104.79,90,,,Percent of total billed charges,,449.1,21,,,Percent of total billed charges,,104.79,21,,,Percent of total billed charges,,104.79,64.9,,,Percent of total billed charges,,323.85,21,,,Percent of total billed charges,,104.79,,98.39,,Case rate,,98.39,18.07,499,
Evaluation of oral and pharyngeal swallowing function,92610,CPT,,,,Outpatient,Facility,,,653,261.2,66,,,Percent of total billed charges,,430.98,20.8,,,Percent of total billed charges,,135.82,20.4,,,Percent of total billed charges,,133.21,,82.91,,Case rate,,82.91,,23.77,,Case rate,,23.77,80,,,Percent of total billed charges,,522.4,61.6,,,Percent of total billed charges,,402.25,20.6,,,Percent of total billed charges,,134.52,20.6,,,Percent of total billed charges,,134.52,65.55,,,Percent of total billed charges,,428.04,21,,,Percent of total billed charges,,137.13,90,,,Percent of total billed charges,,587.7,21,,,Percent of total billed charges,,137.13,21,,,Percent of total billed charges,,137.13,64.9,,,Percent of total billed charges,,423.8,21,,,Percent of total billed charges,,137.13,,184.88,,Case rate,,184.88,23.77,653,
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)",92522,CPT,,,,Outpatient,Facility,,,188,75.2,66,,,Percent of total billed charges,,124.08,20.8,,,Percent of total billed charges,,39.1,,113.61,,Case rate,,113.61,,108.95,,Case rate,,108.95,,7.06,,Case rate,,7.06,80,,,Percent of total billed charges,,150.4,61.6,,,Percent of total billed charges,,115.81,20.6,,,Percent of total billed charges,,38.73,20.6,,,Percent of total billed charges,,38.73,65.55,,,Percent of total billed charges,,123.23,21,,,Percent of total billed charges,,39.48,90,,,Percent of total billed charges,,169.2,21,,,Percent of total billed charges,,39.48,21,,,Percent of total billed charges,,39.48,64.9,,,Percent of total billed charges,,122.01,21,,,Percent of total billed charges,,39.48,,300.54,,Case rate,,300.54,7.06,300.54,
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)",92523,CPT,,,,Outpatient,Facility,,,391,156.4,66,,,Percent of total billed charges,,258.06,20.8,,,Percent of total billed charges,,81.33,,233.31,,Case rate,,233.31,,223.3,,Case rate,,223.3,,14.64,,Case rate,,14.64,80,,,Percent of total billed charges,,312.8,61.6,,,Percent of total billed charges,,240.86,20.6,,,Percent of total billed charges,,80.55,20.6,,,Percent of total billed charges,,80.55,65.55,,,Percent of total billed charges,,256.3,21,,,Percent of total billed charges,,82.11,90,,,Percent of total billed charges,,351.9,21,,,Percent of total billed charges,,82.11,21,,,Percent of total billed charges,,82.11,64.9,,,Percent of total billed charges,,253.76,21,,,Percent of total billed charges,,82.11,,368.61,,Case rate,,368.61,14.64,391,
Everolimus,80169,CPT,,,,Outpatient,Facility,,,345,138,66,,,Percent of total billed charges,,227.7,20.8,,,Percent of total billed charges,,71.76,20.4,,,Percent of total billed charges,,70.38,,13.73,,Case rate,,13.73,,1.47,,Case rate,,1.47,80,,,Percent of total billed charges,,276,61.6,,,Percent of total billed charges,,212.52,20.6,,,Percent of total billed charges,,71.07,20.6,,,Percent of total billed charges,,71.07,65.55,,,Percent of total billed charges,,226.15,21,,,Percent of total billed charges,,72.45,90,,,Percent of total billed charges,,310.5,21,,,Percent of total billed charges,,72.45,21,,,Percent of total billed charges,,72.45,64.9,,,Percent of total billed charges,,223.9,21,,,Percent of total billed charges,,72.45,,115.52,,Case rate,,115.52,1.47,345,
"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions",19120,CPT,,,,Outpatient,Facility,,,7649.42,3059.77,66,,,Percent of total billed charges,,5048.62,20.8,,,Percent of total billed charges,,1591.08,20.4,,,Percent of total billed charges,,1560.48,,505.66,,Case rate,,505.66,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,6119.54,61.6,,,Percent of total billed charges,,4712.04,20.6,,,Percent of total billed charges,,1575.78,20.6,,,Percent of total billed charges,,1575.78,65.55,,,Percent of total billed charges,,5014.19,21,,,Percent of total billed charges,,1606.38,90,,,Percent of total billed charges,,6884.48,21,,,Percent of total billed charges,,1606.38,21,,,Percent of total billed charges,,1606.38,64.9,,,Percent of total billed charges,,4964.47,21,,,Percent of total billed charges,,1606.38,,2201.15,,Case rate,,2201.15,89.15,7649.42,
"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal",11750,CPT,,,,Outpatient,Facility,,,933,373.2,66,,,Percent of total billed charges,,615.78,20.8,,,Percent of total billed charges,,194.06,20.4,,,Percent of total billed charges,,190.33,,154.29,,Case rate,,154.29,,35.64,,Case rate,,35.64,80,,,Percent of total billed charges,,746.4,61.6,,,Percent of total billed charges,,574.73,20.6,,,Percent of total billed charges,,192.2,20.6,,,Percent of total billed charges,,192.2,65.55,,,Percent of total billed charges,,611.58,21,,,Percent of total billed charges,,195.93,90,,,Percent of total billed charges,,839.7,21,,,Percent of total billed charges,,195.93,21,,,Percent of total billed charges,,195.93,64.9,,,Percent of total billed charges,,605.52,21,,,Percent of total billed charges,,195.93,,868.43,,Case rate,,868.43,35.64,933,
"Excision of thrombosed hemorrhoid, external",46320,CPT,,,,Outpatient,Facility,,,2419,967.6,66,,,Percent of total billed charges,,1596.54,20.8,,,Percent of total billed charges,,503.15,20.4,,,Percent of total billed charges,,493.48,,206.77,,Case rate,,206.77,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1935.2,61.6,,,Percent of total billed charges,,1490.1,20.6,,,Percent of total billed charges,,498.31,20.6,,,Percent of total billed charges,,498.31,65.55,,,Percent of total billed charges,,1585.65,21,,,Percent of total billed charges,,507.99,90,,,Percent of total billed charges,,2177.1,21,,,Percent of total billed charges,,507.99,21,,,Percent of total billed charges,,507.99,64.9,,,Percent of total billed charges,,1569.93,21,,,Percent of total billed charges,,507.99,,1435.52,,Case rate,,1435.52,58.06,2419,
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm",11422,CPT,,,,Outpatient,Facility,,,2993.38,1197.35,66,,,Percent of total billed charges,,1975.63,20.8,,,Percent of total billed charges,,622.62,20.4,,,Percent of total billed charges,,610.65,,174.03,,Case rate,,174.03,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,2394.7,61.6,,,Percent of total billed charges,,1843.92,20.6,,,Percent of total billed charges,,616.64,20.6,,,Percent of total billed charges,,616.64,65.55,,,Percent of total billed charges,,1962.16,21,,,Percent of total billed charges,,628.61,90,,,Percent of total billed charges,,2694.04,21,,,Percent of total billed charges,,628.61,21,,,Percent of total billed charges,,628.61,64.9,,,Percent of total billed charges,,1942.7,21,,,Percent of total billed charges,,628.61,,1436.22,,Case rate,,1436.22,58.06,2993.38,
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm",11423,CPT,,,,Outpatient,Facility,,,2262.69,905.08,66,,,Percent of total billed charges,,1493.38,20.8,,,Percent of total billed charges,,470.64,20.4,,,Percent of total billed charges,,461.59,,198.56,,Case rate,,198.56,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1810.15,61.6,,,Percent of total billed charges,,1393.82,20.6,,,Percent of total billed charges,,466.11,20.6,,,Percent of total billed charges,,466.11,65.55,,,Percent of total billed charges,,1483.19,21,,,Percent of total billed charges,,475.16,90,,,Percent of total billed charges,,2036.42,21,,,Percent of total billed charges,,475.16,21,,,Percent of total billed charges,,475.16,64.9,,,Percent of total billed charges,,1468.49,21,,,Percent of total billed charges,,475.16,,1422.06,,Case rate,,1422.06,58.06,2262.69,
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm",11424,CPT,,,,Outpatient,Facility,,,2303.1,921.24,66,,,Percent of total billed charges,,1520.05,20.8,,,Percent of total billed charges,,479.05,20.4,,,Percent of total billed charges,,469.83,,228.84,,Case rate,,228.84,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1842.48,61.6,,,Percent of total billed charges,,1418.71,20.6,,,Percent of total billed charges,,474.44,20.6,,,Percent of total billed charges,,474.44,65.55,,,Percent of total billed charges,,1509.68,21,,,Percent of total billed charges,,483.65,90,,,Percent of total billed charges,,2072.79,21,,,Percent of total billed charges,,483.65,21,,,Percent of total billed charges,,483.65,64.9,,,Percent of total billed charges,,1494.71,21,,,Percent of total billed charges,,483.65,,1905.77,,Case rate,,1905.77,77.74,2303.1,
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm",11403,CPT,,,,Outpatient,Facility,,,1436.41,574.57,66,,,Percent of total billed charges,,948.03,20.8,,,Percent of total billed charges,,298.77,20.4,,,Percent of total billed charges,,293.03,,191.73,,Case rate,,191.73,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1149.13,61.6,,,Percent of total billed charges,,884.83,20.6,,,Percent of total billed charges,,295.9,20.6,,,Percent of total billed charges,,295.9,65.55,,,Percent of total billed charges,,941.57,21,,,Percent of total billed charges,,301.65,90,,,Percent of total billed charges,,1292.77,21,,,Percent of total billed charges,,301.65,21,,,Percent of total billed charges,,301.65,64.9,,,Percent of total billed charges,,932.23,21,,,Percent of total billed charges,,301.65,,1421.41,,Case rate,,1421.41,58.06,1436.41,
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm",11406,CPT,,,,Outpatient,Facility,,,3435.98,1374.39,66,,,Percent of total billed charges,,2267.75,20.8,,,Percent of total billed charges,,714.68,20.4,,,Percent of total billed charges,,700.94,,309.34,,Case rate,,309.34,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,2748.78,61.6,,,Percent of total billed charges,,2116.56,20.6,,,Percent of total billed charges,,707.81,20.6,,,Percent of total billed charges,,707.81,65.55,,,Percent of total billed charges,,2252.28,21,,,Percent of total billed charges,,721.56,90,,,Percent of total billed charges,,3092.38,21,,,Percent of total billed charges,,721.56,21,,,Percent of total billed charges,,721.56,64.9,,,Percent of total billed charges,,2229.95,21,,,Percent of total billed charges,,721.56,,1920.25,,Case rate,,1920.25,77.74,3435.98,
"Excision, interdigital (Morton) neuroma, single, each",28080,CPT,,,,Outpatient,Facility,,,5934.46,2373.78,66,,,Percent of total billed charges,,3916.74,20.8,,,Percent of total billed charges,,1234.37,20.4,,,Percent of total billed charges,,1210.63,,512.01,,Case rate,,512.01,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,4747.56,61.6,,,Percent of total billed charges,,3655.62,20.6,,,Percent of total billed charges,,1222.5,20.6,,,Percent of total billed charges,,1222.5,65.55,,,Percent of total billed charges,,3890.04,21,,,Percent of total billed charges,,1246.24,90,,,Percent of total billed charges,,5341.01,21,,,Percent of total billed charges,,1246.24,21,,,Percent of total billed charges,,1246.24,64.9,,,Percent of total billed charges,,3851.46,21,,,Percent of total billed charges,,1246.24,,2186.62,,Case rate,,2186.62,89.15,5934.46,
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm",11602,CPT,,,,Outpatient,Facility,,,2993.38,1197.35,66,,,Percent of total billed charges,,1975.63,20.8,,,Percent of total billed charges,,622.62,20.4,,,Percent of total billed charges,,610.65,,236.99,,Case rate,,236.99,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,2394.7,61.6,,,Percent of total billed charges,,1843.92,20.6,,,Percent of total billed charges,,616.64,20.6,,,Percent of total billed charges,,616.64,65.55,,,Percent of total billed charges,,1962.16,21,,,Percent of total billed charges,,628.61,90,,,Percent of total billed charges,,2694.04,21,,,Percent of total billed charges,,628.61,21,,,Percent of total billed charges,,628.61,64.9,,,Percent of total billed charges,,1942.7,21,,,Percent of total billed charges,,628.61,,1434.36,,Case rate,,1434.36,58.06,2993.38,
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 2.1 to 3.0 cm",11603,CPT,,,,Outpatient,Facility,,,5291.19,2116.48,66,,,Percent of total billed charges,,3492.19,20.8,,,Percent of total billed charges,,1100.57,20.4,,,Percent of total billed charges,,1079.4,,270.71,,Case rate,,270.71,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,4232.95,61.6,,,Percent of total billed charges,,3259.37,20.6,,,Percent of total billed charges,,1089.99,20.6,,,Percent of total billed charges,,1089.99,65.55,,,Percent of total billed charges,,3468.38,21,,,Percent of total billed charges,,1111.15,90,,,Percent of total billed charges,,4762.07,21,,,Percent of total billed charges,,1111.15,21,,,Percent of total billed charges,,1111.15,64.9,,,Percent of total billed charges,,3433.98,21,,,Percent of total billed charges,,1111.15,,1421.5,,Case rate,,1421.5,58.06,5291.19,
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm",11606,CPT,,,,Outpatient,Facility,,,2805,1122,66,,,Percent of total billed charges,,1851.3,20.8,,,Percent of total billed charges,,583.44,20.4,,,Percent of total billed charges,,572.22,,434.3,,Case rate,,434.3,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,2244,61.6,,,Percent of total billed charges,,1727.88,20.6,,,Percent of total billed charges,,577.83,20.6,,,Percent of total billed charges,,577.83,65.55,,,Percent of total billed charges,,1838.68,21,,,Percent of total billed charges,,589.05,90,,,Percent of total billed charges,,2524.5,21,,,Percent of total billed charges,,589.05,21,,,Percent of total billed charges,,589.05,64.9,,,Percent of total billed charges,,1820.44,21,,,Percent of total billed charges,,589.05,,1906.51,,Case rate,,1906.51,77.74,2805,
"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm",11441,CPT,,,,Outpatient,Facility,,,3033.23,1213.29,66,,,Percent of total billed charges,,2001.93,20.8,,,Percent of total billed charges,,630.91,20.4,,,Percent of total billed charges,,618.78,,168.66,,Case rate,,168.66,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,2426.58,61.6,,,Percent of total billed charges,,1868.47,20.6,,,Percent of total billed charges,,624.85,20.6,,,Percent of total billed charges,,624.85,65.55,,,Percent of total billed charges,,1988.28,21,,,Percent of total billed charges,,636.98,90,,,Percent of total billed charges,,2729.91,21,,,Percent of total billed charges,,636.98,21,,,Percent of total billed charges,,636.98,64.9,,,Percent of total billed charges,,1968.57,21,,,Percent of total billed charges,,636.98,,1436.68,,Case rate,,1436.68,58.06,3033.23,
"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater",21012,CPT,,,,Outpatient,Facility,,,5190.67,2076.27,66,,,Percent of total billed charges,,3425.84,20.8,,,Percent of total billed charges,,1079.66,20.4,,,Percent of total billed charges,,1058.9,,331.77,,Case rate,,331.77,,62.82,,Case rate,,62.82,80,,,Percent of total billed charges,,4152.54,61.6,,,Percent of total billed charges,,3197.45,20.6,,,Percent of total billed charges,,1069.28,20.6,,,Percent of total billed charges,,1069.28,65.55,,,Percent of total billed charges,,3402.48,21,,,Percent of total billed charges,,1090.04,90,,,Percent of total billed charges,,4671.6,21,,,Percent of total billed charges,,1090.04,21,,,Percent of total billed charges,,1090.04,64.9,,,Percent of total billed charges,,3368.74,21,,,Percent of total billed charges,,1090.04,,2969.24,,Case rate,,2969.24,62.82,5190.67,
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater",21554,CPT,,,,Outpatient,Facility,,,4837.28,1934.91,66,,,Percent of total billed charges,,3192.6,20.8,,,Percent of total billed charges,,1006.15,20.4,,,Percent of total billed charges,,986.81,,716.79,,Case rate,,716.79,,138.71,,Case rate,,138.71,80,,,Percent of total billed charges,,3869.82,61.6,,,Percent of total billed charges,,2979.76,20.6,,,Percent of total billed charges,,996.48,20.6,,,Percent of total billed charges,,996.48,65.55,,,Percent of total billed charges,,3170.84,21,,,Percent of total billed charges,,1015.83,90,,,Percent of total billed charges,,4353.55,21,,,Percent of total billed charges,,1015.83,21,,,Percent of total billed charges,,1015.83,64.9,,,Percent of total billed charges,,3139.39,21,,,Percent of total billed charges,,1015.83,,3153.39,,Case rate,,3153.39,138.71,4837.28,
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater",24071,CPT,,,,Outpatient,Facility,,,1653.75,661.5,66,,,Percent of total billed charges,,1091.48,20.8,,,Percent of total billed charges,,343.98,20.4,,,Percent of total billed charges,,337.36,,397.49,,Case rate,,397.49,,76.04,,Case rate,,76.04,80,,,Percent of total billed charges,,1323,61.6,,,Percent of total billed charges,,1018.71,20.6,,,Percent of total billed charges,,340.67,20.6,,,Percent of total billed charges,,340.67,65.55,,,Percent of total billed charges,,1084.03,21,,,Percent of total billed charges,,347.29,90,,,Percent of total billed charges,,1488.38,21,,,Percent of total billed charges,,347.29,21,,,Percent of total billed charges,,347.29,64.9,,,Percent of total billed charges,,1073.28,21,,,Percent of total billed charges,,347.29,,3156.4,,Case rate,,3156.4,76.04,3156.4,
Exploration of penetrating wound (separate procedure); extremity,20103,CPT,,,,Outpatient,Facility,,,3002,1200.8,66,,,Percent of total billed charges,,1981.32,20.8,,,Percent of total billed charges,,624.42,20.4,,,Percent of total billed charges,,612.41,,547.13,,Case rate,,547.13,,102.96,,Case rate,,102.96,80,,,Percent of total billed charges,,2401.6,61.6,,,Percent of total billed charges,,1849.23,20.6,,,Percent of total billed charges,,618.41,20.6,,,Percent of total billed charges,,618.41,65.55,,,Percent of total billed charges,,1967.81,21,,,Percent of total billed charges,,630.42,90,,,Percent of total billed charges,,2701.8,21,,,Percent of total billed charges,,630.42,21,,,Percent of total billed charges,,630.42,64.9,,,Percent of total billed charges,,1948.3,21,,,Percent of total billed charges,,630.42,,1303.75,,Case rate,,1303.75,102.96,3002,
"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody",86235,CPT,,,,Outpatient,Facility,,,179,71.6,66,,,Percent of total billed charges,,118.14,20.8,,,Percent of total billed charges,,37.23,20.4,,,Percent of total billed charges,,36.52,,17.93,,Case rate,,17.93,,3.69,,Case rate,,3.69,80,,,Percent of total billed charges,,143.2,61.6,,,Percent of total billed charges,,110.26,20.6,,,Percent of total billed charges,,36.87,20.6,,,Percent of total billed charges,,36.87,65.55,,,Percent of total billed charges,,117.33,21,,,Percent of total billed charges,,37.59,90,,,Percent of total billed charges,,161.1,21,,,Percent of total billed charges,,37.59,21,,,Percent of total billed charges,,37.59,64.9,,,Percent of total billed charges,,116.17,21,,,Percent of total billed charges,,37.59,,75.73,,Case rate,,75.73,3.69,179,
"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant",81240,CPT,,,,Outpatient,Facility,,,199,79.6,66,,,Percent of total billed charges,,131.34,20.8,,,Percent of total billed charges,,41.39,20.4,,,Percent of total billed charges,,40.6,,65.69,,Case rate,,65.69,,6.76,,Case rate,,6.76,80,,,Percent of total billed charges,,159.2,61.6,,,Percent of total billed charges,,122.58,20.6,,,Percent of total billed charges,,40.99,20.6,,,Percent of total billed charges,,40.99,65.55,,,Percent of total billed charges,,130.44,21,,,Percent of total billed charges,,41.79,90,,,Percent of total billed charges,,179.1,21,,,Percent of total billed charges,,41.79,21,,,Percent of total billed charges,,41.79,64.9,,,Percent of total billed charges,,129.15,21,,,Percent of total billed charges,,41.79,,86.87,,Case rate,,86.87,6.76,199,
"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence",81238,CPT,,,,Outpatient,Facility,,,4209,1683.6,66,,,Percent of total billed charges,,2777.94,20.8,,,Percent of total billed charges,,875.47,,612,,Case rate,,612,,600,,Case rate,,600,,40.53,,Case rate,,40.53,80,,,Percent of total billed charges,,3367.2,61.6,,,Percent of total billed charges,,2592.74,20.6,,,Percent of total billed charges,,867.05,20.6,,,Percent of total billed charges,,867.05,65.55,,,Percent of total billed charges,,2759,21,,,Percent of total billed charges,,883.89,90,,,Percent of total billed charges,,3788.1,21,,,Percent of total billed charges,,883.89,21,,,Percent of total billed charges,,883.89,64.9,,,Percent of total billed charges,,2731.64,21,,,Percent of total billed charges,,883.89,,2103.93,,Case rate,,2103.93,40.53,4209,
Falls risk assessment documented (GER),3288F,CPT,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Case rate,,,,,,Case rate,,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T)",81242,CPT,,,,Outpatient,Facility,,,134,53.6,66,,,Percent of total billed charges,,88.44,20.8,,,Percent of total billed charges,,27.87,,37.35,,Case rate,,37.35,,36.62,,Case rate,,36.62,,12.22,,Case rate,,12.22,80,,,Percent of total billed charges,,107.2,61.6,,,Percent of total billed charges,,82.54,20.6,,,Percent of total billed charges,,27.6,20.6,,,Percent of total billed charges,,27.6,65.55,,,Percent of total billed charges,,87.84,21,,,Percent of total billed charges,,28.14,90,,,Percent of total billed charges,,120.6,21,,,Percent of total billed charges,,28.14,21,,,Percent of total billed charges,,28.14,64.9,,,Percent of total billed charges,,86.97,21,,,Percent of total billed charges,,28.14,45,,,Percent of total billed charges,,60.3,12.22,134,
"Fasciectomy, plantar fascia; partial (separate procedure)",28060,CPT,,,,Outpatient,Facility,,,4084.73,1633.89,66,,,Percent of total billed charges,,2695.92,20.8,,,Percent of total billed charges,,849.62,20.4,,,Percent of total billed charges,,833.28,,498.33,,Case rate,,498.33,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,3267.78,61.6,,,Percent of total billed charges,,2516.19,20.6,,,Percent of total billed charges,,841.45,20.6,,,Percent of total billed charges,,841.45,65.55,,,Percent of total billed charges,,2677.54,21,,,Percent of total billed charges,,857.79,90,,,Percent of total billed charges,,3676.25,21,,,Percent of total billed charges,,857.79,21,,,Percent of total billed charges,,857.79,64.9,,,Percent of total billed charges,,2650.99,21,,,Percent of total billed charges,,857.79,,1906.18,,Case rate,,1906.18,77.74,4084.72,
"Fat or lipids, feces; qualitative",82705,CPT,,,,Outpatient,Facility,,,33,13.2,66,,,Percent of total billed charges,,21.78,20.8,,,Percent of total billed charges,,6.86,20.4,,,Percent of total billed charges,,6.73,,5.1,,Case rate,,5.1,,1.05,,Case rate,,1.05,80,,,Percent of total billed charges,,26.4,61.6,,,Percent of total billed charges,,20.33,20.6,,,Percent of total billed charges,,6.8,20.6,,,Percent of total billed charges,,6.8,65.55,,,Percent of total billed charges,,21.63,21,,,Percent of total billed charges,,6.93,90,,,Percent of total billed charges,,29.7,21,,,Percent of total billed charges,,6.93,21,,,Percent of total billed charges,,6.93,64.9,,,Percent of total billed charges,,21.42,21,,,Percent of total billed charges,,6.93,,15.18,,Case rate,,15.18,1.05,33,
"Fat or lipids, feces; quantitative",82710,CPT,,,,Outpatient,Facility,,,156,62.4,66,,,Percent of total billed charges,,102.96,20.8,,,Percent of total billed charges,,32.45,20.4,,,Percent of total billed charges,,31.82,,16.8,,Case rate,,16.8,,3.46,,Case rate,,3.46,80,,,Percent of total billed charges,,124.8,61.6,,,Percent of total billed charges,,96.1,20.6,,,Percent of total billed charges,,32.14,20.6,,,Percent of total billed charges,,32.14,65.55,,,Percent of total billed charges,,102.26,21,,,Percent of total billed charges,,32.76,90,,,Percent of total billed charges,,140.4,21,,,Percent of total billed charges,,32.76,21,,,Percent of total billed charges,,32.76,64.9,,,Percent of total billed charges,,101.24,21,,,Percent of total billed charges,,32.76,,71.32,,Case rate,,71.32,3.46,156,
"Fatty acids, nonesterified",82725,CPT,,,,Outpatient,Facility,,,90,36,66,,,Percent of total billed charges,,59.4,20.8,,,Percent of total billed charges,,18.72,20.4,,,Percent of total billed charges,,18.36,,18.77,,Case rate,,18.77,,3.12,,Case rate,,3.12,80,,,Percent of total billed charges,,72,61.6,,,Percent of total billed charges,,55.44,20.6,,,Percent of total billed charges,,18.54,20.6,,,Percent of total billed charges,,18.54,65.55,,,Percent of total billed charges,,59,21,,,Percent of total billed charges,,18.9,90,,,Percent of total billed charges,,81,21,,,Percent of total billed charges,,18.9,21,,,Percent of total billed charges,,18.9,64.9,,,Percent of total billed charges,,58.41,21,,,Percent of total billed charges,,18.9,,63.84,,Case rate,,63.84,3.12,90,
Fentanyl,80354,CPT,,,,Outpatient,Facility,,,133,53.2,66,,,Percent of total billed charges,,87.78,20.8,,,Percent of total billed charges,,27.66,20.4,,,Percent of total billed charges,,27.13,,18.54,,Case rate,,18.54,,1.38,,Case rate,,1.38,80,,,Percent of total billed charges,,106.4,61.6,,,Percent of total billed charges,,81.93,20.6,,,Percent of total billed charges,,27.4,20.6,,,Percent of total billed charges,,27.4,65.55,,,Percent of total billed charges,,87.18,21,,,Percent of total billed charges,,27.93,90,,,Percent of total billed charges,,119.7,21,,,Percent of total billed charges,,27.93,21,,,Percent of total billed charges,,27.93,64.9,,,Percent of total billed charges,,86.32,21,,,Percent of total billed charges,,27.93,45,,,Percent of total billed charges,,59.85,1.38,133,
Ferritin,82728,CPT,,,,Outpatient,Facility,,,134,53.6,66,,,Percent of total billed charges,,88.44,20.8,,,Percent of total billed charges,,27.87,20.4,,,Percent of total billed charges,,27.34,,13.63,,Case rate,,13.63,,2.8,,Case rate,,2.8,80,,,Percent of total billed charges,,107.2,61.6,,,Percent of total billed charges,,82.54,20.6,,,Percent of total billed charges,,27.6,20.6,,,Percent of total billed charges,,27.6,65.55,,,Percent of total billed charges,,87.84,21,,,Percent of total billed charges,,28.14,90,,,Percent of total billed charges,,120.6,21,,,Percent of total billed charges,,28.14,21,,,Percent of total billed charges,,28.14,64.9,,,Percent of total billed charges,,86.97,21,,,Percent of total billed charges,,28.14,,56.41,,Case rate,,56.41,2.8,134,
Fetal biophysical profile; with non-stress testing,76818,CPT,,,,Outpatient,Facility,,,437,174.8,66,,,Percent of total billed charges,,288.42,20.8,,,Percent of total billed charges,,90.9,20.4,,,Percent of total billed charges,,89.15,,63.22,,Case rate,,63.22,,12.47,,Case rate,,12.47,80,,,Percent of total billed charges,,349.6,61.6,,,Percent of total billed charges,,269.19,20.6,,,Percent of total billed charges,,90.02,20.6,,,Percent of total billed charges,,90.02,65.55,,,Percent of total billed charges,,286.45,21,,,Percent of total billed charges,,91.77,90,,,Percent of total billed charges,,393.3,21,,,Percent of total billed charges,,91.77,21,,,Percent of total billed charges,,91.77,64.9,,,Percent of total billed charges,,283.61,21,,,Percent of total billed charges,,91.77,,312.75,,Case rate,,312.75,12.47,437,
"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21",81420,CPT,,,,Outpatient,Facility,,,2713,1085.2,66,,,Percent of total billed charges,,1790.58,20.8,,,Percent of total billed charges,,564.3,20.4,,,Percent of total billed charges,,553.45,,759.05,,Case rate,,759.05,,57.24,,Case rate,,57.24,80,,,Percent of total billed charges,,2170.4,61.6,,,Percent of total billed charges,,1671.21,20.6,,,Percent of total billed charges,,558.88,20.6,,,Percent of total billed charges,,558.88,65.55,,,Percent of total billed charges,,1778.37,21,,,Percent of total billed charges,,569.73,90,,,Percent of total billed charges,,2441.7,21,,,Percent of total billed charges,,569.73,21,,,Percent of total billed charges,,569.73,64.9,,,Percent of total billed charges,,1760.74,21,,,Percent of total billed charges,,569.73,,3076.17,,Case rate,,3076.17,57.24,3076.17,
Fibrinogen; antigen,85385,CPT,,,,Outpatient,Facility,,,65,26,66,,,Percent of total billed charges,,42.9,20.8,,,Percent of total billed charges,,13.52,20.4,,,Percent of total billed charges,,13.26,,14.46,,Case rate,,14.46,,2.45,,Case rate,,2.45,80,,,Percent of total billed charges,,52,61.6,,,Percent of total billed charges,,40.04,20.6,,,Percent of total billed charges,,13.39,20.6,,,Percent of total billed charges,,13.39,65.55,,,Percent of total billed charges,,42.61,21,,,Percent of total billed charges,,13.65,90,,,Percent of total billed charges,,58.5,21,,,Percent of total billed charges,,13.65,21,,,Percent of total billed charges,,13.65,64.9,,,Percent of total billed charges,,42.18,21,,,Percent of total billed charges,,13.65,,47.92,,Case rate,,47.92,2.45,65,
"Fibrinolysins or coagulopathy screen, interpretation and report",85390,CPT,,,,Outpatient,Facility,,,41,16.4,66,,,Percent of total billed charges,,27.06,20.8,,,Percent of total billed charges,,8.53,20.4,,,Percent of total billed charges,,8.36,,,,Case rate,,,,,,Case rate,,,80,,,Percent of total billed charges,,32.8,61.6,,,Percent of total billed charges,,25.26,20.6,,,Percent of total billed charges,,8.45,20.6,,,Percent of total billed charges,,8.45,65.55,,,Percent of total billed charges,,26.88,21,,,Percent of total billed charges,,8.61,90,,,Percent of total billed charges,,36.9,21,,,Percent of total billed charges,,8.61,21,,,Percent of total billed charges,,8.61,64.9,,,Percent of total billed charges,,26.61,21,,,Percent of total billed charges,,8.61,,27.07,,Case rate,,27.07,8.36,41,
"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay",85420,CPT,,,,Outpatient,Facility,,,66,26.4,66,,,Percent of total billed charges,,43.56,20.8,,,Percent of total billed charges,,13.73,20.4,,,Percent of total billed charges,,13.46,,6.53,,Case rate,,6.53,,1.89,,Case rate,,1.89,80,,,Percent of total billed charges,,52.8,61.6,,,Percent of total billed charges,,40.66,20.6,,,Percent of total billed charges,,13.6,20.6,,,Percent of total billed charges,,13.6,65.55,,,Percent of total billed charges,,43.26,21,,,Percent of total billed charges,,13.86,90,,,Percent of total billed charges,,59.4,21,,,Percent of total billed charges,,13.86,21,,,Percent of total billed charges,,13.86,64.9,,,Percent of total billed charges,,42.83,21,,,Percent of total billed charges,,13.86,,35.24,,Case rate,,35.24,1.89,66,
"Flow cytometry, cell cycle or DNA analysis",88182,CPT,31088182,CDM,TC,Outpatient,Facility,,,814,325.6,66,,,Percent of total billed charges,,537.24,20.8,,,Percent of total billed charges,,169.31,20.4,,,Percent of total billed charges,,166.06,,115.36,,Case rate,,115.36,,5.25,,Case rate,,5.25,80,,,Percent of total billed charges,,651.2,61.6,,,Percent of total billed charges,,501.42,20.6,,,Percent of total billed charges,,167.68,20.6,,,Percent of total billed charges,,167.68,65.55,,,Percent of total billed charges,,533.58,21,,,Percent of total billed charges,,170.94,90,,,Percent of total billed charges,,732.6,21,,,Percent of total billed charges,,170.94,21,,,Percent of total billed charges,,170.94,64.9,,,Percent of total billed charges,,528.29,21,,,Percent of total billed charges,,170.94,,122.44,,Case rate,,122.44,5.25,814,
"Flow cytometry, interpretation; 16 or more markers",88189,CPT,,,,Outpatient,Facility,,,606,242.4,66,,,Percent of total billed charges,,399.96,20.8,,,Percent of total billed charges,,126.05,20.4,,,Percent of total billed charges,,123.62,,81.56,,Case rate,,81.56,,21.95,,Case rate,,21.95,80,,,Percent of total billed charges,,484.8,61.6,,,Percent of total billed charges,,373.3,20.6,,,Percent of total billed charges,,124.84,20.6,,,Percent of total billed charges,,124.84,65.55,,,Percent of total billed charges,,397.23,21,,,Percent of total billed charges,,127.26,90,,,Percent of total billed charges,,545.4,21,,,Percent of total billed charges,,127.26,21,,,Percent of total billed charges,,127.26,64.9,,,Percent of total billed charges,,393.29,21,,,Percent of total billed charges,,127.26,,183.58,,Case rate,,183.58,21.95,606,
"Flow cytometry, interpretation; 9 to 15 markers",88188,CPT,,,,Outpatient,Facility,,,194,77.6,66,,,Percent of total billed charges,,128.04,20.8,,,Percent of total billed charges,,40.35,20.4,,,Percent of total billed charges,,39.58,,60.21,,Case rate,,60.21,,16.66,,Case rate,,16.66,80,,,Percent of total billed charges,,155.2,61.6,,,Percent of total billed charges,,119.5,20.6,,,Percent of total billed charges,,39.96,20.6,,,Percent of total billed charges,,39.96,65.55,,,Percent of total billed charges,,127.17,21,,,Percent of total billed charges,,40.74,90,,,Percent of total billed charges,,174.6,21,,,Percent of total billed charges,,40.74,21,,,Percent of total billed charges,,40.74,64.9,,,Percent of total billed charges,,125.91,21,,,Percent of total billed charges,,40.74,,138.22,,Case rate,,138.22,16.66,194,
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15)",81245,CPT,,,,Outpatient,Facility,,,662,264.8,66,,,Percent of total billed charges,,436.92,20.8,,,Percent of total billed charges,,137.7,20.4,,,Percent of total billed charges,,135.05,,165.51,,Case rate,,165.51,,26.87,,Case rate,,26.87,80,,,Percent of total billed charges,,529.6,61.6,,,Percent of total billed charges,,407.79,20.6,,,Percent of total billed charges,,136.37,20.6,,,Percent of total billed charges,,136.37,65.55,,,Percent of total billed charges,,433.94,21,,,Percent of total billed charges,,139.02,90,,,Percent of total billed charges,,595.8,21,,,Percent of total billed charges,,139.02,21,,,Percent of total billed charges,,139.02,64.9,,,Percent of total billed charges,,429.64,21,,,Percent of total billed charges,,139.02,,392.38,,Case rate,,392.38,26.87,662,
"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836)",81246,CPT,,,,Outpatient,Facility,,,535,214,66,,,Percent of total billed charges,,353.1,20.8,,,Percent of total billed charges,,111.28,,84.66,,Case rate,,84.66,,83,,Case rate,,83,,6.18,,Case rate,,6.18,80,,,Percent of total billed charges,,428,61.6,,,Percent of total billed charges,,329.56,20.6,,,Percent of total billed charges,,110.21,20.6,,,Percent of total billed charges,,110.21,65.55,,,Percent of total billed charges,,350.69,21,,,Percent of total billed charges,,112.35,90,,,Percent of total billed charges,,481.5,21,,,Percent of total billed charges,,112.35,21,,,Percent of total billed charges,,112.35,64.9,,,Percent of total billed charges,,347.22,21,,,Percent of total billed charges,,112.35,,321.71,,Case rate,,321.71,6.18,535,
"Fluorescent noninfectious agent antibody; titer, each antibody",86256,CPT,,,,Outpatient,Facility,,,309,123.6,66,,,Percent of total billed charges,,203.94,20.8,,,Percent of total billed charges,,64.27,20.4,,,Percent of total billed charges,,63.04,,12.05,,Case rate,,12.05,,1.67,,Case rate,,1.67,80,,,Percent of total billed charges,,247.2,61.6,,,Percent of total billed charges,,190.34,20.6,,,Percent of total billed charges,,63.65,20.6,,,Percent of total billed charges,,63.65,65.55,,,Percent of total billed charges,,202.55,21,,,Percent of total billed charges,,64.89,90,,,Percent of total billed charges,,278.1,21,,,Percent of total billed charges,,64.89,21,,,Percent of total billed charges,,64.89,64.9,,,Percent of total billed charges,,200.54,21,,,Percent of total billed charges,,64.89,,42.72,,Case rate,,42.72,1.67,309,
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure),77003,CPT,,,,Outpatient,Facility,,,279,111.6,66,,,Percent of total billed charges,,184.14,20.8,,,Percent of total billed charges,,58.03,20.4,,,Percent of total billed charges,,56.92,,73.66,,Case rate,,73.66,,8.08,,Case rate,,8.08,80,,,Percent of total billed charges,,223.2,61.6,,,Percent of total billed charges,,171.86,20.6,,,Percent of total billed charges,,57.47,20.6,,,Percent of total billed charges,,57.47,65.55,,,Percent of total billed charges,,182.88,21,,,Percent of total billed charges,,58.59,90,,,Percent of total billed charges,,251.1,21,,,Percent of total billed charges,,58.59,21,,,Percent of total billed charges,,58.59,64.9,,,Percent of total billed charges,,181.07,21,,,Percent of total billed charges,,58.59,,233.78,,Case rate,,233.78,8.08,279,
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",77001,CPT,,,,Outpatient,Facility,,,317,126.8,66,,,Percent of total billed charges,,209.22,20.8,,,Percent of total billed charges,,65.94,20.4,,,Percent of total billed charges,,64.67,,78.72,,Case rate,,78.72,,11.45,,Case rate,,11.45,80,,,Percent of total billed charges,,253.6,61.6,,,Percent of total billed charges,,195.27,20.6,,,Percent of total billed charges,,65.3,20.6,,,Percent of total billed charges,,65.3,65.55,,,Percent of total billed charges,,207.79,21,,,Percent of total billed charges,,66.57,90,,,Percent of total billed charges,,285.3,21,,,Percent of total billed charges,,66.57,21,,,Percent of total billed charges,,66.57,64.9,,,Percent of total billed charges,,205.73,21,,,Percent of total billed charges,,66.57,,246.03,,Case rate,,246.03,11.45,317,
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)",77002,CPT,32077002,CDM,TC,Outpatient,Facility,,,377,150.8,66,,,Percent of total billed charges,,248.82,20.8,,,Percent of total billed charges,,78.42,20.4,,,Percent of total billed charges,,76.91,,85.36,,Case rate,,85.36,,8.83,,Case rate,,8.83,80,,,Percent of total billed charges,,301.6,61.6,,,Percent of total billed charges,,232.23,20.6,,,Percent of total billed charges,,77.66,20.6,,,Percent of total billed charges,,77.66,65.55,,,Percent of total billed charges,,247.12,21,,,Percent of total billed charges,,79.17,90,,,Percent of total billed charges,,339.3,21,,,Percent of total billed charges,,79.17,21,,,Percent of total billed charges,,79.17,64.9,,,Percent of total billed charges,,244.67,21,,,Percent of total billed charges,,79.17,,319.07,,Case rate,,319.07,8.83,377,
"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles",81243,CPT,,,,Outpatient,Facility,,,453,181.2,66,,,Percent of total billed charges,,298.98,20.8,,,Percent of total billed charges,,94.22,20.4,,,Percent of total billed charges,,92.41,,57.04,,Case rate,,57.04,,16.34,,Case rate,,16.34,80,,,Percent of total billed charges,,362.4,61.6,,,Percent of total billed charges,,279.05,20.6,,,Percent of total billed charges,,93.32,20.6,,,Percent of total billed charges,,93.32,65.55,,,Percent of total billed charges,,296.94,21,,,Percent of total billed charges,,95.13,90,,,Percent of total billed charges,,407.7,21,,,Percent of total billed charges,,95.13,21,,,Percent of total billed charges,,95.13,64.9,,,Percent of total billed charges,,294,21,,,Percent of total billed charges,,95.13,,330.63,,Case rate,,330.63,16.34,453,
Folic acid; serum,82746,CPT,,,,Outpatient,Facility,,,124,49.6,66,,,Percent of total billed charges,,81.84,20.8,,,Percent of total billed charges,,25.79,20.4,,,Percent of total billed charges,,25.3,,14.7,,Case rate,,14.7,,3.03,,Case rate,,3.03,80,,,Percent of total billed charges,,99.2,61.6,,,Percent of total billed charges,,76.38,20.6,,,Percent of total billed charges,,25.54,20.6,,,Percent of total billed charges,,25.54,65.55,,,Percent of total billed charges,,81.28,21,,,Percent of total billed charges,,26.04,90,,,Percent of total billed charges,,111.6,21,,,Percent of total billed charges,,26.04,21,,,Percent of total billed charges,,26.04,64.9,,,Percent of total billed charges,,80.48,21,,,Percent of total billed charges,,26.04,,74.33,,Case rate,,74.33,3.03,124,
"Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit",P9017,CPT,,,,Outpatient,Facility,,,454,181.6,66,,,Percent of total billed charges,,299.64,20.8,,,Percent of total billed charges,,94.43,20.4,,,Percent of total billed charges,,92.62,,49.4,,Case rate,,49.4,,10.46,,Case rate,,10.46,80,,,Percent of total billed charges,,363.2,61.6,,,Percent of total billed charges,,279.66,20.6,,,Percent of total billed charges,,93.52,20.6,,,Percent of total billed charges,,93.52,65.55,,,Percent of total billed charges,,297.6,21,,,Percent of total billed charges,,95.34,90,,,Percent of total billed charges,,408.6,21,,,Percent of total billed charges,,95.34,21,,,Percent of total billed charges,,95.34,64.9,,,Percent of total billed charges,,294.65,21,,,Percent of total billed charges,,95.34,,403.15,,Case rate,,403.15,10.46,454,
"Fresh frozen plasma, thawing, each unit",86927,CPT,,,,Outpatient,Facility,,,153,61.2,66,,,Percent of total billed charges,,100.98,20.8,,,Percent of total billed charges,,31.82,20.4,,,Percent of total billed charges,,31.21,,17.21,,Case rate,,17.21,,3.41,,Case rate,,3.41,80,,,Percent of total billed charges,,122.4,61.6,,,Percent of total billed charges,,94.25,20.6,,,Percent of total billed charges,,31.52,20.6,,,Percent of total billed charges,,31.52,65.55,,,Percent of total billed charges,,100.29,21,,,Percent of total billed charges,,32.13,90,,,Percent of total billed charges,,137.7,21,,,Percent of total billed charges,,32.13,21,,,Percent of total billed charges,,32.13,64.9,,,Percent of total billed charges,,99.3,21,,,Percent of total billed charges,,32.13,,82.04,,Case rate,,82.04,3.41,153,
"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles",81284,CPT,,,,Outpatient,Facility,,,953,381.2,66,,,Percent of total billed charges,,628.98,20.8,,,Percent of total billed charges,,198.22,,139.74,,Case rate,,139.74,,137,,Case rate,,137,,8.91,,Case rate,,8.91,80,,,Percent of total billed charges,,762.4,61.6,,,Percent of total billed charges,,587.05,20.6,,,Percent of total billed charges,,196.32,20.6,,,Percent of total billed charges,,196.32,65.55,,,Percent of total billed charges,,624.69,21,,,Percent of total billed charges,,200.13,90,,,Percent of total billed charges,,857.7,21,,,Percent of total billed charges,,200.13,21,,,Percent of total billed charges,,200.13,64.9,,,Percent of total billed charges,,618.5,21,,,Percent of total billed charges,,200.13,45,,,Percent of total billed charges,,428.85,8.91,953,
"Gabapentin, whole blood, serum, or plasma",80171,CPT,,,,Outpatient,Facility,,,141,56.4,66,,,Percent of total billed charges,,93.06,20.8,,,Percent of total billed charges,,29.33,20.4,,,Percent of total billed charges,,28.76,,21.67,,Case rate,,21.67,,1.42,,Case rate,,1.42,80,,,Percent of total billed charges,,112.8,61.6,,,Percent of total billed charges,,86.86,20.6,,,Percent of total billed charges,,29.05,20.6,,,Percent of total billed charges,,29.05,65.55,,,Percent of total billed charges,,92.43,21,,,Percent of total billed charges,,29.61,90,,,Percent of total billed charges,,126.9,21,,,Percent of total billed charges,,29.61,21,,,Percent of total billed charges,,29.61,64.9,,,Percent of total billed charges,,91.51,21,,,Percent of total billed charges,,29.61,,101.4,,Case rate,,101.4,1.42,141,
"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each",82784,CPT,,,,Outpatient,Facility,,,132,52.8,66,,,Percent of total billed charges,,87.12,20.8,,,Percent of total billed charges,,27.46,20.4,,,Percent of total billed charges,,26.93,,9.3,,Case rate,,9.3,,1.91,,Case rate,,1.91,80,,,Percent of total billed charges,,105.6,61.6,,,Percent of total billed charges,,81.31,20.6,,,Percent of total billed charges,,27.19,20.6,,,Percent of total billed charges,,27.19,65.55,,,Percent of total billed charges,,86.53,21,,,Percent of total billed charges,,27.72,90,,,Percent of total billed charges,,118.8,21,,,Percent of total billed charges,,27.72,21,,,Percent of total billed charges,,27.72,64.9,,,Percent of total billed charges,,85.67,21,,,Percent of total billed charges,,27.72,,49.26,,Case rate,,49.26,1.91,132,
Gammaglobulin (immunoglobulin); IgE,82785,CPT,,,,Outpatient,Facility,,,120,48,66,,,Percent of total billed charges,,79.2,20.8,,,Percent of total billed charges,,24.96,20.4,,,Percent of total billed charges,,24.48,,16.46,,Case rate,,16.46,,3.39,,Case rate,,3.39,80,,,Percent of total billed charges,,96,61.6,,,Percent of total billed charges,,73.92,20.6,,,Percent of total billed charges,,24.72,20.6,,,Percent of total billed charges,,24.72,65.55,,,Percent of total billed charges,,78.66,21,,,Percent of total billed charges,,25.2,90,,,Percent of total billed charges,,108,21,,,Percent of total billed charges,,25.2,21,,,Percent of total billed charges,,25.2,64.9,,,Percent of total billed charges,,77.88,21,,,Percent of total billed charges,,25.2,,83.43,,Case rate,,83.43,3.39,120,
"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation)",82803,CPT,,,,Outpatient,Facility,,,380,152,66,,,Percent of total billed charges,,250.8,20.8,,,Percent of total billed charges,,79.04,20.4,,,Percent of total billed charges,,77.52,,26.07,,Case rate,,26.07,,5.6,,Case rate,,5.6,80,,,Percent of total billed charges,,304,61.6,,,Percent of total billed charges,,234.08,20.6,,,Percent of total billed charges,,78.28,20.6,,,Percent of total billed charges,,78.28,65.55,,,Percent of total billed charges,,249.09,21,,,Percent of total billed charges,,79.8,90,,,Percent of total billed charges,,342,21,,,Percent of total billed charges,,79.8,21,,,Percent of total billed charges,,79.8,64.9,,,Percent of total billed charges,,246.62,21,,,Percent of total billed charges,,79.8,,120.39,,Case rate,,120.39,5.6,380,
"Gases, blood, pH only",82800,CPT,,,,Outpatient,Facility,,,81,32.4,66,,,Percent of total billed charges,,53.46,20.8,,,Percent of total billed charges,,16.85,20.4,,,Percent of total billed charges,,16.52,,11,,Case rate,,11,,2.45,,Case rate,,2.45,80,,,Percent of total billed charges,,64.8,61.6,,,Percent of total billed charges,,49.9,20.6,,,Percent of total billed charges,,16.69,20.6,,,Percent of total billed charges,,16.69,65.55,,,Percent of total billed charges,,53.1,21,,,Percent of total billed charges,,17.01,90,,,Percent of total billed charges,,72.9,21,,,Percent of total billed charges,,17.01,21,,,Percent of total billed charges,,17.01,64.9,,,Percent of total billed charges,,52.57,21,,,Percent of total billed charges,,17.01,,48.47,,Case rate,,48.47,2.45,81,
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,,,,Outpatient,Facility,,,1253,501.2,66,,,Percent of total billed charges,,826.98,20.8,,,Percent of total billed charges,,260.62,20.4,,,Percent of total billed charges,,255.61,,256.69,,Case rate,,256.69,,24.73,,Case rate,,24.73,80,,,Percent of total billed charges,,1002.4,61.6,,,Percent of total billed charges,,771.85,20.6,,,Percent of total billed charges,,258.12,20.6,,,Percent of total billed charges,,258.12,65.55,,,Percent of total billed charges,,821.34,21,,,Percent of total billed charges,,263.13,90,,,Percent of total billed charges,,1127.7,21,,,Percent of total billed charges,,263.13,21,,,Percent of total billed charges,,263.13,64.9,,,Percent of total billed charges,,813.2,21,,,Percent of total billed charges,,263.13,,600.99,,Case rate,,600.99,24.73,1253,
"Gastric emptying imaging study (eg, solid, liquid, or both)",78264,CPT,34178264,CDM,TC,Outpatient,Facility,,,1253,501.2,66,,,Percent of total billed charges,,826.98,20.8,,,Percent of total billed charges,,260.62,20.4,,,Percent of total billed charges,,255.61,,256.69,,Case rate,,256.69,,24.73,,Case rate,,24.73,80,,,Percent of total billed charges,,1002.4,61.6,,,Percent of total billed charges,,771.85,20.6,,,Percent of total billed charges,,258.12,20.6,,,Percent of total billed charges,,258.12,65.55,,,Percent of total billed charges,,821.34,21,,,Percent of total billed charges,,263.13,90,,,Percent of total billed charges,,1127.7,21,,,Percent of total billed charges,,263.13,21,,,Percent of total billed charges,,263.13,64.9,,,Percent of total billed charges,,813.2,21,,,Percent of total billed charges,,263.13,,600.99,,Case rate,,600.99,24.73,1253,
gastrointestinal hemorrhage with cc,378,MS-DRG,,,,Inpatient,Facility,,,14379.32,5751.73,,8856.17,,Case rate,DRG Factor * DRG Weight,8856.17,,1758.64,,Per Diem,,3517.28,,1724.82,,Per Diem,,3449.64,,12847.58,,Case rate,DRG Factor * DRG Weight,12847.58,,1674.09,,Per Diem,,3348.18,80,,,Percent of total billed charges,,11503.46,61.6,,,Percent of total billed charges,,8857.66,,1741.73,,Per Diem,,3483.46,,1741.73,,Per Diem,,3483.46,65.55,,,Percent of total billed charges,,9425.64,,2079,,Per Diem,,4158,90,,,Percent of total billed charges,,12941.39,,2079,,Per Diem,,4158,,2079,,Per Diem,,4158,64.9,,,Percent of total billed charges,,9332.18,,2079,,Per Diem,,4158,,9494.89,,Case rate,DRG Factor * DRG Weight,9494.89,3348.18,14379.32,
gastrointestinal obstruction with cc,389,MS-DRG,,,,Inpatient,Facility,,,14806.92,5922.77,,7169.19,,Case rate,DRG Factor * DRG Weight,7169.19,,1758.64,,Per Diem,,3517.28,,1724.82,,Per Diem,,3449.64,,8758.96,,Case rate,DRG Factor * DRG Weight,8758.96,,1674.09,,Per Diem,,3348.18,80,,,Percent of total billed charges,,11845.54,61.6,,,Percent of total billed charges,,9121.06,,1741.73,,Per Diem,,3483.46,,1741.73,,Per Diem,,3483.46,65.55,,,Percent of total billed charges,,9705.94,,2079,,Per Diem,,4158,90,,,Percent of total billed charges,,13326.23,,2079,,Per Diem,,4158,,2079,,Per Diem,,4158,64.9,,,Percent of total billed charges,,9609.69,,2079,,Per Diem,,4158,,7686.25,,Case rate,DRG Factor * DRG Weight,7686.25,3348.18,14806.92,
gastrointestinal obstruction without cc/mcc,390,MS-DRG,,,,Inpatient,Facility,,,6029.93,2411.97,,5032.12,,Case rate,DRG Factor * DRG Weight,5032.12,,1758.64,,Per Diem,,1758.64,,1724.82,,Per Diem,,1724.82,,6781.13,,Case rate,DRG Factor * DRG Weight,6781.13,,1674.09,,Per Diem,,1674.09,80,,,Percent of total billed charges,,4823.94,61.6,,,Percent of total billed charges,,3714.44,,1741.73,,Per Diem,,1741.73,,1741.73,,Per Diem,,1741.73,65.55,,,Percent of total billed charges,,3952.62,,2079,,Per Diem,,2079,90,,,Percent of total billed charges,,5426.94,,2079,,Per Diem,,2079,,2079,,Per Diem,,2079,64.9,,,Percent of total billed charges,,3913.42,,2079,,Per Diem,,2079,,5395.04,,Case rate,DRG Factor * DRG Weight,5395.04,1674.09,6781.13,
"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A)",81251,CPT,,,,Outpatient,Facility,,,172,68.8,66,,,Percent of total billed charges,,113.52,20.8,,,Percent of total billed charges,,35.78,,48.2,,Case rate,,48.2,,47.25,,Case rate,,47.25,,29,,Case rate,,29,80,,,Percent of total billed charges,,137.6,61.6,,,Percent of total billed charges,,105.95,20.6,,,Percent of total billed charges,,35.43,20.6,,,Percent of total billed charges,,35.43,65.55,,,Percent of total billed charges,,112.75,21,,,Percent of total billed charges,,36.12,90,,,Percent of total billed charges,,154.8,21,,,Percent of total billed charges,,36.12,21,,,Percent of total billed charges,,36.12,64.9,,,Percent of total billed charges,,111.63,21,,,Percent of total billed charges,,36.12,45,,,Percent of total billed charges,,77.4,29,172,
"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Thyroid stimulating hormone (TSH) (84443)",80050,CPT,,,,Outpatient,Facility,,,754,301.6,66,,,Percent of total billed charges,,497.64,20.8,,,Percent of total billed charges,,156.83,20.4,,,Percent of total billed charges,,153.82,,36,,Case rate,,36,,4.51,,Case rate,,4.51,80,,,Percent of total billed charges,,603.2,61.6,,,Percent of total billed charges,,464.46,20.6,,,Percent of total billed charges,,155.32,20.6,,,Percent of total billed charges,,155.32,65.55,,,Percent of total billed charges,,494.25,21,,,Percent of total billed charges,,158.34,90,,,Percent of total billed charges,,678.6,21,,,Percent of total billed charges,,158.34,21,,,Percent of total billed charges,,158.34,64.9,,,Percent of total billed charges,,489.35,21,,,Percent of total billed charges,,158.34,,107.53,,Case rate,,107.53,4.51,754,
"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders [eg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher disease, Tay-Sachs disease], beta hemoglobinopathies, phenylketonuria, galactosemia), genomic sequence analysis panel, must include sequencing of at least 15 genes (eg, ACADM, ARSA, ASPA, ATP7B, BCKDHA, BCKDHB, BLM, CFTR, DHCR7, FANCC, G6PC, GAA, GALT, GBA, GBE1, HBB, HEXA, IKBKAP, MCOLN1, PAH)",81443,CPT,,,,Outpatient,Facility,,,8755,3502,66,,,Percent of total billed charges,,5778.3,20.8,,,Percent of total billed charges,,1821.04,,2497.53,,Case rate,,2497.53,,2448.56,,Case rate,,2448.56,,159.29,,Case rate,,159.29,80,,,Percent of total billed charges,,7004,61.6,,,Percent of total billed charges,,5393.08,20.6,,,Percent of total billed charges,,1803.53,20.6,,,Percent of total billed charges,,1803.53,65.55,,,Percent of total billed charges,,5738.9,21,,,Percent of total billed charges,,1838.55,90,,,Percent of total billed charges,,7879.5,21,,,Percent of total billed charges,,1838.55,21,,,Percent of total billed charges,,1838.55,64.9,,,Percent of total billed charges,,5682,21,,,Percent of total billed charges,,1838.55,,9490.29,,Case rate,,9490.29,159.29,9490.29,
Gentamicin,80170,CPT,,,,Outpatient,Facility,,,187,74.8,66,,,Percent of total billed charges,,123.42,20.8,,,Percent of total billed charges,,38.9,20.4,,,Percent of total billed charges,,38.15,,16.38,,Case rate,,16.38,,3.37,,Case rate,,3.37,80,,,Percent of total billed charges,,149.6,61.6,,,Percent of total billed charges,,115.19,20.6,,,Percent of total billed charges,,38.52,20.6,,,Percent of total billed charges,,38.52,65.55,,,Percent of total billed charges,,122.58,21,,,Percent of total billed charges,,39.27,90,,,Percent of total billed charges,,168.3,21,,,Percent of total billed charges,,39.27,21,,,Percent of total billed charges,,39.27,64.9,,,Percent of total billed charges,,121.36,21,,,Percent of total billed charges,,39.27,,82.92,,Case rate,,82.92,3.37,187,
"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class",86258,CPT,,,,Outpatient,Facility,,,43,17.2,66,,,Percent of total billed charges,,28.38,20.8,,,Percent of total billed charges,,8.94,20.4,,,Percent of total billed charges,,8.77,,12.05,,Case rate,,12.05,,0.52,,Case rate,,0.52,80,,,Percent of total billed charges,,34.4,61.6,,,Percent of total billed charges,,26.49,20.6,,,Percent of total billed charges,,8.86,20.6,,,Percent of total billed charges,,8.86,65.55,,,Percent of total billed charges,,28.19,21,,,Percent of total billed charges,,9.03,90,,,Percent of total billed charges,,38.7,21,,,Percent of total billed charges,,9.03,21,,,Percent of total billed charges,,9.03,64.9,,,Percent of total billed charges,,27.91,21,,,Percent of total billed charges,,9.03,,40.44,,Case rate,,40.44,0.52,43,
"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use",82962,CPT,,,,Outpatient,Facility,,,28,11.2,66,,,Percent of total billed charges,,18.48,20.8,,,Percent of total billed charges,,5.82,20.4,,,Percent of total billed charges,,5.71,,3.28,,Case rate,,3.28,,0.75,,Case rate,,0.75,80,,,Percent of total billed charges,,22.4,61.6,,,Percent of total billed charges,,17.25,20.6,,,Percent of total billed charges,,5.77,20.6,,,Percent of total billed charges,,5.77,65.55,,,Percent of total billed charges,,18.35,21,,,Percent of total billed charges,,5.88,90,,,Percent of total billed charges,,25.2,21,,,Percent of total billed charges,,5.88,21,,,Percent of total billed charges,,5.88,64.9,,,Percent of total billed charges,,18.17,21,,,Percent of total billed charges,,5.88,,21.96,,Case rate,,21.96,0.75,28,
Glucose; post glucose dose (includes glucose),82950,CPT,,,,Outpatient,Facility,,,76,30.4,66,,,Percent of total billed charges,,50.16,20.8,,,Percent of total billed charges,,15.81,20.4,,,Percent of total billed charges,,15.5,,4.75,,Case rate,,4.75,,0.98,,Case rate,,0.98,80,,,Percent of total billed charges,,60.8,61.6,,,Percent of total billed charges,,46.82,20.6,,,Percent of total billed charges,,15.66,20.6,,,Percent of total billed charges,,15.66,65.55,,,Percent of total billed charges,,49.82,21,,,Percent of total billed charges,,15.96,90,,,Percent of total billed charges,,68.4,21,,,Percent of total billed charges,,15.96,21,,,Percent of total billed charges,,15.96,64.9,,,Percent of total billed charges,,49.32,21,,,Percent of total billed charges,,15.96,,27.25,,Case rate,,27.25,0.98,76,
"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)",82952,CPT,,,,Outpatient,Facility,,,44,17.6,66,,,Percent of total billed charges,,29.04,20.8,,,Percent of total billed charges,,9.15,20.4,,,Percent of total billed charges,,8.98,,3.92,,Case rate,,3.92,,0.55,,Case rate,,0.55,80,,,Percent of total billed charges,,35.2,61.6,,,Percent of total billed charges,,27.1,20.6,,,Percent of total billed charges,,9.06,20.6,,,Percent of total billed charges,,9.06,65.55,,,Percent of total billed charges,,28.84,21,,,Percent of total billed charges,,9.24,90,,,Percent of total billed charges,,39.6,21,,,Percent of total billed charges,,9.24,21,,,Percent of total billed charges,,9.24,64.9,,,Percent of total billed charges,,28.56,21,,,Percent of total billed charges,,9.24,,18.94,,Case rate,,18.94,0.55,44,
"Glutamyltransferase, gamma (GGT)",82977,CPT,,,,Outpatient,Facility,,,88,35.2,66,,,Percent of total billed charges,,58.08,20.8,,,Percent of total billed charges,,18.3,20.4,,,Percent of total billed charges,,17.95,,7.2,,Case rate,,7.2,,1.49,,Case rate,,1.49,80,,,Percent of total billed charges,,70.4,61.6,,,Percent of total billed charges,,54.21,20.6,,,Percent of total billed charges,,18.13,20.6,,,Percent of total billed charges,,18.13,65.55,,,Percent of total billed charges,,57.68,21,,,Percent of total billed charges,,18.48,90,,,Percent of total billed charges,,79.2,21,,,Percent of total billed charges,,18.48,21,,,Percent of total billed charges,,18.48,64.9,,,Percent of total billed charges,,57.11,21,,,Percent of total billed charges,,18.48,,25.4,,Case rate,,25.4,1.49,88,
"Gonadotropin, chorionic (hCG); qualitative",84703,CPT,,,,Outpatient,Facility,,,86,34.4,66,,,Percent of total billed charges,,56.76,20.8,,,Percent of total billed charges,,17.89,20.4,,,Percent of total billed charges,,17.54,,7.52,,Case rate,,7.52,,1.55,,Case rate,,1.55,80,,,Percent of total billed charges,,68.8,61.6,,,Percent of total billed charges,,52.98,20.6,,,Percent of total billed charges,,17.72,20.6,,,Percent of total billed charges,,17.72,65.55,,,Percent of total billed charges,,56.37,21,,,Percent of total billed charges,,18.06,90,,,Percent of total billed charges,,77.4,21,,,Percent of total billed charges,,18.06,21,,,Percent of total billed charges,,18.06,64.9,,,Percent of total billed charges,,55.81,21,,,Percent of total billed charges,,18.06,,26.84,,Case rate,,26.84,1.55,86,
Gonadotropin; follicle stimulating hormone (FSH),83001,CPT,,,,Outpatient,Facility,,,229,91.6,66,,,Percent of total billed charges,,151.14,20.8,,,Percent of total billed charges,,47.63,20.4,,,Percent of total billed charges,,46.72,,18.58,,Case rate,,18.58,,3.83,,Case rate,,3.83,80,,,Percent of total billed charges,,183.2,61.6,,,Percent of total billed charges,,141.06,20.6,,,Percent of total billed charges,,47.17,20.6,,,Percent of total billed charges,,47.17,65.55,,,Percent of total billed charges,,150.11,21,,,Percent of total billed charges,,48.09,90,,,Percent of total billed charges,,206.1,21,,,Percent of total billed charges,,48.09,21,,,Percent of total billed charges,,48.09,64.9,,,Percent of total billed charges,,148.62,21,,,Percent of total billed charges,,48.09,,79.67,,Case rate,,79.67,3.83,229,
"Grafix core and grafixpl core, per square centimeter",Q4132,CPT,,,,Outpatient,Facility,,,1367,546.8,66,,,Percent of total billed charges,,902.22,20.8,,,Percent of total billed charges,,284.34,20.4,,,Percent of total billed charges,,278.87,,339.2,,Case rate,,339.2,,11.08,,Case rate,,11.08,80,,,Percent of total billed charges,,1093.6,61.6,,,Percent of total billed charges,,842.07,20.6,,,Percent of total billed charges,,281.6,20.6,,,Percent of total billed charges,,281.6,65.55,,,Percent of total billed charges,,896.07,21,,,Percent of total billed charges,,287.07,90,,,Percent of total billed charges,,1230.3,21,,,Percent of total billed charges,,287.07,21,,,Percent of total billed charges,,287.07,64.9,,,Percent of total billed charges,,887.18,21,,,Percent of total billed charges,,287.07,,112.93,,Case rate,,112.93,11.08,1367,
"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter",Q4133,CPT,,,,Outpatient,Facility,,,179,71.6,66,,,Percent of total billed charges,,118.14,20.8,,,Percent of total billed charges,,37.23,20.4,,,Percent of total billed charges,,36.52,,132.79,,Case rate,,132.79,,9.07,,Case rate,,9.07,80,,,Percent of total billed charges,,143.2,61.6,,,Percent of total billed charges,,110.26,20.6,,,Percent of total billed charges,,36.87,20.6,,,Percent of total billed charges,,36.87,65.55,,,Percent of total billed charges,,117.33,21,,,Percent of total billed charges,,37.59,90,,,Percent of total billed charges,,161.1,21,,,Percent of total billed charges,,37.59,21,,,Percent of total billed charges,,37.59,64.9,,,Percent of total billed charges,,116.17,21,,,Percent of total billed charges,,37.59,,164.38,,Case rate,,164.38,9.07,179,
"Graft, vascular",C1768,CPT,,,,Outpatient,Facility,,,9157.05,3662.82,66,,,Percent of total billed charges,,6043.65,20.8,,,Percent of total billed charges,,1904.67,20.4,,,Percent of total billed charges,,1868.04,48.3,,,Percent of total billed charges,,4422.86,,67.8,,Case rate,,67.8,80,,,Percent of total billed charges,,7325.64,61.6,,,Percent of total billed charges,,5640.74,20.6,,,Percent of total billed charges,,1886.35,20.6,,,Percent of total billed charges,,1886.35,65.55,,,Percent of total billed charges,,6002.45,21,,,Percent of total billed charges,,1922.98,90,,,Percent of total billed charges,,8241.34,21,,,Percent of total billed charges,,1922.98,21,,,Percent of total billed charges,,1922.98,64.9,,,Percent of total billed charges,,5942.93,21,,,Percent of total billed charges,,1922.98,,1367.08,,Case rate,,1367.08,67.8,9157.05,
Haloperidol,80173,CPT,,,,Outpatient,Facility,,,210,84,66,,,Percent of total billed charges,,138.6,20.8,,,Percent of total billed charges,,43.68,20.4,,,Percent of total billed charges,,42.84,,15.78,,Case rate,,15.78,,4.12,,Case rate,,4.12,80,,,Percent of total billed charges,,168,61.6,,,Percent of total billed charges,,129.36,20.6,,,Percent of total billed charges,,43.26,20.6,,,Percent of total billed charges,,43.26,65.55,,,Percent of total billed charges,,137.66,21,,,Percent of total billed charges,,44.1,90,,,Percent of total billed charges,,189,21,,,Percent of total billed charges,,44.1,21,,,Percent of total billed charges,,44.1,64.9,,,Percent of total billed charges,,136.29,21,,,Percent of total billed charges,,44.1,45,,,Percent of total billed charges,,94.5,4.12,210,
"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence",81364,CPT,,,,Outpatient,Facility,,,6469,2587.6,66,,,Percent of total billed charges,,4269.54,20.8,,,Percent of total billed charges,,1345.55,,331.07,,Case rate,,331.07,,324.58,,Case rate,,324.58,,21.93,,Case rate,,21.93,80,,,Percent of total billed charges,,5175.2,61.6,,,Percent of total billed charges,,3984.9,20.6,,,Percent of total billed charges,,1332.61,20.6,,,Percent of total billed charges,,1332.61,65.55,,,Percent of total billed charges,,4240.43,21,,,Percent of total billed charges,,1358.49,90,,,Percent of total billed charges,,5822.1,21,,,Percent of total billed charges,,1358.49,21,,,Percent of total billed charges,,1358.49,64.9,,,Percent of total billed charges,,4198.38,21,,,Percent of total billed charges,,1358.49,45,,,Percent of total billed charges,,2911.05,21.93,6469,
hc adaptic 3 x 3 dressing,272,RC,,,,Outpatient,Facility,,,1,0.4,66,,,Percent of total billed charges,,0.66,20.8,,,Percent of total billed charges,,0.208,20.4,,,Percent of total billed charges,,0.204,58.8,,,Percent of total billed charges,,0.588,19.8,,,Percent of total billed charges,,0.198,80,,,Percent of total billed charges,,0.8,61.6,,,Percent of total billed charges,,0.616,20.6,,,Percent of total billed charges,,0.206,20.6,,,Percent of total billed charges,,0.206,65.55,,,Percent of total billed charges,,0.6555,21,,,Percent of total billed charges,,0.21,90,,,Percent of total billed charges,,0.9,21,,,Percent of total billed charges,,0.21,21,,,Percent of total billed charges,,0.21,64.9,,,Percent of total billed charges,,0.649,21,,,Percent of total billed charges,,0.21,45,,,Percent of total billed charges,,0.45,0.198,0.9,
hc allevyn cavity 2x2 3/8,272,RC,,,,Outpatient,Facility,,,10,4,66,,,Percent of total billed charges,,6.6,20.8,,,Percent of total billed charges,,2.08,20.4,,,Percent of total billed charges,,2.04,58.8,,,Percent of total billed charges,,5.88,19.8,,,Percent of total billed charges,,1.98,80,,,Percent of total billed charges,,8,61.6,,,Percent of total billed charges,,6.16,20.6,,,Percent of total billed charges,,2.06,20.6,,,Percent of total billed charges,,2.06,65.55,,,Percent of total billed charges,,6.555,21,,,Percent of total billed charges,,2.1,90,,,Percent of total billed charges,,9,21,,,Percent of total billed charges,,2.1,21,,,Percent of total billed charges,,2.1,64.9,,,Percent of total billed charges,,6.49,21,,,Percent of total billed charges,,2.1,45,,,Percent of total billed charges,,4.5,1.98,9,
hc artiflex 3' per yard,272,RC,,,,Outpatient,Facility,,,3,1.2,66,,,Percent of total billed charges,,1.98,20.8,,,Percent of total billed charges,,0.624,20.4,,,Percent of total billed charges,,0.612,58.8,,,Percent of total billed charges,,1.764,19.8,,,Percent of total billed charges,,0.594,80,,,Percent of total billed charges,,2.4,61.6,,,Percent of total billed charges,,1.848,20.6,,,Percent of total billed charges,,0.618,20.6,,,Percent of total billed charges,,0.618,65.55,,,Percent of total billed charges,,1.9665,21,,,Percent of total billed charges,,0.63,90,,,Percent of total billed charges,,2.7,21,,,Percent of total billed charges,,0.63,21,,,Percent of total billed charges,,0.63,64.9,,,Percent of total billed charges,,1.947,21,,,Percent of total billed charges,,0.63,45,,,Percent of total billed charges,,1.35,0.594,2.7,
hc aspira drainage bag 1000ml,272,RC,,,,Outpatient,Facility,,,139,55.6,66,,,Percent of total billed charges,,91.74,20.8,,,Percent of total billed charges,,28.912,20.4,,,Percent of total billed charges,,28.356,58.8,,,Percent of total billed charges,,81.732,19.8,,,Percent of total billed charges,,27.522,80,,,Percent of total billed charges,,111.2,61.6,,,Percent of total billed charges,,85.624,20.6,,,Percent of total billed charges,,28.634,20.6,,,Percent of total billed charges,,28.634,65.55,,,Percent of total billed charges,,91.1145,21,,,Percent of total billed charges,,29.19,90,,,Percent of total billed charges,,125.1,21,,,Percent of total billed charges,,29.19,21,,,Percent of total billed charges,,29.19,64.9,,,Percent of total billed charges,,90.211,21,,,Percent of total billed charges,,29.19,45,,,Percent of total billed charges,,62.55,27.522,125.1,
hc bacitracin zinc ointment 1 oz,272,RC,,,,Outpatient,Facility,,,17,6.8,66,,,Percent of total billed charges,,11.22,20.8,,,Percent of total billed charges,,3.536,20.4,,,Percent of total billed charges,,3.468,58.8,,,Percent of total billed charges,,9.996,19.8,,,Percent of total billed charges,,3.366,80,,,Percent of total billed charges,,13.6,61.6,,,Percent of total billed charges,,10.472,20.6,,,Percent of total billed charges,,3.502,20.6,,,Percent of total billed charges,,3.502,65.55,,,Percent of total billed charges,,11.1435,21,,,Percent of total billed charges,,3.57,90,,,Percent of total billed charges,,15.3,21,,,Percent of total billed charges,,3.57,21,,,Percent of total billed charges,,3.57,64.9,,,Percent of total billed charges,,11.033,21,,,Percent of total billed charges,,3.57,45,,,Percent of total billed charges,,7.65,3.366,15.3,
hc bandage tubigrip e and f,272,RC,,,,Outpatient,Facility,,,23,9.2,66,,,Percent of total billed charges,,15.18,20.8,,,Percent of total billed charges,,4.784,20.4,,,Percent of total billed charges,,4.692,58.8,,,Percent of total billed charges,,13.524,19.8,,,Percent of total billed charges,,4.554,80,,,Percent of total billed charges,,18.4,61.6,,,Percent of total billed charges,,14.168,20.6,,,Percent of total billed charges,,4.738,20.6,,,Percent of total billed charges,,4.738,65.55,,,Percent of total billed charges,,15.0765,21,,,Percent of total billed charges,,4.83,90,,,Percent of total billed charges,,20.7,21,,,Percent of total billed charges,,4.83,21,,,Percent of total billed charges,,4.83,64.9,,,Percent of total billed charges,,14.927,21,,,Percent of total billed charges,,4.83,45,,,Percent of total billed charges,,10.35,4.554,20.7,
hc bandage tubigrip l,272,RC,,,,Outpatient,Facility,,,43,17.2,66,,,Percent of total billed charges,,28.38,20.8,,,Percent of total billed charges,,8.944,20.4,,,Percent of total billed charges,,8.772,58.8,,,Percent of total billed charges,,25.284,19.8,,,Percent of total billed charges,,8.514,80,,,Percent of total billed charges,,34.4,61.6,,,Percent of total billed charges,,26.488,20.6,,,Percent of total billed charges,,8.858,20.6,,,Percent of total billed charges,,8.858,65.55,,,Percent of total billed charges,,28.1865,21,,,Percent of total billed charges,,9.03,90,,,Percent of total billed charges,,38.7,21,,,Percent of total billed charges,,9.03,21,,,Percent of total billed charges,,9.03,64.9,,,Percent of total billed charges,,27.907,21,,,Percent of total billed charges,,9.03,45,,,Percent of total billed charges,,19.35,8.514,38.7,
hc bedside procedure,761,RC,,,,Outpatient,Facility,,,1354,541.6,66,,,Percent of total billed charges,,893.64,20.8,,,Percent of total billed charges,,281.632,20.4,,,Percent of total billed charges,,276.216,58.8,,,Percent of total billed charges,,796.152,19.8,,,Percent of total billed charges,,268.092,80,,,Percent of total billed charges,,1083.2,61.6,,,Percent of total billed charges,,834.064,20.6,,,Percent of total billed charges,,278.924,20.6,,,Percent of total billed charges,,278.924,65.55,,,Percent of total billed charges,,887.547,21,,,Percent of total billed charges,,284.34,90,,,Percent of total billed charges,,1218.6,21,,,Percent of total billed charges,,284.34,21,,,Percent of total billed charges,,284.34,64.9,,,Percent of total billed charges,,878.746,21,,,Percent of total billed charges,,284.34,45,,,Percent of total billed charges,,609.3,268.092,1218.6,
hc cat tourniquets,272,RC,,,,Outpatient,Facility,,,188,75.2,66,,,Percent of total billed charges,,124.08,20.8,,,Percent of total billed charges,,39.104,20.4,,,Percent of total billed charges,,38.352,58.8,,,Percent of total billed charges,,110.544,19.8,,,Percent of total billed charges,,37.224,80,,,Percent of total billed charges,,150.4,61.6,,,Percent of total billed charges,,115.808,20.6,,,Percent of total billed charges,,38.728,20.6,,,Percent of total billed charges,,38.728,65.55,,,Percent of total billed charges,,123.234,21,,,Percent of total billed charges,,39.48,90,,,Percent of total billed charges,,169.2,21,,,Percent of total billed charges,,39.48,21,,,Percent of total billed charges,,39.48,64.9,,,Percent of total billed charges,,122.012,21,,,Percent of total billed charges,,39.48,45,,,Percent of total billed charges,,84.6,37.224,169.2,
hc cath introducer frova,272,RC,,,,Outpatient,Facility,,,112,44.8,66,,,Percent of total billed charges,,73.92,20.8,,,Percent of total billed charges,,23.296,20.4,,,Percent of total billed charges,,22.848,58.8,,,Percent of total billed charges,,65.856,19.8,,,Percent of total billed charges,,22.176,80,,,Percent of total billed charges,,89.6,61.6,,,Percent of total billed charges,,68.992,20.6,,,Percent of total billed charges,,23.072,20.6,,,Percent of total billed charges,,23.072,65.55,,,Percent of total billed charges,,73.416,21,,,Percent of total billed charges,,23.52,90,,,Percent of total billed charges,,100.8,21,,,Percent of total billed charges,,23.52,21,,,Percent of total billed charges,,23.52,64.9,,,Percent of total billed charges,,72.688,21,,,Percent of total billed charges,,23.52,45,,,Percent of total billed charges,,50.4,22.176,100.8,
hc cath wet pack endo,270,RC,,,,Outpatient,Facility,,,54,21.6,66,,,Percent of total billed charges,,35.64,20.8,,,Percent of total billed charges,,11.232,20.4,,,Percent of total billed charges,,11.016,58.8,,,Percent of total billed charges,,31.752,19.8,,,Percent of total billed charges,,10.692,80,,,Percent of total billed charges,,43.2,61.6,,,Percent of total billed charges,,33.264,20.6,,,Percent of total billed charges,,11.124,20.6,,,Percent of total billed charges,,11.124,65.55,,,Percent of total billed charges,,35.397,21,,,Percent of total billed charges,,11.34,90,,,Percent of total billed charges,,48.6,21,,,Percent of total billed charges,,11.34,21,,,Percent of total billed charges,,11.34,64.9,,,Percent of total billed charges,,35.046,21,,,Percent of total billed charges,,11.34,45,,,Percent of total billed charges,,24.3,10.692,48.6,
hc cath wet pack trach,270,RC,,,,Outpatient,Facility,,,58,23.2,66,,,Percent of total billed charges,,38.28,20.8,,,Percent of total billed charges,,12.064,20.4,,,Percent of total billed charges,,11.832,58.8,,,Percent of total billed charges,,34.104,19.8,,,Percent of total billed charges,,11.484,80,,,Percent of total billed charges,,46.4,61.6,,,Percent of total billed charges,,35.728,20.6,,,Percent of total billed charges,,11.948,20.6,,,Percent of total billed charges,,11.948,65.55,,,Percent of total billed charges,,38.019,21,,,Percent of total billed charges,,12.18,90,,,Percent of total billed charges,,52.2,21,,,Percent of total billed charges,,12.18,21,,,Percent of total billed charges,,12.18,64.9,,,Percent of total billed charges,,37.642,21,,,Percent of total billed charges,,12.18,45,,,Percent of total billed charges,,26.1,11.484,52.2,
hc cellerate rx powder 1gm,272,RC,,,,Outpatient,Facility,,,619,247.6,66,,,Percent of total billed charges,,408.54,20.8,,,Percent of total billed charges,,128.752,20.4,,,Percent of total billed charges,,126.276,58.8,,,Percent of total billed charges,,363.972,19.8,,,Percent of total billed charges,,122.562,80,,,Percent of total billed charges,,495.2,61.6,,,Percent of total billed charges,,381.304,20.6,,,Percent of total billed charges,,127.514,20.6,,,Percent of total billed charges,,127.514,65.55,,,Percent of total billed charges,,405.7545,21,,,Percent of total billed charges,,129.99,90,,,Percent of total billed charges,,557.1,21,,,Percent of total billed charges,,129.99,21,,,Percent of total billed charges,,129.99,64.9,,,Percent of total billed charges,,401.731,21,,,Percent of total billed charges,,129.99,45,,,Percent of total billed charges,,278.55,122.562,557.1,
hc cement temrex powder,272,RC,,,,Outpatient,Facility,,,112,44.8,66,,,Percent of total billed charges,,73.92,20.8,,,Percent of total billed charges,,23.296,20.4,,,Percent of total billed charges,,22.848,58.8,,,Percent of total billed charges,,65.856,19.8,,,Percent of total billed charges,,22.176,80,,,Percent of total billed charges,,89.6,61.6,,,Percent of total billed charges,,68.992,20.6,,,Percent of total billed charges,,23.072,20.6,,,Percent of total billed charges,,23.072,65.55,,,Percent of total billed charges,,73.416,21,,,Percent of total billed charges,,23.52,90,,,Percent of total billed charges,,100.8,21,,,Percent of total billed charges,,23.52,21,,,Percent of total billed charges,,23.52,64.9,,,Percent of total billed charges,,72.688,21,,,Percent of total billed charges,,23.52,45,,,Percent of total billed charges,,50.4,22.176,100.8,
hc coban self adhesive 3x5,272,RC,,,,Outpatient,Facility,,,1,0.4,66,,,Percent of total billed charges,,0.66,20.8,,,Percent of total billed charges,,0.208,20.4,,,Percent of total billed charges,,0.204,58.8,,,Percent of total billed charges,,0.588,19.8,,,Percent of total billed charges,,0.198,80,,,Percent of total billed charges,,0.8,61.6,,,Percent of total billed charges,,0.616,20.6,,,Percent of total billed charges,,0.206,20.6,,,Percent of total billed charges,,0.206,65.55,,,Percent of total billed charges,,0.6555,21,,,Percent of total billed charges,,0.21,90,,,Percent of total billed charges,,0.9,21,,,Percent of total billed charges,,0.21,21,,,Percent of total billed charges,,0.21,64.9,,,Percent of total billed charges,,0.649,21,,,Percent of total billed charges,,0.21,45,,,Percent of total billed charges,,0.45,0.198,0.9,
hc comprilan 3' per yard,272,RC,,,,Outpatient,Facility,,,4,1.6,66,,,Percent of total billed charges,,2.64,20.8,,,Percent of total billed charges,,0.832,20.4,,,Percent of total billed charges,,0.816,58.8,,,Percent of total billed charges,,2.352,19.8,,,Percent of total billed charges,,0.792,80,,,Percent of total billed charges,,3.2,61.6,,,Percent of total billed charges,,2.464,20.6,,,Percent of total billed charges,,0.824,20.6,,,Percent of total billed charges,,0.824,65.55,,,Percent of total billed charges,,2.622,21,,,Percent of total billed charges,,0.84,90,,,Percent of total billed charges,,3.6,21,,,Percent of total billed charges,,0.84,21,,,Percent of total billed charges,,0.84,64.9,,,Percent of total billed charges,,2.596,21,,,Percent of total billed charges,,0.84,45,,,Percent of total billed charges,,1.8,0.792,3.6,
hc ct lung cancer screen self pay,350,RC,,,,Outpatient,Facility,,,171,68.4,66,,,Percent of total billed charges,,112.86,20.8,,,Percent of total billed charges,,35.568,20.4,,,Percent of total billed charges,,34.884,58.8,,,Percent of total billed charges,,100.548,19.8,,,Percent of total billed charges,,33.858,80,,,Percent of total billed charges,,136.8,61.6,,,Percent of total billed charges,,105.336,20.6,,,Percent of total billed charges,,35.226,20.6,,,Percent of total billed charges,,35.226,65.55,,,Percent of total billed charges,,112.0905,21,,,Percent of total billed charges,,35.91,90,,,Percent of total billed charges,,153.9,21,,,Percent of total billed charges,,35.91,21,,,Percent of total billed charges,,35.91,64.9,,,Percent of total billed charges,,110.979,21,,,Percent of total billed charges,,35.91,45,,,Percent of total billed charges,,76.95,33.858,153.9,
hc cuffed cricothyrotomy,272,RC,,,,Outpatient,Facility,,,1231,492.4,66,,,Percent of total billed charges,,812.46,20.8,,,Percent of total billed charges,,256.048,20.4,,,Percent of total billed charges,,251.124,58.8,,,Percent of total billed charges,,723.828,19.8,,,Percent of total billed charges,,243.738,80,,,Percent of total billed charges,,984.8,61.6,,,Percent of total billed charges,,758.296,20.6,,,Percent of total billed charges,,253.586,20.6,,,Percent of total billed charges,,253.586,65.55,,,Percent of total billed charges,,806.9205,21,,,Percent of total billed charges,,258.51,90,,,Percent of total billed charges,,1107.9,21,,,Percent of total billed charges,,258.51,21,,,Percent of total billed charges,,258.51,64.9,,,Percent of total billed charges,,798.919,21,,,Percent of total billed charges,,258.51,45,,,Percent of total billed charges,,553.95,243.738,1107.9,
hc dermabond/skin glue 0.5ml,270,RC,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.136,20.4,,,Percent of total billed charges,,18.768,58.8,,,Percent of total billed charges,,54.096,19.8,,,Percent of total billed charges,,18.216,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.672,20.6,,,Percent of total billed charges,,18.952,20.6,,,Percent of total billed charges,,18.952,65.55,,,Percent of total billed charges,,60.306,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.708,21,,,Percent of total billed charges,,19.32,45,,,Percent of total billed charges,,41.4,18.216,82.8,
hc draingage bag w/ reflux v,272,RC,,,,Outpatient,Facility,,,152,60.8,66,,,Percent of total billed charges,,100.32,20.8,,,Percent of total billed charges,,31.616,20.4,,,Percent of total billed charges,,31.008,58.8,,,Percent of total billed charges,,89.376,19.8,,,Percent of total billed charges,,30.096,80,,,Percent of total billed charges,,121.6,61.6,,,Percent of total billed charges,,93.632,20.6,,,Percent of total billed charges,,31.312,20.6,,,Percent of total billed charges,,31.312,65.55,,,Percent of total billed charges,,99.636,21,,,Percent of total billed charges,,31.92,90,,,Percent of total billed charges,,136.8,21,,,Percent of total billed charges,,31.92,21,,,Percent of total billed charges,,31.92,64.9,,,Percent of total billed charges,,98.648,21,,,Percent of total billed charges,,31.92,45,,,Percent of total billed charges,,68.4,30.096,136.8,
hc dresing wound pg019,272,RC,,,,Outpatient,Facility,,,110,44,66,,,Percent of total billed charges,,72.6,20.8,,,Percent of total billed charges,,22.88,20.4,,,Percent of total billed charges,,22.44,58.8,,,Percent of total billed charges,,64.68,19.8,,,Percent of total billed charges,,21.78,80,,,Percent of total billed charges,,88,61.6,,,Percent of total billed charges,,67.76,20.6,,,Percent of total billed charges,,22.66,20.6,,,Percent of total billed charges,,22.66,65.55,,,Percent of total billed charges,,72.105,21,,,Percent of total billed charges,,23.1,90,,,Percent of total billed charges,,99,21,,,Percent of total billed charges,,23.1,21,,,Percent of total billed charges,,23.1,64.9,,,Percent of total billed charges,,71.39,21,,,Percent of total billed charges,,23.1,45,,,Percent of total billed charges,,49.5,21.78,99,
hc dressing actisorb 650220,272,RC,,,,Outpatient,Facility,,,26,10.4,66,,,Percent of total billed charges,,17.16,20.8,,,Percent of total billed charges,,5.408,20.4,,,Percent of total billed charges,,5.304,58.8,,,Percent of total billed charges,,15.288,19.8,,,Percent of total billed charges,,5.148,80,,,Percent of total billed charges,,20.8,61.6,,,Percent of total billed charges,,16.016,20.6,,,Percent of total billed charges,,5.356,20.6,,,Percent of total billed charges,,5.356,65.55,,,Percent of total billed charges,,17.043,21,,,Percent of total billed charges,,5.46,90,,,Percent of total billed charges,,23.4,21,,,Percent of total billed charges,,5.46,21,,,Percent of total billed charges,,5.46,64.9,,,Percent of total billed charges,,16.874,21,,,Percent of total billed charges,,5.46,45,,,Percent of total billed charges,,11.7,5.148,23.4,
hc dressing exudry 4 x 6,272,RC,,,,Outpatient,Facility,,,7,2.8,66,,,Percent of total billed charges,,4.62,20.8,,,Percent of total billed charges,,1.456,20.4,,,Percent of total billed charges,,1.428,58.8,,,Percent of total billed charges,,4.116,19.8,,,Percent of total billed charges,,1.386,80,,,Percent of total billed charges,,5.6,61.6,,,Percent of total billed charges,,4.312,20.6,,,Percent of total billed charges,,1.442,20.6,,,Percent of total billed charges,,1.442,65.55,,,Percent of total billed charges,,4.5885,21,,,Percent of total billed charges,,1.47,90,,,Percent of total billed charges,,6.3,21,,,Percent of total billed charges,,1.47,21,,,Percent of total billed charges,,1.47,64.9,,,Percent of total billed charges,,4.543,21,,,Percent of total billed charges,,1.47,45,,,Percent of total billed charges,,3.15,1.386,6.3,
hc dressing mepilex 4 x 4,272,RC,,,,Outpatient,Facility,,,20,8,66,,,Percent of total billed charges,,13.2,20.8,,,Percent of total billed charges,,4.16,20.4,,,Percent of total billed charges,,4.08,58.8,,,Percent of total billed charges,,11.76,19.8,,,Percent of total billed charges,,3.96,80,,,Percent of total billed charges,,16,61.6,,,Percent of total billed charges,,12.32,20.6,,,Percent of total billed charges,,4.12,20.6,,,Percent of total billed charges,,4.12,65.55,,,Percent of total billed charges,,13.11,21,,,Percent of total billed charges,,4.2,90,,,Percent of total billed charges,,18,21,,,Percent of total billed charges,,4.2,21,,,Percent of total billed charges,,4.2,64.9,,,Percent of total billed charges,,12.98,21,,,Percent of total billed charges,,4.2,45,,,Percent of total billed charges,,9,3.96,18,
hc dressing mepilex 8x8,272,RC,,,,Outpatient,Facility,,,62,24.8,66,,,Percent of total billed charges,,40.92,20.8,,,Percent of total billed charges,,12.896,20.4,,,Percent of total billed charges,,12.648,58.8,,,Percent of total billed charges,,36.456,19.8,,,Percent of total billed charges,,12.276,80,,,Percent of total billed charges,,49.6,61.6,,,Percent of total billed charges,,38.192,20.6,,,Percent of total billed charges,,12.772,20.6,,,Percent of total billed charges,,12.772,65.55,,,Percent of total billed charges,,40.641,21,,,Percent of total billed charges,,13.02,90,,,Percent of total billed charges,,55.8,21,,,Percent of total billed charges,,13.02,21,,,Percent of total billed charges,,13.02,64.9,,,Percent of total billed charges,,40.238,21,,,Percent of total billed charges,,13.02,45,,,Percent of total billed charges,,27.9,12.276,55.8,
hc dressng tubifst/ per yard,272,RC,,,,Outpatient,Facility,,,3,1.2,66,,,Percent of total billed charges,,1.98,20.8,,,Percent of total billed charges,,0.624,20.4,,,Percent of total billed charges,,0.612,58.8,,,Percent of total billed charges,,1.764,19.8,,,Percent of total billed charges,,0.594,80,,,Percent of total billed charges,,2.4,61.6,,,Percent of total billed charges,,1.848,20.6,,,Percent of total billed charges,,0.618,20.6,,,Percent of total billed charges,,0.618,65.55,,,Percent of total billed charges,,1.9665,21,,,Percent of total billed charges,,0.63,90,,,Percent of total billed charges,,2.7,21,,,Percent of total billed charges,,0.63,21,,,Percent of total billed charges,,0.63,64.9,,,Percent of total billed charges,,1.947,21,,,Percent of total billed charges,,0.63,45,,,Percent of total billed charges,,1.35,0.594,2.7,
hc drssng iodosorb 821301004,272,RC,,,,Outpatient,Facility,,,201,80.4,66,,,Percent of total billed charges,,132.66,20.8,,,Percent of total billed charges,,41.808,20.4,,,Percent of total billed charges,,41.004,58.8,,,Percent of total billed charges,,118.188,19.8,,,Percent of total billed charges,,39.798,80,,,Percent of total billed charges,,160.8,61.6,,,Percent of total billed charges,,123.816,20.6,,,Percent of total billed charges,,41.406,20.6,,,Percent of total billed charges,,41.406,65.55,,,Percent of total billed charges,,131.7555,21,,,Percent of total billed charges,,42.21,90,,,Percent of total billed charges,,180.9,21,,,Percent of total billed charges,,42.21,21,,,Percent of total billed charges,,42.21,64.9,,,Percent of total billed charges,,130.449,21,,,Percent of total billed charges,,42.21,45,,,Percent of total billed charges,,90.45,39.798,180.9,
hc duoderm thin strl 4 x 4,272,RC,,,,Outpatient,Facility,,,8,3.2,66,,,Percent of total billed charges,,5.28,20.8,,,Percent of total billed charges,,1.664,20.4,,,Percent of total billed charges,,1.632,58.8,,,Percent of total billed charges,,4.704,19.8,,,Percent of total billed charges,,1.584,80,,,Percent of total billed charges,,6.4,61.6,,,Percent of total billed charges,,4.928,20.6,,,Percent of total billed charges,,1.648,20.6,,,Percent of total billed charges,,1.648,65.55,,,Percent of total billed charges,,5.244,21,,,Percent of total billed charges,,1.68,90,,,Percent of total billed charges,,7.2,21,,,Percent of total billed charges,,1.68,21,,,Percent of total billed charges,,1.68,64.9,,,Percent of total billed charges,,5.192,21,,,Percent of total billed charges,,1.68,45,,,Percent of total billed charges,,3.6,1.584,7.2,
hc ed hold icu,200,RC,,,,Inpatient,Facility,,,2181,872.4,66,,,Percent of total billed charges,,1439.46,20.8,,,Percent of total billed charges,,453.648,20.4,,,Percent of total billed charges,,444.924,58.8,,,Percent of total billed charges,,1282.428,19.8,,,Percent of total billed charges,,431.838,80,,,Percent of total billed charges,,1744.8,61.6,,,Percent of total billed charges,,1343.496,20.6,,,Percent of total billed charges,,449.286,20.6,,,Percent of total billed charges,,449.286,65.55,,,Percent of total billed charges,,1429.6455,21,,,Percent of total billed charges,,458.01,90,,,Percent of total billed charges,,1962.9,21,,,Percent of total billed charges,,458.01,21,,,Percent of total billed charges,,458.01,64.9,,,Percent of total billed charges,,1415.469,21,,,Percent of total billed charges,,458.01,45,,,Percent of total billed charges,,981.45,431.838,1962.9,
hc electrode quik 803377-102,272,RC,,,,Outpatient,Facility,,,112,44.8,66,,,Percent of total billed charges,,73.92,20.8,,,Percent of total billed charges,,23.296,20.4,,,Percent of total billed charges,,22.848,58.8,,,Percent of total billed charges,,65.856,19.8,,,Percent of total billed charges,,22.176,80,,,Percent of total billed charges,,89.6,61.6,,,Percent of total billed charges,,68.992,20.6,,,Percent of total billed charges,,23.072,20.6,,,Percent of total billed charges,,23.072,65.55,,,Percent of total billed charges,,73.416,21,,,Percent of total billed charges,,23.52,90,,,Percent of total billed charges,,100.8,21,,,Percent of total billed charges,,23.52,21,,,Percent of total billed charges,,23.52,64.9,,,Percent of total billed charges,,72.688,21,,,Percent of total billed charges,,23.52,45,,,Percent of total billed charges,,50.4,22.176,100.8,
hc electrode resuscitation,272,RC,,,,Outpatient,Facility,,,169,67.6,66,,,Percent of total billed charges,,111.54,20.8,,,Percent of total billed charges,,35.152,20.4,,,Percent of total billed charges,,34.476,58.8,,,Percent of total billed charges,,99.372,19.8,,,Percent of total billed charges,,33.462,80,,,Percent of total billed charges,,135.2,61.6,,,Percent of total billed charges,,104.104,20.6,,,Percent of total billed charges,,34.814,20.6,,,Percent of total billed charges,,34.814,65.55,,,Percent of total billed charges,,110.7795,21,,,Percent of total billed charges,,35.49,90,,,Percent of total billed charges,,152.1,21,,,Percent of total billed charges,,35.49,21,,,Percent of total billed charges,,35.49,64.9,,,Percent of total billed charges,,109.681,21,,,Percent of total billed charges,,35.49,45,,,Percent of total billed charges,,76.05,33.462,152.1,
hc endo tube holder,270,RC,,,,Outpatient,Facility,,,8,3.2,66,,,Percent of total billed charges,,5.28,20.8,,,Percent of total billed charges,,1.664,20.4,,,Percent of total billed charges,,1.632,58.8,,,Percent of total billed charges,,4.704,19.8,,,Percent of total billed charges,,1.584,80,,,Percent of total billed charges,,6.4,61.6,,,Percent of total billed charges,,4.928,20.6,,,Percent of total billed charges,,1.648,20.6,,,Percent of total billed charges,,1.648,65.55,,,Percent of total billed charges,,5.244,21,,,Percent of total billed charges,,1.68,90,,,Percent of total billed charges,,7.2,21,,,Percent of total billed charges,,1.68,21,,,Percent of total billed charges,,1.68,64.9,,,Percent of total billed charges,,5.192,21,,,Percent of total billed charges,,1.68,45,,,Percent of total billed charges,,3.6,1.584,7.2,
hc extended recovery per hour,710,RC,,,,Outpatient,Facility,,,79,31.6,66,,,Percent of total billed charges,,52.14,20.8,,,Percent of total billed charges,,16.432,20.4,,,Percent of total billed charges,,16.116,58.8,,,Percent of total billed charges,,46.452,19.8,,,Percent of total billed charges,,15.642,80,,,Percent of total billed charges,,63.2,61.6,,,Percent of total billed charges,,48.664,20.6,,,Percent of total billed charges,,16.274,20.6,,,Percent of total billed charges,,16.274,65.55,,,Percent of total billed charges,,51.7845,21,,,Percent of total billed charges,,16.59,90,,,Percent of total billed charges,,71.1,21,,,Percent of total billed charges,,16.59,21,,,Percent of total billed charges,,16.59,64.9,,,Percent of total billed charges,,51.271,21,,,Percent of total billed charges,,16.59,45,,,Percent of total billed charges,,35.55,15.642,71.1,
hc eye smart pupillometer,272,RC,,,,Outpatient,Facility,,,136,54.4,66,,,Percent of total billed charges,,89.76,20.8,,,Percent of total billed charges,,28.288,20.4,,,Percent of total billed charges,,27.744,58.8,,,Percent of total billed charges,,79.968,19.8,,,Percent of total billed charges,,26.928,80,,,Percent of total billed charges,,108.8,61.6,,,Percent of total billed charges,,83.776,20.6,,,Percent of total billed charges,,28.016,20.6,,,Percent of total billed charges,,28.016,65.55,,,Percent of total billed charges,,89.148,21,,,Percent of total billed charges,,28.56,90,,,Percent of total billed charges,,122.4,21,,,Percent of total billed charges,,28.56,21,,,Percent of total billed charges,,28.56,64.9,,,Percent of total billed charges,,88.264,21,,,Percent of total billed charges,,28.56,45,,,Percent of total billed charges,,61.2,26.928,122.4,
hc fibracol 4 x 4,272,RC,,,,Outpatient,Facility,,,37,14.8,66,,,Percent of total billed charges,,24.42,20.8,,,Percent of total billed charges,,7.696,20.4,,,Percent of total billed charges,,7.548,58.8,,,Percent of total billed charges,,21.756,19.8,,,Percent of total billed charges,,7.326,80,,,Percent of total billed charges,,29.6,61.6,,,Percent of total billed charges,,22.792,20.6,,,Percent of total billed charges,,7.622,20.6,,,Percent of total billed charges,,7.622,65.55,,,Percent of total billed charges,,24.2535,21,,,Percent of total billed charges,,7.77,90,,,Percent of total billed charges,,33.3,21,,,Percent of total billed charges,,7.77,21,,,Percent of total billed charges,,7.77,64.9,,,Percent of total billed charges,,24.013,21,,,Percent of total billed charges,,7.77,45,,,Percent of total billed charges,,16.65,7.326,33.3,
hc foam tielle 4.5` x 4.5`,272,RC,,,,Outpatient,Facility,,,29,11.6,66,,,Percent of total billed charges,,19.14,20.8,,,Percent of total billed charges,,6.032,20.4,,,Percent of total billed charges,,5.916,58.8,,,Percent of total billed charges,,17.052,19.8,,,Percent of total billed charges,,5.742,80,,,Percent of total billed charges,,23.2,61.6,,,Percent of total billed charges,,17.864,20.6,,,Percent of total billed charges,,5.974,20.6,,,Percent of total billed charges,,5.974,65.55,,,Percent of total billed charges,,19.0095,21,,,Percent of total billed charges,,6.09,90,,,Percent of total billed charges,,26.1,21,,,Percent of total billed charges,,6.09,21,,,Percent of total billed charges,,6.09,64.9,,,Percent of total billed charges,,18.821,21,,,Percent of total billed charges,,6.09,45,,,Percent of total billed charges,,13.05,5.742,26.1,
hc foam tielle 8 7/8`x73/4`,272,RC,,,,Outpatient,Facility,,,55,22,66,,,Percent of total billed charges,,36.3,20.8,,,Percent of total billed charges,,11.44,20.4,,,Percent of total billed charges,,11.22,58.8,,,Percent of total billed charges,,32.34,19.8,,,Percent of total billed charges,,10.89,80,,,Percent of total billed charges,,44,61.6,,,Percent of total billed charges,,33.88,20.6,,,Percent of total billed charges,,11.33,20.6,,,Percent of total billed charges,,11.33,65.55,,,Percent of total billed charges,,36.0525,21,,,Percent of total billed charges,,11.55,90,,,Percent of total billed charges,,49.5,21,,,Percent of total billed charges,,11.55,21,,,Percent of total billed charges,,11.55,64.9,,,Percent of total billed charges,,35.695,21,,,Percent of total billed charges,,11.55,45,,,Percent of total billed charges,,24.75,10.89,49.5,
hc gauze adapt 3x8 2013,272,RC,,,,Outpatient,Facility,,,1,0.4,66,,,Percent of total billed charges,,0.66,20.8,,,Percent of total billed charges,,0.208,20.4,,,Percent of total billed charges,,0.204,58.8,,,Percent of total billed charges,,0.588,19.8,,,Percent of total billed charges,,0.198,80,,,Percent of total billed charges,,0.8,61.6,,,Percent of total billed charges,,0.616,20.6,,,Percent of total billed charges,,0.206,20.6,,,Percent of total billed charges,,0.206,65.55,,,Percent of total billed charges,,0.6555,21,,,Percent of total billed charges,,0.21,90,,,Percent of total billed charges,,0.9,21,,,Percent of total billed charges,,0.21,21,,,Percent of total billed charges,,0.21,64.9,,,Percent of total billed charges,,0.649,21,,,Percent of total billed charges,,0.21,45,,,Percent of total billed charges,,0.45,0.198,0.9,
hc hemostat abs surg fib3016,272,RC,,,,Outpatient,Facility,,,347,138.8,66,,,Percent of total billed charges,,229.02,20.8,,,Percent of total billed charges,,72.176,20.4,,,Percent of total billed charges,,70.788,58.8,,,Percent of total billed charges,,204.036,19.8,,,Percent of total billed charges,,68.706,80,,,Percent of total billed charges,,277.6,61.6,,,Percent of total billed charges,,213.752,20.6,,,Percent of total billed charges,,71.482,20.6,,,Percent of total billed charges,,71.482,65.55,,,Percent of total billed charges,,227.4585,21,,,Percent of total billed charges,,72.87,90,,,Percent of total billed charges,,312.3,21,,,Percent of total billed charges,,72.87,21,,,Percent of total billed charges,,72.87,64.9,,,Percent of total billed charges,,225.203,21,,,Percent of total billed charges,,72.87,45,,,Percent of total billed charges,,156.15,68.706,312.3,
hc hycol gel 10 gm,272,RC,,,,Outpatient,Facility,,,172,68.8,66,,,Percent of total billed charges,,113.52,20.8,,,Percent of total billed charges,,35.776,20.4,,,Percent of total billed charges,,35.088,58.8,,,Percent of total billed charges,,101.136,19.8,,,Percent of total billed charges,,34.056,80,,,Percent of total billed charges,,137.6,61.6,,,Percent of total billed charges,,105.952,20.6,,,Percent of total billed charges,,35.432,20.6,,,Percent of total billed charges,,35.432,65.55,,,Percent of total billed charges,,112.746,21,,,Percent of total billed charges,,36.12,90,,,Percent of total billed charges,,154.8,21,,,Percent of total billed charges,,36.12,21,,,Percent of total billed charges,,36.12,64.9,,,Percent of total billed charges,,111.628,21,,,Percent of total billed charges,,36.12,45,,,Percent of total billed charges,,77.4,34.056,154.8,
hc iodoform packing strip,272,RC,,,,Outpatient,Facility,,,52,20.8,66,,,Percent of total billed charges,,34.32,20.8,,,Percent of total billed charges,,10.816,20.4,,,Percent of total billed charges,,10.608,58.8,,,Percent of total billed charges,,30.576,19.8,,,Percent of total billed charges,,10.296,80,,,Percent of total billed charges,,41.6,61.6,,,Percent of total billed charges,,32.032,20.6,,,Percent of total billed charges,,10.712,20.6,,,Percent of total billed charges,,10.712,65.55,,,Percent of total billed charges,,34.086,21,,,Percent of total billed charges,,10.92,90,,,Percent of total billed charges,,46.8,21,,,Percent of total billed charges,,10.92,21,,,Percent of total billed charges,,10.92,64.9,,,Percent of total billed charges,,33.748,21,,,Percent of total billed charges,,10.92,45,,,Percent of total billed charges,,23.4,10.296,46.8,
hc iv catheter and extension,270,RC,,,,Outpatient,Facility,,,32,12.8,66,,,Percent of total billed charges,,21.12,20.8,,,Percent of total billed charges,,6.656,20.4,,,Percent of total billed charges,,6.528,58.8,,,Percent of total billed charges,,18.816,19.8,,,Percent of total billed charges,,6.336,80,,,Percent of total billed charges,,25.6,61.6,,,Percent of total billed charges,,19.712,20.6,,,Percent of total billed charges,,6.592,20.6,,,Percent of total billed charges,,6.592,65.55,,,Percent of total billed charges,,20.976,21,,,Percent of total billed charges,,6.72,90,,,Percent of total billed charges,,28.8,21,,,Percent of total billed charges,,6.72,21,,,Percent of total billed charges,,6.72,64.9,,,Percent of total billed charges,,20.768,21,,,Percent of total billed charges,,6.72,45,,,Percent of total billed charges,,14.4,6.336,28.8,
hc kerlix (bulkee ii) 4.5 in x 4.1 yd,272,RC,,,,Outpatient,Facility,,,2,0.8,66,,,Percent of total billed charges,,1.32,20.8,,,Percent of total billed charges,,0.416,20.4,,,Percent of total billed charges,,0.408,58.8,,,Percent of total billed charges,,1.176,19.8,,,Percent of total billed charges,,0.396,80,,,Percent of total billed charges,,1.6,61.6,,,Percent of total billed charges,,1.232,20.6,,,Percent of total billed charges,,0.412,20.6,,,Percent of total billed charges,,0.412,65.55,,,Percent of total billed charges,,1.311,21,,,Percent of total billed charges,,0.42,90,,,Percent of total billed charges,,1.8,21,,,Percent of total billed charges,,0.42,21,,,Percent of total billed charges,,0.42,64.9,,,Percent of total billed charges,,1.298,21,,,Percent of total billed charges,,0.42,45,,,Percent of total billed charges,,0.9,0.396,1.8,
hc kit monit double disp,272,RC,,,,Outpatient,Facility,,,86,34.4,66,,,Percent of total billed charges,,56.76,20.8,,,Percent of total billed charges,,17.888,20.4,,,Percent of total billed charges,,17.544,58.8,,,Percent of total billed charges,,50.568,19.8,,,Percent of total billed charges,,17.028,80,,,Percent of total billed charges,,68.8,61.6,,,Percent of total billed charges,,52.976,20.6,,,Percent of total billed charges,,17.716,20.6,,,Percent of total billed charges,,17.716,65.55,,,Percent of total billed charges,,56.373,21,,,Percent of total billed charges,,18.06,90,,,Percent of total billed charges,,77.4,21,,,Percent of total billed charges,,18.06,21,,,Percent of total billed charges,,18.06,64.9,,,Percent of total billed charges,,55.814,21,,,Percent of total billed charges,,18.06,45,,,Percent of total billed charges,,38.7,17.028,77.4,
hc maxorb 4 x 4,272,RC,,,,Outpatient,Facility,,,32,12.8,66,,,Percent of total billed charges,,21.12,20.8,,,Percent of total billed charges,,6.656,20.4,,,Percent of total billed charges,,6.528,58.8,,,Percent of total billed charges,,18.816,19.8,,,Percent of total billed charges,,6.336,80,,,Percent of total billed charges,,25.6,61.6,,,Percent of total billed charges,,19.712,20.6,,,Percent of total billed charges,,6.592,20.6,,,Percent of total billed charges,,6.592,65.55,,,Percent of total billed charges,,20.976,21,,,Percent of total billed charges,,6.72,90,,,Percent of total billed charges,,28.8,21,,,Percent of total billed charges,,6.72,21,,,Percent of total billed charges,,6.72,64.9,,,Percent of total billed charges,,20.768,21,,,Percent of total billed charges,,6.72,45,,,Percent of total billed charges,,14.4,6.336,28.8,
hc maxorb extra 4 x 4,272,RC,,,,Outpatient,Facility,,,14,5.6,66,,,Percent of total billed charges,,9.24,20.8,,,Percent of total billed charges,,2.912,20.4,,,Percent of total billed charges,,2.856,58.8,,,Percent of total billed charges,,8.232,19.8,,,Percent of total billed charges,,2.772,80,,,Percent of total billed charges,,11.2,61.6,,,Percent of total billed charges,,8.624,20.6,,,Percent of total billed charges,,2.884,20.6,,,Percent of total billed charges,,2.884,65.55,,,Percent of total billed charges,,9.177,21,,,Percent of total billed charges,,2.94,90,,,Percent of total billed charges,,12.6,21,,,Percent of total billed charges,,2.94,21,,,Percent of total billed charges,,2.94,64.9,,,Percent of total billed charges,,9.086,21,,,Percent of total billed charges,,2.94,45,,,Percent of total billed charges,,6.3,2.772,12.6,
hc mepitel 4x8 dressing,272,RC,,,,Outpatient,Facility,,,53,21.2,66,,,Percent of total billed charges,,34.98,20.8,,,Percent of total billed charges,,11.024,20.4,,,Percent of total billed charges,,10.812,58.8,,,Percent of total billed charges,,31.164,19.8,,,Percent of total billed charges,,10.494,80,,,Percent of total billed charges,,42.4,61.6,,,Percent of total billed charges,,32.648,20.6,,,Percent of total billed charges,,10.918,20.6,,,Percent of total billed charges,,10.918,65.55,,,Percent of total billed charges,,34.7415,21,,,Percent of total billed charges,,11.13,90,,,Percent of total billed charges,,47.7,21,,,Percent of total billed charges,,11.13,21,,,Percent of total billed charges,,11.13,64.9,,,Percent of total billed charges,,34.397,21,,,Percent of total billed charges,,11.13,45,,,Percent of total billed charges,,23.85,10.494,47.7,
hc metaneb circuit kit w/neb,272,RC,,,,Outpatient,Facility,,,438,175.2,66,,,Percent of total billed charges,,289.08,20.8,,,Percent of total billed charges,,91.104,20.4,,,Percent of total billed charges,,89.352,58.8,,,Percent of total billed charges,,257.544,19.8,,,Percent of total billed charges,,86.724,80,,,Percent of total billed charges,,350.4,61.6,,,Percent of total billed charges,,269.808,20.6,,,Percent of total billed charges,,90.228,20.6,,,Percent of total billed charges,,90.228,65.55,,,Percent of total billed charges,,287.109,21,,,Percent of total billed charges,,91.98,90,,,Percent of total billed charges,,394.2,21,,,Percent of total billed charges,,91.98,21,,,Percent of total billed charges,,91.98,64.9,,,Percent of total billed charges,,284.262,21,,,Percent of total billed charges,,91.98,45,,,Percent of total billed charges,,197.1,86.724,394.2,
hc non coring infus tubing,270,RC,,,,Outpatient,Facility,,,23,9.2,66,,,Percent of total billed charges,,15.18,20.8,,,Percent of total billed charges,,4.784,20.4,,,Percent of total billed charges,,4.692,58.8,,,Percent of total billed charges,,13.524,19.8,,,Percent of total billed charges,,4.554,80,,,Percent of total billed charges,,18.4,61.6,,,Percent of total billed charges,,14.168,20.6,,,Percent of total billed charges,,4.738,20.6,,,Percent of total billed charges,,4.738,65.55,,,Percent of total billed charges,,15.0765,21,,,Percent of total billed charges,,4.83,90,,,Percent of total billed charges,,20.7,21,,,Percent of total billed charges,,4.83,21,,,Percent of total billed charges,,4.83,64.9,,,Percent of total billed charges,,14.927,21,,,Percent of total billed charges,,4.83,45,,,Percent of total billed charges,,10.35,4.554,20.7,
hc o2 humidifier/neb change,270,RC,,,,Outpatient,Facility,,,58,23.2,66,,,Percent of total billed charges,,38.28,20.8,,,Percent of total billed charges,,12.064,20.4,,,Percent of total billed charges,,11.832,58.8,,,Percent of total billed charges,,34.104,19.8,,,Percent of total billed charges,,11.484,80,,,Percent of total billed charges,,46.4,61.6,,,Percent of total billed charges,,35.728,20.6,,,Percent of total billed charges,,11.948,20.6,,,Percent of total billed charges,,11.948,65.55,,,Percent of total billed charges,,38.019,21,,,Percent of total billed charges,,12.18,90,,,Percent of total billed charges,,52.2,21,,,Percent of total billed charges,,12.18,21,,,Percent of total billed charges,,12.18,64.9,,,Percent of total billed charges,,37.642,21,,,Percent of total billed charges,,12.18,45,,,Percent of total billed charges,,26.1,11.484,52.2,
hc opsite post op 4x4/2.5x2,272,RC,,,,Outpatient,Facility,,,1,0.4,66,,,Percent of total billed charges,,0.66,20.8,,,Percent of total billed charges,,0.208,20.4,,,Percent of total billed charges,,0.204,58.8,,,Percent of total billed charges,,0.588,19.8,,,Percent of total billed charges,,0.198,80,,,Percent of total billed charges,,0.8,61.6,,,Percent of total billed charges,,0.616,20.6,,,Percent of total billed charges,,0.206,20.6,,,Percent of total billed charges,,0.206,65.55,,,Percent of total billed charges,,0.6555,21,,,Percent of total billed charges,,0.21,90,,,Percent of total billed charges,,0.9,21,,,Percent of total billed charges,,0.21,21,,,Percent of total billed charges,,0.21,64.9,,,Percent of total billed charges,,0.649,21,,,Percent of total billed charges,,0.21,45,,,Percent of total billed charges,,0.45,0.198,0.9,
hc pad elastogel 2x3/ 4x4,270,RC,,,,Outpatient,Facility,,,10,4,66,,,Percent of total billed charges,,6.6,20.8,,,Percent of total billed charges,,2.08,20.4,,,Percent of total billed charges,,2.04,58.8,,,Percent of total billed charges,,5.88,19.8,,,Percent of total billed charges,,1.98,80,,,Percent of total billed charges,,8,61.6,,,Percent of total billed charges,,6.16,20.6,,,Percent of total billed charges,,2.06,20.6,,,Percent of total billed charges,,2.06,65.55,,,Percent of total billed charges,,6.555,21,,,Percent of total billed charges,,2.1,90,,,Percent of total billed charges,,9,21,,,Percent of total billed charges,,2.1,21,,,Percent of total billed charges,,2.1,64.9,,,Percent of total billed charges,,6.49,21,,,Percent of total billed charges,,2.1,45,,,Percent of total billed charges,,4.5,1.98,9,
hc prisma dressing,272,RC,,,,Outpatient,Facility,,,48,19.2,66,,,Percent of total billed charges,,31.68,20.8,,,Percent of total billed charges,,9.984,20.4,,,Percent of total billed charges,,9.792,58.8,,,Percent of total billed charges,,28.224,19.8,,,Percent of total billed charges,,9.504,80,,,Percent of total billed charges,,38.4,61.6,,,Percent of total billed charges,,29.568,20.6,,,Percent of total billed charges,,9.888,20.6,,,Percent of total billed charges,,9.888,65.55,,,Percent of total billed charges,,31.464,21,,,Percent of total billed charges,,10.08,90,,,Percent of total billed charges,,43.2,21,,,Percent of total billed charges,,10.08,21,,,Percent of total billed charges,,10.08,64.9,,,Percent of total billed charges,,31.152,21,,,Percent of total billed charges,,10.08,45,,,Percent of total billed charges,,21.6,9.504,43.2,
hc puracol plus ag 2 x 2.3,272,RC,,,,Outpatient,Facility,,,37,14.8,66,,,Percent of total billed charges,,24.42,20.8,,,Percent of total billed charges,,7.696,20.4,,,Percent of total billed charges,,7.548,58.8,,,Percent of total billed charges,,21.756,19.8,,,Percent of total billed charges,,7.326,80,,,Percent of total billed charges,,29.6,61.6,,,Percent of total billed charges,,22.792,20.6,,,Percent of total billed charges,,7.622,20.6,,,Percent of total billed charges,,7.622,65.55,,,Percent of total billed charges,,24.2535,21,,,Percent of total billed charges,,7.77,90,,,Percent of total billed charges,,33.3,21,,,Percent of total billed charges,,7.77,21,,,Percent of total billed charges,,7.77,64.9,,,Percent of total billed charges,,24.013,21,,,Percent of total billed charges,,7.77,45,,,Percent of total billed charges,,16.65,7.326,33.3,
hc puracol plus ag 4.2 x 4.5,272,RC,,,,Outpatient,Facility,,,184,73.6,66,,,Percent of total billed charges,,121.44,20.8,,,Percent of total billed charges,,38.272,20.4,,,Percent of total billed charges,,37.536,58.8,,,Percent of total billed charges,,108.192,19.8,,,Percent of total billed charges,,36.432,80,,,Percent of total billed charges,,147.2,61.6,,,Percent of total billed charges,,113.344,20.6,,,Percent of total billed charges,,37.904,20.6,,,Percent of total billed charges,,37.904,65.55,,,Percent of total billed charges,,120.612,21,,,Percent of total billed charges,,38.64,90,,,Percent of total billed charges,,165.6,21,,,Percent of total billed charges,,38.64,21,,,Percent of total billed charges,,38.64,64.9,,,Percent of total billed charges,,119.416,21,,,Percent of total billed charges,,38.64,45,,,Percent of total billed charges,,82.8,36.432,165.6,
hc quik clot x ray 2 x 2,272,RC,,,,Outpatient,Facility,,,48,19.2,66,,,Percent of total billed charges,,31.68,20.8,,,Percent of total billed charges,,9.984,20.4,,,Percent of total billed charges,,9.792,58.8,,,Percent of total billed charges,,28.224,19.8,,,Percent of total billed charges,,9.504,80,,,Percent of total billed charges,,38.4,61.6,,,Percent of total billed charges,,29.568,20.6,,,Percent of total billed charges,,9.888,20.6,,,Percent of total billed charges,,9.888,65.55,,,Percent of total billed charges,,31.464,21,,,Percent of total billed charges,,10.08,90,,,Percent of total billed charges,,43.2,21,,,Percent of total billed charges,,10.08,21,,,Percent of total billed charges,,10.08,64.9,,,Percent of total billed charges,,31.152,21,,,Percent of total billed charges,,10.08,45,,,Percent of total billed charges,,21.6,9.504,43.2,
hc quik clot z fold 3 x 4,272,RC,,,,Outpatient,Facility,,,243,97.2,66,,,Percent of total billed charges,,160.38,20.8,,,Percent of total billed charges,,50.544,20.4,,,Percent of total billed charges,,49.572,58.8,,,Percent of total billed charges,,142.884,19.8,,,Percent of total billed charges,,48.114,80,,,Percent of total billed charges,,194.4,61.6,,,Percent of total billed charges,,149.688,20.6,,,Percent of total billed charges,,50.058,20.6,,,Percent of total billed charges,,50.058,65.55,,,Percent of total billed charges,,159.2865,21,,,Percent of total billed charges,,51.03,90,,,Percent of total billed charges,,218.7,21,,,Percent of total billed charges,,51.03,21,,,Percent of total billed charges,,51.03,64.9,,,Percent of total billed charges,,157.707,21,,,Percent of total billed charges,,51.03,45,,,Percent of total billed charges,,109.35,48.114,218.7,
hc rapid rhino 900 epistaxis,272,RC,,,,Outpatient,Facility,,,309,123.6,66,,,Percent of total billed charges,,203.94,20.8,,,Percent of total billed charges,,64.272,20.4,,,Percent of total billed charges,,63.036,58.8,,,Percent of total billed charges,,181.692,19.8,,,Percent of total billed charges,,61.182,80,,,Percent of total billed charges,,247.2,61.6,,,Percent of total billed charges,,190.344,20.6,,,Percent of total billed charges,,63.654,20.6,,,Percent of total billed charges,,63.654,65.55,,,Percent of total billed charges,,202.5495,21,,,Percent of total billed charges,,64.89,90,,,Percent of total billed charges,,278.1,21,,,Percent of total billed charges,,64.89,21,,,Percent of total billed charges,,64.89,64.9,,,Percent of total billed charges,,200.541,21,,,Percent of total billed charges,,64.89,45,,,Percent of total billed charges,,139.05,61.182,278.1,
hc set pump nitroglycerin,272,RC,,,,Outpatient,Facility,,,54,21.6,66,,,Percent of total billed charges,,35.64,20.8,,,Percent of total billed charges,,11.232,20.4,,,Percent of total billed charges,,11.016,58.8,,,Percent of total billed charges,,31.752,19.8,,,Percent of total billed charges,,10.692,80,,,Percent of total billed charges,,43.2,61.6,,,Percent of total billed charges,,33.264,20.6,,,Percent of total billed charges,,11.124,20.6,,,Percent of total billed charges,,11.124,65.55,,,Percent of total billed charges,,35.397,21,,,Percent of total billed charges,,11.34,90,,,Percent of total billed charges,,48.6,21,,,Percent of total billed charges,,11.34,21,,,Percent of total billed charges,,11.34,64.9,,,Percent of total billed charges,,35.046,21,,,Percent of total billed charges,,11.34,45,,,Percent of total billed charges,,24.3,10.692,48.6,
hc stryker slit cath,270,RC,,,,Outpatient,Facility,,,579,231.6,66,,,Percent of total billed charges,,382.14,20.8,,,Percent of total billed charges,,120.432,20.4,,,Percent of total billed charges,,118.116,58.8,,,Percent of total billed charges,,340.452,19.8,,,Percent of total billed charges,,114.642,80,,,Percent of total billed charges,,463.2,61.6,,,Percent of total billed charges,,356.664,20.6,,,Percent of total billed charges,,119.274,20.6,,,Percent of total billed charges,,119.274,65.55,,,Percent of total billed charges,,379.5345,21,,,Percent of total billed charges,,121.59,90,,,Percent of total billed charges,,521.1,21,,,Percent of total billed charges,,121.59,21,,,Percent of total billed charges,,121.59,64.9,,,Percent of total billed charges,,375.771,21,,,Percent of total billed charges,,121.59,45,,,Percent of total billed charges,,260.55,114.642,521.1,
hc surgical post-op bras,270,RC,,,,Outpatient,Facility,,,98,39.2,66,,,Percent of total billed charges,,64.68,20.8,,,Percent of total billed charges,,20.384,20.4,,,Percent of total billed charges,,19.992,58.8,,,Percent of total billed charges,,57.624,19.8,,,Percent of total billed charges,,19.404,80,,,Percent of total billed charges,,78.4,61.6,,,Percent of total billed charges,,60.368,20.6,,,Percent of total billed charges,,20.188,20.6,,,Percent of total billed charges,,20.188,65.55,,,Percent of total billed charges,,64.239,21,,,Percent of total billed charges,,20.58,90,,,Percent of total billed charges,,88.2,21,,,Percent of total billed charges,,20.58,21,,,Percent of total billed charges,,20.58,64.9,,,Percent of total billed charges,,63.602,21,,,Percent of total billed charges,,20.58,45,,,Percent of total billed charges,,44.1,19.404,88.2,
hc trachael suction,412,RC,,,,Outpatient,Facility,,,35,14,66,,,Percent of total billed charges,,23.1,20.8,,,Percent of total billed charges,,7.28,20.4,,,Percent of total billed charges,,7.14,58.8,,,Percent of total billed charges,,20.58,19.8,,,Percent of total billed charges,,6.93,80,,,Percent of total billed charges,,28,61.6,,,Percent of total billed charges,,21.56,20.6,,,Percent of total billed charges,,7.21,20.6,,,Percent of total billed charges,,7.21,65.55,,,Percent of total billed charges,,22.9425,21,,,Percent of total billed charges,,7.35,90,,,Percent of total billed charges,,31.5,21,,,Percent of total billed charges,,7.35,21,,,Percent of total billed charges,,7.35,64.9,,,Percent of total billed charges,,22.715,21,,,Percent of total billed charges,,7.35,45,,,Percent of total billed charges,,15.75,6.93,31.5,
hc trauma activation wo critical care,681,RC,,,,Outpatient,Facility,,,6064,2425.6,66,,,Percent of total billed charges,,4002.24,20.8,,,Percent of total billed charges,,1261.312,20.4,,,Percent of total billed charges,,1237.056,58.8,,,Percent of total billed charges,,3565.632,19.8,,,Percent of total billed charges,,1200.672,80,,,Percent of total billed charges,,4851.2,61.6,,,Percent of total billed charges,,3735.424,20.6,,,Percent of total billed charges,,1249.184,20.6,,,Percent of total billed charges,,1249.184,65.55,,,Percent of total billed charges,,3974.952,21,,,Percent of total billed charges,,1273.44,90,,,Percent of total billed charges,,5457.6,21,,,Percent of total billed charges,,1273.44,21,,,Percent of total billed charges,,1273.44,64.9,,,Percent of total billed charges,,3935.536,21,,,Percent of total billed charges,,1273.44,45,,,Percent of total billed charges,,2728.8,1200.672,5457.6,
hc tray biopsy bone marrow,272,RC,,,,Outpatient,Facility,,,139,55.6,66,,,Percent of total billed charges,,91.74,20.8,,,Percent of total billed charges,,28.912,20.4,,,Percent of total billed charges,,28.356,58.8,,,Percent of total billed charges,,81.732,19.8,,,Percent of total billed charges,,27.522,80,,,Percent of total billed charges,,111.2,61.6,,,Percent of total billed charges,,85.624,20.6,,,Percent of total billed charges,,28.634,20.6,,,Percent of total billed charges,,28.634,65.55,,,Percent of total billed charges,,91.1145,21,,,Percent of total billed charges,,29.19,90,,,Percent of total billed charges,,125.1,21,,,Percent of total billed charges,,29.19,21,,,Percent of total billed charges,,29.19,64.9,,,Percent of total billed charges,,90.211,21,,,Percent of total billed charges,,29.19,45,,,Percent of total billed charges,,62.55,27.522,125.1,
hc tray spinal xylo560087,272,RC,,,,Outpatient,Facility,,,51,20.4,66,,,Percent of total billed charges,,33.66,20.8,,,Percent of total billed charges,,10.608,20.4,,,Percent of total billed charges,,10.404,58.8,,,Percent of total billed charges,,29.988,19.8,,,Percent of total billed charges,,10.098,80,,,Percent of total billed charges,,40.8,61.6,,,Percent of total billed charges,,31.416,20.6,,,Percent of total billed charges,,10.506,20.6,,,Percent of total billed charges,,10.506,65.55,,,Percent of total billed charges,,33.4305,21,,,Percent of total billed charges,,10.71,90,,,Percent of total billed charges,,45.9,21,,,Percent of total billed charges,,10.71,21,,,Percent of total billed charges,,10.71,64.9,,,Percent of total billed charges,,33.099,21,,,Percent of total billed charges,,10.71,45,,,Percent of total billed charges,,22.95,10.098,45.9,
hc tricofix tubular per yd,272,RC,,,,Outpatient,Facility,,,3,1.2,66,,,Percent of total billed charges,,1.98,20.8,,,Percent of total billed charges,,0.624,20.4,,,Percent of total billed charges,,0.612,58.8,,,Percent of total billed charges,,1.764,19.8,,,Percent of total billed charges,,0.594,80,,,Percent of total billed charges,,2.4,61.6,,,Percent of total billed charges,,1.848,20.6,,,Percent of total billed charges,,0.618,20.6,,,Percent of total billed charges,,0.618,65.55,,,Percent of total billed charges,,1.9665,21,,,Percent of total billed charges,,0.63,90,,,Percent of total billed charges,,2.7,21,,,Percent of total billed charges,,0.63,21,,,Percent of total billed charges,,0.63,64.9,,,Percent of total billed charges,,1.947,21,,,Percent of total billed charges,,0.63,45,,,Percent of total billed charges,,1.35,0.594,2.7,
hc tube gastrostomy fr flex,272,RC,,,,Outpatient,Facility,,,81,32.4,66,,,Percent of total billed charges,,53.46,20.8,,,Percent of total billed charges,,16.848,20.4,,,Percent of total billed charges,,16.524,58.8,,,Percent of total billed charges,,47.628,19.8,,,Percent of total billed charges,,16.038,80,,,Percent of total billed charges,,64.8,61.6,,,Percent of total billed charges,,49.896,20.6,,,Percent of total billed charges,,16.686,20.6,,,Percent of total billed charges,,16.686,65.55,,,Percent of total billed charges,,53.0955,21,,,Percent of total billed charges,,17.01,90,,,Percent of total billed charges,,72.9,21,,,Percent of total billed charges,,17.01,21,,,Percent of total billed charges,,17.01,64.9,,,Percent of total billed charges,,52.569,21,,,Percent of total billed charges,,17.01,45,,,Percent of total billed charges,,36.45,16.038,72.9,
hc veil wound conformant 2,272,RC,,,,Outpatient,Facility,,,3,1.2,66,,,Percent of total billed charges,,1.98,20.8,,,Percent of total billed charges,,0.624,20.4,,,Percent of total billed charges,,0.612,58.8,,,Percent of total billed charges,,1.764,19.8,,,Percent of total billed charges,,0.594,80,,,Percent of total billed charges,,2.4,61.6,,,Percent of total billed charges,,1.848,20.6,,,Percent of total billed charges,,0.618,20.6,,,Percent of total billed charges,,0.618,65.55,,,Percent of total billed charges,,1.9665,21,,,Percent of total billed charges,,0.63,90,,,Percent of total billed charges,,2.7,21,,,Percent of total billed charges,,0.63,21,,,Percent of total billed charges,,0.63,64.9,,,Percent of total billed charges,,1.947,21,,,Percent of total billed charges,,0.63,45,,,Percent of total billed charges,,1.35,0.594,2.7,
"Heavy metal (eg, arsenic, barium, beryllium, bismuth, antimony, mercury); qualitative, any number of analytes",83015,CPT,,,,Outpatient,Facility,,,256,102.4,66,,,Percent of total billed charges,,168.96,20.8,,,Percent of total billed charges,,53.25,20.4,,,Percent of total billed charges,,52.22,,20.94,,Case rate,,20.94,,2.69,,Case rate,,2.69,80,,,Percent of total billed charges,,204.8,61.6,,,Percent of total billed charges,,157.7,20.6,,,Percent of total billed charges,,52.74,20.6,,,Percent of total billed charges,,52.74,65.55,,,Percent of total billed charges,,167.81,21,,,Percent of total billed charges,,53.76,90,,,Percent of total billed charges,,230.4,21,,,Percent of total billed charges,,53.76,21,,,Percent of total billed charges,,53.76,64.9,,,Percent of total billed charges,,166.14,21,,,Percent of total billed charges,,53.76,,54.37,,Case rate,,54.37,2.69,256,
"Hemoglobin (Hgb), quantitative, transcutaneous",88738,CPT,,,,Outpatient,Facility,,,36,14.4,66,,,Percent of total billed charges,,23.76,20.8,,,Percent of total billed charges,,7.49,20.4,,,Percent of total billed charges,,7.34,,5.02,,Case rate,,5.02,,1.42,,Case rate,,1.42,80,,,Percent of total billed charges,,28.8,61.6,,,Percent of total billed charges,,22.18,20.6,,,Percent of total billed charges,,7.42,20.6,,,Percent of total billed charges,,7.42,65.55,,,Percent of total billed charges,,23.6,21,,,Percent of total billed charges,,7.56,90,,,Percent of total billed charges,,32.4,21,,,Percent of total billed charges,,7.56,21,,,Percent of total billed charges,,7.56,64.9,,,Percent of total billed charges,,23.36,21,,,Percent of total billed charges,,7.56,,17.97,,Case rate,,17.97,1.42,36,
"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)",83020,CPT,,,,Outpatient,Facility,,,110,44,66,,,Percent of total billed charges,,72.6,20.8,,,Percent of total billed charges,,22.88,20.4,,,Percent of total billed charges,,22.44,,12.87,,Case rate,,12.87,,2.43,,Case rate,,2.43,80,,,Percent of total billed charges,,88,61.6,,,Percent of total billed charges,,67.76,20.6,,,Percent of total billed charges,,22.66,20.6,,,Percent of total billed charges,,22.66,65.55,,,Percent of total billed charges,,72.1,21,,,Percent of total billed charges,,23.1,90,,,Percent of total billed charges,,99,21,,,Percent of total billed charges,,23.1,21,,,Percent of total billed charges,,23.1,64.9,,,Percent of total billed charges,,71.39,21,,,Percent of total billed charges,,23.1,,61.8,,Case rate,,61.8,2.43,110,
Hemoglobin; glycosylated (A1C),83036,CPT,,,,Outpatient,Facility,,,75,30,66,,,Percent of total billed charges,,49.5,20.8,,,Percent of total billed charges,,15.6,20.4,,,Percent of total billed charges,,15.3,,9.71,,Case rate,,9.71,,2.19,,Case rate,,2.19,80,,,Percent of total billed charges,,60,61.6,,,Percent of total billed charges,,46.2,20.6,,,Percent of total billed charges,,15.45,20.6,,,Percent of total billed charges,,15.45,65.55,,,Percent of total billed charges,,49.16,21,,,Percent of total billed charges,,15.75,90,,,Percent of total billed charges,,67.5,21,,,Percent of total billed charges,,15.75,21,,,Percent of total billed charges,,15.75,64.9,,,Percent of total billed charges,,48.68,21,,,Percent of total billed charges,,15.75,,56.37,,Case rate,,56.37,2.19,75,
Hepatitis A antibody (HAAb),86708,CPT,,,,Outpatient,Facility,,,99,39.6,66,,,Percent of total billed charges,,65.34,20.8,,,Percent of total billed charges,,20.59,20.4,,,Percent of total billed charges,,20.2,,12.39,,Case rate,,12.39,,3.39,,Case rate,,3.39,80,,,Percent of total billed charges,,79.2,61.6,,,Percent of total billed charges,,60.98,20.6,,,Percent of total billed charges,,20.39,20.6,,,Percent of total billed charges,,20.39,65.55,,,Percent of total billed charges,,64.89,21,,,Percent of total billed charges,,20.79,90,,,Percent of total billed charges,,89.1,21,,,Percent of total billed charges,,20.79,21,,,Percent of total billed charges,,20.79,64.9,,,Percent of total billed charges,,64.25,21,,,Percent of total billed charges,,20.79,,81.72,,Case rate,,81.72,3.39,99,
Hepatitis B core antibody (HBcAb); IgM antibody,86705,CPT,,,,Outpatient,Facility,,,124,49.6,66,,,Percent of total billed charges,,81.84,20.8,,,Percent of total billed charges,,25.79,20.4,,,Percent of total billed charges,,25.3,,11.77,,Case rate,,11.77,,3.22,,Case rate,,3.22,80,,,Percent of total billed charges,,99.2,61.6,,,Percent of total billed charges,,76.38,20.6,,,Percent of total billed charges,,25.54,20.6,,,Percent of total billed charges,,25.54,65.55,,,Percent of total billed charges,,81.28,21,,,Percent of total billed charges,,26.04,90,,,Percent of total billed charges,,111.6,21,,,Percent of total billed charges,,26.04,21,,,Percent of total billed charges,,26.04,64.9,,,Percent of total billed charges,,80.48,21,,,Percent of total billed charges,,26.04,,79.12,,Case rate,,79.12,3.22,124,
Hepatitis B surface antibody (HBsAb),86706,CPT,,,,Outpatient,Facility,,,124,49.6,66,,,Percent of total billed charges,,81.84,20.8,,,Percent of total billed charges,,25.79,20.4,,,Percent of total billed charges,,25.3,,10.74,,Case rate,,10.74,,2.94,,Case rate,,2.94,80,,,Percent of total billed charges,,99.2,61.6,,,Percent of total billed charges,,76.38,20.6,,,Percent of total billed charges,,25.54,20.6,,,Percent of total billed charges,,25.54,65.55,,,Percent of total billed charges,,81.28,21,,,Percent of total billed charges,,26.04,90,,,Percent of total billed charges,,111.6,21,,,Percent of total billed charges,,26.04,21,,,Percent of total billed charges,,26.04,64.9,,,Percent of total billed charges,,80.48,21,,,Percent of total billed charges,,26.04,,71.6,,Case rate,,71.6,2.94,124,
Hepatitis Be antibody (HBeAb),86707,CPT,,,,Outpatient,Facility,,,96,38.4,66,,,Percent of total billed charges,,63.36,20.8,,,Percent of total billed charges,,19.97,20.4,,,Percent of total billed charges,,19.58,,11.57,,Case rate,,11.57,,3.16,,Case rate,,3.16,80,,,Percent of total billed charges,,76.8,61.6,,,Percent of total billed charges,,59.14,20.6,,,Percent of total billed charges,,19.78,20.6,,,Percent of total billed charges,,19.78,65.55,,,Percent of total billed charges,,62.93,21,,,Percent of total billed charges,,20.16,90,,,Percent of total billed charges,,86.4,21,,,Percent of total billed charges,,20.16,21,,,Percent of total billed charges,,20.16,64.9,,,Percent of total billed charges,,62.3,21,,,Percent of total billed charges,,20.16,,78.23,,Case rate,,78.23,3.16,96,
Hepatitis C antibody,86803,CPT,,,,Outpatient,Facility,,,105,42,66,,,Percent of total billed charges,,69.3,20.8,,,Percent of total billed charges,,21.84,20.4,,,Percent of total billed charges,,21.42,,14.27,,Case rate,,14.27,,3.91,,Case rate,,3.91,80,,,Percent of total billed charges,,84,61.6,,,Percent of total billed charges,,64.68,20.6,,,Percent of total billed charges,,21.63,20.6,,,Percent of total billed charges,,21.63,65.55,,,Percent of total billed charges,,68.83,21,,,Percent of total billed charges,,22.05,90,,,Percent of total billed charges,,94.5,21,,,Percent of total billed charges,,22.05,21,,,Percent of total billed charges,,22.05,64.9,,,Percent of total billed charges,,68.14,21,,,Percent of total billed charges,,22.05,,80.6,,Case rate,,80.6,3.91,105,
"Hepatobiliary system imaging, including gallbladder when present",78226,CPT,,,,Outpatient,Facility,,,708,283.2,66,,,Percent of total billed charges,,467.28,20.8,,,Percent of total billed charges,,147.26,20.4,,,Percent of total billed charges,,144.43,,254.16,,Case rate,,254.16,,22.17,,Case rate,,22.17,80,,,Percent of total billed charges,,566.4,61.6,,,Percent of total billed charges,,436.13,20.6,,,Percent of total billed charges,,145.85,20.6,,,Percent of total billed charges,,145.85,65.55,,,Percent of total billed charges,,464.09,21,,,Percent of total billed charges,,148.68,90,,,Percent of total billed charges,,637.2,21,,,Percent of total billed charges,,148.68,21,,,Percent of total billed charges,,148.68,64.9,,,Percent of total billed charges,,459.49,21,,,Percent of total billed charges,,148.68,,583.49,,Case rate,,583.49,22.17,708,
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed",78227,CPT,,,,Outpatient,Facility,,,1038,415.2,66,,,Percent of total billed charges,,685.08,20.8,,,Percent of total billed charges,,215.9,20.4,,,Percent of total billed charges,,211.75,,345.82,,Case rate,,345.82,,22.17,,Case rate,,22.17,80,,,Percent of total billed charges,,830.4,61.6,,,Percent of total billed charges,,639.41,20.6,,,Percent of total billed charges,,213.83,20.6,,,Percent of total billed charges,,213.83,65.55,,,Percent of total billed charges,,680.41,21,,,Percent of total billed charges,,217.98,90,,,Percent of total billed charges,,934.2,21,,,Percent of total billed charges,,217.98,21,,,Percent of total billed charges,,217.98,64.9,,,Percent of total billed charges,,673.66,21,,,Percent of total billed charges,,217.98,,873.86,,Case rate,,873.86,22.17,1038,
"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer); duplication/deletion analysis panel, must include analyses for BRCA1, BRCA2, MLH1, MSH2, and STK11",81433,CPT,,,,Outpatient,Facility,,,3202,1280.8,66,,,Percent of total billed charges,,2113.32,20.8,,,Percent of total billed charges,,666.02,,447.71,,Case rate,,447.71,,438.93,,Case rate,,438.93,,41.59,,Case rate,,41.59,80,,,Percent of total billed charges,,2561.6,61.6,,,Percent of total billed charges,,1972.43,20.6,,,Percent of total billed charges,,659.61,20.6,,,Percent of total billed charges,,659.61,65.55,,,Percent of total billed charges,,2098.91,21,,,Percent of total billed charges,,672.42,90,,,Percent of total billed charges,,2881.8,21,,,Percent of total billed charges,,672.42,21,,,Percent of total billed charges,,672.42,64.9,,,Percent of total billed charges,,2078.1,21,,,Percent of total billed charges,,672.42,45,,,Percent of total billed charges,,1440.9,41.59,3202,
"HEXA (hexosaminidase A [alpha polypeptide]) (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S)",81255,CPT,,,,Outpatient,Facility,,,726,290.4,66,,,Percent of total billed charges,,479.16,20.8,,,Percent of total billed charges,,151.01,20.4,,,Percent of total billed charges,,148.1,,51.45,,Case rate,,51.45,,29,,Case rate,,29,80,,,Percent of total billed charges,,580.8,61.6,,,Percent of total billed charges,,447.22,20.6,,,Percent of total billed charges,,149.56,20.6,,,Percent of total billed charges,,149.56,65.55,,,Percent of total billed charges,,475.89,21,,,Percent of total billed charges,,152.46,90,,,Percent of total billed charges,,653.4,21,,,Percent of total billed charges,,152.46,21,,,Percent of total billed charges,,152.46,64.9,,,Percent of total billed charges,,471.17,21,,,Percent of total billed charges,,152.46,,527.86,,Case rate,,527.86,29,726,
"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D)",81256,CPT,,,,Outpatient,Facility,,,1125,450,66,,,Percent of total billed charges,,742.5,20.8,,,Percent of total billed charges,,234,20.4,,,Percent of total billed charges,,229.5,,65.36,,Case rate,,65.36,,38.67,,Case rate,,38.67,80,,,Percent of total billed charges,,900,61.6,,,Percent of total billed charges,,693,20.6,,,Percent of total billed charges,,231.75,20.6,,,Percent of total billed charges,,231.75,65.55,,,Percent of total billed charges,,737.44,21,,,Percent of total billed charges,,236.25,90,,,Percent of total billed charges,,1012.5,21,,,Percent of total billed charges,,236.25,21,,,Percent of total billed charges,,236.25,64.9,,,Percent of total billed charges,,730.12,21,,,Percent of total billed charges,,236.25,,198.81,,Case rate,,198.81,38.67,1125,
Histamine,83088,CPT,,,,Outpatient,Facility,,,17,6.8,66,,,Percent of total billed charges,,11.22,20.8,,,Percent of total billed charges,,3.54,20.4,,,Percent of total billed charges,,3.47,,29.53,,Case rate,Use Lesser of logic,17,,8.55,,Case rate,,8.55,80,,,Percent of total billed charges,,13.6,61.6,,,Percent of total billed charges,,10.47,20.6,,,Percent of total billed charges,,3.5,20.6,,,Percent of total billed charges,,3.5,65.55,,,Percent of total billed charges,,11.14,21,,,Percent of total billed charges,,3.57,90,,,Percent of total billed charges,,15.3,21,,,Percent of total billed charges,,3.57,21,,,Percent of total billed charges,,3.57,64.9,,,Percent of total billed charges,,11.03,21,,,Percent of total billed charges,,3.57,,200.76,,Case rate,,200.76,3.47,200.76,
"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each",81374,CPT,,,,Outpatient,Facility,,,710,284,66,,,Percent of total billed charges,,468.6,20.8,,,Percent of total billed charges,,147.68,20.4,,,Percent of total billed charges,,144.84,,74.33,,Case rate,,74.33,,20.35,,Case rate,,20.35,80,,,Percent of total billed charges,,568,61.6,,,Percent of total billed charges,,437.36,20.6,,,Percent of total billed charges,,146.26,20.6,,,Percent of total billed charges,,146.26,65.55,,,Percent of total billed charges,,465.4,21,,,Percent of total billed charges,,149.1,90,,,Percent of total billed charges,,639,21,,,Percent of total billed charges,,149.1,21,,,Percent of total billed charges,,149.1,64.9,,,Percent of total billed charges,,460.79,21,,,Percent of total billed charges,,149.1,,278.12,,Case rate,,278.12,20.35,710,
"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each",81373,CPT,,,,Outpatient,Facility,,,529,211.6,66,,,Percent of total billed charges,,349.14,20.8,,,Percent of total billed charges,,110.03,20.4,,,Percent of total billed charges,,107.92,,127.43,,Case rate,,127.43,,27.13,,Case rate,,27.13,80,,,Percent of total billed charges,,423.2,61.6,,,Percent of total billed charges,,325.86,20.6,,,Percent of total billed charges,,108.97,20.6,,,Percent of total billed charges,,108.97,65.55,,,Percent of total billed charges,,346.76,21,,,Percent of total billed charges,,111.09,90,,,Percent of total billed charges,,476.1,21,,,Percent of total billed charges,,111.09,21,,,Percent of total billed charges,,111.09,64.9,,,Percent of total billed charges,,343.32,21,,,Percent of total billed charges,,111.09,45,,,Percent of total billed charges,,238.05,27.13,529,
"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each",81377,CPT,,,,Outpatient,Facility,,,710,284,66,,,Percent of total billed charges,,468.6,20.8,,,Percent of total billed charges,,147.68,20.4,,,Percent of total billed charges,,144.84,,94.74,,Case rate,,94.74,,20.35,,Case rate,,20.35,80,,,Percent of total billed charges,,568,61.6,,,Percent of total billed charges,,437.36,20.6,,,Percent of total billed charges,,146.26,20.6,,,Percent of total billed charges,,146.26,65.55,,,Percent of total billed charges,,465.4,21,,,Percent of total billed charges,,149.1,90,,,Percent of total billed charges,,639,21,,,Percent of total billed charges,,149.1,21,,,Percent of total billed charges,,149.1,64.9,,,Percent of total billed charges,,460.79,21,,,Percent of total billed charges,,149.1,,447.03,,Case rate,,447.03,20.35,710,
"Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation",G0399,CPT,74000399,CDM,TC,Outpatient,Facility,,,941,376.4,66,,,Percent of total billed charges,,621.06,20.8,,,Percent of total billed charges,,195.73,20.4,,,Percent of total billed charges,,191.96,,45.83,,Case rate,,45.83,,23.76,,Case rate,,23.76,80,,,Percent of total billed charges,,752.8,61.6,,,Percent of total billed charges,,579.66,20.6,,,Percent of total billed charges,,193.85,20.6,,,Percent of total billed charges,,193.85,65.55,,,Percent of total billed charges,,616.83,21,,,Percent of total billed charges,,197.61,90,,,Percent of total billed charges,,846.9,21,,,Percent of total billed charges,,197.61,21,,,Percent of total billed charges,,197.61,64.9,,,Percent of total billed charges,,610.71,21,,,Percent of total billed charges,,197.61,,684.05,,Case rate,,684.05,23.76,941,
"Homogenization, tissue, for culture",87176,CPT,,,,Outpatient,Facility,,,33,13.2,66,,,Percent of total billed charges,,21.78,20.8,,,Percent of total billed charges,,6.86,20.4,,,Percent of total billed charges,,6.73,,5.88,,Case rate,,5.88,,1.7,,Case rate,,1.7,80,,,Percent of total billed charges,,26.4,61.6,,,Percent of total billed charges,,20.33,20.6,,,Percent of total billed charges,,6.8,20.6,,,Percent of total billed charges,,6.8,65.55,,,Percent of total billed charges,,21.63,21,,,Percent of total billed charges,,6.93,90,,,Percent of total billed charges,,29.7,21,,,Percent of total billed charges,,6.93,21,,,Percent of total billed charges,,6.93,64.9,,,Percent of total billed charges,,21.42,21,,,Percent of total billed charges,,6.93,,43.92,,Case rate,,43.92,1.7,43.92,
Homovanillic acid (HVA),83150,CPT,,,,Outpatient,Facility,,,158,63.2,66,,,Percent of total billed charges,,104.28,20.8,,,Percent of total billed charges,,32.86,20.4,,,Percent of total billed charges,,32.23,,22.41,,Case rate,,22.41,,3.12,,Case rate,,3.12,80,,,Percent of total billed charges,,126.4,61.6,,,Percent of total billed charges,,97.33,20.6,,,Percent of total billed charges,,32.55,20.6,,,Percent of total billed charges,,32.55,65.55,,,Percent of total billed charges,,103.57,21,,,Percent of total billed charges,,33.18,90,,,Percent of total billed charges,,142.2,21,,,Percent of total billed charges,,33.18,21,,,Percent of total billed charges,,33.18,64.9,,,Percent of total billed charges,,102.54,21,,,Percent of total billed charges,,33.18,,63.66,,Case rate,,63.66,3.12,158,
"Hospital observation service, per hour",G0378,CPT,,,,Outpatient,Facility,,,206,82.4,66,,,Percent of total billed charges,,135.96,20.8,,,Percent of total billed charges,,42.85,20.4,,,Percent of total billed charges,,42.02,,14.84,,Case rate,,14.84,,2.94,,Case rate,,2.94,80,,,Percent of total billed charges,,164.8,61.6,,,Percent of total billed charges,,126.9,20.6,,,Percent of total billed charges,,42.44,20.6,,,Percent of total billed charges,,42.44,65.55,,,Percent of total billed charges,,135.03,21,,,Percent of total billed charges,,43.26,90,,,Percent of total billed charges,,185.4,21,,,Percent of total billed charges,,43.26,21,,,Percent of total billed charges,,43.26,64.9,,,Percent of total billed charges,,133.69,21,,,Percent of total billed charges,,43.26,,90.91,,Case rate,,90.91,2.94,206,
"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia [NAIT], post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y)",81112,CPT,,,,Outpatient,Facility,,,904,361.6,66,,,Percent of total billed charges,,596.64,20.8,,,Percent of total billed charges,,188.03,,124.66,,Case rate,,124.66,,122.22,,Case rate,,122.22,,10.19,,Case rate,,10.19,80,,,Percent of total billed charges,,723.2,61.6,,,Percent of total billed charges,,556.86,20.6,,,Percent of total billed charges,,186.22,20.6,,,Percent of total billed charges,,186.22,65.55,,,Percent of total billed charges,,592.57,21,,,Percent of total billed charges,,189.84,90,,,Percent of total billed charges,,813.6,21,,,Percent of total billed charges,,189.84,21,,,Percent of total billed charges,,189.84,64.9,,,Percent of total billed charges,,586.7,21,,,Percent of total billed charges,,189.84,45,,,Percent of total billed charges,,406.8,10.19,904,
"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 [platelet glycoprotein IIIa], antigen CD61 [GPIIIa]) (eg, neonatal alloimmune thrombocytopenia [NAIT], post-transfusion purpura), gene analysis, common variant, HPA-4a/b (R143Q)",81108,CPT,,,,Outpatient,Facility,,,904,361.6,66,,,Percent of total billed charges,,596.64,20.8,,,Percent of total billed charges,,188.03,,124.66,,Case rate,,124.66,,122.22,,Case rate,,122.22,,10.19,,Case rate,,10.19,80,,,Percent of total billed charges,,723.2,61.6,,,Percent of total billed charges,,556.86,20.6,,,Percent of total billed charges,,186.22,20.6,,,Percent of total billed charges,,186.22,65.55,,,Percent of total billed charges,,592.57,21,,,Percent of total billed charges,,189.84,90,,,Percent of total billed charges,,813.6,21,,,Percent of total billed charges,,189.84,21,,,Percent of total billed charges,,189.84,64.9,,,Percent of total billed charges,,586.7,21,,,Percent of total billed charges,,189.84,45,,,Percent of total billed charges,,406.8,10.19,904,
"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 [CD49B, alpha 2 subunit of VLA-2 receptor] [GPIa]) (eg, neonatal alloimmune thrombocytopenia [NAIT], post-transfusion purpura), gene analysis, common variant (eg, HPA-5a/b [K505E])",81109,CPT,,,,Outpatient,Facility,,,904,361.6,66,,,Percent of total billed charges,,596.64,20.8,,,Percent of total billed charges,,188.03,,124.66,,Case rate,,124.66,,122.22,,Case rate,,122.22,,10.19,,Case rate,,10.19,80,,,Percent of total billed charges,,723.2,61.6,,,Percent of total billed charges,,556.86,20.6,,,Percent of total billed charges,,186.22,20.6,,,Percent of total billed charges,,186.22,65.55,,,Percent of total billed charges,,592.57,21,,,Percent of total billed charges,,189.84,90,,,Percent of total billed charges,,813.6,21,,,Percent of total billed charges,,189.84,21,,,Percent of total billed charges,,189.84,64.9,,,Percent of total billed charges,,586.7,21,,,Percent of total billed charges,,189.84,45,,,Percent of total billed charges,,406.8,10.19,904,
"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 [platelet glycoprotein IIIa, antigen CD61] [GPIIIa]) (eg, neonatal alloimmune thrombocytopenia [NAIT], post-transfusion purpura), gene analysis, common variant, HPA-6a/b (R489Q)",81110,CPT,,,,Outpatient,Facility,,,904,361.6,66,,,Percent of total billed charges,,596.64,20.8,,,Percent of total billed charges,,188.03,,124.66,,Case rate,,124.66,,122.22,,Case rate,,122.22,,10.19,,Case rate,,10.19,80,,,Percent of total billed charges,,723.2,61.6,,,Percent of total billed charges,,556.86,20.6,,,Percent of total billed charges,,186.22,20.6,,,Percent of total billed charges,,186.22,65.55,,,Percent of total billed charges,,592.57,21,,,Percent of total billed charges,,189.84,90,,,Percent of total billed charges,,813.6,21,,,Percent of total billed charges,,189.84,21,,,Percent of total billed charges,,189.84,64.9,,,Percent of total billed charges,,586.7,21,,,Percent of total billed charges,,189.84,45,,,Percent of total billed charges,,406.8,10.19,904,
"Hydroxyindolacetic acid, 5-(HIAA)",83497,CPT,,,,Outpatient,Facility,,,105,42,66,,,Percent of total billed charges,,69.3,20.8,,,Percent of total billed charges,,21.84,20.4,,,Percent of total billed charges,,21.42,,12.9,,Case rate,,12.9,,2.43,,Case rate,,2.43,80,,,Percent of total billed charges,,84,61.6,,,Percent of total billed charges,,64.68,20.6,,,Percent of total billed charges,,21.63,20.6,,,Percent of total billed charges,,21.63,65.55,,,Percent of total billed charges,,68.83,21,,,Percent of total billed charges,,22.05,90,,,Percent of total billed charges,,94.5,21,,,Percent of total billed charges,,22.05,21,,,Percent of total billed charges,,22.05,64.9,,,Percent of total billed charges,,68.14,21,,,Percent of total billed charges,,22.05,,60.08,,Case rate,,60.08,2.43,105,
"Hydroxyprogesterone, 17-d",83498,CPT,,,,Outpatient,Facility,,,252,100.8,66,,,Percent of total billed charges,,166.32,20.8,,,Percent of total billed charges,,52.42,20.4,,,Percent of total billed charges,,51.41,,27.17,,Case rate,,27.17,,5.59,,Case rate,,5.59,80,,,Percent of total billed charges,,201.6,61.6,,,Percent of total billed charges,,155.23,20.6,,,Percent of total billed charges,,51.91,20.6,,,Percent of total billed charges,,51.91,65.55,,,Percent of total billed charges,,165.19,21,,,Percent of total billed charges,,52.92,90,,,Percent of total billed charges,,226.8,21,,,Percent of total billed charges,,52.92,21,,,Percent of total billed charges,,52.92,64.9,,,Percent of total billed charges,,163.55,21,,,Percent of total billed charges,,52.92,,119.28,,Case rate,,119.28,5.59,252,
hypertension without mcc,305,MS-DRG,,,,Inpatient,Facility,,,7908.8,3163.52,,6783.01,,Case rate,DRG Factor * DRG Weight,6783.01,,1758.64,,Per Diem,,5275.92,,1724.82,,Per Diem,,5174.46,,9540.12,,Case rate,DRG Factor * DRG Weight,9540.12,,1674.09,,Per Diem,,5022.27,80,,,Percent of total billed charges,,6327.04,61.6,,,Percent of total billed charges,,4871.82,,1741.73,,Per Diem,,5225.19,,1741.73,,Per Diem,,5225.19,65.55,,,Percent of total billed charges,,5184.22,,2079,,Per Diem,,6237,90,,,Percent of total billed charges,,7117.92,,2079,,Per Diem,,6237,,2079,,Per Diem,,6237,64.9,,,Percent of total billed charges,,5132.81,,2079,,Per Diem,,6237,,7272.21,,Case rate,DRG Factor * DRG Weight,7272.21,4871.82,9540.12,
"IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, R132H, R132C)",81120,CPT,,,,Outpatient,Facility,,,1401,560.4,66,,,Percent of total billed charges,,924.66,20.8,,,Percent of total billed charges,,291.41,,197.12,,Case rate,,197.12,,193.25,,Case rate,,193.25,,13.05,,Case rate,,13.05,80,,,Percent of total billed charges,,1120.8,61.6,,,Percent of total billed charges,,863.02,20.6,,,Percent of total billed charges,,288.61,20.6,,,Percent of total billed charges,,288.61,65.55,,,Percent of total billed charges,,918.36,21,,,Percent of total billed charges,,294.21,90,,,Percent of total billed charges,,1260.9,21,,,Percent of total billed charges,,294.21,21,,,Percent of total billed charges,,294.21,64.9,,,Percent of total billed charges,,909.25,21,,,Percent of total billed charges,,294.21,45,,,Percent of total billed charges,,630.45,13.05,1401,
"IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M)",81121,CPT,,,,Outpatient,Facility,,,1401,560.4,66,,,Percent of total billed charges,,924.66,20.8,,,Percent of total billed charges,,291.41,,301.71,,Case rate,,301.71,,295.79,,Case rate,,295.79,,19.98,,Case rate,,19.98,80,,,Percent of total billed charges,,1120.8,61.6,,,Percent of total billed charges,,863.02,20.6,,,Percent of total billed charges,,288.61,20.6,,,Percent of total billed charges,,288.61,65.55,,,Percent of total billed charges,,918.36,21,,,Percent of total billed charges,,294.21,90,,,Percent of total billed charges,,1260.9,21,,,Percent of total billed charges,,294.21,21,,,Percent of total billed charges,,294.21,64.9,,,Percent of total billed charges,,909.25,21,,,Percent of total billed charges,,294.21,45,,,Percent of total billed charges,,630.45,19.98,1401,
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis",81263,CPT,,,,Outpatient,Facility,,,1165,466,66,,,Percent of total billed charges,,768.9,20.8,,,Percent of total billed charges,,242.32,20.4,,,Percent of total billed charges,,237.66,,294.52,,Case rate,,294.52,,33.92,,Case rate,,33.92,80,,,Percent of total billed charges,,932,61.6,,,Percent of total billed charges,,717.64,20.6,,,Percent of total billed charges,,239.99,20.6,,,Percent of total billed charges,,239.99,65.55,,,Percent of total billed charges,,763.66,21,,,Percent of total billed charges,,244.65,90,,,Percent of total billed charges,,1048.5,21,,,Percent of total billed charges,,244.65,21,,,Percent of total billed charges,,244.65,64.9,,,Percent of total billed charges,,756.08,21,,,Percent of total billed charges,,244.65,,1250.22,,Case rate,,1250.22,33.92,1250.22,
"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction)",81261,CPT,,,,Outpatient,Facility,,,692,276.8,66,,,Percent of total billed charges,,456.72,20.8,,,Percent of total billed charges,,143.94,20.4,,,Percent of total billed charges,,141.17,,197.99,,Case rate,,197.99,,23.74,,Case rate,,23.74,80,,,Percent of total billed charges,,553.6,61.6,,,Percent of total billed charges,,426.27,20.6,,,Percent of total billed charges,,142.55,20.6,,,Percent of total billed charges,,142.55,65.55,,,Percent of total billed charges,,453.61,21,,,Percent of total billed charges,,145.32,90,,,Percent of total billed charges,,622.8,21,,,Percent of total billed charges,,145.32,21,,,Percent of total billed charges,,145.32,64.9,,,Percent of total billed charges,,449.11,21,,,Percent of total billed charges,,145.32,,345.72,,Case rate,,345.72,23.74,692,
"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81264,CPT,,,,Outpatient,Facility,,,692,276.8,66,,,Percent of total billed charges,,456.72,20.8,,,Percent of total billed charges,,143.94,20.4,,,Percent of total billed charges,,141.17,,172.73,,Case rate,,172.73,,23.74,,Case rate,,23.74,80,,,Percent of total billed charges,,553.6,61.6,,,Percent of total billed charges,,426.27,20.6,,,Percent of total billed charges,,142.55,20.6,,,Percent of total billed charges,,142.55,65.55,,,Percent of total billed charges,,453.61,21,,,Percent of total billed charges,,145.32,90,,,Percent of total billed charges,,622.8,21,,,Percent of total billed charges,,145.32,21,,,Percent of total billed charges,,145.32,64.9,,,Percent of total billed charges,,449.11,21,,,Percent of total billed charges,,145.32,,750.96,,Case rate,,750.96,23.74,750.96,
"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P)",81260,CPT,,,,Outpatient,Facility,,,141,56.4,66,,,Percent of total billed charges,,93.06,20.8,,,Percent of total billed charges,,29.33,20.4,,,Percent of total billed charges,,28.76,,39.31,,Case rate,,39.31,,13.45,,Case rate,,13.45,80,,,Percent of total billed charges,,112.8,61.6,,,Percent of total billed charges,,86.86,20.6,,,Percent of total billed charges,,29.05,20.6,,,Percent of total billed charges,,29.05,65.55,,,Percent of total billed charges,,92.43,21,,,Percent of total billed charges,,29.61,90,,,Percent of total billed charges,,126.9,21,,,Percent of total billed charges,,29.61,21,,,Percent of total billed charges,,29.61,64.9,,,Percent of total billed charges,,91.51,21,,,Percent of total billed charges,,29.61,,137.85,,Case rate,,137.85,13.45,141,
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous",10030,CPT,,,,Outpatient,Facility,,,1777,710.8,66,,,Percent of total billed charges,,1172.82,20.8,,,Percent of total billed charges,,369.62,20.4,,,Percent of total billed charges,,362.51,,622.51,,Case rate,,622.51,,57.98,,Case rate,,57.98,80,,,Percent of total billed charges,,1421.6,61.6,,,Percent of total billed charges,,1094.63,20.6,,,Percent of total billed charges,,366.06,20.6,,,Percent of total billed charges,,366.06,65.55,,,Percent of total billed charges,,1164.82,21,,,Percent of total billed charges,,373.17,90,,,Percent of total billed charges,,1599.3,21,,,Percent of total billed charges,,373.17,21,,,Percent of total billed charges,,373.17,64.9,,,Percent of total billed charges,,1153.27,21,,,Percent of total billed charges,,373.17,,1608.2,,Case rate,,1608.2,57.98,1777,
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)",90472,CPT,,,,Outpatient,Facility,,,47,18.8,66,,,Percent of total billed charges,,31.02,20.8,,,Percent of total billed charges,,9.78,20.4,,,Percent of total billed charges,,9.59,,13.93,,Case rate,,13.93,,0.4,,Case rate,,0.4,80,,,Percent of total billed charges,,37.6,61.6,,,Percent of total billed charges,,28.95,20.6,,,Percent of total billed charges,,9.68,20.6,,,Percent of total billed charges,,9.68,65.55,,,Percent of total billed charges,,30.81,21,,,Percent of total billed charges,,9.87,90,,,Percent of total billed charges,,42.3,21,,,Percent of total billed charges,,9.87,21,,,Percent of total billed charges,,9.87,64.9,,,Percent of total billed charges,,30.5,21,,,Percent of total billed charges,,9.87,,0.46,,Case rate,,0.46,0.4,47,
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA)",83519,CPT,,,,Outpatient,Facility,,,210,84,66,,,Percent of total billed charges,,138.6,20.8,,,Percent of total billed charges,,43.68,,18.77,,Case rate,,18.77,,18.4,,Case rate,,18.4,,3.91,,Case rate,,3.91,80,,,Percent of total billed charges,,168,61.6,,,Percent of total billed charges,,129.36,20.6,,,Percent of total billed charges,,43.26,20.6,,,Percent of total billed charges,,43.26,65.55,,,Percent of total billed charges,,137.66,21,,,Percent of total billed charges,,44.1,90,,,Percent of total billed charges,,189,21,,,Percent of total billed charges,,44.1,21,,,Percent of total billed charges,,44.1,64.9,,,Percent of total billed charges,,136.29,21,,,Percent of total billed charges,,44.1,,93.56,,Case rate,,93.56,3.91,210,
"Immunoassay for infectious agent antibody, quantitative, not otherwise specified",86317,CPT,,,,Outpatient,Facility,,,99,39.6,66,,,Percent of total billed charges,,65.34,20.8,,,Percent of total billed charges,,20.59,20.4,,,Percent of total billed charges,,20.2,,14.99,,Case rate,,14.99,,3.09,,Case rate,,3.09,80,,,Percent of total billed charges,,79.2,61.6,,,Percent of total billed charges,,60.98,20.6,,,Percent of total billed charges,,20.39,20.6,,,Percent of total billed charges,,20.39,65.55,,,Percent of total billed charges,,64.89,21,,,Percent of total billed charges,,20.79,90,,,Percent of total billed charges,,89.1,21,,,Percent of total billed charges,,20.79,21,,,Percent of total billed charges,,20.79,64.9,,,Percent of total billed charges,,64.25,21,,,Percent of total billed charges,,20.79,,76.42,,Case rate,,76.42,3.09,99,
"Immunoassay for tumor antigen, quantitative; CA 125",86304,CPT,,,,Outpatient,Facility,,,234,93.6,66,,,Percent of total billed charges,,154.44,20.8,,,Percent of total billed charges,,48.67,20.4,,,Percent of total billed charges,,47.74,,20.81,,Case rate,,20.81,,5.88,,Case rate,,5.88,80,,,Percent of total billed charges,,187.2,61.6,,,Percent of total billed charges,,144.14,20.6,,,Percent of total billed charges,,48.2,20.6,,,Percent of total billed charges,,48.2,65.55,,,Percent of total billed charges,,153.39,21,,,Percent of total billed charges,,49.14,90,,,Percent of total billed charges,,210.6,21,,,Percent of total billed charges,,49.14,21,,,Percent of total billed charges,,49.14,64.9,,,Percent of total billed charges,,151.87,21,,,Percent of total billed charges,,49.14,,68.02,,Case rate,,68.02,5.88,234,
"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)",86300,CPT,,,,Outpatient,Facility,,,238,95.2,66,,,Percent of total billed charges,,157.08,20.8,,,Percent of total billed charges,,49.5,20.4,,,Percent of total billed charges,,48.55,,20.81,,Case rate,,20.81,,5.88,,Case rate,,5.88,80,,,Percent of total billed charges,,190.4,61.6,,,Percent of total billed charges,,146.61,20.6,,,Percent of total billed charges,,49.03,20.6,,,Percent of total billed charges,,49.03,65.55,,,Percent of total billed charges,,156.01,21,,,Percent of total billed charges,,49.98,90,,,Percent of total billed charges,,214.2,21,,,Percent of total billed charges,,49.98,21,,,Percent of total billed charges,,49.98,64.9,,,Percent of total billed charges,,154.46,21,,,Percent of total billed charges,,49.98,,70.25,,Case rate,,70.25,5.88,238,
"Immunoassay for tumor antigen, quantitative; CA 19-9",86301,CPT,,,,Outpatient,Facility,,,221,88.4,66,,,Percent of total billed charges,,145.86,20.8,,,Percent of total billed charges,,45.97,20.4,,,Percent of total billed charges,,45.08,,20.81,,Case rate,,20.81,,5.88,,Case rate,,5.88,80,,,Percent of total billed charges,,176.8,61.6,,,Percent of total billed charges,,136.14,20.6,,,Percent of total billed charges,,45.53,20.6,,,Percent of total billed charges,,45.53,65.55,,,Percent of total billed charges,,144.87,21,,,Percent of total billed charges,,46.41,90,,,Percent of total billed charges,,198.9,21,,,Percent of total billed charges,,46.41,21,,,Percent of total billed charges,,46.41,64.9,,,Percent of total billed charges,,143.43,21,,,Percent of total billed charges,,46.41,,72.9,,Case rate,,72.9,5.88,221,
"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody",86331,CPT,,,,Outpatient,Facility,,,81,32.4,66,,,Percent of total billed charges,,53.46,20.8,,,Percent of total billed charges,,16.85,20.4,,,Percent of total billed charges,,16.52,,11.98,,Case rate,,11.98,,2.47,,Case rate,,2.47,80,,,Percent of total billed charges,,64.8,61.6,,,Percent of total billed charges,,49.9,20.6,,,Percent of total billed charges,,16.69,20.6,,,Percent of total billed charges,,16.69,65.55,,,Percent of total billed charges,,53.1,21,,,Percent of total billed charges,,17.01,90,,,Percent of total billed charges,,72.9,21,,,Percent of total billed charges,,17.01,21,,,Percent of total billed charges,,17.01,64.9,,,Percent of total billed charges,,52.57,21,,,Percent of total billed charges,,17.01,,47.82,,Case rate,,47.82,2.47,81,
"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF)",86335,CPT,,,,Outpatient,Facility,,,66,26.4,66,,,Percent of total billed charges,,43.56,20.8,,,Percent of total billed charges,,13.73,20.4,,,Percent of total billed charges,,13.46,,29.35,,Case rate,,29.35,,1.83,,Case rate,,1.83,80,,,Percent of total billed charges,,52.8,61.6,,,Percent of total billed charges,,40.66,20.6,,,Percent of total billed charges,,13.6,20.6,,,Percent of total billed charges,,13.6,65.55,,,Percent of total billed charges,,43.26,21,,,Percent of total billed charges,,13.86,90,,,Percent of total billed charges,,59.4,21,,,Percent of total billed charges,,13.86,21,,,Percent of total billed charges,,13.86,64.9,,,Percent of total billed charges,,42.83,21,,,Percent of total billed charges,,13.86,,33.01,,Case rate,,33.01,1.83,66,
Immunofixation electrophoresis; serum,86334,CPT,,,,Outpatient,Facility,,,250,100,66,,,Percent of total billed charges,,165,20.8,,,Percent of total billed charges,,52,20.4,,,Percent of total billed charges,,51,,22.34,,Case rate,,22.34,,4.6,,Case rate,,4.6,80,,,Percent of total billed charges,,200,61.6,,,Percent of total billed charges,,154,20.6,,,Percent of total billed charges,,51.5,20.6,,,Percent of total billed charges,,51.5,65.55,,,Percent of total billed charges,,163.88,21,,,Percent of total billed charges,,52.5,90,,,Percent of total billed charges,,225,21,,,Percent of total billed charges,,52.5,21,,,Percent of total billed charges,,52.5,64.9,,,Percent of total billed charges,,162.25,21,,,Percent of total billed charges,,52.5,,110.22,,Case rate,,110.22,4.6,250,
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,,,,Outpatient,Facility,,,63,25.2,66,,,Percent of total billed charges,,41.58,20.8,,,Percent of total billed charges,,13.1,20.4,,,Percent of total billed charges,,12.85,,83.14,,Case rate,Use Lesser of logic,63,,3.02,,Case rate,,3.02,80,,,Percent of total billed charges,,50.4,61.6,,,Percent of total billed charges,,38.81,20.6,,,Percent of total billed charges,,12.98,20.6,,,Percent of total billed charges,,12.98,65.55,,,Percent of total billed charges,,41.3,21,,,Percent of total billed charges,,13.23,90,,,Percent of total billed charges,,56.7,21,,,Percent of total billed charges,,13.23,21,,,Percent of total billed charges,,13.23,64.9,,,Percent of total billed charges,,40.89,21,,,Percent of total billed charges,,13.23,,381.38,,Case rate,,381.38,3.02,381.38,
"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88350,CPT,30088350,CDM,TC,Outpatient,Facility,,,63,25.2,66,,,Percent of total billed charges,,41.58,20.8,,,Percent of total billed charges,,13.1,20.4,,,Percent of total billed charges,,12.85,,83.14,,Case rate,Use Lesser of logic,63,,3.02,,Case rate,,3.02,80,,,Percent of total billed charges,,50.4,61.6,,,Percent of total billed charges,,38.81,20.6,,,Percent of total billed charges,,12.98,20.6,,,Percent of total billed charges,,12.98,65.55,,,Percent of total billed charges,,41.3,21,,,Percent of total billed charges,,13.23,90,,,Percent of total billed charges,,56.7,21,,,Percent of total billed charges,,13.23,21,,,Percent of total billed charges,,13.23,64.9,,,Percent of total billed charges,,40.89,21,,,Percent of total billed charges,,13.23,,381.38,,Case rate,,381.38,3.02,381.38,
"Immunoglobulin paraprotein (M-protein), qualitative, immunoprecipitation and mass spectrometry, blood or urine, including isotype",0077U,CPT,,,,Outpatient,Facility,,,166,66.4,66,,,Percent of total billed charges,,109.56,20.8,,,Percent of total billed charges,,34.53,20.4,,,Percent of total billed charges,,33.86,58.8,,,Percent of total billed charges,,97.61,19.8,,,Percent of total billed charges,,32.87,80,,,Percent of total billed charges,,132.8,61.6,,,Percent of total billed charges,,102.26,20.6,,,Percent of total billed charges,,34.2,20.6,,,Percent of total billed charges,,34.2,65.55,,,Percent of total billed charges,,108.81,21,,,Percent of total billed charges,,34.86,90,,,Percent of total billed charges,,149.4,21,,,Percent of total billed charges,,34.86,21,,,Percent of total billed charges,,34.86,64.9,,,Percent of total billed charges,,107.73,21,,,Percent of total billed charges,,34.86,45,,,Percent of total billed charges,,74.7,32.87,166,
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,,,,Outpatient,Facility,,,220,88,66,,,Percent of total billed charges,,145.2,20.8,,,Percent of total billed charges,,45.76,20.4,,,Percent of total billed charges,,44.88,,55.33,,Case rate,,55.33,,3.06,,Case rate,,3.06,80,,,Percent of total billed charges,,176,61.6,,,Percent of total billed charges,,135.52,20.6,,,Percent of total billed charges,,45.32,20.6,,,Percent of total billed charges,,45.32,65.55,,,Percent of total billed charges,,144.21,21,,,Percent of total billed charges,,46.2,90,,,Percent of total billed charges,,198,21,,,Percent of total billed charges,,46.2,21,,,Percent of total billed charges,,46.2,64.9,,,Percent of total billed charges,,142.78,21,,,Percent of total billed charges,,46.2,,150.85,,Case rate,,150.85,3.06,220,
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)",88341,CPT,31088341,CDM,TC,Outpatient,Facility,,,220,88,66,,,Percent of total billed charges,,145.2,20.8,,,Percent of total billed charges,,45.76,20.4,,,Percent of total billed charges,,44.88,,55.33,,Case rate,,55.33,,3.06,,Case rate,,3.06,80,,,Percent of total billed charges,,176,61.6,,,Percent of total billed charges,,135.52,20.6,,,Percent of total billed charges,,45.32,20.6,,,Percent of total billed charges,,45.32,65.55,,,Percent of total billed charges,,144.21,21,,,Percent of total billed charges,,46.2,90,,,Percent of total billed charges,,198,21,,,Percent of total billed charges,,46.2,21,,,Percent of total billed charges,,46.2,64.9,,,Percent of total billed charges,,142.78,21,,,Percent of total billed charges,,46.2,,150.85,,Case rate,,150.85,3.06,220,
"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure",88344,CPT,31088344,CDM,TC,Outpatient,Facility,,,1183,473.2,66,,,Percent of total billed charges,,780.78,20.8,,,Percent of total billed charges,,246.06,20.4,,,Percent of total billed charges,,241.33,,123.3,,Case rate,,123.3,,5.14,,Case rate,,5.14,80,,,Percent of total billed charges,,946.4,61.6,,,Percent of total billed charges,,728.73,20.6,,,Percent of total billed charges,,243.7,20.6,,,Percent of total billed charges,,243.7,65.55,,,Percent of total billed charges,,775.46,21,,,Percent of total billed charges,,248.43,90,,,Percent of total billed charges,,1064.7,21,,,Percent of total billed charges,,248.43,21,,,Percent of total billed charges,,248.43,64.9,,,Percent of total billed charges,,767.77,21,,,Percent of total billed charges,,248.43,,856.03,,Case rate,,856.03,5.14,1183,
"Implantable/insertable device, not otherwise classified",C1889,CPT,,,,Outpatient,Facility,,,181.8,72.72,66,,,Percent of total billed charges,,119.99,20.8,,,Percent of total billed charges,,37.81,20.4,,,Percent of total billed charges,,37.09,48.3,,,Percent of total billed charges,,87.81,19.8,,,Percent of total billed charges,,36,80,,,Percent of total billed charges,,145.44,61.6,,,Percent of total billed charges,,111.99,20.6,,,Percent of total billed charges,,37.45,20.6,,,Percent of total billed charges,,37.45,65.55,,,Percent of total billed charges,,119.17,21,,,Percent of total billed charges,,38.18,90,,,Percent of total billed charges,,163.62,21,,,Percent of total billed charges,,38.18,21,,,Percent of total billed charges,,38.18,64.9,,,Percent of total billed charges,,117.99,21,,,Percent of total billed charges,,38.18,45,,,Percent of total billed charges,,81.81,36,181.8,
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,,,,Outpatient,Facility,,,1114,445.6,66,,,Percent of total billed charges,,735.24,20.8,,,Percent of total billed charges,,231.71,20.4,,,Percent of total billed charges,,227.26,,97.37,,Case rate,,97.37,,4.69,,Case rate,,4.69,80,,,Percent of total billed charges,,891.2,61.6,,,Percent of total billed charges,,686.22,20.6,,,Percent of total billed charges,,229.48,20.6,,,Percent of total billed charges,,229.48,65.55,,,Percent of total billed charges,,730.23,21,,,Percent of total billed charges,,233.94,90,,,Percent of total billed charges,,1002.6,21,,,Percent of total billed charges,,233.94,21,,,Percent of total billed charges,,233.94,64.9,,,Percent of total billed charges,,722.99,21,,,Percent of total billed charges,,233.94,,839.27,,Case rate,,839.27,4.69,1114,
"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)",88364,CPT,31088364,CDM,TC,Outpatient,Facility,,,1114,445.6,66,,,Percent of total billed charges,,735.24,20.8,,,Percent of total billed charges,,231.71,20.4,,,Percent of total billed charges,,227.26,,97.37,,Case rate,,97.37,,4.69,,Case rate,,4.69,80,,,Percent of total billed charges,,891.2,61.6,,,Percent of total billed charges,,686.22,20.6,,,Percent of total billed charges,,229.48,20.6,,,Percent of total billed charges,,229.48,65.55,,,Percent of total billed charges,,730.23,21,,,Percent of total billed charges,,233.94,90,,,Percent of total billed charges,,1002.6,21,,,Percent of total billed charges,,233.94,21,,,Percent of total billed charges,,233.94,64.9,,,Percent of total billed charges,,722.99,21,,,Percent of total billed charges,,233.94,,839.27,,Case rate,,839.27,4.69,1114,
"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure",88365,CPT,31088365,CDM,TC,Outpatient,Facility,,,200,80,66,,,Percent of total billed charges,,132,20.8,,,Percent of total billed charges,,41.6,20.4,,,Percent of total billed charges,,40.8,,130.56,,Case rate,,130.56,,2.79,,Case rate,,2.79,80,,,Percent of total billed charges,,160,61.6,,,Percent of total billed charges,,123.2,20.6,,,Percent of total billed charges,,41.2,20.6,,,Percent of total billed charges,,41.2,65.55,,,Percent of total billed charges,,131.1,21,,,Percent of total billed charges,,42,90,,,Percent of total billed charges,,180,21,,,Percent of total billed charges,,42,21,,,Percent of total billed charges,,42,64.9,,,Percent of total billed charges,,129.8,21,,,Percent of total billed charges,,42,,54.51,,Case rate,,54.51,2.79,200,
Incision and drainage abscess; peritonsillar,42700,CPT,,,,Outpatient,Facility,,,1181,472.4,66,,,Percent of total billed charges,,779.46,20.8,,,Percent of total billed charges,,245.65,20.4,,,Percent of total billed charges,,240.92,,187.89,,Case rate,,187.89,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,944.8,61.6,,,Percent of total billed charges,,727.5,20.6,,,Percent of total billed charges,,243.29,20.6,,,Percent of total billed charges,,243.29,65.55,,,Percent of total billed charges,,774.15,21,,,Percent of total billed charges,,248.01,90,,,Percent of total billed charges,,1062.9,21,,,Percent of total billed charges,,248.01,21,,,Percent of total billed charges,,248.01,64.9,,,Percent of total billed charges,,766.47,21,,,Percent of total billed charges,,248.01,,1420.48,,Case rate,,1420.48,58.06,1420.48,
"Incision and drainage of hematoma, seroma or fluid collection",10140,CPT,,,,Outpatient,Facility,,,1296,518.4,66,,,Percent of total billed charges,,855.36,20.8,,,Percent of total billed charges,,269.57,20.4,,,Percent of total billed charges,,264.38,,163.7,,Case rate,,163.7,,21.78,,Case rate,,21.78,80,,,Percent of total billed charges,,1036.8,61.6,,,Percent of total billed charges,,798.34,20.6,,,Percent of total billed charges,,266.98,20.6,,,Percent of total billed charges,,266.98,65.55,,,Percent of total billed charges,,849.53,21,,,Percent of total billed charges,,272.16,90,,,Percent of total billed charges,,1166.4,21,,,Percent of total billed charges,,272.16,21,,,Percent of total billed charges,,272.16,64.9,,,Percent of total billed charges,,841.1,21,,,Percent of total billed charges,,272.16,,528.37,,Case rate,,528.37,21.78,1296,
Incision and drainage of pilonidal cyst; complicated,10081,CPT,,,,Outpatient,Facility,,,1296,518.4,66,,,Percent of total billed charges,,855.36,20.8,,,Percent of total billed charges,,269.57,20.4,,,Percent of total billed charges,,264.38,,332.51,,Case rate,,332.51,,35.64,,Case rate,,35.64,80,,,Percent of total billed charges,,1036.8,61.6,,,Percent of total billed charges,,798.34,20.6,,,Percent of total billed charges,,266.98,20.6,,,Percent of total billed charges,,266.98,65.55,,,Percent of total billed charges,,849.53,21,,,Percent of total billed charges,,272.16,90,,,Percent of total billed charges,,1166.4,21,,,Percent of total billed charges,,272.16,21,,,Percent of total billed charges,,272.16,64.9,,,Percent of total billed charges,,841.1,21,,,Percent of total billed charges,,272.16,,868.47,,Case rate,,868.47,35.64,1296,
Incision and drainage of pilonidal cyst; simple,10080,CPT,,,,Outpatient,Facility,,,410,164,66,,,Percent of total billed charges,,270.6,20.8,,,Percent of total billed charges,,85.28,20.4,,,Percent of total billed charges,,83.64,,242.25,,Case rate,,242.25,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,328,61.6,,,Percent of total billed charges,,252.56,20.6,,,Percent of total billed charges,,84.46,20.6,,,Percent of total billed charges,,84.46,65.55,,,Percent of total billed charges,,268.76,21,,,Percent of total billed charges,,86.1,90,,,Percent of total billed charges,,369,21,,,Percent of total billed charges,,86.1,21,,,Percent of total billed charges,,86.1,64.9,,,Percent of total billed charges,,266.09,21,,,Percent of total billed charges,,86.1,,348.36,,Case rate,,348.36,13.86,410,
"Incision and drainage, bursa, foot",28001,CPT,,,,Outpatient,Facility,,,3549,1419.6,66,,,Percent of total billed charges,,2342.34,20.8,,,Percent of total billed charges,,738.19,20.4,,,Percent of total billed charges,,724,,165.94,,Case rate,,165.94,,118.08,,Case rate,,118.08,80,,,Percent of total billed charges,,2839.2,61.6,,,Percent of total billed charges,,2186.18,20.6,,,Percent of total billed charges,,731.09,20.6,,,Percent of total billed charges,,731.09,65.55,,,Percent of total billed charges,,2326.37,21,,,Percent of total billed charges,,745.29,90,,,Percent of total billed charges,,3194.1,21,,,Percent of total billed charges,,745.29,21,,,Percent of total billed charges,,745.29,64.9,,,Percent of total billed charges,,2303.3,21,,,Percent of total billed charges,,745.29,,2899.69,,Case rate,,2899.69,118.08,3549,
"Incision and drainage, complex, postoperative wound infection",10180,CPT,,,,Outpatient,Facility,,,2341,936.4,66,,,Percent of total billed charges,,1545.06,20.8,,,Percent of total billed charges,,486.93,20.4,,,Percent of total billed charges,,477.56,,254.84,,Case rate,,254.84,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1872.8,61.6,,,Percent of total billed charges,,1442.06,20.6,,,Percent of total billed charges,,482.25,20.6,,,Percent of total billed charges,,482.25,65.55,,,Percent of total billed charges,,1534.53,21,,,Percent of total billed charges,,491.61,90,,,Percent of total billed charges,,2106.9,21,,,Percent of total billed charges,,491.61,21,,,Percent of total billed charges,,491.61,64.9,,,Percent of total billed charges,,1519.31,21,,,Percent of total billed charges,,491.61,,1906.09,,Case rate,,1906.09,77.74,2341,
"Incision and drainage, perianal abscess, superficial",46050,CPT,,,,Outpatient,Facility,,,1756,702.4,66,,,Percent of total billed charges,,1158.96,20.8,,,Percent of total billed charges,,365.25,20.4,,,Percent of total billed charges,,358.22,,228.65,,Case rate,,228.65,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1404.8,61.6,,,Percent of total billed charges,,1081.7,20.6,,,Percent of total billed charges,,361.74,20.6,,,Percent of total billed charges,,361.74,65.55,,,Percent of total billed charges,,1151.06,21,,,Percent of total billed charges,,368.76,90,,,Percent of total billed charges,,1580.4,21,,,Percent of total billed charges,,368.76,21,,,Percent of total billed charges,,368.76,64.9,,,Percent of total billed charges,,1139.64,21,,,Percent of total billed charges,,368.76,,1435.38,,Case rate,,1435.38,58.06,1756,
"Incision and removal of foreign body, subcutaneous tissues; complicated",10121,CPT,,,,Outpatient,Facility,,,4877,1950.8,66,,,Percent of total billed charges,,3218.82,20.8,,,Percent of total billed charges,,1014.42,20.4,,,Percent of total billed charges,,994.91,,256.59,,Case rate,,256.59,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,3901.6,61.6,,,Percent of total billed charges,,3004.23,20.6,,,Percent of total billed charges,,1004.66,20.6,,,Percent of total billed charges,,1004.66,65.55,,,Percent of total billed charges,,3196.87,21,,,Percent of total billed charges,,1024.17,90,,,Percent of total billed charges,,4389.3,21,,,Percent of total billed charges,,1024.17,21,,,Percent of total billed charges,,1024.17,64.9,,,Percent of total billed charges,,3165.17,21,,,Percent of total billed charges,,1024.17,,1904.42,,Case rate,,1904.42,77.74,4877,
"Incision and removal of foreign body, subcutaneous tissues; simple",10120,CPT,,,,Outpatient,Facility,,,425,170,66,,,Percent of total billed charges,,280.5,20.8,,,Percent of total billed charges,,88.4,20.4,,,Percent of total billed charges,,86.7,,146.15,,Case rate,,146.15,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,340,61.6,,,Percent of total billed charges,,261.8,20.6,,,Percent of total billed charges,,87.55,20.6,,,Percent of total billed charges,,87.55,65.55,,,Percent of total billed charges,,278.59,21,,,Percent of total billed charges,,89.25,90,,,Percent of total billed charges,,382.5,21,,,Percent of total billed charges,,89.25,21,,,Percent of total billed charges,,89.25,64.9,,,Percent of total billed charges,,275.82,21,,,Percent of total billed charges,,89.25,,347.06,,Case rate,,347.06,13.86,425,
"Incision of thrombosed hemorrhoid, external",46083,CPT,,,,Outpatient,Facility,,,403,161.2,66,,,Percent of total billed charges,,265.98,20.8,,,Percent of total billed charges,,83.82,20.4,,,Percent of total billed charges,,82.21,,201.28,,Case rate,,201.28,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,322.4,61.6,,,Percent of total billed charges,,248.25,20.6,,,Percent of total billed charges,,83.02,20.6,,,Percent of total billed charges,,83.02,65.55,,,Percent of total billed charges,,264.17,21,,,Percent of total billed charges,,84.63,90,,,Percent of total billed charges,,362.7,21,,,Percent of total billed charges,,84.63,21,,,Percent of total billed charges,,84.63,64.9,,,Percent of total billed charges,,261.55,21,,,Percent of total billed charges,,84.63,,332.25,,Case rate,,332.25,13.86,403,
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure)",11107,CPT,,,,Outpatient,Facility,,,515,206,66,,,Percent of total billed charges,,339.9,20.8,,,Percent of total billed charges,,107.12,20.4,,,Percent of total billed charges,,105.06,,69.14,,Case rate,,69.14,,4.57,,Case rate,,4.57,80,,,Percent of total billed charges,,412,61.6,,,Percent of total billed charges,,317.24,20.6,,,Percent of total billed charges,,106.09,20.6,,,Percent of total billed charges,,106.09,65.55,,,Percent of total billed charges,,337.58,21,,,Percent of total billed charges,,108.15,90,,,Percent of total billed charges,,463.5,21,,,Percent of total billed charges,,108.15,21,,,Percent of total billed charges,,108.15,64.9,,,Percent of total billed charges,,334.24,21,,,Percent of total billed charges,,108.15,,106.93,,Case rate,,106.93,4.57,515,
"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",A4338,CPT,,,,Outpatient,Facility,,,53.13,21.25,66,,,Percent of total billed charges,,35.07,20.8,,,Percent of total billed charges,,11.05,20.4,,,Percent of total billed charges,,10.84,,14.03,,Case rate,,14.03,,1.89,,Case rate,,1.89,80,,,Percent of total billed charges,,42.5,61.6,,,Percent of total billed charges,,32.73,20.6,,,Percent of total billed charges,,10.94,20.6,,,Percent of total billed charges,,10.94,65.55,,,Percent of total billed charges,,34.83,21,,,Percent of total billed charges,,11.16,90,,,Percent of total billed charges,,47.82,21,,,Percent of total billed charges,,11.16,21,,,Percent of total billed charges,,11.16,64.9,,,Percent of total billed charges,,34.48,21,,,Percent of total billed charges,,11.16,,49.03,,Case rate,,49.03,1.89,53.13,
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Helicobacter pylori, stool",87338,CPT,,,,Outpatient,Facility,,,244,97.6,66,,,Percent of total billed charges,,161.04,20.8,,,Percent of total billed charges,,50.75,,14.67,,Case rate,,14.67,,14.38,,Case rate,,14.38,,2.73,,Case rate,,2.73,80,,,Percent of total billed charges,,195.2,61.6,,,Percent of total billed charges,,150.3,20.6,,,Percent of total billed charges,,50.26,20.6,,,Percent of total billed charges,,50.26,65.55,,,Percent of total billed charges,,159.94,21,,,Percent of total billed charges,,51.24,90,,,Percent of total billed charges,,219.6,21,,,Percent of total billed charges,,51.24,21,,,Percent of total billed charges,,51.24,64.9,,,Percent of total billed charges,,158.36,21,,,Percent of total billed charges,,51.24,,52.88,,Case rate,,52.88,2.73,244,
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg)",87340,CPT,,,,Outpatient,Facility,,,76,30.4,66,,,Percent of total billed charges,,50.16,20.8,,,Percent of total billed charges,,15.81,20.4,,,Percent of total billed charges,,15.5,,10.33,,Case rate,,10.33,,2.83,,Case rate,,2.83,80,,,Percent of total billed charges,,60.8,61.6,,,Percent of total billed charges,,46.82,20.6,,,Percent of total billed charges,,15.66,20.6,,,Percent of total billed charges,,15.66,65.55,,,Percent of total billed charges,,49.82,21,,,Percent of total billed charges,,15.96,90,,,Percent of total billed charges,,68.4,21,,,Percent of total billed charges,,15.96,21,,,Percent of total billed charges,,15.96,64.9,,,Percent of total billed charges,,49.32,21,,,Percent of total billed charges,,15.96,,55.39,,Case rate,,55.39,2.83,76,
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis Be antigen (HBeAg)",87350,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,11.53,,Case rate,,11.53,,3.15,,Case rate,,3.15,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,75.4,,Case rate,,75.4,3.15,92,
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis, delta agent",87380,CPT,,,,Outpatient,Facility,,,166,66.4,66,,,Percent of total billed charges,,109.56,20.8,,,Percent of total billed charges,,34.53,20.4,,,Percent of total billed charges,,33.86,,18.36,,Case rate,,18.36,,4.49,,Case rate,,4.49,80,,,Percent of total billed charges,,132.8,61.6,,,Percent of total billed charges,,102.26,20.6,,,Percent of total billed charges,,34.2,20.6,,,Percent of total billed charges,,34.2,65.55,,,Percent of total billed charges,,108.81,21,,,Percent of total billed charges,,34.86,90,,,Percent of total billed charges,,149.4,21,,,Percent of total billed charges,,34.86,21,,,Percent of total billed charges,,34.86,64.9,,,Percent of total billed charges,,107.73,21,,,Percent of total billed charges,,34.86,,104.84,,Case rate,,104.84,4.49,166,
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; rotavirus",87425,CPT,,,,Outpatient,Facility,,,147,58.8,66,,,Percent of total billed charges,,97.02,20.8,,,Percent of total billed charges,,30.58,,12.22,,Case rate,,12.22,,11.98,,Case rate,,11.98,,3.34,,Case rate,,3.34,80,,,Percent of total billed charges,,117.6,61.6,,,Percent of total billed charges,,90.55,20.6,,,Percent of total billed charges,,30.28,20.6,,,Percent of total billed charges,,30.28,65.55,,,Percent of total billed charges,,96.36,21,,,Percent of total billed charges,,30.87,90,,,Percent of total billed charges,,132.3,21,,,Percent of total billed charges,,30.87,21,,,Percent of total billed charges,,30.87,64.9,,,Percent of total billed charges,,95.4,21,,,Percent of total billed charges,,30.87,,65.65,,Case rate,,65.65,3.34,147,
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus",87807,CPT,,,,Outpatient,Facility,,,317,126.8,66,,,Percent of total billed charges,,209.22,20.8,,,Percent of total billed charges,,65.94,20.4,,,Percent of total billed charges,,64.67,,13.1,,Case rate,,13.1,,3.15,,Case rate,,3.15,80,,,Percent of total billed charges,,253.6,61.6,,,Percent of total billed charges,,195.27,20.6,,,Percent of total billed charges,,65.3,20.6,,,Percent of total billed charges,,65.3,65.55,,,Percent of total billed charges,,207.79,21,,,Percent of total billed charges,,66.57,90,,,Percent of total billed charges,,285.3,21,,,Percent of total billed charges,,66.57,21,,,Percent of total billed charges,,66.57,64.9,,,Percent of total billed charges,,205.73,21,,,Percent of total billed charges,,66.57,,213.11,,Case rate,,213.11,3.15,317,
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A",87880,CPT,,,,Outpatient,Facility,,,58,23.2,66,,,Percent of total billed charges,,38.28,20.8,,,Percent of total billed charges,,12.06,20.4,,,Percent of total billed charges,,11.83,,16.53,,Case rate,,16.53,,1.69,,Case rate,,1.69,80,,,Percent of total billed charges,,46.4,61.6,,,Percent of total billed charges,,35.73,20.6,,,Percent of total billed charges,,11.95,20.6,,,Percent of total billed charges,,11.95,65.55,,,Percent of total billed charges,,38.02,21,,,Percent of total billed charges,,12.18,90,,,Percent of total billed charges,,52.2,21,,,Percent of total billed charges,,12.18,21,,,Percent of total billed charges,,12.18,64.9,,,Percent of total billed charges,,37.64,21,,,Percent of total billed charges,,12.18,,29.58,,Case rate,,29.58,1.69,58,
Infectious agent antigen detection by immunofluorescent technique; cryptosporidium,87272,CPT,,,,Outpatient,Facility,,,128,51.2,66,,,Percent of total billed charges,,84.48,20.8,,,Percent of total billed charges,,26.62,,12.22,,Case rate,,12.22,,11.98,,Case rate,,11.98,,3.34,,Case rate,,3.34,80,,,Percent of total billed charges,,102.4,61.6,,,Percent of total billed charges,,78.85,20.6,,,Percent of total billed charges,,26.37,20.6,,,Percent of total billed charges,,26.37,65.55,,,Percent of total billed charges,,83.9,21,,,Percent of total billed charges,,26.88,90,,,Percent of total billed charges,,115.2,21,,,Percent of total billed charges,,26.88,21,,,Percent of total billed charges,,26.88,64.9,,,Percent of total billed charges,,83.07,21,,,Percent of total billed charges,,26.88,,66.02,,Case rate,,66.02,3.34,128,
Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila,87278,CPT,,,,Outpatient,Facility,,,144,57.6,66,,,Percent of total billed charges,,95.04,20.8,,,Percent of total billed charges,,29.95,20.4,,,Percent of total billed charges,,29.38,,15.6,,Case rate,,15.6,,4.95,,Case rate,,4.95,80,,,Percent of total billed charges,,115.2,61.6,,,Percent of total billed charges,,88.7,20.6,,,Percent of total billed charges,,29.66,20.6,,,Percent of total billed charges,,29.66,65.55,,,Percent of total billed charges,,94.39,21,,,Percent of total billed charges,,30.24,90,,,Percent of total billed charges,,129.6,21,,,Percent of total billed charges,,30.24,21,,,Percent of total billed charges,,30.24,64.9,,,Percent of total billed charges,,93.46,21,,,Percent of total billed charges,,30.24,,115.7,,Case rate,,115.7,4.95,144,
"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique",87801,CPT,,,,Outpatient,Facility,,,499,199.6,66,,,Percent of total billed charges,,329.34,20.8,,,Percent of total billed charges,,103.79,20.4,,,Percent of total billed charges,,101.8,,70.2,,Case rate,,70.2,,9.92,,Case rate,,9.92,80,,,Percent of total billed charges,,399.2,61.6,,,Percent of total billed charges,,307.38,20.6,,,Percent of total billed charges,,102.79,20.6,,,Percent of total billed charges,,102.79,65.55,,,Percent of total billed charges,,327.09,21,,,Percent of total billed charges,,104.79,90,,,Percent of total billed charges,,449.1,21,,,Percent of total billed charges,,104.79,21,,,Percent of total billed charges,,104.79,64.9,,,Percent of total billed charges,,323.85,21,,,Percent of total billed charges,,104.79,,174.58,,Case rate,,174.58,9.92,499,
"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique",87471,CPT,,,,Outpatient,Facility,,,286,114.4,66,,,Percent of total billed charges,,188.76,20.8,,,Percent of total billed charges,,59.49,20.4,,,Percent of total billed charges,,58.34,,35.09,,Case rate,,35.09,,9.6,,Case rate,,9.6,80,,,Percent of total billed charges,,228.8,61.6,,,Percent of total billed charges,,176.18,20.6,,,Percent of total billed charges,,58.92,20.6,,,Percent of total billed charges,,58.92,65.55,,,Percent of total billed charges,,187.47,21,,,Percent of total billed charges,,60.06,90,,,Percent of total billed charges,,257.4,21,,,Percent of total billed charges,,60.06,21,,,Percent of total billed charges,,60.06,64.9,,,Percent of total billed charges,,185.61,21,,,Percent of total billed charges,,60.06,,206.98,,Case rate,,206.98,9.6,286,
"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique",87480,CPT,,,,Outpatient,Facility,,,153,61.2,66,,,Percent of total billed charges,,100.98,20.8,,,Percent of total billed charges,,31.82,20.4,,,Percent of total billed charges,,31.21,,20.05,,Case rate,,20.05,,5.49,,Case rate,,5.49,80,,,Percent of total billed charges,,122.4,61.6,,,Percent of total billed charges,,94.25,20.6,,,Percent of total billed charges,,31.52,20.6,,,Percent of total billed charges,,31.52,65.55,,,Percent of total billed charges,,100.29,21,,,Percent of total billed charges,,32.13,90,,,Percent of total billed charges,,137.7,21,,,Percent of total billed charges,,32.13,21,,,Percent of total billed charges,,32.13,64.9,,,Percent of total billed charges,,99.3,21,,,Percent of total billed charges,,32.13,,114.17,,Case rate,,114.17,5.49,153,
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique",87491,CPT,,,,Outpatient,Facility,,,281,112.4,66,,,Percent of total billed charges,,185.46,20.8,,,Percent of total billed charges,,58.45,20.4,,,Percent of total billed charges,,57.32,,35.09,,Case rate,,35.09,,9.6,,Case rate,,9.6,80,,,Percent of total billed charges,,224.8,61.6,,,Percent of total billed charges,,173.1,20.6,,,Percent of total billed charges,,57.89,20.6,,,Percent of total billed charges,,57.89,65.55,,,Percent of total billed charges,,184.2,21,,,Percent of total billed charges,,59.01,90,,,Percent of total billed charges,,252.9,21,,,Percent of total billed charges,,59.01,21,,,Percent of total billed charges,,59.01,64.9,,,Percent of total billed charges,,182.37,21,,,Percent of total billed charges,,59.01,,205.27,,Case rate,,205.27,9.6,281,
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique",87496,CPT,,,,Outpatient,Facility,,,352,140.8,66,,,Percent of total billed charges,,232.32,20.8,,,Percent of total billed charges,,73.22,20.4,,,Percent of total billed charges,,71.81,,35.09,,Case rate,,35.09,,9.6,,Case rate,,9.6,80,,,Percent of total billed charges,,281.6,61.6,,,Percent of total billed charges,,216.83,20.6,,,Percent of total billed charges,,72.51,20.6,,,Percent of total billed charges,,72.51,65.55,,,Percent of total billed charges,,230.74,21,,,Percent of total billed charges,,73.92,90,,,Percent of total billed charges,,316.8,21,,,Percent of total billed charges,,73.92,21,,,Percent of total billed charges,,73.92,64.9,,,Percent of total billed charges,,228.45,21,,,Percent of total billed charges,,73.92,,219.71,,Case rate,,219.71,9.6,352,
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification",87497,CPT,,,,Outpatient,Facility,,,347,138.8,66,,,Percent of total billed charges,,229.02,20.8,,,Percent of total billed charges,,72.18,20.4,,,Percent of total billed charges,,70.79,,42.84,,Case rate,,42.84,,12.11,,Case rate,,12.11,80,,,Percent of total billed charges,,277.6,61.6,,,Percent of total billed charges,,213.75,20.6,,,Percent of total billed charges,,71.48,20.6,,,Percent of total billed charges,,71.48,65.55,,,Percent of total billed charges,,227.46,21,,,Percent of total billed charges,,72.87,90,,,Percent of total billed charges,,312.3,21,,,Percent of total billed charges,,72.87,21,,,Percent of total billed charges,,72.87,64.9,,,Percent of total billed charges,,225.2,21,,,Percent of total billed charges,,72.87,,275.28,,Case rate,,275.28,12.11,347,
"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique",87510,CPT,,,,Outpatient,Facility,,,172,68.8,66,,,Percent of total billed charges,,113.52,20.8,,,Percent of total billed charges,,35.78,20.4,,,Percent of total billed charges,,35.09,,20.05,,Case rate,,20.05,,5.49,,Case rate,,5.49,80,,,Percent of total billed charges,,137.6,61.6,,,Percent of total billed charges,,105.95,20.6,,,Percent of total billed charges,,35.43,20.6,,,Percent of total billed charges,,35.43,65.55,,,Percent of total billed charges,,112.75,21,,,Percent of total billed charges,,36.12,90,,,Percent of total billed charges,,154.8,21,,,Percent of total billed charges,,36.12,21,,,Percent of total billed charges,,36.12,64.9,,,Percent of total billed charges,,111.63,21,,,Percent of total billed charges,,36.12,,127.13,,Case rate,,127.13,5.49,172,
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique",87532,CPT,,,,Outpatient,Facility,,,166,66.4,66,,,Percent of total billed charges,,109.56,20.8,,,Percent of total billed charges,,34.53,20.4,,,Percent of total billed charges,,33.86,,35.09,,Case rate,,35.09,,9.6,,Case rate,,9.6,80,,,Percent of total billed charges,,132.8,61.6,,,Percent of total billed charges,,102.26,20.6,,,Percent of total billed charges,,34.2,20.6,,,Percent of total billed charges,,34.2,65.55,,,Percent of total billed charges,,108.81,21,,,Percent of total billed charges,,34.86,90,,,Percent of total billed charges,,149.4,21,,,Percent of total billed charges,,34.86,21,,,Percent of total billed charges,,34.86,64.9,,,Percent of total billed charges,,107.73,21,,,Percent of total billed charges,,34.86,,207.12,,Case rate,,207.12,9.6,207.12,
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed",87536,CPT,,,,Outpatient,Facility,,,690,276,66,,,Percent of total billed charges,,455.4,20.8,,,Percent of total billed charges,,143.52,20.4,,,Percent of total billed charges,,140.76,,85.1,,Case rate,,85.1,,24.06,,Case rate,,24.06,80,,,Percent of total billed charges,,552,61.6,,,Percent of total billed charges,,425.04,20.6,,,Percent of total billed charges,,142.14,20.6,,,Percent of total billed charges,,142.14,65.55,,,Percent of total billed charges,,452.3,21,,,Percent of total billed charges,,144.9,90,,,Percent of total billed charges,,621,21,,,Percent of total billed charges,,144.9,21,,,Percent of total billed charges,,144.9,64.9,,,Percent of total billed charges,,447.81,21,,,Percent of total billed charges,,144.9,,541.75,,Case rate,,541.75,24.06,690,
"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype",87501,CPT,,,,Outpatient,Facility,,,281,112.4,66,,,Percent of total billed charges,,185.46,20.8,,,Percent of total billed charges,,58.45,20.4,,,Percent of total billed charges,,57.32,,51.31,,Case rate,,51.31,,14.3,,Case rate,,14.3,80,,,Percent of total billed charges,,224.8,61.6,,,Percent of total billed charges,,173.1,20.6,,,Percent of total billed charges,,57.89,20.6,,,Percent of total billed charges,,57.89,65.55,,,Percent of total billed charges,,184.2,21,,,Percent of total billed charges,,59.01,90,,,Percent of total billed charges,,252.9,21,,,Percent of total billed charges,,59.01,21,,,Percent of total billed charges,,59.01,64.9,,,Percent of total billed charges,,182.37,21,,,Percent of total billed charges,,59.01,,182.01,,Case rate,,182.01,14.3,281,
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique",87563,CPT,,,,Outpatient,Facility,,,281,112.4,66,,,Percent of total billed charges,,185.46,20.8,,,Percent of total billed charges,,58.45,,35.79,,Case rate,,35.79,,35.09,,Case rate,,35.09,,2.09,,Case rate,,2.09,80,,,Percent of total billed charges,,224.8,61.6,,,Percent of total billed charges,,173.1,20.6,,,Percent of total billed charges,,57.89,20.6,,,Percent of total billed charges,,57.89,65.55,,,Percent of total billed charges,,184.2,21,,,Percent of total billed charges,,59.01,90,,,Percent of total billed charges,,252.9,21,,,Percent of total billed charges,,59.01,21,,,Percent of total billed charges,,59.01,64.9,,,Percent of total billed charges,,182.37,21,,,Percent of total billed charges,,59.01,,119.79,,Case rate,,119.79,2.09,281,
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique",87581,CPT,,,,Outpatient,Facility,,,272,108.8,66,,,Percent of total billed charges,,179.52,20.8,,,Percent of total billed charges,,56.58,,35.79,,Case rate,,35.79,,35.09,,Case rate,,35.09,,9.6,,Case rate,,9.6,80,,,Percent of total billed charges,,217.6,61.6,,,Percent of total billed charges,,167.55,20.6,,,Percent of total billed charges,,56.03,20.6,,,Percent of total billed charges,,56.03,65.55,,,Percent of total billed charges,,178.3,21,,,Percent of total billed charges,,57.12,90,,,Percent of total billed charges,,244.8,21,,,Percent of total billed charges,,57.12,21,,,Percent of total billed charges,,57.12,64.9,,,Percent of total billed charges,,176.53,21,,,Percent of total billed charges,,57.12,,205.87,,Case rate,,205.87,9.6,272,
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique",87591,CPT,,,,Outpatient,Facility,,,277,110.8,66,,,Percent of total billed charges,,182.82,20.8,,,Percent of total billed charges,,57.62,20.4,,,Percent of total billed charges,,56.51,,35.09,,Case rate,,35.09,,9.6,,Case rate,,9.6,80,,,Percent of total billed charges,,221.6,61.6,,,Percent of total billed charges,,170.63,20.6,,,Percent of total billed charges,,57.06,20.6,,,Percent of total billed charges,,57.06,65.55,,,Percent of total billed charges,,181.57,21,,,Percent of total billed charges,,58.17,90,,,Percent of total billed charges,,249.3,21,,,Percent of total billed charges,,58.17,21,,,Percent of total billed charges,,58.17,64.9,,,Percent of total billed charges,,179.77,21,,,Percent of total billed charges,,58.17,,206.1,,Case rate,,206.1,9.6,277,
"Infectious agent detection by nucleic acid (DNA or RNA); orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each",87593,CPT,,,,Outpatient,Facility,,,116,46.4,66,,,Percent of total billed charges,,76.56,20.8,,,Percent of total billed charges,,24.13,20.4,,,Percent of total billed charges,,23.66,,24.56,,Case rate,,24.56,19.8,,,Percent of total billed charges,,22.97,80,,,Percent of total billed charges,,92.8,61.6,,,Percent of total billed charges,,71.46,20.6,,,Percent of total billed charges,,23.9,20.6,,,Percent of total billed charges,,23.9,65.55,,,Percent of total billed charges,,76.04,21,,,Percent of total billed charges,,24.36,90,,,Percent of total billed charges,,104.4,21,,,Percent of total billed charges,,24.36,21,,,Percent of total billed charges,,24.36,64.9,,,Percent of total billed charges,,75.28,21,,,Percent of total billed charges,,24.36,45,,,Percent of total billed charges,,52.2,22.97,116,
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets",87633,CPT,,,,Outpatient,Facility,,,2900,1160,66,,,Percent of total billed charges,,1914,20.8,,,Percent of total billed charges,,603.2,20.4,,,Percent of total billed charges,,591.6,,416.78,,Case rate,,416.78,,52.03,,Case rate,,52.03,80,,,Percent of total billed charges,,2320,61.6,,,Percent of total billed charges,,1786.4,20.6,,,Percent of total billed charges,,597.4,20.6,,,Percent of total billed charges,,597.4,65.55,,,Percent of total billed charges,,1900.95,21,,,Percent of total billed charges,,609,90,,,Percent of total billed charges,,2610,21,,,Percent of total billed charges,,609,21,,,Percent of total billed charges,,609,64.9,,,Percent of total billed charges,,1882.1,21,,,Percent of total billed charges,,609,,2058.33,,Case rate,,2058.33,52.03,2900,
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets",87631,CPT,,,,Outpatient,Facility,,,261,104.4,66,,,Percent of total billed charges,,172.26,20.8,,,Percent of total billed charges,,54.29,20.4,,,Percent of total billed charges,,53.24,,142.63,,Case rate,,142.63,,16.02,,Case rate,,16.02,80,,,Percent of total billed charges,,208.8,61.6,,,Percent of total billed charges,,160.78,20.6,,,Percent of total billed charges,,53.77,20.6,,,Percent of total billed charges,,53.77,65.55,,,Percent of total billed charges,,171.09,21,,,Percent of total billed charges,,54.81,90,,,Percent of total billed charges,,234.9,21,,,Percent of total billed charges,,54.81,21,,,Percent of total billed charges,,54.81,64.9,,,Percent of total billed charges,,169.39,21,,,Percent of total billed charges,,54.81,,493.09,,Case rate,,493.09,16.02,493.09,
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique",87635,CPT,,,,Outpatient,Facility,,,375,150,66,,,Percent of total billed charges,,247.5,20.8,,,Percent of total billed charges,,78,20.4,,,Percent of total billed charges,,76.5,,51.31,,Case rate,,51.31,,10.16,,Case rate,,10.16,80,,,Percent of total billed charges,,300,61.6,,,Percent of total billed charges,,231,20.6,,,Percent of total billed charges,,77.25,20.6,,,Percent of total billed charges,,77.25,65.55,,,Percent of total billed charges,,245.81,21,,,Percent of total billed charges,,78.75,90,,,Percent of total billed charges,,337.5,21,,,Percent of total billed charges,,78.75,21,,,Percent of total billed charges,,78.75,64.9,,,Percent of total billed charges,,243.38,21,,,Percent of total billed charges,,78.75,,81.25,,Case rate,,81.25,10.16,375,
Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus,87912,CPT,,,,Outpatient,Facility,,,1024,409.6,66,,,Percent of total billed charges,,675.84,20.8,,,Percent of total billed charges,,212.99,20.4,,,Percent of total billed charges,,208.9,,257.45,,Case rate,,257.45,,32.14,,Case rate,,32.14,80,,,Percent of total billed charges,,819.2,61.6,,,Percent of total billed charges,,630.78,20.6,,,Percent of total billed charges,,210.94,20.6,,,Percent of total billed charges,,210.94,65.55,,,Percent of total billed charges,,671.23,21,,,Percent of total billed charges,,215.04,90,,,Percent of total billed charges,,921.6,21,,,Percent of total billed charges,,215.04,21,,,Percent of total billed charges,,215.04,64.9,,,Percent of total billed charges,,664.58,21,,,Percent of total billed charges,,215.04,45,,,Percent of total billed charges,,460.8,32.14,1024,
infectious and parasitic diseases with o.r. procedures with mcc,853,MS-DRG,,,,Inpatient,Facility,,,100632.37,40252.95,,45003.7,,Case rate,DRG Factor * DRG Weight,45003.7,,1758.64,,Per Diem,,26379.6,,1724.82,,Per Diem,,25872.3,,56758.7,,Case rate,DRG Factor * DRG Weight,56758.7,,1674.09,,Per Diem,,25111.35,80,,,Percent of total billed charges,,80505.9,61.6,,,Percent of total billed charges,,61989.54,,1741.73,,Per Diem,,26125.95,,1741.73,,Per Diem,,26125.95,65.55,,,Percent of total billed charges,,65964.52,,2079,,Per Diem,,31185,90,,,Percent of total billed charges,,90569.13,,2079,,Per Diem,,31185,,2079,,Per Diem,,31185,64.9,,,Percent of total billed charges,,65310.41,,2079,,Per Diem,,31185,,48249.44,,Case rate,DRG Factor * DRG Weight,48249.44,25111.35,100632.37,
"Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qualitative RT-PCR, nasopharyngeal swab, each pathogen reported as detected or not detected",0202U,CPT,,,,Outpatient,Facility,,,1656,662.4,66,,,Percent of total billed charges,,1092.96,20.8,,,Percent of total billed charges,,344.45,20.4,,,Percent of total billed charges,,337.82,,416.78,,Case rate,,416.78,,79.2,,Case rate,,79.2,80,,,Percent of total billed charges,,1324.8,61.6,,,Percent of total billed charges,,1020.1,20.6,,,Percent of total billed charges,,341.14,20.6,,,Percent of total billed charges,,341.14,65.55,,,Percent of total billed charges,,1085.51,21,,,Percent of total billed charges,,347.76,90,,,Percent of total billed charges,,1490.4,21,,,Percent of total billed charges,,347.76,21,,,Percent of total billed charges,,347.76,64.9,,,Percent of total billed charges,,1074.74,21,,,Percent of total billed charges,,347.76,,399.3,,Case rate,,399.3,79.2,1656,
"Infectious disease (viral respiratory tract infection), pathogen-specific RNA, 4 targets (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2], influenza A, influenza B, respiratory syncytial virus [RSV]), upper respiratory specimen, each pathogen reported as detected or not detected",0241U,CPT,,,,Outpatient,Facility,,,1034,413.6,66,,,Percent of total billed charges,,682.44,20.8,,,Percent of total billed charges,,215.07,20.4,,,Percent of total billed charges,,210.94,,142.63,,Case rate,,142.63,,28.24,,Case rate,,28.24,80,,,Percent of total billed charges,,827.2,61.6,,,Percent of total billed charges,,636.94,20.6,,,Percent of total billed charges,,213,20.6,,,Percent of total billed charges,,213,65.55,,,Percent of total billed charges,,677.79,21,,,Percent of total billed charges,,217.14,90,,,Percent of total billed charges,,930.6,21,,,Percent of total billed charges,,217.14,21,,,Percent of total billed charges,,217.14,64.9,,,Percent of total billed charges,,671.07,21,,,Percent of total billed charges,,217.14,,199.65,,Case rate,,199.65,28.24,1034,
"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic algorithm reported as scores for fibrosis and necroinflammatory activity in liver",81596,CPT,,,,Outpatient,Facility,,,286,114.4,66,,,Percent of total billed charges,,188.76,20.8,,,Percent of total billed charges,,59.49,20.4,,,Percent of total billed charges,,58.34,,72.19,,Case rate,,72.19,,4.7,,Case rate,,4.7,80,,,Percent of total billed charges,,228.8,61.6,,,Percent of total billed charges,,176.18,20.6,,,Percent of total billed charges,,58.92,20.6,,,Percent of total billed charges,,58.92,65.55,,,Percent of total billed charges,,187.47,21,,,Percent of total billed charges,,60.06,90,,,Percent of total billed charges,,257.4,21,,,Percent of total billed charges,,60.06,21,,,Percent of total billed charges,,60.06,64.9,,,Percent of total billed charges,,185.61,21,,,Percent of total billed charges,,60.06,,206.43,,Case rate,,206.43,4.7,286,
"Infusion, d5w, 1000 cc",J7070,HCPCS,,,,Outpatient,Facility,1000,ML,33.33,13.33,66,,,Percent of total billed charges,,22,20.8,,,Percent of total billed charges,,6.93,20.4,,,Percent of total billed charges,,6.8,,5.89,,Case rate,,5.89,,2.73,,Case rate,,2.73,80,,,Percent of total billed charges,,26.66,61.6,,,Percent of total billed charges,,20.53,20.6,,,Percent of total billed charges,,6.87,20.6,,,Percent of total billed charges,,6.87,65.55,,,Percent of total billed charges,,21.85,21,,,Percent of total billed charges,,7,90,,,Percent of total billed charges,,30,21,,,Percent of total billed charges,,7,21,,,Percent of total billed charges,,7,64.9,,,Percent of total billed charges,,21.63,21,,,Percent of total billed charges,,7,,3.9,,Case rate,,3.9,2.73,33.33,
Injection procedure for cystography or voiding urethrocystography,51600,CPT,,,,Outpatient,Facility,,,1752,700.8,66,,,Percent of total billed charges,,1156.32,20.8,,,Percent of total billed charges,,364.42,20.4,,,Percent of total billed charges,,357.41,,204.57,,Case rate,,204.57,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1401.6,61.6,,,Percent of total billed charges,,1079.23,20.6,,,Percent of total billed charges,,360.91,20.6,,,Percent of total billed charges,,360.91,65.55,,,Percent of total billed charges,,1148.44,21,,,Percent of total billed charges,,367.92,90,,,Percent of total billed charges,,1576.8,21,,,Percent of total billed charges,,367.92,21,,,Percent of total billed charges,,367.92,64.9,,,Percent of total billed charges,,1137.05,21,,,Percent of total billed charges,,367.92,,1420.25,,Case rate,,1420.25,58.06,1752,
"Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed",27096,CPT,,,,Outpatient,Facility,,,1125,450,66,,,Percent of total billed charges,,742.5,20.8,,,Percent of total billed charges,,234,20.4,,,Percent of total billed charges,,229.5,,157.21,,Case rate,,157.21,,41.01,,Case rate,,41.01,80,,,Percent of total billed charges,,900,61.6,,,Percent of total billed charges,,693,20.6,,,Percent of total billed charges,,231.75,20.6,,,Percent of total billed charges,,231.75,65.55,,,Percent of total billed charges,,737.44,21,,,Percent of total billed charges,,236.25,90,,,Percent of total billed charges,,1012.5,21,,,Percent of total billed charges,,236.25,21,,,Percent of total billed charges,,236.25,64.9,,,Percent of total billed charges,,730.12,21,,,Percent of total billed charges,,236.25,,187.86,,Case rate,,187.86,41.01,1125,
Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography,23350,CPT,,,,Outpatient,Facility,,,508,203.2,66,,,Percent of total billed charges,,335.28,20.8,,,Percent of total billed charges,,105.66,20.4,,,Percent of total billed charges,,103.63,,159,,Case rate,,159,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,406.4,61.6,,,Percent of total billed charges,,312.93,20.6,,,Percent of total billed charges,,104.65,20.6,,,Percent of total billed charges,,104.65,65.55,,,Percent of total billed charges,,332.99,21,,,Percent of total billed charges,,106.68,90,,,Percent of total billed charges,,457.2,21,,,Percent of total billed charges,,106.68,21,,,Percent of total billed charges,,106.68,64.9,,,Percent of total billed charges,,329.69,21,,,Percent of total billed charges,,106.68,,347.95,,Case rate,,347.95,13.86,508,
Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter,50684,CPT,,,,Outpatient,Facility,,,1752,700.8,66,,,Percent of total billed charges,,1156.32,20.8,,,Percent of total billed charges,,364.42,20.4,,,Percent of total billed charges,,357.41,,122.41,,Case rate,,122.41,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1401.6,61.6,,,Percent of total billed charges,,1079.23,20.6,,,Percent of total billed charges,,360.91,20.6,,,Percent of total billed charges,,360.91,65.55,,,Percent of total billed charges,,1148.44,21,,,Percent of total billed charges,,367.92,90,,,Percent of total billed charges,,1576.8,21,,,Percent of total billed charges,,367.92,21,,,Percent of total billed charges,,367.92,64.9,,,Percent of total billed charges,,1137.05,21,,,Percent of total billed charges,,367.92,,1434.97,,Case rate,,1434.97,58.06,1752,
Injection procedure for wrist arthrography,25246,CPT,,,,Outpatient,Facility,,,420,168,66,,,Percent of total billed charges,,277.2,20.8,,,Percent of total billed charges,,87.36,20.4,,,Percent of total billed charges,,85.68,,190.97,,Case rate,,190.97,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,336,61.6,,,Percent of total billed charges,,258.72,20.6,,,Percent of total billed charges,,86.52,20.6,,,Percent of total billed charges,,86.52,65.55,,,Percent of total billed charges,,275.31,21,,,Percent of total billed charges,,88.2,90,,,Percent of total billed charges,,378,21,,,Percent of total billed charges,,88.2,21,,,Percent of total billed charges,,88.2,64.9,,,Percent of total billed charges,,272.58,21,,,Percent of total billed charges,,88.2,,348.46,,Case rate,,348.46,13.86,420,
"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve",64405,CPT,,,,Outpatient,Facility,,,847,338.8,66,,,Percent of total billed charges,,559.02,20.8,,,Percent of total billed charges,,176.18,20.4,,,Percent of total billed charges,,172.79,,72.75,,Case rate,,72.75,,35.64,,Case rate,,35.64,80,,,Percent of total billed charges,,677.6,61.6,,,Percent of total billed charges,,521.75,20.6,,,Percent of total billed charges,,174.48,20.6,,,Percent of total billed charges,,174.48,65.55,,,Percent of total billed charges,,555.21,21,,,Percent of total billed charges,,177.87,90,,,Percent of total billed charges,,762.3,21,,,Percent of total billed charges,,177.87,21,,,Percent of total billed charges,,177.87,64.9,,,Percent of total billed charges,,549.7,21,,,Percent of total billed charges,,177.87,,868.19,,Case rate,,868.19,35.64,868.19,
"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch",64450,CPT,,,,Outpatient,Facility,,,659,263.6,66,,,Percent of total billed charges,,434.94,20.8,,,Percent of total billed charges,,137.07,20.4,,,Percent of total billed charges,,134.44,,72.45,,Case rate,,72.45,,21.78,,Case rate,,21.78,80,,,Percent of total billed charges,,527.2,61.6,,,Percent of total billed charges,,405.94,20.6,,,Percent of total billed charges,,135.75,20.6,,,Percent of total billed charges,,135.75,65.55,,,Percent of total billed charges,,431.97,21,,,Percent of total billed charges,,138.39,90,,,Percent of total billed charges,,593.1,21,,,Percent of total billed charges,,138.39,21,,,Percent of total billed charges,,138.39,64.9,,,Percent of total billed charges,,427.69,21,,,Percent of total billed charges,,138.39,,541.47,,Case rate,,541.47,21.78,659,
"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)",64400,CPT,,,,Outpatient,Facility,,,1038,415.2,66,,,Percent of total billed charges,,685.08,20.8,,,Percent of total billed charges,,215.9,20.4,,,Percent of total billed charges,,211.75,,107.76,,Case rate,,107.76,,35.64,,Case rate,,35.64,80,,,Percent of total billed charges,,830.4,61.6,,,Percent of total billed charges,,639.41,20.6,,,Percent of total billed charges,,213.83,20.6,,,Percent of total billed charges,,213.83,65.55,,,Percent of total billed charges,,680.41,21,,,Percent of total billed charges,,217.98,90,,,Percent of total billed charges,,934.2,21,,,Percent of total billed charges,,217.98,21,,,Percent of total billed charges,,217.98,64.9,,,Percent of total billed charges,,673.66,21,,,Percent of total billed charges,,217.98,,882.45,,Case rate,,882.45,35.64,1038,
"Injection, acetylcysteine, 100 mg",J0132,HCPCS,,,,Outpatient,Facility,100,ME,15.23,6.09,66,,,Percent of total billed charges,,10.05,20.8,,,Percent of total billed charges,,3.17,20.4,,,Percent of total billed charges,,3.11,,1.9,,Case rate,,1.9,,0.42,,Case rate,,0.42,80,,,Percent of total billed charges,,12.19,61.6,,,Percent of total billed charges,,9.38,20.6,,,Percent of total billed charges,,3.14,20.6,,,Percent of total billed charges,,3.14,65.55,,,Percent of total billed charges,,9.99,21,,,Percent of total billed charges,,3.2,90,,,Percent of total billed charges,,13.71,21,,,Percent of total billed charges,,3.2,21,,,Percent of total billed charges,,3.2,64.9,,,Percent of total billed charges,,9.89,21,,,Percent of total billed charges,,3.2,,0.66,,Case rate,,0.66,0.42,15.23,
"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)",J0153,HCPCS,,,,Outpatient,Facility,1,ME,6.33,2.53,66,,,Percent of total billed charges,,4.18,20.8,,,Percent of total billed charges,,1.32,20.4,,,Percent of total billed charges,,1.29,,2.26,,Case rate,,2.26,,0.18,,Case rate,,0.18,80,,,Percent of total billed charges,,5.07,61.6,,,Percent of total billed charges,,3.9,20.6,,,Percent of total billed charges,,1.3,20.6,,,Percent of total billed charges,,1.3,65.55,,,Percent of total billed charges,,4.15,21,,,Percent of total billed charges,,1.33,90,,,Percent of total billed charges,,5.7,21,,,Percent of total billed charges,,1.33,21,,,Percent of total billed charges,,1.33,64.9,,,Percent of total billed charges,,4.11,21,,,Percent of total billed charges,,1.33,,0.49,,Case rate,,0.49,0.18,6.33,
"Injection, alteplase recombinant, 1 mg",J2997,HCPCS,,,,Outpatient,Facility,1,ME,548.59,219.44,66,,,Percent of total billed charges,,362.07,20.8,,,Percent of total billed charges,,114.11,20.4,,,Percent of total billed charges,,111.91,,100.52,,Case rate,,100.52,,5.17,,Case rate,,5.17,80,,,Percent of total billed charges,,438.87,61.6,,,Percent of total billed charges,,337.93,20.6,,,Percent of total billed charges,,113.01,20.6,,,Percent of total billed charges,,113.01,65.55,,,Percent of total billed charges,,359.6,21,,,Percent of total billed charges,,115.2,90,,,Percent of total billed charges,,493.73,21,,,Percent of total billed charges,,115.2,21,,,Percent of total billed charges,,115.2,64.9,,,Percent of total billed charges,,356.03,21,,,Percent of total billed charges,,115.2,,105.99,,Case rate,,105.99,5.17,548.59,
"Injection, amiodarone hydrochloride, 30 mg",J0282,HCPCS,,,,Outpatient,Facility,30,ME,23.39,9.35,66,,,Percent of total billed charges,,15.44,20.8,,,Percent of total billed charges,,4.86,20.4,,,Percent of total billed charges,,4.77,,0.57,,Case rate,,0.57,,3.27,,Case rate,,3.27,80,,,Percent of total billed charges,,18.71,61.6,,,Percent of total billed charges,,14.41,20.6,,,Percent of total billed charges,,4.82,20.6,,,Percent of total billed charges,,4.82,65.55,,,Percent of total billed charges,,15.33,21,,,Percent of total billed charges,,4.91,90,,,Percent of total billed charges,,21.05,21,,,Percent of total billed charges,,4.91,21,,,Percent of total billed charges,,4.91,64.9,,,Percent of total billed charges,,15.18,21,,,Percent of total billed charges,,4.91,45,,,Percent of total billed charges,,10.52,0.57,23.39,
"Injection, ampicillin sodium, 500 mg",J0290,HCPCS,,,,Outpatient,Facility,500,ME,21.94,8.78,66,,,Percent of total billed charges,,14.48,20.8,,,Percent of total billed charges,,4.56,20.4,,,Percent of total billed charges,,4.48,,2.8,,Case rate,,2.8,,2.73,,Case rate,,2.73,80,,,Percent of total billed charges,,17.55,61.6,,,Percent of total billed charges,,13.52,20.6,,,Percent of total billed charges,,4.52,20.6,,,Percent of total billed charges,,4.52,65.55,,,Percent of total billed charges,,14.38,21,,,Percent of total billed charges,,4.61,90,,,Percent of total billed charges,,19.75,21,,,Percent of total billed charges,,4.61,21,,,Percent of total billed charges,,4.61,64.9,,,Percent of total billed charges,,14.24,21,,,Percent of total billed charges,,4.61,,1.02,,Case rate,,1.02,1.02,21.94,
"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm",J0295,HCPCS,,,,Outpatient,Facility,1.5,GR,13.83,5.53,66,,,Percent of total billed charges,,9.13,20.8,,,Percent of total billed charges,,2.88,20.4,,,Percent of total billed charges,,2.82,,5.7,,Case rate,,5.7,,1.62,,Case rate,,1.62,80,,,Percent of total billed charges,,11.06,61.6,,,Percent of total billed charges,,8.52,20.6,,,Percent of total billed charges,,2.85,20.6,,,Percent of total billed charges,,2.85,65.55,,,Percent of total billed charges,,9.07,21,,,Percent of total billed charges,,2.9,90,,,Percent of total billed charges,,12.45,21,,,Percent of total billed charges,,2.9,21,,,Percent of total billed charges,,2.9,64.9,,,Percent of total billed charges,,8.98,21,,,Percent of total billed charges,,2.9,,2.25,,Case rate,,2.25,1.62,13.83,
"Injection, atropine sulfate, 0.01 mg",J0461,HCPCS,,,,Outpatient,Facility,0.01,ME,0.7,0.28,66,,,Percent of total billed charges,,0.46,20.8,,,Percent of total billed charges,,0.14,20.4,,,Percent of total billed charges,,0.14,,0.83,,Case rate,Use Lesser of logic,0.7,,0.01,,Case rate,,0.01,80,,,Percent of total billed charges,,0.56,61.6,,,Percent of total billed charges,,0.43,20.6,,,Percent of total billed charges,,0.14,20.6,,,Percent of total billed charges,,0.14,65.55,,,Percent of total billed charges,,0.46,21,,,Percent of total billed charges,,0.15,90,,,Percent of total billed charges,,0.63,21,,,Percent of total billed charges,,0.15,21,,,Percent of total billed charges,,0.15,64.9,,,Percent of total billed charges,,0.45,21,,,Percent of total billed charges,,0.15,,0.1,,Case rate,,0.1,0.01,0.7,
"Injection, belimumab, 10 mg",J0490,HCPCS,,,,Outpatient,Facility,10,ME,249.74,99.9,66,,,Percent of total billed charges,,164.83,20.8,,,Percent of total billed charges,,51.95,20.4,,,Percent of total billed charges,,50.95,,59.12,,Case rate,,59.12,,5.71,,Case rate,,5.71,80,,,Percent of total billed charges,,199.79,61.6,,,Percent of total billed charges,,153.84,20.6,,,Percent of total billed charges,,51.45,20.6,,,Percent of total billed charges,,51.45,65.55,,,Percent of total billed charges,,163.71,21,,,Percent of total billed charges,,52.45,90,,,Percent of total billed charges,,224.77,21,,,Percent of total billed charges,,52.45,21,,,Percent of total billed charges,,52.45,64.9,,,Percent of total billed charges,,162.08,21,,,Percent of total billed charges,,52.45,,62.81,,Case rate,,62.81,5.71,249.74,
"Injection, bumetanide, 0.5 mg",J1939,HCPCS,,,,Outpatient,Facility,0.5,ME,24.7,9.88,66,,,Percent of total billed charges,,16.3,20.8,,,Percent of total billed charges,,5.14,20.4,,,Percent of total billed charges,,5.04,,1.13,,Case rate,,1.13,19.8,,,Percent of total billed charges,,4.89,80,,,Percent of total billed charges,,19.76,61.6,,,Percent of total billed charges,,15.22,20.6,,,Percent of total billed charges,,5.09,20.6,,,Percent of total billed charges,,5.09,65.55,,,Percent of total billed charges,,16.19,21,,,Percent of total billed charges,,5.19,90,,,Percent of total billed charges,,22.23,21,,,Percent of total billed charges,,5.19,21,,,Percent of total billed charges,,5.19,64.9,,,Percent of total billed charges,,16.03,21,,,Percent of total billed charges,,5.19,,0.71,,Case rate,,0.71,0.71,24.7,
"Injection, bupivicaine, not otherwise specified, 0.5 mg",J0665,HCPCS,,,,Outpatient,Facility,0.5,ME,0.2,0.08,66,,,Percent of total billed charges,,0.13,20.8,,,Percent of total billed charges,,0.04,20.4,,,Percent of total billed charges,,0.04,,0.01,,Case rate,,0.01,19.8,,,Percent of total billed charges,,0.04,80,,,Percent of total billed charges,,0.16,61.6,,,Percent of total billed charges,,0.12,20.6,,,Percent of total billed charges,,0.04,20.6,,,Percent of total billed charges,,0.04,65.55,,,Percent of total billed charges,,0.13,21,,,Percent of total billed charges,,0.04,90,,,Percent of total billed charges,,0.18,21,,,Percent of total billed charges,,0.04,21,,,Percent of total billed charges,,0.04,64.9,,,Percent of total billed charges,,0.13,21,,,Percent of total billed charges,,0.04,,0.01,,Case rate,,0.01,0.01,0.2,
"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg",J0613,HCPCS,,,,Outpatient,Facility,10,ME,1.32,0.53,66,,,Percent of total billed charges,,0.87,20.8,,,Percent of total billed charges,,0.27,20.4,,,Percent of total billed charges,,0.27,,0.23,,Case rate,,0.23,19.8,,,Percent of total billed charges,,0.26,80,,,Percent of total billed charges,,1.05,61.6,,,Percent of total billed charges,,0.81,20.6,,,Percent of total billed charges,,0.27,20.6,,,Percent of total billed charges,,0.27,65.55,,,Percent of total billed charges,,0.86,21,,,Percent of total billed charges,,0.28,90,,,Percent of total billed charges,,1.18,21,,,Percent of total billed charges,,0.28,21,,,Percent of total billed charges,,0.28,64.9,,,Percent of total billed charges,,0.85,21,,,Percent of total billed charges,,0.28,,0.1,,Case rate,,0.1,0.1,1.32,
"Injection, calcium gluconate, not otherwise specified, 10 mg",J0612,HCPCS,,,,Outpatient,Facility,10,ME,1.32,0.53,66,,,Percent of total billed charges,,0.87,20.8,,,Percent of total billed charges,,0.27,20.4,,,Percent of total billed charges,,0.27,,0.06,,Case rate,,0.06,19.8,,,Percent of total billed charges,,0.26,80,,,Percent of total billed charges,,1.05,61.6,,,Percent of total billed charges,,0.81,20.6,,,Percent of total billed charges,,0.27,20.6,,,Percent of total billed charges,,0.27,65.55,,,Percent of total billed charges,,0.86,21,,,Percent of total billed charges,,0.28,90,,,Percent of total billed charges,,1.18,21,,,Percent of total billed charges,,0.28,21,,,Percent of total billed charges,,0.28,64.9,,,Percent of total billed charges,,0.85,21,,,Percent of total billed charges,,0.28,,0.04,,Case rate,,0.04,0.04,1.32,
"Injection, cefepime hydrochloride, 500 mg",J0692,HCPCS,,,,Outpatient,Facility,500,ME,16.33,6.53,66,,,Percent of total billed charges,,10.78,20.8,,,Percent of total billed charges,,3.4,20.4,,,Percent of total billed charges,,3.33,,3.26,,Case rate,,3.26,,1.56,,Case rate,,1.56,80,,,Percent of total billed charges,,13.06,61.6,,,Percent of total billed charges,,10.06,20.6,,,Percent of total billed charges,,3.36,20.6,,,Percent of total billed charges,,3.36,65.55,,,Percent of total billed charges,,10.7,21,,,Percent of total billed charges,,3.43,90,,,Percent of total billed charges,,14.69,21,,,Percent of total billed charges,,3.43,21,,,Percent of total billed charges,,3.43,64.9,,,Percent of total billed charges,,10.6,21,,,Percent of total billed charges,,3.43,,1.48,,Case rate,,1.48,1.48,16.33,
"Injection, cefoxitin sodium, 1 gm",J0694,HCPCS,,,,Outpatient,Facility,1,GR,39.99,16,66,,,Percent of total billed charges,,26.39,20.8,,,Percent of total billed charges,,8.32,20.4,,,Percent of total billed charges,,8.16,,7.97,,Case rate,,7.97,,2.87,,Case rate,,2.87,80,,,Percent of total billed charges,,31.99,61.6,,,Percent of total billed charges,,24.63,20.6,,,Percent of total billed charges,,8.24,20.6,,,Percent of total billed charges,,8.24,65.55,,,Percent of total billed charges,,26.21,21,,,Percent of total billed charges,,8.4,90,,,Percent of total billed charges,,35.99,21,,,Percent of total billed charges,,8.4,21,,,Percent of total billed charges,,8.4,64.9,,,Percent of total billed charges,,25.95,21,,,Percent of total billed charges,,8.4,,5.2,,Case rate,,5.2,2.87,39.99,
"Injection, ceftaroline fosamil, 10 mg",J0712,HCPCS,,,,Outpatient,Facility,10,ME,39.61,15.84,66,,,Percent of total billed charges,,26.14,20.8,,,Percent of total billed charges,,8.24,20.4,,,Percent of total billed charges,,8.08,,6.99,,Case rate,,6.99,,0.13,,Case rate,,0.13,80,,,Percent of total billed charges,,31.69,61.6,,,Percent of total billed charges,,24.4,20.6,,,Percent of total billed charges,,8.16,20.6,,,Percent of total billed charges,,8.16,65.55,,,Percent of total billed charges,,25.97,21,,,Percent of total billed charges,,8.32,90,,,Percent of total billed charges,,35.65,21,,,Percent of total billed charges,,8.32,21,,,Percent of total billed charges,,8.32,64.9,,,Percent of total billed charges,,25.71,21,,,Percent of total billed charges,,8.32,,4.67,,Case rate,,4.67,0.13,39.61,
"Injection, ceftriaxone sodium, per 250 mg",J0696,HCPCS,,,,Outpatient,Facility,250,ME,63.8,25.52,66,,,Percent of total billed charges,,42.1,20.8,,,Percent of total billed charges,,13.27,20.4,,,Percent of total billed charges,,13.01,,1.52,,Case rate,,1.52,,4.68,,Case rate,,4.68,80,,,Percent of total billed charges,,51.04,61.6,,,Percent of total billed charges,,39.3,20.6,,,Percent of total billed charges,,13.14,20.6,,,Percent of total billed charges,,13.14,65.55,,,Percent of total billed charges,,41.82,21,,,Percent of total billed charges,,13.4,90,,,Percent of total billed charges,,57.42,21,,,Percent of total billed charges,,13.4,21,,,Percent of total billed charges,,13.4,64.9,,,Percent of total billed charges,,41.4,21,,,Percent of total billed charges,,13.4,,0.53,,Case rate,,0.53,0.53,63.8,
"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg",J0737,HCPCS,,,,Outpatient,Facility,300,ME,35.55,14.22,66,,,Percent of total billed charges,,23.46,20.8,,,Percent of total billed charges,,7.39,20.4,,,Percent of total billed charges,,7.25,,4.96,,Case rate,,4.96,19.8,,,Percent of total billed charges,,7.04,80,,,Percent of total billed charges,,28.44,61.6,,,Percent of total billed charges,,21.9,20.6,,,Percent of total billed charges,,7.32,20.6,,,Percent of total billed charges,,7.32,65.55,,,Percent of total billed charges,,23.3,21,,,Percent of total billed charges,,7.46,90,,,Percent of total billed charges,,31.99,21,,,Percent of total billed charges,,7.46,21,,,Percent of total billed charges,,7.46,64.9,,,Percent of total billed charges,,23.07,21,,,Percent of total billed charges,,7.46,,3.79,,Case rate,,3.79,3.79,35.54,
"Injection, dalbavancin, 5 mg",J0875,HCPCS,,,,Outpatient,Facility,5,ME,7357.24,2942.9,66,,,Percent of total billed charges,,4855.78,20.8,,,Percent of total billed charges,,1530.31,20.4,,,Percent of total billed charges,,1500.88,,20.28,,Case rate,,20.28,,1.27,,Case rate,,1.27,80,,,Percent of total billed charges,,5885.79,61.6,,,Percent of total billed charges,,4532.06,20.6,,,Percent of total billed charges,,1515.59,20.6,,,Percent of total billed charges,,1515.59,65.55,,,Percent of total billed charges,,4822.67,21,,,Percent of total billed charges,,1545.02,90,,,Percent of total billed charges,,6621.52,21,,,Percent of total billed charges,,1545.02,21,,,Percent of total billed charges,,1545.02,64.9,,,Percent of total billed charges,,4774.85,21,,,Percent of total billed charges,,1545.02,,18.32,,Case rate,,18.32,1.27,7357.24,
"Injection, daptomycin, 1 mg",J0878,HCPCS,,,,Outpatient,Facility,1,ME,0.4,0.16,66,,,Percent of total billed charges,,0.26,20.8,,,Percent of total billed charges,,0.08,20.4,,,Percent of total billed charges,,0.08,,0.1,,Case rate,,0.1,,0.06,,Case rate,,0.06,80,,,Percent of total billed charges,,0.32,61.6,,,Percent of total billed charges,,0.25,20.6,,,Percent of total billed charges,,0.08,20.6,,,Percent of total billed charges,,0.08,65.55,,,Percent of total billed charges,,0.26,21,,,Percent of total billed charges,,0.08,90,,,Percent of total billed charges,,0.36,21,,,Percent of total billed charges,,0.08,21,,,Percent of total billed charges,,0.08,64.9,,,Percent of total billed charges,,0.26,21,,,Percent of total billed charges,,0.08,,0.03,,Case rate,,0.03,0.03,0.4,
"Injection, diazepam, up to 5 mg",J3360,HCPCS,,,,Outpatient,Facility,5,ME,112.17,44.87,66,,,Percent of total billed charges,,74.03,20.8,,,Percent of total billed charges,,23.33,20.4,,,Percent of total billed charges,,22.88,,14.03,,Case rate,,14.03,,0.21,,Case rate,,0.21,80,,,Percent of total billed charges,,89.74,61.6,,,Percent of total billed charges,,69.1,20.6,,,Percent of total billed charges,,23.11,20.6,,,Percent of total billed charges,,23.11,65.55,,,Percent of total billed charges,,73.53,21,,,Percent of total billed charges,,23.56,90,,,Percent of total billed charges,,100.95,21,,,Percent of total billed charges,,23.56,21,,,Percent of total billed charges,,23.56,64.9,,,Percent of total billed charges,,72.8,21,,,Percent of total billed charges,,23.56,,6.32,,Case rate,,6.32,0.21,112.17,
"Injection, digoxin immune fab (ovine), per vial",J1162,HCPCS,,,,Outpatient,Facility,1,UN,14079.65,5631.86,66,,,Percent of total billed charges,,9292.57,20.8,,,Percent of total billed charges,,2928.57,20.4,,,Percent of total billed charges,,2872.25,,5452.62,,Case rate,,5452.62,,136.92,,Case rate,,136.92,80,,,Percent of total billed charges,,11263.72,61.6,,,Percent of total billed charges,,8673.06,20.6,,,Percent of total billed charges,,2900.41,20.6,,,Percent of total billed charges,,2900.41,65.55,,,Percent of total billed charges,,9229.21,21,,,Percent of total billed charges,,2956.73,90,,,Percent of total billed charges,,12671.68,21,,,Percent of total billed charges,,2956.73,21,,,Percent of total billed charges,,2956.73,64.9,,,Percent of total billed charges,,9137.69,21,,,Percent of total billed charges,,2956.73,,5543.63,,Case rate,,5543.63,136.92,14079.65,
"Injection, droperidol, up to 5 mg",J1790,HCPCS,,,,Outpatient,Facility,5,ME,31.03,12.41,66,,,Percent of total billed charges,,20.48,20.8,,,Percent of total billed charges,,6.45,20.4,,,Percent of total billed charges,,6.33,,10.61,,Case rate,,10.61,,0.5,,Case rate,,0.5,80,,,Percent of total billed charges,,24.82,61.6,,,Percent of total billed charges,,19.11,20.6,,,Percent of total billed charges,,6.39,20.6,,,Percent of total billed charges,,6.39,65.55,,,Percent of total billed charges,,20.34,21,,,Percent of total billed charges,,6.52,90,,,Percent of total billed charges,,27.93,21,,,Percent of total billed charges,,6.52,21,,,Percent of total billed charges,,6.52,64.9,,,Percent of total billed charges,,20.14,21,,,Percent of total billed charges,,6.52,45,,,Percent of total billed charges,,13.96,0.5,31.03,
"Injection, enoxaparin sodium, 10 mg",J1650,HCPCS,,,,Outpatient,Facility,10,ME,6.92,2.77,66,,,Percent of total billed charges,,4.57,20.8,,,Percent of total billed charges,,1.44,20.4,,,Percent of total billed charges,,1.41,,1.79,,Case rate,,1.79,,1.05,,Case rate,,1.05,80,,,Percent of total billed charges,,5.53,61.6,,,Percent of total billed charges,,4.26,20.6,,,Percent of total billed charges,,1.43,20.6,,,Percent of total billed charges,,1.43,65.55,,,Percent of total billed charges,,4.53,21,,,Percent of total billed charges,,1.45,90,,,Percent of total billed charges,,6.23,21,,,Percent of total billed charges,,1.45,21,,,Percent of total billed charges,,1.45,64.9,,,Percent of total billed charges,,4.49,21,,,Percent of total billed charges,,1.45,,0.67,,Case rate,,0.67,0.67,6.92,
"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units",Q5105,CPT,,,,Outpatient,Facility,,,8.22,3.29,66,,,Percent of total billed charges,,5.43,20.8,,,Percent of total billed charges,,1.71,20.4,,,Percent of total billed charges,,1.68,,1.25,,Case rate,,1.25,,0.08,,Case rate,,0.08,80,,,Percent of total billed charges,,6.58,61.6,,,Percent of total billed charges,,5.07,20.6,,,Percent of total billed charges,,1.69,20.6,,,Percent of total billed charges,,1.69,65.55,,,Percent of total billed charges,,5.39,21,,,Percent of total billed charges,,1.73,90,,,Percent of total billed charges,,7.4,21,,,Percent of total billed charges,,1.73,21,,,Percent of total billed charges,,1.73,64.9,,,Percent of total billed charges,,5.34,21,,,Percent of total billed charges,,1.73,,0.79,,Case rate,,0.79,0.08,8.22,
"Injection, ertapenem sodium, 500 mg",J1335,HCPCS,,,,Outpatient,Facility,500,ME,470.89,188.35,66,,,Percent of total billed charges,,310.78,20.8,,,Percent of total billed charges,,97.94,20.4,,,Percent of total billed charges,,96.06,,57,,Case rate,,57,,4.7,,Case rate,,4.7,80,,,Percent of total billed charges,,376.71,61.6,,,Percent of total billed charges,,290.07,20.6,,,Percent of total billed charges,,97,20.6,,,Percent of total billed charges,,97,65.55,,,Percent of total billed charges,,308.67,21,,,Percent of total billed charges,,98.89,90,,,Percent of total billed charges,,423.8,21,,,Percent of total billed charges,,98.89,21,,,Percent of total billed charges,,98.89,64.9,,,Percent of total billed charges,,305.6,21,,,Percent of total billed charges,,98.89,,12.46,,Case rate,,12.46,4.7,470.88,
"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J1438,HCPCS,,,,Outpatient,Facility,25,ME,0.01,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Case rate,Use Lesser of logic,,,25.86,,Case rate,,25.86,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,25.86,25.86,
"Injection, fentanyl citrate, 0.1 mg",J3010,HCPCS,,,,Outpatient,Facility,0.1,ME,27.67,11.07,66,,,Percent of total billed charges,,18.26,20.8,,,Percent of total billed charges,,5.76,20.4,,,Percent of total billed charges,,5.64,,2.42,,Case rate,,2.42,,0.19,,Case rate,,0.19,80,,,Percent of total billed charges,,22.14,61.6,,,Percent of total billed charges,,17.04,20.6,,,Percent of total billed charges,,5.7,20.6,,,Percent of total billed charges,,5.7,65.55,,,Percent of total billed charges,,18.14,21,,,Percent of total billed charges,,5.81,90,,,Percent of total billed charges,,24.9,21,,,Percent of total billed charges,,5.81,21,,,Percent of total billed charges,,5.81,64.9,,,Percent of total billed charges,,17.96,21,,,Percent of total billed charges,,5.81,,0.97,,Case rate,,0.97,0.19,27.67,
"Injection, gadobutrol, 0.1 ml",A9585,CPT,,,,Outpatient,Facility,,,5.05,2.02,66,,,Percent of total billed charges,,3.33,20.8,,,Percent of total billed charges,,1.05,20.4,,,Percent of total billed charges,,1.03,,0.67,,Case rate,,0.67,,0.13,,Case rate,,0.13,80,,,Percent of total billed charges,,4.04,61.6,,,Percent of total billed charges,,3.11,20.6,,,Percent of total billed charges,,1.04,20.6,,,Percent of total billed charges,,1.04,65.55,,,Percent of total billed charges,,3.31,21,,,Percent of total billed charges,,1.06,90,,,Percent of total billed charges,,4.54,21,,,Percent of total billed charges,,1.06,21,,,Percent of total billed charges,,1.06,64.9,,,Percent of total billed charges,,3.27,21,,,Percent of total billed charges,,1.06,,0.36,,Case rate,,0.36,0.13,5.05,
"Injection, garamycin, gentamicin, up to 80 mg",J1580,HCPCS,,,,Outpatient,Facility,80,ME,27.67,11.07,66,,,Percent of total billed charges,,18.26,20.8,,,Percent of total billed charges,,5.76,20.4,,,Percent of total billed charges,,5.64,,3.14,,Case rate,,3.14,,1.22,,Case rate,,1.22,80,,,Percent of total billed charges,,22.14,61.6,,,Percent of total billed charges,,17.04,20.6,,,Percent of total billed charges,,5.7,20.6,,,Percent of total billed charges,,5.7,65.55,,,Percent of total billed charges,,18.14,21,,,Percent of total billed charges,,5.81,90,,,Percent of total billed charges,,24.9,21,,,Percent of total billed charges,,5.81,21,,,Percent of total billed charges,,5.81,64.9,,,Percent of total billed charges,,17.96,21,,,Percent of total billed charges,,5.81,,2.4,,Case rate,,2.4,1.22,27.67,
"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg",J1611,HCPCS,,,,Outpatient,Facility,1,ME,1898.46,759.38,66,,,Percent of total billed charges,,1252.98,20.8,,,Percent of total billed charges,,394.88,20.4,,,Percent of total billed charges,,387.28,,252.68,,Case rate,,252.68,19.8,,,Percent of total billed charges,,375.89,80,,,Percent of total billed charges,,1518.76,61.6,,,Percent of total billed charges,,1169.45,20.6,,,Percent of total billed charges,,391.08,20.6,,,Percent of total billed charges,,391.08,65.55,,,Percent of total billed charges,,1244.44,21,,,Percent of total billed charges,,398.68,90,,,Percent of total billed charges,,1708.61,21,,,Percent of total billed charges,,398.68,21,,,Percent of total billed charges,,398.68,64.9,,,Percent of total billed charges,,1232.1,21,,,Percent of total billed charges,,398.68,,150.46,,Case rate,,150.46,150.46,1898.46,
"Injection, hydralazine hcl, up to 20 mg",J0360,HCPCS,,,,Outpatient,Facility,20,ME,49.99,20,66,,,Percent of total billed charges,,32.99,20.8,,,Percent of total billed charges,,10.4,20.4,,,Percent of total billed charges,,10.2,,16.32,,Case rate,,16.32,,1.17,,Case rate,,1.17,80,,,Percent of total billed charges,,39.99,61.6,,,Percent of total billed charges,,30.79,20.6,,,Percent of total billed charges,,10.3,20.6,,,Percent of total billed charges,,10.3,65.55,,,Percent of total billed charges,,32.77,21,,,Percent of total billed charges,,10.5,90,,,Percent of total billed charges,,44.99,21,,,Percent of total billed charges,,10.5,21,,,Percent of total billed charges,,10.5,64.9,,,Percent of total billed charges,,32.44,21,,,Percent of total billed charges,,10.5,,4.77,,Case rate,,4.77,1.17,49.99,
"Injection, hydrocortisone sodium succinate, up to 100 mg",J1720,HCPCS,,,,Outpatient,Facility,100,ME,129.51,51.8,66,,,Percent of total billed charges,,85.48,20.8,,,Percent of total billed charges,,26.94,20.4,,,Percent of total billed charges,,26.42,,17.21,,Case rate,,17.21,,0.97,,Case rate,,0.97,80,,,Percent of total billed charges,,103.61,61.6,,,Percent of total billed charges,,79.78,20.6,,,Percent of total billed charges,,26.68,20.6,,,Percent of total billed charges,,26.68,65.55,,,Percent of total billed charges,,84.89,21,,,Percent of total billed charges,,27.2,90,,,Percent of total billed charges,,116.56,21,,,Percent of total billed charges,,27.2,21,,,Percent of total billed charges,,27.2,64.9,,,Percent of total billed charges,,84.05,21,,,Percent of total billed charges,,27.2,,23.04,,Case rate,,23.04,0.97,129.51,
"Injection, hydromorphone, up to 4 mg",J1170,HCPCS,,,,Outpatient,Facility,4,ME,27.67,11.07,66,,,Percent of total billed charges,,18.26,20.8,,,Percent of total billed charges,,5.76,20.4,,,Percent of total billed charges,,5.64,,4.35,,Case rate,,4.35,,0.24,,Case rate,,0.24,80,,,Percent of total billed charges,,22.14,61.6,,,Percent of total billed charges,,17.04,20.6,,,Percent of total billed charges,,5.7,20.6,,,Percent of total billed charges,,5.7,65.55,,,Percent of total billed charges,,18.14,21,,,Percent of total billed charges,,5.81,90,,,Percent of total billed charges,,24.9,21,,,Percent of total billed charges,,5.81,21,,,Percent of total billed charges,,5.81,64.9,,,Percent of total billed charges,,17.96,21,,,Percent of total billed charges,,5.81,,3.14,,Case rate,,3.14,0.24,27.67,
"Injection, hydroxyzine hcl, up to 25 mg",J3410,HCPCS,,,,Outpatient,Facility,25,ME,77.84,31.14,66,,,Percent of total billed charges,,51.37,20.8,,,Percent of total billed charges,,16.19,20.4,,,Percent of total billed charges,,15.88,,30.54,,Case rate,,30.54,,0.2,,Case rate,,0.2,80,,,Percent of total billed charges,,62.27,61.6,,,Percent of total billed charges,,47.95,20.6,,,Percent of total billed charges,,16.04,20.6,,,Percent of total billed charges,,16.04,65.55,,,Percent of total billed charges,,51.02,21,,,Percent of total billed charges,,16.35,90,,,Percent of total billed charges,,70.06,21,,,Percent of total billed charges,,16.35,21,,,Percent of total billed charges,,16.35,64.9,,,Percent of total billed charges,,50.52,21,,,Percent of total billed charges,,16.35,,16.83,,Case rate,,16.83,0.2,77.84,
"Injection, insulin, per 5 units",J1815,HCPCS,,,,Outpatient,Facility,5,UN,9.15,3.66,66,,,Percent of total billed charges,,6.04,20.8,,,Percent of total billed charges,,1.9,20.4,,,Percent of total billed charges,,1.87,,0.26,,Case rate,,0.26,,0.07,,Case rate,,0.07,80,,,Percent of total billed charges,,7.32,61.6,,,Percent of total billed charges,,5.64,20.6,,,Percent of total billed charges,,1.89,20.6,,,Percent of total billed charges,,1.89,65.55,,,Percent of total billed charges,,6,21,,,Percent of total billed charges,,1.92,90,,,Percent of total billed charges,,8.24,21,,,Percent of total billed charges,,1.92,21,,,Percent of total billed charges,,1.92,64.9,,,Percent of total billed charges,,5.94,21,,,Percent of total billed charges,,1.92,45,,,Percent of total billed charges,,4.12,0.07,9.15,
"Injection, ketorolac tromethamine, per 15 mg",J1885,HCPCS,,,,Outpatient,Facility,15,ME,21.13,8.45,66,,,Percent of total billed charges,,13.95,20.8,,,Percent of total billed charges,,4.4,20.4,,,Percent of total billed charges,,4.31,,1.69,,Case rate,,1.69,,1.63,,Case rate,,1.63,80,,,Percent of total billed charges,,16.9,61.6,,,Percent of total billed charges,,13.02,20.6,,,Percent of total billed charges,,4.35,20.6,,,Percent of total billed charges,,4.35,65.55,,,Percent of total billed charges,,13.85,21,,,Percent of total billed charges,,4.44,90,,,Percent of total billed charges,,19.02,21,,,Percent of total billed charges,,4.44,21,,,Percent of total billed charges,,4.44,64.9,,,Percent of total billed charges,,13.71,21,,,Percent of total billed charges,,4.44,,0.97,,Case rate,,0.97,0.97,21.13,
"Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg",J1921,HCPCS,,,,Outpatient,Facility,5,ME,6.18,2.47,66,,,Percent of total billed charges,,4.08,20.8,,,Percent of total billed charges,,1.28,20.4,,,Percent of total billed charges,,1.26,,3.42,,Case rate,,3.42,19.8,,,Percent of total billed charges,,1.22,80,,,Percent of total billed charges,,4.94,61.6,,,Percent of total billed charges,,3.8,20.6,,,Percent of total billed charges,,1.27,20.6,,,Percent of total billed charges,,1.27,65.55,,,Percent of total billed charges,,4.05,21,,,Percent of total billed charges,,1.3,90,,,Percent of total billed charges,,5.56,21,,,Percent of total billed charges,,1.3,21,,,Percent of total billed charges,,1.3,64.9,,,Percent of total billed charges,,4.01,21,,,Percent of total billed charges,,1.3,,2.47,,Case rate,,2.47,1.22,6.18,
"Injection, labetalol hydrochloride, 5 mg",J1920,HCPCS,,,,Outpatient,Facility,5,ME,13.84,5.53,66,,,Percent of total billed charges,,9.13,20.8,,,Percent of total billed charges,,2.88,20.4,,,Percent of total billed charges,,2.82,,0.26,,Case rate,,0.26,19.8,,,Percent of total billed charges,,2.74,80,,,Percent of total billed charges,,11.07,61.6,,,Percent of total billed charges,,8.52,20.6,,,Percent of total billed charges,,2.85,20.6,,,Percent of total billed charges,,2.85,65.55,,,Percent of total billed charges,,9.07,21,,,Percent of total billed charges,,2.91,90,,,Percent of total billed charges,,12.45,21,,,Percent of total billed charges,,2.91,21,,,Percent of total billed charges,,2.91,64.9,,,Percent of total billed charges,,8.98,21,,,Percent of total billed charges,,2.91,,0.2,,Case rate,,0.2,0.2,13.84,
"Injection, levetiracetam, 10 mg",J1953,HCPCS,,,,Outpatient,Facility,10,ME,1.67,0.67,66,,,Percent of total billed charges,,1.1,20.8,,,Percent of total billed charges,,0.35,20.4,,,Percent of total billed charges,,0.34,,0.08,,Case rate,,0.08,,0.15,,Case rate,,0.15,80,,,Percent of total billed charges,,1.33,61.6,,,Percent of total billed charges,,1.03,20.6,,,Percent of total billed charges,,0.34,20.6,,,Percent of total billed charges,,0.34,65.55,,,Percent of total billed charges,,1.09,21,,,Percent of total billed charges,,0.35,90,,,Percent of total billed charges,,1.5,21,,,Percent of total billed charges,,0.35,21,,,Percent of total billed charges,,0.35,64.9,,,Percent of total billed charges,,1.08,21,,,Percent of total billed charges,,0.35,,0.06,,Case rate,,0.06,0.06,1.67,
"Injection, lorazepam, 2 mg",J2060,HCPCS,,,,Outpatient,Facility,2,ME,27.67,11.07,66,,,Percent of total billed charges,,18.26,20.8,,,Percent of total billed charges,,5.76,20.4,,,Percent of total billed charges,,5.64,,1.22,,Case rate,,1.22,,1.75,,Case rate,,1.75,80,,,Percent of total billed charges,,22.14,61.6,,,Percent of total billed charges,,17.04,20.6,,,Percent of total billed charges,,5.7,20.6,,,Percent of total billed charges,,5.7,65.55,,,Percent of total billed charges,,18.14,21,,,Percent of total billed charges,,5.81,90,,,Percent of total billed charges,,24.9,21,,,Percent of total billed charges,,5.81,21,,,Percent of total billed charges,,5.81,64.9,,,Percent of total billed charges,,17.96,21,,,Percent of total billed charges,,5.81,,1.52,,Case rate,,1.52,1.22,27.67,
"Injection, mepolizumab, 1 mg",J2182,HCPCS,,,,Outpatient,Facility,1,ME,,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Case rate,Use Lesser of logic,,,2.03,,Case rate,,2.03,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,35.34,,Case rate,,35.34,2.03,35.34,
"Injection, meropenem, 100 mg",J2185,HCPCS,,,,Outpatient,Facility,100,ME,13.8,5.52,66,,,Percent of total billed charges,,9.11,20.8,,,Percent of total billed charges,,2.87,20.4,,,Percent of total billed charges,,2.81,,1.37,,Case rate,,1.37,,1.03,,Case rate,,1.03,80,,,Percent of total billed charges,,11.04,61.6,,,Percent of total billed charges,,8.5,20.6,,,Percent of total billed charges,,2.84,20.6,,,Percent of total billed charges,,2.84,65.55,,,Percent of total billed charges,,9.05,21,,,Percent of total billed charges,,2.9,90,,,Percent of total billed charges,,12.42,21,,,Percent of total billed charges,,2.9,21,,,Percent of total billed charges,,2.9,64.9,,,Percent of total billed charges,,8.96,21,,,Percent of total billed charges,,2.9,,0.37,,Case rate,,0.37,0.37,13.8,
"Injection, metoclopramide hcl, up to 10 mg",J2765,HCPCS,,,,Outpatient,Facility,10,ME,27.67,11.07,66,,,Percent of total billed charges,,18.26,20.8,,,Percent of total billed charges,,5.76,20.4,,,Percent of total billed charges,,5.64,,2.51,,Case rate,,2.51,,0.21,,Case rate,,0.21,80,,,Percent of total billed charges,,22.14,61.6,,,Percent of total billed charges,,17.04,20.6,,,Percent of total billed charges,,5.7,20.6,,,Percent of total billed charges,,5.7,65.55,,,Percent of total billed charges,,18.14,21,,,Percent of total billed charges,,5.81,90,,,Percent of total billed charges,,24.9,21,,,Percent of total billed charges,,5.81,21,,,Percent of total billed charges,,5.81,64.9,,,Percent of total billed charges,,17.96,21,,,Percent of total billed charges,,5.81,,1.07,,Case rate,,1.07,0.21,27.67,
"Injection, metronidazole, 10 mg",J1836,HCPCS,,,,Outpatient,Facility,10,ME,0.55,0.22,66,,,Percent of total billed charges,,0.37,20.8,,,Percent of total billed charges,,0.12,20.4,,,Percent of total billed charges,,0.11,,0.05,,Case rate,,0.05,19.8,,,Percent of total billed charges,,0.11,80,,,Percent of total billed charges,,0.44,61.6,,,Percent of total billed charges,,0.34,20.6,,,Percent of total billed charges,,0.11,20.6,,,Percent of total billed charges,,0.11,65.55,,,Percent of total billed charges,,0.36,21,,,Percent of total billed charges,,0.12,90,,,Percent of total billed charges,,0.5,21,,,Percent of total billed charges,,0.12,21,,,Percent of total billed charges,,0.12,64.9,,,Percent of total billed charges,,0.36,21,,,Percent of total billed charges,,0.12,,0.03,,Case rate,,0.03,0.03,0.55,
"Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg",J2272,HCPCS,,,,Outpatient,Facility,1,EA,27.67,11.07,66,,,Percent of total billed charges,,18.26,20.8,,,Percent of total billed charges,,5.76,20.4,,,Percent of total billed charges,,5.64,,3.48,,Case rate,,3.48,19.8,,,Percent of total billed charges,,5.48,80,,,Percent of total billed charges,,22.14,61.6,,,Percent of total billed charges,,17.04,20.6,,,Percent of total billed charges,,5.7,20.6,,,Percent of total billed charges,,5.7,65.55,,,Percent of total billed charges,,18.14,21,,,Percent of total billed charges,,5.81,90,,,Percent of total billed charges,,24.9,21,,,Percent of total billed charges,,5.81,21,,,Percent of total billed charges,,5.81,64.9,,,Percent of total billed charges,,17.96,21,,,Percent of total billed charges,,5.81,,5.28,,Case rate,,5.28,3.48,27.67,
"Injection, morphine sulfate, up to 10 mg",J2270,HCPCS,,,,Outpatient,Facility,10,ME,27.67,11.07,66,,,Percent of total billed charges,,18.26,20.8,,,Percent of total billed charges,,5.76,20.4,,,Percent of total billed charges,,5.64,,2.91,,Case rate,,2.91,,0.21,,Case rate,,0.21,80,,,Percent of total billed charges,,22.14,61.6,,,Percent of total billed charges,,17.04,20.6,,,Percent of total billed charges,,5.7,20.6,,,Percent of total billed charges,,5.7,65.55,,,Percent of total billed charges,,18.14,21,,,Percent of total billed charges,,5.81,90,,,Percent of total billed charges,,24.9,21,,,Percent of total billed charges,,5.81,21,,,Percent of total billed charges,,5.81,64.9,,,Percent of total billed charges,,17.96,21,,,Percent of total billed charges,,5.81,,3.76,,Case rate,,3.76,0.21,27.67,
"Injection, nicardipine, 0.1 mg",J2404,HCPCS,,,,Outpatient,Facility,0.1,ME,2.71,1.08,66,,,Percent of total billed charges,,1.79,20.8,,,Percent of total billed charges,,0.56,20.4,,,Percent of total billed charges,,0.55,,0.11,,Case rate,,0.11,19.8,,,Percent of total billed charges,,0.54,80,,,Percent of total billed charges,,2.17,61.6,,,Percent of total billed charges,,1.67,20.6,,,Percent of total billed charges,,0.56,20.6,,,Percent of total billed charges,,0.56,65.55,,,Percent of total billed charges,,1.78,21,,,Percent of total billed charges,,0.57,90,,,Percent of total billed charges,,2.44,21,,,Percent of total billed charges,,0.57,21,,,Percent of total billed charges,,0.57,64.9,,,Percent of total billed charges,,1.76,21,,,Percent of total billed charges,,0.57,45,,,Percent of total billed charges,,1.22,0.11,2.71,
"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg",J2354,HCPCS,,,,Outpatient,Facility,25,UN,15,6,66,,,Percent of total billed charges,,9.9,20.8,,,Percent of total billed charges,,3.12,20.4,,,Percent of total billed charges,,3.06,,2.57,,Case rate,,2.57,,0.96,,Case rate,,0.96,80,,,Percent of total billed charges,,12,61.6,,,Percent of total billed charges,,9.24,20.6,,,Percent of total billed charges,,3.09,20.6,,,Percent of total billed charges,,3.09,65.55,,,Percent of total billed charges,,9.83,21,,,Percent of total billed charges,,3.15,90,,,Percent of total billed charges,,13.5,21,,,Percent of total billed charges,,3.15,21,,,Percent of total billed charges,,3.15,64.9,,,Percent of total billed charges,,9.73,21,,,Percent of total billed charges,,3.15,,1.05,,Case rate,,1.05,0.96,15,
"Injection, olanzapine, 0.5 mg",J2359,HCPCS,,,,Outpatient,Facility,0.5,ME,13.16,5.26,66,,,Percent of total billed charges,,8.69,20.8,,,Percent of total billed charges,,2.74,20.4,,,Percent of total billed charges,,2.68,,1.84,,Case rate,,1.84,19.8,,,Percent of total billed charges,,2.61,80,,,Percent of total billed charges,,10.53,61.6,,,Percent of total billed charges,,8.11,20.6,,,Percent of total billed charges,,2.71,20.6,,,Percent of total billed charges,,2.71,65.55,,,Percent of total billed charges,,8.63,21,,,Percent of total billed charges,,2.76,90,,,Percent of total billed charges,,11.84,21,,,Percent of total billed charges,,2.76,21,,,Percent of total billed charges,,2.76,64.9,,,Percent of total billed charges,,8.54,21,,,Percent of total billed charges,,2.76,,1.14,,Case rate,,1.14,1.14,13.16,
"Injection, pantoprazole sodium, 40 mg",J2470,HCPCS,,,,Outpatient,Facility,40,ME,27.66,11.06,66,,,Percent of total billed charges,,18.26,20.8,,,Percent of total billed charges,,5.75,20.4,,,Percent of total billed charges,,5.64,,5.19,,Case rate,,5.19,19.8,,,Percent of total billed charges,,5.48,80,,,Percent of total billed charges,,22.13,61.6,,,Percent of total billed charges,,17.04,20.6,,,Percent of total billed charges,,5.7,20.6,,,Percent of total billed charges,,5.7,65.55,,,Percent of total billed charges,,18.13,21,,,Percent of total billed charges,,5.81,90,,,Percent of total billed charges,,24.89,21,,,Percent of total billed charges,,5.81,21,,,Percent of total billed charges,,5.81,64.9,,,Percent of total billed charges,,17.95,21,,,Percent of total billed charges,,5.81,45,,,Percent of total billed charges,,12.45,5.19,27.66,
"Injection, pegylated interferon alfa-2a, 180 mcg per ml",S0145,CPT,,,,Outpatient,Facility,,,2073.63,829.45,66,,,Percent of total billed charges,,1368.6,20.8,,,Percent of total billed charges,,431.32,20.4,,,Percent of total billed charges,,423.02,,1269.3,,Case rate,,1269.3,,76.04,,Case rate,,76.04,80,,,Percent of total billed charges,,1658.9,61.6,,,Percent of total billed charges,,1277.36,20.6,,,Percent of total billed charges,,427.17,20.6,,,Percent of total billed charges,,427.17,65.55,,,Percent of total billed charges,,1359.26,21,,,Percent of total billed charges,,435.46,90,,,Percent of total billed charges,,1866.27,21,,,Percent of total billed charges,,435.46,21,,,Percent of total billed charges,,435.46,64.9,,,Percent of total billed charges,,1345.79,21,,,Percent of total billed charges,,435.46,,3265.33,,Case rate,,3265.33,76.04,3265.33,
"Injection, perflutren lipid microspheres, per ml",Q9957,CPT,,,,Outpatient,Facility,,,532.31,212.92,66,,,Percent of total billed charges,,351.32,20.8,,,Percent of total billed charges,,110.72,20.4,,,Percent of total billed charges,,108.59,,183.21,,Case rate,,183.21,,14.67,,Case rate,,14.67,80,,,Percent of total billed charges,,425.84,61.6,,,Percent of total billed charges,,327.9,20.6,,,Percent of total billed charges,,109.65,20.6,,,Percent of total billed charges,,109.65,65.55,,,Percent of total billed charges,,348.93,21,,,Percent of total billed charges,,111.78,90,,,Percent of total billed charges,,479.07,21,,,Percent of total billed charges,,111.78,21,,,Percent of total billed charges,,111.78,64.9,,,Percent of total billed charges,,345.47,21,,,Percent of total billed charges,,111.78,,48.5,,Case rate,,48.5,14.67,532.3,
"Injection, phenytoin sodium, per 50 mg",J1165,HCPCS,,,,Outpatient,Facility,50,ME,12.35,4.94,66,,,Percent of total billed charges,,8.15,20.8,,,Percent of total billed charges,,2.57,20.4,,,Percent of total billed charges,,2.52,,0.97,,Case rate,,0.97,,1.29,,Case rate,,1.29,80,,,Percent of total billed charges,,9.88,61.6,,,Percent of total billed charges,,7.61,20.6,,,Percent of total billed charges,,2.54,20.6,,,Percent of total billed charges,,2.54,65.55,,,Percent of total billed charges,,8.1,21,,,Percent of total billed charges,,2.59,90,,,Percent of total billed charges,,11.12,21,,,Percent of total billed charges,,2.59,21,,,Percent of total billed charges,,2.59,64.9,,,Percent of total billed charges,,8.02,21,,,Percent of total billed charges,,2.59,,0.58,,Case rate,,0.58,0.58,12.35,
"Injection, phytonadione (vitamin k), per 1 mg",J3430,HCPCS,,,,Outpatient,Facility,1,ME,28.5,11.4,66,,,Percent of total billed charges,,18.81,20.8,,,Percent of total billed charges,,5.93,20.4,,,Percent of total billed charges,,5.81,,6.13,,Case rate,,6.13,,0.95,,Case rate,,0.95,80,,,Percent of total billed charges,,22.8,61.6,,,Percent of total billed charges,,17.56,20.6,,,Percent of total billed charges,,5.87,20.6,,,Percent of total billed charges,,5.87,65.55,,,Percent of total billed charges,,18.68,21,,,Percent of total billed charges,,5.99,90,,,Percent of total billed charges,,25.65,21,,,Percent of total billed charges,,5.99,21,,,Percent of total billed charges,,5.99,64.9,,,Percent of total billed charges,,18.5,21,,,Percent of total billed charges,,5.99,,3.31,,Case rate,,3.31,0.95,28.5,
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",J2543,HCPCS,,,,Outpatient,Facility,1.125,GR,30.2,12.08,66,,,Percent of total billed charges,,19.93,20.8,,,Percent of total billed charges,,6.28,20.4,,,Percent of total billed charges,,6.16,,2.78,,Case rate,,2.78,,1.03,,Case rate,,1.03,80,,,Percent of total billed charges,,24.16,61.6,,,Percent of total billed charges,,18.6,20.6,,,Percent of total billed charges,,6.22,20.6,,,Percent of total billed charges,,6.22,65.55,,,Percent of total billed charges,,19.8,21,,,Percent of total billed charges,,6.34,90,,,Percent of total billed charges,,27.18,21,,,Percent of total billed charges,,6.34,21,,,Percent of total billed charges,,6.34,64.9,,,Percent of total billed charges,,19.6,21,,,Percent of total billed charges,,6.34,,1.37,,Case rate,,1.37,1.03,30.2,
"Injection, potassium chloride, per 2 meq",J3480,HCPCS,,,,Outpatient,Facility,2,UN,4.44,1.78,66,,,Percent of total billed charges,,2.93,20.8,,,Percent of total billed charges,,0.92,20.4,,,Percent of total billed charges,,0.91,,0.44,,Case rate,,0.44,,0.02,,Case rate,,0.02,80,,,Percent of total billed charges,,3.55,61.6,,,Percent of total billed charges,,2.74,20.6,,,Percent of total billed charges,,0.92,20.6,,,Percent of total billed charges,,0.92,65.55,,,Percent of total billed charges,,2.91,21,,,Percent of total billed charges,,0.93,90,,,Percent of total billed charges,,4,21,,,Percent of total billed charges,,0.93,21,,,Percent of total billed charges,,0.93,64.9,,,Percent of total billed charges,,2.88,21,,,Percent of total billed charges,,0.93,,0.13,,Case rate,,0.13,0.02,4.44,
"Injection, promethazine hcl, up to 50 mg",J2550,HCPCS,,,,Outpatient,Facility,50,ME,27.67,11.07,66,,,Percent of total billed charges,,18.26,20.8,,,Percent of total billed charges,,5.76,20.4,,,Percent of total billed charges,,5.64,,4.22,,Case rate,,4.22,,0.2,,Case rate,,0.2,80,,,Percent of total billed charges,,22.14,61.6,,,Percent of total billed charges,,17.04,20.6,,,Percent of total billed charges,,5.7,20.6,,,Percent of total billed charges,,5.7,65.55,,,Percent of total billed charges,,18.14,21,,,Percent of total billed charges,,5.81,90,,,Percent of total billed charges,,24.9,21,,,Percent of total billed charges,,5.81,21,,,Percent of total billed charges,,5.81,64.9,,,Percent of total billed charges,,17.96,21,,,Percent of total billed charges,,5.81,,4.14,,Case rate,,4.14,0.2,27.67,
"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity",J7165,HCPCS,,,,Outpatient,Facility,1,EA,13.03,5.21,66,,,Percent of total billed charges,,8.6,20.8,,,Percent of total billed charges,,2.71,20.4,,,Percent of total billed charges,,2.66,,3.59,,Case rate,,3.59,19.8,,,Percent of total billed charges,,2.58,80,,,Percent of total billed charges,,10.42,61.6,,,Percent of total billed charges,,8.02,20.6,,,Percent of total billed charges,,2.68,20.6,,,Percent of total billed charges,,2.68,65.55,,,Percent of total billed charges,,8.54,21,,,Percent of total billed charges,,2.74,90,,,Percent of total billed charges,,11.72,21,,,Percent of total billed charges,,2.74,21,,,Percent of total billed charges,,2.74,64.9,,,Percent of total billed charges,,8.45,21,,,Percent of total billed charges,,2.74,45,,,Percent of total billed charges,,5.86,2.58,13.03,
"Injection, remdesivir, 1 mg",J0248,HCPCS,,,,Outpatient,Facility,1,ME,27.98,11.19,66,,,Percent of total billed charges,,18.47,20.8,,,Percent of total billed charges,,5.82,20.4,,,Percent of total billed charges,,5.71,,6.83,,Case rate,,6.83,19.8,,,Percent of total billed charges,,5.54,80,,,Percent of total billed charges,,22.38,61.6,,,Percent of total billed charges,,17.24,20.6,,,Percent of total billed charges,,5.76,20.6,,,Percent of total billed charges,,5.76,65.55,,,Percent of total billed charges,,18.34,21,,,Percent of total billed charges,,5.88,90,,,Percent of total billed charges,,25.18,21,,,Percent of total billed charges,,5.88,21,,,Percent of total billed charges,,5.88,64.9,,,Percent of total billed charges,,18.16,21,,,Percent of total billed charges,,5.88,,7.37,,Case rate,,7.37,5.54,27.98,
"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu",J2791,HCPCS,,,,Outpatient,Facility,100,F2,79.71,31.89,66,,,Percent of total billed charges,,52.61,20.8,,,Percent of total billed charges,,16.58,20.4,,,Percent of total billed charges,,16.26,,11.08,,Case rate,,11.08,,2.3,,Case rate,,2.3,80,,,Percent of total billed charges,,63.77,61.6,,,Percent of total billed charges,,49.1,20.6,,,Percent of total billed charges,,16.42,20.6,,,Percent of total billed charges,,16.42,65.55,,,Percent of total billed charges,,52.25,21,,,Percent of total billed charges,,16.74,90,,,Percent of total billed charges,,71.74,21,,,Percent of total billed charges,,16.74,21,,,Percent of total billed charges,,16.74,64.9,,,Percent of total billed charges,,51.73,21,,,Percent of total billed charges,,16.74,,5.52,,Case rate,,5.52,2.3,79.71,
"Injection, ropivacaine hydrochloride, 1 mg",J2795,HCPCS,,,,Outpatient,Facility,1,ME,0.96,0.39,66,,,Percent of total billed charges,,0.64,20.8,,,Percent of total billed charges,,0.2,20.4,,,Percent of total billed charges,,0.2,,0.18,,Case rate,,0.18,,0.02,,Case rate,,0.02,80,,,Percent of total billed charges,,0.77,61.6,,,Percent of total billed charges,,0.59,20.6,,,Percent of total billed charges,,0.2,20.6,,,Percent of total billed charges,,0.2,65.55,,,Percent of total billed charges,,0.63,21,,,Percent of total billed charges,,0.2,90,,,Percent of total billed charges,,0.87,21,,,Percent of total billed charges,,0.2,21,,,Percent of total billed charges,,0.2,64.9,,,Percent of total billed charges,,0.63,21,,,Percent of total billed charges,,0.2,,0.08,,Case rate,,0.08,0.02,0.96,
"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",J3030,HCPCS,,,,Outpatient,Facility,6,ME,68.45,27.38,66,,,Percent of total billed charges,,45.18,20.8,,,Percent of total billed charges,,14.24,20.4,,,Percent of total billed charges,,13.96,,71.54,,Case rate,Use Lesser of logic,68.45,,9.73,,Case rate,,9.73,80,,,Percent of total billed charges,,54.76,61.6,,,Percent of total billed charges,,42.17,20.6,,,Percent of total billed charges,,14.1,20.6,,,Percent of total billed charges,,14.1,65.55,,,Percent of total billed charges,,44.87,21,,,Percent of total billed charges,,14.37,90,,,Percent of total billed charges,,61.6,21,,,Percent of total billed charges,,14.37,21,,,Percent of total billed charges,,14.37,64.9,,,Percent of total billed charges,,44.42,21,,,Percent of total billed charges,,14.37,,133.35,,Case rate,,133.35,9.73,133.35,
"Injection, tenecteplase, 1 mg",J3101,HCPCS,,,,Outpatient,Facility,1,ME,610.23,244.09,66,,,Percent of total billed charges,,402.75,20.8,,,Percent of total billed charges,,126.93,20.4,,,Percent of total billed charges,,124.49,,173.27,,Case rate,,173.27,,11.31,,Case rate,,11.31,80,,,Percent of total billed charges,,488.18,61.6,,,Percent of total billed charges,,375.9,20.6,,,Percent of total billed charges,,125.71,20.6,,,Percent of total billed charges,,125.71,65.55,,,Percent of total billed charges,,400.01,21,,,Percent of total billed charges,,128.15,90,,,Percent of total billed charges,,549.21,21,,,Percent of total billed charges,,128.15,21,,,Percent of total billed charges,,128.15,64.9,,,Percent of total billed charges,,396.04,21,,,Percent of total billed charges,,128.15,,182.72,,Case rate,,182.72,11.31,610.23,
"Injection, terbutaline sulfate, up to 1 mg",J3105,HCPCS,,,,Outpatient,Facility,1,ME,24.7,9.88,66,,,Percent of total billed charges,,16.3,20.8,,,Percent of total billed charges,,5.14,20.4,,,Percent of total billed charges,,5.04,,11.97,,Case rate,,11.97,,0.34,,Case rate,,0.34,80,,,Percent of total billed charges,,19.76,61.6,,,Percent of total billed charges,,15.22,20.6,,,Percent of total billed charges,,5.09,20.6,,,Percent of total billed charges,,5.09,65.55,,,Percent of total billed charges,,16.19,21,,,Percent of total billed charges,,5.19,90,,,Percent of total billed charges,,22.23,21,,,Percent of total billed charges,,5.19,21,,,Percent of total billed charges,,5.19,64.9,,,Percent of total billed charges,,16.03,21,,,Percent of total billed charges,,5.19,,4.25,,Case rate,,4.25,0.34,24.7,
"Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune  systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring",M0220,CPT,,,,Outpatient,Facility,,,639,255.6,66,,,Percent of total billed charges,,421.74,20.8,,,Percent of total billed charges,,132.91,20.4,,,Percent of total billed charges,,130.36,,80,,Case rate,,80,,3.61,,Case rate,,3.61,80,,,Percent of total billed charges,,511.2,61.6,,,Percent of total billed charges,,393.62,20.6,,,Percent of total billed charges,,131.63,20.6,,,Percent of total billed charges,,131.63,65.55,,,Percent of total billed charges,,418.86,21,,,Percent of total billed charges,,134.19,90,,,Percent of total billed charges,,575.1,21,,,Percent of total billed charges,,134.19,21,,,Percent of total billed charges,,134.19,64.9,,,Percent of total billed charges,,414.71,21,,,Percent of total billed charges,,134.19,,232.15,,Case rate,,232.15,3.61,639,
"Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg",J3371,HCPCS,,,,Outpatient,Facility,500,ME,32.29,12.92,66,,,Percent of total billed charges,,21.31,20.8,,,Percent of total billed charges,,6.72,20.4,,,Percent of total billed charges,,6.59,,9.17,,Case rate,,9.17,19.8,,,Percent of total billed charges,,6.39,80,,,Percent of total billed charges,,25.83,61.6,,,Percent of total billed charges,,19.89,20.6,,,Percent of total billed charges,,6.65,20.6,,,Percent of total billed charges,,6.65,65.55,,,Percent of total billed charges,,21.17,21,,,Percent of total billed charges,,6.78,90,,,Percent of total billed charges,,29.06,21,,,Percent of total billed charges,,6.78,21,,,Percent of total billed charges,,6.78,64.9,,,Percent of total billed charges,,20.96,21,,,Percent of total billed charges,,6.78,,6.89,,Case rate,,6.89,6.39,32.29,
"Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg",J3372,HCPCS,,,,Outpatient,Facility,500,ME,40.73,16.29,66,,,Percent of total billed charges,,26.88,20.8,,,Percent of total billed charges,,8.47,20.4,,,Percent of total billed charges,,8.31,,8.74,,Case rate,,8.74,19.8,,,Percent of total billed charges,,8.06,80,,,Percent of total billed charges,,32.58,61.6,,,Percent of total billed charges,,25.09,20.6,,,Percent of total billed charges,,8.39,20.6,,,Percent of total billed charges,,8.39,65.55,,,Percent of total billed charges,,26.7,21,,,Percent of total billed charges,,8.55,90,,,Percent of total billed charges,,36.66,21,,,Percent of total billed charges,,8.55,21,,,Percent of total billed charges,,8.55,64.9,,,Percent of total billed charges,,26.43,21,,,Percent of total billed charges,,8.55,,7.52,,Case rate,,7.52,7.52,40.73,
"Injection, vancomycin hcl, 500 mg",J3370,HCPCS,,,,Outpatient,Facility,500,ME,53.45,21.38,66,,,Percent of total billed charges,,35.28,20.8,,,Percent of total billed charges,,11.12,20.4,,,Percent of total billed charges,,10.9,,3.42,,Case rate,,3.42,,1.54,,Case rate,,1.54,80,,,Percent of total billed charges,,42.76,61.6,,,Percent of total billed charges,,32.93,20.6,,,Percent of total billed charges,,11.01,20.6,,,Percent of total billed charges,,11.01,65.55,,,Percent of total billed charges,,35.04,21,,,Percent of total billed charges,,11.22,90,,,Percent of total billed charges,,48.1,21,,,Percent of total billed charges,,11.22,21,,,Percent of total billed charges,,11.22,64.9,,,Percent of total billed charges,,34.69,21,,,Percent of total billed charges,,11.22,,2.31,,Case rate,,2.31,1.54,53.45,
"Injection, zoledronic acid, 1 mg",J3489,HCPCS,,,,Outpatient,Facility,1,ME,446.98,178.79,66,,,Percent of total billed charges,,295,20.8,,,Percent of total billed charges,,92.97,20.4,,,Percent of total billed charges,,91.18,,22.09,,Case rate,,22.09,,16.75,,Case rate,,16.75,80,,,Percent of total billed charges,,357.58,61.6,,,Percent of total billed charges,,275.34,20.6,,,Percent of total billed charges,,92.08,20.6,,,Percent of total billed charges,,92.08,65.55,,,Percent of total billed charges,,292.99,21,,,Percent of total billed charges,,93.86,90,,,Percent of total billed charges,,402.28,21,,,Percent of total billed charges,,93.86,21,,,Percent of total billed charges,,93.86,64.9,,,Percent of total billed charges,,290.09,21,,,Percent of total billed charges,,93.86,,6.64,,Case rate,,6.64,6.64,446.98,
"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)",51701,CPT,,,,Outpatient,Facility,,,316,126.4,66,,,Percent of total billed charges,,208.56,20.8,,,Percent of total billed charges,,65.73,20.4,,,Percent of total billed charges,,64.46,,43.12,,Case rate,,43.12,,14.85,,Case rate,,14.85,80,,,Percent of total billed charges,,252.8,61.6,,,Percent of total billed charges,,194.66,20.6,,,Percent of total billed charges,,65.1,20.6,,,Percent of total billed charges,,65.1,65.55,,,Percent of total billed charges,,207.14,21,,,Percent of total billed charges,,66.36,90,,,Percent of total billed charges,,284.4,21,,,Percent of total billed charges,,66.36,21,,,Percent of total billed charges,,66.36,64.9,,,Percent of total billed charges,,205.08,21,,,Percent of total billed charges,,66.36,,204.29,,Case rate,,204.29,14.85,316,
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older,36556,CPT,,,,Outpatient,Facility,,,1792,716.8,66,,,Percent of total billed charges,,1182.72,20.8,,,Percent of total billed charges,,372.74,20.4,,,Percent of total billed charges,,365.57,,206.44,,Case rate,,206.44,,62.25,,Case rate,,62.25,80,,,Percent of total billed charges,,1433.6,61.6,,,Percent of total billed charges,,1103.87,20.6,,,Percent of total billed charges,,369.15,20.6,,,Percent of total billed charges,,369.15,65.55,,,Percent of total billed charges,,1174.66,21,,,Percent of total billed charges,,376.32,90,,,Percent of total billed charges,,1612.8,21,,,Percent of total billed charges,,376.32,21,,,Percent of total billed charges,,376.32,64.9,,,Percent of total billed charges,,1163.01,21,,,Percent of total billed charges,,376.32,,545.41,,Case rate,,545.41,62.25,1792,
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)",78290,CPT,34178290,CDM,TC,Outpatient,Facility,,,554,221.6,66,,,Percent of total billed charges,,365.64,20.8,,,Percent of total billed charges,,115.23,20.4,,,Percent of total billed charges,,113.02,,261.12,,Case rate,,261.12,,18.31,,Case rate,,18.31,80,,,Percent of total billed charges,,443.2,61.6,,,Percent of total billed charges,,341.26,20.6,,,Percent of total billed charges,,114.12,20.6,,,Percent of total billed charges,,114.12,65.55,,,Percent of total billed charges,,363.15,21,,,Percent of total billed charges,,116.34,90,,,Percent of total billed charges,,498.6,21,,,Percent of total billed charges,,116.34,21,,,Percent of total billed charges,,116.34,64.9,,,Percent of total billed charges,,359.55,21,,,Percent of total billed charges,,116.34,,441.64,,Case rate,,441.64,18.31,554,
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)",96367,CPT,,,,Outpatient,Facility,,,227,90.8,66,,,Percent of total billed charges,,149.82,20.8,,,Percent of total billed charges,,47.22,20.4,,,Percent of total billed charges,,46.31,,27.61,,Case rate,,27.61,,7.69,,Case rate,,7.69,80,,,Percent of total billed charges,,181.6,61.6,,,Percent of total billed charges,,139.83,20.6,,,Percent of total billed charges,,46.76,20.6,,,Percent of total billed charges,,46.76,65.55,,,Percent of total billed charges,,148.8,21,,,Percent of total billed charges,,47.67,90,,,Percent of total billed charges,,204.3,21,,,Percent of total billed charges,,47.67,21,,,Percent of total billed charges,,47.67,64.9,,,Percent of total billed charges,,147.32,21,,,Percent of total billed charges,,47.67,,158.65,,Case rate,,158.65,7.69,227,
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)",96368,CPT,,,,Outpatient,Facility,,,134,53.6,66,,,Percent of total billed charges,,88.44,20.8,,,Percent of total billed charges,,27.87,20.4,,,Percent of total billed charges,,27.34,,19.03,,Case rate,,19.03,,4.5,,Case rate,,4.5,80,,,Percent of total billed charges,,107.2,61.6,,,Percent of total billed charges,,82.54,20.6,,,Percent of total billed charges,,27.6,20.6,,,Percent of total billed charges,,27.6,65.55,,,Percent of total billed charges,,87.84,21,,,Percent of total billed charges,,28.14,90,,,Percent of total billed charges,,120.6,21,,,Percent of total billed charges,,28.14,21,,,Percent of total billed charges,,28.14,64.9,,,Percent of total billed charges,,86.97,21,,,Percent of total billed charges,,28.14,,68.16,,Case rate,,68.16,4.5,134,
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)",96366,CPT,,,,Outpatient,Facility,,,144,57.6,66,,,Percent of total billed charges,,95.04,20.8,,,Percent of total billed charges,,29.95,20.4,,,Percent of total billed charges,,29.38,,19.69,,Case rate,,19.69,,4.71,,Case rate,,4.71,80,,,Percent of total billed charges,,115.2,61.6,,,Percent of total billed charges,,88.7,20.6,,,Percent of total billed charges,,29.66,20.6,,,Percent of total billed charges,,29.66,65.55,,,Percent of total billed charges,,94.39,21,,,Percent of total billed charges,,30.24,90,,,Percent of total billed charges,,129.6,21,,,Percent of total billed charges,,30.24,21,,,Percent of total billed charges,,30.24,64.9,,,Percent of total billed charges,,93.46,21,,,Percent of total billed charges,,30.24,,112.55,,Case rate,,112.55,4.71,144,
"Intravenous infusion, sotrovimab, includes infusion and post administration monitoring",M0247,CPT,,,,Outpatient,Facility,,,1911,764.4,66,,,Percent of total billed charges,,1261.26,20.8,,,Percent of total billed charges,,397.49,20.4,,,Percent of total billed charges,,389.84,,450,,Case rate,,450,,89.1,,Case rate,,89.1,80,,,Percent of total billed charges,,1528.8,61.6,,,Percent of total billed charges,,1177.18,20.6,,,Percent of total billed charges,,393.67,20.6,,,Percent of total billed charges,,393.67,65.55,,,Percent of total billed charges,,1252.66,21,,,Percent of total billed charges,,401.31,90,,,Percent of total billed charges,,1719.9,21,,,Percent of total billed charges,,401.31,21,,,Percent of total billed charges,,401.31,64.9,,,Percent of total billed charges,,1240.24,21,,,Percent of total billed charges,,401.31,,603.59,,Case rate,,603.59,89.1,1911,
"Intravenous injection, bebtelovimab, includes injection and post administration monitoring",M0222,CPT,,,,Outpatient,Facility,,,1562,624.8,66,,,Percent of total billed charges,,1030.92,20.8,,,Percent of total billed charges,,324.9,20.4,,,Percent of total billed charges,,318.65,,95,,Case rate,,95,19.8,,,Percent of total billed charges,,309.28,80,,,Percent of total billed charges,,1249.6,61.6,,,Percent of total billed charges,,962.19,20.6,,,Percent of total billed charges,,321.77,20.6,,,Percent of total billed charges,,321.77,65.55,,,Percent of total billed charges,,1023.89,21,,,Percent of total billed charges,,328.02,90,,,Percent of total billed charges,,1405.8,21,,,Percent of total billed charges,,328.02,21,,,Percent of total billed charges,,328.02,64.9,,,Percent of total billed charges,,1013.74,21,,,Percent of total billed charges,,328.02,,510.73,,Case rate,,510.73,95,1562,
Intrinsic factor antibodies,86340,CPT,,,,Outpatient,Facility,,,151,60.4,66,,,Percent of total billed charges,,99.66,20.8,,,Percent of total billed charges,,31.41,20.4,,,Percent of total billed charges,,30.8,,15.08,,Case rate,,15.08,,4.36,,Case rate,,4.36,80,,,Percent of total billed charges,,120.8,61.6,,,Percent of total billed charges,,93.02,20.6,,,Percent of total billed charges,,31.11,20.6,,,Percent of total billed charges,,31.11,65.55,,,Percent of total billed charges,,98.98,21,,,Percent of total billed charges,,31.71,90,,,Percent of total billed charges,,135.9,21,,,Percent of total billed charges,,31.71,21,,,Percent of total billed charges,,31.71,64.9,,,Percent of total billed charges,,98,21,,,Percent of total billed charges,,31.71,,105.35,,Case rate,,105.35,4.36,151,
"Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser",C1894,CPT,,,,Outpatient,Facility,,,198,79.2,66,,,Percent of total billed charges,,130.68,20.8,,,Percent of total billed charges,,41.18,20.4,,,Percent of total billed charges,,40.39,48.3,,,Percent of total billed charges,,95.63,,5.1,,Case rate,,5.1,80,,,Percent of total billed charges,,158.4,61.6,,,Percent of total billed charges,,121.97,20.6,,,Percent of total billed charges,,40.79,20.6,,,Percent of total billed charges,,40.79,65.55,,,Percent of total billed charges,,129.79,21,,,Percent of total billed charges,,41.58,90,,,Percent of total billed charges,,178.2,21,,,Percent of total billed charges,,41.58,21,,,Percent of total billed charges,,41.58,64.9,,,Percent of total billed charges,,128.5,21,,,Percent of total billed charges,,41.58,,347.16,,Case rate,,347.16,5.1,347.16,
"Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure)",44500,CPT,,,,Outpatient,Facility,,,685,274,66,,,Percent of total billed charges,,452.1,20.8,,,Percent of total billed charges,,142.48,20.4,,,Percent of total billed charges,,139.74,,18.87,,Case rate,,18.87,,5.94,,Case rate,,5.94,80,,,Percent of total billed charges,,548,61.6,,,Percent of total billed charges,,421.96,20.6,,,Percent of total billed charges,,141.11,20.6,,,Percent of total billed charges,,141.11,65.55,,,Percent of total billed charges,,449.02,21,,,Percent of total billed charges,,143.85,90,,,Percent of total billed charges,,616.5,21,,,Percent of total billed charges,,143.85,21,,,Percent of total billed charges,,143.85,64.9,,,Percent of total billed charges,,444.56,21,,,Percent of total billed charges,,143.85,,152.2,,Case rate,,152.2,5.94,685,
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation",74340,CPT,,,,Outpatient,Facility,,,471,188.4,66,,,Percent of total billed charges,,310.86,20.8,,,Percent of total billed charges,,97.97,20.4,,,Percent of total billed charges,,96.08,,106.12,,Case rate,,106.12,,15.57,,Case rate,,15.57,80,,,Percent of total billed charges,,376.8,61.6,,,Percent of total billed charges,,290.14,20.6,,,Percent of total billed charges,,97.03,20.6,,,Percent of total billed charges,,97.03,65.55,,,Percent of total billed charges,,308.74,21,,,Percent of total billed charges,,98.91,90,,,Percent of total billed charges,,423.9,21,,,Percent of total billed charges,,98.91,21,,,Percent of total billed charges,,98.91,64.9,,,Percent of total billed charges,,305.68,21,,,Percent of total billed charges,,98.91,,390.62,,Case rate,,390.62,15.57,471,
"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries",A9516,CPT,,,,Outpatient,Facility,,,250,100,66,,,Percent of total billed charges,,165,20.8,,,Percent of total billed charges,,52,20.4,,,Percent of total billed charges,,51,,109.25,,Case rate,,109.25,,12.8,,Case rate,,12.8,80,,,Percent of total billed charges,,200,61.6,,,Percent of total billed charges,,154,20.6,,,Percent of total billed charges,,51.5,20.6,,,Percent of total billed charges,,51.5,65.55,,,Percent of total billed charges,,163.88,21,,,Percent of total billed charges,,52.5,90,,,Percent of total billed charges,,225,21,,,Percent of total billed charges,,52.5,21,,,Percent of total billed charges,,52.5,64.9,,,Percent of total billed charges,,162.25,21,,,Percent of total billed charges,,52.5,,294.64,,Case rate,,294.64,12.8,294.64,
Iron binding capacity,83550,CPT,,,,Outpatient,Facility,,,73,29.2,66,,,Percent of total billed charges,,48.18,20.8,,,Percent of total billed charges,,15.18,20.4,,,Percent of total billed charges,,14.89,,8.74,,Case rate,,8.74,,1.81,,Case rate,,1.81,80,,,Percent of total billed charges,,58.4,61.6,,,Percent of total billed charges,,44.97,20.6,,,Percent of total billed charges,,15.04,20.6,,,Percent of total billed charges,,15.04,65.55,,,Percent of total billed charges,,47.85,21,,,Percent of total billed charges,,15.33,90,,,Percent of total billed charges,,65.7,21,,,Percent of total billed charges,,15.33,21,,,Percent of total billed charges,,15.33,64.9,,,Percent of total billed charges,,47.38,21,,,Percent of total billed charges,,15.33,,45.97,,Case rate,,45.97,1.81,73,
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant",81270,CPT,,,,Outpatient,Facility,,,699,279.6,66,,,Percent of total billed charges,,461.34,20.8,,,Percent of total billed charges,,145.39,20.4,,,Percent of total billed charges,,142.6,,91.66,,Case rate,,91.66,,6.51,,Case rate,,6.51,80,,,Percent of total billed charges,,559.2,61.6,,,Percent of total billed charges,,430.58,20.6,,,Percent of total billed charges,,143.99,20.6,,,Percent of total billed charges,,143.99,65.55,,,Percent of total billed charges,,458.19,21,,,Percent of total billed charges,,146.79,90,,,Percent of total billed charges,,629.1,21,,,Percent of total billed charges,,146.79,21,,,Percent of total billed charges,,146.79,64.9,,,Percent of total billed charges,,453.65,21,,,Percent of total billed charges,,146.79,,135.53,,Case rate,,135.53,6.51,699,
"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, targeted sequence analysis exons 12-15",0027U,CPT,,,,Outpatient,Facility,,,560,224,66,,,Percent of total billed charges,,369.6,20.8,,,Percent of total billed charges,,116.48,20.4,,,Percent of total billed charges,,114.24,,121.91,,Case rate,,121.91,,9.79,,Case rate,,9.79,80,,,Percent of total billed charges,,448,61.6,,,Percent of total billed charges,,344.96,20.6,,,Percent of total billed charges,,115.36,20.6,,,Percent of total billed charges,,115.36,65.55,,,Percent of total billed charges,,367.08,21,,,Percent of total billed charges,,117.6,90,,,Percent of total billed charges,,504,21,,,Percent of total billed charges,,117.6,21,,,Percent of total billed charges,,117.6,64.9,,,Percent of total billed charges,,363.44,21,,,Percent of total billed charges,,117.6,45,,,Percent of total billed charges,,252,9.79,560,
"Kerecis omega3, per square centimeter",Q4158,CPT,,,,Outpatient,Facility,,,507,202.8,66,,,Percent of total billed charges,,334.62,20.8,,,Percent of total billed charges,,105.46,20.4,,,Percent of total billed charges,,103.43,,85,,Case rate,,85,19.8,,,Percent of total billed charges,,100.39,80,,,Percent of total billed charges,,405.6,61.6,,,Percent of total billed charges,,312.31,20.6,,,Percent of total billed charges,,104.44,20.6,,,Percent of total billed charges,,104.44,65.55,,,Percent of total billed charges,,332.34,21,,,Percent of total billed charges,,106.47,90,,,Percent of total billed charges,,456.3,21,,,Percent of total billed charges,,106.47,21,,,Percent of total billed charges,,106.47,64.9,,,Percent of total billed charges,,329.04,21,,,Percent of total billed charges,,106.47,45,,,Percent of total billed charges,,228.15,85,507,
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative",82009,CPT,,,,Outpatient,Facility,,,51,20.4,66,,,Percent of total billed charges,,33.66,20.8,,,Percent of total billed charges,,10.61,20.4,,,Percent of total billed charges,,10.4,,4.52,,Case rate,,4.52,,1.31,,Case rate,,1.31,80,,,Percent of total billed charges,,40.8,61.6,,,Percent of total billed charges,,31.42,20.6,,,Percent of total billed charges,,10.51,20.6,,,Percent of total billed charges,,10.51,65.55,,,Percent of total billed charges,,33.43,21,,,Percent of total billed charges,,10.71,90,,,Percent of total billed charges,,45.9,21,,,Percent of total billed charges,,10.71,21,,,Percent of total billed charges,,10.71,64.9,,,Percent of total billed charges,,33.1,21,,,Percent of total billed charges,,10.71,,36.03,,Case rate,,36.03,1.31,51,
Kidney imaging morphology; with vascular flow,78701,CPT,,,,Outpatient,Facility,,,586,234.4,66,,,Percent of total billed charges,,386.76,20.8,,,Percent of total billed charges,,121.89,20.4,,,Percent of total billed charges,,119.54,,177.97,,Case rate,,177.97,,18.97,,Case rate,,18.97,80,,,Percent of total billed charges,,468.8,61.6,,,Percent of total billed charges,,360.98,20.6,,,Percent of total billed charges,,120.72,20.6,,,Percent of total billed charges,,120.72,65.55,,,Percent of total billed charges,,384.12,21,,,Percent of total billed charges,,123.06,90,,,Percent of total billed charges,,527.4,21,,,Percent of total billed charges,,123.06,21,,,Percent of total billed charges,,123.06,64.9,,,Percent of total billed charges,,380.31,21,,,Percent of total billed charges,,123.06,,458.36,,Case rate,,458.36,18.97,586,
"Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78709,CPT,34178709,CDM,TC,Outpatient,Facility,,,971,388.4,66,,,Percent of total billed charges,,640.86,20.8,,,Percent of total billed charges,,201.97,20.4,,,Percent of total billed charges,,198.08,,265.53,,Case rate,,265.53,,26.35,,Case rate,,26.35,80,,,Percent of total billed charges,,776.8,61.6,,,Percent of total billed charges,,598.14,20.6,,,Percent of total billed charges,,200.03,20.6,,,Percent of total billed charges,,200.03,65.55,,,Percent of total billed charges,,636.49,21,,,Percent of total billed charges,,203.91,90,,,Percent of total billed charges,,873.9,21,,,Percent of total billed charges,,203.91,21,,,Percent of total billed charges,,203.91,64.9,,,Percent of total billed charges,,630.18,21,,,Percent of total billed charges,,203.91,,639.29,,Case rate,,639.29,26.35,971,
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,,,,Outpatient,Facility,,,886,354.4,66,,,Percent of total billed charges,,584.76,20.8,,,Percent of total billed charges,,184.29,20.4,,,Percent of total billed charges,,180.74,,112.2,,Case rate,,112.2,,25.53,,Case rate,,25.53,80,,,Percent of total billed charges,,708.8,61.6,,,Percent of total billed charges,,545.78,20.6,,,Percent of total billed charges,,182.52,20.6,,,Percent of total billed charges,,182.52,65.55,,,Percent of total billed charges,,580.77,21,,,Percent of total billed charges,,186.06,90,,,Percent of total billed charges,,797.4,21,,,Percent of total billed charges,,186.06,21,,,Percent of total billed charges,,186.06,64.9,,,Percent of total billed charges,,575.01,21,,,Percent of total billed charges,,186.06,,634.51,,Case rate,,634.51,25.53,886,
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)",78708,CPT,34178708,CDM,TC,Outpatient,Facility,,,886,354.4,66,,,Percent of total billed charges,,584.76,20.8,,,Percent of total billed charges,,184.29,20.4,,,Percent of total billed charges,,180.74,,112.2,,Case rate,,112.2,,25.53,,Case rate,,25.53,80,,,Percent of total billed charges,,708.8,61.6,,,Percent of total billed charges,,545.78,20.6,,,Percent of total billed charges,,182.52,20.6,,,Percent of total billed charges,,182.52,65.55,,,Percent of total billed charges,,580.77,21,,,Percent of total billed charges,,186.06,90,,,Percent of total billed charges,,797.4,21,,,Percent of total billed charges,,186.06,21,,,Percent of total billed charges,,186.06,64.9,,,Percent of total billed charges,,575.01,21,,,Percent of total billed charges,,186.06,,634.51,,Case rate,,634.51,25.53,886,
"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor [GIST], acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons 8, 11, 13, 17, 18)",81272,CPT,,,,Outpatient,Facility,,,816,326.4,66,,,Percent of total billed charges,,538.56,20.8,,,Percent of total billed charges,,169.73,20.4,,,Percent of total billed charges,,166.46,,329.51,,Case rate,,329.51,,24.53,,Case rate,,24.53,80,,,Percent of total billed charges,,652.8,61.6,,,Percent of total billed charges,,502.66,20.6,,,Percent of total billed charges,,168.1,20.6,,,Percent of total billed charges,,168.1,65.55,,,Percent of total billed charges,,534.89,21,,,Percent of total billed charges,,171.36,90,,,Percent of total billed charges,,734.4,21,,,Percent of total billed charges,,171.36,21,,,Percent of total billed charges,,171.36,64.9,,,Percent of total billed charges,,529.58,21,,,Percent of total billed charges,,171.36,,1155.46,,Case rate,,1155.46,24.53,1155.46,
Lactate (lactic acid),83605,CPT,,,,Outpatient,Facility,,,118,47.2,66,,,Percent of total billed charges,,77.88,20.8,,,Percent of total billed charges,,24.54,20.4,,,Percent of total billed charges,,24.07,,11.57,,Case rate,,11.57,,3.09,,Case rate,,3.09,80,,,Percent of total billed charges,,94.4,61.6,,,Percent of total billed charges,,72.69,20.6,,,Percent of total billed charges,,24.31,20.6,,,Percent of total billed charges,,24.31,65.55,,,Percent of total billed charges,,77.35,21,,,Percent of total billed charges,,24.78,90,,,Percent of total billed charges,,106.2,21,,,Percent of total billed charges,,24.78,21,,,Percent of total billed charges,,24.78,64.9,,,Percent of total billed charges,,76.58,21,,,Percent of total billed charges,,24.78,,75.03,,Case rate,,75.03,3.09,118,
"Lactate dehydrogenase (LD), (LDH)",83615,CPT,,,,Outpatient,Facility,,,72,28.8,66,,,Percent of total billed charges,,47.52,20.8,,,Percent of total billed charges,,14.98,20.4,,,Percent of total billed charges,,14.69,,6.04,,Case rate,,6.04,,1.24,,Case rate,,1.24,80,,,Percent of total billed charges,,57.6,61.6,,,Percent of total billed charges,,44.35,20.6,,,Percent of total billed charges,,14.83,20.6,,,Percent of total billed charges,,14.83,65.55,,,Percent of total billed charges,,47.2,21,,,Percent of total billed charges,,15.12,90,,,Percent of total billed charges,,64.8,21,,,Percent of total billed charges,,15.12,21,,,Percent of total billed charges,,15.12,64.9,,,Percent of total billed charges,,46.73,21,,,Percent of total billed charges,,15.12,,20.29,,Case rate,,20.29,1.24,72,
"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation",83625,CPT,,,,Outpatient,Facility,,,77,30.8,66,,,Percent of total billed charges,,50.82,20.8,,,Percent of total billed charges,,16.02,20.4,,,Percent of total billed charges,,15.71,,12.79,,Case rate,,12.79,,2.63,,Case rate,,2.63,80,,,Percent of total billed charges,,61.6,61.6,,,Percent of total billed charges,,47.43,20.6,,,Percent of total billed charges,,15.86,20.6,,,Percent of total billed charges,,15.86,65.55,,,Percent of total billed charges,,50.47,21,,,Percent of total billed charges,,16.17,90,,,Percent of total billed charges,,69.3,21,,,Percent of total billed charges,,16.17,21,,,Percent of total billed charges,,16.17,64.9,,,Percent of total billed charges,,49.97,21,,,Percent of total billed charges,,16.17,,52.23,,Case rate,,52.23,2.63,77,
"Lactoferrin, fecal; quantitative",83631,CPT,,,,Outpatient,Facility,,,201,80.4,66,,,Percent of total billed charges,,132.66,20.8,,,Percent of total billed charges,,41.81,20.4,,,Percent of total billed charges,,41,,19.63,,Case rate,,19.63,,5.43,,Case rate,,5.43,80,,,Percent of total billed charges,,160.8,61.6,,,Percent of total billed charges,,123.82,20.6,,,Percent of total billed charges,,41.41,20.6,,,Percent of total billed charges,,41.41,65.55,,,Percent of total billed charges,,131.76,21,,,Percent of total billed charges,,42.21,90,,,Percent of total billed charges,,180.9,21,,,Percent of total billed charges,,42.21,21,,,Percent of total billed charges,,42.21,64.9,,,Percent of total billed charges,,130.45,21,,,Percent of total billed charges,,42.21,,148.34,,Case rate,,148.34,5.43,201,
"Laryngoscopy, flexible; with removal of foreign body(s)",31577,CPT,,,,Outpatient,Facility,,,2381,952.4,66,,,Percent of total billed charges,,1571.46,20.8,,,Percent of total billed charges,,495.25,20.4,,,Percent of total billed charges,,485.72,,268.66,,Case rate,,268.66,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1904.8,61.6,,,Percent of total billed charges,,1466.7,20.6,,,Percent of total billed charges,,490.49,20.6,,,Percent of total billed charges,,490.49,65.55,,,Percent of total billed charges,,1560.75,21,,,Percent of total billed charges,,500.01,90,,,Percent of total billed charges,,2142.9,21,,,Percent of total billed charges,,500.01,21,,,Percent of total billed charges,,500.01,64.9,,,Percent of total billed charges,,1545.27,21,,,Percent of total billed charges,,500.01,,1904.74,,Case rate,,1904.74,77.74,2381,
"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)",52648,CPT,,,,Outpatient,Facility,,,11282.06,4512.82,66,,,Percent of total billed charges,,7446.16,20.8,,,Percent of total billed charges,,2346.67,20.4,,,Percent of total billed charges,,2301.54,,1555.56,,Case rate,,1555.56,,251.07,,Case rate,,251.07,80,,,Percent of total billed charges,,9025.65,61.6,,,Percent of total billed charges,,6949.75,20.6,,,Percent of total billed charges,,2324.1,20.6,,,Percent of total billed charges,,2324.1,65.55,,,Percent of total billed charges,,7395.39,21,,,Percent of total billed charges,,2369.23,90,,,Percent of total billed charges,,10153.85,21,,,Percent of total billed charges,,2369.23,21,,,Percent of total billed charges,,2369.23,64.9,,,Percent of total billed charges,,7322.06,21,,,Percent of total billed charges,,2369.23,,5818.42,,Case rate,,5818.42,251.07,11282.06,
Lead,83655,CPT,,,,Outpatient,Facility,,,75,30,66,,,Percent of total billed charges,,49.5,20.8,,,Percent of total billed charges,,15.6,20.4,,,Percent of total billed charges,,15.3,,12.11,,Case rate,,12.11,,2.49,,Case rate,,2.49,80,,,Percent of total billed charges,,60,61.6,,,Percent of total billed charges,,46.2,20.6,,,Percent of total billed charges,,15.45,20.6,,,Percent of total billed charges,,15.45,65.55,,,Percent of total billed charges,,49.16,21,,,Percent of total billed charges,,15.75,90,,,Percent of total billed charges,,67.5,21,,,Percent of total billed charges,,15.75,21,,,Percent of total billed charges,,15.75,64.9,,,Percent of total billed charges,,48.68,21,,,Percent of total billed charges,,15.75,,63.28,,Case rate,,63.28,2.49,75,
"Leukocyte assessment, fecal, qualitative or semiquantitative",89055,CPT,,,,Outpatient,Facility,,,40,16,66,,,Percent of total billed charges,,26.4,20.8,,,Percent of total billed charges,,8.32,20.4,,,Percent of total billed charges,,8.16,,4.27,,Case rate,,4.27,,1.22,,Case rate,,1.22,80,,,Percent of total billed charges,,32,61.6,,,Percent of total billed charges,,24.64,20.6,,,Percent of total billed charges,,8.24,20.6,,,Percent of total billed charges,,8.24,65.55,,,Percent of total billed charges,,26.22,21,,,Percent of total billed charges,,8.4,90,,,Percent of total billed charges,,36,21,,,Percent of total billed charges,,8.4,21,,,Percent of total billed charges,,8.4,64.9,,,Percent of total billed charges,,25.96,21,,,Percent of total billed charges,,8.4,,23.77,,Case rate,,23.77,1.22,40,
Leukocyte histamine release test (LHR),86343,CPT,,,,Outpatient,Facility,,,120,48,66,,,Percent of total billed charges,,79.2,20.8,,,Percent of total billed charges,,24.96,20.4,,,Percent of total billed charges,,24.48,,12.46,,Case rate,,12.46,,3.61,,Case rate,,3.61,80,,,Percent of total billed charges,,96,61.6,,,Percent of total billed charges,,73.92,20.6,,,Percent of total billed charges,,24.72,20.6,,,Percent of total billed charges,,24.72,65.55,,,Percent of total billed charges,,78.66,21,,,Percent of total billed charges,,25.2,90,,,Percent of total billed charges,,108,21,,,Percent of total billed charges,,25.2,21,,,Percent of total billed charges,,25.2,64.9,,,Percent of total billed charges,,77.88,21,,,Percent of total billed charges,,25.2,,73.55,,Case rate,,73.55,3.61,120,
"Level I - Surgical pathology, gross examination only",88300,CPT,88300,CDM,TC,Outpatient,Facility,,,116,46.4,66,,,Percent of total billed charges,,76.56,20.8,,,Percent of total billed charges,,24.13,20.4,,,Percent of total billed charges,,23.66,,11.06,,Case rate,,11.06,,0.77,,Case rate,,0.77,80,,,Percent of total billed charges,,92.8,61.6,,,Percent of total billed charges,,71.46,20.6,,,Percent of total billed charges,,23.9,20.6,,,Percent of total billed charges,,23.9,65.55,,,Percent of total billed charges,,76.04,21,,,Percent of total billed charges,,24.36,90,,,Percent of total billed charges,,104.4,21,,,Percent of total billed charges,,24.36,21,,,Percent of total billed charges,,24.36,64.9,,,Percent of total billed charges,,75.28,21,,,Percent of total billed charges,,24.36,,23.49,,Case rate,,23.49,0.77,116,
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,,,,Outpatient,Facility,,,220,88,66,,,Percent of total billed charges,,145.2,20.8,,,Percent of total billed charges,,45.76,20.4,,,Percent of total billed charges,,44.88,,24.65,,Case rate,,24.65,,1.67,,Case rate,,1.67,80,,,Percent of total billed charges,,176,61.6,,,Percent of total billed charges,,135.52,20.6,,,Percent of total billed charges,,45.32,20.6,,,Percent of total billed charges,,45.32,65.55,,,Percent of total billed charges,,144.21,21,,,Percent of total billed charges,,46.2,90,,,Percent of total billed charges,,198,21,,,Percent of total billed charges,,46.2,21,,,Percent of total billed charges,,46.2,64.9,,,Percent of total billed charges,,142.78,21,,,Percent of total billed charges,,46.2,,29.07,,Case rate,,29.07,1.67,220,
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization",88302,CPT,31088302,CDM,TC,Outpatient,Facility,,,220,88,66,,,Percent of total billed charges,,145.2,20.8,,,Percent of total billed charges,,45.76,20.4,,,Percent of total billed charges,,44.88,,24.65,,Case rate,,24.65,,1.67,,Case rate,,1.67,80,,,Percent of total billed charges,,176,61.6,,,Percent of total billed charges,,135.52,20.6,,,Percent of total billed charges,,45.32,20.6,,,Percent of total billed charges,,45.32,65.55,,,Percent of total billed charges,,144.21,21,,,Percent of total billed charges,,46.2,90,,,Percent of total billed charges,,198,21,,,Percent of total billed charges,,46.2,21,,,Percent of total billed charges,,46.2,64.9,,,Percent of total billed charges,,142.78,21,,,Percent of total billed charges,,46.2,,29.07,,Case rate,,29.07,1.67,220,
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,,,,Outpatient,Facility,,,308,123.2,66,,,Percent of total billed charges,,203.28,20.8,,,Percent of total billed charges,,64.06,20.4,,,Percent of total billed charges,,62.83,,29.71,,Case rate,,29.71,,2.16,,Case rate,,2.16,80,,,Percent of total billed charges,,246.4,61.6,,,Percent of total billed charges,,189.73,20.6,,,Percent of total billed charges,,63.45,20.6,,,Percent of total billed charges,,63.45,65.55,,,Percent of total billed charges,,201.89,21,,,Percent of total billed charges,,64.68,90,,,Percent of total billed charges,,277.2,21,,,Percent of total billed charges,,64.68,21,,,Percent of total billed charges,,64.68,64.9,,,Percent of total billed charges,,199.89,21,,,Percent of total billed charges,,64.68,,40.44,,Case rate,,40.44,2.16,308,
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity",88304,CPT,31088304,CDM,TC,Outpatient,Facility,,,308,123.2,66,,,Percent of total billed charges,,203.28,20.8,,,Percent of total billed charges,,64.06,20.4,,,Percent of total billed charges,,62.83,,29.71,,Case rate,,29.71,,2.16,,Case rate,,2.16,80,,,Percent of total billed charges,,246.4,61.6,,,Percent of total billed charges,,189.73,20.6,,,Percent of total billed charges,,63.45,20.6,,,Percent of total billed charges,,63.45,65.55,,,Percent of total billed charges,,201.89,21,,,Percent of total billed charges,,64.68,90,,,Percent of total billed charges,,277.2,21,,,Percent of total billed charges,,64.68,21,,,Percent of total billed charges,,64.68,64.9,,,Percent of total billed charges,,199.89,21,,,Percent of total billed charges,,64.68,,40.44,,Case rate,,40.44,2.16,308,
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,,,,Outpatient,Facility,,,397,158.8,66,,,Percent of total billed charges,,262.02,20.8,,,Percent of total billed charges,,82.58,20.4,,,Percent of total billed charges,,80.99,,32.87,,Case rate,,32.87,,3.53,,Case rate,,3.53,80,,,Percent of total billed charges,,317.6,61.6,,,Percent of total billed charges,,244.55,20.6,,,Percent of total billed charges,,81.78,20.6,,,Percent of total billed charges,,81.78,65.55,,,Percent of total billed charges,,260.23,21,,,Percent of total billed charges,,83.37,90,,,Percent of total billed charges,,357.3,21,,,Percent of total billed charges,,83.37,21,,,Percent of total billed charges,,83.37,64.9,,,Percent of total billed charges,,257.65,21,,,Percent of total billed charges,,83.37,,83.02,,Case rate,,83.02,3.53,397,
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy",88305,CPT,31088305,CDM,TC,Outpatient,Facility,,,397,158.8,66,,,Percent of total billed charges,,262.02,20.8,,,Percent of total billed charges,,82.58,20.4,,,Percent of total billed charges,,80.99,,32.87,,Case rate,,32.87,,3.53,,Case rate,,3.53,80,,,Percent of total billed charges,,317.6,61.6,,,Percent of total billed charges,,244.55,20.6,,,Percent of total billed charges,,81.78,20.6,,,Percent of total billed charges,,81.78,65.55,,,Percent of total billed charges,,260.23,21,,,Percent of total billed charges,,83.37,90,,,Percent of total billed charges,,357.3,21,,,Percent of total billed charges,,83.37,21,,,Percent of total billed charges,,83.37,64.9,,,Percent of total billed charges,,257.65,21,,,Percent of total billed charges,,83.37,,83.02,,Case rate,,83.02,3.53,397,
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",88307,CPT,,,,Outpatient,Facility,,,397,158.8,66,,,Percent of total billed charges,,262.02,20.8,,,Percent of total billed charges,,82.58,20.4,,,Percent of total billed charges,,80.99,,197.57,,Case rate,,197.57,,5.23,,Case rate,,5.23,80,,,Percent of total billed charges,,317.6,61.6,,,Percent of total billed charges,,244.55,20.6,,,Percent of total billed charges,,81.78,20.6,,,Percent of total billed charges,,81.78,65.55,,,Percent of total billed charges,,260.23,21,,,Percent of total billed charges,,83.37,90,,,Percent of total billed charges,,357.3,21,,,Percent of total billed charges,,83.37,21,,,Percent of total billed charges,,83.37,64.9,,,Percent of total billed charges,,257.65,21,,,Percent of total billed charges,,83.37,,108.27,,Case rate,,108.27,5.23,397,
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil -resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection",88309,CPT,,,,Outpatient,Facility,,,744,297.6,66,,,Percent of total billed charges,,491.04,20.8,,,Percent of total billed charges,,154.75,20.4,,,Percent of total billed charges,,151.78,,279.14,,Case rate,,279.14,,7.11,,Case rate,,7.11,80,,,Percent of total billed charges,,595.2,61.6,,,Percent of total billed charges,,458.3,20.6,,,Percent of total billed charges,,153.26,20.6,,,Percent of total billed charges,,153.26,65.55,,,Percent of total billed charges,,487.69,21,,,Percent of total billed charges,,156.24,90,,,Percent of total billed charges,,669.6,21,,,Percent of total billed charges,,156.24,21,,,Percent of total billed charges,,156.24,64.9,,,Percent of total billed charges,,482.86,21,,,Percent of total billed charges,,156.24,,163.34,,Case rate,,163.34,7.11,744,
Ligation of inferior vena cava,37619,CPT,,,,Outpatient,Facility,,,5941,2376.4,66,,,Percent of total billed charges,,3921.06,20.8,,,Percent of total billed charges,,1235.73,20.4,,,Percent of total billed charges,,1211.96,,1685.05,,Case rate,,1685.05,,224.44,,Case rate,,224.44,80,,,Percent of total billed charges,,4752.8,61.6,,,Percent of total billed charges,,3659.66,20.6,,,Percent of total billed charges,,1223.85,20.6,,,Percent of total billed charges,,1223.85,65.55,,,Percent of total billed charges,,3894.33,21,,,Percent of total billed charges,,1247.61,90,,,Percent of total billed charges,,5346.9,21,,,Percent of total billed charges,,1247.61,21,,,Percent of total billed charges,,1247.61,64.9,,,Percent of total billed charges,,3855.71,21,,,Percent of total billed charges,,1247.61,45,,,Percent of total billed charges,,2673.45,224.44,5941,
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)",93922,CPT,92193922,CDM,TC,Outpatient,Facility,,,229,91.6,66,,,Percent of total billed charges,,151.14,20.8,,,Percent of total billed charges,,47.63,20.4,,,Percent of total billed charges,,46.72,,66.38,,Case rate,,66.38,,8.04,,Case rate,,8.04,80,,,Percent of total billed charges,,183.2,61.6,,,Percent of total billed charges,,141.06,20.6,,,Percent of total billed charges,,47.17,20.6,,,Percent of total billed charges,,47.17,65.55,,,Percent of total billed charges,,150.11,21,,,Percent of total billed charges,,48.09,90,,,Percent of total billed charges,,206.1,21,,,Percent of total billed charges,,48.09,21,,,Percent of total billed charges,,48.09,64.9,,,Percent of total billed charges,,148.62,21,,,Percent of total billed charges,,48.09,,186.18,,Case rate,,186.18,8.04,229,
"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)",80061,CPT,,,,Outpatient,Facility,,,112,44.8,66,,,Percent of total billed charges,,73.92,20.8,,,Percent of total billed charges,,23.3,20.4,,,Percent of total billed charges,,22.85,,13.39,,Case rate,,13.39,,2.9,,Case rate,,2.9,80,,,Percent of total billed charges,,89.6,61.6,,,Percent of total billed charges,,68.99,20.6,,,Percent of total billed charges,,23.07,20.6,,,Percent of total billed charges,,23.07,65.55,,,Percent of total billed charges,,73.42,21,,,Percent of total billed charges,,23.52,90,,,Percent of total billed charges,,100.8,21,,,Percent of total billed charges,,23.52,21,,,Percent of total billed charges,,23.52,64.9,,,Percent of total billed charges,,72.69,21,,,Percent of total billed charges,,23.52,,58.36,,Case rate,,58.36,2.9,112,
Lipoprotein (a),83695,CPT,,,,Outpatient,Facility,,,188,75.2,66,,,Percent of total billed charges,,124.08,20.8,,,Percent of total billed charges,,39.1,20.4,,,Percent of total billed charges,,38.35,,14.32,,Case rate,,14.32,,3.58,,Case rate,,3.58,80,,,Percent of total billed charges,,150.4,61.6,,,Percent of total billed charges,,115.81,20.6,,,Percent of total billed charges,,38.73,20.6,,,Percent of total billed charges,,38.73,65.55,,,Percent of total billed charges,,123.23,21,,,Percent of total billed charges,,39.48,90,,,Percent of total billed charges,,169.2,21,,,Percent of total billed charges,,39.48,21,,,Percent of total billed charges,,39.48,64.9,,,Percent of total billed charges,,122.01,21,,,Percent of total billed charges,,39.48,,69.51,,Case rate,,69.51,3.58,188,
"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed",83704,CPT,,,,Outpatient,Facility,,,204,81.6,66,,,Percent of total billed charges,,134.64,20.8,,,Percent of total billed charges,,42.43,20.4,,,Percent of total billed charges,,41.62,,34.19,,Case rate,,34.19,,8.73,,Case rate,,8.73,80,,,Percent of total billed charges,,163.2,61.6,,,Percent of total billed charges,,125.66,20.6,,,Percent of total billed charges,,42.02,20.6,,,Percent of total billed charges,,42.02,65.55,,,Percent of total billed charges,,133.72,21,,,Percent of total billed charges,,42.84,90,,,Percent of total billed charges,,183.6,21,,,Percent of total billed charges,,42.84,21,,,Percent of total billed charges,,42.84,64.9,,,Percent of total billed charges,,132.4,21,,,Percent of total billed charges,,42.84,,151.04,,Case rate,,151.04,8.73,204,
"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)",83718,CPT,,,,Outpatient,Facility,,,88,35.2,66,,,Percent of total billed charges,,58.08,20.8,,,Percent of total billed charges,,18.3,20.4,,,Percent of total billed charges,,17.95,,8.19,,Case rate,,8.19,,1.68,,Case rate,,1.68,80,,,Percent of total billed charges,,70.4,61.6,,,Percent of total billed charges,,54.21,20.6,,,Percent of total billed charges,,18.13,20.6,,,Percent of total billed charges,,18.13,65.55,,,Percent of total billed charges,,57.68,21,,,Percent of total billed charges,,18.48,90,,,Percent of total billed charges,,79.2,21,,,Percent of total billed charges,,18.48,21,,,Percent of total billed charges,,18.48,64.9,,,Percent of total billed charges,,57.11,21,,,Percent of total billed charges,,18.48,,43.69,,Case rate,,43.69,1.68,88,
Lipoprotein-associated phospholipase A2 (Lp-PLA2),83698,CPT,,,,Outpatient,Facility,,,340,136,66,,,Percent of total billed charges,,224.4,20.8,,,Percent of total billed charges,,70.72,20.4,,,Percent of total billed charges,,69.36,,46.31,,Case rate,,46.31,,9.39,,Case rate,,9.39,80,,,Percent of total billed charges,,272,61.6,,,Percent of total billed charges,,209.44,20.6,,,Percent of total billed charges,,70.04,20.6,,,Percent of total billed charges,,70.04,65.55,,,Percent of total billed charges,,222.87,21,,,Percent of total billed charges,,71.4,90,,,Percent of total billed charges,,306,21,,,Percent of total billed charges,,71.4,21,,,Percent of total billed charges,,71.4,64.9,,,Percent of total billed charges,,220.66,21,,,Percent of total billed charges,,71.4,,246.26,,Case rate,,246.26,9.39,340,
Lithium,80178,CPT,,,,Outpatient,Facility,,,110,44,66,,,Percent of total billed charges,,72.6,20.8,,,Percent of total billed charges,,22.88,20.4,,,Percent of total billed charges,,22.44,,6.61,,Case rate,,6.61,,1.36,,Case rate,,1.36,80,,,Percent of total billed charges,,88,61.6,,,Percent of total billed charges,,67.76,20.6,,,Percent of total billed charges,,22.66,20.6,,,Percent of total billed charges,,22.66,65.55,,,Percent of total billed charges,,72.1,21,,,Percent of total billed charges,,23.1,90,,,Percent of total billed charges,,99,21,,,Percent of total billed charges,,23.1,21,,,Percent of total billed charges,,23.1,64.9,,,Percent of total billed charges,,71.39,21,,,Percent of total billed charges,,23.1,,23.77,,Case rate,,23.77,1.36,110,
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",Q9967,CPT,,,,Outpatient,Facility,,,3.34,1.34,66,,,Percent of total billed charges,,2.2,20.8,,,Percent of total billed charges,,0.69,20.4,,,Percent of total billed charges,,0.68,,0.36,,Case rate,,0.36,,0.23,,Case rate,,0.23,80,,,Percent of total billed charges,,2.67,61.6,,,Percent of total billed charges,,2.06,20.6,,,Percent of total billed charges,,0.69,20.6,,,Percent of total billed charges,,0.69,65.55,,,Percent of total billed charges,,2.19,21,,,Percent of total billed charges,,0.7,90,,,Percent of total billed charges,,3,21,,,Percent of total billed charges,,0.7,21,,,Percent of total billed charges,,0.7,64.9,,,Percent of total billed charges,,2.17,21,,,Percent of total billed charges,,0.7,,0.16,,Case rate,,0.16,0.16,3.34,
Luteinizing releasing factor (LRH),83727,CPT,,,,Outpatient,Facility,,,319,127.6,66,,,Percent of total billed charges,,210.54,20.8,,,Percent of total billed charges,,66.35,20.4,,,Percent of total billed charges,,65.08,,17.19,,Case rate,,17.19,,4.98,,Case rate,,4.98,80,,,Percent of total billed charges,,255.2,61.6,,,Percent of total billed charges,,196.5,20.6,,,Percent of total billed charges,,65.71,20.6,,,Percent of total billed charges,,65.71,65.55,,,Percent of total billed charges,,209.1,21,,,Percent of total billed charges,,66.99,90,,,Percent of total billed charges,,287.1,21,,,Percent of total billed charges,,66.99,21,,,Percent of total billed charges,,66.99,64.9,,,Percent of total billed charges,,207.03,21,,,Percent of total billed charges,,66.99,,106.23,,Case rate,,106.23,4.98,319,
Lymphatics and lymph nodes imaging,78195,CPT,,,,Outpatient,Facility,,,1091,436.4,66,,,Percent of total billed charges,,720.06,20.8,,,Percent of total billed charges,,226.93,20.4,,,Percent of total billed charges,,222.56,,259.85,,Case rate,,259.85,,22.93,,Case rate,,22.93,80,,,Percent of total billed charges,,872.8,61.6,,,Percent of total billed charges,,672.06,20.6,,,Percent of total billed charges,,224.75,20.6,,,Percent of total billed charges,,224.75,65.55,,,Percent of total billed charges,,715.15,21,,,Percent of total billed charges,,229.11,90,,,Percent of total billed charges,,981.9,21,,,Percent of total billed charges,,229.11,21,,,Percent of total billed charges,,229.11,64.9,,,Percent of total billed charges,,708.06,21,,,Percent of total billed charges,,229.11,,556.18,,Case rate,,556.18,22.93,1091,
Lymphatics and lymph nodes imaging,78195,CPT,34178195,CDM,TC,Outpatient,Facility,,,1091,436.4,66,,,Percent of total billed charges,,720.06,20.8,,,Percent of total billed charges,,226.93,20.4,,,Percent of total billed charges,,222.56,,259.85,,Case rate,,259.85,,22.93,,Case rate,,22.93,80,,,Percent of total billed charges,,872.8,61.6,,,Percent of total billed charges,,672.06,20.6,,,Percent of total billed charges,,224.75,20.6,,,Percent of total billed charges,,224.75,65.55,,,Percent of total billed charges,,715.15,21,,,Percent of total billed charges,,229.11,90,,,Percent of total billed charges,,981.9,21,,,Percent of total billed charges,,229.11,21,,,Percent of total billed charges,,229.11,64.9,,,Percent of total billed charges,,708.06,21,,,Percent of total billed charges,,229.11,,556.18,,Case rate,,556.18,22.93,1091,
"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis",86353,CPT,,,,Outpatient,Facility,,,446,178.4,66,,,Percent of total billed charges,,294.36,20.8,,,Percent of total billed charges,,92.77,20.4,,,Percent of total billed charges,,90.98,,49.03,,Case rate,,49.03,,14.19,,Case rate,,14.19,80,,,Percent of total billed charges,,356.8,61.6,,,Percent of total billed charges,,274.74,20.6,,,Percent of total billed charges,,91.88,20.6,,,Percent of total billed charges,,91.88,65.55,,,Percent of total billed charges,,292.35,21,,,Percent of total billed charges,,93.66,90,,,Percent of total billed charges,,401.4,21,,,Percent of total billed charges,,93.66,21,,,Percent of total billed charges,,93.66,64.9,,,Percent of total billed charges,,289.45,21,,,Percent of total billed charges,,93.66,,329.14,,Case rate,,329.14,14.19,446,
Macroscopic examination; arthropod,87168,CPT,,,,Outpatient,Facility,,,35,14,66,,,Percent of total billed charges,,23.1,20.8,,,Percent of total billed charges,,7.28,,4.36,,Case rate,,4.36,,4.27,,Case rate,,4.27,,1.21,,Case rate,,1.21,80,,,Percent of total billed charges,,28,61.6,,,Percent of total billed charges,,21.56,20.6,,,Percent of total billed charges,,7.21,20.6,,,Percent of total billed charges,,7.21,65.55,,,Percent of total billed charges,,22.94,21,,,Percent of total billed charges,,7.35,90,,,Percent of total billed charges,,31.5,21,,,Percent of total billed charges,,7.35,21,,,Percent of total billed charges,,7.35,64.9,,,Percent of total billed charges,,22.72,21,,,Percent of total billed charges,,7.35,,23.91,,Case rate,,23.91,1.21,35,
Macroscopic examination; parasite,87169,CPT,,,,Outpatient,Facility,,,40,16,66,,,Percent of total billed charges,,26.4,20.8,,,Percent of total billed charges,,8.32,,4.4,,Case rate,,4.4,,4.31,,Case rate,,4.31,,1.21,,Case rate,,1.21,80,,,Percent of total billed charges,,32,61.6,,,Percent of total billed charges,,24.64,20.6,,,Percent of total billed charges,,8.24,20.6,,,Percent of total billed charges,,8.24,65.55,,,Percent of total billed charges,,26.22,21,,,Percent of total billed charges,,8.4,90,,,Percent of total billed charges,,36,21,,,Percent of total billed charges,,8.4,21,,,Percent of total billed charges,,8.4,64.9,,,Percent of total billed charges,,25.96,21,,,Percent of total billed charges,,8.4,,26.37,,Case rate,,26.37,1.21,40,
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,,,,Outpatient,Facility,,,2827,1130.8,66,,,Percent of total billed charges,,1865.82,20.8,,,Percent of total billed charges,,588.02,20.4,,,Percent of total billed charges,,576.71,,222.86,,Case rate,,222.86,,57.63,,Case rate,,57.63,80,,,Percent of total billed charges,,2261.6,61.6,,,Percent of total billed charges,,1741.43,20.6,,,Percent of total billed charges,,582.36,20.6,,,Percent of total billed charges,,582.36,65.55,,,Percent of total billed charges,,1853.1,21,,,Percent of total billed charges,,593.67,90,,,Percent of total billed charges,,2544.3,21,,,Percent of total billed charges,,593.67,21,,,Percent of total billed charges,,593.67,64.9,,,Percent of total billed charges,,1834.72,21,,,Percent of total billed charges,,593.67,,2402.8,,Case rate,,2402.8,57.63,2827,
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)",74182,CPT,61074182,CDM,TC,Outpatient,Facility,,,2827,1130.8,66,,,Percent of total billed charges,,1865.82,20.8,,,Percent of total billed charges,,588.02,20.4,,,Percent of total billed charges,,576.71,,222.86,,Case rate,,222.86,,57.63,,Case rate,,57.63,80,,,Percent of total billed charges,,2261.6,61.6,,,Percent of total billed charges,,1741.43,20.6,,,Percent of total billed charges,,582.36,20.6,,,Percent of total billed charges,,582.36,65.55,,,Percent of total billed charges,,1853.1,21,,,Percent of total billed charges,,593.67,90,,,Percent of total billed charges,,2544.3,21,,,Percent of total billed charges,,593.67,21,,,Percent of total billed charges,,593.67,64.9,,,Percent of total billed charges,,1834.72,21,,,Percent of total billed charges,,593.67,,2402.8,,Case rate,,2402.8,57.63,2827,
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",74183,CPT,,,,Outpatient,Facility,,,3211,1284.4,66,,,Percent of total billed charges,,2119.26,20.8,,,Percent of total billed charges,,667.89,20.4,,,Percent of total billed charges,,655.04,,237.41,,Case rate,,237.41,,106.61,,Case rate,,106.61,80,,,Percent of total billed charges,,2568.8,61.6,,,Percent of total billed charges,,1977.98,20.6,,,Percent of total billed charges,,661.47,20.6,,,Percent of total billed charges,,661.47,65.55,,,Percent of total billed charges,,2104.81,21,,,Percent of total billed charges,,674.31,90,,,Percent of total billed charges,,2889.9,21,,,Percent of total billed charges,,674.31,21,,,Percent of total billed charges,,674.31,64.9,,,Percent of total billed charges,,2083.94,21,,,Percent of total billed charges,,674.31,,1705.37,,Case rate,,1705.37,106.61,3211,
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)",73722,CPT,,,,Outpatient,Facility,,,1662,664.8,66,,,Percent of total billed charges,,1096.92,20.8,,,Percent of total billed charges,,345.7,20.4,,,Percent of total billed charges,,339.05,,238.37,,Case rate,,238.37,,57.5,,Case rate,,57.5,80,,,Percent of total billed charges,,1329.6,61.6,,,Percent of total billed charges,,1023.79,20.6,,,Percent of total billed charges,,342.37,20.6,,,Percent of total billed charges,,342.37,65.55,,,Percent of total billed charges,,1089.44,21,,,Percent of total billed charges,,349.02,90,,,Percent of total billed charges,,1495.8,21,,,Percent of total billed charges,,349.02,21,,,Percent of total billed charges,,349.02,64.9,,,Percent of total billed charges,,1078.64,21,,,Percent of total billed charges,,349.02,,1060.09,,Case rate,,1060.09,57.5,1662,
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,,,,Outpatient,Facility,,,1970,788,66,,,Percent of total billed charges,,1300.2,20.8,,,Percent of total billed charges,,409.76,20.4,,,Percent of total billed charges,,401.88,,138.78,,Case rate,,138.78,,56.89,,Case rate,,56.89,80,,,Percent of total billed charges,,1576,61.6,,,Percent of total billed charges,,1213.52,20.6,,,Percent of total billed charges,,405.82,20.6,,,Percent of total billed charges,,405.82,65.55,,,Percent of total billed charges,,1291.34,21,,,Percent of total billed charges,,413.7,90,,,Percent of total billed charges,,1773,21,,,Percent of total billed charges,,413.7,21,,,Percent of total billed charges,,413.7,64.9,,,Percent of total billed charges,,1278.53,21,,,Percent of total billed charges,,413.7,,1393.23,,Case rate,,1393.23,56.89,1970,
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",73721,CPT,61073721,CDM,TC,Outpatient,Facility,,,1970,788,66,,,Percent of total billed charges,,1300.2,20.8,,,Percent of total billed charges,,409.76,20.4,,,Percent of total billed charges,,401.88,,138.78,,Case rate,,138.78,,56.89,,Case rate,,56.89,80,,,Percent of total billed charges,,1576,61.6,,,Percent of total billed charges,,1213.52,20.6,,,Percent of total billed charges,,405.82,20.6,,,Percent of total billed charges,,405.82,65.55,,,Percent of total billed charges,,1291.34,21,,,Percent of total billed charges,,413.7,90,,,Percent of total billed charges,,1773,21,,,Percent of total billed charges,,413.7,21,,,Percent of total billed charges,,413.7,64.9,,,Percent of total billed charges,,1278.53,21,,,Percent of total billed charges,,413.7,,1393.23,,Case rate,,1393.23,56.89,1970,
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,,,,Outpatient,Facility,,,1713,685.2,66,,,Percent of total billed charges,,1130.58,20.8,,,Percent of total billed charges,,356.3,20.4,,,Percent of total billed charges,,349.45,,238.06,,Case rate,,238.06,,57.5,,Case rate,,57.5,80,,,Percent of total billed charges,,1370.4,61.6,,,Percent of total billed charges,,1055.21,20.6,,,Percent of total billed charges,,352.88,20.6,,,Percent of total billed charges,,352.88,65.55,,,Percent of total billed charges,,1122.87,21,,,Percent of total billed charges,,359.73,90,,,Percent of total billed charges,,1541.7,21,,,Percent of total billed charges,,359.73,21,,,Percent of total billed charges,,359.73,64.9,,,Percent of total billed charges,,1111.74,21,,,Percent of total billed charges,,359.73,,1319.35,,Case rate,,1319.35,57.5,1713,
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)",73222,CPT,61073222,CDM,TC,Outpatient,Facility,,,1713,685.2,66,,,Percent of total billed charges,,1130.58,20.8,,,Percent of total billed charges,,356.3,20.4,,,Percent of total billed charges,,349.45,,238.06,,Case rate,,238.06,,57.5,,Case rate,,57.5,80,,,Percent of total billed charges,,1370.4,61.6,,,Percent of total billed charges,,1055.21,20.6,,,Percent of total billed charges,,352.88,20.6,,,Percent of total billed charges,,352.88,65.55,,,Percent of total billed charges,,1122.87,21,,,Percent of total billed charges,,359.73,90,,,Percent of total billed charges,,1541.7,21,,,Percent of total billed charges,,359.73,21,,,Percent of total billed charges,,359.73,64.9,,,Percent of total billed charges,,1111.74,21,,,Percent of total billed charges,,359.73,,1319.35,,Case rate,,1319.35,57.5,1713,
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,,,,Outpatient,Facility,,,3207,1282.8,66,,,Percent of total billed charges,,2116.62,20.8,,,Percent of total billed charges,,667.06,20.4,,,Percent of total billed charges,,654.23,,288.31,,Case rate,,288.31,,106.4,,Case rate,,106.4,80,,,Percent of total billed charges,,2565.6,61.6,,,Percent of total billed charges,,1975.51,20.6,,,Percent of total billed charges,,660.64,20.6,,,Percent of total billed charges,,660.64,65.55,,,Percent of total billed charges,,2102.19,21,,,Percent of total billed charges,,673.47,90,,,Percent of total billed charges,,2886.3,21,,,Percent of total billed charges,,673.47,21,,,Percent of total billed charges,,673.47,64.9,,,Percent of total billed charges,,2081.34,21,,,Percent of total billed charges,,673.47,,1879.81,,Case rate,,1879.81,106.4,3207,
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",73223,CPT,61073223,CDM,TC,Outpatient,Facility,,,3207,1282.8,66,,,Percent of total billed charges,,2116.62,20.8,,,Percent of total billed charges,,667.06,20.4,,,Percent of total billed charges,,654.23,,288.31,,Case rate,,288.31,,106.4,,Case rate,,106.4,80,,,Percent of total billed charges,,2565.6,61.6,,,Percent of total billed charges,,1975.51,20.6,,,Percent of total billed charges,,660.64,20.6,,,Percent of total billed charges,,660.64,65.55,,,Percent of total billed charges,,2102.19,21,,,Percent of total billed charges,,673.47,90,,,Percent of total billed charges,,2886.3,21,,,Percent of total billed charges,,673.47,21,,,Percent of total billed charges,,673.47,64.9,,,Percent of total billed charges,,2081.34,21,,,Percent of total billed charges,,673.47,,1879.81,,Case rate,,1879.81,106.4,3207,
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",70551,CPT,,,,Outpatient,Facility,,,2917,1166.8,66,,,Percent of total billed charges,,1925.22,20.8,,,Percent of total billed charges,,606.74,20.4,,,Percent of total billed charges,,595.07,,126.76,,Case rate,,126.76,,60.43,,Case rate,,60.43,80,,,Percent of total billed charges,,2333.6,61.6,,,Percent of total billed charges,,1796.87,20.6,,,Percent of total billed charges,,600.9,20.6,,,Percent of total billed charges,,600.9,65.55,,,Percent of total billed charges,,1912.09,21,,,Percent of total billed charges,,612.57,90,,,Percent of total billed charges,,2625.3,21,,,Percent of total billed charges,,612.57,21,,,Percent of total billed charges,,612.57,64.9,,,Percent of total billed charges,,1893.13,21,,,Percent of total billed charges,,612.57,,1493.37,,Case rate,,1493.37,60.43,2917,
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",71550,CPT,,,,Outpatient,Facility,,,1970,788,66,,,Percent of total billed charges,,1300.2,20.8,,,Percent of total billed charges,,409.76,20.4,,,Percent of total billed charges,,401.88,,217.81,,Case rate,,217.81,,61.27,,Case rate,,61.27,80,,,Percent of total billed charges,,1576,61.6,,,Percent of total billed charges,,1213.52,20.6,,,Percent of total billed charges,,405.82,20.6,,,Percent of total billed charges,,405.82,65.55,,,Percent of total billed charges,,1291.34,21,,,Percent of total billed charges,,413.7,90,,,Percent of total billed charges,,1773,21,,,Percent of total billed charges,,413.7,21,,,Percent of total billed charges,,413.7,64.9,,,Percent of total billed charges,,1278.53,21,,,Percent of total billed charges,,413.7,,1500.2,,Case rate,,1500.2,61.27,1970,
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",71552,CPT,,,,Outpatient,Facility,,,3191,1276.4,66,,,Percent of total billed charges,,2106.06,20.8,,,Percent of total billed charges,,663.73,20.4,,,Percent of total billed charges,,650.96,,343.95,,Case rate,,343.95,,105.91,,Case rate,,105.91,80,,,Percent of total billed charges,,2552.8,61.6,,,Percent of total billed charges,,1965.66,20.6,,,Percent of total billed charges,,657.35,20.6,,,Percent of total billed charges,,657.35,65.55,,,Percent of total billed charges,,2091.7,21,,,Percent of total billed charges,,670.11,90,,,Percent of total billed charges,,2871.9,21,,,Percent of total billed charges,,670.11,21,,,Percent of total billed charges,,670.11,64.9,,,Percent of total billed charges,,2070.96,21,,,Percent of total billed charges,,670.11,,2024.35,,Case rate,,2024.35,105.91,3191,
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,,,,Outpatient,Facility,,,2416,966.4,66,,,Percent of total billed charges,,1594.56,20.8,,,Percent of total billed charges,,502.53,20.4,,,Percent of total billed charges,,492.86,,187.47,,Case rate,,187.47,,57.5,,Case rate,,57.5,80,,,Percent of total billed charges,,1932.8,61.6,,,Percent of total billed charges,,1488.26,20.6,,,Percent of total billed charges,,497.7,20.6,,,Percent of total billed charges,,497.7,65.55,,,Percent of total billed charges,,1583.69,21,,,Percent of total billed charges,,507.36,90,,,Percent of total billed charges,,2174.4,21,,,Percent of total billed charges,,507.36,21,,,Percent of total billed charges,,507.36,64.9,,,Percent of total billed charges,,1567.98,21,,,Percent of total billed charges,,507.36,,1810.31,,Case rate,,1810.31,57.5,2416,
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)",73719,CPT,61073719,CDM,TC,Outpatient,Facility,,,2416,966.4,66,,,Percent of total billed charges,,1594.56,20.8,,,Percent of total billed charges,,502.53,20.4,,,Percent of total billed charges,,492.86,,187.47,,Case rate,,187.47,,57.5,,Case rate,,57.5,80,,,Percent of total billed charges,,1932.8,61.6,,,Percent of total billed charges,,1488.26,20.6,,,Percent of total billed charges,,497.7,20.6,,,Percent of total billed charges,,497.7,65.55,,,Percent of total billed charges,,1583.69,21,,,Percent of total billed charges,,507.36,90,,,Percent of total billed charges,,2174.4,21,,,Percent of total billed charges,,507.36,21,,,Percent of total billed charges,,507.36,64.9,,,Percent of total billed charges,,1567.98,21,,,Percent of total billed charges,,507.36,,1810.31,,Case rate,,1810.31,57.5,2416,
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",73718,CPT,,,,Outpatient,Facility,,,1970,788,66,,,Percent of total billed charges,,1300.2,20.8,,,Percent of total billed charges,,409.76,20.4,,,Percent of total billed charges,,401.88,,160.91,,Case rate,,160.91,,47.94,,Case rate,,47.94,80,,,Percent of total billed charges,,1576,61.6,,,Percent of total billed charges,,1213.52,20.6,,,Percent of total billed charges,,405.82,20.6,,,Percent of total billed charges,,405.82,65.55,,,Percent of total billed charges,,1291.34,21,,,Percent of total billed charges,,413.7,90,,,Percent of total billed charges,,1773,21,,,Percent of total billed charges,,413.7,21,,,Percent of total billed charges,,413.7,64.9,,,Percent of total billed charges,,1278.53,21,,,Percent of total billed charges,,413.7,,1257.74,,Case rate,,1257.74,47.94,1970,
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)",70542,CPT,61070542,CDM,TC,Outpatient,Facility,,,2494,997.6,66,,,Percent of total billed charges,,1646.04,20.8,,,Percent of total billed charges,,518.75,20.4,,,Percent of total billed charges,,508.78,,193.48,,Case rate,,193.48,,57.5,,Case rate,,57.5,80,,,Percent of total billed charges,,1995.2,61.6,,,Percent of total billed charges,,1536.3,20.6,,,Percent of total billed charges,,513.76,20.6,,,Percent of total billed charges,,513.76,65.55,,,Percent of total billed charges,,1634.82,21,,,Percent of total billed charges,,523.74,90,,,Percent of total billed charges,,2244.6,21,,,Percent of total billed charges,,523.74,21,,,Percent of total billed charges,,523.74,64.9,,,Percent of total billed charges,,1618.61,21,,,Percent of total billed charges,,523.74,,2105.65,,Case rate,,2105.65,57.5,2494,
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",70540,CPT,61070540,CDM,TC,Outpatient,Facility,,,2052,820.8,66,,,Percent of total billed charges,,1354.32,20.8,,,Percent of total billed charges,,426.82,20.4,,,Percent of total billed charges,,418.61,,163.76,,Case rate,,163.76,,60.43,,Case rate,,60.43,80,,,Percent of total billed charges,,1641.6,61.6,,,Percent of total billed charges,,1264.03,20.6,,,Percent of total billed charges,,422.71,20.6,,,Percent of total billed charges,,422.71,65.55,,,Percent of total billed charges,,1345.09,21,,,Percent of total billed charges,,430.92,90,,,Percent of total billed charges,,1846.8,21,,,Percent of total billed charges,,430.92,21,,,Percent of total billed charges,,430.92,64.9,,,Percent of total billed charges,,1331.75,21,,,Percent of total billed charges,,430.92,,1492.72,,Case rate,,1492.72,60.43,2052,
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",70543,CPT,61070543,CDM,TC,Outpatient,Facility,,,3207,1282.8,66,,,Percent of total billed charges,,2116.62,20.8,,,Percent of total billed charges,,667.06,20.4,,,Percent of total billed charges,,654.23,,239.93,,Case rate,,239.93,,106.4,,Case rate,,106.4,80,,,Percent of total billed charges,,2565.6,61.6,,,Percent of total billed charges,,1975.51,20.6,,,Percent of total billed charges,,660.64,20.6,,,Percent of total billed charges,,660.64,65.55,,,Percent of total billed charges,,2102.19,21,,,Percent of total billed charges,,673.47,90,,,Percent of total billed charges,,2886.3,21,,,Percent of total billed charges,,673.47,21,,,Percent of total billed charges,,673.47,64.9,,,Percent of total billed charges,,2081.34,21,,,Percent of total billed charges,,673.47,,1939.1,,Case rate,,1939.1,106.4,3207,
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",72195,CPT,61072195,CDM,TC,Outpatient,Facility,,,1970,788,66,,,Percent of total billed charges,,1300.2,20.8,,,Percent of total billed charges,,409.76,20.4,,,Percent of total billed charges,,401.88,,161.23,,Case rate,,161.23,,48.11,,Case rate,,48.11,80,,,Percent of total billed charges,,1576,61.6,,,Percent of total billed charges,,1213.52,20.6,,,Percent of total billed charges,,405.82,20.6,,,Percent of total billed charges,,405.82,65.55,,,Percent of total billed charges,,1291.34,21,,,Percent of total billed charges,,413.7,90,,,Percent of total billed charges,,1773,21,,,Percent of total billed charges,,413.7,21,,,Percent of total billed charges,,413.7,64.9,,,Percent of total billed charges,,1278.53,21,,,Percent of total billed charges,,413.7,,1290.2,,Case rate,,1290.2,48.11,1970,
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,,,,Outpatient,Facility,,,3257,1302.8,66,,,Percent of total billed charges,,2149.62,20.8,,,Percent of total billed charges,,677.46,20.4,,,Percent of total billed charges,,664.43,,236.14,,Case rate,,236.14,,106.61,,Case rate,,106.61,80,,,Percent of total billed charges,,2605.6,61.6,,,Percent of total billed charges,,2006.31,20.6,,,Percent of total billed charges,,670.94,20.6,,,Percent of total billed charges,,670.94,65.55,,,Percent of total billed charges,,2134.96,21,,,Percent of total billed charges,,683.97,90,,,Percent of total billed charges,,2931.3,21,,,Percent of total billed charges,,683.97,21,,,Percent of total billed charges,,683.97,64.9,,,Percent of total billed charges,,2113.79,21,,,Percent of total billed charges,,683.97,,1366.25,,Case rate,,1366.25,106.61,3257,
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences",72197,CPT,61072197,CDM,TC,Outpatient,Facility,,,3257,1302.8,66,,,Percent of total billed charges,,2149.62,20.8,,,Percent of total billed charges,,677.46,20.4,,,Percent of total billed charges,,664.43,,236.14,,Case rate,,236.14,,106.61,,Case rate,,106.61,80,,,Percent of total billed charges,,2605.6,61.6,,,Percent of total billed charges,,2006.31,20.6,,,Percent of total billed charges,,670.94,20.6,,,Percent of total billed charges,,670.94,65.55,,,Percent of total billed charges,,2134.96,21,,,Percent of total billed charges,,683.97,90,,,Percent of total billed charges,,2931.3,21,,,Percent of total billed charges,,683.97,21,,,Percent of total billed charges,,683.97,64.9,,,Percent of total billed charges,,2113.79,21,,,Percent of total billed charges,,683.97,,1366.25,,Case rate,,1366.25,106.61,3257,
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)",72142,CPT,61272142,CDM,TC,Outpatient,Facility,,,3279,1311.6,66,,,Percent of total billed charges,,2164.14,20.8,,,Percent of total billed charges,,682.03,20.4,,,Percent of total billed charges,,668.92,,191.9,,Case rate,,191.9,,73.5,,Case rate,,73.5,80,,,Percent of total billed charges,,2623.2,61.6,,,Percent of total billed charges,,2019.86,20.6,,,Percent of total billed charges,,675.47,20.6,,,Percent of total billed charges,,675.47,65.55,,,Percent of total billed charges,,2149.38,21,,,Percent of total billed charges,,688.59,90,,,Percent of total billed charges,,2951.1,21,,,Percent of total billed charges,,688.59,21,,,Percent of total billed charges,,688.59,64.9,,,Percent of total billed charges,,2128.07,21,,,Percent of total billed charges,,688.59,,1801.21,,Case rate,,1801.21,73.5,3279,
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,,,,Outpatient,Facility,,,3123,1249.2,66,,,Percent of total billed charges,,2061.18,20.8,,,Percent of total billed charges,,649.58,20.4,,,Percent of total billed charges,,637.09,,121.39,,Case rate,,121.39,,61.27,,Case rate,,61.27,80,,,Percent of total billed charges,,2498.4,61.6,,,Percent of total billed charges,,1923.77,20.6,,,Percent of total billed charges,,643.34,20.6,,,Percent of total billed charges,,643.34,65.55,,,Percent of total billed charges,,2047.13,21,,,Percent of total billed charges,,655.83,90,,,Percent of total billed charges,,2810.7,21,,,Percent of total billed charges,,655.83,21,,,Percent of total billed charges,,655.83,64.9,,,Percent of total billed charges,,2026.83,21,,,Percent of total billed charges,,655.83,,1513.62,,Case rate,,1513.62,61.27,3123,
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",72141,CPT,61272141,CDM,TC,Outpatient,Facility,,,3123,1249.2,66,,,Percent of total billed charges,,2061.18,20.8,,,Percent of total billed charges,,649.58,20.4,,,Percent of total billed charges,,637.09,,121.39,,Case rate,,121.39,,61.27,,Case rate,,61.27,80,,,Percent of total billed charges,,2498.4,61.6,,,Percent of total billed charges,,1923.77,20.6,,,Percent of total billed charges,,643.34,20.6,,,Percent of total billed charges,,643.34,65.55,,,Percent of total billed charges,,2047.13,21,,,Percent of total billed charges,,655.83,90,,,Percent of total billed charges,,2810.7,21,,,Percent of total billed charges,,655.83,21,,,Percent of total billed charges,,655.83,64.9,,,Percent of total billed charges,,2026.83,21,,,Percent of total billed charges,,655.83,,1513.62,,Case rate,,1513.62,61.27,3123,
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)",72149,CPT,61072149,CDM,TC,Outpatient,Facility,,,3269,1307.6,66,,,Percent of total billed charges,,2157.54,20.8,,,Percent of total billed charges,,679.95,20.4,,,Percent of total billed charges,,666.88,,187.47,,Case rate,,187.47,,72.57,,Case rate,,72.57,80,,,Percent of total billed charges,,2615.2,61.6,,,Percent of total billed charges,,2013.7,20.6,,,Percent of total billed charges,,673.41,20.6,,,Percent of total billed charges,,673.41,65.55,,,Percent of total billed charges,,2142.83,21,,,Percent of total billed charges,,686.49,90,,,Percent of total billed charges,,2942.1,21,,,Percent of total billed charges,,686.49,21,,,Percent of total billed charges,,686.49,64.9,,,Percent of total billed charges,,2121.58,21,,,Percent of total billed charges,,686.49,,1792.57,,Case rate,,1792.57,72.57,3269,
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",72158,CPT,61072158,CDM,TC,Outpatient,Facility,,,3861,1544.4,66,,,Percent of total billed charges,,2548.26,20.8,,,Percent of total billed charges,,803.09,20.4,,,Percent of total billed charges,,787.64,,213.38,,Case rate,,213.38,,128.11,,Case rate,,128.11,80,,,Percent of total billed charges,,3088.8,61.6,,,Percent of total billed charges,,2378.38,20.6,,,Percent of total billed charges,,795.37,20.6,,,Percent of total billed charges,,795.37,65.55,,,Percent of total billed charges,,2530.89,21,,,Percent of total billed charges,,810.81,90,,,Percent of total billed charges,,3474.9,21,,,Percent of total billed charges,,810.81,21,,,Percent of total billed charges,,810.81,64.9,,,Percent of total billed charges,,2505.79,21,,,Percent of total billed charges,,810.81,,3146.28,,Case rate,,3146.28,128.11,3861,
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic",72157,CPT,61072157,CDM,TC,Outpatient,Facility,,,3898,1559.2,66,,,Percent of total billed charges,,2572.68,20.8,,,Percent of total billed charges,,810.78,20.4,,,Percent of total billed charges,,795.19,,214.64,,Case rate,,214.64,,129.42,,Case rate,,129.42,80,,,Percent of total billed charges,,3118.4,61.6,,,Percent of total billed charges,,2401.17,20.6,,,Percent of total billed charges,,802.99,20.6,,,Percent of total billed charges,,802.99,65.55,,,Percent of total billed charges,,2555.14,21,,,Percent of total billed charges,,818.58,90,,,Percent of total billed charges,,3508.2,21,,,Percent of total billed charges,,818.58,21,,,Percent of total billed charges,,818.58,64.9,,,Percent of total billed charges,,2529.8,21,,,Percent of total billed charges,,818.58,,3178.27,,Case rate,,3178.27,129.42,3898,
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)",70336,CPT,61000336,CDM,TC,Outpatient,Facility,,,2107,842.8,66,,,Percent of total billed charges,,1390.62,20.8,,,Percent of total billed charges,,438.26,20.4,,,Percent of total billed charges,,429.83,,196.95,,Case rate,,196.95,,56.89,,Case rate,,56.89,80,,,Percent of total billed charges,,1685.6,61.6,,,Percent of total billed charges,,1297.91,20.6,,,Percent of total billed charges,,434.04,20.6,,,Percent of total billed charges,,434.04,65.55,,,Percent of total billed charges,,1381.14,21,,,Percent of total billed charges,,442.47,90,,,Percent of total billed charges,,1896.3,21,,,Percent of total billed charges,,442.47,21,,,Percent of total billed charges,,442.47,64.9,,,Percent of total billed charges,,1367.44,21,,,Percent of total billed charges,,442.47,,1406.64,,Case rate,,1406.64,56.89,2107,
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",73220,CPT,61073220,CDM,TC,Outpatient,Facility,,,2611,1044.4,66,,,Percent of total billed charges,,1723.26,20.8,,,Percent of total billed charges,,543.09,20.4,,,Percent of total billed charges,,532.64,,311.39,,Case rate,,311.39,,60.43,,Case rate,,60.43,80,,,Percent of total billed charges,,2088.8,61.6,,,Percent of total billed charges,,1608.38,20.6,,,Percent of total billed charges,,537.87,20.6,,,Percent of total billed charges,,537.87,65.55,,,Percent of total billed charges,,1711.51,21,,,Percent of total billed charges,,548.31,90,,,Percent of total billed charges,,2349.9,21,,,Percent of total billed charges,,548.31,21,,,Percent of total billed charges,,548.31,64.9,,,Percent of total billed charges,,1694.54,21,,,Percent of total billed charges,,548.31,,1493.7,,Case rate,,1493.7,60.43,2611,
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,,,,Outpatient,Facility,,,1883,753.2,66,,,Percent of total billed charges,,1242.78,20.8,,,Percent of total billed charges,,391.66,20.4,,,Percent of total billed charges,,384.13,,253.53,,Case rate,,253.53,,62.13,,Case rate,,62.13,80,,,Percent of total billed charges,,1506.4,61.6,,,Percent of total billed charges,,1159.93,20.6,,,Percent of total billed charges,,387.9,20.6,,,Percent of total billed charges,,387.9,65.55,,,Percent of total billed charges,,1234.31,21,,,Percent of total billed charges,,395.43,90,,,Percent of total billed charges,,1694.7,21,,,Percent of total billed charges,,395.43,21,,,Percent of total billed charges,,395.43,64.9,,,Percent of total billed charges,,1222.07,21,,,Percent of total billed charges,,395.43,,1535.77,,Case rate,,1535.77,62.13,1883,
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,61008900,CDM,TC,Outpatient,Facility,,,1883,753.2,66,,,Percent of total billed charges,,1242.78,20.8,,,Percent of total billed charges,,391.66,20.4,,,Percent of total billed charges,,384.13,,253.53,,Case rate,,253.53,,62.13,,Case rate,,62.13,80,,,Percent of total billed charges,,1506.4,61.6,,,Percent of total billed charges,,1159.93,20.6,,,Percent of total billed charges,,387.9,20.6,,,Percent of total billed charges,,387.9,65.55,,,Percent of total billed charges,,1234.31,21,,,Percent of total billed charges,,395.43,90,,,Percent of total billed charges,,1694.7,21,,,Percent of total billed charges,,395.43,21,,,Percent of total billed charges,,395.43,64.9,,,Percent of total billed charges,,1222.07,21,,,Percent of total billed charges,,395.43,,1535.77,,Case rate,,1535.77,62.13,1883,
"Magnetic resonance angiography, abdomen, with or without contrast material(s)",74185,CPT,61008901,CDM,TC,Outpatient,Facility,,,1883,753.2,66,,,Percent of total billed charges,,1242.78,20.8,,,Percent of total billed charges,,391.66,20.4,,,Percent of total billed charges,,384.13,,253.53,,Case rate,,253.53,,62.13,,Case rate,,62.13,80,,,Percent of total billed charges,,1506.4,61.6,,,Percent of total billed charges,,1159.93,20.6,,,Percent of total billed charges,,387.9,20.6,,,Percent of total billed charges,,387.9,65.55,,,Percent of total billed charges,,1234.31,21,,,Percent of total billed charges,,395.43,90,,,Percent of total billed charges,,1694.7,21,,,Percent of total billed charges,,395.43,21,,,Percent of total billed charges,,395.43,64.9,,,Percent of total billed charges,,1222.07,21,,,Percent of total billed charges,,395.43,,1535.77,,Case rate,,1535.77,62.13,1883,
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)",71555,CPT,,,,Outpatient,Facility,,,1647,658.8,66,,,Percent of total billed charges,,1087.02,20.8,,,Percent of total billed charges,,342.58,20.4,,,Percent of total billed charges,,335.99,,249.74,,Case rate,,249.74,,62.18,,Case rate,,62.18,80,,,Percent of total billed charges,,1317.6,61.6,,,Percent of total billed charges,,1014.55,20.6,,,Percent of total billed charges,,339.28,20.6,,,Percent of total billed charges,,339.28,65.55,,,Percent of total billed charges,,1079.61,21,,,Percent of total billed charges,,345.87,90,,,Percent of total billed charges,,1482.3,21,,,Percent of total billed charges,,345.87,21,,,Percent of total billed charges,,345.87,64.9,,,Percent of total billed charges,,1068.9,21,,,Percent of total billed charges,,345.87,,1537.07,,Case rate,,1537.07,62.18,1647,
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences",70546,CPT,61070546,CDM,TC,Outpatient,Facility,,,1719,687.6,66,,,Percent of total billed charges,,1134.54,20.8,,,Percent of total billed charges,,357.55,20.4,,,Percent of total billed charges,,350.68,,259.22,,Case rate,,259.22,,95.31,,Case rate,,95.31,80,,,Percent of total billed charges,,1375.2,61.6,,,Percent of total billed charges,,1058.9,20.6,,,Percent of total billed charges,,354.11,20.6,,,Percent of total billed charges,,354.11,65.55,,,Percent of total billed charges,,1126.8,21,,,Percent of total billed charges,,360.99,90,,,Percent of total billed charges,,1547.1,21,,,Percent of total billed charges,,360.99,21,,,Percent of total billed charges,,360.99,64.9,,,Percent of total billed charges,,1115.63,21,,,Percent of total billed charges,,360.99,,1228.72,,Case rate,,1228.72,95.31,1719,
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,61008913,CDM,TC,Outpatient,Facility,,,2088,835.2,66,,,Percent of total billed charges,,1378.08,20.8,,,Percent of total billed charges,,434.3,20.4,,,Percent of total billed charges,,425.95,,251.32,,Case rate,,251.32,,61.9,,Case rate,,61.9,80,,,Percent of total billed charges,,1670.4,61.6,,,Percent of total billed charges,,1286.21,20.6,,,Percent of total billed charges,,430.13,20.6,,,Percent of total billed charges,,430.13,65.55,,,Percent of total billed charges,,1368.68,21,,,Percent of total billed charges,,438.48,90,,,Percent of total billed charges,,1879.2,21,,,Percent of total billed charges,,438.48,21,,,Percent of total billed charges,,438.48,64.9,,,Percent of total billed charges,,1355.11,21,,,Percent of total billed charges,,438.48,,1530.15,,Case rate,,1530.15,61.9,2088,
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)",73725,CPT,61073725,CDM,TC,Outpatient,Facility,,,2088,835.2,66,,,Percent of total billed charges,,1378.08,20.8,,,Percent of total billed charges,,434.3,20.4,,,Percent of total billed charges,,425.95,,251.32,,Case rate,,251.32,,61.9,,Case rate,,61.9,80,,,Percent of total billed charges,,1670.4,61.6,,,Percent of total billed charges,,1286.21,20.6,,,Percent of total billed charges,,430.13,20.6,,,Percent of total billed charges,,430.13,65.55,,,Percent of total billed charges,,1368.68,21,,,Percent of total billed charges,,438.48,90,,,Percent of total billed charges,,1879.2,21,,,Percent of total billed charges,,438.48,21,,,Percent of total billed charges,,438.48,64.9,,,Percent of total billed charges,,1355.11,21,,,Percent of total billed charges,,438.48,,1530.15,,Case rate,,1530.15,61.9,2088,
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,,,,Outpatient,Facility,,,2734,1093.6,66,,,Percent of total billed charges,,1804.44,20.8,,,Percent of total billed charges,,568.67,20.4,,,Percent of total billed charges,,557.74,,260.49,,Case rate,,260.49,,95.31,,Case rate,,95.31,80,,,Percent of total billed charges,,2187.2,61.6,,,Percent of total billed charges,,1684.14,20.6,,,Percent of total billed charges,,563.2,20.6,,,Percent of total billed charges,,563.2,65.55,,,Percent of total billed charges,,1792.14,21,,,Percent of total billed charges,,574.14,90,,,Percent of total billed charges,,2460.6,21,,,Percent of total billed charges,,574.14,21,,,Percent of total billed charges,,574.14,64.9,,,Percent of total billed charges,,1774.37,21,,,Percent of total billed charges,,574.14,,1672.08,,Case rate,,1672.08,95.31,2734,
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences",70549,CPT,61070549,CDM,TC,Outpatient,Facility,,,2734,1093.6,66,,,Percent of total billed charges,,1804.44,20.8,,,Percent of total billed charges,,568.67,20.4,,,Percent of total billed charges,,557.74,,260.49,,Case rate,,260.49,,95.31,,Case rate,,95.31,80,,,Percent of total billed charges,,2187.2,61.6,,,Percent of total billed charges,,1684.14,20.6,,,Percent of total billed charges,,563.2,20.6,,,Percent of total billed charges,,563.2,65.55,,,Percent of total billed charges,,1792.14,21,,,Percent of total billed charges,,574.14,90,,,Percent of total billed charges,,2460.6,21,,,Percent of total billed charges,,574.14,21,,,Percent of total billed charges,,574.14,64.9,,,Percent of total billed charges,,1774.37,21,,,Percent of total billed charges,,574.14,,1672.08,,Case rate,,1672.08,95.31,2734,
"Magnetic resonance angiography, pelvis, with or without contrast material(s)",72198,CPT,61008918,CDM,TC,Outpatient,Facility,,,1957,782.8,66,,,Percent of total billed charges,,1291.62,20.8,,,Percent of total billed charges,,407.06,20.4,,,Percent of total billed charges,,399.23,,254.16,,Case rate,,254.16,,62.13,,Case rate,,62.13,80,,,Percent of total billed charges,,1565.6,61.6,,,Percent of total billed charges,,1205.51,20.6,,,Percent of total billed charges,,403.14,20.6,,,Percent of total billed charges,,403.14,65.55,,,Percent of total billed charges,,1282.81,21,,,Percent of total billed charges,,410.97,90,,,Percent of total billed charges,,1761.3,21,,,Percent of total billed charges,,410.97,21,,,Percent of total billed charges,,410.97,64.9,,,Percent of total billed charges,,1270.09,21,,,Percent of total billed charges,,410.97,,1537.02,,Case rate,,1537.02,62.13,1957,
"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateral",77049,CPT,,,,Outpatient,Facility,,,4110,1644,66,,,Percent of total billed charges,,2712.6,20.8,,,Percent of total billed charges,,854.88,20.4,,,Percent of total billed charges,,838.44,,237.41,,Case rate,,237.41,,17.85,,Case rate,,17.85,80,,,Percent of total billed charges,,3288,61.6,,,Percent of total billed charges,,2531.76,20.6,,,Percent of total billed charges,,846.66,20.6,,,Percent of total billed charges,,846.66,65.55,,,Percent of total billed charges,,2694.1,21,,,Percent of total billed charges,,863.1,90,,,Percent of total billed charges,,3699,21,,,Percent of total billed charges,,863.1,21,,,Percent of total billed charges,,863.1,64.9,,,Percent of total billed charges,,2667.39,21,,,Percent of total billed charges,,863.1,,582.98,,Case rate,,582.98,17.85,4110,
"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateral",77049,CPT,61077049,CDM,TC,Outpatient,Facility,,,4110,1644,66,,,Percent of total billed charges,,2712.6,20.8,,,Percent of total billed charges,,854.88,20.4,,,Percent of total billed charges,,838.44,,237.41,,Case rate,,237.41,,17.85,,Case rate,,17.85,80,,,Percent of total billed charges,,3288,61.6,,,Percent of total billed charges,,2531.76,20.6,,,Percent of total billed charges,,846.66,20.6,,,Percent of total billed charges,,846.66,65.55,,,Percent of total billed charges,,2694.1,21,,,Percent of total billed charges,,863.1,90,,,Percent of total billed charges,,3699,21,,,Percent of total billed charges,,863.1,21,,,Percent of total billed charges,,863.1,64.9,,,Percent of total billed charges,,2667.39,21,,,Percent of total billed charges,,863.1,,582.98,,Case rate,,582.98,17.85,4110,
"Magnetic resonance imaging, breast, without contrast material; bilateral",77047,CPT,61077047,CDM,TC,Outpatient,Facility,,,1008,403.2,66,,,Percent of total billed charges,,665.28,20.8,,,Percent of total billed charges,,209.66,20.4,,,Percent of total billed charges,,205.63,,145.73,,Case rate,,145.73,,10.82,,Case rate,,10.82,80,,,Percent of total billed charges,,806.4,61.6,,,Percent of total billed charges,,620.93,20.6,,,Percent of total billed charges,,207.65,20.6,,,Percent of total billed charges,,207.65,65.55,,,Percent of total billed charges,,660.74,21,,,Percent of total billed charges,,211.68,90,,,Percent of total billed charges,,907.2,21,,,Percent of total billed charges,,211.68,21,,,Percent of total billed charges,,211.68,64.9,,,Percent of total billed charges,,654.19,21,,,Percent of total billed charges,,211.68,,582.98,,Case rate,,582.98,10.82,1008,
major esophageal disorders with cc,369,MS-DRG,,,,Inpatient,Facility,,,12246.53,4898.61,,8896.68,,Case rate,DRG Factor * DRG Weight,8896.68,,1758.64,,Per Diem,,8793.2,,1724.82,,Per Diem,,8624.1,,13695.22,,Case rate,DRG Factor * DRG Weight,13695.22,,1674.09,,Per Diem,,8370.45,80,,,Percent of total billed charges,,9797.22,61.6,,,Percent of total billed charges,,7543.86,,1741.73,,Per Diem,,8708.65,,1741.73,,Per Diem,,8708.65,65.55,,,Percent of total billed charges,,8027.6,,2079,,Per Diem,,10395,90,,,Percent of total billed charges,,11021.88,,2079,,Per Diem,,10395,,2079,,Per Diem,,10395,64.9,,,Percent of total billed charges,,7948,,2079,,Per Diem,,10395,,9538.32,,Case rate,DRG Factor * DRG Weight,9538.32,7543.86,13695.22,
major gastrointestinal disorders and peritoneal infections with cc,372,MS-DRG,,,,Inpatient,Facility,,,11830.18,4732.07,,9382.78,,Case rate,DRG Factor * DRG Weight,9382.78,,1758.64,,Per Diem,,3517.28,,1724.82,,Per Diem,,3449.64,,11517.94,,Case rate,DRG Factor * DRG Weight,11517.94,,1674.09,,Per Diem,,3348.18,80,,,Percent of total billed charges,,9464.14,61.6,,,Percent of total billed charges,,7287.39,,1741.73,,Per Diem,,3483.46,,1741.73,,Per Diem,,3483.46,65.55,,,Percent of total billed charges,,7754.68,,2079,,Per Diem,,4158,90,,,Percent of total billed charges,,10647.16,,2079,,Per Diem,,4158,,2079,,Per Diem,,4158,64.9,,,Percent of total billed charges,,7677.79,,2079,,Per Diem,,4158,,10059.49,,Case rate,DRG Factor * DRG Weight,10059.49,3348.18,11830.18,
major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with cc,809,MS-DRG,,,,Inpatient,Facility,,,6690.06,2676.02,,10842.01,,Case rate,DRG Factor * DRG Weight,10842.01,,1758.64,,Per Diem,,1758.64,,1724.82,,Per Diem,,1724.82,,14443.14,,Case rate,DRG Factor * DRG Weight,14443.14,,1674.09,,Per Diem,,1674.09,80,,,Percent of total billed charges,,5352.05,61.6,,,Percent of total billed charges,,4121.08,,1741.73,,Per Diem,,1741.73,,1741.73,,Per Diem,,1741.73,65.55,,,Percent of total billed charges,,4385.33,,2079,,Per Diem,,2079,90,,,Percent of total billed charges,,6021.05,,2079,,Per Diem,,2079,,2079,,Per Diem,,2079,64.9,,,Percent of total billed charges,,4341.85,,2079,,Per Diem,,2079,,11623.95,,Case rate,DRG Factor * DRG Weight,11623.95,1674.09,14443.14,
Manganese,83785,CPT,,,,Outpatient,Facility,,,67,26.8,66,,,Percent of total billed charges,,44.22,20.8,,,Percent of total billed charges,,13.94,20.4,,,Percent of total billed charges,,13.67,,26.65,,Case rate,,26.65,,1.79,,Case rate,,1.79,80,,,Percent of total billed charges,,53.6,61.6,,,Percent of total billed charges,,41.27,20.6,,,Percent of total billed charges,,13.8,20.6,,,Percent of total billed charges,,13.8,65.55,,,Percent of total billed charges,,43.92,21,,,Percent of total billed charges,,14.07,90,,,Percent of total billed charges,,60.3,21,,,Percent of total billed charges,,14.07,21,,,Percent of total billed charges,,14.07,64.9,,,Percent of total billed charges,,43.48,21,,,Percent of total billed charges,,14.07,,47.36,,Case rate,,47.36,1.79,67,
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation",94667,CPT,,,,Outpatient,Facility,,,234,93.6,66,,,Percent of total billed charges,,154.44,20.8,,,Percent of total billed charges,,48.67,20.4,,,Percent of total billed charges,,47.74,,22.11,,Case rate,,22.11,,4.43,,Case rate,,4.43,80,,,Percent of total billed charges,,187.2,61.6,,,Percent of total billed charges,,144.14,20.6,,,Percent of total billed charges,,48.2,20.6,,,Percent of total billed charges,,48.2,65.55,,,Percent of total billed charges,,153.39,21,,,Percent of total billed charges,,49.14,90,,,Percent of total billed charges,,210.6,21,,,Percent of total billed charges,,49.14,21,,,Percent of total billed charges,,49.14,64.9,,,Percent of total billed charges,,151.87,21,,,Percent of total billed charges,,49.14,,99.31,,Case rate,,99.31,4.43,234,
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",97140,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,26.58,,Case rate,,26.58,,2.57,,Case rate,,2.57,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,67.65,,Case rate,,67.65,2.57,92,
"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen",83789,CPT,,,,Outpatient,Facility,,,174,69.6,66,,,Percent of total billed charges,,114.84,20.8,,,Percent of total billed charges,,36.19,,24.59,,Case rate,,24.59,,24.11,,Case rate,,24.11,,5.11,,Case rate,,5.11,80,,,Percent of total billed charges,,139.2,61.6,,,Percent of total billed charges,,107.18,20.6,,,Percent of total billed charges,,35.84,20.6,,,Percent of total billed charges,,35.84,65.55,,,Percent of total billed charges,,114.06,21,,,Percent of total billed charges,,36.54,90,,,Percent of total billed charges,,156.6,21,,,Percent of total billed charges,,36.54,21,,,Percent of total billed charges,,36.54,64.9,,,Percent of total billed charges,,112.93,21,,,Percent of total billed charges,,36.54,,107.21,,Case rate,,107.21,5.11,174,
"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle",19307,CPT,,,,Outpatient,Facility,,,7622.3,3048.92,66,,,Percent of total billed charges,,5030.72,20.8,,,Percent of total billed charges,,1585.44,20.4,,,Percent of total billed charges,,1554.95,,1154.44,,Case rate,,1154.44,,190.36,,Case rate,,190.36,80,,,Percent of total billed charges,,6097.84,61.6,,,Percent of total billed charges,,4695.34,20.6,,,Percent of total billed charges,,1570.19,20.6,,,Percent of total billed charges,,1570.19,65.55,,,Percent of total billed charges,,4996.42,21,,,Percent of total billed charges,,1600.68,90,,,Percent of total billed charges,,6860.07,21,,,Percent of total billed charges,,1600.68,21,,,Percent of total billed charges,,1600.68,64.9,,,Percent of total billed charges,,4946.87,21,,,Percent of total billed charges,,1600.68,,4884.39,,Case rate,,4884.39,190.36,7622.3,
"Mastotomy with exploration or drainage of abscess, deep",19020,CPT,,,,Outpatient,Facility,,,3439,1375.6,66,,,Percent of total billed charges,,2269.74,20.8,,,Percent of total billed charges,,715.31,20.4,,,Percent of total billed charges,,701.56,,455.89,,Case rate,,455.89,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,2751.2,61.6,,,Percent of total billed charges,,2118.42,20.6,,,Percent of total billed charges,,708.43,20.6,,,Percent of total billed charges,,708.43,65.55,,,Percent of total billed charges,,2254.26,21,,,Percent of total billed charges,,722.19,90,,,Percent of total billed charges,,3095.1,21,,,Percent of total billed charges,,722.19,21,,,Percent of total billed charges,,722.19,64.9,,,Percent of total billed charges,,2231.91,21,,,Percent of total billed charges,,722.19,,1905.95,,Case rate,,1905.95,77.74,3439,
"Maximum breathing capacity, maximal voluntary ventilation",94200,CPT,46094200,CDM,TC,Outpatient,Facility,,,345,138,66,,,Percent of total billed charges,,227.7,20.8,,,Percent of total billed charges,,71.76,20.4,,,Percent of total billed charges,,70.38,,11.37,,Case rate,,11.37,,1.95,,Case rate,,1.95,80,,,Percent of total billed charges,,276,61.6,,,Percent of total billed charges,,212.52,20.6,,,Percent of total billed charges,,71.07,20.6,,,Percent of total billed charges,,71.07,65.55,,,Percent of total billed charges,,226.15,21,,,Percent of total billed charges,,72.45,90,,,Percent of total billed charges,,310.5,21,,,Percent of total billed charges,,72.45,21,,,Percent of total billed charges,,72.45,64.9,,,Percent of total billed charges,,223.9,21,,,Percent of total billed charges,,72.45,,54.28,,Case rate,,54.28,1.95,345,
"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb)",81290,CPT,,,,Outpatient,Facility,,,141,56.4,66,,,Percent of total billed charges,,93.06,20.8,,,Percent of total billed charges,,29.33,,40.1,,Case rate,,40.1,,39.31,,Case rate,,39.31,,12.52,,Case rate,,12.52,80,,,Percent of total billed charges,,112.8,61.6,,,Percent of total billed charges,,86.86,20.6,,,Percent of total billed charges,,29.05,20.6,,,Percent of total billed charges,,29.05,65.55,,,Percent of total billed charges,,92.43,21,,,Percent of total billed charges,,29.61,90,,,Percent of total billed charges,,126.9,21,,,Percent of total billed charges,,29.61,21,,,Percent of total billed charges,,29.61,64.9,,,Percent of total billed charges,,91.51,21,,,Percent of total billed charges,,29.61,45,,,Percent of total billed charges,,63.45,12.52,141,
"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants",81304,CPT,,,,Outpatient,Facility,,,701,280.4,66,,,Percent of total billed charges,,462.66,20.8,,,Percent of total billed charges,,145.81,20.4,,,Percent of total billed charges,,143,,150,,Case rate,,150,,23.86,,Case rate,,23.86,80,,,Percent of total billed charges,,560.8,61.6,,,Percent of total billed charges,,431.82,20.6,,,Percent of total billed charges,,144.41,20.6,,,Percent of total billed charges,,144.41,65.55,,,Percent of total billed charges,,459.51,21,,,Percent of total billed charges,,147.21,90,,,Percent of total billed charges,,630.9,21,,,Percent of total billed charges,,147.21,21,,,Percent of total billed charges,,147.21,64.9,,,Percent of total billed charges,,454.95,21,,,Percent of total billed charges,,147.21,,508.36,,Case rate,,508.36,23.86,701,
medical back problems without mcc,552,MS-DRG,,,,Inpatient,Facility,,,15003.61,6001.44,,8698.63,,Case rate,DRG Factor * DRG Weight,8698.63,,1758.64,,Per Diem,,8793.2,,1724.82,,Per Diem,,8624.1,,10853.13,,Case rate,DRG Factor * DRG Weight,10853.13,,1674.09,,Per Diem,,8370.45,80,,,Percent of total billed charges,,12002.89,61.6,,,Percent of total billed charges,,9242.22,,1741.73,,Per Diem,,8708.65,,1741.73,,Per Diem,,8708.65,65.55,,,Percent of total billed charges,,9834.87,,2079,,Per Diem,,10395,90,,,Percent of total billed charges,,13503.25,,2079,,Per Diem,,10395,,2079,,Per Diem,,10395,64.9,,,Percent of total billed charges,,9737.34,,2079,,Per Diem,,10395,,9325.99,,Case rate,DRG Factor * DRG Weight,9325.99,8370.45,15003.61,
"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes",97804,CPT,,,,Outpatient,Facility,,,25,10,66,,,Percent of total billed charges,,16.5,20.8,,,Percent of total billed charges,,5.2,20.4,,,Percent of total billed charges,,5.1,,16.37,,Case rate,,16.37,,0.54,,Case rate,,0.54,80,,,Percent of total billed charges,,20,61.6,,,Percent of total billed charges,,15.4,20.6,,,Percent of total billed charges,,5.15,20.6,,,Percent of total billed charges,,5.15,65.55,,,Percent of total billed charges,,16.39,21,,,Percent of total billed charges,,5.25,90,,,Percent of total billed charges,,22.5,21,,,Percent of total billed charges,,5.25,21,,,Percent of total billed charges,,5.25,64.9,,,Percent of total billed charges,,16.22,21,,,Percent of total billed charges,,5.25,,14.95,,Case rate,,14.95,0.54,25,
"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes",97803,CPT,,,,Outpatient,Facility,,,45,18,66,,,Percent of total billed charges,,29.7,20.8,,,Percent of total billed charges,,9.36,20.4,,,Percent of total billed charges,,9.18,,31.05,,Case rate,,31.05,,1.38,,Case rate,,1.38,80,,,Percent of total billed charges,,36,61.6,,,Percent of total billed charges,,27.72,20.6,,,Percent of total billed charges,,9.27,20.6,,,Percent of total billed charges,,9.27,65.55,,,Percent of total billed charges,,29.5,21,,,Percent of total billed charges,,9.45,90,,,Percent of total billed charges,,40.5,21,,,Percent of total billed charges,,9.45,21,,,Percent of total billed charges,,9.45,64.9,,,Percent of total billed charges,,29.2,21,,,Percent of total billed charges,,9.45,,15.04,,Case rate,,15.04,1.38,45,
"Mercury, quantitative",83825,CPT,,,,Outpatient,Facility,,,221,88.4,66,,,Percent of total billed charges,,145.86,20.8,,,Percent of total billed charges,,45.97,20.4,,,Percent of total billed charges,,45.08,,16.26,,Case rate,,16.26,,3.33,,Case rate,,3.33,80,,,Percent of total billed charges,,176.8,61.6,,,Percent of total billed charges,,136.14,20.6,,,Percent of total billed charges,,45.53,20.6,,,Percent of total billed charges,,45.53,65.55,,,Percent of total billed charges,,144.87,21,,,Percent of total billed charges,,46.41,90,,,Percent of total billed charges,,198.9,21,,,Percent of total billed charges,,46.41,21,,,Percent of total billed charges,,46.41,64.9,,,Percent of total billed charges,,143.43,21,,,Percent of total billed charges,,46.41,,81.16,,Case rate,,81.16,3.33,221,
"Methotrexate; oral, 2.5 mg",J8610,HCPCS,,,,Outpatient,Facility,2.5,ME,18.06,7.22,66,,,Percent of total billed charges,,11.92,20.8,,,Percent of total billed charges,,3.76,20.4,,,Percent of total billed charges,,3.68,,0.88,,Case rate,,0.88,,0.76,,Case rate,,0.76,80,,,Percent of total billed charges,,14.44,61.6,,,Percent of total billed charges,,11.12,20.6,,,Percent of total billed charges,,3.72,20.6,,,Percent of total billed charges,,3.72,65.55,,,Percent of total billed charges,,11.84,21,,,Percent of total billed charges,,3.79,90,,,Percent of total billed charges,,16.25,21,,,Percent of total billed charges,,3.79,21,,,Percent of total billed charges,,3.79,64.9,,,Percent of total billed charges,,11.72,21,,,Percent of total billed charges,,3.79,,0.28,,Case rate,,0.28,0.28,18.06,
"Methylenedioxyamphetamines (MDA, MDEA, MDMA)",80359,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,12.62,,Case rate,,12.62,,0.94,,Case rate,,0.94,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,45,,,Percent of total billed charges,,41.4,0.94,92,
Methylphenidate,80360,CPT,,,,Outpatient,Facility,,,116,46.4,66,,,Percent of total billed charges,,76.56,20.8,,,Percent of total billed charges,,24.13,20.4,,,Percent of total billed charges,,23.66,,12.62,,Case rate,,12.62,,0.94,,Case rate,,0.94,80,,,Percent of total billed charges,,92.8,61.6,,,Percent of total billed charges,,71.46,20.6,,,Percent of total billed charges,,23.9,20.6,,,Percent of total billed charges,,23.9,65.55,,,Percent of total billed charges,,76.04,21,,,Percent of total billed charges,,24.36,90,,,Percent of total billed charges,,104.4,21,,,Percent of total billed charges,,24.36,21,,,Percent of total billed charges,,24.36,64.9,,,Percent of total billed charges,,75.28,21,,,Percent of total billed charges,,24.36,45,,,Percent of total billed charges,,52.2,0.94,116,
"Methylprednisolone oral, per 4 mg",J7509,HCPCS,,,,Outpatient,Facility,4,ME,10.91,4.36,66,,,Percent of total billed charges,,7.2,20.8,,,Percent of total billed charges,,2.27,20.4,,,Percent of total billed charges,,2.23,,0.35,,Case rate,,0.35,,0.1,,Case rate,,0.1,80,,,Percent of total billed charges,,8.73,61.6,,,Percent of total billed charges,,6.72,20.6,,,Percent of total billed charges,,2.25,20.6,,,Percent of total billed charges,,2.25,65.55,,,Percent of total billed charges,,7.15,21,,,Percent of total billed charges,,2.29,90,,,Percent of total billed charges,,9.82,21,,,Percent of total billed charges,,2.29,21,,,Percent of total billed charges,,2.29,64.9,,,Percent of total billed charges,,7.08,21,,,Percent of total billed charges,,2.29,,0.28,,Case rate,,0.28,0.1,10.91,
"Microdissection (ie, sample preparation of microscopically identified target); laser capture",88380,CPT,30088380,CDM,TC,Outpatient,Facility,,,1694,677.6,66,,,Percent of total billed charges,,1118.04,20.8,,,Percent of total billed charges,,352.35,20.4,,,Percent of total billed charges,,345.58,,67.01,,Case rate,,67.01,,15.87,,Case rate,,15.87,80,,,Percent of total billed charges,,1355.2,61.6,,,Percent of total billed charges,,1043.5,20.6,,,Percent of total billed charges,,348.96,20.6,,,Percent of total billed charges,,348.96,65.55,,,Percent of total billed charges,,1110.42,21,,,Percent of total billed charges,,355.74,90,,,Percent of total billed charges,,1524.6,21,,,Percent of total billed charges,,355.74,21,,,Percent of total billed charges,,355.74,64.9,,,Percent of total billed charges,,1099.41,21,,,Percent of total billed charges,,355.74,45,,,Percent of total billed charges,,762.3,15.87,1694,
"Microdissection (ie, sample preparation of microscopically identified target); manual",88381,CPT,31088381,CDM,TC,Outpatient,Facility,,,279,111.6,66,,,Percent of total billed charges,,184.14,20.8,,,Percent of total billed charges,,58.03,20.4,,,Percent of total billed charges,,56.92,,168.48,,Case rate,,168.48,,28.75,,Case rate,,28.75,80,,,Percent of total billed charges,,223.2,61.6,,,Percent of total billed charges,,171.86,20.6,,,Percent of total billed charges,,57.47,20.6,,,Percent of total billed charges,,57.47,65.55,,,Percent of total billed charges,,182.88,21,,,Percent of total billed charges,,58.59,90,,,Percent of total billed charges,,251.1,21,,,Percent of total billed charges,,58.59,21,,,Percent of total billed charges,,58.59,64.9,,,Percent of total billed charges,,181.07,21,,,Percent of total billed charges,,58.59,,197.84,,Case rate,,197.84,28.75,279,
"miscellaneous disorders of nutrition, metabolism, and fluids and electrolytes with mcc",640,MS-DRG,,,,Inpatient,Facility,,,18700.7,7480.28,,11839.43,,Case rate,DRG Factor * DRG Weight,11839.43,,1758.64,,Per Diem,,7034.56,,1724.82,,Per Diem,,6899.28,,16105.18,,Case rate,DRG Factor * DRG Weight,16105.18,,1674.09,,Per Diem,,6696.36,80,,,Percent of total billed charges,,14960.56,61.6,,,Percent of total billed charges,,11519.63,,1741.73,,Per Diem,,6966.92,,1741.73,,Per Diem,,6966.92,65.55,,,Percent of total billed charges,,12258.31,,2079,,Per Diem,,8316,90,,,Percent of total billed charges,,16830.63,,2079,,Per Diem,,8316,,2079,,Per Diem,,8316,64.9,,,Percent of total billed charges,,12136.76,,2079,,Per Diem,,8316,,12693.31,,Case rate,DRG Factor * DRG Weight,12693.31,6696.36,18700.7,
"miscellaneous disorders of nutrition, metabolism, and fluids and electrolytes without mcc",641,MS-DRG,,,,Inpatient,Facility,,,9204.15,3681.66,,7034.16,,Case rate,DRG Factor * DRG Weight,7034.16,,1758.64,,Per Diem,,3517.28,,1724.82,,Per Diem,,3449.64,,8808.82,,Case rate,DRG Factor * DRG Weight,8808.82,,1674.09,,Per Diem,,3348.18,80,,,Percent of total billed charges,,7363.32,61.6,,,Percent of total billed charges,,5669.75,,1741.73,,Per Diem,,3483.46,,1741.73,,Per Diem,,3483.46,65.55,,,Percent of total billed charges,,6033.32,,2079,,Per Diem,,4158,90,,,Percent of total billed charges,,8283.73,,2079,,Per Diem,,4158,,2079,,Per Diem,,4158,64.9,,,Percent of total billed charges,,5973.49,,2079,,Per Diem,,4158,,7541.48,,Case rate,DRG Factor * DRG Weight,7541.48,3348.18,9204.14,
"Mitochondrial antibody (eg, M2), each",86381,CPT,,,,Outpatient,Facility,,,97,38.8,66,,,Percent of total billed charges,,64.02,20.8,,,Percent of total billed charges,,20.18,20.4,,,Percent of total billed charges,,19.79,,25.45,,Case rate,,25.45,,1.15,,Case rate,,1.15,80,,,Percent of total billed charges,,77.6,61.6,,,Percent of total billed charges,,59.75,20.6,,,Percent of total billed charges,,19.98,20.6,,,Percent of total billed charges,,19.98,65.55,,,Percent of total billed charges,,63.58,21,,,Percent of total billed charges,,20.37,90,,,Percent of total billed charges,,87.3,21,,,Percent of total billed charges,,20.37,21,,,Percent of total billed charges,,20.37,64.9,,,Percent of total billed charges,,62.95,21,,,Percent of total billed charges,,20.37,,89.24,,Case rate,,89.24,1.15,97,
"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis",81292,CPT,,,,Outpatient,Facility,,,2790,1116,66,,,Percent of total billed charges,,1841.4,20.8,,,Percent of total billed charges,,580.32,20.4,,,Percent of total billed charges,,569.16,,675.4,,Case rate,,675.4,,129.84,,Case rate,,129.84,80,,,Percent of total billed charges,,2232,61.6,,,Percent of total billed charges,,1718.64,20.6,,,Percent of total billed charges,,574.74,20.6,,,Percent of total billed charges,,574.74,65.55,,,Percent of total billed charges,,1828.84,21,,,Percent of total billed charges,,585.9,90,,,Percent of total billed charges,,2511,21,,,Percent of total billed charges,,585.9,21,,,Percent of total billed charges,,585.9,64.9,,,Percent of total billed charges,,1810.71,21,,,Percent of total billed charges,,585.9,45,,,Percent of total billed charges,,1255.5,129.84,2790,
"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis",81288,CPT,,,,Outpatient,Facility,,,1368,547.2,66,,,Percent of total billed charges,,902.88,20.8,,,Percent of total billed charges,,284.54,,196.17,,Case rate,,196.17,,192.32,,Case rate,,192.32,,11.88,,Case rate,,11.88,80,,,Percent of total billed charges,,1094.4,61.6,,,Percent of total billed charges,,842.69,20.6,,,Percent of total billed charges,,281.81,20.6,,,Percent of total billed charges,,281.81,65.55,,,Percent of total billed charges,,896.72,21,,,Percent of total billed charges,,287.28,90,,,Percent of total billed charges,,1231.2,21,,,Percent of total billed charges,,287.28,21,,,Percent of total billed charges,,287.28,64.9,,,Percent of total billed charges,,887.83,21,,,Percent of total billed charges,,287.28,,1006.7,,Case rate,,1006.7,11.88,1368,
Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intraservice time (List separately in addition to code for primary service),99157,CPT,,,,Outpatient,Facility,,,99,39.6,66,,,Percent of total billed charges,,65.34,20.8,,,Percent of total billed charges,,20.59,20.4,,,Percent of total billed charges,,20.2,58.8,,,Percent of total billed charges,,58.21,,,,Case rate,,,80,,,Percent of total billed charges,,79.2,61.6,,,Percent of total billed charges,,60.98,20.6,,,Percent of total billed charges,,20.39,20.6,,,Percent of total billed charges,,20.39,65.55,,,Percent of total billed charges,,64.89,21,,,Percent of total billed charges,,20.79,90,,,Percent of total billed charges,,89.1,21,,,Percent of total billed charges,,20.79,21,,,Percent of total billed charges,,20.79,64.9,,,Percent of total billed charges,,64.25,21,,,Percent of total billed charges,,20.79,45,,,Percent of total billed charges,,44.55,20.2,99,
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient age 5 years or older",99156,CPT,,,,Outpatient,Facility,,,279,111.6,66,,,Percent of total billed charges,,184.14,20.8,,,Percent of total billed charges,,58.03,20.4,,,Percent of total billed charges,,56.92,58.8,,,Percent of total billed charges,,164.05,,,,Case rate,,,80,,,Percent of total billed charges,,223.2,61.6,,,Percent of total billed charges,,171.86,20.6,,,Percent of total billed charges,,57.47,20.6,,,Percent of total billed charges,,57.47,65.55,,,Percent of total billed charges,,182.88,21,,,Percent of total billed charges,,58.59,90,,,Percent of total billed charges,,251.1,21,,,Percent of total billed charges,,58.59,21,,,Percent of total billed charges,,58.59,64.9,,,Percent of total billed charges,,181.07,21,,,Percent of total billed charges,,58.59,45,,,Percent of total billed charges,,125.55,56.92,279,
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient younger than 5 years of age",99155,CPT,,,,Outpatient,Facility,,,279,111.6,66,,,Percent of total billed charges,,184.14,20.8,,,Percent of total billed charges,,58.03,20.4,,,Percent of total billed charges,,56.92,58.8,,,Percent of total billed charges,,164.05,,,,Case rate,,,80,,,Percent of total billed charges,,223.2,61.6,,,Percent of total billed charges,,171.86,20.6,,,Percent of total billed charges,,57.47,20.6,,,Percent of total billed charges,,57.47,65.55,,,Percent of total billed charges,,182.88,21,,,Percent of total billed charges,,58.59,90,,,Percent of total billed charges,,251.1,21,,,Percent of total billed charges,,58.59,21,,,Percent of total billed charges,,58.59,64.9,,,Percent of total billed charges,,181.07,21,,,Percent of total billed charges,,58.59,45,,,Percent of total billed charges,,125.55,56.92,279,
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)",99153,CPT,,,,Outpatient,Facility,,,99,39.6,66,,,Percent of total billed charges,,65.34,20.8,,,Percent of total billed charges,,20.59,20.4,,,Percent of total billed charges,,20.2,58.8,,,Percent of total billed charges,,58.21,,,,Case rate,,,80,,,Percent of total billed charges,,79.2,61.6,,,Percent of total billed charges,,60.98,20.6,,,Percent of total billed charges,,20.39,20.6,,,Percent of total billed charges,,20.39,65.55,,,Percent of total billed charges,,64.89,21,,,Percent of total billed charges,,20.79,90,,,Percent of total billed charges,,89.1,21,,,Percent of total billed charges,,20.79,21,,,Percent of total billed charges,,20.79,64.9,,,Percent of total billed charges,,64.25,21,,,Percent of total billed charges,,20.79,45,,,Percent of total billed charges,,44.55,20.2,99,
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older",99152,CPT,,,,Outpatient,Facility,,,279,111.6,66,,,Percent of total billed charges,,184.14,20.8,,,Percent of total billed charges,,58.03,20.4,,,Percent of total billed charges,,56.92,58.8,,,Percent of total billed charges,,164.05,,,,Case rate,,,80,,,Percent of total billed charges,,223.2,61.6,,,Percent of total billed charges,,171.86,20.6,,,Percent of total billed charges,,57.47,20.6,,,Percent of total billed charges,,57.47,65.55,,,Percent of total billed charges,,182.88,21,,,Percent of total billed charges,,58.59,90,,,Percent of total billed charges,,251.1,21,,,Percent of total billed charges,,58.59,21,,,Percent of total billed charges,,58.59,64.9,,,Percent of total billed charges,,181.07,21,,,Percent of total billed charges,,58.59,45,,,Percent of total billed charges,,125.55,56.92,279,
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient younger than 5 years of age",99151,CPT,,,,Outpatient,Facility,,,279,111.6,66,,,Percent of total billed charges,,184.14,20.8,,,Percent of total billed charges,,58.03,20.4,,,Percent of total billed charges,,56.92,58.8,,,Percent of total billed charges,,164.05,,,,Case rate,,,80,,,Percent of total billed charges,,223.2,61.6,,,Percent of total billed charges,,171.86,20.6,,,Percent of total billed charges,,57.47,20.6,,,Percent of total billed charges,,57.47,65.55,,,Percent of total billed charges,,182.88,21,,,Percent of total billed charges,,58.59,90,,,Percent of total billed charges,,251.1,21,,,Percent of total billed charges,,58.59,21,,,Percent of total billed charges,,58.59,64.9,,,Percent of total billed charges,,181.07,21,,,Percent of total billed charges,,58.59,45,,,Percent of total billed charges,,125.55,56.92,279,
"Molecular cytogenetics; DNA probe, each (eg, FISH)",88271,CPT,,,,Outpatient,Facility,,,509,203.6,66,,,Percent of total billed charges,,335.94,20.8,,,Percent of total billed charges,,105.87,,21.85,,Case rate,,21.85,,21.42,,Case rate,,21.42,,3.41,,Case rate,,3.41,80,,,Percent of total billed charges,,407.2,61.6,,,Percent of total billed charges,,313.54,20.6,,,Percent of total billed charges,,104.85,20.6,,,Percent of total billed charges,,104.85,65.55,,,Percent of total billed charges,,333.65,21,,,Percent of total billed charges,,106.89,90,,,Percent of total billed charges,,458.1,21,,,Percent of total billed charges,,106.89,21,,,Percent of total billed charges,,106.89,64.9,,,Percent of total billed charges,,330.34,21,,,Percent of total billed charges,,106.89,,80.6,,Case rate,,80.6,3.41,509,
"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD]) Chromosome 1p-/19q- (eg, glial tumors), deletion analysis Chromosome 18q- (eg, D18S55, D18S58, D18S61, D18S64, and D18S69) (eg, colon cancer), allelic imbalance assessment (ie, loss of heterozygosity) COL1A1/PDGFB (t(17;22)) (eg, dermatofibrosarcoma protuberans), translocation analysis, multiple breakpoints, qualitative, and quantitative, if performed CYP21A2 (cytochrome P450, family 21, subfamily A, polypeptide 2) (eg, congenital adrenal hyperplasia, 21-hydroxylase deficiency), common variants (eg, IVS2-13G, P30L, I172N, exon 6 mutation cluster [I235N, V236E, M238K], V281L, L307FfsX6, Q318X, R356W, P453S, G110VfsX21, 30-kb deletion variant) ESR1/PGR (receptor 1/progesterone receptor) ratio (eg, breast cancer) MEFV (Mediterranean fever) (eg, familial Mediterranean fever), common variants (eg, E148Q, P369S, F479L, M680I, I692del, M694V, M694I, K695R, V726A, A744S, R761H) TRD@ (T cell antigen receptor, delta) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population Uniparental disomy (UPD) (eg, Russell-Silver syndrome, Prader-Willi/Angelman syndrome), short tandem repeat (STR) analysis",81402,CPT,,,,Outpatient,Facility,,,1109,443.6,66,,,Percent of total billed charges,,731.94,20.8,,,Percent of total billed charges,,230.67,,153.34,,Case rate,,153.34,,150.33,,Case rate,,150.33,,33.24,,Case rate,,33.24,80,,,Percent of total billed charges,,887.2,61.6,,,Percent of total billed charges,,683.14,20.6,,,Percent of total billed charges,,228.45,20.6,,,Percent of total billed charges,,228.45,65.55,,,Percent of total billed charges,,726.95,21,,,Percent of total billed charges,,232.89,90,,,Percent of total billed charges,,998.1,21,,,Percent of total billed charges,,232.89,21,,,Percent of total billed charges,,232.89,64.9,,,Percent of total billed charges,,719.74,21,,,Percent of total billed charges,,232.89,,302.07,,Case rate,,302.07,33.24,1109,
"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons) ANG (angiogenin, ribonuclease, RNase A family, 5) (eg, amyotrophic lateral sclerosis), full gene sequence ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked intellectual disability), duplication/deletion analysis CEL (carboxyl ester lipase [bile salt-stimulated lipase]) (eg, maturity-onset diabetes of the young [MODY]), targeted sequence analysis of exon 11 (eg, c.1785delC, c.1686delT) CTNNB1 (catenin [cadherin-associated protein], beta 1, 88kDa) (eg, desmoid tumors), targeted sequence analysis (eg, exon 3) DAZ/SRY (deleted in azoospermia and sex determining region Y) (eg, male infertility), common deletions (eg, AZFa, AZFb, AZFc, AZFd) DNMT3A (DNA [cytosine-5-]-methyltransferase 3 alpha) (eg, acute myeloid leukemia), targeted sequence analysis (eg, exon 23) EPCAM (epithelial cell adhesion molecule) (eg, Lynch syndrome), duplication/deletion analysis F8 (coagulation factor VIII) (eg, hemophilia A), inversion analysis, intron 1 and intron 22A F12 (coagulation factor XII [Hageman factor]) (eg, angioedema, hereditary, type III; factor XII deficiency), targeted sequence analysis of exon 9 FGFR3 (fibroblast growth factor receptor 3) (eg, isolated craniosynostosis), targeted sequence analysis (eg, exon 7) (For targeted sequence analysis of multiple FGFR3 exons, use 81404) GJB1 (gap junction protein, beta 1) (eg, Charcot-Marie-Tooth X-linked), full gene sequence GNAQ (guanine nucleotide-binding protein G[q] subunit alpha) (eg, uveal melanoma), common variants (eg, R183, Q209) Human erythrocyte antigen gene analyses (eg, SLC14A1 [Kidd blood group], BCAM [Lutheran blood group], ICAM4 [Landsteiner-Wiener blood group], SLC4A1 [Diego blood group], AQP1 [Colton blood group], ERMAP [Scianna blood g",81403,CPT,,,,Outpatient,Facility,,,1423,569.2,66,,,Percent of total billed charges,,939.18,20.8,,,Percent of total billed charges,,295.98,,188.9,,Case rate,,188.9,,185.2,,Case rate,,185.2,,48.84,,Case rate,,48.84,80,,,Percent of total billed charges,,1138.4,61.6,,,Percent of total billed charges,,876.57,20.6,,,Percent of total billed charges,,293.14,20.6,,,Percent of total billed charges,,293.14,65.55,,,Percent of total billed charges,,932.78,21,,,Percent of total billed charges,,298.83,90,,,Percent of total billed charges,,1280.7,21,,,Percent of total billed charges,,298.83,21,,,Percent of total billed charges,,298.83,64.9,,,Percent of total billed charges,,923.53,21,,,Percent of total billed charges,,298.83,,810.9,,Case rate,,810.9,48.84,1423,
"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen",86356,CPT,,,,Outpatient,Facility,,,116,46.4,66,,,Percent of total billed charges,,76.56,20.8,,,Percent of total billed charges,,24.13,20.4,,,Percent of total billed charges,,23.66,,26.78,,Case rate,,26.78,,7.41,,Case rate,,7.41,80,,,Percent of total billed charges,,92.8,61.6,,,Percent of total billed charges,,71.46,20.6,,,Percent of total billed charges,,23.9,20.6,,,Percent of total billed charges,,23.9,65.55,,,Percent of total billed charges,,76.04,21,,,Percent of total billed charges,,24.36,90,,,Percent of total billed charges,,104.4,21,,,Percent of total billed charges,,24.36,21,,,Percent of total billed charges,,24.36,64.9,,,Percent of total billed charges,,75.28,21,,,Percent of total billed charges,,24.36,,59.48,,Case rate,,59.48,7.41,116,
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,,,,Outpatient,Facility,,,2268,907.2,66,,,Percent of total billed charges,,1496.88,20.8,,,Percent of total billed charges,,471.74,20.4,,,Percent of total billed charges,,462.67,,314.88,,Case rate,,314.88,,9.93,,Case rate,,9.93,80,,,Percent of total billed charges,,1814.4,61.6,,,Percent of total billed charges,,1397.09,20.6,,,Percent of total billed charges,,467.21,20.6,,,Percent of total billed charges,,467.21,65.55,,,Percent of total billed charges,,1486.67,21,,,Percent of total billed charges,,476.28,90,,,Percent of total billed charges,,2041.2,21,,,Percent of total billed charges,,476.28,21,,,Percent of total billed charges,,476.28,64.9,,,Percent of total billed charges,,1471.93,21,,,Percent of total billed charges,,476.28,,544.3,,Case rate,,544.3,9.93,2268,
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure",88377,CPT,30088377,CDM,TC,Outpatient,Facility,,,2268,907.2,66,,,Percent of total billed charges,,1496.88,20.8,,,Percent of total billed charges,,471.74,20.4,,,Percent of total billed charges,,462.67,,314.88,,Case rate,,314.88,,9.93,,Case rate,,9.93,80,,,Percent of total billed charges,,1814.4,61.6,,,Percent of total billed charges,,1397.09,20.6,,,Percent of total billed charges,,467.21,20.6,,,Percent of total billed charges,,467.21,65.55,,,Percent of total billed charges,,1486.67,21,,,Percent of total billed charges,,476.28,90,,,Percent of total billed charges,,2041.2,21,,,Percent of total billed charges,,476.28,21,,,Percent of total billed charges,,476.28,64.9,,,Percent of total billed charges,,1471.93,21,,,Percent of total billed charges,,476.28,,544.3,,Case rate,,544.3,9.93,2268,
"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure",88374,CPT,31088374,CDM,TC,Outpatient,Facility,,,2088,835.2,66,,,Percent of total billed charges,,1378.08,20.8,,,Percent of total billed charges,,434.3,20.4,,,Percent of total billed charges,,425.95,,246.6,,Case rate,,246.6,,10.67,,Case rate,,10.67,80,,,Percent of total billed charges,,1670.4,61.6,,,Percent of total billed charges,,1286.21,20.6,,,Percent of total billed charges,,430.13,20.6,,,Percent of total billed charges,,430.13,65.55,,,Percent of total billed charges,,1368.68,21,,,Percent of total billed charges,,438.48,90,,,Percent of total billed charges,,1879.2,21,,,Percent of total billed charges,,438.48,21,,,Percent of total billed charges,,438.48,64.9,,,Percent of total billed charges,,1355.11,21,,,Percent of total billed charges,,438.48,,491.42,,Case rate,,491.42,10.67,2088,
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",88360,CPT,31088360,CDM,TC,Outpatient,Facility,,,631,252.4,66,,,Percent of total billed charges,,416.46,20.8,,,Percent of total billed charges,,131.25,20.4,,,Percent of total billed charges,,128.72,,73.03,,Case rate,,73.03,,8.78,,Case rate,,8.78,80,,,Percent of total billed charges,,504.8,61.6,,,Percent of total billed charges,,388.7,20.6,,,Percent of total billed charges,,129.99,20.6,,,Percent of total billed charges,,129.99,65.55,,,Percent of total billed charges,,413.62,21,,,Percent of total billed charges,,132.51,90,,,Percent of total billed charges,,567.9,21,,,Percent of total billed charges,,132.51,21,,,Percent of total billed charges,,132.51,64.9,,,Percent of total billed charges,,409.52,21,,,Percent of total billed charges,,132.51,,535.57,,Case rate,,535.57,8.78,631,
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,,,,Outpatient,Facility,,,554,221.6,66,,,Percent of total billed charges,,365.64,20.8,,,Percent of total billed charges,,115.23,20.4,,,Percent of total billed charges,,113.02,,71.13,,Case rate,,71.13,,20.89,,Case rate,,20.89,80,,,Percent of total billed charges,,443.2,61.6,,,Percent of total billed charges,,341.26,20.6,,,Percent of total billed charges,,114.12,20.6,,,Percent of total billed charges,,114.12,65.55,,,Percent of total billed charges,,363.15,21,,,Percent of total billed charges,,116.34,90,,,Percent of total billed charges,,498.6,21,,,Percent of total billed charges,,116.34,21,,,Percent of total billed charges,,116.34,64.9,,,Percent of total billed charges,,359.55,21,,,Percent of total billed charges,,116.34,,315.82,,Case rate,,315.82,20.89,554,
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology",88361,CPT,31088361,CDM,TC,Outpatient,Facility,,,554,221.6,66,,,Percent of total billed charges,,365.64,20.8,,,Percent of total billed charges,,115.23,20.4,,,Percent of total billed charges,,113.02,,71.13,,Case rate,,71.13,,20.89,,Case rate,,20.89,80,,,Percent of total billed charges,,443.2,61.6,,,Percent of total billed charges,,341.26,20.6,,,Percent of total billed charges,,114.12,20.6,,,Percent of total billed charges,,114.12,65.55,,,Percent of total billed charges,,363.15,21,,,Percent of total billed charges,,116.34,90,,,Percent of total billed charges,,498.6,21,,,Percent of total billed charges,,116.34,21,,,Percent of total billed charges,,116.34,64.9,,,Percent of total billed charges,,359.55,21,,,Percent of total billed charges,,116.34,,315.82,,Case rate,,315.82,20.89,554,
"Most recent diastolic blood pressure 80-89 mm Hg (HTN, CKD, CAD) (DM)",3079F,CPT,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Case rate,,,,,,Case rate,,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
Most recent hemoglobin A1c (HbA1c) level greater than or equal to 8.0% and less than or equal to 9.0% (DM),3052F,CPT,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,58.8,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
Most recent hemoglobin A1c level greater than 9.0% (DM),3046F,CPT,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Case rate,,,,,,Case rate,,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
Most recent LDL-C 100-129 mg/dL (CAD) (DM),3049F,CPT,9930490,CDM,1P,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Case rate,,,,,,Case rate,,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
Most recent LDL-C greater than or equal to 130 mg/dL (CAD) (DM),3050F,CPT,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Case rate,,,,,,Case rate,,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
Most recent LDL-C greater than or equal to 130 mg/dL (CAD) (DM),3050F,CPT,9930500,CDM,1P,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Case rate,,,,,,Case rate,,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
Most recent LDL-C less than 100 mg/dL (CAD) (DM),3048F,CPT,9930480,CDM,1P,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Case rate,,,,,,Case rate,,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
"Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)",3074F,CPT,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Case rate,,,,,,Case rate,,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis",81295,CPT,,,,Outpatient,Facility,,,1579,631.6,66,,,Percent of total billed charges,,1042.14,20.8,,,Percent of total billed charges,,328.43,20.4,,,Percent of total billed charges,,322.12,,381.7,,Case rate,,381.7,,113.06,,Case rate,,113.06,80,,,Percent of total billed charges,,1263.2,61.6,,,Percent of total billed charges,,972.66,20.6,,,Percent of total billed charges,,325.27,20.6,,,Percent of total billed charges,,325.27,65.55,,,Percent of total billed charges,,1035.03,21,,,Percent of total billed charges,,331.59,90,,,Percent of total billed charges,,1421.1,21,,,Percent of total billed charges,,331.59,21,,,Percent of total billed charges,,331.59,64.9,,,Percent of total billed charges,,1024.77,21,,,Percent of total billed charges,,331.59,,1533.82,,Case rate,,1533.82,113.06,1579,
"MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants",81300,CPT,,,,Outpatient,Facility,,,980,392,66,,,Percent of total billed charges,,646.8,20.8,,,Percent of total billed charges,,203.84,20.4,,,Percent of total billed charges,,199.92,,238,,Case rate,,238,,68.39,,Case rate,,68.39,80,,,Percent of total billed charges,,784,61.6,,,Percent of total billed charges,,603.68,20.6,,,Percent of total billed charges,,201.88,20.6,,,Percent of total billed charges,,201.88,65.55,,,Percent of total billed charges,,642.39,21,,,Percent of total billed charges,,205.8,90,,,Percent of total billed charges,,882,21,,,Percent of total billed charges,,205.8,21,,,Percent of total billed charges,,205.8,64.9,,,Percent of total billed charges,,636.02,21,,,Percent of total billed charges,,205.8,45,,,Percent of total billed charges,,441,68.39,980,
"MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis",81298,CPT,,,,Outpatient,Facility,,,2649,1059.6,66,,,Percent of total billed charges,,1748.34,20.8,,,Percent of total billed charges,,550.99,20.4,,,Percent of total billed charges,,540.4,,641.85,,Case rate,,641.85,,122.12,,Case rate,,122.12,80,,,Percent of total billed charges,,2119.2,61.6,,,Percent of total billed charges,,1631.78,20.6,,,Percent of total billed charges,,545.69,20.6,,,Percent of total billed charges,,545.69,65.55,,,Percent of total billed charges,,1736.42,21,,,Percent of total billed charges,,556.29,90,,,Percent of total billed charges,,2384.1,21,,,Percent of total billed charges,,556.29,21,,,Percent of total billed charges,,556.29,64.9,,,Percent of total billed charges,,1719.2,21,,,Percent of total billed charges,,556.29,45,,,Percent of total billed charges,,1192.05,122.12,2649,
"Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness",95805,CPT,,,,Outpatient,Facility,,,3790,1516,66,,,Percent of total billed charges,,2501.4,20.8,,,Percent of total billed charges,,788.32,20.4,,,Percent of total billed charges,,773.16,,341.99,,Case rate,,341.99,,35.27,,Case rate,,35.27,80,,,Percent of total billed charges,,3032,61.6,,,Percent of total billed charges,,2334.64,20.6,,,Percent of total billed charges,,780.74,20.6,,,Percent of total billed charges,,780.74,65.55,,,Percent of total billed charges,,2484.34,21,,,Percent of total billed charges,,795.9,90,,,Percent of total billed charges,,3411,21,,,Percent of total billed charges,,795.9,21,,,Percent of total billed charges,,795.9,64.9,,,Percent of total billed charges,,2459.71,21,,,Percent of total billed charges,,795.9,,575.17,,Case rate,,575.17,35.27,3790,
"Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness",95805,CPT,74095805,CDM,TC,Outpatient,Facility,,,3790,1516,66,,,Percent of total billed charges,,2501.4,20.8,,,Percent of total billed charges,,788.32,20.4,,,Percent of total billed charges,,773.16,,341.99,,Case rate,,341.99,,35.27,,Case rate,,35.27,80,,,Percent of total billed charges,,3032,61.6,,,Percent of total billed charges,,2334.64,20.6,,,Percent of total billed charges,,780.74,20.6,,,Percent of total billed charges,,780.74,65.55,,,Percent of total billed charges,,2484.34,21,,,Percent of total billed charges,,795.9,90,,,Percent of total billed charges,,3411,21,,,Percent of total billed charges,,795.9,21,,,Percent of total billed charges,,795.9,64.9,,,Percent of total billed charges,,2459.71,21,,,Percent of total billed charges,,795.9,,575.17,,Case rate,,575.17,35.27,3790,
"Mycophenolate mofetil, oral, 250 mg",J7517,HCPCS,,,,Outpatient,Facility,250,ME,3.96,1.58,66,,,Percent of total billed charges,,2.61,20.8,,,Percent of total billed charges,,0.82,20.4,,,Percent of total billed charges,,0.81,,0.43,,Case rate,,0.43,,0.42,,Case rate,,0.42,80,,,Percent of total billed charges,,3.17,61.6,,,Percent of total billed charges,,2.44,20.6,,,Percent of total billed charges,,0.82,20.6,,,Percent of total billed charges,,0.82,65.55,,,Percent of total billed charges,,2.6,21,,,Percent of total billed charges,,0.83,90,,,Percent of total billed charges,,3.56,21,,,Percent of total billed charges,,0.83,21,,,Percent of total billed charges,,0.83,64.9,,,Percent of total billed charges,,2.57,21,,,Percent of total billed charges,,0.83,,0.19,,Case rate,,0.19,0.19,3.96,
"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each",86362,CPT,,,,Outpatient,Facility,,,48,19.2,66,,,Percent of total billed charges,,31.68,20.8,,,Percent of total billed charges,,9.98,20.4,,,Percent of total billed charges,,9.79,,12.05,,Case rate,,12.05,,0.54,,Case rate,,0.54,80,,,Percent of total billed charges,,38.4,61.6,,,Percent of total billed charges,,29.57,20.6,,,Percent of total billed charges,,9.89,20.6,,,Percent of total billed charges,,9.89,65.55,,,Percent of total billed charges,,31.46,21,,,Percent of total billed charges,,10.08,90,,,Percent of total billed charges,,43.2,21,,,Percent of total billed charges,,10.08,21,,,Percent of total billed charges,,10.08,64.9,,,Percent of total billed charges,,31.15,21,,,Percent of total billed charges,,10.08,,42.25,,Case rate,,42.25,0.54,48,
"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting [FACS]), each",86363,CPT,,,,Outpatient,Facility,,,46,18.4,66,,,Percent of total billed charges,,30.36,20.8,,,Percent of total billed charges,,9.57,20.4,,,Percent of total billed charges,,9.38,,37.73,,Case rate,,37.73,,0.54,,Case rate,,0.54,80,,,Percent of total billed charges,,36.8,61.6,,,Percent of total billed charges,,28.34,20.6,,,Percent of total billed charges,,9.48,20.6,,,Percent of total billed charges,,9.48,65.55,,,Percent of total billed charges,,30.15,21,,,Percent of total billed charges,,9.66,90,,,Percent of total billed charges,,41.4,21,,,Percent of total billed charges,,9.66,21,,,Percent of total billed charges,,9.66,64.9,,,Percent of total billed charges,,29.85,21,,,Percent of total billed charges,,9.66,45,,,Percent of total billed charges,,20.7,0.54,46,
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection",78452,CPT,,,,Outpatient,Facility,,,3318,1327.2,66,,,Percent of total billed charges,,2189.88,20.8,,,Percent of total billed charges,,690.14,20.4,,,Percent of total billed charges,,676.87,,343.61,,Case rate,,343.61,,55.06,,Case rate,,55.06,80,,,Percent of total billed charges,,2654.4,61.6,,,Percent of total billed charges,,2043.89,20.6,,,Percent of total billed charges,,683.51,20.6,,,Percent of total billed charges,,683.51,65.55,,,Percent of total billed charges,,2174.95,21,,,Percent of total billed charges,,696.78,90,,,Percent of total billed charges,,2986.2,21,,,Percent of total billed charges,,696.78,21,,,Percent of total billed charges,,696.78,64.9,,,Percent of total billed charges,,2153.38,21,,,Percent of total billed charges,,696.78,,2047.33,,Case rate,,2047.33,55.06,3318,
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)",78451,CPT,34178451,CDM,TC,Outpatient,Facility,,,2488,995.2,66,,,Percent of total billed charges,,1642.08,20.8,,,Percent of total billed charges,,517.5,20.4,,,Percent of total billed charges,,507.55,,238.99,,Case rate,,238.99,,28.5,,Case rate,,28.5,80,,,Percent of total billed charges,,1990.4,61.6,,,Percent of total billed charges,,1532.61,20.6,,,Percent of total billed charges,,512.53,20.6,,,Percent of total billed charges,,512.53,65.55,,,Percent of total billed charges,,1630.88,21,,,Percent of total billed charges,,522.48,90,,,Percent of total billed charges,,2239.2,21,,,Percent of total billed charges,,522.48,21,,,Percent of total billed charges,,522.48,64.9,,,Percent of total billed charges,,1614.71,21,,,Percent of total billed charges,,522.48,,1437.7,,Case rate,,1437.7,28.5,2488,
Myoglobin,83874,CPT,,,,Outpatient,Facility,,,79,31.6,66,,,Percent of total billed charges,,52.14,20.8,,,Percent of total billed charges,,16.43,20.4,,,Percent of total billed charges,,16.12,,12.92,,Case rate,,12.92,,2.66,,Case rate,,2.66,80,,,Percent of total billed charges,,63.2,61.6,,,Percent of total billed charges,,48.66,20.6,,,Percent of total billed charges,,16.27,20.6,,,Percent of total billed charges,,16.27,65.55,,,Percent of total billed charges,,51.78,21,,,Percent of total billed charges,,16.59,90,,,Percent of total billed charges,,71.1,21,,,Percent of total billed charges,,16.59,21,,,Percent of total billed charges,,16.59,64.9,,,Percent of total billed charges,,51.27,21,,,Percent of total billed charges,,16.59,,51.96,,Case rate,,51.96,2.66,79,
Nasal smear for eosinophils,89190,CPT,,,,Outpatient,Facility,,,32,12.8,66,,,Percent of total billed charges,,21.12,20.8,,,Percent of total billed charges,,6.66,20.4,,,Percent of total billed charges,,6.53,,5.79,,Case rate,,5.79,,0.98,,Case rate,,0.98,80,,,Percent of total billed charges,,25.6,61.6,,,Percent of total billed charges,,19.71,20.6,,,Percent of total billed charges,,6.59,20.6,,,Percent of total billed charges,,6.59,65.55,,,Percent of total billed charges,,20.98,21,,,Percent of total billed charges,,6.72,90,,,Percent of total billed charges,,28.8,21,,,Percent of total billed charges,,6.72,21,,,Percent of total billed charges,,6.72,64.9,,,Percent of total billed charges,,20.77,21,,,Percent of total billed charges,,6.72,,26.7,,Case rate,,26.7,0.98,32,
"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report)",43752,CPT,,,,Outpatient,Facility,,,528,211.2,66,,,Percent of total billed charges,,348.48,20.8,,,Percent of total billed charges,,109.82,20.4,,,Percent of total billed charges,,107.71,,39.37,,Case rate,,39.37,,8.12,,Case rate,,8.12,80,,,Percent of total billed charges,,422.4,61.6,,,Percent of total billed charges,,325.25,20.6,,,Percent of total billed charges,,108.77,20.6,,,Percent of total billed charges,,108.77,65.55,,,Percent of total billed charges,,346.1,21,,,Percent of total billed charges,,110.88,90,,,Percent of total billed charges,,475.2,21,,,Percent of total billed charges,,110.88,21,,,Percent of total billed charges,,110.88,64.9,,,Percent of total billed charges,,342.67,21,,,Percent of total billed charges,,110.88,,447.54,,Case rate,,447.54,8.12,528,
Natriuretic peptide,83880,CPT,,,,Outpatient,Facility,,,281,112.4,66,,,Percent of total billed charges,,185.46,20.8,,,Percent of total billed charges,,58.45,20.4,,,Percent of total billed charges,,57.32,,39.26,,Case rate,,39.26,,9.7,,Case rate,,9.7,80,,,Percent of total billed charges,,224.8,61.6,,,Percent of total billed charges,,173.1,20.6,,,Percent of total billed charges,,57.89,20.6,,,Percent of total billed charges,,57.89,65.55,,,Percent of total billed charges,,184.2,21,,,Percent of total billed charges,,59.01,90,,,Percent of total billed charges,,252.9,21,,,Percent of total billed charges,,59.01,21,,,Percent of total billed charges,,59.01,64.9,,,Percent of total billed charges,,182.37,21,,,Percent of total billed charges,,59.01,,107.72,,Case rate,,107.72,9.7,281,
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters",97606,CPT,,,,Outpatient,Facility,,,383,153.2,66,,,Percent of total billed charges,,252.78,20.8,,,Percent of total billed charges,,79.66,20.4,,,Percent of total billed charges,,78.13,,49.41,,Case rate,,49.41,,7.05,,Case rate,,7.05,80,,,Percent of total billed charges,,306.4,61.6,,,Percent of total billed charges,,235.93,20.6,,,Percent of total billed charges,,78.9,20.6,,,Percent of total billed charges,,78.9,65.55,,,Percent of total billed charges,,251.06,21,,,Percent of total billed charges,,80.43,90,,,Percent of total billed charges,,344.7,21,,,Percent of total billed charges,,80.43,21,,,Percent of total billed charges,,80.43,64.9,,,Percent of total billed charges,,248.57,21,,,Percent of total billed charges,,80.43,,109.34,,Case rate,,109.34,7.05,383,
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters",97605,CPT,,,,Outpatient,Facility,,,319,127.6,66,,,Percent of total billed charges,,210.54,20.8,,,Percent of total billed charges,,66.35,20.4,,,Percent of total billed charges,,65.08,,41.39,,Case rate,,41.39,,6.55,,Case rate,,6.55,80,,,Percent of total billed charges,,255.2,61.6,,,Percent of total billed charges,,196.5,20.6,,,Percent of total billed charges,,65.71,20.6,,,Percent of total billed charges,,65.71,65.55,,,Percent of total billed charges,,209.1,21,,,Percent of total billed charges,,66.99,90,,,Percent of total billed charges,,287.1,21,,,Percent of total billed charges,,66.99,21,,,Percent of total billed charges,,66.99,64.9,,,Percent of total billed charges,,207.03,21,,,Percent of total billed charges,,66.99,,74.15,,Case rate,,74.15,6.55,319,
Nickel,83885,CPT,,,,Outpatient,Facility,,,174,69.6,66,,,Percent of total billed charges,,114.84,20.8,,,Percent of total billed charges,,36.19,20.4,,,Percent of total billed charges,,35.5,,24.51,,Case rate,,24.51,,5.45,,Case rate,,5.45,80,,,Percent of total billed charges,,139.2,61.6,,,Percent of total billed charges,,107.18,20.6,,,Percent of total billed charges,,35.84,20.6,,,Percent of total billed charges,,35.84,65.55,,,Percent of total billed charges,,114.06,21,,,Percent of total billed charges,,36.54,90,,,Percent of total billed charges,,156.6,21,,,Percent of total billed charges,,36.54,21,,,Percent of total billed charges,,36.54,64.9,,,Percent of total billed charges,,112.93,21,,,Percent of total billed charges,,36.54,,117.28,,Case rate,,117.28,5.45,174,
"Non-cardiac vascular flow imaging (ie, angiography, venography)",78445,CPT,,,,Outpatient,Facility,,,475,190,66,,,Percent of total billed charges,,313.5,20.8,,,Percent of total billed charges,,98.8,20.4,,,Percent of total billed charges,,96.9,,163.42,,Case rate,,163.42,,12.29,,Case rate,,12.29,80,,,Percent of total billed charges,,380,61.6,,,Percent of total billed charges,,292.6,20.6,,,Percent of total billed charges,,97.85,20.6,,,Percent of total billed charges,,97.85,65.55,,,Percent of total billed charges,,311.36,21,,,Percent of total billed charges,,99.75,90,,,Percent of total billed charges,,427.5,21,,,Percent of total billed charges,,99.75,21,,,Percent of total billed charges,,99.75,64.9,,,Percent of total billed charges,,308.28,21,,,Percent of total billed charges,,99.75,,294.04,,Case rate,,294.04,12.29,475,
nonbacterial infection of nervous system except viral meningitis with cc,98,MS-DRG,,,,Inpatient,Facility,,,11116.09,4446.44,,19394.81,,Case rate,DRG Factor * DRG Weight,19394.81,,1758.64,,Per Diem,,8793.2,,1724.82,,Per Diem,,8624.1,,26326.73,,Case rate,DRG Factor * DRG Weight,26326.73,,1674.09,,Per Diem,,8370.45,80,,,Percent of total billed charges,,8892.87,61.6,,,Percent of total billed charges,,6847.51,,1741.73,,Per Diem,,8708.65,,1741.73,,Per Diem,,8708.65,65.55,,,Percent of total billed charges,,7286.6,,2079,,Per Diem,,10395,90,,,Percent of total billed charges,,10004.48,,2079,,Per Diem,,10395,,2079,,Per Diem,,10395,64.9,,,Percent of total billed charges,,7214.34,,2079,,Per Diem,,10395,,20793.6,,Case rate,DRG Factor * DRG Weight,20793.6,6847.51,26326.73,
Noninvasive ear or pulse oximetry for oxygen saturation; single determination,94760,CPT,,,,Outpatient,Facility,,,30,12,66,,,Percent of total billed charges,,19.8,20.8,,,Percent of total billed charges,,6.24,20.4,,,Percent of total billed charges,,6.12,,2.2,,Case rate,,2.2,,0.75,,Case rate,,0.75,80,,,Percent of total billed charges,,24,61.6,,,Percent of total billed charges,,18.48,20.6,,,Percent of total billed charges,,6.18,20.6,,,Percent of total billed charges,,6.18,65.55,,,Percent of total billed charges,,19.66,21,,,Percent of total billed charges,,6.3,90,,,Percent of total billed charges,,27,21,,,Percent of total billed charges,,6.3,21,,,Percent of total billed charges,,6.3,64.9,,,Percent of total billed charges,,19.47,21,,,Percent of total billed charges,,6.3,,24.42,,Case rate,,24.42,0.75,30,
"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result (87389) Antibody, rubella (86762) Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) (86592) Antibody screen, RBC, each serum technique (86850) Blood typing, ABO (86900) AND Blood typing, Rh (D) (86901)",80081,CPT,,,,Outpatient,Facility,,,692,276.8,66,,,Percent of total billed charges,,456.72,20.8,,,Percent of total billed charges,,143.94,20.4,,,Percent of total billed charges,,141.17,,74.86,,Case rate,,74.86,,7.59,,Case rate,,7.59,80,,,Percent of total billed charges,,553.6,61.6,,,Percent of total billed charges,,426.27,20.6,,,Percent of total billed charges,,142.55,20.6,,,Percent of total billed charges,,142.55,65.55,,,Percent of total billed charges,,453.61,21,,,Percent of total billed charges,,145.32,90,,,Percent of total billed charges,,622.8,21,,,Percent of total billed charges,,145.32,21,,,Percent of total billed charges,,145.32,64.9,,,Percent of total billed charges,,449.11,21,,,Percent of total billed charges,,145.32,,497.59,,Case rate,,497.59,7.59,692,
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.",97165,CPT,,,,Outpatient,Facility,,,316,126.4,66,,,Percent of total billed charges,,208.56,20.8,,,Percent of total billed charges,,65.73,20.4,,,Percent of total billed charges,,64.46,,98.31,,Case rate,,98.31,,5.33,,Case rate,,5.33,80,,,Percent of total billed charges,,252.8,61.6,,,Percent of total billed charges,,194.66,20.6,,,Percent of total billed charges,,65.1,20.6,,,Percent of total billed charges,,65.1,65.55,,,Percent of total billed charges,,207.14,21,,,Percent of total billed charges,,66.36,90,,,Percent of total billed charges,,284.4,21,,,Percent of total billed charges,,66.36,21,,,Percent of total billed charges,,66.36,64.9,,,Percent of total billed charges,,205.08,21,,,Percent of total billed charges,,66.36,,171.74,,Case rate,,171.74,5.33,316,
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.",99202,CPT,,,,Outpatient,Facility,,,238,95.2,66,,,Percent of total billed charges,,157.08,20.8,,,Percent of total billed charges,,49.5,20.4,,,Percent of total billed charges,,48.55,,10.47,,Case rate,,10.47,,2.07,,Case rate,,2.07,80,,,Percent of total billed charges,,190.4,61.6,,,Percent of total billed charges,,146.61,20.6,,,Percent of total billed charges,,49.03,20.6,,,Percent of total billed charges,,49.03,65.55,,,Percent of total billed charges,,156.01,21,,,Percent of total billed charges,,49.98,90,,,Percent of total billed charges,,214.2,21,,,Percent of total billed charges,,49.98,21,,,Percent of total billed charges,,49.98,64.9,,,Percent of total billed charges,,154.46,21,,,Percent of total billed charges,,49.98,,197.7,,Case rate,,197.7,2.07,238,
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.",99215,CPT,,,,Outpatient,Facility,,,220,88,66,,,Percent of total billed charges,,145.2,20.8,,,Percent of total billed charges,,45.76,20.4,,,Percent of total billed charges,,44.88,,14.14,,Case rate,,14.14,,2.8,,Case rate,,2.8,80,,,Percent of total billed charges,,176,61.6,,,Percent of total billed charges,,135.52,20.6,,,Percent of total billed charges,,45.32,20.6,,,Percent of total billed charges,,45.32,65.55,,,Percent of total billed charges,,144.21,21,,,Percent of total billed charges,,46.2,90,,,Percent of total billed charges,,198,21,,,Percent of total billed charges,,46.2,21,,,Percent of total billed charges,,46.2,64.9,,,Percent of total billed charges,,142.78,21,,,Percent of total billed charges,,46.2,,180.01,,Case rate,,180.01,2.8,220,
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.",99213,CPT,,,,Outpatient,Facility,,,167,66.8,66,,,Percent of total billed charges,,110.22,20.8,,,Percent of total billed charges,,34.74,20.4,,,Percent of total billed charges,,34.07,,9.43,,Case rate,,9.43,,1.87,,Case rate,,1.87,80,,,Percent of total billed charges,,133.6,61.6,,,Percent of total billed charges,,102.87,20.6,,,Percent of total billed charges,,34.4,20.6,,,Percent of total billed charges,,34.4,65.55,,,Percent of total billed charges,,109.47,21,,,Percent of total billed charges,,35.07,90,,,Percent of total billed charges,,150.3,21,,,Percent of total billed charges,,35.07,21,,,Percent of total billed charges,,35.07,64.9,,,Percent of total billed charges,,108.38,21,,,Percent of total billed charges,,35.07,,129.21,,Case rate,,129.21,1.87,167,
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.",99214,CPT,,,,Outpatient,Facility,,,188,75.2,66,,,Percent of total billed charges,,124.08,20.8,,,Percent of total billed charges,,39.1,20.4,,,Percent of total billed charges,,38.35,,12.3,,Case rate,,12.3,,2.44,,Case rate,,2.44,80,,,Percent of total billed charges,,150.4,61.6,,,Percent of total billed charges,,115.81,20.6,,,Percent of total billed charges,,38.73,20.6,,,Percent of total billed charges,,38.73,65.55,,,Percent of total billed charges,,123.23,21,,,Percent of total billed charges,,39.48,90,,,Percent of total billed charges,,169.2,21,,,Percent of total billed charges,,39.48,21,,,Percent of total billed charges,,39.48,64.9,,,Percent of total billed charges,,122.01,21,,,Percent of total billed charges,,39.48,,153.45,,Case rate,,153.45,2.44,188,
"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed",27814,CPT,,,,Outpatient,Facility,,,4727.7,1891.08,66,,,Percent of total billed charges,,3120.28,20.8,,,Percent of total billed charges,,983.36,20.4,,,Percent of total billed charges,,964.45,,750.09,,Case rate,,750.09,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,3782.16,61.6,,,Percent of total billed charges,,2912.26,20.6,,,Percent of total billed charges,,973.91,20.6,,,Percent of total billed charges,,973.91,65.55,,,Percent of total billed charges,,3099,21,,,Percent of total billed charges,,992.82,90,,,Percent of total billed charges,,4254.93,21,,,Percent of total billed charges,,992.82,21,,,Percent of total billed charges,,992.82,64.9,,,Percent of total billed charges,,3068.27,21,,,Percent of total billed charges,,992.82,,2187.36,,Case rate,,2187.36,89.15,4727.7,
"Ophthalmic ultrasound, diagnostic; B-scan (with or without superimposed non-quantitative A-scan)",76512,CPT,40276512,CDM,TC,Outpatient,Facility,,,345,138,66,,,Percent of total billed charges,,227.7,20.8,,,Percent of total billed charges,,71.76,20.4,,,Percent of total billed charges,,70.38,,16.75,,Case rate,,16.75,,11.38,,Case rate,,11.38,80,,,Percent of total billed charges,,276,61.6,,,Percent of total billed charges,,212.52,20.6,,,Percent of total billed charges,,71.07,20.6,,,Percent of total billed charges,,71.07,65.55,,,Percent of total billed charges,,226.15,21,,,Percent of total billed charges,,72.45,90,,,Percent of total billed charges,,310.5,21,,,Percent of total billed charges,,72.45,21,,,Percent of total billed charges,,72.45,64.9,,,Percent of total billed charges,,223.9,21,,,Percent of total billed charges,,72.45,,285.64,,Case rate,,285.64,11.38,345,
Opioids and opiate analogs; 1 or 2,80362,CPT,,,,Outpatient,Facility,,,133,53.2,66,,,Percent of total billed charges,,87.78,20.8,,,Percent of total billed charges,,27.66,20.4,,,Percent of total billed charges,,27.13,,18.54,,Case rate,,18.54,,1.38,,Case rate,,1.38,80,,,Percent of total billed charges,,106.4,61.6,,,Percent of total billed charges,,81.93,20.6,,,Percent of total billed charges,,27.4,20.6,,,Percent of total billed charges,,27.4,65.55,,,Percent of total billed charges,,87.18,21,,,Percent of total billed charges,,27.93,90,,,Percent of total billed charges,,119.7,21,,,Percent of total billed charges,,27.93,21,,,Percent of total billed charges,,27.93,64.9,,,Percent of total billed charges,,86.32,21,,,Percent of total billed charges,,27.93,45,,,Percent of total billed charges,,59.85,1.38,133,
Opioids and Opiate analogs; 5 or more,80364,CPT,,,,Outpatient,Facility,,,133,53.2,66,,,Percent of total billed charges,,87.78,20.8,,,Percent of total billed charges,,27.66,20.4,,,Percent of total billed charges,,27.13,,18.54,,Case rate,,18.54,,1.38,,Case rate,,1.38,80,,,Percent of total billed charges,,106.4,61.6,,,Percent of total billed charges,,81.93,20.6,,,Percent of total billed charges,,27.4,20.6,,,Percent of total billed charges,,27.4,65.55,,,Percent of total billed charges,,87.18,21,,,Percent of total billed charges,,27.93,90,,,Percent of total billed charges,,119.7,21,,,Percent of total billed charges,,27.93,21,,,Percent of total billed charges,,27.93,64.9,,,Percent of total billed charges,,86.32,21,,,Percent of total billed charges,,27.93,45,,,Percent of total billed charges,,59.85,1.38,133,
"Organic acid, single, quantitative",83921,CPT,,,,Outpatient,Facility,,,274,109.6,66,,,Percent of total billed charges,,180.84,20.8,,,Percent of total billed charges,,56.99,20.4,,,Percent of total billed charges,,55.9,,21.21,,Case rate,,21.21,,4.65,,Case rate,,4.65,80,,,Percent of total billed charges,,219.2,61.6,,,Percent of total billed charges,,168.78,20.6,,,Percent of total billed charges,,56.44,20.6,,,Percent of total billed charges,,56.44,65.55,,,Percent of total billed charges,,179.61,21,,,Percent of total billed charges,,57.54,90,,,Percent of total billed charges,,246.6,21,,,Percent of total billed charges,,57.54,21,,,Percent of total billed charges,,57.54,64.9,,,Percent of total billed charges,,177.83,21,,,Percent of total billed charges,,57.54,,78.93,,Case rate,,78.93,4.65,274,
organic disturbances and intellectual disability,884,MS-DRG,,,,Inpatient,Facility,,,19988.19,7995.27,,15815.61,,Case rate,DRG Factor * DRG Weight,15815.61,,1758.64,,Per Diem,,5275.92,,1724.82,,Per Diem,,5174.46,,9839.28,,Case rate,DRG Factor * DRG Weight,9839.28,,1674.09,,Per Diem,,5022.27,80,,,Percent of total billed charges,,15990.55,61.6,,,Percent of total billed charges,,12312.72,,1741.73,,Per Diem,,5225.19,,1741.73,,Per Diem,,5225.19,65.55,,,Percent of total billed charges,,13102.26,,2079,,Per Diem,,6237,90,,,Percent of total billed charges,,17989.37,,2079,,Per Diem,,6237,,2079,,Per Diem,,6237,64.9,,,Percent of total billed charges,,12972.33,,2079,,Per Diem,,6237,,16956.26,,Case rate,DRG Factor * DRG Weight,16956.26,5022.27,19988.19,
Osmolality; blood,83930,CPT,,,,Outpatient,Facility,,,73,29.2,66,,,Percent of total billed charges,,48.18,20.8,,,Percent of total billed charges,,15.18,20.4,,,Percent of total billed charges,,14.89,,6.61,,Case rate,,6.61,,1.36,,Case rate,,1.36,80,,,Percent of total billed charges,,58.4,61.6,,,Percent of total billed charges,,44.97,20.6,,,Percent of total billed charges,,15.04,20.6,,,Percent of total billed charges,,15.04,65.55,,,Percent of total billed charges,,47.85,21,,,Percent of total billed charges,,15.33,90,,,Percent of total billed charges,,65.7,21,,,Percent of total billed charges,,15.33,21,,,Percent of total billed charges,,15.33,64.9,,,Percent of total billed charges,,47.38,21,,,Percent of total billed charges,,15.33,,35.98,,Case rate,,35.98,1.36,73,
Osmolality; urine,83935,CPT,,,,Outpatient,Facility,,,76,30.4,66,,,Percent of total billed charges,,50.16,20.8,,,Percent of total billed charges,,15.81,20.4,,,Percent of total billed charges,,15.5,,6.82,,Case rate,,6.82,,1.4,,Case rate,,1.4,80,,,Percent of total billed charges,,60.8,61.6,,,Percent of total billed charges,,46.82,20.6,,,Percent of total billed charges,,15.66,20.6,,,Percent of total billed charges,,15.66,65.55,,,Percent of total billed charges,,49.82,21,,,Percent of total billed charges,,15.96,90,,,Percent of total billed charges,,68.4,21,,,Percent of total billed charges,,15.96,21,,,Percent of total billed charges,,15.96,64.9,,,Percent of total billed charges,,49.32,21,,,Percent of total billed charges,,15.96,,25.03,,Case rate,,25.03,1.4,76,
"Ostectomy, calcaneus",28118,CPT,,,,Outpatient,Facility,,,4831,1932.4,66,,,Percent of total billed charges,,3188.46,20.8,,,Percent of total billed charges,,1004.85,20.4,,,Percent of total billed charges,,985.52,,581.03,,Case rate,,581.03,,109.82,,Case rate,,109.82,80,,,Percent of total billed charges,,3864.8,61.6,,,Percent of total billed charges,,2975.9,20.6,,,Percent of total billed charges,,995.19,20.6,,,Percent of total billed charges,,995.19,65.55,,,Percent of total billed charges,,3166.72,21,,,Percent of total billed charges,,1014.51,90,,,Percent of total billed charges,,4347.9,21,,,Percent of total billed charges,,1014.51,21,,,Percent of total billed charges,,1014.51,64.9,,,Percent of total billed charges,,3135.32,21,,,Percent of total billed charges,,1014.51,,2696.42,,Case rate,,2696.42,109.82,4831,
"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head",28288,CPT,,,,Outpatient,Facility,,,3239.62,1295.85,66,,,Percent of total billed charges,,2138.15,20.8,,,Percent of total billed charges,,673.84,20.4,,,Percent of total billed charges,,660.88,,580.91,,Case rate,,580.91,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,2591.7,61.6,,,Percent of total billed charges,,1995.61,20.6,,,Percent of total billed charges,,667.36,20.6,,,Percent of total billed charges,,667.36,65.55,,,Percent of total billed charges,,2123.57,21,,,Percent of total billed charges,,680.32,90,,,Percent of total billed charges,,2915.66,21,,,Percent of total billed charges,,680.32,21,,,Percent of total billed charges,,680.32,64.9,,,Percent of total billed charges,,2102.52,21,,,Percent of total billed charges,,680.32,,2186.81,,Case rate,,2186.81,89.15,3239.62,
osteomyelitis without cc/mcc,541,MS-DRG,,,,Inpatient,Facility,,,12930.67,5172.27,,7722.82,,Case rate,DRG Factor * DRG Weight,7722.82,,1758.64,,Per Diem,,8793.2,,1724.82,,Per Diem,,8624.1,,8941.78,,Case rate,DRG Factor * DRG Weight,8941.78,,1674.09,,Per Diem,,8370.45,80,,,Percent of total billed charges,,10344.54,61.6,,,Percent of total billed charges,,7965.29,,1741.73,,Per Diem,,8708.65,,1741.73,,Per Diem,,8708.65,65.55,,,Percent of total billed charges,,8476.06,,2079,,Per Diem,,10395,90,,,Percent of total billed charges,,11637.61,,2079,,Per Diem,,10395,,2079,,Per Diem,,10395,64.9,,,Percent of total billed charges,,8392.01,,2079,,Per Diem,,10395,,8279.8,,Case rate,DRG Factor * DRG Weight,8279.8,7722.82,12930.67,
Osteopathic manipulative treatment (OMT); 3-4 body regions involved,98926,CPT,,,,Outpatient,Facility,,,91,36.4,66,,,Percent of total billed charges,,60.06,20.8,,,Percent of total billed charges,,18.93,20.4,,,Percent of total billed charges,,18.56,,43.63,,Case rate,,43.63,,2.68,,Case rate,,2.68,80,,,Percent of total billed charges,,72.8,61.6,,,Percent of total billed charges,,56.06,20.6,,,Percent of total billed charges,,18.75,20.6,,,Percent of total billed charges,,18.75,65.55,,,Percent of total billed charges,,59.65,21,,,Percent of total billed charges,,19.11,90,,,Percent of total billed charges,,81.9,21,,,Percent of total billed charges,,19.11,21,,,Percent of total billed charges,,19.11,64.9,,,Percent of total billed charges,,59.06,21,,,Percent of total billed charges,,19.11,,56.32,,Case rate,,56.32,2.68,91,
other disorders of nervous system with cc,92,MS-DRG,,,,Inpatient,Facility,,,11692.42,4676.97,,9236.95,,Case rate,DRG Factor * DRG Weight,9236.95,,1758.64,,Per Diem,,10551.84,,1724.82,,Per Diem,,10348.92,,15141.19,,Case rate,DRG Factor * DRG Weight,15141.19,,1674.09,,Per Diem,,10044.54,80,,,Percent of total billed charges,,9353.94,61.6,,,Percent of total billed charges,,7202.53,,1741.73,,Per Diem,,10450.38,,1741.73,,Per Diem,,10450.38,65.55,,,Percent of total billed charges,,7664.38,,2079,,Per Diem,,12474,90,,,Percent of total billed charges,,10523.18,,2079,,Per Diem,,12474,,2079,,Per Diem,,12474,64.9,,,Percent of total billed charges,,7588.38,,2079,,Per Diem,,12474,,9903.14,,Case rate,DRG Factor * DRG Weight,9903.14,7202.53,15141.19,
other factors influencing health status,951,MS-DRG,,,,Inpatient,Facility,,,6647.03,2658.81,,5311.18,,Case rate,DRG Factor * DRG Weight,5311.18,,1758.64,,Per Diem,,7034.56,,1724.82,,Per Diem,,6899.28,,5052.6,,Case rate,DRG Factor * DRG Weight,5052.6,,1674.09,,Per Diem,,6696.36,80,,,Percent of total billed charges,,5317.62,61.6,,,Percent of total billed charges,,4094.57,,1741.73,,Per Diem,,6966.92,,1741.73,,Per Diem,,6966.92,65.55,,,Percent of total billed charges,,4357.13,,2079,,Per Diem,,8316,90,,,Percent of total billed charges,,5982.33,,2079,,Per Diem,,8316,,2079,,Per Diem,,8316,64.9,,,Percent of total billed charges,,4313.92,,2079,,Per Diem,,8316,,5694.23,,Case rate,DRG Factor * DRG Weight,5694.23,4094.57,8316,
other kidney and urinary tract diagnoses with cc,699,MS-DRG,,,,Inpatient,Facility,,,18009.8,7203.92,,9189.24,,Case rate,DRG Factor * DRG Weight,9189.24,,1758.64,,Per Diem,,7034.56,,1724.82,,Per Diem,,6899.28,,11950.07,,Case rate,DRG Factor * DRG Weight,11950.07,,1674.09,,Per Diem,,6696.36,80,,,Percent of total billed charges,,14407.84,61.6,,,Percent of total billed charges,,11094.04,,1741.73,,Per Diem,,6966.92,,1741.73,,Per Diem,,6966.92,65.55,,,Percent of total billed charges,,11805.43,,2079,,Per Diem,,8316,90,,,Percent of total billed charges,,16208.82,,2079,,Per Diem,,8316,,2079,,Per Diem,,8316,64.9,,,Percent of total billed charges,,11688.36,,2079,,Per Diem,,8316,,9851.99,,Case rate,DRG Factor * DRG Weight,9851.99,6696.36,18009.8,
other kidney and urinary tract diagnoses with mcc,698,MS-DRG,,,,Inpatient,Facility,,,25546.42,10218.57,,14892.91,,Case rate,DRG Factor * DRG Weight,14892.91,,1758.64,,Per Diem,,14069.12,,1724.82,,Per Diem,,13798.56,,20177.18,,Case rate,DRG Factor * DRG Weight,20177.18,,1674.09,,Per Diem,,13392.72,80,,,Percent of total billed charges,,20437.13,61.6,,,Percent of total billed charges,,15736.59,,1741.73,,Per Diem,,13933.84,,1741.73,,Per Diem,,13933.84,65.55,,,Percent of total billed charges,,16745.68,,2079,,Per Diem,,16632,90,,,Percent of total billed charges,,22991.78,,2079,,Per Diem,,16632,,2079,,Per Diem,,16632,64.9,,,Percent of total billed charges,,16579.63,,2079,,Per Diem,,16632,,15967.01,,Case rate,DRG Factor * DRG Weight,15967.01,13392.72,25546.42,
"other skin, subcutaneous tissue and breast procedures with mcc",579,MS-DRG,,,,Inpatient,Facility,,,11540.01,4616,,30086.48,,Case rate,DRG Factor * DRG Weight,30086.48,,1758.64,,Per Diem,,5275.92,,1724.82,,Per Diem,,5174.46,,32276.84,,Case rate,DRG Factor * DRG Weight,32276.84,,1674.09,,Per Diem,,5022.27,80,,,Percent of total billed charges,,9232.01,61.6,,,Percent of total billed charges,,7108.65,,1741.73,,Per Diem,,5225.19,,1741.73,,Per Diem,,5225.19,65.55,,,Percent of total billed charges,,7564.48,,2079,,Per Diem,,6237,90,,,Percent of total billed charges,,10386.01,,2079,,Per Diem,,6237,,2079,,Per Diem,,6237,64.9,,,Percent of total billed charges,,7489.47,,2079,,Per Diem,,6237,,32256.37,,Case rate,DRG Factor * DRG Weight,32256.37,5022.27,32276.84,
Oxalate,83945,CPT,,,,Outpatient,Facility,,,79,31.6,66,,,Percent of total billed charges,,52.14,20.8,,,Percent of total billed charges,,16.43,20.4,,,Percent of total billed charges,,16.12,,14.45,,Case rate,,14.45,,2.65,,Case rate,,2.65,80,,,Percent of total billed charges,,63.2,61.6,,,Percent of total billed charges,,48.66,20.6,,,Percent of total billed charges,,16.27,20.6,,,Percent of total billed charges,,16.27,65.55,,,Percent of total billed charges,,51.78,21,,,Percent of total billed charges,,16.59,90,,,Percent of total billed charges,,71.1,21,,,Percent of total billed charges,,16.59,21,,,Percent of total billed charges,,16.59,64.9,,,Percent of total billed charges,,51.27,21,,,Percent of total billed charges,,16.59,,52.79,,Case rate,,52.79,2.65,79,
Oxcarbazepine,80183,CPT,,,,Outpatient,Facility,,,65,26,66,,,Percent of total billed charges,,42.9,20.8,,,Percent of total billed charges,,13.52,20.4,,,Percent of total billed charges,,13.26,,13.25,,Case rate,,13.25,,1.42,,Case rate,,1.42,80,,,Percent of total billed charges,,52,61.6,,,Percent of total billed charges,,40.04,20.6,,,Percent of total billed charges,,13.39,20.6,,,Percent of total billed charges,,13.39,65.55,,,Percent of total billed charges,,42.61,21,,,Percent of total billed charges,,13.65,90,,,Percent of total billed charges,,58.5,21,,,Percent of total billed charges,,13.65,21,,,Percent of total billed charges,,13.65,64.9,,,Percent of total billed charges,,42.18,21,,,Percent of total billed charges,,13.65,,92.95,,Case rate,,92.95,1.42,92.95,
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,,,,Outpatient,Facility,,,420,168,66,,,Percent of total billed charges,,277.2,20.8,,,Percent of total billed charges,,87.36,20.4,,,Percent of total billed charges,,85.68,,223.81,,Case rate,,223.81,,11.64,,Case rate,,11.64,80,,,Percent of total billed charges,,336,61.6,,,Percent of total billed charges,,258.72,20.6,,,Percent of total billed charges,,86.52,20.6,,,Percent of total billed charges,,86.52,65.55,,,Percent of total billed charges,,275.31,21,,,Percent of total billed charges,,88.2,90,,,Percent of total billed charges,,378,21,,,Percent of total billed charges,,88.2,21,,,Percent of total billed charges,,88.2,64.9,,,Percent of total billed charges,,272.58,21,,,Percent of total billed charges,,88.2,,277.84,,Case rate,,277.84,11.64,420,
"Parathyroid planar imaging (including subtraction, when performed)",78070,CPT,34178070,CDM,TC,Outpatient,Facility,,,420,168,66,,,Percent of total billed charges,,277.2,20.8,,,Percent of total billed charges,,87.36,20.4,,,Percent of total billed charges,,85.68,,223.81,,Case rate,,223.81,,11.64,,Case rate,,11.64,80,,,Percent of total billed charges,,336,61.6,,,Percent of total billed charges,,258.72,20.6,,,Percent of total billed charges,,86.52,20.6,,,Percent of total billed charges,,86.52,65.55,,,Percent of total billed charges,,275.31,21,,,Percent of total billed charges,,88.2,90,,,Percent of total billed charges,,378,21,,,Percent of total billed charges,,88.2,21,,,Percent of total billed charges,,88.2,64.9,,,Percent of total billed charges,,272.58,21,,,Percent of total billed charges,,88.2,,277.84,,Case rate,,277.84,11.64,420,
"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT)",78071,CPT,,,,Outpatient,Facility,,,1009,403.6,66,,,Percent of total billed charges,,665.94,20.8,,,Percent of total billed charges,,209.87,20.4,,,Percent of total billed charges,,205.84,,256.69,,Case rate,,256.69,,25.33,,Case rate,,25.33,80,,,Percent of total billed charges,,807.2,61.6,,,Percent of total billed charges,,621.54,20.6,,,Percent of total billed charges,,207.85,20.6,,,Percent of total billed charges,,207.85,65.55,,,Percent of total billed charges,,661.4,21,,,Percent of total billed charges,,211.89,90,,,Percent of total billed charges,,908.1,21,,,Percent of total billed charges,,211.89,21,,,Percent of total billed charges,,211.89,64.9,,,Percent of total billed charges,,654.84,21,,,Percent of total billed charges,,211.89,,1015.15,,Case rate,,1015.15,25.33,1015.15,
"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT)",78071,CPT,34178071,CDM,TC,Outpatient,Facility,,,1009,403.6,66,,,Percent of total billed charges,,665.94,20.8,,,Percent of total billed charges,,209.87,20.4,,,Percent of total billed charges,,205.84,,256.69,,Case rate,,256.69,,25.33,,Case rate,,25.33,80,,,Percent of total billed charges,,807.2,61.6,,,Percent of total billed charges,,621.54,20.6,,,Percent of total billed charges,,207.85,20.6,,,Percent of total billed charges,,207.85,65.55,,,Percent of total billed charges,,661.4,21,,,Percent of total billed charges,,211.89,90,,,Percent of total billed charges,,908.1,21,,,Percent of total billed charges,,211.89,21,,,Percent of total billed charges,,211.89,64.9,,,Percent of total billed charges,,654.84,21,,,Percent of total billed charges,,211.89,,1015.15,,Case rate,,1015.15,25.33,1015.15,
"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization",78072,CPT,34178072,CDM,TC,Outpatient,Facility,,,1009,403.6,66,,,Percent of total billed charges,,665.94,20.8,,,Percent of total billed charges,,209.87,20.4,,,Percent of total billed charges,,205.84,,316.76,,Case rate,,316.76,,30.7,,Case rate,,30.7,80,,,Percent of total billed charges,,807.2,61.6,,,Percent of total billed charges,,621.54,20.6,,,Percent of total billed charges,,207.85,20.6,,,Percent of total billed charges,,207.85,65.55,,,Percent of total billed charges,,661.4,21,,,Percent of total billed charges,,211.89,90,,,Percent of total billed charges,,908.1,21,,,Percent of total billed charges,,211.89,21,,,Percent of total billed charges,,211.89,64.9,,,Percent of total billed charges,,654.84,21,,,Percent of total billed charges,,211.89,,1640.65,,Case rate,,1640.65,30.7,1640.65,
"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion",11055,CPT,,,,Outpatient,Facility,,,415,166,66,,,Percent of total billed charges,,273.9,20.8,,,Percent of total billed charges,,86.32,20.4,,,Percent of total billed charges,,84.66,,68.73,,Case rate,,68.73,,7.38,,Case rate,,7.38,80,,,Percent of total billed charges,,332,61.6,,,Percent of total billed charges,,255.64,20.6,,,Percent of total billed charges,,85.49,20.6,,,Percent of total billed charges,,85.49,65.55,,,Percent of total billed charges,,272.03,21,,,Percent of total billed charges,,87.15,90,,,Percent of total billed charges,,373.5,21,,,Percent of total billed charges,,87.15,21,,,Percent of total billed charges,,87.15,64.9,,,Percent of total billed charges,,269.34,21,,,Percent of total billed charges,,87.15,,348.64,,Case rate,,348.64,7.38,415,
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus",28122,CPT,,,,Outpatient,Facility,,,6050.16,2420.06,66,,,Percent of total billed charges,,3993.11,20.8,,,Percent of total billed charges,,1258.43,20.4,,,Percent of total billed charges,,1234.23,,570.83,,Case rate,,570.83,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,4840.13,61.6,,,Percent of total billed charges,,3726.9,20.6,,,Percent of total billed charges,,1246.33,20.6,,,Percent of total billed charges,,1246.33,65.55,,,Percent of total billed charges,,3965.88,21,,,Percent of total billed charges,,1270.53,90,,,Percent of total billed charges,,5445.14,21,,,Percent of total billed charges,,1270.53,21,,,Percent of total billed charges,,1270.53,64.9,,,Percent of total billed charges,,3926.55,21,,,Percent of total billed charges,,1270.53,,2187.22,,Case rate,,2187.22,89.15,6050.16,
pathological fractures and musculoskeletal and connective tissue malignancy with cc,543,MS-DRG,,,,Inpatient,Facility,,,17868.44,7147.38,,9818.48,,Case rate,DRG Factor * DRG Weight,9818.48,,1758.64,,Per Diem,,5275.92,,1724.82,,Per Diem,,5174.46,,15872.49,,Case rate,DRG Factor * DRG Weight,15872.49,,1674.09,,Per Diem,,5022.27,80,,,Percent of total billed charges,,14294.75,61.6,,,Percent of total billed charges,,11006.96,,1741.73,,Per Diem,,5225.19,,1741.73,,Per Diem,,5225.19,65.55,,,Percent of total billed charges,,11712.76,,2079,,Per Diem,,6237,90,,,Percent of total billed charges,,16081.6,,2079,,Per Diem,,6237,,2079,,Per Diem,,6237,64.9,,,Percent of total billed charges,,11596.62,,2079,,Per Diem,,6237,,10526.61,,Case rate,DRG Factor * DRG Weight,10526.61,5022.27,17868.44,
"Pathology clinical consultation; for a clinical problem, with limited review of patient's history and medical records and straightforward medical decision making When using time for code selection, 5-20 minutes of total time is spent on the date of the consultation.",80503,CPT,,,,Outpatient,Facility,,,263,105.2,66,,,Percent of total billed charges,,173.58,20.8,,,Percent of total billed charges,,54.7,20.4,,,Percent of total billed charges,,53.65,,26.25,,Case rate,,26.25,,1.17,,Case rate,,1.17,80,,,Percent of total billed charges,,210.4,61.6,,,Percent of total billed charges,,162.01,20.6,,,Percent of total billed charges,,54.18,20.6,,,Percent of total billed charges,,54.18,65.55,,,Percent of total billed charges,,172.4,21,,,Percent of total billed charges,,55.23,90,,,Percent of total billed charges,,236.7,21,,,Percent of total billed charges,,55.23,21,,,Percent of total billed charges,,55.23,64.9,,,Percent of total billed charges,,170.69,21,,,Percent of total billed charges,,55.23,,160.18,,Case rate,,160.18,1.17,263,
"Pathology clinical consultation; for a moderately complex clinical problem, with review of patient's history and medical records and moderate level of medical decision making When using time for code selection, 21-40 minutes of total time is spent on the date of the consultation.",80504,CPT,,,,Outpatient,Facility,,,263,105.2,66,,,Percent of total billed charges,,173.58,20.8,,,Percent of total billed charges,,54.7,20.4,,,Percent of total billed charges,,53.65,,51.67,,Case rate,,51.67,,2.34,,Case rate,,2.34,80,,,Percent of total billed charges,,210.4,61.6,,,Percent of total billed charges,,162.01,20.6,,,Percent of total billed charges,,54.18,20.6,,,Percent of total billed charges,,54.18,65.55,,,Percent of total billed charges,,172.4,21,,,Percent of total billed charges,,55.23,90,,,Percent of total billed charges,,236.7,21,,,Percent of total billed charges,,55.23,21,,,Percent of total billed charges,,55.23,64.9,,,Percent of total billed charges,,170.69,21,,,Percent of total billed charges,,55.23,,480.78,,Case rate,,480.78,2.34,480.78,
Phenytoin; free,80186,CPT,,,,Outpatient,Facility,,,135,54,66,,,Percent of total billed charges,,89.1,20.8,,,Percent of total billed charges,,28.08,20.4,,,Percent of total billed charges,,27.54,,13.76,,Case rate,,13.76,,2.89,,Case rate,,2.89,80,,,Percent of total billed charges,,108,61.6,,,Percent of total billed charges,,83.16,20.6,,,Percent of total billed charges,,27.81,20.6,,,Percent of total billed charges,,27.81,65.55,,,Percent of total billed charges,,88.49,21,,,Percent of total billed charges,,28.35,90,,,Percent of total billed charges,,121.5,21,,,Percent of total billed charges,,28.35,21,,,Percent of total billed charges,,28.35,64.9,,,Percent of total billed charges,,87.62,21,,,Percent of total billed charges,,28.35,,72.25,,Case rate,,72.25,2.89,135,
"Phlebotomy, therapeutic (separate procedure)",99195,CPT,,,,Outpatient,Facility,,,322,128.8,66,,,Percent of total billed charges,,212.52,20.8,,,Percent of total billed charges,,66.98,20.4,,,Percent of total billed charges,,65.69,,91.63,,Case rate,,91.63,,5.62,,Case rate,,5.62,80,,,Percent of total billed charges,,257.6,61.6,,,Percent of total billed charges,,198.35,20.6,,,Percent of total billed charges,,66.33,20.6,,,Percent of total billed charges,,66.33,65.55,,,Percent of total billed charges,,211.07,21,,,Percent of total billed charges,,67.62,90,,,Percent of total billed charges,,289.8,21,,,Percent of total billed charges,,67.62,21,,,Percent of total billed charges,,67.62,64.9,,,Percent of total billed charges,,208.98,21,,,Percent of total billed charges,,67.62,,127.82,,Case rate,,127.82,5.62,322,
"Phosphatase, alkaline",84075,CPT,,,,Outpatient,Facility,,,41,16.4,66,,,Percent of total billed charges,,27.06,20.8,,,Percent of total billed charges,,8.53,20.4,,,Percent of total billed charges,,8.36,,5.18,,Case rate,,5.18,,1.07,,Case rate,,1.07,80,,,Percent of total billed charges,,32.8,61.6,,,Percent of total billed charges,,25.26,20.6,,,Percent of total billed charges,,8.45,20.6,,,Percent of total billed charges,,8.45,65.55,,,Percent of total billed charges,,26.88,21,,,Percent of total billed charges,,8.61,90,,,Percent of total billed charges,,36.9,21,,,Percent of total billed charges,,8.61,21,,,Percent of total billed charges,,8.61,64.9,,,Percent of total billed charges,,26.61,21,,,Percent of total billed charges,,8.61,,16.81,,Case rate,,16.81,1.07,41,
Phospholipid neutralization; hexagonal phospholipid,85598,CPT,,,,Outpatient,Facility,,,168,67.2,66,,,Percent of total billed charges,,110.88,20.8,,,Percent of total billed charges,,34.94,20.4,,,Percent of total billed charges,,34.27,,17.98,,Case rate,,17.98,,5.01,,Case rate,,5.01,80,,,Percent of total billed charges,,134.4,61.6,,,Percent of total billed charges,,103.49,20.6,,,Percent of total billed charges,,34.61,20.6,,,Percent of total billed charges,,34.61,65.55,,,Percent of total billed charges,,110.12,21,,,Percent of total billed charges,,35.28,90,,,Percent of total billed charges,,151.2,21,,,Percent of total billed charges,,35.28,21,,,Percent of total billed charges,,35.28,64.9,,,Percent of total billed charges,,109.03,21,,,Percent of total billed charges,,35.28,,63.24,,Case rate,,63.24,5.01,168,
Phospholipid neutralization; platelet,85597,CPT,,,,Outpatient,Facility,,,151,60.4,66,,,Percent of total billed charges,,99.66,20.8,,,Percent of total billed charges,,31.41,20.4,,,Percent of total billed charges,,30.8,,17.98,,Case rate,,17.98,,5.11,,Case rate,,5.11,80,,,Percent of total billed charges,,120.8,61.6,,,Percent of total billed charges,,93.02,20.6,,,Percent of total billed charges,,31.11,20.6,,,Percent of total billed charges,,31.11,65.55,,,Percent of total billed charges,,98.98,21,,,Percent of total billed charges,,31.71,90,,,Percent of total billed charges,,135.9,21,,,Percent of total billed charges,,31.71,21,,,Percent of total billed charges,,31.71,64.9,,,Percent of total billed charges,,98,21,,,Percent of total billed charges,,31.71,,121.83,,Case rate,,121.83,5.11,151,
Phosphorus inorganic (phosphate),84100,CPT,,,,Outpatient,Facility,,,68,27.2,66,,,Percent of total billed charges,,44.88,20.8,,,Percent of total billed charges,,14.14,20.4,,,Percent of total billed charges,,13.87,,4.74,,Case rate,,4.74,,0.97,,Case rate,,0.97,80,,,Percent of total billed charges,,54.4,61.6,,,Percent of total billed charges,,41.89,20.6,,,Percent of total billed charges,,14.01,20.6,,,Percent of total billed charges,,14.01,65.55,,,Percent of total billed charges,,44.57,21,,,Percent of total billed charges,,14.28,90,,,Percent of total billed charges,,61.2,21,,,Percent of total billed charges,,14.28,21,,,Percent of total billed charges,,14.28,64.9,,,Percent of total billed charges,,44.13,21,,,Percent of total billed charges,,14.28,,13.37,,Case rate,,13.37,0.97,68,
Phosphorus inorganic (phosphate); urine,84105,CPT,,,,Outpatient,Facility,,,37,14.8,66,,,Percent of total billed charges,,24.42,20.8,,,Percent of total billed charges,,7.7,20.4,,,Percent of total billed charges,,7.55,,5.78,,Case rate,,5.78,,1.07,,Case rate,,1.07,80,,,Percent of total billed charges,,29.6,61.6,,,Percent of total billed charges,,22.79,20.6,,,Percent of total billed charges,,7.62,20.6,,,Percent of total billed charges,,7.62,65.55,,,Percent of total billed charges,,24.25,21,,,Percent of total billed charges,,7.77,90,,,Percent of total billed charges,,33.3,21,,,Percent of total billed charges,,7.77,21,,,Percent of total billed charges,,7.77,64.9,,,Percent of total billed charges,,24.01,21,,,Percent of total billed charges,,7.77,,30.46,,Case rate,,30.46,1.07,37,
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",97750,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,32.95,,Case rate,,32.95,,2.71,,Case rate,,2.71,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,56.18,,Case rate,,56.18,2.71,92,
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family.",97163,CPT,,,,Outpatient,Facility,,,387,154.8,66,,,Percent of total billed charges,,255.42,20.8,,,Percent of total billed charges,,80.5,20.4,,,Percent of total billed charges,,78.95,,98.31,,Case rate,,98.31,,5.49,,Case rate,,5.49,80,,,Percent of total billed charges,,309.6,61.6,,,Percent of total billed charges,,238.39,20.6,,,Percent of total billed charges,,79.72,20.6,,,Percent of total billed charges,,79.72,65.55,,,Percent of total billed charges,,253.68,21,,,Percent of total billed charges,,81.27,90,,,Percent of total billed charges,,348.3,21,,,Percent of total billed charges,,81.27,21,,,Percent of total billed charges,,81.27,64.9,,,Percent of total billed charges,,251.16,21,,,Percent of total billed charges,,81.27,,184.51,,Case rate,,184.51,5.49,387,
"Pinworm exam (eg, cellophane tape prep)",87172,CPT,,,,Outpatient,Facility,,,56,22.4,66,,,Percent of total billed charges,,36.96,20.8,,,Percent of total billed charges,,11.65,,4.36,,Case rate,,4.36,,4.27,,Case rate,,4.27,,1.21,,Case rate,,1.21,80,,,Percent of total billed charges,,44.8,61.6,,,Percent of total billed charges,,34.5,20.6,,,Percent of total billed charges,,11.54,20.6,,,Percent of total billed charges,,11.54,65.55,,,Percent of total billed charges,,36.71,21,,,Percent of total billed charges,,11.76,90,,,Percent of total billed charges,,50.4,21,,,Percent of total billed charges,,11.76,21,,,Percent of total billed charges,,11.76,64.9,,,Percent of total billed charges,,36.34,21,,,Percent of total billed charges,,11.76,,22.75,,Case rate,,22.75,1.21,56,
"Platelets, hla-matched leukocytes reduced, apheresis/pheresis, each unit",P9052,CPT,,,,Outpatient,Facility,,,3517,1406.8,66,,,Percent of total billed charges,,2321.22,20.8,,,Percent of total billed charges,,731.54,20.4,,,Percent of total billed charges,,717.47,,501,,Case rate,,501,,99.2,,Case rate,,99.2,80,,,Percent of total billed charges,,2813.6,61.6,,,Percent of total billed charges,,2166.47,20.6,,,Percent of total billed charges,,724.5,20.6,,,Percent of total billed charges,,724.5,65.55,,,Percent of total billed charges,,2305.39,21,,,Percent of total billed charges,,738.57,90,,,Percent of total billed charges,,3165.3,21,,,Percent of total billed charges,,738.57,21,,,Percent of total billed charges,,738.57,64.9,,,Percent of total billed charges,,2282.53,21,,,Percent of total billed charges,,738.57,,1676.54,,Case rate,,1676.54,99.2,3517,
"Platelets, pheresis, leukocytes reduced, cmv-negative, irradiated, each unit",P9053,CPT,,,,Outpatient,Facility,,,2399,959.6,66,,,Percent of total billed charges,,1583.34,20.8,,,Percent of total billed charges,,498.99,20.4,,,Percent of total billed charges,,489.4,,485,,Case rate,,485,,96.03,,Case rate,,96.03,80,,,Percent of total billed charges,,1919.2,61.6,,,Percent of total billed charges,,1477.78,20.6,,,Percent of total billed charges,,494.19,20.6,,,Percent of total billed charges,,494.19,65.55,,,Percent of total billed charges,,1572.54,21,,,Percent of total billed charges,,503.79,90,,,Percent of total billed charges,,2159.1,21,,,Percent of total billed charges,,503.79,21,,,Percent of total billed charges,,503.79,64.9,,,Percent of total billed charges,,1556.95,21,,,Percent of total billed charges,,503.79,,1568.78,,Case rate,,1568.78,96.03,2399,
"Platelets, pheresis, leukocytes reduced, each unit",P9035,CPT,,,,Outpatient,Facility,,,2538,1015.2,66,,,Percent of total billed charges,,1675.08,20.8,,,Percent of total billed charges,,527.9,20.4,,,Percent of total billed charges,,517.75,,465,,Case rate,,465,,92.07,,Case rate,,92.07,80,,,Percent of total billed charges,,2030.4,61.6,,,Percent of total billed charges,,1563.41,20.6,,,Percent of total billed charges,,522.83,20.6,,,Percent of total billed charges,,522.83,65.55,,,Percent of total billed charges,,1663.66,21,,,Percent of total billed charges,,532.98,90,,,Percent of total billed charges,,2284.2,21,,,Percent of total billed charges,,532.98,21,,,Percent of total billed charges,,532.98,64.9,,,Percent of total billed charges,,1647.16,21,,,Percent of total billed charges,,532.98,,1293.4,,Case rate,,1293.4,92.07,2538,
"Platelets, pheresis, pathogen-reduced, each unit",P9073,CPT,,,,Outpatient,Facility,,,1287,514.8,66,,,Percent of total billed charges,,849.42,20.8,,,Percent of total billed charges,,267.7,20.4,,,Percent of total billed charges,,262.55,,10.5,,Case rate,,10.5,,0.71,,Case rate,,0.71,80,,,Percent of total billed charges,,1029.6,61.6,,,Percent of total billed charges,,792.79,20.6,,,Percent of total billed charges,,265.12,20.6,,,Percent of total billed charges,,265.12,65.55,,,Percent of total billed charges,,843.63,21,,,Percent of total billed charges,,270.27,90,,,Percent of total billed charges,,1158.3,21,,,Percent of total billed charges,,270.27,21,,,Percent of total billed charges,,270.27,64.9,,,Percent of total billed charges,,835.26,21,,,Percent of total billed charges,,270.27,,911.51,,Case rate,,911.51,0.71,1287,
"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F)",81320,CPT,,,,Outpatient,Facility,,,2043,817.2,66,,,Percent of total billed charges,,1348.38,20.8,,,Percent of total billed charges,,424.94,,297.19,,Case rate,,297.19,,291.36,,Case rate,,291.36,,18.95,,Case rate,,18.95,80,,,Percent of total billed charges,,1634.4,61.6,,,Percent of total billed charges,,1258.49,20.6,,,Percent of total billed charges,,420.86,20.6,,,Percent of total billed charges,,420.86,65.55,,,Percent of total billed charges,,1339.19,21,,,Percent of total billed charges,,429.03,90,,,Percent of total billed charges,,1838.7,21,,,Percent of total billed charges,,429.03,21,,,Percent of total billed charges,,429.03,64.9,,,Percent of total billed charges,,1325.91,21,,,Percent of total billed charges,,429.03,45,,,Percent of total billed charges,,919.35,18.95,2043,
"Plethysmography for determination of lung volumes and, when performed, airway resistance",94726,CPT,,,,Outpatient,Facility,,,799,319.6,66,,,Percent of total billed charges,,527.34,20.8,,,Percent of total billed charges,,166.19,20.4,,,Percent of total billed charges,,163,,40.13,,Case rate,,40.13,,3.66,,Case rate,,3.66,80,,,Percent of total billed charges,,639.2,61.6,,,Percent of total billed charges,,492.18,20.6,,,Percent of total billed charges,,164.59,20.6,,,Percent of total billed charges,,164.59,65.55,,,Percent of total billed charges,,523.74,21,,,Percent of total billed charges,,167.79,90,,,Percent of total billed charges,,719.1,21,,,Percent of total billed charges,,167.79,21,,,Percent of total billed charges,,167.79,64.9,,,Percent of total billed charges,,518.55,21,,,Percent of total billed charges,,167.79,,184.93,,Case rate,,184.93,3.66,799,
"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quantitative",81315,CPT,,,,Outpatient,Facility,,,828,331.2,66,,,Percent of total billed charges,,546.48,20.8,,,Percent of total billed charges,,172.22,20.4,,,Percent of total billed charges,,168.91,,207.31,,Case rate,,207.31,,40.7,,Case rate,,40.7,80,,,Percent of total billed charges,,662.4,61.6,,,Percent of total billed charges,,510.05,20.6,,,Percent of total billed charges,,170.57,20.6,,,Percent of total billed charges,,170.57,65.55,,,Percent of total billed charges,,542.75,21,,,Percent of total billed charges,,173.88,90,,,Percent of total billed charges,,745.2,21,,,Percent of total billed charges,,173.88,21,,,Percent of total billed charges,,173.88,64.9,,,Percent of total billed charges,,537.37,21,,,Percent of total billed charges,,173.88,,694.64,,Case rate,,694.64,40.7,828,
"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis",81324,CPT,,,,Outpatient,Facility,,,3133,1253.2,66,,,Percent of total billed charges,,2067.78,20.8,,,Percent of total billed charges,,651.66,20.4,,,Percent of total billed charges,,639.13,,758.36,,Case rate,,758.36,,57.84,,Case rate,,57.84,80,,,Percent of total billed charges,,2506.4,61.6,,,Percent of total billed charges,,1929.93,20.6,,,Percent of total billed charges,,645.4,20.6,,,Percent of total billed charges,,645.4,65.55,,,Percent of total billed charges,,2053.68,21,,,Percent of total billed charges,,657.93,90,,,Percent of total billed charges,,2819.7,21,,,Percent of total billed charges,,657.93,21,,,Percent of total billed charges,,657.93,64.9,,,Percent of total billed charges,,2033.32,21,,,Percent of total billed charges,,657.93,45,,,Percent of total billed charges,,1409.85,57.84,3133,
"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist",95810,CPT,,,,Outpatient,Facility,,,3790,1516,66,,,Percent of total billed charges,,2501.4,20.8,,,Percent of total billed charges,,788.32,20.4,,,Percent of total billed charges,,773.16,,464.01,,Case rate,,464.01,,53.75,,Case rate,,53.75,80,,,Percent of total billed charges,,3032,61.6,,,Percent of total billed charges,,2334.64,20.6,,,Percent of total billed charges,,780.74,20.6,,,Percent of total billed charges,,780.74,65.55,,,Percent of total billed charges,,2484.34,21,,,Percent of total billed charges,,795.9,90,,,Percent of total billed charges,,3411,21,,,Percent of total billed charges,,795.9,21,,,Percent of total billed charges,,795.9,64.9,,,Percent of total billed charges,,2459.71,21,,,Percent of total billed charges,,795.9,,782.86,,Case rate,,782.86,53.75,3790,
"Porphyrins, feces, quantitative",84126,CPT,,,,Outpatient,Facility,,,255,102,66,,,Percent of total billed charges,,168.3,20.8,,,Percent of total billed charges,,53.04,20.4,,,Percent of total billed charges,,52.02,,39.11,,Case rate,,39.11,,4.66,,Case rate,,4.66,80,,,Percent of total billed charges,,204,61.6,,,Percent of total billed charges,,157.08,20.6,,,Percent of total billed charges,,52.53,20.6,,,Percent of total billed charges,,52.53,65.55,,,Percent of total billed charges,,167.15,21,,,Percent of total billed charges,,53.55,90,,,Percent of total billed charges,,229.5,21,,,Percent of total billed charges,,53.55,21,,,Percent of total billed charges,,53.55,64.9,,,Percent of total billed charges,,165.5,21,,,Percent of total billed charges,,53.55,,110.74,,Case rate,,110.74,4.66,255,
"Porphyrins, urine; quantitation and fractionation",84120,CPT,,,,Outpatient,Facility,,,65,26,66,,,Percent of total billed charges,,42.9,20.8,,,Percent of total billed charges,,13.52,20.4,,,Percent of total billed charges,,13.26,,14.71,,Case rate,,14.71,,2.39,,Case rate,,2.39,80,,,Percent of total billed charges,,52,61.6,,,Percent of total billed charges,,40.04,20.6,,,Percent of total billed charges,,13.39,20.6,,,Percent of total billed charges,,13.39,65.55,,,Percent of total billed charges,,42.61,21,,,Percent of total billed charges,,13.65,90,,,Percent of total billed charges,,58.5,21,,,Percent of total billed charges,,13.65,21,,,Percent of total billed charges,,13.65,64.9,,,Percent of total billed charges,,42.18,21,,,Percent of total billed charges,,13.65,,46.62,,Case rate,,46.62,2.39,65,
Potassium; urine,84133,CPT,,,,Outpatient,Facility,,,43,17.2,66,,,Percent of total billed charges,,28.38,20.8,,,Percent of total billed charges,,8.94,20.4,,,Percent of total billed charges,,8.77,,4.73,,Case rate,,4.73,,0.89,,Case rate,,0.89,80,,,Percent of total billed charges,,34.4,61.6,,,Percent of total billed charges,,26.49,20.6,,,Percent of total billed charges,,8.86,20.6,,,Percent of total billed charges,,8.86,65.55,,,Percent of total billed charges,,28.19,21,,,Percent of total billed charges,,9.03,90,,,Percent of total billed charges,,38.7,21,,,Percent of total billed charges,,9.03,21,,,Percent of total billed charges,,9.03,64.9,,,Percent of total billed charges,,27.91,21,,,Percent of total billed charges,,9.03,,26.51,,Case rate,,26.51,0.89,43,
"Prednisolone oral, per 5 mg",J7510,HCPCS,,,,Outpatient,Facility,5,ME,2.56,1.02,66,,,Percent of total billed charges,,1.69,20.8,,,Percent of total billed charges,,0.53,20.4,,,Percent of total billed charges,,0.52,,2.61,,Case rate,Use Lesser of logic,2.56,,0.02,,Case rate,,0.02,80,,,Percent of total billed charges,,2.05,61.6,,,Percent of total billed charges,,1.58,20.6,,,Percent of total billed charges,,0.53,20.6,,,Percent of total billed charges,,0.53,65.55,,,Percent of total billed charges,,1.68,21,,,Percent of total billed charges,,0.54,90,,,Percent of total billed charges,,2.3,21,,,Percent of total billed charges,,0.54,21,,,Percent of total billed charges,,0.54,64.9,,,Percent of total billed charges,,1.66,21,,,Percent of total billed charges,,0.54,,0.28,,Case rate,,0.28,0.02,2.56,
"Prednisone, immediate release or delayed release, oral, 1 mg",J7512,HCPCS,,,,Outpatient,Facility,1,ME,0.2,0.08,66,,,Percent of total billed charges,,0.13,20.8,,,Percent of total billed charges,,0.04,20.4,,,Percent of total billed charges,,0.04,,0.22,,Case rate,Use Lesser of logic,0.2,,,,Case rate,,,80,,,Percent of total billed charges,,0.16,61.6,,,Percent of total billed charges,,0.12,20.6,,,Percent of total billed charges,,0.04,20.6,,,Percent of total billed charges,,0.04,65.55,,,Percent of total billed charges,,0.13,21,,,Percent of total billed charges,,0.04,90,,,Percent of total billed charges,,0.18,21,,,Percent of total billed charges,,0.04,21,,,Percent of total billed charges,,0.04,64.9,,,Percent of total billed charges,,0.13,21,,,Percent of total billed charges,,0.04,,0.01,,Case rate,,0.01,0.01,0.2,
Pregnenolone,84140,CPT,,,,Outpatient,Facility,,,187,74.8,66,,,Percent of total billed charges,,123.42,20.8,,,Percent of total billed charges,,38.9,20.4,,,Percent of total billed charges,,38.15,,20.67,,Case rate,,20.67,,5.99,,Case rate,,5.99,80,,,Percent of total billed charges,,149.6,61.6,,,Percent of total billed charges,,115.19,20.6,,,Percent of total billed charges,,38.52,20.6,,,Percent of total billed charges,,38.52,65.55,,,Percent of total billed charges,,122.58,21,,,Percent of total billed charges,,39.27,90,,,Percent of total billed charges,,168.3,21,,,Percent of total billed charges,,39.27,21,,,Percent of total billed charges,,39.27,64.9,,,Percent of total billed charges,,121.36,21,,,Percent of total billed charges,,39.27,,128.05,,Case rate,,128.05,5.99,187,
"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption",86978,CPT,,,,Outpatient,Facility,,,141,56.4,66,,,Percent of total billed charges,,93.06,20.8,,,Percent of total billed charges,,29.33,20.4,,,Percent of total billed charges,,28.76,58.8,,,Percent of total billed charges,,82.91,,2.25,,Case rate,,2.25,80,,,Percent of total billed charges,,112.8,61.6,,,Percent of total billed charges,,86.86,20.6,,,Percent of total billed charges,,29.05,20.6,,,Percent of total billed charges,,29.05,65.55,,,Percent of total billed charges,,92.43,21,,,Percent of total billed charges,,29.61,90,,,Percent of total billed charges,,126.9,21,,,Percent of total billed charges,,29.61,21,,,Percent of total billed charges,,29.61,64.9,,,Percent of total billed charges,,91.51,21,,,Percent of total billed charges,,29.61,,44.11,,Case rate,,44.11,2.25,141,
Primidone,80188,CPT,,,,Outpatient,Facility,,,163,65.2,66,,,Percent of total billed charges,,107.58,20.8,,,Percent of total billed charges,,33.9,20.4,,,Percent of total billed charges,,33.25,,16.59,,Case rate,,16.59,,3.42,,Case rate,,3.42,80,,,Percent of total billed charges,,130.4,61.6,,,Percent of total billed charges,,100.41,20.6,,,Percent of total billed charges,,33.58,20.6,,,Percent of total billed charges,,33.58,65.55,,,Percent of total billed charges,,106.85,21,,,Percent of total billed charges,,34.23,90,,,Percent of total billed charges,,146.7,21,,,Percent of total billed charges,,34.23,21,,,Percent of total billed charges,,34.23,64.9,,,Percent of total billed charges,,105.79,21,,,Percent of total billed charges,,34.23,,84.27,,Case rate,,84.27,3.42,163,
"Procainamide; with metabolites (eg, n-acetyl procainamide)",80192,CPT,,,,Outpatient,Facility,,,121,48.4,66,,,Percent of total billed charges,,79.86,20.8,,,Percent of total billed charges,,25.17,20.4,,,Percent of total billed charges,,24.68,,16.75,,Case rate,,16.75,,3.44,,Case rate,,3.44,80,,,Percent of total billed charges,,96.8,61.6,,,Percent of total billed charges,,74.54,20.6,,,Percent of total billed charges,,24.93,20.6,,,Percent of total billed charges,,24.93,65.55,,,Percent of total billed charges,,79.32,21,,,Percent of total billed charges,,25.41,90,,,Percent of total billed charges,,108.9,21,,,Percent of total billed charges,,25.41,21,,,Percent of total billed charges,,25.41,64.9,,,Percent of total billed charges,,78.53,21,,,Percent of total billed charges,,25.41,,69.51,,Case rate,,69.51,3.44,121,
Procalcitonin (PCT),84145,CPT,,,,Outpatient,Facility,,,200,80,66,,,Percent of total billed charges,,132,20.8,,,Percent of total billed charges,,41.6,20.4,,,Percent of total billed charges,,40.8,,27.22,,Case rate,,27.22,,5.5,,Case rate,,5.5,80,,,Percent of total billed charges,,160,61.6,,,Percent of total billed charges,,123.2,20.6,,,Percent of total billed charges,,41.2,20.6,,,Percent of total billed charges,,41.2,65.55,,,Percent of total billed charges,,131.1,21,,,Percent of total billed charges,,42,90,,,Percent of total billed charges,,180,21,,,Percent of total billed charges,,42,21,,,Percent of total billed charges,,42,64.9,,,Percent of total billed charges,,129.8,21,,,Percent of total billed charges,,42,,52,,Case rate,,52,5.5,200,
Progesterone,84144,CPT,,,,Outpatient,Facility,,,163,65.2,66,,,Percent of total billed charges,,107.58,20.8,,,Percent of total billed charges,,33.9,20.4,,,Percent of total billed charges,,33.25,,20.86,,Case rate,,20.86,,4.29,,Case rate,,4.29,80,,,Percent of total billed charges,,130.4,61.6,,,Percent of total billed charges,,100.41,20.6,,,Percent of total billed charges,,33.58,20.6,,,Percent of total billed charges,,33.58,65.55,,,Percent of total billed charges,,106.85,21,,,Percent of total billed charges,,34.23,90,,,Percent of total billed charges,,146.7,21,,,Percent of total billed charges,,34.23,21,,,Percent of total billed charges,,34.23,64.9,,,Percent of total billed charges,,105.79,21,,,Percent of total billed charges,,34.23,,89.01,,Case rate,,89.01,4.29,163,
Prostate cancer screening; prostate specific antigen test (psa),G0103,CPT,,,,Outpatient,Facility,,,153,61.2,66,,,Percent of total billed charges,,100.98,20.8,,,Percent of total billed charges,,31.82,20.4,,,Percent of total billed charges,,31.21,,19.31,,Case rate,,19.31,,5.2,,Case rate,,5.2,80,,,Percent of total billed charges,,122.4,61.6,,,Percent of total billed charges,,94.25,20.6,,,Percent of total billed charges,,31.52,20.6,,,Percent of total billed charges,,31.52,65.55,,,Percent of total billed charges,,100.29,21,,,Percent of total billed charges,,32.13,90,,,Percent of total billed charges,,137.7,21,,,Percent of total billed charges,,32.13,21,,,Percent of total billed charges,,32.13,64.9,,,Percent of total billed charges,,99.3,21,,,Percent of total billed charges,,32.13,,119.88,,Case rate,,119.88,5.2,153,
Prostate specific antigen (PSA); complexed (direct measurement),84152,CPT,,,,Outpatient,Facility,,,141,56.4,66,,,Percent of total billed charges,,93.06,20.8,,,Percent of total billed charges,,29.33,20.4,,,Percent of total billed charges,,28.76,,18.39,,Case rate,,18.39,,5.2,,Case rate,,5.2,80,,,Percent of total billed charges,,112.8,61.6,,,Percent of total billed charges,,86.86,20.6,,,Percent of total billed charges,,29.05,20.6,,,Percent of total billed charges,,29.05,65.55,,,Percent of total billed charges,,92.43,21,,,Percent of total billed charges,,29.61,90,,,Percent of total billed charges,,126.9,21,,,Percent of total billed charges,,29.61,21,,,Percent of total billed charges,,29.61,64.9,,,Percent of total billed charges,,91.51,21,,,Percent of total billed charges,,29.61,,66.86,,Case rate,,66.86,5.2,141,
"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)",84157,CPT,,,,Outpatient,Facility,,,25,10,66,,,Percent of total billed charges,,16.5,20.8,,,Percent of total billed charges,,5.2,20.4,,,Percent of total billed charges,,5.1,,4,,Case rate,,4,,1.05,,Case rate,,1.05,80,,,Percent of total billed charges,,20,61.6,,,Percent of total billed charges,,15.4,20.6,,,Percent of total billed charges,,5.15,20.6,,,Percent of total billed charges,,5.15,65.55,,,Percent of total billed charges,,16.39,21,,,Percent of total billed charges,,5.25,90,,,Percent of total billed charges,,22.5,21,,,Percent of total billed charges,,5.25,21,,,Percent of total billed charges,,5.25,64.9,,,Percent of total billed charges,,16.22,21,,,Percent of total billed charges,,5.25,,22.43,,Case rate,,22.43,1.05,25,
"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)",84166,CPT,,,,Outpatient,Facility,,,151,60.4,66,,,Percent of total billed charges,,99.66,20.8,,,Percent of total billed charges,,31.41,20.4,,,Percent of total billed charges,,30.8,,17.83,,Case rate,,17.83,,5.1,,Case rate,,5.1,80,,,Percent of total billed charges,,120.8,61.6,,,Percent of total billed charges,,93.02,20.6,,,Percent of total billed charges,,31.11,20.6,,,Percent of total billed charges,,31.11,65.55,,,Percent of total billed charges,,98.98,21,,,Percent of total billed charges,,31.71,90,,,Percent of total billed charges,,135.9,21,,,Percent of total billed charges,,31.71,21,,,Percent of total billed charges,,31.71,64.9,,,Percent of total billed charges,,98,21,,,Percent of total billed charges,,31.71,,50.52,,Case rate,,50.52,5.1,151,
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity",J7168,HCPCS,,,,Outpatient,Facility,1,F2,11.3,4.52,66,,,Percent of total billed charges,,7.46,20.8,,,Percent of total billed charges,,2.35,20.4,,,Percent of total billed charges,,2.31,,3.4,,Case rate,,3.4,,0.14,,Case rate,,0.14,80,,,Percent of total billed charges,,9.04,61.6,,,Percent of total billed charges,,6.96,20.6,,,Percent of total billed charges,,2.33,20.6,,,Percent of total billed charges,,2.33,65.55,,,Percent of total billed charges,,7.41,21,,,Percent of total billed charges,,2.37,90,,,Percent of total billed charges,,10.17,21,,,Percent of total billed charges,,2.37,21,,,Percent of total billed charges,,2.37,64.9,,,Percent of total billed charges,,7.34,21,,,Percent of total billed charges,,2.37,45,,,Percent of total billed charges,,5.09,0.14,11.3,
Prothrombin time,85610,CPT,,,,Outpatient,Facility,,,55,22,66,,,Percent of total billed charges,,36.3,20.8,,,Percent of total billed charges,,11.44,20.4,,,Percent of total billed charges,,11.22,,4.29,,Case rate,,4.29,,0.81,,Case rate,,0.81,80,,,Percent of total billed charges,,44,61.6,,,Percent of total billed charges,,33.88,20.6,,,Percent of total billed charges,,11.33,20.6,,,Percent of total billed charges,,11.33,65.55,,,Percent of total billed charges,,36.05,21,,,Percent of total billed charges,,11.55,90,,,Percent of total billed charges,,49.5,21,,,Percent of total billed charges,,11.55,21,,,Percent of total billed charges,,11.55,64.9,,,Percent of total billed charges,,35.7,21,,,Percent of total billed charges,,11.55,,10.77,,Case rate,,10.77,0.81,55,
"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant",81322,CPT,,,,Outpatient,Facility,,,178,71.2,66,,,Percent of total billed charges,,117.48,20.8,,,Percent of total billed charges,,37.02,,47.53,,Case rate,,47.53,,46.6,,Case rate,,46.6,,3.98,,Case rate,,3.98,80,,,Percent of total billed charges,,142.4,61.6,,,Percent of total billed charges,,109.65,20.6,,,Percent of total billed charges,,36.67,20.6,,,Percent of total billed charges,,36.67,65.55,,,Percent of total billed charges,,116.68,21,,,Percent of total billed charges,,37.38,90,,,Percent of total billed charges,,160.2,21,,,Percent of total billed charges,,37.38,21,,,Percent of total billed charges,,37.38,64.9,,,Percent of total billed charges,,115.52,21,,,Percent of total billed charges,,37.38,45,,,Percent of total billed charges,,80.1,3.98,178,
pulmonary embolism with mcc or acute cor pulmonale,175,MS-DRG,,,,Inpatient,Facility,,,10632.44,4252.98,,12629.81,,Case rate,DRG Factor * DRG Weight,12629.81,,1758.64,,Per Diem,,3517.28,,1724.82,,Per Diem,,3449.64,,17335.09,,Case rate,DRG Factor * DRG Weight,17335.09,,1674.09,,Per Diem,,3348.18,80,,,Percent of total billed charges,,8505.95,61.6,,,Percent of total billed charges,,6549.58,,1741.73,,Per Diem,,3483.46,,1741.73,,Per Diem,,3483.46,65.55,,,Percent of total billed charges,,6969.56,,2079,,Per Diem,,4158,90,,,Percent of total billed charges,,9569.19,,2079,,Per Diem,,4158,,2079,,Per Diem,,4158,64.9,,,Percent of total billed charges,,6900.45,,2079,,Per Diem,,4158,,13540.69,,Case rate,DRG Factor * DRG Weight,13540.69,3348.18,17335.09,
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed",94618,CPT,46094618,CDM,TC,Outpatient,Facility,,,400,160,66,,,Percent of total billed charges,,264,20.8,,,Percent of total billed charges,,83.2,20.4,,,Percent of total billed charges,,81.6,,11.06,,Case rate,,11.06,,0.73,,Case rate,,0.73,80,,,Percent of total billed charges,,320,61.6,,,Percent of total billed charges,,246.4,20.6,,,Percent of total billed charges,,82.4,20.6,,,Percent of total billed charges,,82.4,65.55,,,Percent of total billed charges,,262.2,21,,,Percent of total billed charges,,84,90,,,Percent of total billed charges,,360,21,,,Percent of total billed charges,,84,21,,,Percent of total billed charges,,84,64.9,,,Percent of total billed charges,,259.6,21,,,Percent of total billed charges,,84,,129.4,,Case rate,,129.4,0.73,400,
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,,,,Outpatient,Facility,,,901,360.4,66,,,Percent of total billed charges,,594.66,20.8,,,Percent of total billed charges,,187.41,20.4,,,Percent of total billed charges,,183.8,,246.26,,Case rate,,246.26,,33.72,,Case rate,,33.72,80,,,Percent of total billed charges,,720.8,61.6,,,Percent of total billed charges,,555.02,20.6,,,Percent of total billed charges,,185.61,20.6,,,Percent of total billed charges,,185.61,65.55,,,Percent of total billed charges,,590.61,21,,,Percent of total billed charges,,189.21,90,,,Percent of total billed charges,,810.9,21,,,Percent of total billed charges,,189.21,21,,,Percent of total billed charges,,189.21,64.9,,,Percent of total billed charges,,584.75,21,,,Percent of total billed charges,,189.21,,751.14,,Case rate,,751.14,33.72,901,
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging",78582,CPT,34178582,CDM,TC,Outpatient,Facility,,,901,360.4,66,,,Percent of total billed charges,,594.66,20.8,,,Percent of total billed charges,,187.41,20.4,,,Percent of total billed charges,,183.8,,246.26,,Case rate,,246.26,,33.72,,Case rate,,33.72,80,,,Percent of total billed charges,,720.8,61.6,,,Percent of total billed charges,,555.02,20.6,,,Percent of total billed charges,,185.61,20.6,,,Percent of total billed charges,,185.61,65.55,,,Percent of total billed charges,,590.61,21,,,Percent of total billed charges,,189.21,90,,,Percent of total billed charges,,810.9,21,,,Percent of total billed charges,,189.21,21,,,Percent of total billed charges,,189.21,64.9,,,Percent of total billed charges,,584.75,21,,,Percent of total billed charges,,189.21,,751.14,,Case rate,,751.14,33.72,901,
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,,,,Outpatient,Facility,,,1109,443.6,66,,,Percent of total billed charges,,731.94,20.8,,,Percent of total billed charges,,230.67,20.4,,,Percent of total billed charges,,226.24,,145.4,,Case rate,,145.4,,18.78,,Case rate,,18.78,80,,,Percent of total billed charges,,887.2,61.6,,,Percent of total billed charges,,683.14,20.6,,,Percent of total billed charges,,228.45,20.6,,,Percent of total billed charges,,228.45,65.55,,,Percent of total billed charges,,726.95,21,,,Percent of total billed charges,,232.89,90,,,Percent of total billed charges,,998.1,21,,,Percent of total billed charges,,232.89,21,,,Percent of total billed charges,,232.89,64.9,,,Percent of total billed charges,,719.74,21,,,Percent of total billed charges,,232.89,,402.92,,Case rate,,402.92,18.78,1109,
"Pulmonary ventilation imaging (eg, aerosol or gas)",78579,CPT,34178579,CDM,TC,Outpatient,Facility,,,1109,443.6,66,,,Percent of total billed charges,,731.94,20.8,,,Percent of total billed charges,,230.67,20.4,,,Percent of total billed charges,,226.24,,145.4,,Case rate,,145.4,,18.78,,Case rate,,18.78,80,,,Percent of total billed charges,,887.2,61.6,,,Percent of total billed charges,,683.14,20.6,,,Percent of total billed charges,,228.45,20.6,,,Percent of total billed charges,,228.45,65.55,,,Percent of total billed charges,,726.95,21,,,Percent of total billed charges,,232.89,90,,,Percent of total billed charges,,998.1,21,,,Percent of total billed charges,,232.89,21,,,Percent of total billed charges,,232.89,64.9,,,Percent of total billed charges,,719.74,21,,,Percent of total billed charges,,232.89,,402.92,,Case rate,,402.92,18.78,1109,
Puncture aspiration of cyst of breast,19000,CPT,,,,Outpatient,Facility,,,685,274,66,,,Percent of total billed charges,,452.1,20.8,,,Percent of total billed charges,,142.48,20.4,,,Percent of total billed charges,,139.74,,98.55,,Case rate,,98.55,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,548,61.6,,,Percent of total billed charges,,421.96,20.6,,,Percent of total billed charges,,141.11,20.6,,,Percent of total billed charges,,141.11,65.55,,,Percent of total billed charges,,449.02,21,,,Percent of total billed charges,,143.85,90,,,Percent of total billed charges,,616.5,21,,,Percent of total billed charges,,143.85,21,,,Percent of total billed charges,,143.85,64.9,,,Percent of total billed charges,,444.56,21,,,Percent of total billed charges,,143.85,,333.46,,Case rate,,333.46,13.86,685,
Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure),19001,CPT,,,,Outpatient,Facility,,,300,120,66,,,Percent of total billed charges,,198,20.8,,,Percent of total billed charges,,62.4,20.4,,,Percent of total billed charges,,61.2,,25.58,,Case rate,,25.58,,5.94,,Case rate,,5.94,80,,,Percent of total billed charges,,240,61.6,,,Percent of total billed charges,,184.8,20.6,,,Percent of total billed charges,,61.8,20.6,,,Percent of total billed charges,,61.8,65.55,,,Percent of total billed charges,,196.65,21,,,Percent of total billed charges,,63,90,,,Percent of total billed charges,,270,21,,,Percent of total billed charges,,63,21,,,Percent of total billed charges,,63,64.9,,,Percent of total billed charges,,194.7,21,,,Percent of total billed charges,,63,,151.59,,Case rate,,151.59,5.94,300,
Pyridoxal phosphate (Vitamin B-6),84207,CPT,,,,Outpatient,Facility,,,374,149.6,66,,,Percent of total billed charges,,246.84,20.8,,,Percent of total billed charges,,77.79,20.4,,,Percent of total billed charges,,76.3,,28.1,,Case rate,,28.1,,8.13,,Case rate,,8.13,80,,,Percent of total billed charges,,299.2,61.6,,,Percent of total billed charges,,230.38,20.6,,,Percent of total billed charges,,77.04,20.6,,,Percent of total billed charges,,77.04,65.55,,,Percent of total billed charges,,245.16,21,,,Percent of total billed charges,,78.54,90,,,Percent of total billed charges,,336.6,21,,,Percent of total billed charges,,78.54,21,,,Percent of total billed charges,,78.54,64.9,,,Percent of total billed charges,,242.73,21,,,Percent of total billed charges,,78.54,,177.92,,Case rate,,177.92,8.13,374,
"Quantitation of therapeutic drug, not elsewhere specified",80299,CPT,,,,Outpatient,Facility,,,186,74.4,66,,,Percent of total billed charges,,122.76,20.8,,,Percent of total billed charges,,38.69,20.4,,,Percent of total billed charges,,37.94,,18.64,,Case rate,,18.64,,2.82,,Case rate,,2.82,80,,,Percent of total billed charges,,148.8,61.6,,,Percent of total billed charges,,114.58,20.6,,,Percent of total billed charges,,38.32,20.6,,,Percent of total billed charges,,38.32,65.55,,,Percent of total billed charges,,121.92,21,,,Percent of total billed charges,,39.06,90,,,Percent of total billed charges,,167.4,21,,,Percent of total billed charges,,39.06,21,,,Percent of total billed charges,,39.06,64.9,,,Percent of total billed charges,,120.71,21,,,Percent of total billed charges,,39.06,,69.92,,Case rate,,69.92,2.82,186,
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use",90377,CPT,,,,Outpatient,Facility,,,1365.48,546.19,66,,,Percent of total billed charges,,901.22,20.8,,,Percent of total billed charges,,284.02,20.4,,,Percent of total billed charges,,278.56,,406.49,,Case rate,,406.49,,2.12,,Case rate,,2.12,80,,,Percent of total billed charges,,1092.39,61.6,,,Percent of total billed charges,,841.14,20.6,,,Percent of total billed charges,,281.29,20.6,,,Percent of total billed charges,,281.29,65.55,,,Percent of total billed charges,,895.07,21,,,Percent of total billed charges,,286.75,90,,,Percent of total billed charges,,1228.93,21,,,Percent of total billed charges,,286.75,21,,,Percent of total billed charges,,286.75,64.9,,,Percent of total billed charges,,886.2,21,,,Percent of total billed charges,,286.75,,302.2,,Case rate,,302.2,2.12,1365.48,
"Radiologic examination from nose to rectum for foreign body, single view, child",76010,CPT,,,,Outpatient,Facility,,,174,69.6,66,,,Percent of total billed charges,,114.84,20.8,,,Percent of total billed charges,,36.19,20.4,,,Percent of total billed charges,,35.5,,20.23,,Case rate,,20.23,,3.55,,Case rate,,3.55,80,,,Percent of total billed charges,,139.2,61.6,,,Percent of total billed charges,,107.18,20.6,,,Percent of total billed charges,,35.84,20.6,,,Percent of total billed charges,,35.84,65.55,,,Percent of total billed charges,,114.06,21,,,Percent of total billed charges,,36.54,90,,,Percent of total billed charges,,156.6,21,,,Percent of total billed charges,,36.54,21,,,Percent of total billed charges,,36.54,64.9,,,Percent of total billed charges,,112.93,21,,,Percent of total billed charges,,36.54,,93.74,,Case rate,,93.74,3.55,174,
"Radiologic examination, abdomen; 1 view",74018,CPT,,,,Outpatient,Facility,,,184,73.6,66,,,Percent of total billed charges,,121.44,20.8,,,Percent of total billed charges,,38.27,20.4,,,Percent of total billed charges,,37.54,,20.23,,Case rate,,20.23,,1.16,,Case rate,,1.16,80,,,Percent of total billed charges,,147.2,61.6,,,Percent of total billed charges,,113.34,20.6,,,Percent of total billed charges,,37.9,20.6,,,Percent of total billed charges,,37.9,65.55,,,Percent of total billed charges,,120.61,21,,,Percent of total billed charges,,38.64,90,,,Percent of total billed charges,,165.6,21,,,Percent of total billed charges,,38.64,21,,,Percent of total billed charges,,38.64,64.9,,,Percent of total billed charges,,119.42,21,,,Percent of total billed charges,,38.64,,196.49,,Case rate,,196.49,1.16,196.49,
"Radiologic examination, abdomen; 2 views",74019,CPT,,,,Outpatient,Facility,,,331,132.4,66,,,Percent of total billed charges,,218.46,20.8,,,Percent of total billed charges,,68.85,20.4,,,Percent of total billed charges,,67.52,,24.65,,Case rate,,24.65,,1.39,,Case rate,,1.39,80,,,Percent of total billed charges,,264.8,61.6,,,Percent of total billed charges,,203.9,20.6,,,Percent of total billed charges,,68.19,20.6,,,Percent of total billed charges,,68.19,65.55,,,Percent of total billed charges,,216.97,21,,,Percent of total billed charges,,69.51,90,,,Percent of total billed charges,,297.9,21,,,Percent of total billed charges,,69.51,21,,,Percent of total billed charges,,69.51,64.9,,,Percent of total billed charges,,214.82,21,,,Percent of total billed charges,,69.51,,383.37,,Case rate,,383.37,1.39,383.37,
"Radiologic examination, abdomen; 2 views",74019,CPT,32074019,CDM,TC,Outpatient,Facility,,,331,132.4,66,,,Percent of total billed charges,,218.46,20.8,,,Percent of total billed charges,,68.85,20.4,,,Percent of total billed charges,,67.52,,24.65,,Case rate,,24.65,,1.39,,Case rate,,1.39,80,,,Percent of total billed charges,,264.8,61.6,,,Percent of total billed charges,,203.9,20.6,,,Percent of total billed charges,,68.19,20.6,,,Percent of total billed charges,,68.19,65.55,,,Percent of total billed charges,,216.97,21,,,Percent of total billed charges,,69.51,90,,,Percent of total billed charges,,297.9,21,,,Percent of total billed charges,,69.51,21,,,Percent of total billed charges,,69.51,64.9,,,Percent of total billed charges,,214.82,21,,,Percent of total billed charges,,69.51,,383.37,,Case rate,,383.37,1.39,383.37,
"Radiologic examination, ankle; 2 views",73600,CPT,,,,Outpatient,Facility,,,232,92.8,66,,,Percent of total billed charges,,153.12,20.8,,,Percent of total billed charges,,48.26,20.4,,,Percent of total billed charges,,47.33,,23.39,,Case rate,,23.39,,3.33,,Case rate,,3.33,80,,,Percent of total billed charges,,185.6,61.6,,,Percent of total billed charges,,142.91,20.6,,,Percent of total billed charges,,47.79,20.6,,,Percent of total billed charges,,47.79,65.55,,,Percent of total billed charges,,152.08,21,,,Percent of total billed charges,,48.72,90,,,Percent of total billed charges,,208.8,21,,,Percent of total billed charges,,48.72,21,,,Percent of total billed charges,,48.72,64.9,,,Percent of total billed charges,,150.57,21,,,Percent of total billed charges,,48.72,,74.1,,Case rate,,74.1,3.33,232,
"Radiologic examination, ankle; complete, minimum of 3 views",73610,CPT,32073610,CDM,TC,Outpatient,Facility,,,276,110.4,66,,,Percent of total billed charges,,182.16,20.8,,,Percent of total billed charges,,57.41,20.4,,,Percent of total billed charges,,56.3,,27.18,,Case rate,,27.18,,3.55,,Case rate,,3.55,80,,,Percent of total billed charges,,220.8,61.6,,,Percent of total billed charges,,170.02,20.6,,,Percent of total billed charges,,56.86,20.6,,,Percent of total billed charges,,56.86,65.55,,,Percent of total billed charges,,180.92,21,,,Percent of total billed charges,,57.96,90,,,Percent of total billed charges,,248.4,21,,,Percent of total billed charges,,57.96,21,,,Percent of total billed charges,,57.96,64.9,,,Percent of total billed charges,,179.12,21,,,Percent of total billed charges,,57.96,,78.42,,Case rate,,78.42,3.55,276,
"Radiologic examination, chest; 2 views",71046,CPT,,,,Outpatient,Facility,,,312,124.8,66,,,Percent of total billed charges,,205.92,20.8,,,Percent of total billed charges,,64.9,20.4,,,Percent of total billed charges,,63.65,,22.12,,Case rate,,22.12,,1.26,,Case rate,,1.26,80,,,Percent of total billed charges,,249.6,61.6,,,Percent of total billed charges,,192.19,20.6,,,Percent of total billed charges,,64.27,20.6,,,Percent of total billed charges,,64.27,65.55,,,Percent of total billed charges,,204.52,21,,,Percent of total billed charges,,65.52,90,,,Percent of total billed charges,,280.8,21,,,Percent of total billed charges,,65.52,21,,,Percent of total billed charges,,65.52,64.9,,,Percent of total billed charges,,202.49,21,,,Percent of total billed charges,,65.52,,111.94,,Case rate,,111.94,1.26,312,
"Radiologic examination, chest; 2 views",71046,CPT,32471046,CDM,TC,Outpatient,Facility,,,312,124.8,66,,,Percent of total billed charges,,205.92,20.8,,,Percent of total billed charges,,64.9,20.4,,,Percent of total billed charges,,63.65,,22.12,,Case rate,,22.12,,1.26,,Case rate,,1.26,80,,,Percent of total billed charges,,249.6,61.6,,,Percent of total billed charges,,192.19,20.6,,,Percent of total billed charges,,64.27,20.6,,,Percent of total billed charges,,64.27,65.55,,,Percent of total billed charges,,204.52,21,,,Percent of total billed charges,,65.52,90,,,Percent of total billed charges,,280.8,21,,,Percent of total billed charges,,65.52,21,,,Percent of total billed charges,,65.52,64.9,,,Percent of total billed charges,,202.49,21,,,Percent of total billed charges,,65.52,,111.94,,Case rate,,111.94,1.26,312,
"Radiologic examination, chest; 3 views",71047,CPT,,,,Outpatient,Facility,,,344,137.6,66,,,Percent of total billed charges,,227.04,20.8,,,Percent of total billed charges,,71.55,20.4,,,Percent of total billed charges,,70.18,,27.81,,Case rate,,27.81,,1.6,,Case rate,,1.6,80,,,Percent of total billed charges,,275.2,61.6,,,Percent of total billed charges,,211.9,20.6,,,Percent of total billed charges,,70.86,20.6,,,Percent of total billed charges,,70.86,65.55,,,Percent of total billed charges,,225.49,21,,,Percent of total billed charges,,72.24,90,,,Percent of total billed charges,,309.6,21,,,Percent of total billed charges,,72.24,21,,,Percent of total billed charges,,72.24,64.9,,,Percent of total billed charges,,223.26,21,,,Percent of total billed charges,,72.24,,188.74,,Case rate,,188.74,1.6,344,
"Radiologic examination, chest; single view",71045,CPT,,,,Outpatient,Facility,,,287,114.8,66,,,Percent of total billed charges,,189.42,20.8,,,Percent of total billed charges,,59.7,20.4,,,Percent of total billed charges,,58.55,,16.43,,Case rate,,16.43,,0.69,,Case rate,,0.69,80,,,Percent of total billed charges,,229.6,61.6,,,Percent of total billed charges,,176.79,20.6,,,Percent of total billed charges,,59.12,20.6,,,Percent of total billed charges,,59.12,65.55,,,Percent of total billed charges,,188.13,21,,,Percent of total billed charges,,60.27,90,,,Percent of total billed charges,,258.3,21,,,Percent of total billed charges,,60.27,21,,,Percent of total billed charges,,60.27,64.9,,,Percent of total billed charges,,186.26,21,,,Percent of total billed charges,,60.27,,94.53,,Case rate,,94.53,0.69,287,
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered",74280,CPT,32074280,CDM,TC,Outpatient,Facility,,,925,370,66,,,Percent of total billed charges,,610.5,20.8,,,Percent of total billed charges,,192.4,20.4,,,Percent of total billed charges,,188.7,,156.48,,Case rate,,156.48,,16.78,,Case rate,,16.78,80,,,Percent of total billed charges,,740,61.6,,,Percent of total billed charges,,569.8,20.6,,,Percent of total billed charges,,190.55,20.6,,,Percent of total billed charges,,190.55,65.55,,,Percent of total billed charges,,606.34,21,,,Percent of total billed charges,,194.25,90,,,Percent of total billed charges,,832.5,21,,,Percent of total billed charges,,194.25,21,,,Percent of total billed charges,,194.25,64.9,,,Percent of total billed charges,,600.32,21,,,Percent of total billed charges,,194.25,,419.5,,Case rate,,419.5,16.78,925,
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,,,,Outpatient,Facility,,,652,260.8,66,,,Percent of total billed charges,,430.32,20.8,,,Percent of total billed charges,,135.62,20.4,,,Percent of total billed charges,,133.01,,101.48,,Case rate,,101.48,,12.4,,Case rate,,12.4,80,,,Percent of total billed charges,,521.6,61.6,,,Percent of total billed charges,,401.63,20.6,,,Percent of total billed charges,,134.31,20.6,,,Percent of total billed charges,,134.31,65.55,,,Percent of total billed charges,,427.39,21,,,Percent of total billed charges,,136.92,90,,,Percent of total billed charges,,586.8,21,,,Percent of total billed charges,,136.92,21,,,Percent of total billed charges,,136.92,64.9,,,Percent of total billed charges,,423.15,21,,,Percent of total billed charges,,136.92,,311.13,,Case rate,,311.13,12.4,652,
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74270,CPT,32074270,CDM,TC,Outpatient,Facility,,,652,260.8,66,,,Percent of total billed charges,,430.32,20.8,,,Percent of total billed charges,,135.62,20.4,,,Percent of total billed charges,,133.01,,101.48,,Case rate,,101.48,,12.4,,Case rate,,12.4,80,,,Percent of total billed charges,,521.6,61.6,,,Percent of total billed charges,,401.63,20.6,,,Percent of total billed charges,,134.31,20.6,,,Percent of total billed charges,,134.31,65.55,,,Percent of total billed charges,,427.39,21,,,Percent of total billed charges,,136.92,90,,,Percent of total billed charges,,586.8,21,,,Percent of total billed charges,,136.92,21,,,Percent of total billed charges,,136.92,64.9,,,Percent of total billed charges,,423.15,21,,,Percent of total billed charges,,136.92,,311.13,,Case rate,,311.13,12.4,652,
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest",74022,CPT,32074022,CDM,TC,Outpatient,Facility,,,403,161.2,66,,,Percent of total billed charges,,265.98,20.8,,,Percent of total billed charges,,83.82,20.4,,,Percent of total billed charges,,82.21,,32.87,,Case rate,,32.87,,5.51,,Case rate,,5.51,80,,,Percent of total billed charges,,322.4,61.6,,,Percent of total billed charges,,248.25,20.6,,,Percent of total billed charges,,83.02,20.6,,,Percent of total billed charges,,83.02,65.55,,,Percent of total billed charges,,264.17,21,,,Percent of total billed charges,,84.63,90,,,Percent of total billed charges,,362.7,21,,,Percent of total billed charges,,84.63,21,,,Percent of total billed charges,,84.63,64.9,,,Percent of total billed charges,,261.55,21,,,Percent of total billed charges,,84.63,,140.64,,Case rate,,140.64,5.51,403,
"Radiologic examination, elbow; 2 views",73070,CPT,,,,Outpatient,Facility,,,237,94.8,66,,,Percent of total billed charges,,156.42,20.8,,,Percent of total billed charges,,49.3,20.4,,,Percent of total billed charges,,48.35,,20.23,,Case rate,,20.23,,3.46,,Case rate,,3.46,80,,,Percent of total billed charges,,189.6,61.6,,,Percent of total billed charges,,145.99,20.6,,,Percent of total billed charges,,48.82,20.6,,,Percent of total billed charges,,48.82,65.55,,,Percent of total billed charges,,155.35,21,,,Percent of total billed charges,,49.77,90,,,Percent of total billed charges,,213.3,21,,,Percent of total billed charges,,49.77,21,,,Percent of total billed charges,,49.77,64.9,,,Percent of total billed charges,,153.81,21,,,Percent of total billed charges,,49.77,,76.38,,Case rate,,76.38,3.46,237,
"Radiologic examination, elbow; 2 views",73070,CPT,32073070,CDM,TC,Outpatient,Facility,,,237,94.8,66,,,Percent of total billed charges,,156.42,20.8,,,Percent of total billed charges,,49.3,20.4,,,Percent of total billed charges,,48.35,,20.23,,Case rate,,20.23,,3.46,,Case rate,,3.46,80,,,Percent of total billed charges,,189.6,61.6,,,Percent of total billed charges,,145.99,20.6,,,Percent of total billed charges,,48.82,20.6,,,Percent of total billed charges,,48.82,65.55,,,Percent of total billed charges,,155.35,21,,,Percent of total billed charges,,49.77,90,,,Percent of total billed charges,,213.3,21,,,Percent of total billed charges,,49.77,21,,,Percent of total billed charges,,49.77,64.9,,,Percent of total billed charges,,153.81,21,,,Percent of total billed charges,,49.77,,76.38,,Case rate,,76.38,3.46,237,
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,,,,Outpatient,Facility,,,391,156.4,66,,,Percent of total billed charges,,258.06,20.8,,,Percent of total billed charges,,81.33,20.4,,,Percent of total billed charges,,79.76,,23.07,,Case rate,,23.07,,3.74,,Case rate,,3.74,80,,,Percent of total billed charges,,312.8,61.6,,,Percent of total billed charges,,240.86,20.6,,,Percent of total billed charges,,80.55,20.6,,,Percent of total billed charges,,80.55,65.55,,,Percent of total billed charges,,256.3,21,,,Percent of total billed charges,,82.11,90,,,Percent of total billed charges,,351.9,21,,,Percent of total billed charges,,82.11,21,,,Percent of total billed charges,,82.11,64.9,,,Percent of total billed charges,,253.76,21,,,Percent of total billed charges,,82.11,,83.48,,Case rate,,83.48,3.74,391,
"Radiologic examination, elbow; complete, minimum of 3 views",73080,CPT,32073080,CDM,TC,Outpatient,Facility,,,391,156.4,66,,,Percent of total billed charges,,258.06,20.8,,,Percent of total billed charges,,81.33,20.4,,,Percent of total billed charges,,79.76,,23.07,,Case rate,,23.07,,3.74,,Case rate,,3.74,80,,,Percent of total billed charges,,312.8,61.6,,,Percent of total billed charges,,240.86,20.6,,,Percent of total billed charges,,80.55,20.6,,,Percent of total billed charges,,80.55,65.55,,,Percent of total billed charges,,256.3,21,,,Percent of total billed charges,,82.11,90,,,Percent of total billed charges,,351.9,21,,,Percent of total billed charges,,82.11,21,,,Percent of total billed charges,,82.11,64.9,,,Percent of total billed charges,,253.76,21,,,Percent of total billed charges,,82.11,,83.48,,Case rate,,83.48,3.74,391,
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study",74221,CPT,32074221,CDM,TC,Outpatient,Facility,,,294,117.6,66,,,Percent of total billed charges,,194.04,20.8,,,Percent of total billed charges,,61.15,20.4,,,Percent of total billed charges,,59.98,,74.92,,Case rate,,74.92,,4.17,,Case rate,,4.17,80,,,Percent of total billed charges,,235.2,61.6,,,Percent of total billed charges,,181.1,20.6,,,Percent of total billed charges,,60.56,20.6,,,Percent of total billed charges,,60.56,65.55,,,Percent of total billed charges,,192.72,21,,,Percent of total billed charges,,61.74,90,,,Percent of total billed charges,,264.6,21,,,Percent of total billed charges,,61.74,21,,,Percent of total billed charges,,61.74,64.9,,,Percent of total billed charges,,190.81,21,,,Percent of total billed charges,,61.74,,224.49,,Case rate,,224.49,4.17,294,
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74220,CPT,,,,Outpatient,Facility,,,341,136.4,66,,,Percent of total billed charges,,225.06,20.8,,,Percent of total billed charges,,70.93,20.4,,,Percent of total billed charges,,69.56,,67.33,,Case rate,,67.33,,8.43,,Case rate,,8.43,80,,,Percent of total billed charges,,272.8,61.6,,,Percent of total billed charges,,210.06,20.6,,,Percent of total billed charges,,70.25,20.6,,,Percent of total billed charges,,70.25,65.55,,,Percent of total billed charges,,223.53,21,,,Percent of total billed charges,,71.61,90,,,Percent of total billed charges,,306.9,21,,,Percent of total billed charges,,71.61,21,,,Percent of total billed charges,,71.61,64.9,,,Percent of total billed charges,,221.31,21,,,Percent of total billed charges,,71.61,,198.67,,Case rate,,198.67,8.43,341,
"Radiologic examination, eye, for detection of foreign body",70030,CPT,,,,Outpatient,Facility,,,184,73.6,66,,,Percent of total billed charges,,121.44,20.8,,,Percent of total billed charges,,38.27,20.4,,,Percent of total billed charges,,37.54,,22.75,,Case rate,,22.75,,3.07,,Case rate,,3.07,80,,,Percent of total billed charges,,147.2,61.6,,,Percent of total billed charges,,113.34,20.6,,,Percent of total billed charges,,37.9,20.6,,,Percent of total billed charges,,37.9,65.55,,,Percent of total billed charges,,120.61,21,,,Percent of total billed charges,,38.64,90,,,Percent of total billed charges,,165.6,21,,,Percent of total billed charges,,38.64,21,,,Percent of total billed charges,,38.64,64.9,,,Percent of total billed charges,,119.42,21,,,Percent of total billed charges,,38.64,,81.53,,Case rate,,81.53,3.07,184,
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,,,,Outpatient,Facility,,,298,119.2,66,,,Percent of total billed charges,,196.68,20.8,,,Percent of total billed charges,,61.98,20.4,,,Percent of total billed charges,,60.79,,32.87,,Case rate,,32.87,,5.37,,Case rate,,5.37,80,,,Percent of total billed charges,,238.4,61.6,,,Percent of total billed charges,,183.57,20.6,,,Percent of total billed charges,,61.39,20.6,,,Percent of total billed charges,,61.39,65.55,,,Percent of total billed charges,,195.34,21,,,Percent of total billed charges,,62.58,90,,,Percent of total billed charges,,268.2,21,,,Percent of total billed charges,,62.58,21,,,Percent of total billed charges,,62.58,64.9,,,Percent of total billed charges,,193.4,21,,,Percent of total billed charges,,62.58,,123.69,,Case rate,,123.69,5.37,298,
"Radiologic examination, facial bones; complete, minimum of 3 views",70150,CPT,32070150,CDM,TC,Outpatient,Facility,,,298,119.2,66,,,Percent of total billed charges,,196.68,20.8,,,Percent of total billed charges,,61.98,20.4,,,Percent of total billed charges,,60.79,,32.87,,Case rate,,32.87,,5.37,,Case rate,,5.37,80,,,Percent of total billed charges,,238.4,61.6,,,Percent of total billed charges,,183.57,20.6,,,Percent of total billed charges,,61.39,20.6,,,Percent of total billed charges,,61.39,65.55,,,Percent of total billed charges,,195.34,21,,,Percent of total billed charges,,62.58,90,,,Percent of total billed charges,,268.2,21,,,Percent of total billed charges,,62.58,21,,,Percent of total billed charges,,62.58,64.9,,,Percent of total billed charges,,193.4,21,,,Percent of total billed charges,,62.58,,123.69,,Case rate,,123.69,5.37,298,
"Radiologic examination, facial bones; less than 3 views",70140,CPT,,,,Outpatient,Facility,,,151,60.4,66,,,Percent of total billed charges,,99.66,20.8,,,Percent of total billed charges,,31.41,20.4,,,Percent of total billed charges,,30.8,,21.49,,Case rate,,21.49,,4.85,,Case rate,,4.85,80,,,Percent of total billed charges,,120.8,61.6,,,Percent of total billed charges,,93.02,20.6,,,Percent of total billed charges,,31.11,20.6,,,Percent of total billed charges,,31.11,65.55,,,Percent of total billed charges,,98.98,21,,,Percent of total billed charges,,31.71,90,,,Percent of total billed charges,,135.9,21,,,Percent of total billed charges,,31.71,21,,,Percent of total billed charges,,31.71,64.9,,,Percent of total billed charges,,98,21,,,Percent of total billed charges,,31.71,,126.34,,Case rate,,126.34,4.85,151,
"Radiologic examination, femur; 1 view",73551,CPT,,,,Outpatient,Facility,,,222,88.8,66,,,Percent of total billed charges,,146.52,20.8,,,Percent of total billed charges,,46.18,20.4,,,Percent of total billed charges,,45.29,,20.23,,Case rate,,20.23,,1.34,,Case rate,,1.34,80,,,Percent of total billed charges,,177.6,61.6,,,Percent of total billed charges,,136.75,20.6,,,Percent of total billed charges,,45.73,20.6,,,Percent of total billed charges,,45.73,65.55,,,Percent of total billed charges,,145.52,21,,,Percent of total billed charges,,46.62,90,,,Percent of total billed charges,,199.8,21,,,Percent of total billed charges,,46.62,21,,,Percent of total billed charges,,46.62,64.9,,,Percent of total billed charges,,144.08,21,,,Percent of total billed charges,,46.62,,190.78,,Case rate,,190.78,1.34,222,
"Radiologic examination, femur; minimum 2 views",73552,CPT,32073552,CDM,TC,Outpatient,Facility,,,290,116,66,,,Percent of total billed charges,,191.4,20.8,,,Percent of total billed charges,,60.32,20.4,,,Percent of total billed charges,,59.16,,25.6,,Case rate,,25.6,,1.59,,Case rate,,1.59,80,,,Percent of total billed charges,,232,61.6,,,Percent of total billed charges,,178.64,20.6,,,Percent of total billed charges,,59.74,20.6,,,Percent of total billed charges,,59.74,65.55,,,Percent of total billed charges,,190.1,21,,,Percent of total billed charges,,60.9,90,,,Percent of total billed charges,,261,21,,,Percent of total billed charges,,60.9,21,,,Percent of total billed charges,,60.9,64.9,,,Percent of total billed charges,,188.21,21,,,Percent of total billed charges,,60.9,,172.72,,Case rate,,172.72,1.59,290,
"Radiologic examination, finger(s), minimum of 2 views",73140,CPT,32073140,CDM,TC,Outpatient,Facility,,,345,138,66,,,Percent of total billed charges,,227.7,20.8,,,Percent of total billed charges,,71.76,20.4,,,Percent of total billed charges,,70.38,,29.71,,Case rate,,29.71,,2.81,,Case rate,,2.81,80,,,Percent of total billed charges,,276,61.6,,,Percent of total billed charges,,212.52,20.6,,,Percent of total billed charges,,71.07,20.6,,,Percent of total billed charges,,71.07,65.55,,,Percent of total billed charges,,226.15,21,,,Percent of total billed charges,,72.45,90,,,Percent of total billed charges,,310.5,21,,,Percent of total billed charges,,72.45,21,,,Percent of total billed charges,,72.45,64.9,,,Percent of total billed charges,,223.9,21,,,Percent of total billed charges,,72.45,,75.77,,Case rate,,75.77,2.81,345,
"Radiologic examination, foot; 2 views",73620,CPT,,,,Outpatient,Facility,,,232,92.8,66,,,Percent of total billed charges,,153.12,20.8,,,Percent of total billed charges,,48.26,20.4,,,Percent of total billed charges,,47.33,,19.91,,Case rate,,19.91,,3.28,,Case rate,,3.28,80,,,Percent of total billed charges,,185.6,61.6,,,Percent of total billed charges,,142.91,20.6,,,Percent of total billed charges,,47.79,20.6,,,Percent of total billed charges,,47.79,65.55,,,Percent of total billed charges,,152.08,21,,,Percent of total billed charges,,48.72,90,,,Percent of total billed charges,,208.8,21,,,Percent of total billed charges,,48.72,21,,,Percent of total billed charges,,48.72,64.9,,,Percent of total billed charges,,150.57,21,,,Percent of total billed charges,,48.72,,85.85,,Case rate,,85.85,3.28,232,
"Radiologic examination, foot; 2 views",73620,CPT,32073620,CDM,TC,Outpatient,Facility,,,232,92.8,66,,,Percent of total billed charges,,153.12,20.8,,,Percent of total billed charges,,48.26,20.4,,,Percent of total billed charges,,47.33,,19.91,,Case rate,,19.91,,3.28,,Case rate,,3.28,80,,,Percent of total billed charges,,185.6,61.6,,,Percent of total billed charges,,142.91,20.6,,,Percent of total billed charges,,47.79,20.6,,,Percent of total billed charges,,47.79,65.55,,,Percent of total billed charges,,152.08,21,,,Percent of total billed charges,,48.72,90,,,Percent of total billed charges,,208.8,21,,,Percent of total billed charges,,48.72,21,,,Percent of total billed charges,,48.72,64.9,,,Percent of total billed charges,,150.57,21,,,Percent of total billed charges,,48.72,,85.85,,Case rate,,85.85,3.28,232,
"Radiologic examination, foot; complete, minimum of 3 views",73630,CPT,32073630,CDM,TC,Outpatient,Facility,,,276,110.4,66,,,Percent of total billed charges,,182.16,20.8,,,Percent of total billed charges,,57.41,20.4,,,Percent of total billed charges,,56.3,,24.97,,Case rate,,24.97,,3.55,,Case rate,,3.55,80,,,Percent of total billed charges,,220.8,61.6,,,Percent of total billed charges,,170.02,20.6,,,Percent of total billed charges,,56.86,20.6,,,Percent of total billed charges,,56.86,65.55,,,Percent of total billed charges,,180.92,21,,,Percent of total billed charges,,57.96,90,,,Percent of total billed charges,,248.4,21,,,Percent of total billed charges,,57.96,21,,,Percent of total billed charges,,57.96,64.9,,,Percent of total billed charges,,179.12,21,,,Percent of total billed charges,,57.96,,93.32,,Case rate,,93.32,3.55,276,
"Radiologic examination, hand; 2 views",73120,CPT,,,,Outpatient,Facility,,,232,92.8,66,,,Percent of total billed charges,,153.12,20.8,,,Percent of total billed charges,,48.26,20.4,,,Percent of total billed charges,,47.33,,22.12,,Case rate,,22.12,,3.34,,Case rate,,3.34,80,,,Percent of total billed charges,,185.6,61.6,,,Percent of total billed charges,,142.91,20.6,,,Percent of total billed charges,,47.79,20.6,,,Percent of total billed charges,,47.79,65.55,,,Percent of total billed charges,,152.08,21,,,Percent of total billed charges,,48.72,90,,,Percent of total billed charges,,208.8,21,,,Percent of total billed charges,,48.72,21,,,Percent of total billed charges,,48.72,64.9,,,Percent of total billed charges,,150.57,21,,,Percent of total billed charges,,48.72,,88.91,,Case rate,,88.91,3.34,232,
"Radiologic examination, hand; minimum of 3 views",73130,CPT,,,,Outpatient,Facility,,,389,155.6,66,,,Percent of total billed charges,,256.74,20.8,,,Percent of total billed charges,,80.91,20.4,,,Percent of total billed charges,,79.36,,27.18,,Case rate,,27.18,,3.55,,Case rate,,3.55,80,,,Percent of total billed charges,,311.2,61.6,,,Percent of total billed charges,,239.62,20.6,,,Percent of total billed charges,,80.13,20.6,,,Percent of total billed charges,,80.13,65.55,,,Percent of total billed charges,,254.99,21,,,Percent of total billed charges,,81.69,90,,,Percent of total billed charges,,350.1,21,,,Percent of total billed charges,,81.69,21,,,Percent of total billed charges,,81.69,64.9,,,Percent of total billed charges,,252.46,21,,,Percent of total billed charges,,81.69,,79.95,,Case rate,,79.95,3.55,389,
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,,,,Outpatient,Facility,,,222,88.8,66,,,Percent of total billed charges,,146.52,20.8,,,Percent of total billed charges,,46.18,20.4,,,Percent of total billed charges,,45.29,,22.75,,Case rate,,22.75,,1.39,,Case rate,,1.39,80,,,Percent of total billed charges,,177.6,61.6,,,Percent of total billed charges,,136.75,20.6,,,Percent of total billed charges,,45.73,20.6,,,Percent of total billed charges,,45.73,65.55,,,Percent of total billed charges,,145.52,21,,,Percent of total billed charges,,46.62,90,,,Percent of total billed charges,,199.8,21,,,Percent of total billed charges,,46.62,21,,,Percent of total billed charges,,46.62,64.9,,,Percent of total billed charges,,144.08,21,,,Percent of total billed charges,,46.62,,181.26,,Case rate,,181.26,1.39,222,
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view",73501,CPT,32073501,CDM,TC,Outpatient,Facility,,,222,88.8,66,,,Percent of total billed charges,,146.52,20.8,,,Percent of total billed charges,,46.18,20.4,,,Percent of total billed charges,,45.29,,22.75,,Case rate,,22.75,,1.39,,Case rate,,1.39,80,,,Percent of total billed charges,,177.6,61.6,,,Percent of total billed charges,,136.75,20.6,,,Percent of total billed charges,,45.73,20.6,,,Percent of total billed charges,,45.73,65.55,,,Percent of total billed charges,,145.52,21,,,Percent of total billed charges,,46.62,90,,,Percent of total billed charges,,199.8,21,,,Percent of total billed charges,,46.62,21,,,Percent of total billed charges,,46.62,64.9,,,Percent of total billed charges,,144.08,21,,,Percent of total billed charges,,46.62,,181.26,,Case rate,,181.26,1.39,222,
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,,,,Outpatient,Facility,,,275,110,66,,,Percent of total billed charges,,181.5,20.8,,,Percent of total billed charges,,57.2,20.4,,,Percent of total billed charges,,56.1,,34.45,,Case rate,,34.45,,2.08,,Case rate,,2.08,80,,,Percent of total billed charges,,220,61.6,,,Percent of total billed charges,,169.4,20.6,,,Percent of total billed charges,,56.65,20.6,,,Percent of total billed charges,,56.65,65.55,,,Percent of total billed charges,,180.26,21,,,Percent of total billed charges,,57.75,90,,,Percent of total billed charges,,247.5,21,,,Percent of total billed charges,,57.75,21,,,Percent of total billed charges,,57.75,64.9,,,Percent of total billed charges,,178.48,21,,,Percent of total billed charges,,57.75,,184.28,,Case rate,,184.28,2.08,275,
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views",73502,CPT,32073502,CDM,TC,Outpatient,Facility,,,275,110,66,,,Percent of total billed charges,,181.5,20.8,,,Percent of total billed charges,,57.2,20.4,,,Percent of total billed charges,,56.1,,34.45,,Case rate,,34.45,,2.08,,Case rate,,2.08,80,,,Percent of total billed charges,,220,61.6,,,Percent of total billed charges,,169.4,20.6,,,Percent of total billed charges,,56.65,20.6,,,Percent of total billed charges,,56.65,65.55,,,Percent of total billed charges,,180.26,21,,,Percent of total billed charges,,57.75,90,,,Percent of total billed charges,,247.5,21,,,Percent of total billed charges,,57.75,21,,,Percent of total billed charges,,57.75,64.9,,,Percent of total billed charges,,178.48,21,,,Percent of total billed charges,,57.75,,184.28,,Case rate,,184.28,2.08,275,
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,,,,Outpatient,Facility,,,361,144.4,66,,,Percent of total billed charges,,238.26,20.8,,,Percent of total billed charges,,75.09,20.4,,,Percent of total billed charges,,73.64,,29.08,,Case rate,,29.08,,1.93,,Case rate,,1.93,80,,,Percent of total billed charges,,288.8,61.6,,,Percent of total billed charges,,222.38,20.6,,,Percent of total billed charges,,74.37,20.6,,,Percent of total billed charges,,74.37,65.55,,,Percent of total billed charges,,236.64,21,,,Percent of total billed charges,,75.81,90,,,Percent of total billed charges,,324.9,21,,,Percent of total billed charges,,75.81,21,,,Percent of total billed charges,,75.81,64.9,,,Percent of total billed charges,,234.29,21,,,Percent of total billed charges,,75.81,,350.59,,Case rate,,350.59,1.93,361,
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views",73521,CPT,32073521,CDM,TC,Outpatient,Facility,,,361,144.4,66,,,Percent of total billed charges,,238.26,20.8,,,Percent of total billed charges,,75.09,20.4,,,Percent of total billed charges,,73.64,,29.08,,Case rate,,29.08,,1.93,,Case rate,,1.93,80,,,Percent of total billed charges,,288.8,61.6,,,Percent of total billed charges,,222.38,20.6,,,Percent of total billed charges,,74.37,20.6,,,Percent of total billed charges,,74.37,65.55,,,Percent of total billed charges,,236.64,21,,,Percent of total billed charges,,75.81,90,,,Percent of total billed charges,,324.9,21,,,Percent of total billed charges,,75.81,21,,,Percent of total billed charges,,75.81,64.9,,,Percent of total billed charges,,234.29,21,,,Percent of total billed charges,,75.81,,350.59,,Case rate,,350.59,1.93,361,
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views",73522,CPT,32073522,CDM,TC,Outpatient,Facility,,,361,144.4,66,,,Percent of total billed charges,,238.26,20.8,,,Percent of total billed charges,,75.09,20.4,,,Percent of total billed charges,,73.64,,37.61,,Case rate,,37.61,,2.33,,Case rate,,2.33,80,,,Percent of total billed charges,,288.8,61.6,,,Percent of total billed charges,,222.38,20.6,,,Percent of total billed charges,,74.37,20.6,,,Percent of total billed charges,,74.37,65.55,,,Percent of total billed charges,,236.64,21,,,Percent of total billed charges,,75.81,90,,,Percent of total billed charges,,324.9,21,,,Percent of total billed charges,,75.81,21,,,Percent of total billed charges,,75.81,64.9,,,Percent of total billed charges,,234.29,21,,,Percent of total billed charges,,75.81,,344.28,,Case rate,,344.28,2.33,361,
"Radiologic examination, knee; 1 or 2 views",73560,CPT,32073560,CDM,TC,Outpatient,Facility,,,232,92.8,66,,,Percent of total billed charges,,153.12,20.8,,,Percent of total billed charges,,48.26,20.4,,,Percent of total billed charges,,47.33,,24.97,,Case rate,,24.97,,3.46,,Case rate,,3.46,80,,,Percent of total billed charges,,185.6,61.6,,,Percent of total billed charges,,142.91,20.6,,,Percent of total billed charges,,47.79,20.6,,,Percent of total billed charges,,47.79,65.55,,,Percent of total billed charges,,152.08,21,,,Percent of total billed charges,,48.72,90,,,Percent of total billed charges,,208.8,21,,,Percent of total billed charges,,48.72,21,,,Percent of total billed charges,,48.72,64.9,,,Percent of total billed charges,,150.57,21,,,Percent of total billed charges,,48.72,,90.12,,Case rate,,90.12,3.46,232,
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,,,,Outpatient,Facility,,,480,192,66,,,Percent of total billed charges,,316.8,20.8,,,Percent of total billed charges,,99.84,20.4,,,Percent of total billed charges,,97.92,,33.82,,Case rate,,33.82,,4.32,,Case rate,,4.32,80,,,Percent of total billed charges,,384,61.6,,,Percent of total billed charges,,295.68,20.6,,,Percent of total billed charges,,98.88,20.6,,,Percent of total billed charges,,98.88,65.55,,,Percent of total billed charges,,314.64,21,,,Percent of total billed charges,,100.8,90,,,Percent of total billed charges,,432,21,,,Percent of total billed charges,,100.8,21,,,Percent of total billed charges,,100.8,64.9,,,Percent of total billed charges,,311.52,21,,,Percent of total billed charges,,100.8,,112.13,,Case rate,,112.13,4.32,480,
"Radiologic examination, knee; complete, 4 or more views",73564,CPT,32073564,CDM,TC,Outpatient,Facility,,,480,192,66,,,Percent of total billed charges,,316.8,20.8,,,Percent of total billed charges,,99.84,20.4,,,Percent of total billed charges,,97.92,,33.82,,Case rate,,33.82,,4.32,,Case rate,,4.32,80,,,Percent of total billed charges,,384,61.6,,,Percent of total billed charges,,295.68,20.6,,,Percent of total billed charges,,98.88,20.6,,,Percent of total billed charges,,98.88,65.55,,,Percent of total billed charges,,314.64,21,,,Percent of total billed charges,,100.8,90,,,Percent of total billed charges,,432,21,,,Percent of total billed charges,,100.8,21,,,Percent of total billed charges,,100.8,64.9,,,Percent of total billed charges,,311.52,21,,,Percent of total billed charges,,100.8,,112.13,,Case rate,,112.13,4.32,480,
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,,,,Outpatient,Facility,,,276,110.4,66,,,Percent of total billed charges,,182.16,20.8,,,Percent of total billed charges,,57.41,20.4,,,Percent of total billed charges,,56.3,,30.03,,Case rate,,30.03,,4.53,,Case rate,,4.53,80,,,Percent of total billed charges,,220.8,61.6,,,Percent of total billed charges,,170.02,20.6,,,Percent of total billed charges,,56.86,20.6,,,Percent of total billed charges,,56.86,65.55,,,Percent of total billed charges,,180.92,21,,,Percent of total billed charges,,57.96,90,,,Percent of total billed charges,,248.4,21,,,Percent of total billed charges,,57.96,21,,,Percent of total billed charges,,57.96,64.9,,,Percent of total billed charges,,179.12,21,,,Percent of total billed charges,,57.96,,103.17,,Case rate,,103.17,4.53,276,
"Radiologic examination, mandible; complete, minimum of 4 views",70110,CPT,32070110,CDM,TC,Outpatient,Facility,,,276,110.4,66,,,Percent of total billed charges,,182.16,20.8,,,Percent of total billed charges,,57.41,20.4,,,Percent of total billed charges,,56.3,,30.03,,Case rate,,30.03,,4.53,,Case rate,,4.53,80,,,Percent of total billed charges,,220.8,61.6,,,Percent of total billed charges,,170.02,20.6,,,Percent of total billed charges,,56.86,20.6,,,Percent of total billed charges,,56.86,65.55,,,Percent of total billed charges,,180.92,21,,,Percent of total billed charges,,57.96,90,,,Percent of total billed charges,,248.4,21,,,Percent of total billed charges,,57.96,21,,,Percent of total billed charges,,57.96,64.9,,,Percent of total billed charges,,179.12,21,,,Percent of total billed charges,,57.96,,103.17,,Case rate,,103.17,4.53,276,
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,,,,Outpatient,Facility,,,213,85.2,66,,,Percent of total billed charges,,140.58,20.8,,,Percent of total billed charges,,44.3,20.4,,,Percent of total billed charges,,43.45,,28.45,,Case rate,,28.45,,3.65,,Case rate,,3.65,80,,,Percent of total billed charges,,170.4,61.6,,,Percent of total billed charges,,131.21,20.6,,,Percent of total billed charges,,43.88,20.6,,,Percent of total billed charges,,43.88,65.55,,,Percent of total billed charges,,139.62,21,,,Percent of total billed charges,,44.73,90,,,Percent of total billed charges,,191.7,21,,,Percent of total billed charges,,44.73,21,,,Percent of total billed charges,,44.73,64.9,,,Percent of total billed charges,,138.24,21,,,Percent of total billed charges,,44.73,,82.13,,Case rate,,82.13,3.65,213,
"Radiologic examination, mandible; partial, less than 4 views",70100,CPT,32070100,CDM,TC,Outpatient,Facility,,,213,85.2,66,,,Percent of total billed charges,,140.58,20.8,,,Percent of total billed charges,,44.3,20.4,,,Percent of total billed charges,,43.45,,28.45,,Case rate,,28.45,,3.65,,Case rate,,3.65,80,,,Percent of total billed charges,,170.4,61.6,,,Percent of total billed charges,,131.21,20.6,,,Percent of total billed charges,,43.88,20.6,,,Percent of total billed charges,,43.88,65.55,,,Percent of total billed charges,,139.62,21,,,Percent of total billed charges,,44.73,90,,,Percent of total billed charges,,191.7,21,,,Percent of total billed charges,,44.73,21,,,Percent of total billed charges,,44.73,64.9,,,Percent of total billed charges,,138.24,21,,,Percent of total billed charges,,44.73,,82.13,,Case rate,,82.13,3.65,213,
"Radiologic examination, mastoids; complete, minimum of 3 views per side",70130,CPT,32070130,CDM,TC,Outpatient,Facility,,,238,95.2,66,,,Percent of total billed charges,,157.08,20.8,,,Percent of total billed charges,,49.5,20.4,,,Percent of total billed charges,,48.55,,43.94,,Case rate,,43.94,,5.85,,Case rate,,5.85,80,,,Percent of total billed charges,,190.4,61.6,,,Percent of total billed charges,,146.61,20.6,,,Percent of total billed charges,,49.03,20.6,,,Percent of total billed charges,,49.03,65.55,,,Percent of total billed charges,,156.01,21,,,Percent of total billed charges,,49.98,90,,,Percent of total billed charges,,214.2,21,,,Percent of total billed charges,,49.98,21,,,Percent of total billed charges,,49.98,64.9,,,Percent of total billed charges,,154.46,21,,,Percent of total billed charges,,49.98,,134.83,,Case rate,,134.83,5.85,238,
"Radiologic examination, nasal bones, complete, minimum of 3 views",70160,CPT,,,,Outpatient,Facility,,,344,137.6,66,,,Percent of total billed charges,,227.04,20.8,,,Percent of total billed charges,,71.55,20.4,,,Percent of total billed charges,,70.18,,28.45,,Case rate,,28.45,,3.72,,Case rate,,3.72,80,,,Percent of total billed charges,,275.2,61.6,,,Percent of total billed charges,,211.9,20.6,,,Percent of total billed charges,,70.86,20.6,,,Percent of total billed charges,,70.86,65.55,,,Percent of total billed charges,,225.49,21,,,Percent of total billed charges,,72.24,90,,,Percent of total billed charges,,309.6,21,,,Percent of total billed charges,,72.24,21,,,Percent of total billed charges,,72.24,64.9,,,Percent of total billed charges,,223.26,21,,,Percent of total billed charges,,72.24,,98.9,,Case rate,,98.9,3.72,344,
"Radiologic examination, osseous survey, infant",77076,CPT,,,,Outpatient,Facility,,,380,152,66,,,Percent of total billed charges,,250.8,20.8,,,Percent of total billed charges,,79.04,20.4,,,Percent of total billed charges,,77.52,,70.49,,Case rate,,70.49,,6.95,,Case rate,,6.95,80,,,Percent of total billed charges,,304,61.6,,,Percent of total billed charges,,234.08,20.6,,,Percent of total billed charges,,78.28,20.6,,,Percent of total billed charges,,78.28,65.55,,,Percent of total billed charges,,249.09,21,,,Percent of total billed charges,,79.8,90,,,Percent of total billed charges,,342,21,,,Percent of total billed charges,,79.8,21,,,Percent of total billed charges,,79.8,64.9,,,Percent of total billed charges,,246.62,21,,,Percent of total billed charges,,79.8,,169.79,,Case rate,,169.79,6.95,380,
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,,,,Outpatient,Facility,,,279,111.6,66,,,Percent of total billed charges,,184.14,20.8,,,Percent of total billed charges,,58.03,20.4,,,Percent of total billed charges,,56.92,,18.64,,Case rate,,18.64,,3.46,,Case rate,,3.46,80,,,Percent of total billed charges,,223.2,61.6,,,Percent of total billed charges,,171.86,20.6,,,Percent of total billed charges,,57.47,20.6,,,Percent of total billed charges,,57.47,65.55,,,Percent of total billed charges,,182.88,21,,,Percent of total billed charges,,58.59,90,,,Percent of total billed charges,,251.1,21,,,Percent of total billed charges,,58.59,21,,,Percent of total billed charges,,58.59,64.9,,,Percent of total billed charges,,181.07,21,,,Percent of total billed charges,,58.59,,91.75,,Case rate,,91.75,3.46,279,
"Radiologic examination, pelvis; 1 or 2 views",72170,CPT,32072170,CDM,TC,Outpatient,Facility,,,279,111.6,66,,,Percent of total billed charges,,184.14,20.8,,,Percent of total billed charges,,58.03,20.4,,,Percent of total billed charges,,56.92,,18.64,,Case rate,,18.64,,3.46,,Case rate,,3.46,80,,,Percent of total billed charges,,223.2,61.6,,,Percent of total billed charges,,171.86,20.6,,,Percent of total billed charges,,57.47,20.6,,,Percent of total billed charges,,57.47,65.55,,,Percent of total billed charges,,182.88,21,,,Percent of total billed charges,,58.59,90,,,Percent of total billed charges,,251.1,21,,,Percent of total billed charges,,58.59,21,,,Percent of total billed charges,,58.59,64.9,,,Percent of total billed charges,,181.07,21,,,Percent of total billed charges,,58.59,,91.75,,Case rate,,91.75,3.46,279,
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,,,,Outpatient,Facility,,,559,223.6,66,,,Percent of total billed charges,,368.94,20.8,,,Percent of total billed charges,,116.27,20.4,,,Percent of total billed charges,,114.04,,28.76,,Case rate,,28.76,,5.42,,Case rate,,5.42,80,,,Percent of total billed charges,,447.2,61.6,,,Percent of total billed charges,,344.34,20.6,,,Percent of total billed charges,,115.15,20.6,,,Percent of total billed charges,,115.15,65.55,,,Percent of total billed charges,,366.42,21,,,Percent of total billed charges,,117.39,90,,,Percent of total billed charges,,503.1,21,,,Percent of total billed charges,,117.39,21,,,Percent of total billed charges,,117.39,64.9,,,Percent of total billed charges,,362.79,21,,,Percent of total billed charges,,117.39,,140.73,,Case rate,,140.73,5.42,559,
"Radiologic examination, ribs, bilateral; 3 views",71110,CPT,32071110,CDM,TC,Outpatient,Facility,,,559,223.6,66,,,Percent of total billed charges,,368.94,20.8,,,Percent of total billed charges,,116.27,20.4,,,Percent of total billed charges,,114.04,,28.76,,Case rate,,28.76,,5.42,,Case rate,,5.42,80,,,Percent of total billed charges,,447.2,61.6,,,Percent of total billed charges,,344.34,20.6,,,Percent of total billed charges,,115.15,20.6,,,Percent of total billed charges,,115.15,65.55,,,Percent of total billed charges,,366.42,21,,,Percent of total billed charges,,117.39,90,,,Percent of total billed charges,,503.1,21,,,Percent of total billed charges,,117.39,21,,,Percent of total billed charges,,117.39,64.9,,,Percent of total billed charges,,362.79,21,,,Percent of total billed charges,,117.39,,140.73,,Case rate,,140.73,5.42,559,
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views",71111,CPT,,,,Outpatient,Facility,,,615,246,66,,,Percent of total billed charges,,405.9,20.8,,,Percent of total billed charges,,127.92,20.4,,,Percent of total billed charges,,125.46,,35.4,,Case rate,,35.4,,6.22,,Case rate,,6.22,80,,,Percent of total billed charges,,492,61.6,,,Percent of total billed charges,,378.84,20.6,,,Percent of total billed charges,,126.69,20.6,,,Percent of total billed charges,,126.69,65.55,,,Percent of total billed charges,,403.13,21,,,Percent of total billed charges,,129.15,90,,,Percent of total billed charges,,553.5,21,,,Percent of total billed charges,,129.15,21,,,Percent of total billed charges,,129.15,64.9,,,Percent of total billed charges,,399.14,21,,,Percent of total billed charges,,129.15,,158.33,,Case rate,,158.33,6.22,615,
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,,,,Outpatient,Facility,,,373,149.2,66,,,Percent of total billed charges,,246.18,20.8,,,Percent of total billed charges,,77.58,20.4,,,Percent of total billed charges,,76.09,,24.97,,Case rate,,24.97,,4.1,,Case rate,,4.1,80,,,Percent of total billed charges,,298.4,61.6,,,Percent of total billed charges,,229.77,20.6,,,Percent of total billed charges,,76.84,20.6,,,Percent of total billed charges,,76.84,65.55,,,Percent of total billed charges,,244.5,21,,,Percent of total billed charges,,78.33,90,,,Percent of total billed charges,,335.7,21,,,Percent of total billed charges,,78.33,21,,,Percent of total billed charges,,78.33,64.9,,,Percent of total billed charges,,242.08,21,,,Percent of total billed charges,,78.33,,105.81,,Case rate,,105.81,4.1,373,
"Radiologic examination, ribs, unilateral; 2 views",71100,CPT,32071100,CDM,TC,Outpatient,Facility,,,373,149.2,66,,,Percent of total billed charges,,246.18,20.8,,,Percent of total billed charges,,77.58,20.4,,,Percent of total billed charges,,76.09,,24.97,,Case rate,,24.97,,4.1,,Case rate,,4.1,80,,,Percent of total billed charges,,298.4,61.6,,,Percent of total billed charges,,229.77,20.6,,,Percent of total billed charges,,76.84,20.6,,,Percent of total billed charges,,76.84,65.55,,,Percent of total billed charges,,244.5,21,,,Percent of total billed charges,,78.33,90,,,Percent of total billed charges,,335.7,21,,,Percent of total billed charges,,78.33,21,,,Percent of total billed charges,,78.33,64.9,,,Percent of total billed charges,,242.08,21,,,Percent of total billed charges,,78.33,,105.81,,Case rate,,105.81,4.1,373,
"Radiologic examination, sacrum and coccyx, minimum of 2 views",72220,CPT,,,,Outpatient,Facility,,,455,182,66,,,Percent of total billed charges,,300.3,20.8,,,Percent of total billed charges,,94.64,20.4,,,Percent of total billed charges,,92.82,,23.07,,Case rate,,23.07,,3.85,,Case rate,,3.85,80,,,Percent of total billed charges,,364,61.6,,,Percent of total billed charges,,280.28,20.6,,,Percent of total billed charges,,93.73,20.6,,,Percent of total billed charges,,93.73,65.55,,,Percent of total billed charges,,298.25,21,,,Percent of total billed charges,,95.55,90,,,Percent of total billed charges,,409.5,21,,,Percent of total billed charges,,95.55,21,,,Percent of total billed charges,,95.55,64.9,,,Percent of total billed charges,,295.3,21,,,Percent of total billed charges,,95.55,,100.61,,Case rate,,100.61,3.85,455,
"Radiologic examination, sella turcica",70240,CPT,32070240,CDM,TC,Outpatient,Facility,,,146,58.4,66,,,Percent of total billed charges,,96.36,20.8,,,Percent of total billed charges,,30.37,20.4,,,Percent of total billed charges,,29.78,,22.75,,Case rate,,22.75,,3.2,,Case rate,,3.2,80,,,Percent of total billed charges,,116.8,61.6,,,Percent of total billed charges,,89.94,20.6,,,Percent of total billed charges,,30.08,20.6,,,Percent of total billed charges,,30.08,65.55,,,Percent of total billed charges,,95.7,21,,,Percent of total billed charges,,30.66,90,,,Percent of total billed charges,,131.4,21,,,Percent of total billed charges,,30.66,21,,,Percent of total billed charges,,30.66,64.9,,,Percent of total billed charges,,94.75,21,,,Percent of total billed charges,,30.66,,70.95,,Case rate,,70.95,3.2,146,
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation",73040,CPT,32073040,CDM,TC,Outpatient,Facility,,,579,231.6,66,,,Percent of total billed charges,,382.14,20.8,,,Percent of total billed charges,,120.43,20.4,,,Percent of total billed charges,,118.12,,99.9,,Case rate,,99.9,,13.16,,Case rate,,13.16,80,,,Percent of total billed charges,,463.2,61.6,,,Percent of total billed charges,,356.66,20.6,,,Percent of total billed charges,,119.27,20.6,,,Percent of total billed charges,,119.27,65.55,,,Percent of total billed charges,,379.53,21,,,Percent of total billed charges,,121.59,90,,,Percent of total billed charges,,521.1,21,,,Percent of total billed charges,,121.59,21,,,Percent of total billed charges,,121.59,64.9,,,Percent of total billed charges,,375.77,21,,,Percent of total billed charges,,121.59,,328.82,,Case rate,,328.82,13.16,579,
"Radiologic examination, shoulder; 1 view",73020,CPT,,,,Outpatient,Facility,,,160,64,66,,,Percent of total billed charges,,105.6,20.8,,,Percent of total billed charges,,33.28,20.4,,,Percent of total billed charges,,32.64,,13.59,,Case rate,,13.59,,3.15,,Case rate,,3.15,80,,,Percent of total billed charges,,128,61.6,,,Percent of total billed charges,,98.56,20.6,,,Percent of total billed charges,,32.96,20.6,,,Percent of total billed charges,,32.96,65.55,,,Percent of total billed charges,,104.88,21,,,Percent of total billed charges,,33.6,90,,,Percent of total billed charges,,144,21,,,Percent of total billed charges,,33.6,21,,,Percent of total billed charges,,33.6,64.9,,,Percent of total billed charges,,103.84,21,,,Percent of total billed charges,,33.6,,84.73,,Case rate,,84.73,3.15,160,
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",70220,CPT,32070220,CDM,TC,Outpatient,Facility,,,617,246.8,66,,,Percent of total billed charges,,407.22,20.8,,,Percent of total billed charges,,128.34,20.4,,,Percent of total billed charges,,125.87,,25.92,,Case rate,,25.92,,5.29,,Case rate,,5.29,80,,,Percent of total billed charges,,493.6,61.6,,,Percent of total billed charges,,380.07,20.6,,,Percent of total billed charges,,127.1,20.6,,,Percent of total billed charges,,127.1,65.55,,,Percent of total billed charges,,404.44,21,,,Percent of total billed charges,,129.57,90,,,Percent of total billed charges,,555.3,21,,,Percent of total billed charges,,129.57,21,,,Percent of total billed charges,,129.57,64.9,,,Percent of total billed charges,,400.43,21,,,Percent of total billed charges,,129.57,,122.76,,Case rate,,122.76,5.29,617,
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,,,,Outpatient,Facility,,,144,57.6,66,,,Percent of total billed charges,,95.04,20.8,,,Percent of total billed charges,,29.95,20.4,,,Percent of total billed charges,,29.38,,22.75,,Case rate,,22.75,,3.95,,Case rate,,3.95,80,,,Percent of total billed charges,,115.2,61.6,,,Percent of total billed charges,,88.7,20.6,,,Percent of total billed charges,,29.66,20.6,,,Percent of total billed charges,,29.66,65.55,,,Percent of total billed charges,,94.39,21,,,Percent of total billed charges,,30.24,90,,,Percent of total billed charges,,129.6,21,,,Percent of total billed charges,,30.24,21,,,Percent of total billed charges,,30.24,64.9,,,Percent of total billed charges,,93.46,21,,,Percent of total billed charges,,30.24,,87.8,,Case rate,,87.8,3.95,144,
"Radiologic examination, sinuses, paranasal, less than 3 views",70210,CPT,32070210,CDM,TC,Outpatient,Facility,,,144,57.6,66,,,Percent of total billed charges,,95.04,20.8,,,Percent of total billed charges,,29.95,20.4,,,Percent of total billed charges,,29.38,,22.75,,Case rate,,22.75,,3.95,,Case rate,,3.95,80,,,Percent of total billed charges,,115.2,61.6,,,Percent of total billed charges,,88.7,20.6,,,Percent of total billed charges,,29.66,20.6,,,Percent of total billed charges,,29.66,65.55,,,Percent of total billed charges,,94.39,21,,,Percent of total billed charges,,30.24,90,,,Percent of total billed charges,,129.6,21,,,Percent of total billed charges,,30.24,21,,,Percent of total billed charges,,30.24,64.9,,,Percent of total billed charges,,93.46,21,,,Percent of total billed charges,,30.24,,87.8,,Case rate,,87.8,3.95,144,
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,,,,Outpatient,Facility,,,492,196.8,66,,,Percent of total billed charges,,324.72,20.8,,,Percent of total billed charges,,102.34,20.4,,,Percent of total billed charges,,100.37,,29.71,,Case rate,,29.71,,6.35,,Case rate,,6.35,80,,,Percent of total billed charges,,393.6,61.6,,,Percent of total billed charges,,303.07,20.6,,,Percent of total billed charges,,101.35,20.6,,,Percent of total billed charges,,101.35,65.55,,,Percent of total billed charges,,322.51,21,,,Percent of total billed charges,,103.32,90,,,Percent of total billed charges,,442.8,21,,,Percent of total billed charges,,103.32,21,,,Percent of total billed charges,,103.32,64.9,,,Percent of total billed charges,,319.31,21,,,Percent of total billed charges,,103.32,,148.02,,Case rate,,148.02,6.35,492,
"Radiologic examination, skull; complete, minimum of 4 views",70260,CPT,32070260,CDM,TC,Outpatient,Facility,,,492,196.8,66,,,Percent of total billed charges,,324.72,20.8,,,Percent of total billed charges,,102.34,20.4,,,Percent of total billed charges,,100.37,,29.71,,Case rate,,29.71,,6.35,,Case rate,,6.35,80,,,Percent of total billed charges,,393.6,61.6,,,Percent of total billed charges,,303.07,20.6,,,Percent of total billed charges,,101.35,20.6,,,Percent of total billed charges,,101.35,65.55,,,Percent of total billed charges,,322.51,21,,,Percent of total billed charges,,103.32,90,,,Percent of total billed charges,,442.8,21,,,Percent of total billed charges,,103.32,21,,,Percent of total billed charges,,103.32,64.9,,,Percent of total billed charges,,319.31,21,,,Percent of total billed charges,,103.32,,148.02,,Case rate,,148.02,6.35,492,
"Radiologic examination, skull; less than 4 views",70250,CPT,,,,Outpatient,Facility,,,374,149.6,66,,,Percent of total billed charges,,246.84,20.8,,,Percent of total billed charges,,77.79,20.4,,,Percent of total billed charges,,76.3,,25.92,,Case rate,,25.92,,4.94,,Case rate,,4.94,80,,,Percent of total billed charges,,299.2,61.6,,,Percent of total billed charges,,230.38,20.6,,,Percent of total billed charges,,77.04,20.6,,,Percent of total billed charges,,77.04,65.55,,,Percent of total billed charges,,245.16,21,,,Percent of total billed charges,,78.54,90,,,Percent of total billed charges,,336.6,21,,,Percent of total billed charges,,78.54,21,,,Percent of total billed charges,,78.54,64.9,,,Percent of total billed charges,,242.73,21,,,Percent of total billed charges,,78.54,,128.24,,Case rate,,128.24,4.94,374,
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,,,,Outpatient,Facility,,,459,183.6,66,,,Percent of total billed charges,,302.94,20.8,,,Percent of total billed charges,,95.47,20.4,,,Percent of total billed charges,,93.64,,27.5,,Case rate,,27.5,,4.24,,Case rate,,4.24,80,,,Percent of total billed charges,,367.2,61.6,,,Percent of total billed charges,,282.74,20.6,,,Percent of total billed charges,,94.55,20.6,,,Percent of total billed charges,,94.55,65.55,,,Percent of total billed charges,,300.87,21,,,Percent of total billed charges,,96.39,90,,,Percent of total billed charges,,413.1,21,,,Percent of total billed charges,,96.39,21,,,Percent of total billed charges,,96.39,64.9,,,Percent of total billed charges,,297.89,21,,,Percent of total billed charges,,96.39,,109.48,,Case rate,,109.48,4.24,459,
"Radiologic examination, spine, cervical; 2 or 3 views",72040,CPT,32072040,CDM,TC,Outpatient,Facility,,,459,183.6,66,,,Percent of total billed charges,,302.94,20.8,,,Percent of total billed charges,,95.47,20.4,,,Percent of total billed charges,,93.64,,27.5,,Case rate,,27.5,,4.24,,Case rate,,4.24,80,,,Percent of total billed charges,,367.2,61.6,,,Percent of total billed charges,,282.74,20.6,,,Percent of total billed charges,,94.55,20.6,,,Percent of total billed charges,,94.55,65.55,,,Percent of total billed charges,,300.87,21,,,Percent of total billed charges,,96.39,90,,,Percent of total billed charges,,413.1,21,,,Percent of total billed charges,,96.39,21,,,Percent of total billed charges,,96.39,64.9,,,Percent of total billed charges,,297.89,21,,,Percent of total billed charges,,96.39,,109.48,,Case rate,,109.48,4.24,459,
"Radiologic examination, spine, cervical; 4 or 5 views",72050,CPT,32072050,CDM,TC,Outpatient,Facility,,,713,285.2,66,,,Percent of total billed charges,,470.58,20.8,,,Percent of total billed charges,,148.3,20.4,,,Percent of total billed charges,,145.45,,38.25,,Case rate,,38.25,,6.13,,Case rate,,6.13,80,,,Percent of total billed charges,,570.4,61.6,,,Percent of total billed charges,,439.21,20.6,,,Percent of total billed charges,,146.88,20.6,,,Percent of total billed charges,,146.88,65.55,,,Percent of total billed charges,,467.37,21,,,Percent of total billed charges,,149.73,90,,,Percent of total billed charges,,641.7,21,,,Percent of total billed charges,,149.73,21,,,Percent of total billed charges,,149.73,64.9,,,Percent of total billed charges,,462.74,21,,,Percent of total billed charges,,149.73,,142.73,,Case rate,,142.73,6.13,713,
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views",72084,CPT,32072084,CDM,TC,Outpatient,Facility,,,529,211.6,66,,,Percent of total billed charges,,349.14,20.8,,,Percent of total billed charges,,110.03,20.4,,,Percent of total billed charges,,107.92,,75.23,,Case rate,,75.23,,4.19,,Case rate,,4.19,80,,,Percent of total billed charges,,423.2,61.6,,,Percent of total billed charges,,325.86,20.6,,,Percent of total billed charges,,108.97,20.6,,,Percent of total billed charges,,108.97,65.55,,,Percent of total billed charges,,346.76,21,,,Percent of total billed charges,,111.09,90,,,Percent of total billed charges,,476.1,21,,,Percent of total billed charges,,111.09,21,,,Percent of total billed charges,,111.09,64.9,,,Percent of total billed charges,,343.32,21,,,Percent of total billed charges,,111.09,,400.23,,Case rate,,400.23,4.19,529,
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view",72081,CPT,,,,Outpatient,Facility,,,222,88.8,66,,,Percent of total billed charges,,146.52,20.8,,,Percent of total billed charges,,46.18,20.4,,,Percent of total billed charges,,45.29,,28.76,,Case rate,,28.76,,1.76,,Case rate,,1.76,80,,,Percent of total billed charges,,177.6,61.6,,,Percent of total billed charges,,136.75,20.6,,,Percent of total billed charges,,45.73,20.6,,,Percent of total billed charges,,45.73,65.55,,,Percent of total billed charges,,145.52,21,,,Percent of total billed charges,,46.62,90,,,Percent of total billed charges,,199.8,21,,,Percent of total billed charges,,46.62,21,,,Percent of total billed charges,,46.62,64.9,,,Percent of total billed charges,,144.08,21,,,Percent of total billed charges,,46.62,,189.25,,Case rate,,189.25,1.76,222,
"Radiologic examination, spine, lumbosacral; 2 or 3 views",72100,CPT,,,,Outpatient,Facility,,,528,211.2,66,,,Percent of total billed charges,,348.48,20.8,,,Percent of total billed charges,,109.82,20.4,,,Percent of total billed charges,,107.71,,27.81,,Case rate,,27.81,,4.55,,Case rate,,4.55,80,,,Percent of total billed charges,,422.4,61.6,,,Percent of total billed charges,,325.25,20.6,,,Percent of total billed charges,,108.77,20.6,,,Percent of total billed charges,,108.77,65.55,,,Percent of total billed charges,,346.1,21,,,Percent of total billed charges,,110.88,90,,,Percent of total billed charges,,475.2,21,,,Percent of total billed charges,,110.88,21,,,Percent of total billed charges,,110.88,64.9,,,Percent of total billed charges,,342.67,21,,,Percent of total billed charges,,110.88,,102.42,,Case rate,,102.42,4.55,528,
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views",72120,CPT,,,,Outpatient,Facility,,,386,154.4,66,,,Percent of total billed charges,,254.76,20.8,,,Percent of total billed charges,,80.29,20.4,,,Percent of total billed charges,,78.74,,28.45,,Case rate,,28.45,,5.51,,Case rate,,5.51,80,,,Percent of total billed charges,,308.8,61.6,,,Percent of total billed charges,,237.78,20.6,,,Percent of total billed charges,,79.52,20.6,,,Percent of total billed charges,,79.52,65.55,,,Percent of total billed charges,,253.02,21,,,Percent of total billed charges,,81.06,90,,,Percent of total billed charges,,347.4,21,,,Percent of total billed charges,,81.06,21,,,Percent of total billed charges,,81.06,64.9,,,Percent of total billed charges,,250.51,21,,,Percent of total billed charges,,81.06,,128.29,,Case rate,,128.29,5.51,386,
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,,,,Outpatient,Facility,,,728,291.2,66,,,Percent of total billed charges,,480.48,20.8,,,Percent of total billed charges,,151.42,20.4,,,Percent of total billed charges,,148.51,,44.89,,Case rate,,44.89,,7.76,,Case rate,,7.76,80,,,Percent of total billed charges,,582.4,61.6,,,Percent of total billed charges,,448.45,20.6,,,Percent of total billed charges,,149.97,20.6,,,Percent of total billed charges,,149.97,65.55,,,Percent of total billed charges,,477.2,21,,,Percent of total billed charges,,152.88,90,,,Percent of total billed charges,,655.2,21,,,Percent of total billed charges,,152.88,21,,,Percent of total billed charges,,152.88,64.9,,,Percent of total billed charges,,472.47,21,,,Percent of total billed charges,,152.88,,198.02,,Case rate,,198.02,7.76,728,
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views",72114,CPT,32072114,CDM,TC,Outpatient,Facility,,,728,291.2,66,,,Percent of total billed charges,,480.48,20.8,,,Percent of total billed charges,,151.42,20.4,,,Percent of total billed charges,,148.51,,44.89,,Case rate,,44.89,,7.76,,Case rate,,7.76,80,,,Percent of total billed charges,,582.4,61.6,,,Percent of total billed charges,,448.45,20.6,,,Percent of total billed charges,,149.97,20.6,,,Percent of total billed charges,,149.97,65.55,,,Percent of total billed charges,,477.2,21,,,Percent of total billed charges,,152.88,90,,,Percent of total billed charges,,655.2,21,,,Percent of total billed charges,,152.88,21,,,Percent of total billed charges,,152.88,64.9,,,Percent of total billed charges,,472.47,21,,,Percent of total billed charges,,152.88,,198.02,,Case rate,,198.02,7.76,728,
"Radiologic examination, spine, lumbosacral; minimum of 4 views",72110,CPT,32072110,CDM,TC,Outpatient,Facility,,,728,291.2,66,,,Percent of total billed charges,,480.48,20.8,,,Percent of total billed charges,,151.42,20.4,,,Percent of total billed charges,,148.51,,36.98,,Case rate,,36.98,,6.22,,Case rate,,6.22,80,,,Percent of total billed charges,,582.4,61.6,,,Percent of total billed charges,,448.45,20.6,,,Percent of total billed charges,,149.97,20.6,,,Percent of total billed charges,,149.97,65.55,,,Percent of total billed charges,,477.2,21,,,Percent of total billed charges,,152.88,90,,,Percent of total billed charges,,655.2,21,,,Percent of total billed charges,,152.88,21,,,Percent of total billed charges,,152.88,64.9,,,Percent of total billed charges,,472.47,21,,,Percent of total billed charges,,152.88,,159.21,,Case rate,,159.21,6.22,728,
"Radiologic examination, spine, single view, specify level",72020,CPT,,,,Outpatient,Facility,,,186,74.4,66,,,Percent of total billed charges,,122.76,20.8,,,Percent of total billed charges,,38.69,20.4,,,Percent of total billed charges,,37.94,,16.12,,Case rate,,16.12,,2.94,,Case rate,,2.94,80,,,Percent of total billed charges,,148.8,61.6,,,Percent of total billed charges,,114.58,20.6,,,Percent of total billed charges,,38.32,20.6,,,Percent of total billed charges,,38.32,65.55,,,Percent of total billed charges,,121.92,21,,,Percent of total billed charges,,39.06,90,,,Percent of total billed charges,,167.4,21,,,Percent of total billed charges,,39.06,21,,,Percent of total billed charges,,39.06,64.9,,,Percent of total billed charges,,120.71,21,,,Percent of total billed charges,,39.06,,77.72,,Case rate,,77.72,2.94,186,
"Radiologic examination, spine; thoracic, 2 views",72070,CPT,,,,Outpatient,Facility,,,524,209.6,66,,,Percent of total billed charges,,345.84,20.8,,,Percent of total billed charges,,108.99,20.4,,,Percent of total billed charges,,106.9,,22.12,,Case rate,,22.12,,4.44,,Case rate,,4.44,80,,,Percent of total billed charges,,419.2,61.6,,,Percent of total billed charges,,322.78,20.6,,,Percent of total billed charges,,107.94,20.6,,,Percent of total billed charges,,107.94,65.55,,,Percent of total billed charges,,343.48,21,,,Percent of total billed charges,,110.04,90,,,Percent of total billed charges,,471.6,21,,,Percent of total billed charges,,110.04,21,,,Percent of total billed charges,,110.04,64.9,,,Percent of total billed charges,,340.08,21,,,Percent of total billed charges,,110.04,,114.91,,Case rate,,114.91,4.44,524,
"Radiologic examination, spine; thoracic, 3 views",72072,CPT,32072072,CDM,TC,Outpatient,Facility,,,576,230.4,66,,,Percent of total billed charges,,380.16,20.8,,,Percent of total billed charges,,119.81,20.4,,,Percent of total billed charges,,117.5,,27.18,,Case rate,,27.18,,4.8,,Case rate,,4.8,80,,,Percent of total billed charges,,460.8,61.6,,,Percent of total billed charges,,354.82,20.6,,,Percent of total billed charges,,118.66,20.6,,,Percent of total billed charges,,118.66,65.55,,,Percent of total billed charges,,377.57,21,,,Percent of total billed charges,,120.96,90,,,Percent of total billed charges,,518.4,21,,,Percent of total billed charges,,120.96,21,,,Percent of total billed charges,,120.96,64.9,,,Percent of total billed charges,,373.82,21,,,Percent of total billed charges,,120.96,,124.94,,Case rate,,124.94,4.8,576,
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study",74230,CPT,,,,Outpatient,Facility,,,551,220.4,66,,,Percent of total billed charges,,363.66,20.8,,,Percent of total billed charges,,114.61,20.4,,,Percent of total billed charges,,112.4,,96.74,,Case rate,,96.74,,9.5,,Case rate,,9.5,80,,,Percent of total billed charges,,440.8,61.6,,,Percent of total billed charges,,339.42,20.6,,,Percent of total billed charges,,113.51,20.6,,,Percent of total billed charges,,113.51,65.55,,,Percent of total billed charges,,361.18,21,,,Percent of total billed charges,,115.71,90,,,Percent of total billed charges,,495.9,21,,,Percent of total billed charges,,115.71,21,,,Percent of total billed charges,,115.71,64.9,,,Percent of total billed charges,,357.6,21,,,Percent of total billed charges,,115.71,,226.67,,Case rate,,226.67,9.5,551,
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study",74240,CPT,,,,Outpatient,Facility,,,352,140.8,66,,,Percent of total billed charges,,232.32,20.8,,,Percent of total billed charges,,73.22,20.4,,,Percent of total billed charges,,71.81,,82.19,,Case rate,,82.19,,11.27,,Case rate,,11.27,80,,,Percent of total billed charges,,281.6,61.6,,,Percent of total billed charges,,216.83,20.6,,,Percent of total billed charges,,72.51,20.6,,,Percent of total billed charges,,72.51,65.55,,,Percent of total billed charges,,230.74,21,,,Percent of total billed charges,,73.92,90,,,Percent of total billed charges,,316.8,21,,,Percent of total billed charges,,73.92,21,,,Percent of total billed charges,,73.92,64.9,,,Percent of total billed charges,,228.45,21,,,Percent of total billed charges,,73.92,,269.62,,Case rate,,269.62,11.27,352,
"Radiologic examination, wrist; 2 views",73100,CPT,,,,Outpatient,Facility,,,232,92.8,66,,,Percent of total billed charges,,153.12,20.8,,,Percent of total billed charges,,48.26,20.4,,,Percent of total billed charges,,47.33,,24.65,,Case rate,,24.65,,3.34,,Case rate,,3.34,80,,,Percent of total billed charges,,185.6,61.6,,,Percent of total billed charges,,142.91,20.6,,,Percent of total billed charges,,47.79,20.6,,,Percent of total billed charges,,47.79,65.55,,,Percent of total billed charges,,152.08,21,,,Percent of total billed charges,,48.72,90,,,Percent of total billed charges,,208.8,21,,,Percent of total billed charges,,48.72,21,,,Percent of total billed charges,,48.72,64.9,,,Percent of total billed charges,,150.57,21,,,Percent of total billed charges,,48.72,,88.73,,Case rate,,88.73,3.34,232,
"Radiologic examination, wrist; 2 views",73100,CPT,32073100,CDM,TC,Outpatient,Facility,,,232,92.8,66,,,Percent of total billed charges,,153.12,20.8,,,Percent of total billed charges,,48.26,20.4,,,Percent of total billed charges,,47.33,,24.65,,Case rate,,24.65,,3.34,,Case rate,,3.34,80,,,Percent of total billed charges,,185.6,61.6,,,Percent of total billed charges,,142.91,20.6,,,Percent of total billed charges,,47.79,20.6,,,Percent of total billed charges,,47.79,65.55,,,Percent of total billed charges,,152.08,21,,,Percent of total billed charges,,48.72,90,,,Percent of total billed charges,,208.8,21,,,Percent of total billed charges,,48.72,21,,,Percent of total billed charges,,48.72,64.9,,,Percent of total billed charges,,150.57,21,,,Percent of total billed charges,,48.72,,88.73,,Case rate,,88.73,3.34,232,
"Radiologic examination, wrist; complete, minimum of 3 views",73110,CPT,,,,Outpatient,Facility,,,410,164,66,,,Percent of total billed charges,,270.6,20.8,,,Percent of total billed charges,,85.28,20.4,,,Percent of total billed charges,,83.64,,30.98,,Case rate,,30.98,,3.55,,Case rate,,3.55,80,,,Percent of total billed charges,,328,61.6,,,Percent of total billed charges,,252.56,20.6,,,Percent of total billed charges,,84.46,20.6,,,Percent of total billed charges,,84.46,65.55,,,Percent of total billed charges,,268.76,21,,,Percent of total billed charges,,86.1,90,,,Percent of total billed charges,,369,21,,,Percent of total billed charges,,86.1,21,,,Percent of total billed charges,,86.1,64.9,,,Percent of total billed charges,,266.09,21,,,Percent of total billed charges,,86.1,,92.35,,Case rate,,92.35,3.55,410,
"Radiologic examination; clavicle, complete",73000,CPT,,,,Outpatient,Facility,,,312,124.8,66,,,Percent of total billed charges,,205.92,20.8,,,Percent of total billed charges,,64.9,20.4,,,Percent of total billed charges,,63.65,,23.07,,Case rate,,23.07,,3.46,,Case rate,,3.46,80,,,Percent of total billed charges,,249.6,61.6,,,Percent of total billed charges,,192.19,20.6,,,Percent of total billed charges,,64.27,20.6,,,Percent of total billed charges,,64.27,65.55,,,Percent of total billed charges,,204.52,21,,,Percent of total billed charges,,65.52,90,,,Percent of total billed charges,,280.8,21,,,Percent of total billed charges,,65.52,21,,,Percent of total billed charges,,65.52,64.9,,,Percent of total billed charges,,202.49,21,,,Percent of total billed charges,,65.52,,90.63,,Case rate,,90.63,3.46,312,
"Radiologic examination; clavicle, complete",73000,CPT,32073000,CDM,TC,Outpatient,Facility,,,312,124.8,66,,,Percent of total billed charges,,205.92,20.8,,,Percent of total billed charges,,64.9,20.4,,,Percent of total billed charges,,63.65,,23.07,,Case rate,,23.07,,3.46,,Case rate,,3.46,80,,,Percent of total billed charges,,249.6,61.6,,,Percent of total billed charges,,192.19,20.6,,,Percent of total billed charges,,64.27,20.6,,,Percent of total billed charges,,64.27,65.55,,,Percent of total billed charges,,204.52,21,,,Percent of total billed charges,,65.52,90,,,Percent of total billed charges,,280.8,21,,,Percent of total billed charges,,65.52,21,,,Percent of total billed charges,,65.52,64.9,,,Percent of total billed charges,,202.49,21,,,Percent of total billed charges,,65.52,,90.63,,Case rate,,90.63,3.46,312,
"Radiologic examination; forearm, 2 views",73090,CPT,32073090,CDM,TC,Outpatient,Facility,,,374,149.6,66,,,Percent of total billed charges,,246.84,20.8,,,Percent of total billed charges,,77.79,20.4,,,Percent of total billed charges,,76.3,,20.54,,Case rate,,20.54,,3.54,,Case rate,,3.54,80,,,Percent of total billed charges,,299.2,61.6,,,Percent of total billed charges,,230.38,20.6,,,Percent of total billed charges,,77.04,20.6,,,Percent of total billed charges,,77.04,65.55,,,Percent of total billed charges,,245.16,21,,,Percent of total billed charges,,78.54,90,,,Percent of total billed charges,,336.6,21,,,Percent of total billed charges,,78.54,21,,,Percent of total billed charges,,78.54,64.9,,,Percent of total billed charges,,242.73,21,,,Percent of total billed charges,,78.54,,92.21,,Case rate,,92.21,3.54,374,
"Radiologic examination; humerus, minimum of 2 views",73060,CPT,32073060,CDM,TC,Outpatient,Facility,,,325,130,66,,,Percent of total billed charges,,214.5,20.8,,,Percent of total billed charges,,67.6,20.4,,,Percent of total billed charges,,66.3,,23.07,,Case rate,,23.07,,3.78,,Case rate,,3.78,80,,,Percent of total billed charges,,260,61.6,,,Percent of total billed charges,,200.2,20.6,,,Percent of total billed charges,,66.95,20.6,,,Percent of total billed charges,,66.95,65.55,,,Percent of total billed charges,,213.04,21,,,Percent of total billed charges,,68.25,90,,,Percent of total billed charges,,292.5,21,,,Percent of total billed charges,,68.25,21,,,Percent of total billed charges,,68.25,64.9,,,Percent of total billed charges,,210.92,21,,,Percent of total billed charges,,68.25,,83.67,,Case rate,,83.67,3.78,325,
"Radiologic examination; orbits, complete, minimum of 4 views",70200,CPT,32070200,CDM,TC,Outpatient,Facility,,,272,108.8,66,,,Percent of total billed charges,,179.52,20.8,,,Percent of total billed charges,,56.58,20.4,,,Percent of total billed charges,,55.49,,32.87,,Case rate,,32.87,,5.6,,Case rate,,5.6,80,,,Percent of total billed charges,,217.6,61.6,,,Percent of total billed charges,,167.55,20.6,,,Percent of total billed charges,,56.03,20.6,,,Percent of total billed charges,,56.03,65.55,,,Percent of total billed charges,,178.3,21,,,Percent of total billed charges,,57.12,90,,,Percent of total billed charges,,244.8,21,,,Percent of total billed charges,,57.12,21,,,Percent of total billed charges,,57.12,64.9,,,Percent of total billed charges,,176.53,21,,,Percent of total billed charges,,57.12,,130.47,,Case rate,,130.47,5.6,272,
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",71130,CPT,32071130,CDM,TC,Outpatient,Facility,,,156,62.4,66,,,Percent of total billed charges,,102.96,20.8,,,Percent of total billed charges,,32.45,20.4,,,Percent of total billed charges,,31.82,,29.39,,Case rate,,29.39,,4.61,,Case rate,,4.61,80,,,Percent of total billed charges,,124.8,61.6,,,Percent of total billed charges,,96.1,20.6,,,Percent of total billed charges,,32.14,20.6,,,Percent of total billed charges,,32.14,65.55,,,Percent of total billed charges,,102.26,21,,,Percent of total billed charges,,32.76,90,,,Percent of total billed charges,,140.4,21,,,Percent of total billed charges,,32.76,21,,,Percent of total billed charges,,32.76,64.9,,,Percent of total billed charges,,101.24,21,,,Percent of total billed charges,,32.76,,105.95,,Case rate,,105.95,4.61,156,
"Radiologic examination; sternum, minimum of 2 views",71120,CPT,,,,Outpatient,Facility,,,178,71.2,66,,,Percent of total billed charges,,117.48,20.8,,,Percent of total billed charges,,37.02,20.4,,,Percent of total billed charges,,36.31,,23.07,,Case rate,,23.07,,4.26,,Case rate,,4.26,80,,,Percent of total billed charges,,142.4,61.6,,,Percent of total billed charges,,109.65,20.6,,,Percent of total billed charges,,36.67,20.6,,,Percent of total billed charges,,36.67,65.55,,,Percent of total billed charges,,116.68,21,,,Percent of total billed charges,,37.38,90,,,Percent of total billed charges,,160.2,21,,,Percent of total billed charges,,37.38,21,,,Percent of total billed charges,,37.38,64.9,,,Percent of total billed charges,,115.52,21,,,Percent of total billed charges,,37.38,,95.88,,Case rate,,95.88,4.26,178,
"Radiologic examination; toe(s), minimum of 2 views",73660,CPT,32073660,CDM,TC,Outpatient,Facility,,,275,110,66,,,Percent of total billed charges,,181.5,20.8,,,Percent of total billed charges,,57.2,20.4,,,Percent of total billed charges,,56.1,,21.81,,Case rate,,21.81,,2.84,,Case rate,,2.84,80,,,Percent of total billed charges,,220,61.6,,,Percent of total billed charges,,169.4,20.6,,,Percent of total billed charges,,56.65,20.6,,,Percent of total billed charges,,56.65,65.55,,,Percent of total billed charges,,180.26,21,,,Percent of total billed charges,,57.75,90,,,Percent of total billed charges,,247.5,21,,,Percent of total billed charges,,57.75,21,,,Percent of total billed charges,,57.75,64.9,,,Percent of total billed charges,,178.48,21,,,Percent of total billed charges,,57.75,,60.13,,Case rate,,60.13,2.84,275,
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)",74248,CPT,,,,Outpatient,Facility,,,840,336,66,,,Percent of total billed charges,,554.4,20.8,,,Percent of total billed charges,,174.72,20.4,,,Percent of total billed charges,,171.36,,48.05,,Case rate,,48.05,,2.68,,Case rate,,2.68,80,,,Percent of total billed charges,,672,61.6,,,Percent of total billed charges,,517.44,20.6,,,Percent of total billed charges,,173.04,20.6,,,Percent of total billed charges,,173.04,65.55,,,Percent of total billed charges,,550.62,21,,,Percent of total billed charges,,176.4,90,,,Percent of total billed charges,,756,21,,,Percent of total billed charges,,176.4,21,,,Percent of total billed charges,,176.4,64.9,,,Percent of total billed charges,,545.16,21,,,Percent of total billed charges,,176.4,,165.94,,Case rate,,165.94,2.68,840,
"Radiological examination, surgical specimen",76098,CPT,32076098,CDM,TC,Outpatient,Facility,,,585,234,66,,,Percent of total billed charges,,386.1,20.8,,,Percent of total billed charges,,121.68,20.4,,,Percent of total billed charges,,119.34,,25.6,,Case rate,,25.6,,2.98,,Case rate,,2.98,80,,,Percent of total billed charges,,468,61.6,,,Percent of total billed charges,,360.36,20.6,,,Percent of total billed charges,,120.51,20.6,,,Percent of total billed charges,,120.51,65.55,,,Percent of total billed charges,,383.47,21,,,Percent of total billed charges,,122.85,90,,,Percent of total billed charges,,526.5,21,,,Percent of total billed charges,,122.85,21,,,Percent of total billed charges,,122.85,64.9,,,Percent of total billed charges,,379.66,21,,,Percent of total billed charges,,122.85,,79.21,,Case rate,,79.21,2.98,585,
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging",78800,CPT,,,,Outpatient,Facility,,,585,234,66,,,Percent of total billed charges,,386.1,20.8,,,Percent of total billed charges,,121.68,20.4,,,Percent of total billed charges,,119.34,,194.41,,Case rate,,194.41,,20.36,,Case rate,,20.36,80,,,Percent of total billed charges,,468,61.6,,,Percent of total billed charges,,360.36,20.6,,,Percent of total billed charges,,120.51,20.6,,,Percent of total billed charges,,120.51,65.55,,,Percent of total billed charges,,383.47,21,,,Percent of total billed charges,,122.85,90,,,Percent of total billed charges,,526.5,21,,,Percent of total billed charges,,122.85,21,,,Percent of total billed charges,,122.85,64.9,,,Percent of total billed charges,,379.66,21,,,Percent of total billed charges,,122.85,,493.04,,Case rate,,493.04,20.36,585,
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78832,CPT,,,,Outpatient,Facility,,,2306,922.4,66,,,Percent of total billed charges,,1521.96,20.8,,,Percent of total billed charges,,479.65,20.4,,,Percent of total billed charges,,470.42,,710.02,,Case rate,,710.02,,47.55,,Case rate,,47.55,80,,,Percent of total billed charges,,1844.8,61.6,,,Percent of total billed charges,,1420.5,20.6,,,Percent of total billed charges,,475.04,20.6,,,Percent of total billed charges,,475.04,65.55,,,Percent of total billed charges,,1511.58,21,,,Percent of total billed charges,,484.26,90,,,Percent of total billed charges,,2075.4,21,,,Percent of total billed charges,,484.26,21,,,Percent of total billed charges,,484.26,64.9,,,Percent of total billed charges,,1496.59,21,,,Percent of total billed charges,,484.26,,4966.9,,Case rate,,4966.9,47.55,4966.9,
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78830,CPT,34178830,CDM,TC,Outpatient,Facility,,,5017,2006.8,66,,,Percent of total billed charges,,3311.22,20.8,,,Percent of total billed charges,,1043.54,20.4,,,Percent of total billed charges,,1023.47,,360.06,,Case rate,,360.06,,24.26,,Case rate,,24.26,80,,,Percent of total billed charges,,4013.6,61.6,,,Percent of total billed charges,,3090.47,20.6,,,Percent of total billed charges,,1033.5,20.6,,,Percent of total billed charges,,1033.5,65.55,,,Percent of total billed charges,,3288.64,21,,,Percent of total billed charges,,1053.57,90,,,Percent of total billed charges,,4515.3,21,,,Percent of total billed charges,,1053.57,21,,,Percent of total billed charges,,1053.57,64.9,,,Percent of total billed charges,,3256.03,21,,,Percent of total billed charges,,1053.57,,5109.95,,Case rate,,5109.95,24.26,5109.95,
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,,,,Outpatient,Facility,,,2037,814.8,66,,,Percent of total billed charges,,1344.42,20.8,,,Percent of total billed charges,,423.7,20.4,,,Percent of total billed charges,,415.55,,546.56,,Case rate,,546.56,,36.02,,Case rate,,36.02,80,,,Percent of total billed charges,,1629.6,61.6,,,Percent of total billed charges,,1254.79,20.6,,,Percent of total billed charges,,419.62,20.6,,,Percent of total billed charges,,419.62,65.55,,,Percent of total billed charges,,1335.25,21,,,Percent of total billed charges,,427.77,90,,,Percent of total billed charges,,1833.3,21,,,Percent of total billed charges,,427.77,21,,,Percent of total billed charges,,427.77,64.9,,,Percent of total billed charges,,1322.01,21,,,Percent of total billed charges,,427.77,45,,,Percent of total billed charges,,916.65,36.02,2037,
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days",78831,CPT,34178831,CDM,TC,Outpatient,Facility,,,2037,814.8,66,,,Percent of total billed charges,,1344.42,20.8,,,Percent of total billed charges,,423.7,20.4,,,Percent of total billed charges,,415.55,,546.56,,Case rate,,546.56,,36.02,,Case rate,,36.02,80,,,Percent of total billed charges,,1629.6,61.6,,,Percent of total billed charges,,1254.79,20.6,,,Percent of total billed charges,,419.62,20.6,,,Percent of total billed charges,,419.62,65.55,,,Percent of total billed charges,,1335.25,21,,,Percent of total billed charges,,427.77,90,,,Percent of total billed charges,,1833.3,21,,,Percent of total billed charges,,427.77,21,,,Percent of total billed charges,,427.77,64.9,,,Percent of total billed charges,,1322.01,21,,,Percent of total billed charges,,427.77,45,,,Percent of total billed charges,,916.65,36.02,2037,
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging",78803,CPT,34178803,CDM,TC,Outpatient,Facility,,,1060,424,66,,,Percent of total billed charges,,699.6,20.8,,,Percent of total billed charges,,220.48,20.4,,,Percent of total billed charges,,216.24,,289.26,,Case rate,,289.26,,36.8,,Case rate,,36.8,80,,,Percent of total billed charges,,848,61.6,,,Percent of total billed charges,,652.96,20.6,,,Percent of total billed charges,,218.36,20.6,,,Percent of total billed charges,,218.36,65.55,,,Percent of total billed charges,,694.83,21,,,Percent of total billed charges,,222.6,90,,,Percent of total billed charges,,954,21,,,Percent of total billed charges,,222.6,21,,,Percent of total billed charges,,222.6,64.9,,,Percent of total billed charges,,687.94,21,,,Percent of total billed charges,,222.6,,896.61,,Case rate,,896.61,36.8,1060,
Radiopharmaceutical quantification measurement(s) single area (List separately in addition to code for primary procedure),78835,CPT,,,,Outpatient,Facility,,,383,153.2,66,,,Percent of total billed charges,,252.78,20.8,,,Percent of total billed charges,,79.66,20.4,,,Percent of total billed charges,,78.13,,67.65,,Case rate,,67.65,,4.66,,Case rate,,4.66,80,,,Percent of total billed charges,,306.4,61.6,,,Percent of total billed charges,,235.93,20.6,,,Percent of total billed charges,,78.9,20.6,,,Percent of total billed charges,,78.9,65.55,,,Percent of total billed charges,,251.06,21,,,Percent of total billed charges,,80.43,90,,,Percent of total billed charges,,344.7,21,,,Percent of total billed charges,,80.43,21,,,Percent of total billed charges,,80.43,64.9,,,Percent of total billed charges,,248.57,21,,,Percent of total billed charges,,80.43,45,,,Percent of total billed charges,,172.35,4.66,383,
Radiopharmaceutical quantification measurement(s) single area (List separately in addition to code for primary procedure),78835,CPT,34178835,CDM,TC,Outpatient,Facility,,,383,153.2,66,,,Percent of total billed charges,,252.78,20.8,,,Percent of total billed charges,,79.66,20.4,,,Percent of total billed charges,,78.13,,67.65,,Case rate,,67.65,,4.66,,Case rate,,4.66,80,,,Percent of total billed charges,,306.4,61.6,,,Percent of total billed charges,,235.93,20.6,,,Percent of total billed charges,,78.9,20.6,,,Percent of total billed charges,,78.9,65.55,,,Percent of total billed charges,,251.06,21,,,Percent of total billed charges,,80.43,90,,,Percent of total billed charges,,344.7,21,,,Percent of total billed charges,,80.43,21,,,Percent of total billed charges,,80.43,64.9,,,Percent of total billed charges,,248.57,21,,,Percent of total billed charges,,80.43,45,,,Percent of total billed charges,,172.35,4.66,383,
"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side",95852,CPT,,,,Outpatient,Facility,,,76,30.4,66,,,Percent of total billed charges,,50.16,20.8,,,Percent of total billed charges,,15.81,20.4,,,Percent of total billed charges,,15.5,,16.68,,Case rate,,16.68,,2.65,,Case rate,,2.65,80,,,Percent of total billed charges,,60.8,61.6,,,Percent of total billed charges,,46.82,20.6,,,Percent of total billed charges,,15.66,20.6,,,Percent of total billed charges,,15.66,65.55,,,Percent of total billed charges,,49.82,21,,,Percent of total billed charges,,15.96,90,,,Percent of total billed charges,,68.4,21,,,Percent of total billed charges,,15.96,21,,,Percent of total billed charges,,15.96,64.9,,,Percent of total billed charges,,49.32,21,,,Percent of total billed charges,,15.96,,37.84,,Case rate,,37.84,2.65,76,
"Red blood cells, each unit",P9021,CPT,,,,Outpatient,Facility,,,2750,1100,66,,,Percent of total billed charges,,1815,20.8,,,Percent of total billed charges,,572,20.4,,,Percent of total billed charges,,561,,90.6,,Case rate,,90.6,,8.62,,Case rate,,8.62,80,,,Percent of total billed charges,,2200,61.6,,,Percent of total billed charges,,1694,20.6,,,Percent of total billed charges,,566.5,20.6,,,Percent of total billed charges,,566.5,65.55,,,Percent of total billed charges,,1802.62,21,,,Percent of total billed charges,,577.5,90,,,Percent of total billed charges,,2475,21,,,Percent of total billed charges,,577.5,21,,,Percent of total billed charges,,577.5,64.9,,,Percent of total billed charges,,1784.75,21,,,Percent of total billed charges,,577.5,,1999.51,,Case rate,,1999.51,8.62,2750,
"Red blood cells, leukocytes reduced, irradiated, each unit",P9040,CPT,,,,Outpatient,Facility,,,1081,432.4,66,,,Percent of total billed charges,,713.46,20.8,,,Percent of total billed charges,,224.85,20.4,,,Percent of total billed charges,,220.52,,153.5,,Case rate,,153.5,,30.39,,Case rate,,30.39,80,,,Percent of total billed charges,,864.8,61.6,,,Percent of total billed charges,,665.9,20.6,,,Percent of total billed charges,,222.69,20.6,,,Percent of total billed charges,,222.69,65.55,,,Percent of total billed charges,,708.6,21,,,Percent of total billed charges,,227.01,90,,,Percent of total billed charges,,972.9,21,,,Percent of total billed charges,,227.01,21,,,Percent of total billed charges,,227.01,64.9,,,Percent of total billed charges,,701.57,21,,,Percent of total billed charges,,227.01,,770.83,,Case rate,,770.83,30.39,1081,
Removal foreign body from external auditory canal; without general anesthesia,69200,CPT,,,,Outpatient,Facility,,,300,120,66,,,Percent of total billed charges,,198,20.8,,,Percent of total billed charges,,62.4,20.4,,,Percent of total billed charges,,61.2,,77.84,,Case rate,,77.84,,9.9,,Case rate,,9.9,80,,,Percent of total billed charges,,240,61.6,,,Percent of total billed charges,,184.8,20.6,,,Percent of total billed charges,,61.8,20.6,,,Percent of total billed charges,,61.8,65.55,,,Percent of total billed charges,,196.65,21,,,Percent of total billed charges,,63,90,,,Percent of total billed charges,,270,21,,,Percent of total billed charges,,63,21,,,Percent of total billed charges,,63,64.9,,,Percent of total billed charges,,194.7,21,,,Percent of total billed charges,,63,,250.03,,Case rate,,250.03,9.9,300,
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session",97602,CPT,,,,Outpatient,Facility,,,210,84,66,,,Percent of total billed charges,,138.6,20.8,,,Percent of total billed charges,,43.68,20.4,,,Percent of total billed charges,,42.84,,87.36,,Case rate,,87.36,,2.39,,Case rate,,2.39,80,,,Percent of total billed charges,,168,61.6,,,Percent of total billed charges,,129.36,20.6,,,Percent of total billed charges,,43.26,20.6,,,Percent of total billed charges,,43.26,65.55,,,Percent of total billed charges,,137.66,21,,,Percent of total billed charges,,44.1,90,,,Percent of total billed charges,,189,21,,,Percent of total billed charges,,44.1,21,,,Percent of total billed charges,,44.1,64.9,,,Percent of total billed charges,,136.29,21,,,Percent of total billed charges,,44.1,,22.29,,Case rate,,22.29,2.39,210,
"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating",65210,CPT,,,,Outpatient,Facility,,,1439,575.6,66,,,Percent of total billed charges,,949.74,20.8,,,Percent of total billed charges,,299.31,20.4,,,Percent of total billed charges,,293.56,,37.39,,Case rate,,37.39,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,1151.2,61.6,,,Percent of total billed charges,,886.42,20.6,,,Percent of total billed charges,,296.43,20.6,,,Percent of total billed charges,,296.43,65.55,,,Percent of total billed charges,,943.26,21,,,Percent of total billed charges,,302.19,90,,,Percent of total billed charges,,1295.1,21,,,Percent of total billed charges,,302.19,21,,,Percent of total billed charges,,302.19,64.9,,,Percent of total billed charges,,933.91,21,,,Percent of total billed charges,,302.19,,346.79,,Case rate,,346.79,13.86,1439,
"Removal of foreign body, external eye; conjunctival superficial",65205,CPT,,,,Outpatient,Facility,,,179,71.6,66,,,Percent of total billed charges,,118.14,20.8,,,Percent of total billed charges,,37.23,20.4,,,Percent of total billed charges,,36.52,,28.27,,Case rate,,28.27,,5.94,,Case rate,,5.94,80,,,Percent of total billed charges,,143.2,61.6,,,Percent of total billed charges,,110.26,20.6,,,Percent of total billed charges,,36.87,20.6,,,Percent of total billed charges,,36.87,65.55,,,Percent of total billed charges,,117.33,21,,,Percent of total billed charges,,37.59,90,,,Percent of total billed charges,,161.1,21,,,Percent of total billed charges,,37.59,21,,,Percent of total billed charges,,37.59,64.9,,,Percent of total billed charges,,116.17,21,,,Percent of total billed charges,,37.59,,152.24,,Case rate,,152.24,5.94,179,
"Removal of foreign body, foot; complicated",28193,CPT,,,,Outpatient,Facility,,,3302,1320.8,66,,,Percent of total billed charges,,2179.32,20.8,,,Percent of total billed charges,,686.82,20.4,,,Percent of total billed charges,,673.61,,502.67,,Case rate,,502.67,,109.82,,Case rate,,109.82,80,,,Percent of total billed charges,,2641.6,61.6,,,Percent of total billed charges,,2034.03,20.6,,,Percent of total billed charges,,680.21,20.6,,,Percent of total billed charges,,680.21,65.55,,,Percent of total billed charges,,2164.46,21,,,Percent of total billed charges,,693.42,90,,,Percent of total billed charges,,2971.8,21,,,Percent of total billed charges,,693.42,21,,,Percent of total billed charges,,693.42,64.9,,,Percent of total billed charges,,2143,21,,,Percent of total billed charges,,693.42,,2696.28,,Case rate,,2696.28,109.82,3302,
"Removal of foreign body, foot; deep",28192,CPT,,,,Outpatient,Facility,,,2341,936.4,66,,,Percent of total billed charges,,1545.06,20.8,,,Percent of total billed charges,,486.93,20.4,,,Percent of total billed charges,,477.56,,441.39,,Case rate,,441.39,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1872.8,61.6,,,Percent of total billed charges,,1442.06,20.6,,,Percent of total billed charges,,482.25,20.6,,,Percent of total billed charges,,482.25,65.55,,,Percent of total billed charges,,1534.53,21,,,Percent of total billed charges,,491.61,90,,,Percent of total billed charges,,2106.9,21,,,Percent of total billed charges,,491.61,21,,,Percent of total billed charges,,491.61,64.9,,,Percent of total billed charges,,1519.31,21,,,Percent of total billed charges,,491.61,,1920.95,,Case rate,,1920.95,77.74,2341,
"Removal of foreign body, foot; subcutaneous",28190,CPT,,,,Outpatient,Facility,,,1159,463.6,66,,,Percent of total billed charges,,764.94,20.8,,,Percent of total billed charges,,241.07,20.4,,,Percent of total billed charges,,236.44,,231.71,,Case rate,,231.71,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,927.2,61.6,,,Percent of total billed charges,,713.94,20.6,,,Percent of total billed charges,,238.75,20.6,,,Percent of total billed charges,,238.75,65.55,,,Percent of total billed charges,,759.72,21,,,Percent of total billed charges,,243.39,90,,,Percent of total billed charges,,1043.1,21,,,Percent of total billed charges,,243.39,21,,,Percent of total billed charges,,243.39,64.9,,,Percent of total billed charges,,752.19,21,,,Percent of total billed charges,,243.39,,347.81,,Case rate,,347.81,13.86,1159,
"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)",20680,CPT,,,,Outpatient,Facility,,,3000.76,1200.3,66,,,Percent of total billed charges,,1980.5,20.8,,,Percent of total billed charges,,624.16,20.4,,,Percent of total billed charges,,612.15,,583.91,,Case rate,,583.91,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,2400.61,61.6,,,Percent of total billed charges,,1848.47,20.6,,,Percent of total billed charges,,618.16,20.6,,,Percent of total billed charges,,618.16,65.55,,,Percent of total billed charges,,1967,21,,,Percent of total billed charges,,630.16,90,,,Percent of total billed charges,,2700.68,21,,,Percent of total billed charges,,630.16,21,,,Percent of total billed charges,,630.16,64.9,,,Percent of total billed charges,,1947.49,21,,,Percent of total billed charges,,630.16,,2201.8,,Case rate,,2201.8,89.15,3000.76,
Removal of intrauterine device (IUD),58301,CPT,,,,Outpatient,Facility,,,1069,427.6,66,,,Percent of total billed charges,,705.54,20.8,,,Percent of total billed charges,,222.35,20.4,,,Percent of total billed charges,,218.08,,107.67,,Case rate,,107.67,,19.51,,Case rate,,19.51,80,,,Percent of total billed charges,,855.2,61.6,,,Percent of total billed charges,,658.5,20.6,,,Percent of total billed charges,,220.21,20.6,,,Percent of total billed charges,,220.21,65.55,,,Percent of total billed charges,,700.73,21,,,Percent of total billed charges,,224.49,90,,,Percent of total billed charges,,962.1,21,,,Percent of total billed charges,,224.49,21,,,Percent of total billed charges,,224.49,64.9,,,Percent of total billed charges,,693.78,21,,,Percent of total billed charges,,224.49,,312.29,,Case rate,,312.29,19.51,1069,
"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions",11200,CPT,,,,Outpatient,Facility,,,645,258,66,,,Percent of total billed charges,,425.7,20.8,,,Percent of total billed charges,,134.16,20.4,,,Percent of total billed charges,,131.58,,88.4,,Case rate,,88.4,,21.78,,Case rate,,21.78,80,,,Percent of total billed charges,,516,61.6,,,Percent of total billed charges,,397.32,20.6,,,Percent of total billed charges,,132.87,20.6,,,Percent of total billed charges,,132.87,65.55,,,Percent of total billed charges,,422.8,21,,,Percent of total billed charges,,135.45,90,,,Percent of total billed charges,,580.5,21,,,Percent of total billed charges,,135.45,21,,,Percent of total billed charges,,135.45,64.9,,,Percent of total billed charges,,418.6,21,,,Percent of total billed charges,,135.45,,541.23,,Case rate,,541.23,21.78,645,
Removal of sutures and staples not requiring anesthesia (List separately in addition to E/M code),15854,CPT,,,,Outpatient,Facility,,,58,23.2,66,,,Percent of total billed charges,,38.28,20.8,,,Percent of total billed charges,,12.06,20.4,,,Percent of total billed charges,,11.83,,15.16,,Case rate,,15.16,19.8,,,Percent of total billed charges,,11.48,80,,,Percent of total billed charges,,46.4,61.6,,,Percent of total billed charges,,35.73,20.6,,,Percent of total billed charges,,11.95,20.6,,,Percent of total billed charges,,11.95,65.55,,,Percent of total billed charges,,38.02,21,,,Percent of total billed charges,,12.18,90,,,Percent of total billed charges,,52.2,21,,,Percent of total billed charges,,12.18,21,,,Percent of total billed charges,,12.18,64.9,,,Percent of total billed charges,,37.64,21,,,Percent of total billed charges,,12.18,45,,,Percent of total billed charges,,26.1,11.48,58,
"Removal or bivalving; gauntlet, boot or body cast",29700,CPT,,,,Outpatient,Facility,,,354,141.6,66,,,Percent of total billed charges,,233.64,20.8,,,Percent of total billed charges,,73.63,20.4,,,Percent of total billed charges,,72.22,,60.33,,Case rate,,60.33,,9.9,,Case rate,,9.9,80,,,Percent of total billed charges,,283.2,61.6,,,Percent of total billed charges,,218.06,20.6,,,Percent of total billed charges,,72.92,20.6,,,Percent of total billed charges,,72.92,65.55,,,Percent of total billed charges,,232.05,21,,,Percent of total billed charges,,74.34,90,,,Percent of total billed charges,,318.6,21,,,Percent of total billed charges,,74.34,21,,,Percent of total billed charges,,74.34,64.9,,,Percent of total billed charges,,229.75,21,,,Percent of total billed charges,,74.34,,236.42,,Case rate,,236.42,9.9,354,
renal failure with mcc,682,MS-DRG,,,,Inpatient,Facility,,,19392.95,7757.18,,13510.2,,Case rate,DRG Factor * DRG Weight,13510.2,,1758.64,,Per Diem,,3517.28,,1724.82,,Per Diem,,3449.64,,17368.33,,Case rate,DRG Factor * DRG Weight,17368.33,,1674.09,,Per Diem,,3348.18,80,,,Percent of total billed charges,,15514.36,61.6,,,Percent of total billed charges,,11946.06,,1741.73,,Per Diem,,3483.46,,1741.73,,Per Diem,,3483.46,65.55,,,Percent of total billed charges,,12712.08,,2079,,Per Diem,,4158,90,,,Percent of total billed charges,,17453.66,,2079,,Per Diem,,4158,,2079,,Per Diem,,4158,64.9,,,Percent of total billed charges,,12586.02,,2079,,Per Diem,,4158,,14484.58,,Case rate,DRG Factor * DRG Weight,14484.58,3348.18,19392.95,
"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)",80069,CPT,,,,Outpatient,Facility,,,338,135.2,66,,,Percent of total billed charges,,223.08,20.8,,,Percent of total billed charges,,70.3,20.4,,,Percent of total billed charges,,68.95,,8.68,,Case rate,,8.68,,2.46,,Case rate,,2.46,80,,,Percent of total billed charges,,270.4,61.6,,,Percent of total billed charges,,208.21,20.6,,,Percent of total billed charges,,69.63,20.6,,,Percent of total billed charges,,69.63,65.55,,,Percent of total billed charges,,221.56,21,,,Percent of total billed charges,,70.98,90,,,Percent of total billed charges,,304.2,21,,,Percent of total billed charges,,70.98,21,,,Percent of total billed charges,,70.98,64.9,,,Percent of total billed charges,,219.36,21,,,Percent of total billed charges,,70.98,,61.06,,Case rate,,61.06,2.46,338,
Renin,84244,CPT,,,,Outpatient,Facility,,,252,100.8,66,,,Percent of total billed charges,,166.32,20.8,,,Percent of total billed charges,,52.42,20.4,,,Percent of total billed charges,,51.41,,21.99,,Case rate,,21.99,,4.53,,Case rate,,4.53,80,,,Percent of total billed charges,,201.6,61.6,,,Percent of total billed charges,,155.23,20.6,,,Percent of total billed charges,,51.91,20.6,,,Percent of total billed charges,,51.91,65.55,,,Percent of total billed charges,,165.19,21,,,Percent of total billed charges,,52.92,90,,,Percent of total billed charges,,226.8,21,,,Percent of total billed charges,,52.92,21,,,Percent of total billed charges,,52.92,64.9,,,Percent of total billed charges,,163.55,21,,,Percent of total billed charges,,52.92,,107.86,,Case rate,,107.86,4.53,252,
"Repair blood vessel, direct; hand, finger",35207,CPT,,,,Outpatient,Facility,,,5685,2274,66,,,Percent of total billed charges,,3752.1,20.8,,,Percent of total billed charges,,1182.48,20.4,,,Percent of total billed charges,,1159.74,,741.01,,Case rate,,741.01,,118.13,,Case rate,,118.13,80,,,Percent of total billed charges,,4548,61.6,,,Percent of total billed charges,,3501.96,20.6,,,Percent of total billed charges,,1171.11,20.6,,,Percent of total billed charges,,1171.11,65.55,,,Percent of total billed charges,,3726.52,21,,,Percent of total billed charges,,1193.85,90,,,Percent of total billed charges,,5116.5,21,,,Percent of total billed charges,,1193.85,21,,,Percent of total billed charges,,1193.85,64.9,,,Percent of total billed charges,,3689.56,21,,,Percent of total billed charges,,1193.85,,4832.34,,Case rate,,4832.34,118.13,5685,
"Repair blood vessel, direct; upper extremity",35206,CPT,,,,Outpatient,Facility,,,5567,2226.8,66,,,Percent of total billed charges,,3674.22,20.8,,,Percent of total billed charges,,1157.94,20.4,,,Percent of total billed charges,,1135.67,,759.18,,Case rate,,759.18,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,4453.6,61.6,,,Percent of total billed charges,,3429.27,20.6,,,Percent of total billed charges,,1146.8,20.6,,,Percent of total billed charges,,1146.8,65.55,,,Percent of total billed charges,,3649.17,21,,,Percent of total billed charges,,1169.07,90,,,Percent of total billed charges,,5010.3,21,,,Percent of total billed charges,,1169.07,21,,,Percent of total billed charges,,1169.07,64.9,,,Percent of total billed charges,,3612.98,21,,,Percent of total billed charges,,1169.07,,2200.74,,Case rate,,2200.74,89.15,5567,
"Repair lip, full thickness; over one-half vertical height, or complex",40654,CPT,,,,Outpatient,Facility,,,3234,1293.6,66,,,Percent of total billed charges,,2134.44,20.8,,,Percent of total billed charges,,672.67,20.4,,,Percent of total billed charges,,659.74,,569.1,,Case rate,,569.1,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,2587.2,61.6,,,Percent of total billed charges,,1992.14,20.6,,,Percent of total billed charges,,666.2,20.6,,,Percent of total billed charges,,666.2,65.55,,,Percent of total billed charges,,2119.89,21,,,Percent of total billed charges,,679.14,90,,,Percent of total billed charges,,2910.6,21,,,Percent of total billed charges,,679.14,21,,,Percent of total billed charges,,679.14,64.9,,,Percent of total billed charges,,2098.87,21,,,Percent of total billed charges,,679.14,,2201.29,,Case rate,,2201.29,89.15,3234,
"Repair lip, full thickness; vermilion only",40650,CPT,,,,Outpatient,Facility,,,2339,935.6,66,,,Percent of total billed charges,,1543.74,20.8,,,Percent of total billed charges,,486.51,20.4,,,Percent of total billed charges,,477.16,,466.67,,Case rate,,466.67,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,1871.2,61.6,,,Percent of total billed charges,,1440.82,20.6,,,Percent of total billed charges,,481.83,20.6,,,Percent of total billed charges,,481.83,65.55,,,Percent of total billed charges,,1533.21,21,,,Percent of total billed charges,,491.19,90,,,Percent of total billed charges,,2105.1,21,,,Percent of total billed charges,,491.19,21,,,Percent of total billed charges,,491.19,64.9,,,Percent of total billed charges,,1518.01,21,,,Percent of total billed charges,,491.19,,2186.76,,Case rate,,2186.76,89.15,2339,
"Repair of extensor tendon, distal insertion, primary or secondary; without graft (eg, mallet finger)",26433,CPT,,,,Outpatient,Facility,,,2688,1075.2,66,,,Percent of total billed charges,,1774.08,20.8,,,Percent of total billed charges,,559.1,20.4,,,Percent of total billed charges,,548.35,,562.84,,Case rate,,562.84,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,2150.4,61.6,,,Percent of total billed charges,,1655.81,20.6,,,Percent of total billed charges,,553.73,20.6,,,Percent of total billed charges,,553.73,65.55,,,Percent of total billed charges,,1761.98,21,,,Percent of total billed charges,,564.48,90,,,Percent of total billed charges,,2419.2,21,,,Percent of total billed charges,,564.48,21,,,Percent of total billed charges,,564.48,64.9,,,Percent of total billed charges,,1744.51,21,,,Percent of total billed charges,,564.48,,2200.22,,Case rate,,2200.22,89.15,2688,
Repair of nail bed,11760,CPT,,,,Outpatient,Facility,,,1756,702.4,66,,,Percent of total billed charges,,1158.96,20.8,,,Percent of total billed charges,,365.25,20.4,,,Percent of total billed charges,,358.22,,180.9,,Case rate,,180.9,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1404.8,61.6,,,Percent of total billed charges,,1081.7,20.6,,,Percent of total billed charges,,361.74,20.6,,,Percent of total billed charges,,361.74,65.55,,,Percent of total billed charges,,1151.06,21,,,Percent of total billed charges,,368.76,90,,,Percent of total billed charges,,1580.4,21,,,Percent of total billed charges,,368.76,21,,,Percent of total billed charges,,368.76,64.9,,,Percent of total billed charges,,1139.64,21,,,Percent of total billed charges,,368.76,,1434.55,,Case rate,,1434.55,58.06,1756,
"Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm",13152,CPT,,,,Outpatient,Facility,,,2980,1192,66,,,Percent of total billed charges,,1966.8,20.8,,,Percent of total billed charges,,619.84,20.4,,,Percent of total billed charges,,607.92,,483.25,,Case rate,,483.25,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,2384,61.6,,,Percent of total billed charges,,1835.68,20.6,,,Percent of total billed charges,,613.88,20.6,,,Percent of total billed charges,,613.88,65.55,,,Percent of total billed charges,,1953.39,21,,,Percent of total billed charges,,625.8,90,,,Percent of total billed charges,,2682,21,,,Percent of total billed charges,,625.8,21,,,Percent of total billed charges,,625.8,64.9,,,Percent of total billed charges,,1934.02,21,,,Percent of total billed charges,,625.8,,2185.69,,Case rate,,2185.69,89.15,2980,
"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm",13131,CPT,,,,Outpatient,Facility,,,2352,940.8,66,,,Percent of total billed charges,,1552.32,20.8,,,Percent of total billed charges,,489.22,20.4,,,Percent of total billed charges,,479.81,,377.03,,Case rate,,377.03,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1881.6,61.6,,,Percent of total billed charges,,1448.83,20.6,,,Percent of total billed charges,,484.51,20.6,,,Percent of total billed charges,,484.51,65.55,,,Percent of total billed charges,,1541.74,21,,,Percent of total billed charges,,493.92,90,,,Percent of total billed charges,,2116.8,21,,,Percent of total billed charges,,493.92,21,,,Percent of total billed charges,,493.92,64.9,,,Percent of total billed charges,,1526.45,21,,,Percent of total billed charges,,493.92,,1919.6,,Case rate,,1919.6,77.74,2352,
"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm",13132,CPT,,,,Outpatient,Facility,,,2695,1078,66,,,Percent of total billed charges,,1778.7,20.8,,,Percent of total billed charges,,560.56,20.4,,,Percent of total billed charges,,549.78,,458.04,,Case rate,,458.04,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,2156,61.6,,,Percent of total billed charges,,1660.12,20.6,,,Percent of total billed charges,,555.17,20.6,,,Percent of total billed charges,,555.17,65.55,,,Percent of total billed charges,,1766.57,21,,,Percent of total billed charges,,565.95,90,,,Percent of total billed charges,,2425.5,21,,,Percent of total billed charges,,565.95,21,,,Percent of total billed charges,,565.95,64.9,,,Percent of total billed charges,,1749.06,21,,,Percent of total billed charges,,565.95,,2200.5,,Case rate,,2200.5,89.15,2695,
"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; each additional 5 cm or less (List separately in addition to code for primary procedure)",13133,CPT,,,,Outpatient,Facility,,,842,336.8,66,,,Percent of total billed charges,,555.72,20.8,,,Percent of total billed charges,,175.14,20.4,,,Percent of total billed charges,,171.77,,163.76,,Case rate,,163.76,,28.93,,Case rate,,28.93,80,,,Percent of total billed charges,,673.6,61.6,,,Percent of total billed charges,,518.67,20.6,,,Percent of total billed charges,,173.45,20.6,,,Percent of total billed charges,,173.45,65.55,,,Percent of total billed charges,,551.93,21,,,Percent of total billed charges,,176.82,90,,,Percent of total billed charges,,757.8,21,,,Percent of total billed charges,,176.82,21,,,Percent of total billed charges,,176.82,64.9,,,Percent of total billed charges,,546.46,21,,,Percent of total billed charges,,176.82,,1190.09,,Case rate,,1190.09,28.93,1190.09,
"Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm",13120,CPT,,,,Outpatient,Facility,,,2244,897.6,66,,,Percent of total billed charges,,1481.04,20.8,,,Percent of total billed charges,,466.75,20.4,,,Percent of total billed charges,,457.78,,345.27,,Case rate,,345.27,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1795.2,61.6,,,Percent of total billed charges,,1382.3,20.6,,,Percent of total billed charges,,462.26,20.6,,,Percent of total billed charges,,462.26,65.55,,,Percent of total billed charges,,1470.94,21,,,Percent of total billed charges,,471.24,90,,,Percent of total billed charges,,2019.6,21,,,Percent of total billed charges,,471.24,21,,,Percent of total billed charges,,471.24,64.9,,,Percent of total billed charges,,1456.36,21,,,Percent of total billed charges,,471.24,,1906.69,,Case rate,,1906.69,77.74,2244,
"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm",13121,CPT,,,,Outpatient,Facility,,,1425.32,570.13,66,,,Percent of total billed charges,,940.71,20.8,,,Percent of total billed charges,,296.47,20.4,,,Percent of total billed charges,,290.76,,412.74,,Case rate,,412.74,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,1140.25,61.6,,,Percent of total billed charges,,878,20.6,,,Percent of total billed charges,,293.62,20.6,,,Percent of total billed charges,,293.62,65.55,,,Percent of total billed charges,,934.3,21,,,Percent of total billed charges,,299.32,90,,,Percent of total billed charges,,1282.79,21,,,Percent of total billed charges,,299.32,21,,,Percent of total billed charges,,299.32,64.9,,,Percent of total billed charges,,925.03,21,,,Percent of total billed charges,,299.32,,2201.66,,Case rate,,2201.66,89.15,2201.66,
"Repair, complex, trunk; 2.6 cm to 7.5 cm",13101,CPT,,,,Outpatient,Facility,,,2594,1037.6,66,,,Percent of total billed charges,,1712.04,20.8,,,Percent of total billed charges,,539.55,20.4,,,Percent of total billed charges,,529.18,,385.39,,Case rate,,385.39,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,2075.2,61.6,,,Percent of total billed charges,,1597.9,20.6,,,Percent of total billed charges,,534.36,20.6,,,Percent of total billed charges,,534.36,65.55,,,Percent of total billed charges,,1700.37,21,,,Percent of total billed charges,,544.74,90,,,Percent of total billed charges,,2334.6,21,,,Percent of total billed charges,,544.74,21,,,Percent of total billed charges,,544.74,64.9,,,Percent of total billed charges,,1683.51,21,,,Percent of total billed charges,,544.74,,2200.41,,Case rate,,2200.41,89.15,2594,
"Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure)",13102,CPT,,,,Outpatient,Facility,,,783,313.2,66,,,Percent of total billed charges,,516.78,20.8,,,Percent of total billed charges,,162.86,20.4,,,Percent of total billed charges,,159.73,,113.3,,Case rate,,113.3,,18.13,,Case rate,,18.13,80,,,Percent of total billed charges,,626.4,61.6,,,Percent of total billed charges,,482.33,20.6,,,Percent of total billed charges,,161.3,20.6,,,Percent of total billed charges,,161.3,65.55,,,Percent of total billed charges,,513.26,21,,,Percent of total billed charges,,164.43,90,,,Percent of total billed charges,,704.7,21,,,Percent of total billed charges,,164.43,21,,,Percent of total billed charges,,164.43,64.9,,,Percent of total billed charges,,508.17,21,,,Percent of total billed charges,,164.43,,662.79,,Case rate,,662.79,18.13,783,
"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon",26418,CPT,,,,Outpatient,Facility,,,5478,2191.2,66,,,Percent of total billed charges,,3615.48,20.8,,,Percent of total billed charges,,1139.42,20.4,,,Percent of total billed charges,,1117.51,,611.7,,Case rate,,611.7,,109.82,,Case rate,,109.82,80,,,Percent of total billed charges,,4382.4,61.6,,,Percent of total billed charges,,3374.45,20.6,,,Percent of total billed charges,,1128.47,20.6,,,Percent of total billed charges,,1128.47,65.55,,,Percent of total billed charges,,3590.83,21,,,Percent of total billed charges,,1150.38,90,,,Percent of total billed charges,,4930.2,21,,,Percent of total billed charges,,1150.38,21,,,Percent of total billed charges,,1150.38,64.9,,,Percent of total billed charges,,3555.22,21,,,Percent of total billed charges,,1150.38,,2710.95,,Case rate,,2710.95,109.82,5478,
"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon",26410,CPT,,,,Outpatient,Facility,,,2673,1069.2,66,,,Percent of total billed charges,,1764.18,20.8,,,Percent of total billed charges,,555.98,20.4,,,Percent of total billed charges,,545.29,,590.5,,Case rate,,590.5,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,2138.4,61.6,,,Percent of total billed charges,,1646.57,20.6,,,Percent of total billed charges,,550.64,20.6,,,Percent of total billed charges,,550.64,65.55,,,Percent of total billed charges,,1752.15,21,,,Percent of total billed charges,,561.33,90,,,Percent of total billed charges,,2405.7,21,,,Percent of total billed charges,,561.33,21,,,Percent of total billed charges,,561.33,64.9,,,Percent of total billed charges,,1734.78,21,,,Percent of total billed charges,,561.33,,2201.52,,Case rate,,2201.52,89.15,2673,
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm",12055,CPT,,,,Outpatient,Facility,,,2362,944.8,66,,,Percent of total billed charges,,1558.92,20.8,,,Percent of total billed charges,,491.3,20.4,,,Percent of total billed charges,,481.85,,492.89,,Case rate,,492.89,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1889.6,61.6,,,Percent of total billed charges,,1454.99,20.6,,,Percent of total billed charges,,486.57,20.6,,,Percent of total billed charges,,486.57,65.55,,,Percent of total billed charges,,1548.29,21,,,Percent of total billed charges,,496.02,90,,,Percent of total billed charges,,2125.8,21,,,Percent of total billed charges,,496.02,21,,,Percent of total billed charges,,496.02,64.9,,,Percent of total billed charges,,1532.94,21,,,Percent of total billed charges,,496.02,,1905.02,,Case rate,,1905.02,77.74,2362,
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",12051,CPT,,,,Outpatient,Facility,,,407,162.8,66,,,Percent of total billed charges,,268.62,20.8,,,Percent of total billed charges,,84.66,20.4,,,Percent of total billed charges,,83.03,,275.02,,Case rate,,275.02,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,325.6,61.6,,,Percent of total billed charges,,250.71,20.6,,,Percent of total billed charges,,83.84,20.6,,,Percent of total billed charges,,83.84,65.55,,,Percent of total billed charges,,266.79,21,,,Percent of total billed charges,,85.47,90,,,Percent of total billed charges,,366.3,21,,,Percent of total billed charges,,85.47,21,,,Percent of total billed charges,,85.47,64.9,,,Percent of total billed charges,,264.14,21,,,Percent of total billed charges,,85.47,,331.6,,Case rate,,331.6,13.86,407,
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12052,CPT,,,,Outpatient,Facility,,,415,166,66,,,Percent of total billed charges,,273.9,20.8,,,Percent of total billed charges,,86.32,20.4,,,Percent of total billed charges,,84.66,,306.56,,Case rate,,306.56,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,332,61.6,,,Percent of total billed charges,,255.64,20.6,,,Percent of total billed charges,,85.49,20.6,,,Percent of total billed charges,,85.49,65.55,,,Percent of total billed charges,,272.03,21,,,Percent of total billed charges,,87.15,90,,,Percent of total billed charges,,373.5,21,,,Percent of total billed charges,,87.15,21,,,Percent of total billed charges,,87.15,64.9,,,Percent of total billed charges,,269.34,21,,,Percent of total billed charges,,87.15,,332.3,,Case rate,,332.3,13.86,415,
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12053,CPT,,,,Outpatient,Facility,,,661,264.4,66,,,Percent of total billed charges,,436.26,20.8,,,Percent of total billed charges,,137.49,20.4,,,Percent of total billed charges,,134.84,,353.34,,Case rate,,353.34,,21.78,,Case rate,,21.78,80,,,Percent of total billed charges,,528.8,61.6,,,Percent of total billed charges,,407.18,20.6,,,Percent of total billed charges,,136.17,20.6,,,Percent of total billed charges,,136.17,65.55,,,Percent of total billed charges,,433.29,21,,,Percent of total billed charges,,138.81,90,,,Percent of total billed charges,,594.9,21,,,Percent of total billed charges,,138.81,21,,,Percent of total billed charges,,138.81,64.9,,,Percent of total billed charges,,428.99,21,,,Percent of total billed charges,,138.81,,541.93,,Case rate,,541.93,21.78,661,
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm",12044,CPT,,,,Outpatient,Facility,,,2354,941.6,66,,,Percent of total billed charges,,1553.64,20.8,,,Percent of total billed charges,,489.63,20.4,,,Percent of total billed charges,,480.22,,369.48,,Case rate,,369.48,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1883.2,61.6,,,Percent of total billed charges,,1450.06,20.6,,,Percent of total billed charges,,484.92,20.6,,,Percent of total billed charges,,484.92,65.55,,,Percent of total billed charges,,1543.05,21,,,Percent of total billed charges,,494.34,90,,,Percent of total billed charges,,2118.6,21,,,Percent of total billed charges,,494.34,21,,,Percent of total billed charges,,494.34,64.9,,,Percent of total billed charges,,1527.75,21,,,Percent of total billed charges,,494.34,,1919.93,,Case rate,,1919.93,77.74,2354,
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm",12035,CPT,,,,Outpatient,Facility,,,2354,941.6,66,,,Percent of total billed charges,,1553.64,20.8,,,Percent of total billed charges,,489.63,20.4,,,Percent of total billed charges,,480.22,,377.59,,Case rate,,377.59,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1883.2,61.6,,,Percent of total billed charges,,1450.06,20.6,,,Percent of total billed charges,,484.92,20.6,,,Percent of total billed charges,,484.92,65.55,,,Percent of total billed charges,,1543.05,21,,,Percent of total billed charges,,494.34,90,,,Percent of total billed charges,,2118.6,21,,,Percent of total billed charges,,494.34,21,,,Percent of total billed charges,,494.34,64.9,,,Percent of total billed charges,,1527.75,21,,,Percent of total billed charges,,494.34,,1904.56,,Case rate,,1904.56,77.74,2354,
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less",12031,CPT,,,,Outpatient,Facility,,,430,172,66,,,Percent of total billed charges,,283.8,20.8,,,Percent of total billed charges,,89.44,20.4,,,Percent of total billed charges,,87.72,,254.72,,Case rate,,254.72,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,344,61.6,,,Percent of total billed charges,,264.88,20.6,,,Percent of total billed charges,,88.58,20.6,,,Percent of total billed charges,,88.58,65.55,,,Percent of total billed charges,,281.86,21,,,Percent of total billed charges,,90.3,90,,,Percent of total billed charges,,387,21,,,Percent of total billed charges,,90.3,21,,,Percent of total billed charges,,90.3,64.9,,,Percent of total billed charges,,279.07,21,,,Percent of total billed charges,,90.3,,332.67,,Case rate,,332.67,13.86,430,
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm",12032,CPT,,,,Outpatient,Facility,,,631,252.4,66,,,Percent of total billed charges,,416.46,20.8,,,Percent of total billed charges,,131.25,20.4,,,Percent of total billed charges,,128.72,,294.12,,Case rate,,294.12,,21.78,,Case rate,,21.78,80,,,Percent of total billed charges,,504.8,61.6,,,Percent of total billed charges,,388.7,20.6,,,Percent of total billed charges,,129.99,20.6,,,Percent of total billed charges,,129.99,65.55,,,Percent of total billed charges,,413.62,21,,,Percent of total billed charges,,132.51,90,,,Percent of total billed charges,,567.9,21,,,Percent of total billed charges,,132.51,21,,,Percent of total billed charges,,132.51,64.9,,,Percent of total billed charges,,409.52,21,,,Percent of total billed charges,,132.51,,526.98,,Case rate,,526.98,21.78,631,
"Repair, primary, open or percutaneous, ruptured Achilles tendon",27650,CPT,,,,Outpatient,Facility,,,15316.3,6126.52,66,,,Percent of total billed charges,,10108.76,20.8,,,Percent of total billed charges,,3185.79,20.4,,,Percent of total billed charges,,3124.53,,644.7,,Case rate,,644.7,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,12253.04,61.6,,,Percent of total billed charges,,9434.84,20.6,,,Percent of total billed charges,,3155.16,20.6,,,Percent of total billed charges,,3155.16,65.55,,,Percent of total billed charges,,10039.83,21,,,Percent of total billed charges,,3216.42,90,,,Percent of total billed charges,,13784.67,21,,,Percent of total billed charges,,3216.42,21,,,Percent of total billed charges,,3216.42,64.9,,,Percent of total billed charges,,9940.28,21,,,Percent of total billed charges,,3216.42,,2185.83,,Case rate,,2185.83,89.15,15316.3,
"Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle",25260,CPT,,,,Outpatient,Facility,,,9273,3709.2,66,,,Percent of total billed charges,,6120.18,20.8,,,Percent of total billed charges,,1928.78,20.4,,,Percent of total billed charges,,1891.69,,625.16,,Case rate,,625.16,,109.82,,Case rate,,109.82,80,,,Percent of total billed charges,,7418.4,61.6,,,Percent of total billed charges,,5712.17,20.6,,,Percent of total billed charges,,1910.24,20.6,,,Percent of total billed charges,,1910.24,65.55,,,Percent of total billed charges,,6078.45,21,,,Percent of total billed charges,,1947.33,90,,,Percent of total billed charges,,8345.7,21,,,Percent of total billed charges,,1947.33,21,,,Percent of total billed charges,,1947.33,64.9,,,Percent of total billed charges,,6018.18,21,,,Percent of total billed charges,,1947.33,,2710.95,,Case rate,,2710.95,109.82,9273,
"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report",49450,CPT,,,,Outpatient,Facility,,,3808,1523.2,66,,,Percent of total billed charges,,2513.28,20.8,,,Percent of total billed charges,,792.06,20.4,,,Percent of total billed charges,,776.83,,576.14,,Case rate,,576.14,,140.37,,Case rate,,140.37,80,,,Percent of total billed charges,,3046.4,61.6,,,Percent of total billed charges,,2345.73,20.6,,,Percent of total billed charges,,784.45,20.6,,,Percent of total billed charges,,784.45,65.55,,,Percent of total billed charges,,2496.14,21,,,Percent of total billed charges,,799.68,90,,,Percent of total billed charges,,3427.2,21,,,Percent of total billed charges,,799.68,21,,,Percent of total billed charges,,799.68,64.9,,,Percent of total billed charges,,2471.39,21,,,Percent of total billed charges,,799.68,,1442.49,,Case rate,,1442.49,140.37,3808,
"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract",43762,CPT,,,,Outpatient,Facility,,,930,372,66,,,Percent of total billed charges,,613.8,20.8,,,Percent of total billed charges,,193.44,20.4,,,Percent of total billed charges,,189.72,,218.17,,Case rate,,218.17,,13.98,,Case rate,,13.98,80,,,Percent of total billed charges,,744,61.6,,,Percent of total billed charges,,572.88,20.6,,,Percent of total billed charges,,191.58,20.6,,,Percent of total billed charges,,191.58,65.55,,,Percent of total billed charges,,609.62,21,,,Percent of total billed charges,,195.3,90,,,Percent of total billed charges,,837,21,,,Percent of total billed charges,,195.3,21,,,Percent of total billed charges,,195.3,64.9,,,Percent of total billed charges,,603.57,21,,,Percent of total billed charges,,195.3,,532.32,,Case rate,,532.32,13.98,930,
Reptilase test,85635,CPT,,,,Outpatient,Facility,,,66,26.4,66,,,Percent of total billed charges,,43.56,20.8,,,Percent of total billed charges,,13.73,20.4,,,Percent of total billed charges,,13.46,,9.85,,Case rate,,9.85,,1.87,,Case rate,,1.87,80,,,Percent of total billed charges,,52.8,61.6,,,Percent of total billed charges,,40.66,20.6,,,Percent of total billed charges,,13.6,20.6,,,Percent of total billed charges,,13.6,65.55,,,Percent of total billed charges,,43.26,21,,,Percent of total billed charges,,13.86,90,,,Percent of total billed charges,,59.4,21,,,Percent of total billed charges,,13.86,21,,,Percent of total billed charges,,13.86,64.9,,,Percent of total billed charges,,42.83,21,,,Percent of total billed charges,,13.86,,35.19,,Case rate,,35.19,1.87,66,
Respiratory flow volume loop,94375,CPT,,,,Outpatient,Facility,,,227,90.8,66,,,Percent of total billed charges,,149.82,20.8,,,Percent of total billed charges,,47.22,20.4,,,Percent of total billed charges,,46.31,,22.75,,Case rate,,22.75,,3.27,,Case rate,,3.27,80,,,Percent of total billed charges,,181.6,61.6,,,Percent of total billed charges,,139.83,20.6,,,Percent of total billed charges,,46.76,20.6,,,Percent of total billed charges,,46.76,65.55,,,Percent of total billed charges,,148.8,21,,,Percent of total billed charges,,47.67,90,,,Percent of total billed charges,,204.3,21,,,Percent of total billed charges,,47.67,21,,,Percent of total billed charges,,47.67,64.9,,,Percent of total billed charges,,147.32,21,,,Percent of total billed charges,,47.67,,71.13,,Case rate,,71.13,3.27,227,
respiratory infections and inflammations with cc,178,MS-DRG,,,,Inpatient,Facility,,,13471.78,5388.71,,8882.27,,Case rate,DRG Factor * DRG Weight,8882.27,,1758.64,,Per Diem,,5275.92,,1724.82,,Per Diem,,5174.46,,13163.36,,Case rate,DRG Factor * DRG Weight,13163.36,,1674.09,,Per Diem,,5022.27,80,,,Percent of total billed charges,,10777.42,61.6,,,Percent of total billed charges,,8298.62,,1741.73,,Per Diem,,5225.19,,1741.73,,Per Diem,,5225.19,65.55,,,Percent of total billed charges,,8830.75,,2079,,Per Diem,,6237,90,,,Percent of total billed charges,,12124.6,,2079,,Per Diem,,6237,,2079,,Per Diem,,6237,64.9,,,Percent of total billed charges,,8743.18,,2079,,Per Diem,,6237,,9522.88,,Case rate,DRG Factor * DRG Weight,9522.88,5022.27,13471.78,
respiratory system diagnosis with ventilator support < = 96 hours,208,MS-DRG,,,,Inpatient,Facility,,,8991.63,3596.65,,24339.61,,Case rate,DRG Factor * DRG Weight,24339.61,,1758.64,,Per Diem,,1758.64,,1724.82,,Per Diem,,1724.82,,32459.66,,Case rate,DRG Factor * DRG Weight,32459.66,,1674.09,,Per Diem,,1674.09,80,,,Percent of total billed charges,,7193.3,61.6,,,Percent of total billed charges,,5538.84,,1741.73,,Per Diem,,1741.73,,1741.73,,Per Diem,,1741.73,65.55,,,Percent of total billed charges,,5894.01,,2079,,Per Diem,,2079,90,,,Percent of total billed charges,,8092.47,,2079,,Per Diem,,2079,,2079,,Per Diem,,2079,64.9,,,Percent of total billed charges,,5835.57,,2079,,Per Diem,,2079,,26095.02,,Case rate,DRG Factor * DRG Weight,26095.02,1674.09,32459.66,
Rheumatoid factor; qualitative,86430,CPT,,,,Outpatient,Facility,,,66,26.4,66,,,Percent of total billed charges,,43.56,20.8,,,Percent of total billed charges,,13.73,20.4,,,Percent of total billed charges,,13.46,,6.14,,Case rate,,6.14,,1.15,,Case rate,,1.15,80,,,Percent of total billed charges,,52.8,61.6,,,Percent of total billed charges,,40.66,20.6,,,Percent of total billed charges,,13.6,20.6,,,Percent of total billed charges,,13.6,65.55,,,Percent of total billed charges,,43.26,21,,,Percent of total billed charges,,13.86,90,,,Percent of total billed charges,,59.4,21,,,Percent of total billed charges,,13.86,21,,,Percent of total billed charges,,13.86,64.9,,,Percent of total billed charges,,42.83,21,,,Percent of total billed charges,,13.86,,30.74,,Case rate,,30.74,1.15,66,
Russell viper venom time (includes venom); diluted,85613,CPT,,,,Outpatient,Facility,,,107,42.8,66,,,Percent of total billed charges,,70.62,20.8,,,Percent of total billed charges,,22.26,20.4,,,Percent of total billed charges,,21.83,,9.58,,Case rate,,9.58,,2.77,,Case rate,,2.77,80,,,Percent of total billed charges,,85.6,61.6,,,Percent of total billed charges,,65.91,20.6,,,Percent of total billed charges,,22.04,20.6,,,Percent of total billed charges,,22.04,65.55,,,Percent of total billed charges,,70.14,21,,,Percent of total billed charges,,22.47,90,,,Percent of total billed charges,,96.3,21,,,Percent of total billed charges,,22.47,21,,,Percent of total billed charges,,22.47,64.9,,,Percent of total billed charges,,69.44,21,,,Percent of total billed charges,,22.47,,54.28,,Case rate,,54.28,2.77,107,
Salivary gland imaging,78230,CPT,34178230,CDM,TC,Outpatient,Facility,,,460,184,66,,,Percent of total billed charges,,303.6,20.8,,,Percent of total billed charges,,95.68,20.4,,,Percent of total billed charges,,93.84,,137.5,,Case rate,,137.5,,14.51,,Case rate,,14.51,80,,,Percent of total billed charges,,368,61.6,,,Percent of total billed charges,,283.36,20.6,,,Percent of total billed charges,,94.76,20.6,,,Percent of total billed charges,,94.76,65.55,,,Percent of total billed charges,,301.53,21,,,Percent of total billed charges,,96.6,90,,,Percent of total billed charges,,414,21,,,Percent of total billed charges,,96.6,21,,,Percent of total billed charges,,96.6,64.9,,,Percent of total billed charges,,298.54,21,,,Percent of total billed charges,,96.6,,349.57,,Case rate,,349.57,14.51,460,
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,,,,Outpatient,Facility,,,62,24.8,66,,,Percent of total billed charges,,40.92,20.8,,,Percent of total billed charges,,12.9,20.4,,,Percent of total billed charges,,12.65,,22.76,,Case rate,,22.76,,1.72,,Case rate,,1.72,80,,,Percent of total billed charges,,49.6,61.6,,,Percent of total billed charges,,38.19,20.6,,,Percent of total billed charges,,12.77,20.6,,,Percent of total billed charges,,12.77,65.55,,,Percent of total billed charges,,40.64,21,,,Percent of total billed charges,,13.02,90,,,Percent of total billed charges,,55.8,21,,,Percent of total billed charges,,13.02,21,,,Percent of total billed charges,,13.02,64.9,,,Percent of total billed charges,,40.24,21,,,Percent of total billed charges,,13.02,,,,Case rate,,,1.72,62,
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)",77063,CPT,40377063,CDM,TC,Outpatient,Facility,,,62,24.8,66,,,Percent of total billed charges,,40.92,20.8,,,Percent of total billed charges,,12.9,20.4,,,Percent of total billed charges,,12.65,,22.76,,Case rate,,22.76,,1.72,,Case rate,,1.72,80,,,Percent of total billed charges,,49.6,61.6,,,Percent of total billed charges,,38.19,20.6,,,Percent of total billed charges,,12.77,20.6,,,Percent of total billed charges,,12.77,65.55,,,Percent of total billed charges,,40.64,21,,,Percent of total billed charges,,13.02,90,,,Percent of total billed charges,,55.8,21,,,Percent of total billed charges,,13.02,21,,,Percent of total billed charges,,13.02,64.9,,,Percent of total billed charges,,40.24,21,,,Percent of total billed charges,,13.02,,,,Case rate,,,1.72,62,
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed",77067,CPT,40377067,CDM,TC,Outpatient,Facility,,,493,197.2,66,,,Percent of total billed charges,,325.38,20.8,,,Percent of total billed charges,,102.54,20.4,,,Percent of total billed charges,,100.57,,87.57,,Case rate,,87.57,,6.49,,Case rate,,6.49,80,,,Percent of total billed charges,,394.4,61.6,,,Percent of total billed charges,,303.69,20.6,,,Percent of total billed charges,,101.56,20.6,,,Percent of total billed charges,,101.56,65.55,,,Percent of total billed charges,,323.16,21,,,Percent of total billed charges,,103.53,90,,,Percent of total billed charges,,443.7,21,,,Percent of total billed charges,,103.53,21,,,Percent of total billed charges,,103.53,64.9,,,Percent of total billed charges,,319.96,21,,,Percent of total billed charges,,103.53,,457.2,,Case rate,,457.2,6.49,493,
"Screening test, pure tone, air only",92551,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,11.37,,Case rate,,11.37,,1.79,,Case rate,,1.79,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,34.92,,Case rate,,34.92,1.79,92,
"Sedimentation rate, erythrocyte; automated",85652,CPT,,,,Outpatient,Facility,,,43,17.2,66,,,Percent of total billed charges,,28.38,20.8,,,Percent of total billed charges,,8.94,20.4,,,Percent of total billed charges,,8.77,,2.7,,Case rate,,2.7,,1.77,,Case rate,,1.77,80,,,Percent of total billed charges,,34.4,61.6,,,Percent of total billed charges,,26.49,20.6,,,Percent of total billed charges,,8.86,20.6,,,Percent of total billed charges,,8.86,65.55,,,Percent of total billed charges,,28.19,21,,,Percent of total billed charges,,9.03,90,,,Percent of total billed charges,,38.7,21,,,Percent of total billed charges,,9.03,21,,,Percent of total billed charges,,9.03,64.9,,,Percent of total billed charges,,27.91,21,,,Percent of total billed charges,,9.03,,31.62,,Case rate,,31.62,1.77,43,
seizures without mcc,101,MS-DRG,,,,Inpatient,Facility,,,12446.25,4978.5,,8188.22,,Case rate,DRG Factor * DRG Weight,8188.22,,1758.64,,Per Diem,,5275.92,,1724.82,,Per Diem,,5174.46,,9024.88,,Case rate,DRG Factor * DRG Weight,9024.88,,1674.09,,Per Diem,,5022.27,80,,,Percent of total billed charges,,9957,61.6,,,Percent of total billed charges,,7666.89,,1741.73,,Per Diem,,5225.19,,1741.73,,Per Diem,,5225.19,65.55,,,Percent of total billed charges,,8158.52,,2079,,Per Diem,,6237,90,,,Percent of total billed charges,,11201.62,,2079,,Per Diem,,6237,,2079,,Per Diem,,6237,64.9,,,Percent of total billed charges,,8077.61,,2079,,Per Diem,,6237,,8778.77,,Case rate,DRG Factor * DRG Weight,8778.77,5022.27,12446.25,
Selenium,84255,CPT,,,,Outpatient,Facility,,,217,86.8,66,,,Percent of total billed charges,,143.22,20.8,,,Percent of total billed charges,,45.14,20.4,,,Percent of total billed charges,,44.27,,25.53,,Case rate,,25.53,,7.39,,Case rate,,7.39,80,,,Percent of total billed charges,,173.6,61.6,,,Percent of total billed charges,,133.67,20.6,,,Percent of total billed charges,,44.7,20.6,,,Percent of total billed charges,,44.7,65.55,,,Percent of total billed charges,,142.24,21,,,Percent of total billed charges,,45.57,90,,,Percent of total billed charges,,195.3,21,,,Percent of total billed charges,,45.57,21,,,Percent of total billed charges,,45.57,64.9,,,Percent of total billed charges,,140.83,21,,,Percent of total billed charges,,45.57,,159.16,,Case rate,,159.16,7.39,217,
Serotonin,84260,CPT,,,,Outpatient,Facility,,,186,74.4,66,,,Percent of total billed charges,,122.76,20.8,,,Percent of total billed charges,,38.69,20.4,,,Percent of total billed charges,,37.94,,30.98,,Case rate,,30.98,,6.38,,Case rate,,6.38,80,,,Percent of total billed charges,,148.8,61.6,,,Percent of total billed charges,,114.58,20.6,,,Percent of total billed charges,,38.32,20.6,,,Percent of total billed charges,,38.32,65.55,,,Percent of total billed charges,,121.92,21,,,Percent of total billed charges,,39.06,90,,,Percent of total billed charges,,167.4,21,,,Percent of total billed charges,,39.06,21,,,Percent of total billed charges,,39.06,64.9,,,Percent of total billed charges,,120.71,21,,,Percent of total billed charges,,39.06,,136.41,,Case rate,,136.41,6.38,186,
"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm",11301,CPT,,,,Outpatient,Facility,,,426,170.4,66,,,Percent of total billed charges,,281.16,20.8,,,Percent of total billed charges,,88.61,20.4,,,Percent of total billed charges,,86.9,,117.99,,Case rate,,117.99,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,340.8,61.6,,,Percent of total billed charges,,262.42,20.6,,,Percent of total billed charges,,87.76,20.6,,,Percent of total billed charges,,87.76,65.55,,,Percent of total billed charges,,279.24,21,,,Percent of total billed charges,,89.46,90,,,Percent of total billed charges,,383.4,21,,,Percent of total billed charges,,89.46,21,,,Percent of total billed charges,,89.46,64.9,,,Percent of total billed charges,,276.47,21,,,Percent of total billed charges,,89.46,,347.3,,Case rate,,347.3,13.86,426,
"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",45330,CPT,,,,Outpatient,Facility,,,2535.15,1014.06,66,,,Percent of total billed charges,,1673.2,20.8,,,Percent of total billed charges,,527.31,20.4,,,Percent of total billed charges,,517.17,,178.85,,Case rate,,178.85,,35.64,,Case rate,,35.64,80,,,Percent of total billed charges,,2028.12,61.6,,,Percent of total billed charges,,1561.65,20.6,,,Percent of total billed charges,,522.24,20.6,,,Percent of total billed charges,,522.24,65.55,,,Percent of total billed charges,,1661.79,21,,,Percent of total billed charges,,532.38,90,,,Percent of total billed charges,,2281.64,21,,,Percent of total billed charges,,532.38,21,,,Percent of total billed charges,,532.38,64.9,,,Percent of total billed charges,,1645.31,21,,,Percent of total billed charges,,532.38,,868.24,,Case rate,,868.24,35.64,2535.15,
signs and symptoms of musculoskeletal system and connective tissue without mcc,556,MS-DRG,,,,Inpatient,Facility,,,12106.24,4842.5,,7421.25,,Case rate,DRG Factor * DRG Weight,7421.25,,1758.64,,Per Diem,,3517.28,,1724.82,,Per Diem,,3449.64,,11351.74,,Case rate,DRG Factor * DRG Weight,11351.74,,1674.09,,Per Diem,,3348.18,80,,,Percent of total billed charges,,9684.99,61.6,,,Percent of total billed charges,,7457.45,,1741.73,,Per Diem,,3483.46,,1741.73,,Per Diem,,3483.46,65.55,,,Percent of total billed charges,,7935.64,,2079,,Per Diem,,4158,90,,,Percent of total billed charges,,10895.62,,2079,,Per Diem,,4158,,2079,,Per Diem,,4158,64.9,,,Percent of total billed charges,,7856.95,,2079,,Per Diem,,4158,,7956.48,,Case rate,DRG Factor * DRG Weight,7956.48,3348.18,12106.24,
signs and symptoms with mcc,947,MS-DRG,,,,Inpatient,Facility,,,20056.69,8022.68,,11266.9,,Case rate,DRG Factor * DRG Weight,11266.9,,1758.64,,Per Diem,,12310.48,,1724.82,,Per Diem,,12073.74,,14742.3,,Case rate,DRG Factor * DRG Weight,14742.3,,1674.09,,Per Diem,,11718.63,80,,,Percent of total billed charges,,16045.35,61.6,,,Percent of total billed charges,,12354.92,,1741.73,,Per Diem,,12192.11,,1741.73,,Per Diem,,12192.11,65.55,,,Percent of total billed charges,,13147.16,,2079,,Per Diem,,14553,90,,,Percent of total billed charges,,18051.02,,2079,,Per Diem,,14553,,2079,,Per Diem,,14553,64.9,,,Percent of total billed charges,,13016.79,,2079,,Per Diem,,14553,,12079.49,,Case rate,DRG Factor * DRG Weight,12079.49,11266.9,20056.69,
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",12013,CPT,,,,Outpatient,Facility,,,453,181.2,66,,,Percent of total billed charges,,298.98,20.8,,,Percent of total billed charges,,94.22,20.4,,,Percent of total billed charges,,92.41,,114.46,,Case rate,,114.46,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,362.4,61.6,,,Percent of total billed charges,,279.05,20.6,,,Percent of total billed charges,,93.32,20.6,,,Percent of total billed charges,,93.32,65.55,,,Percent of total billed charges,,296.94,21,,,Percent of total billed charges,,95.13,90,,,Percent of total billed charges,,407.7,21,,,Percent of total billed charges,,95.13,21,,,Percent of total billed charges,,95.13,64.9,,,Percent of total billed charges,,294,21,,,Percent of total billed charges,,95.13,,333.04,,Case rate,,333.04,13.86,453,
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",12014,CPT,,,,Outpatient,Facility,,,661,264.4,66,,,Percent of total billed charges,,436.26,20.8,,,Percent of total billed charges,,137.49,20.4,,,Percent of total billed charges,,134.84,,139.24,,Case rate,,139.24,,21.78,,Case rate,,21.78,80,,,Percent of total billed charges,,528.8,61.6,,,Percent of total billed charges,,407.18,20.6,,,Percent of total billed charges,,136.17,20.6,,,Percent of total billed charges,,136.17,65.55,,,Percent of total billed charges,,433.29,21,,,Percent of total billed charges,,138.81,90,,,Percent of total billed charges,,594.9,21,,,Percent of total billed charges,,138.81,21,,,Percent of total billed charges,,138.81,64.9,,,Percent of total billed charges,,428.99,21,,,Percent of total billed charges,,138.81,,542.21,,Case rate,,542.21,21.78,661,
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm",12015,CPT,,,,Outpatient,Facility,,,678,271.2,66,,,Percent of total billed charges,,447.48,20.8,,,Percent of total billed charges,,141.02,20.4,,,Percent of total billed charges,,138.31,,167.92,,Case rate,,167.92,,21.78,,Case rate,,21.78,80,,,Percent of total billed charges,,542.4,61.6,,,Percent of total billed charges,,417.65,20.6,,,Percent of total billed charges,,139.67,20.6,,,Percent of total billed charges,,139.67,65.55,,,Percent of total billed charges,,444.43,21,,,Percent of total billed charges,,142.38,90,,,Percent of total billed charges,,610.2,21,,,Percent of total billed charges,,142.38,21,,,Percent of total billed charges,,142.38,64.9,,,Percent of total billed charges,,440.02,21,,,Percent of total billed charges,,142.38,,528.09,,Case rate,,528.09,21.78,678,
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm",12006,CPT,,,,Outpatient,Facility,,,2263,905.2,66,,,Percent of total billed charges,,1493.58,20.8,,,Percent of total billed charges,,470.7,20.4,,,Percent of total billed charges,,461.65,,200.08,,Case rate,,200.08,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1810.4,61.6,,,Percent of total billed charges,,1394.01,20.6,,,Percent of total billed charges,,466.18,20.6,,,Percent of total billed charges,,466.18,65.55,,,Percent of total billed charges,,1483.4,21,,,Percent of total billed charges,,475.23,90,,,Percent of total billed charges,,2036.7,21,,,Percent of total billed charges,,475.23,21,,,Percent of total billed charges,,475.23,64.9,,,Percent of total billed charges,,1468.69,21,,,Percent of total billed charges,,475.23,,1919.97,,Case rate,,1919.97,77.74,2263,
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm",12004,CPT,,,,Outpatient,Facility,,,631,252.4,66,,,Percent of total billed charges,,416.46,20.8,,,Percent of total billed charges,,131.25,20.4,,,Percent of total billed charges,,128.72,,128.54,,Case rate,,128.54,,21.78,,Case rate,,21.78,80,,,Percent of total billed charges,,504.8,61.6,,,Percent of total billed charges,,388.7,20.6,,,Percent of total billed charges,,129.99,20.6,,,Percent of total billed charges,,129.99,65.55,,,Percent of total billed charges,,413.62,21,,,Percent of total billed charges,,132.51,90,,,Percent of total billed charges,,567.9,21,,,Percent of total billed charges,,132.51,21,,,Percent of total billed charges,,132.51,64.9,,,Percent of total billed charges,,409.52,21,,,Percent of total billed charges,,132.51,,527.03,,Case rate,,527.03,21.78,631,
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm",12007,CPT,,,,Outpatient,Facility,,,2407,962.8,66,,,Percent of total billed charges,,1588.62,20.8,,,Percent of total billed charges,,500.66,20.4,,,Percent of total billed charges,,491.03,,225.81,,Case rate,,225.81,,77.74,,Case rate,,77.74,80,,,Percent of total billed charges,,1925.6,61.6,,,Percent of total billed charges,,1482.71,20.6,,,Percent of total billed charges,,495.84,20.6,,,Percent of total billed charges,,495.84,65.55,,,Percent of total billed charges,,1577.79,21,,,Percent of total billed charges,,505.47,90,,,Percent of total billed charges,,2166.3,21,,,Percent of total billed charges,,505.47,21,,,Percent of total billed charges,,505.47,64.9,,,Percent of total billed charges,,1562.14,21,,,Percent of total billed charges,,505.47,,1905.35,,Case rate,,1905.35,77.74,2407,
Sirolimus,80195,CPT,,,,Outpatient,Facility,,,69,27.6,66,,,Percent of total billed charges,,45.54,20.8,,,Percent of total billed charges,,14.35,20.4,,,Percent of total billed charges,,14.08,,13.73,,Case rate,,13.73,,3.8,,Case rate,,3.8,80,,,Percent of total billed charges,,55.2,61.6,,,Percent of total billed charges,,42.5,20.6,,,Percent of total billed charges,,14.21,20.6,,,Percent of total billed charges,,14.21,65.55,,,Percent of total billed charges,,45.23,21,,,Percent of total billed charges,,14.49,90,,,Percent of total billed charges,,62.1,21,,,Percent of total billed charges,,14.49,21,,,Percent of total billed charges,,14.49,64.9,,,Percent of total billed charges,,44.78,21,,,Percent of total billed charges,,14.49,,67.83,,Case rate,,67.83,3.8,69,
Skeletal muscle relaxants; 1 or 2,80369,CPT,,,,Outpatient,Facility,,,235,94,66,,,Percent of total billed charges,,155.1,20.8,,,Percent of total billed charges,,48.88,20.4,,,Percent of total billed charges,,47.94,,16.79,,Case rate,,16.79,,1.25,,Case rate,,1.25,80,,,Percent of total billed charges,,188,61.6,,,Percent of total billed charges,,144.76,20.6,,,Percent of total billed charges,,48.41,20.6,,,Percent of total billed charges,,48.41,65.55,,,Percent of total billed charges,,154.04,21,,,Percent of total billed charges,,49.35,90,,,Percent of total billed charges,,211.5,21,,,Percent of total billed charges,,49.35,21,,,Percent of total billed charges,,49.35,64.9,,,Percent of total billed charges,,152.52,21,,,Percent of total billed charges,,49.35,45,,,Percent of total billed charges,,105.75,1.25,235,
"Skin test; tuberculosis, intradermal",86580,CPT,,,,Outpatient,Facility,,,62,24.8,66,,,Percent of total billed charges,,40.92,20.8,,,Percent of total billed charges,,12.9,20.4,,,Percent of total billed charges,,12.65,,9.48,,Case rate,,9.48,,1.88,,Case rate,,1.88,80,,,Percent of total billed charges,,49.6,61.6,,,Percent of total billed charges,,38.19,20.6,,,Percent of total billed charges,,12.77,20.6,,,Percent of total billed charges,,12.77,65.55,,,Percent of total billed charges,,40.64,21,,,Percent of total billed charges,,13.02,90,,,Percent of total billed charges,,55.8,21,,,Percent of total billed charges,,13.02,21,,,Percent of total billed charges,,13.02,64.9,,,Percent of total billed charges,,40.24,21,,,Percent of total billed charges,,13.02,,33.85,,Case rate,,33.85,1.88,62,
"Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist",95807,CPT,,,,Outpatient,Facility,,,1940,776,66,,,Percent of total billed charges,,1280.4,20.8,,,Percent of total billed charges,,403.52,20.4,,,Percent of total billed charges,,395.76,,310.39,,Case rate,,310.39,,73.17,,Case rate,,73.17,80,,,Percent of total billed charges,,1552,61.6,,,Percent of total billed charges,,1195.04,20.6,,,Percent of total billed charges,,399.64,20.6,,,Percent of total billed charges,,399.64,65.55,,,Percent of total billed charges,,1271.67,21,,,Percent of total billed charges,,407.4,90,,,Percent of total billed charges,,1746,21,,,Percent of total billed charges,,407.4,21,,,Percent of total billed charges,,407.4,64.9,,,Percent of total billed charges,,1259.06,21,,,Percent of total billed charges,,407.4,,716.6,,Case rate,,716.6,73.17,1940,
"Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement)",95806,CPT,74095806,CDM,TC,Outpatient,Facility,,,1243,497.2,66,,,Percent of total billed charges,,820.38,20.8,,,Percent of total billed charges,,258.54,,142.34,,Case rate,,142.34,,45.83,,Case rate,,45.83,,22.38,,Case rate,,22.38,80,,,Percent of total billed charges,,994.4,61.6,,,Percent of total billed charges,,765.69,20.6,,,Percent of total billed charges,,256.06,20.6,,,Percent of total billed charges,,256.06,65.55,,,Percent of total billed charges,,814.79,21,,,Percent of total billed charges,,261.03,90,,,Percent of total billed charges,,1118.7,21,,,Percent of total billed charges,,261.03,21,,,Percent of total billed charges,,261.03,64.9,,,Percent of total billed charges,,806.71,21,,,Percent of total billed charges,,261.03,,1049.69,,Case rate,,1049.69,22.38,1243,
"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types",87206,CPT,,,,Outpatient,Facility,,,90,36,66,,,Percent of total billed charges,,59.4,20.8,,,Percent of total billed charges,,18.72,20.4,,,Percent of total billed charges,,18.36,,5.39,,Case rate,,5.39,,0.89,,Case rate,,0.89,80,,,Percent of total billed charges,,72,61.6,,,Percent of total billed charges,,55.44,20.6,,,Percent of total billed charges,,18.54,20.6,,,Percent of total billed charges,,18.54,65.55,,,Percent of total billed charges,,59,21,,,Percent of total billed charges,,18.9,90,,,Percent of total billed charges,,81,21,,,Percent of total billed charges,,18.9,21,,,Percent of total billed charges,,18.9,64.9,,,Percent of total billed charges,,58.41,21,,,Percent of total billed charges,,18.9,,24.79,,Case rate,,24.79,0.89,90,
"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types",87205,CPT,,,,Outpatient,Facility,,,48,19.2,66,,,Percent of total billed charges,,31.68,20.8,,,Percent of total billed charges,,9.98,20.4,,,Percent of total billed charges,,9.79,,4.27,,Case rate,,4.27,,0.88,,Case rate,,0.88,80,,,Percent of total billed charges,,38.4,61.6,,,Percent of total billed charges,,29.57,20.6,,,Percent of total billed charges,,9.89,20.6,,,Percent of total billed charges,,9.89,65.55,,,Percent of total billed charges,,31.46,21,,,Percent of total billed charges,,10.08,90,,,Percent of total billed charges,,43.2,21,,,Percent of total billed charges,,10.08,21,,,Percent of total billed charges,,10.08,64.9,,,Percent of total billed charges,,31.15,21,,,Percent of total billed charges,,10.08,,24.98,,Case rate,,24.98,0.88,48,
"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)",87210,CPT,,,,Outpatient,Facility,,,53,21.2,66,,,Percent of total billed charges,,34.98,20.8,,,Percent of total billed charges,,11.02,20.4,,,Percent of total billed charges,,10.81,,5.82,,Case rate,,5.82,,1.24,,Case rate,,1.24,80,,,Percent of total billed charges,,42.4,61.6,,,Percent of total billed charges,,32.65,20.6,,,Percent of total billed charges,,10.92,20.6,,,Percent of total billed charges,,10.92,65.55,,,Percent of total billed charges,,34.74,21,,,Percent of total billed charges,,11.13,90,,,Percent of total billed charges,,47.7,21,,,Percent of total billed charges,,11.13,21,,,Percent of total billed charges,,11.13,64.9,,,Percent of total billed charges,,34.4,21,,,Percent of total billed charges,,11.13,,34.08,,Case rate,,34.08,1.24,53,
"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes",99407,CPT,,,,Outpatient,Facility,,,151,60.4,66,,,Percent of total billed charges,,99.66,20.8,,,Percent of total billed charges,,31.41,20.4,,,Percent of total billed charges,,30.8,,27.02,,Case rate,,27.02,,4.63,,Case rate,,4.63,80,,,Percent of total billed charges,,120.8,61.6,,,Percent of total billed charges,,93.02,20.6,,,Percent of total billed charges,,31.11,20.6,,,Percent of total billed charges,,31.11,65.55,,,Percent of total billed charges,,98.98,21,,,Percent of total billed charges,,31.71,90,,,Percent of total billed charges,,135.9,21,,,Percent of total billed charges,,31.71,21,,,Percent of total billed charges,,31.71,64.9,,,Percent of total billed charges,,98,21,,,Percent of total billed charges,,31.71,,53.44,,Case rate,,53.44,4.63,151,
"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330)",81330,CPT,,,,Outpatient,Facility,,,172,68.8,66,,,Percent of total billed charges,,113.52,20.8,,,Percent of total billed charges,,35.78,20.4,,,Percent of total billed charges,,35.09,,47,,Case rate,,47,,29,,Case rate,,29,80,,,Percent of total billed charges,,137.6,61.6,,,Percent of total billed charges,,105.95,20.6,,,Percent of total billed charges,,35.43,20.6,,,Percent of total billed charges,,35.43,65.55,,,Percent of total billed charges,,112.75,21,,,Percent of total billed charges,,36.12,90,,,Percent of total billed charges,,154.8,21,,,Percent of total billed charges,,36.12,21,,,Percent of total billed charges,,36.12,64.9,,,Percent of total billed charges,,111.63,21,,,Percent of total billed charges,,36.12,45,,,Percent of total billed charges,,77.4,29,172,
"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis",81331,CPT,,,,Outpatient,Facility,,,229,91.6,66,,,Percent of total billed charges,,151.14,20.8,,,Percent of total billed charges,,47.63,20.4,,,Percent of total billed charges,,46.72,,51.07,,Case rate,,51.07,,20.92,,Case rate,,20.92,80,,,Percent of total billed charges,,183.2,61.6,,,Percent of total billed charges,,141.06,20.6,,,Percent of total billed charges,,47.17,20.6,,,Percent of total billed charges,,47.17,65.55,,,Percent of total billed charges,,150.11,21,,,Percent of total billed charges,,48.09,90,,,Percent of total billed charges,,206.1,21,,,Percent of total billed charges,,48.09,21,,,Percent of total billed charges,,48.09,64.9,,,Percent of total billed charges,,148.62,21,,,Percent of total billed charges,,48.09,45,,,Percent of total billed charges,,103.05,20.92,229,
"Sodium; serum, plasma or whole blood",84295,CPT,,,,Outpatient,Facility,,,35,14,66,,,Percent of total billed charges,,23.1,20.8,,,Percent of total billed charges,,7.28,20.4,,,Percent of total billed charges,,7.14,,4.81,,Case rate,,4.81,,0.99,,Case rate,,0.99,80,,,Percent of total billed charges,,28,61.6,,,Percent of total billed charges,,21.56,20.6,,,Percent of total billed charges,,7.21,20.6,,,Percent of total billed charges,,7.21,65.55,,,Percent of total billed charges,,22.94,21,,,Percent of total billed charges,,7.35,90,,,Percent of total billed charges,,31.5,21,,,Percent of total billed charges,,7.35,21,,,Percent of total billed charges,,7.35,64.9,,,Percent of total billed charges,,22.72,21,,,Percent of total billed charges,,7.35,,28.74,,Case rate,,28.74,0.99,35,
"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability",81457,CPT,,,,Outpatient,Facility,,,3609,1443.6,66,,,Percent of total billed charges,,2381.94,20.8,,,Percent of total billed charges,,750.67,20.4,,,Percent of total billed charges,,736.24,58.8,,,Percent of total billed charges,,2122.09,19.8,,,Percent of total billed charges,,714.58,80,,,Percent of total billed charges,,2887.2,61.6,,,Percent of total billed charges,,2223.14,20.6,,,Percent of total billed charges,,743.45,20.6,,,Percent of total billed charges,,743.45,65.55,,,Percent of total billed charges,,2365.7,21,,,Percent of total billed charges,,757.89,90,,,Percent of total billed charges,,3248.1,21,,,Percent of total billed charges,,757.89,21,,,Percent of total billed charges,,757.89,64.9,,,Percent of total billed charges,,2342.24,21,,,Percent of total billed charges,,757.89,45,,,Percent of total billed charges,,1624.05,714.58,3609,
"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis",81455,CPT,,,,Outpatient,Facility,,,8851,3540.4,66,,,Percent of total billed charges,,5841.66,20.8,,,Percent of total billed charges,,1841.01,,2977.99,,Case rate,,2977.99,,2919.6,,Case rate,,2919.6,,197.23,,Case rate,,197.23,80,,,Percent of total billed charges,,7080.8,61.6,,,Percent of total billed charges,,5452.22,20.6,,,Percent of total billed charges,,1823.31,20.6,,,Percent of total billed charges,,1823.31,65.55,,,Percent of total billed charges,,5801.83,21,,,Percent of total billed charges,,1858.71,90,,,Percent of total billed charges,,7965.9,21,,,Percent of total billed charges,,1858.71,21,,,Percent of total billed charges,,1858.71,64.9,,,Percent of total billed charges,,5744.3,21,,,Percent of total billed charges,,1858.71,,17052.76,,Case rate,,17052.76,197.23,17052.76,
Somatomedin,84305,CPT,,,,Outpatient,Facility,,,112,44.8,66,,,Percent of total billed charges,,73.92,20.8,,,Percent of total billed charges,,23.3,20.4,,,Percent of total billed charges,,22.85,,21.26,,Case rate,,21.26,,3.74,,Case rate,,3.74,80,,,Percent of total billed charges,,89.6,61.6,,,Percent of total billed charges,,68.99,20.6,,,Percent of total billed charges,,23.07,20.6,,,Percent of total billed charges,,23.07,65.55,,,Percent of total billed charges,,73.42,21,,,Percent of total billed charges,,23.52,90,,,Percent of total billed charges,,100.8,21,,,Percent of total billed charges,,23.52,21,,,Percent of total billed charges,,23.52,64.9,,,Percent of total billed charges,,72.69,21,,,Percent of total billed charges,,23.52,,91.84,,Case rate,,91.84,3.74,112,
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry",88313,CPT,,,,Outpatient,Facility,,,169,67.6,66,,,Percent of total billed charges,,111.54,20.8,,,Percent of total billed charges,,35.15,20.4,,,Percent of total billed charges,,34.48,,66.07,,Case rate,,66.07,,0.67,,Case rate,,0.67,80,,,Percent of total billed charges,,135.2,61.6,,,Percent of total billed charges,,104.1,20.6,,,Percent of total billed charges,,34.81,20.6,,,Percent of total billed charges,,34.81,65.55,,,Percent of total billed charges,,110.78,21,,,Percent of total billed charges,,35.49,90,,,Percent of total billed charges,,152.1,21,,,Percent of total billed charges,,35.49,21,,,Percent of total billed charges,,35.49,64.9,,,Percent of total billed charges,,109.68,21,,,Percent of total billed charges,,35.49,,19.45,,Case rate,,19.45,0.67,169,
"Spectrophotometry, analyte not elsewhere specified",84311,CPT,,,,Outpatient,Facility,,,62,24.8,66,,,Percent of total billed charges,,40.92,20.8,,,Percent of total billed charges,,12.9,,8.26,,Case rate,,8.26,,8.1,,Case rate,,8.1,,1.44,,Case rate,,1.44,80,,,Percent of total billed charges,,49.6,61.6,,,Percent of total billed charges,,38.19,20.6,,,Percent of total billed charges,,12.77,20.6,,,Percent of total billed charges,,12.77,65.55,,,Percent of total billed charges,,40.64,21,,,Percent of total billed charges,,13.02,90,,,Percent of total billed charges,,55.8,21,,,Percent of total billed charges,,13.02,21,,,Percent of total billed charges,,13.02,64.9,,,Percent of total billed charges,,40.24,21,,,Percent of total billed charges,,13.02,,37.98,,Case rate,,37.98,1.44,62,
Strapping; toes,29550,CPT,,,,Outpatient,Facility,,,409,163.6,66,,,Percent of total billed charges,,269.94,20.8,,,Percent of total billed charges,,85.07,20.4,,,Percent of total billed charges,,83.44,,18.57,,Case rate,,18.57,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,327.2,61.6,,,Percent of total billed charges,,251.94,20.6,,,Percent of total billed charges,,84.25,20.6,,,Percent of total billed charges,,84.25,65.55,,,Percent of total billed charges,,268.1,21,,,Percent of total billed charges,,85.89,90,,,Percent of total billed charges,,368.1,21,,,Percent of total billed charges,,85.89,21,,,Percent of total billed charges,,85.89,64.9,,,Percent of total billed charges,,265.44,21,,,Percent of total billed charges,,85.89,,347.85,,Case rate,,347.85,13.86,409,
Strapping; Unna boot,29580,CPT,,,,Outpatient,Facility,,,426,170.4,66,,,Percent of total billed charges,,281.16,20.8,,,Percent of total billed charges,,88.61,,144,,Case rate,,144,,60.94,,Case rate,,60.94,,13.86,,Case rate,,13.86,80,,,Percent of total billed charges,,340.8,61.6,,,Percent of total billed charges,,262.42,20.6,,,Percent of total billed charges,,87.76,20.6,,,Percent of total billed charges,,87.76,65.55,,,Percent of total billed charges,,279.24,21,,,Percent of total billed charges,,89.46,90,,,Percent of total billed charges,,383.4,21,,,Percent of total billed charges,,89.46,21,,,Percent of total billed charges,,89.46,64.9,,,Percent of total billed charges,,276.47,21,,,Percent of total billed charges,,89.46,,346.27,,Case rate,,346.27,13.86,426,
"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen",84376,CPT,,,,Outpatient,Facility,,,65,26,66,,,Percent of total billed charges,,42.9,20.8,,,Percent of total billed charges,,13.52,20.4,,,Percent of total billed charges,,13.26,,5.5,,Case rate,,5.5,,1.56,,Case rate,,1.56,80,,,Percent of total billed charges,,52,61.6,,,Percent of total billed charges,,40.04,20.6,,,Percent of total billed charges,,13.39,20.6,,,Percent of total billed charges,,13.39,65.55,,,Percent of total billed charges,,42.61,21,,,Percent of total billed charges,,13.65,90,,,Percent of total billed charges,,58.5,21,,,Percent of total billed charges,,13.65,21,,,Percent of total billed charges,,13.65,64.9,,,Percent of total billed charges,,42.18,21,,,Percent of total billed charges,,13.65,,41.32,,Case rate,,41.32,1.56,65,
"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen",84378,CPT,,,,Outpatient,Facility,,,152,60.8,66,,,Percent of total billed charges,,100.32,20.8,,,Percent of total billed charges,,31.62,20.4,,,Percent of total billed charges,,31.01,,11.53,,Case rate,,11.53,,3.26,,Case rate,,3.26,80,,,Percent of total billed charges,,121.6,61.6,,,Percent of total billed charges,,93.63,20.6,,,Percent of total billed charges,,31.31,20.6,,,Percent of total billed charges,,31.31,65.55,,,Percent of total billed charges,,99.64,21,,,Percent of total billed charges,,31.92,90,,,Percent of total billed charges,,136.8,21,,,Percent of total billed charges,,31.92,21,,,Percent of total billed charges,,31.92,64.9,,,Percent of total billed charges,,98.65,21,,,Percent of total billed charges,,31.92,,65.14,,Case rate,,65.14,3.26,152,
"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip)",87181,CPT,,,,Outpatient,Facility,,,51,20.4,66,,,Percent of total billed charges,,33.66,20.8,,,Percent of total billed charges,,10.61,20.4,,,Percent of total billed charges,,10.4,,4.75,,Case rate,,4.75,,1.37,,Case rate,,1.37,80,,,Percent of total billed charges,,40.8,61.6,,,Percent of total billed charges,,31.42,20.6,,,Percent of total billed charges,,10.51,20.6,,,Percent of total billed charges,,10.51,65.55,,,Percent of total billed charges,,33.43,21,,,Percent of total billed charges,,10.71,90,,,Percent of total billed charges,,45.9,21,,,Percent of total billed charges,,10.71,21,,,Percent of total billed charges,,10.71,64.9,,,Percent of total billed charges,,33.1,21,,,Percent of total billed charges,,10.71,,35.84,,Case rate,,35.84,1.37,51,
"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme",87185,CPT,,,,Outpatient,Facility,,,51,20.4,66,,,Percent of total billed charges,,33.66,20.8,,,Percent of total billed charges,,10.61,20.4,,,Percent of total billed charges,,10.4,,4.75,,Case rate,,4.75,,1.34,,Case rate,,1.34,80,,,Percent of total billed charges,,40.8,61.6,,,Percent of total billed charges,,31.42,20.6,,,Percent of total billed charges,,10.51,20.6,,,Percent of total billed charges,,10.51,65.55,,,Percent of total billed charges,,33.43,21,,,Percent of total billed charges,,10.71,90,,,Percent of total billed charges,,45.9,21,,,Percent of total billed charges,,10.71,21,,,Percent of total billed charges,,10.71,64.9,,,Percent of total billed charges,,33.1,21,,,Percent of total billed charges,,10.71,,19.31,,Case rate,,19.31,1.34,51,
"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate",87186,CPT,,,,Outpatient,Facility,,,164,65.6,66,,,Percent of total billed charges,,108.24,20.8,,,Percent of total billed charges,,34.11,20.4,,,Percent of total billed charges,,33.46,,8.65,,Case rate,,8.65,,1.78,,Case rate,,1.78,80,,,Percent of total billed charges,,131.2,61.6,,,Percent of total billed charges,,101.02,20.6,,,Percent of total billed charges,,33.78,20.6,,,Percent of total billed charges,,33.78,65.55,,,Percent of total billed charges,,107.5,21,,,Percent of total billed charges,,34.44,90,,,Percent of total billed charges,,147.6,21,,,Percent of total billed charges,,34.44,21,,,Percent of total billed charges,,34.44,64.9,,,Percent of total billed charges,,106.44,21,,,Percent of total billed charges,,34.44,,32.64,,Case rate,,32.64,1.78,164,
"Syphilis test, non-treponemal antibody; quantitative",86593,CPT,,,,Outpatient,Facility,,,69,27.6,66,,,Percent of total billed charges,,45.54,20.8,,,Percent of total billed charges,,14.35,20.4,,,Percent of total billed charges,,14.08,,4.4,,Case rate,,4.4,,1.28,,Case rate,,1.28,80,,,Percent of total billed charges,,55.2,61.6,,,Percent of total billed charges,,42.5,20.6,,,Percent of total billed charges,,14.21,20.6,,,Percent of total billed charges,,14.21,65.55,,,Percent of total billed charges,,45.23,21,,,Percent of total billed charges,,14.49,90,,,Percent of total billed charges,,62.1,21,,,Percent of total billed charges,,14.49,21,,,Percent of total billed charges,,14.49,64.9,,,Percent of total billed charges,,44.78,21,,,Percent of total billed charges,,14.49,,34.13,,Case rate,,34.13,1.28,69,
"T cells; absolute CD4 and CD8 count, including ratio",86360,CPT,,,,Outpatient,Facility,,,372,148.8,66,,,Percent of total billed charges,,245.52,20.8,,,Percent of total billed charges,,77.38,20.4,,,Percent of total billed charges,,75.89,,46.98,,Case rate,,46.98,,13.46,,Case rate,,13.46,80,,,Percent of total billed charges,,297.6,61.6,,,Percent of total billed charges,,229.15,20.6,,,Percent of total billed charges,,76.63,20.6,,,Percent of total billed charges,,76.63,65.55,,,Percent of total billed charges,,243.85,21,,,Percent of total billed charges,,78.12,90,,,Percent of total billed charges,,334.8,21,,,Percent of total billed charges,,78.12,21,,,Percent of total billed charges,,78.12,64.9,,,Percent of total billed charges,,241.43,21,,,Percent of total billed charges,,78.12,,298.45,,Case rate,,298.45,13.46,372,
T cells; total count,86359,CPT,,,,Outpatient,Facility,,,284,113.6,66,,,Percent of total billed charges,,187.44,20.8,,,Percent of total billed charges,,59.07,20.4,,,Percent of total billed charges,,57.94,,37.73,,Case rate,,37.73,,10.23,,Case rate,,10.23,80,,,Percent of total billed charges,,227.2,61.6,,,Percent of total billed charges,,174.94,20.6,,,Percent of total billed charges,,58.5,20.6,,,Percent of total billed charges,,58.5,65.55,,,Percent of total billed charges,,186.16,21,,,Percent of total billed charges,,59.64,90,,,Percent of total billed charges,,255.6,21,,,Percent of total billed charges,,59.64,21,,,Percent of total billed charges,,59.64,64.9,,,Percent of total billed charges,,184.32,21,,,Percent of total billed charges,,59.64,,238,,Case rate,,238,10.23,284,
Tacrolimus,80197,CPT,,,,Outpatient,Facility,,,281,112.4,66,,,Percent of total billed charges,,185.46,20.8,,,Percent of total billed charges,,58.45,20.4,,,Percent of total billed charges,,57.32,,13.73,,Case rate,,13.73,,3.88,,Case rate,,3.88,80,,,Percent of total billed charges,,224.8,61.6,,,Percent of total billed charges,,173.1,20.6,,,Percent of total billed charges,,57.89,20.6,,,Percent of total billed charges,,57.89,65.55,,,Percent of total billed charges,,184.2,21,,,Percent of total billed charges,,59.01,90,,,Percent of total billed charges,,252.9,21,,,Percent of total billed charges,,59.01,21,,,Percent of total billed charges,,59.01,64.9,,,Percent of total billed charges,,182.37,21,,,Percent of total billed charges,,59.01,,80.37,,Case rate,,80.37,3.88,281,
Tapentadol,80372,CPT,,,,Outpatient,Facility,,,132,52.8,66,,,Percent of total billed charges,,87.12,20.8,,,Percent of total billed charges,,27.46,20.4,,,Percent of total billed charges,,26.93,,18.54,,Case rate,,18.54,,1.38,,Case rate,,1.38,80,,,Percent of total billed charges,,105.6,61.6,,,Percent of total billed charges,,81.31,20.6,,,Percent of total billed charges,,27.19,20.6,,,Percent of total billed charges,,27.19,65.55,,,Percent of total billed charges,,86.53,21,,,Percent of total billed charges,,27.72,90,,,Percent of total billed charges,,118.8,21,,,Percent of total billed charges,,27.72,21,,,Percent of total billed charges,,27.72,64.9,,,Percent of total billed charges,,85.67,21,,,Percent of total billed charges,,27.72,45,,,Percent of total billed charges,,59.4,1.38,132,
"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries",A9560,CPT,,,,Outpatient,Facility,,,465.63,186.25,66,,,Percent of total billed charges,,307.32,20.8,,,Percent of total billed charges,,96.85,20.4,,,Percent of total billed charges,,94.99,,106.48,,Case rate,,106.48,,15.21,,Case rate,,15.21,80,,,Percent of total billed charges,,372.5,61.6,,,Percent of total billed charges,,286.83,20.6,,,Percent of total billed charges,,95.92,20.6,,,Percent of total billed charges,,95.92,65.55,,,Percent of total billed charges,,305.22,21,,,Percent of total billed charges,,97.78,90,,,Percent of total billed charges,,419.07,21,,,Percent of total billed charges,,97.78,21,,,Percent of total billed charges,,97.78,64.9,,,Percent of total billed charges,,302.19,21,,,Percent of total billed charges,,97.78,,556.14,,Case rate,,556.14,15.21,556.14,
"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries",A9503,CPT,,,,Outpatient,Facility,,,173,69.2,66,,,Percent of total billed charges,,114.18,20.8,,,Percent of total billed charges,,35.98,20.4,,,Percent of total billed charges,,35.29,,14.82,,Case rate,,14.82,,8.82,,Case rate,,8.82,80,,,Percent of total billed charges,,138.4,61.6,,,Percent of total billed charges,,106.57,20.6,,,Percent of total billed charges,,35.64,20.6,,,Percent of total billed charges,,35.64,65.55,,,Percent of total billed charges,,113.4,21,,,Percent of total billed charges,,36.33,90,,,Percent of total billed charges,,155.7,21,,,Percent of total billed charges,,36.33,21,,,Percent of total billed charges,,36.33,64.9,,,Percent of total billed charges,,112.28,21,,,Percent of total billed charges,,36.33,,174.34,,Case rate,,174.34,8.82,174.34,
"Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries",A9567,CPT,,,,Outpatient,Facility,,,663,265.2,66,,,Percent of total billed charges,,437.58,20.8,,,Percent of total billed charges,,137.9,20.4,,,Percent of total billed charges,,135.25,,23.02,,Case rate,,23.02,,3.22,,Case rate,,3.22,80,,,Percent of total billed charges,,530.4,61.6,,,Percent of total billed charges,,408.41,20.6,,,Percent of total billed charges,,136.58,20.6,,,Percent of total billed charges,,136.58,65.55,,,Percent of total billed charges,,434.6,21,,,Percent of total billed charges,,139.23,90,,,Percent of total billed charges,,596.7,21,,,Percent of total billed charges,,139.23,21,,,Percent of total billed charges,,139.23,64.9,,,Percent of total billed charges,,430.29,21,,,Percent of total billed charges,,139.23,,64.72,,Case rate,,64.72,3.22,663,
Telehealth originating site facility fee,Q3014,CPT,,,,Outpatient,Facility,,,48,19.2,66,,,Percent of total billed charges,,31.68,20.8,,,Percent of total billed charges,,9.98,20.4,,,Percent of total billed charges,,9.79,,25,,Case rate,,25,,1.66,,Case rate,,1.66,80,,,Percent of total billed charges,,38.4,61.6,,,Percent of total billed charges,,29.57,20.6,,,Percent of total billed charges,,9.89,20.6,,,Percent of total billed charges,,9.89,65.55,,,Percent of total billed charges,,31.46,21,,,Percent of total billed charges,,10.08,90,,,Percent of total billed charges,,43.2,21,,,Percent of total billed charges,,10.08,21,,,Percent of total billed charges,,10.08,64.9,,,Percent of total billed charges,,31.15,21,,,Percent of total billed charges,,10.08,,33.94,,Case rate,,33.94,1.66,48,
Temporary transcutaneous pacing,92953,CPT,,,,Outpatient,Facility,,,901,360.4,66,,,Percent of total billed charges,,594.66,20.8,,,Percent of total billed charges,,187.41,20.4,,,Percent of total billed charges,,183.8,,0.96,,Case rate,,0.96,,30.81,,Case rate,,30.81,80,,,Percent of total billed charges,,720.8,61.6,,,Percent of total billed charges,,555.02,20.6,,,Percent of total billed charges,,185.61,20.6,,,Percent of total billed charges,,185.61,65.55,,,Percent of total billed charges,,590.61,21,,,Percent of total billed charges,,189.21,90,,,Percent of total billed charges,,810.9,21,,,Percent of total billed charges,,189.21,21,,,Percent of total billed charges,,189.21,64.9,,,Percent of total billed charges,,584.75,21,,,Percent of total billed charges,,189.21,,735.59,,Case rate,,735.59,0.96,901,
"Tenotomy, percutaneous, toe; single tendon",28010,CPT,,,,Outpatient,Facility,,,5086,2034.4,66,,,Percent of total billed charges,,3356.76,20.8,,,Percent of total billed charges,,1057.89,20.4,,,Percent of total billed charges,,1037.54,,226.57,,Case rate,,226.57,,35.64,,Case rate,,35.64,80,,,Percent of total billed charges,,4068.8,61.6,,,Percent of total billed charges,,3132.98,20.6,,,Percent of total billed charges,,1047.72,20.6,,,Percent of total billed charges,,1047.72,65.55,,,Percent of total billed charges,,3333.87,21,,,Percent of total billed charges,,1068.06,90,,,Percent of total billed charges,,4577.4,21,,,Percent of total billed charges,,1068.06,21,,,Percent of total billed charges,,1068.06,64.9,,,Percent of total billed charges,,3300.81,21,,,Percent of total billed charges,,1068.06,,868.8,,Case rate,,868.8,35.64,5086,
Testosterone; free,84402,CPT,,,,Outpatient,Facility,,,158,63.2,66,,,Percent of total billed charges,,104.28,20.8,,,Percent of total billed charges,,32.86,20.4,,,Percent of total billed charges,,32.23,,25.47,,Case rate,,25.47,,5.35,,Case rate,,5.35,80,,,Percent of total billed charges,,126.4,61.6,,,Percent of total billed charges,,97.33,20.6,,,Percent of total billed charges,,32.55,20.6,,,Percent of total billed charges,,32.55,65.55,,,Percent of total billed charges,,103.57,21,,,Percent of total billed charges,,33.18,90,,,Percent of total billed charges,,142.2,21,,,Percent of total billed charges,,33.18,21,,,Percent of total billed charges,,33.18,64.9,,,Percent of total billed charges,,102.54,21,,,Percent of total billed charges,,33.18,,127.4,,Case rate,,127.4,5.35,158,
"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use",90714,CPT,,,,Outpatient,Facility,,,245.59,98.24,66,,,Percent of total billed charges,,162.09,20.8,,,Percent of total billed charges,,51.08,20.4,,,Percent of total billed charges,,50.1,,31.91,,Case rate,,31.91,,4.13,,Case rate,,4.13,80,,,Percent of total billed charges,,196.47,61.6,,,Percent of total billed charges,,151.28,20.6,,,Percent of total billed charges,,50.59,20.6,,,Percent of total billed charges,,50.59,65.55,,,Percent of total billed charges,,160.98,21,,,Percent of total billed charges,,51.57,90,,,Percent of total billed charges,,221.03,21,,,Percent of total billed charges,,51.57,21,,,Percent of total billed charges,,51.57,64.9,,,Percent of total billed charges,,159.39,21,,,Percent of total billed charges,,51.57,,32.28,,Case rate,,32.28,4.13,245.59,
Theophylline,80198,CPT,,,,Outpatient,Facility,,,131,52.4,66,,,Percent of total billed charges,,86.46,20.8,,,Percent of total billed charges,,27.25,20.4,,,Percent of total billed charges,,26.72,,14.14,,Case rate,,14.14,,2.91,,Case rate,,2.91,80,,,Percent of total billed charges,,104.8,61.6,,,Percent of total billed charges,,80.7,20.6,,,Percent of total billed charges,,26.99,20.6,,,Percent of total billed charges,,26.99,65.55,,,Percent of total billed charges,,85.87,21,,,Percent of total billed charges,,27.51,90,,,Percent of total billed charges,,117.9,21,,,Percent of total billed charges,,27.51,21,,,Percent of total billed charges,,27.51,64.9,,,Percent of total billed charges,,85.02,21,,,Percent of total billed charges,,27.51,,72.43,,Case rate,,72.43,2.91,131,
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes",97530,CPT,,,,Outpatient,Facility,,,237,94.8,66,,,Percent of total billed charges,,156.42,20.8,,,Percent of total billed charges,,49.3,20.4,,,Percent of total billed charges,,48.35,,36.08,,Case rate,,36.08,,2.17,,Case rate,,2.17,80,,,Percent of total billed charges,,189.6,61.6,,,Percent of total billed charges,,145.99,20.6,,,Percent of total billed charges,,48.82,20.6,,,Percent of total billed charges,,48.82,65.55,,,Percent of total billed charges,,155.35,21,,,Percent of total billed charges,,49.77,90,,,Percent of total billed charges,,213.3,21,,,Percent of total billed charges,,49.77,21,,,Percent of total billed charges,,49.77,64.9,,,Percent of total billed charges,,153.81,21,,,Percent of total billed charges,,49.77,,59.52,,Case rate,,59.52,2.17,237,
Therapeutic apheresis; for platelets,36513,CPT,,,,Outpatient,Facility,,,782,312.8,66,,,Percent of total billed charges,,516.12,20.8,,,Percent of total billed charges,,162.66,20.4,,,Percent of total billed charges,,159.53,,103.01,,Case rate,,103.01,,19.1,,Case rate,,19.1,80,,,Percent of total billed charges,,625.6,61.6,,,Percent of total billed charges,,481.71,20.6,,,Percent of total billed charges,,161.09,20.6,,,Percent of total billed charges,,161.09,65.55,,,Percent of total billed charges,,512.6,21,,,Percent of total billed charges,,164.22,90,,,Percent of total billed charges,,703.8,21,,,Percent of total billed charges,,164.22,21,,,Percent of total billed charges,,164.22,64.9,,,Percent of total billed charges,,507.52,21,,,Percent of total billed charges,,164.22,,338.43,,Case rate,,338.43,19.1,782,
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)",97130,CPT,,,,Outpatient,Facility,,,96,38.4,66,,,Percent of total billed charges,,63.36,20.8,,,Percent of total billed charges,,19.97,20.4,,,Percent of total billed charges,,19.58,,21.32,,Case rate,,21.32,,1.38,,Case rate,,1.38,80,,,Percent of total billed charges,,76.8,61.6,,,Percent of total billed charges,,59.14,20.6,,,Percent of total billed charges,,19.78,20.6,,,Percent of total billed charges,,19.78,65.55,,,Percent of total billed charges,,62.93,21,,,Percent of total billed charges,,20.16,90,,,Percent of total billed charges,,86.4,21,,,Percent of total billed charges,,20.16,21,,,Percent of total billed charges,,20.16,64.9,,,Percent of total billed charges,,62.3,21,,,Percent of total billed charges,,20.16,45,,,Percent of total billed charges,,43.2,1.38,96,
"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes",97129,CPT,,,,Outpatient,Facility,,,101,40.4,66,,,Percent of total billed charges,,66.66,20.8,,,Percent of total billed charges,,21.01,20.4,,,Percent of total billed charges,,20.6,,22.31,,Case rate,,22.31,,1.44,,Case rate,,1.44,80,,,Percent of total billed charges,,80.8,61.6,,,Percent of total billed charges,,62.22,20.6,,,Percent of total billed charges,,20.81,20.6,,,Percent of total billed charges,,20.81,65.55,,,Percent of total billed charges,,66.21,21,,,Percent of total billed charges,,21.21,90,,,Percent of total billed charges,,90.9,21,,,Percent of total billed charges,,21.21,21,,,Percent of total billed charges,,21.21,64.9,,,Percent of total billed charges,,65.55,21,,,Percent of total billed charges,,21.21,45,,,Percent of total billed charges,,45.45,1.44,101,
"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises",97113,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,35.86,,Case rate,,35.86,,2.71,,Case rate,,2.71,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,71.83,,Case rate,,71.83,2.71,92,
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",97110,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,28.84,,Case rate,,28.84,,2.71,,Case rate,,2.71,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,72.57,,Case rate,,72.57,2.71,92,
"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring)",G0239,CPT,,,,Outpatient,Facility,,,199,79.6,66,,,Percent of total billed charges,,131.34,20.8,,,Percent of total billed charges,,41.39,,34.52,,Case rate,,34.52,,12.01,,Case rate,,12.01,,1,,Case rate,,1,80,,,Percent of total billed charges,,159.2,61.6,,,Percent of total billed charges,,122.58,20.6,,,Percent of total billed charges,,40.99,20.6,,,Percent of total billed charges,,40.99,65.55,,,Percent of total billed charges,,130.44,21,,,Percent of total billed charges,,41.79,90,,,Percent of total billed charges,,179.1,21,,,Percent of total billed charges,,41.79,21,,,Percent of total billed charges,,41.79,64.9,,,Percent of total billed charges,,129.15,21,,,Percent of total billed charges,,41.79,,50.19,,Case rate,,50.19,1,199,
"Therapeutic services for the use of speech-generating device, including programming and modification",92609,CPT,,,,Outpatient,Facility,,,309,123.6,66,,,Percent of total billed charges,,203.94,20.8,,,Percent of total billed charges,,64.27,20.4,,,Percent of total billed charges,,63.04,,100.75,,Case rate,,100.75,,11.17,,Case rate,,11.17,80,,,Percent of total billed charges,,247.2,61.6,,,Percent of total billed charges,,190.34,20.6,,,Percent of total billed charges,,63.65,20.6,,,Percent of total billed charges,,63.65,65.55,,,Percent of total billed charges,,202.55,21,,,Percent of total billed charges,,64.89,90,,,Percent of total billed charges,,278.1,21,,,Percent of total billed charges,,64.89,21,,,Percent of total billed charges,,64.89,64.9,,,Percent of total billed charges,,200.54,21,,,Percent of total billed charges,,64.89,,144.91,,Case rate,,144.91,11.17,309,
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)",96375,CPT,,,,Outpatient,Facility,,,142,56.8,66,,,Percent of total billed charges,,93.72,20.8,,,Percent of total billed charges,,29.54,20.4,,,Percent of total billed charges,,28.97,,14.76,,Case rate,,14.76,,4.85,,Case rate,,4.85,80,,,Percent of total billed charges,,113.6,61.6,,,Percent of total billed charges,,87.47,20.6,,,Percent of total billed charges,,29.25,20.6,,,Percent of total billed charges,,29.25,65.55,,,Percent of total billed charges,,93.08,21,,,Percent of total billed charges,,29.82,90,,,Percent of total billed charges,,127.8,21,,,Percent of total billed charges,,29.82,21,,,Percent of total billed charges,,29.82,64.9,,,Percent of total billed charges,,92.16,21,,,Percent of total billed charges,,29.82,,84.92,,Case rate,,84.92,4.85,142,
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular",96372,CPT,,,,Outpatient,Facility,,,107,42.8,66,,,Percent of total billed charges,,70.62,20.8,,,Percent of total billed charges,,22.26,20.4,,,Percent of total billed charges,,21.83,,13.66,,Case rate,,13.66,,3.43,,Case rate,,3.43,80,,,Percent of total billed charges,,85.6,61.6,,,Percent of total billed charges,,65.91,20.6,,,Percent of total billed charges,,22.04,20.6,,,Percent of total billed charges,,22.04,65.55,,,Percent of total billed charges,,70.14,21,,,Percent of total billed charges,,22.47,90,,,Percent of total billed charges,,96.3,21,,,Percent of total billed charges,,22.47,21,,,Percent of total billed charges,,22.47,64.9,,,Percent of total billed charges,,69.44,21,,,Percent of total billed charges,,22.47,,47.36,,Case rate,,47.36,3.43,107,
Thiamine (Vitamin B-1),84425,CPT,,,,Outpatient,Facility,,,220,88,66,,,Percent of total billed charges,,145.2,20.8,,,Percent of total billed charges,,45.76,20.4,,,Percent of total billed charges,,44.88,,21.23,,Case rate,,21.23,,6.15,,Case rate,,6.15,80,,,Percent of total billed charges,,176,61.6,,,Percent of total billed charges,,135.52,20.6,,,Percent of total billed charges,,45.32,20.6,,,Percent of total billed charges,,45.32,65.55,,,Percent of total billed charges,,144.21,21,,,Percent of total billed charges,,46.2,90,,,Percent of total billed charges,,198,21,,,Percent of total billed charges,,46.2,21,,,Percent of total billed charges,,46.2,64.9,,,Percent of total billed charges,,142.78,21,,,Percent of total billed charges,,46.2,,145.98,,Case rate,,145.98,6.15,220,
Thiopurine S-methyltransferase (TPMT),84433,CPT,,,,Outpatient,Facility,,,283,113.2,66,,,Percent of total billed charges,,186.78,20.8,,,Percent of total billed charges,,58.86,20.4,,,Percent of total billed charges,,57.73,,22.17,,Case rate,,22.17,19.8,,,Percent of total billed charges,,56.03,80,,,Percent of total billed charges,,226.4,61.6,,,Percent of total billed charges,,174.33,20.6,,,Percent of total billed charges,,58.3,20.6,,,Percent of total billed charges,,58.3,65.55,,,Percent of total billed charges,,185.51,21,,,Percent of total billed charges,,59.43,90,,,Percent of total billed charges,,254.7,21,,,Percent of total billed charges,,59.43,21,,,Percent of total billed charges,,59.43,64.9,,,Percent of total billed charges,,183.67,21,,,Percent of total billed charges,,59.43,45,,,Percent of total billed charges,,127.35,22.17,283,
"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance",32554,CPT,,,,Outpatient,Facility,,,1203,481.2,66,,,Percent of total billed charges,,793.98,20.8,,,Percent of total billed charges,,250.22,20.4,,,Percent of total billed charges,,245.41,,226.22,,Case rate,,226.22,,31.54,,Case rate,,31.54,80,,,Percent of total billed charges,,962.4,61.6,,,Percent of total billed charges,,741.05,20.6,,,Percent of total billed charges,,247.82,20.6,,,Percent of total billed charges,,247.82,65.55,,,Percent of total billed charges,,788.57,21,,,Percent of total billed charges,,252.63,90,,,Percent of total billed charges,,1082.7,21,,,Percent of total billed charges,,252.63,21,,,Percent of total billed charges,,252.63,64.9,,,Percent of total billed charges,,780.75,21,,,Percent of total billed charges,,252.63,,1211.59,,Case rate,,1211.59,31.54,1211.59,
Thrombin time; plasma,85670,CPT,,,,Outpatient,Facility,,,48,19.2,66,,,Percent of total billed charges,,31.68,20.8,,,Percent of total billed charges,,9.98,20.4,,,Percent of total billed charges,,9.79,,5.77,,Case rate,,5.77,,1.67,,Case rate,,1.67,80,,,Percent of total billed charges,,38.4,61.6,,,Percent of total billed charges,,29.57,20.6,,,Percent of total billed charges,,9.89,20.6,,,Percent of total billed charges,,9.89,65.55,,,Percent of total billed charges,,31.46,21,,,Percent of total billed charges,,10.08,90,,,Percent of total billed charges,,43.2,21,,,Percent of total billed charges,,10.08,21,,,Percent of total billed charges,,10.08,64.9,,,Percent of total billed charges,,31.15,21,,,Percent of total billed charges,,10.08,,30.6,,Case rate,,30.6,1.67,48,
"Thromboplastin inhibition, tissue",85705,CPT,,,,Outpatient,Facility,,,129,51.6,66,,,Percent of total billed charges,,85.14,20.8,,,Percent of total billed charges,,26.83,20.4,,,Percent of total billed charges,,26.32,,9.63,,Case rate,,9.63,,2.28,,Case rate,,2.28,80,,,Percent of total billed charges,,103.2,61.6,,,Percent of total billed charges,,79.46,20.6,,,Percent of total billed charges,,26.57,20.6,,,Percent of total billed charges,,26.57,65.55,,,Percent of total billed charges,,84.56,21,,,Percent of total billed charges,,27.09,90,,,Percent of total billed charges,,116.1,21,,,Percent of total billed charges,,27.09,21,,,Percent of total billed charges,,27.09,64.9,,,Percent of total billed charges,,83.72,21,,,Percent of total billed charges,,27.09,,56.64,,Case rate,,56.64,2.28,129,
"Thromboplastin time, partial (PTT); plasma or whole blood",85730,CPT,,,,Outpatient,Facility,,,107,42.8,66,,,Percent of total billed charges,,70.62,20.8,,,Percent of total billed charges,,22.26,20.4,,,Percent of total billed charges,,21.83,,6.01,,Case rate,,6.01,,1.24,,Case rate,,1.24,80,,,Percent of total billed charges,,85.6,61.6,,,Percent of total billed charges,,65.91,20.6,,,Percent of total billed charges,,22.04,20.6,,,Percent of total billed charges,,22.04,65.55,,,Percent of total billed charges,,70.14,21,,,Percent of total billed charges,,22.47,90,,,Percent of total billed charges,,96.3,21,,,Percent of total billed charges,,22.47,21,,,Percent of total billed charges,,22.47,64.9,,,Percent of total billed charges,,69.44,21,,,Percent of total billed charges,,22.47,,20.99,,Case rate,,20.99,1.24,107,
"Thromboplastin time, partial (PTT); substitution, plasma fractions, each",85732,CPT,,,,Outpatient,Facility,,,55,22,66,,,Percent of total billed charges,,36.3,20.8,,,Percent of total billed charges,,11.44,20.4,,,Percent of total billed charges,,11.22,,6.47,,Case rate,,6.47,,1.72,,Case rate,,1.72,80,,,Percent of total billed charges,,44,61.6,,,Percent of total billed charges,,33.88,20.6,,,Percent of total billed charges,,11.33,20.6,,,Percent of total billed charges,,11.33,65.55,,,Percent of total billed charges,,36.05,21,,,Percent of total billed charges,,11.55,90,,,Percent of total billed charges,,49.5,21,,,Percent of total billed charges,,11.55,21,,,Percent of total billed charges,,11.55,64.9,,,Percent of total billed charges,,35.7,21,,,Percent of total billed charges,,11.55,,43.88,,Case rate,,43.88,1.72,55,
Thyroglobulin,84432,CPT,,,,Outpatient,Facility,,,200,80,66,,,Percent of total billed charges,,132,20.8,,,Percent of total billed charges,,41.6,20.4,,,Percent of total billed charges,,40.8,,16.06,,Case rate,,16.06,,3.37,,Case rate,,3.37,80,,,Percent of total billed charges,,160,61.6,,,Percent of total billed charges,,123.2,20.6,,,Percent of total billed charges,,41.2,20.6,,,Percent of total billed charges,,41.2,65.55,,,Percent of total billed charges,,131.1,21,,,Percent of total billed charges,,42,90,,,Percent of total billed charges,,180,21,,,Percent of total billed charges,,42,21,,,Percent of total billed charges,,42,64.9,,,Percent of total billed charges,,129.8,21,,,Percent of total billed charges,,42,,69.23,,Case rate,,69.23,3.37,200,
"Thyroid imaging (including vascular flow, when performed)",78013,CPT,34178013,CDM,TC,Outpatient,Facility,,,482,192.8,66,,,Percent of total billed charges,,318.12,20.8,,,Percent of total billed charges,,100.26,20.4,,,Percent of total billed charges,,98.33,,152.36,,Case rate,,152.36,,14.41,,Case rate,,14.41,80,,,Percent of total billed charges,,385.6,61.6,,,Percent of total billed charges,,296.91,20.6,,,Percent of total billed charges,,99.29,20.6,,,Percent of total billed charges,,99.29,65.55,,,Percent of total billed charges,,315.95,21,,,Percent of total billed charges,,101.22,90,,,Percent of total billed charges,,433.8,21,,,Percent of total billed charges,,101.22,21,,,Percent of total billed charges,,101.22,64.9,,,Percent of total billed charges,,312.82,21,,,Percent of total billed charges,,101.22,,1557.54,,Case rate,,1557.54,14.41,1557.54,
Thyroid stimulating hormone (TSH),84443,CPT,,,,Outpatient,Facility,,,107,42.8,66,,,Percent of total billed charges,,70.62,20.8,,,Percent of total billed charges,,22.26,20.4,,,Percent of total billed charges,,21.83,,16.8,,Case rate,,16.8,,3.46,,Case rate,,3.46,80,,,Percent of total billed charges,,85.6,61.6,,,Percent of total billed charges,,65.91,20.6,,,Percent of total billed charges,,22.04,20.6,,,Percent of total billed charges,,22.04,65.55,,,Percent of total billed charges,,70.14,21,,,Percent of total billed charges,,22.47,90,,,Percent of total billed charges,,96.3,21,,,Percent of total billed charges,,22.47,21,,,Percent of total billed charges,,22.47,64.9,,,Percent of total billed charges,,69.44,21,,,Percent of total billed charges,,22.47,,83.99,,Case rate,,83.99,3.46,107,
"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)",78012,CPT,34178012,CDM,TC,Outpatient,Facility,,,429,171.6,66,,,Percent of total billed charges,,283.14,20.8,,,Percent of total billed charges,,89.23,20.4,,,Percent of total billed charges,,87.52,,68.26,,Case rate,,68.26,,6.53,,Case rate,,6.53,80,,,Percent of total billed charges,,343.2,61.6,,,Percent of total billed charges,,264.26,20.6,,,Percent of total billed charges,,88.37,20.6,,,Percent of total billed charges,,88.37,65.55,,,Percent of total billed charges,,281.21,21,,,Percent of total billed charges,,90.09,90,,,Percent of total billed charges,,386.1,21,,,Percent of total billed charges,,90.09,21,,,Percent of total billed charges,,90.09,64.9,,,Percent of total billed charges,,278.42,21,,,Percent of total billed charges,,90.09,,1518.86,,Case rate,,1518.86,6.53,1518.86,
Thyroxine binding globulin (TBG),84442,CPT,,,,Outpatient,Facility,,,240,96,66,,,Percent of total billed charges,,158.4,20.8,,,Percent of total billed charges,,49.92,20.4,,,Percent of total billed charges,,48.96,,14.78,,Case rate,,14.78,,3.05,,Case rate,,3.05,80,,,Percent of total billed charges,,192,61.6,,,Percent of total billed charges,,147.84,20.6,,,Percent of total billed charges,,49.44,20.6,,,Percent of total billed charges,,49.44,65.55,,,Percent of total billed charges,,157.32,21,,,Percent of total billed charges,,50.4,90,,,Percent of total billed charges,,216,21,,,Percent of total billed charges,,50.4,21,,,Percent of total billed charges,,50.4,64.9,,,Percent of total billed charges,,155.76,21,,,Percent of total billed charges,,50.4,,61.57,,Case rate,,61.57,3.05,240,
Tissue culture for non-neoplastic disorders; lymphocyte,88230,CPT,,,,Outpatient,Facility,,,685,274,66,,,Percent of total billed charges,,452.1,20.8,,,Percent of total billed charges,,142.48,20.4,,,Percent of total billed charges,,139.74,,116.49,,Case rate,,116.49,,23.98,,Case rate,,23.98,80,,,Percent of total billed charges,,548,61.6,,,Percent of total billed charges,,421.96,20.6,,,Percent of total billed charges,,141.11,20.6,,,Percent of total billed charges,,141.11,65.55,,,Percent of total billed charges,,449.02,21,,,Percent of total billed charges,,143.85,90,,,Percent of total billed charges,,616.5,21,,,Percent of total billed charges,,143.85,21,,,Percent of total billed charges,,143.85,64.9,,,Percent of total billed charges,,444.56,21,,,Percent of total billed charges,,143.85,,539.56,,Case rate,,539.56,23.98,685,
"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)",87220,CPT,,,,Outpatient,Facility,,,48,19.2,66,,,Percent of total billed charges,,31.68,20.8,,,Percent of total billed charges,,9.98,20.4,,,Percent of total billed charges,,9.79,,4.27,,Case rate,,4.27,,0.92,,Case rate,,0.92,80,,,Percent of total billed charges,,38.4,61.6,,,Percent of total billed charges,,29.57,20.6,,,Percent of total billed charges,,9.89,20.6,,,Percent of total billed charges,,9.89,65.55,,,Percent of total billed charges,,31.46,21,,,Percent of total billed charges,,10.08,90,,,Percent of total billed charges,,43.2,21,,,Percent of total billed charges,,10.08,21,,,Percent of total billed charges,,10.08,64.9,,,Percent of total billed charges,,31.15,21,,,Percent of total billed charges,,10.08,,25.17,,Case rate,,25.17,0.92,48,
Tocopherol alpha (Vitamin E),84446,CPT,,,,Outpatient,Facility,,,174,69.6,66,,,Percent of total billed charges,,114.84,20.8,,,Percent of total billed charges,,36.19,20.4,,,Percent of total billed charges,,35.5,,14.18,,Case rate,,14.18,,3.19,,Case rate,,3.19,80,,,Percent of total billed charges,,139.2,61.6,,,Percent of total billed charges,,107.18,20.6,,,Percent of total billed charges,,35.84,20.6,,,Percent of total billed charges,,35.84,65.55,,,Percent of total billed charges,,114.06,21,,,Percent of total billed charges,,36.54,90,,,Percent of total billed charges,,156.6,21,,,Percent of total billed charges,,36.54,21,,,Percent of total billed charges,,36.54,64.9,,,Percent of total billed charges,,112.93,21,,,Percent of total billed charges,,36.54,,65.74,,Case rate,,65.74,3.19,174,
tooth reimplantation,D7270,CPT,,,,Outpatient,Facility,,,735,294,66,,,Percent of total billed charges,,485.1,20.8,,,Percent of total billed charges,,152.88,20.4,,,Percent of total billed charges,,149.94,,285.95,,Case rate,,285.95,,25.54,,Case rate,,25.54,80,,,Percent of total billed charges,,588,61.6,,,Percent of total billed charges,,452.76,20.6,,,Percent of total billed charges,,151.41,20.6,,,Percent of total billed charges,,151.41,65.55,,,Percent of total billed charges,,481.79,21,,,Percent of total billed charges,,154.35,90,,,Percent of total billed charges,,661.5,21,,,Percent of total billed charges,,154.35,21,,,Percent of total billed charges,,154.35,64.9,,,Percent of total billed charges,,477.02,21,,,Percent of total billed charges,,154.35,45,,,Percent of total billed charges,,330.75,25.54,735,
Topiramate,80201,CPT,,,,Outpatient,Facility,,,220,88,66,,,Percent of total billed charges,,145.2,20.8,,,Percent of total billed charges,,45.76,20.4,,,Percent of total billed charges,,44.88,,11.92,,Case rate,,11.92,,3.37,,Case rate,,3.37,80,,,Percent of total billed charges,,176,61.6,,,Percent of total billed charges,,135.52,20.6,,,Percent of total billed charges,,45.32,20.6,,,Percent of total billed charges,,45.32,65.55,,,Percent of total billed charges,,144.21,21,,,Percent of total billed charges,,46.2,90,,,Percent of total billed charges,,198,21,,,Percent of total billed charges,,46.2,21,,,Percent of total billed charges,,46.2,64.9,,,Percent of total billed charges,,142.78,21,,,Percent of total billed charges,,46.2,,82.78,,Case rate,,82.78,3.37,220,
"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin)",87230,CPT,,,,Outpatient,Facility,,,139,55.6,66,,,Percent of total billed charges,,91.74,20.8,,,Percent of total billed charges,,28.91,20.4,,,Percent of total billed charges,,28.36,,19.74,,Case rate,,19.74,,3.32,,Case rate,,3.32,80,,,Percent of total billed charges,,111.2,61.6,,,Percent of total billed charges,,85.62,20.6,,,Percent of total billed charges,,28.63,20.6,,,Percent of total billed charges,,28.63,65.55,,,Percent of total billed charges,,91.11,21,,,Percent of total billed charges,,29.19,90,,,Percent of total billed charges,,125.1,21,,,Percent of total billed charges,,29.19,21,,,Percent of total billed charges,,29.19,64.9,,,Percent of total billed charges,,90.21,21,,,Percent of total billed charges,,29.19,,65.19,,Case rate,,65.19,3.32,139,
"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3)",81335,CPT,,,,Outpatient,Facility,,,1210,484,66,,,Percent of total billed charges,,798.6,20.8,,,Percent of total billed charges,,251.68,,178.31,,Case rate,,178.31,,174.81,,Case rate,,174.81,,11.81,,Case rate,,11.81,80,,,Percent of total billed charges,,968,61.6,,,Percent of total billed charges,,745.36,20.6,,,Percent of total billed charges,,249.26,20.6,,,Percent of total billed charges,,249.26,65.55,,,Percent of total billed charges,,793.16,21,,,Percent of total billed charges,,254.1,90,,,Percent of total billed charges,,1089,21,,,Percent of total billed charges,,254.1,21,,,Percent of total billed charges,,254.1,64.9,,,Percent of total billed charges,,785.29,21,,,Percent of total billed charges,,254.1,,887.18,,Case rate,,887.18,11.81,1210,
"Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day",37212,CPT,,,,Outpatient,Facility,,,2087,834.8,66,,,Percent of total billed charges,,1377.42,20.8,,,Percent of total billed charges,,434.1,20.4,,,Percent of total billed charges,,425.75,,325.22,,Case rate,,325.22,,32.46,,Case rate,,32.46,80,,,Percent of total billed charges,,1669.6,61.6,,,Percent of total billed charges,,1285.59,20.6,,,Percent of total billed charges,,429.92,20.6,,,Percent of total billed charges,,429.92,65.55,,,Percent of total billed charges,,1368.03,21,,,Percent of total billed charges,,438.27,90,,,Percent of total billed charges,,1878.3,21,,,Percent of total billed charges,,438.27,21,,,Percent of total billed charges,,438.27,64.9,,,Percent of total billed charges,,1354.46,21,,,Percent of total billed charges,,438.27,45,,,Percent of total billed charges,,939.15,32.46,2087,
Transferase; aspartate amino (AST) (SGOT),84450,CPT,,,,Outpatient,Facility,,,56,22.4,66,,,Percent of total billed charges,,36.96,20.8,,,Percent of total billed charges,,11.65,20.4,,,Percent of total billed charges,,11.42,,5.18,,Case rate,,5.18,,1.07,,Case rate,,1.07,80,,,Percent of total billed charges,,44.8,61.6,,,Percent of total billed charges,,34.5,20.6,,,Percent of total billed charges,,11.54,20.6,,,Percent of total billed charges,,11.54,65.55,,,Percent of total billed charges,,36.71,21,,,Percent of total billed charges,,11.76,90,,,Percent of total billed charges,,50.4,21,,,Percent of total billed charges,,11.76,21,,,Percent of total billed charges,,11.76,64.9,,,Percent of total billed charges,,36.34,21,,,Percent of total billed charges,,11.76,,16.44,,Case rate,,16.44,1.07,56,
Transferrin,84466,CPT,,,,Outpatient,Facility,,,106,42.4,66,,,Percent of total billed charges,,69.96,20.8,,,Percent of total billed charges,,22.05,20.4,,,Percent of total billed charges,,21.62,,12.76,,Case rate,,12.76,,2.71,,Case rate,,2.71,80,,,Percent of total billed charges,,84.8,61.6,,,Percent of total billed charges,,65.3,20.6,,,Percent of total billed charges,,21.84,20.6,,,Percent of total billed charges,,21.84,65.55,,,Percent of total billed charges,,69.48,21,,,Percent of total billed charges,,22.26,90,,,Percent of total billed charges,,95.4,21,,,Percent of total billed charges,,22.26,21,,,Percent of total billed charges,,22.26,64.9,,,Percent of total billed charges,,68.79,21,,,Percent of total billed charges,,22.26,,66.44,,Case rate,,66.44,2.71,106,
transient ischemia without thrombolytic,69,MS-DRG,,,,Inpatient,Facility,,,10390.41,4156.17,,7189.9,,Case rate,DRG Factor * DRG Weight,7189.9,,1758.64,,Per Diem,,1758.64,,1724.82,,Per Diem,,1724.82,,11717.39,,Case rate,DRG Factor * DRG Weight,11717.39,,1674.09,,Per Diem,,1674.09,80,,,Percent of total billed charges,,8312.33,61.6,,,Percent of total billed charges,,6400.5,,1741.73,,Per Diem,,1741.73,,1741.73,,Per Diem,,1741.73,65.55,,,Percent of total billed charges,,6810.92,,2079,,Per Diem,,2079,90,,,Percent of total billed charges,,9351.37,,2079,,Per Diem,,2079,,2079,,Per Diem,,2079,64.9,,,Percent of total billed charges,,6743.38,,2079,,Per Diem,,2079,,7708.45,,Case rate,DRG Factor * DRG Weight,7708.45,1674.09,11717.39,
"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)",52601,CPT,,,,Outpatient,Facility,,,3529.35,1411.74,66,,,Percent of total billed charges,,2329.37,20.8,,,Percent of total billed charges,,734.1,20.4,,,Percent of total billed charges,,719.99,,706.95,,Case rate,,706.95,,109.82,,Case rate,,109.82,80,,,Percent of total billed charges,,2823.48,61.6,,,Percent of total billed charges,,2174.08,20.6,,,Percent of total billed charges,,727.05,20.6,,,Percent of total billed charges,,727.05,65.55,,,Percent of total billed charges,,2313.49,21,,,Percent of total billed charges,,741.16,90,,,Percent of total billed charges,,3176.41,21,,,Percent of total billed charges,,741.16,21,,,Percent of total billed charges,,741.16,64.9,,,Percent of total billed charges,,2290.54,21,,,Percent of total billed charges,,741.16,,2694.98,,Case rate,,2694.98,109.82,3529.34,
Trauma response team associated with hospital critical care service,G0390,CPT,,,,Outpatient,Facility,,,6064,2425.6,66,,,Percent of total billed charges,,4002.24,20.8,,,Percent of total billed charges,,1261.31,20.4,,,Percent of total billed charges,,1237.06,58.8,,,Percent of total billed charges,,3565.63,19.8,,,Percent of total billed charges,,1200.67,80,,,Percent of total billed charges,,4851.2,61.6,,,Percent of total billed charges,,3735.42,20.6,,,Percent of total billed charges,,1249.18,20.6,,,Percent of total billed charges,,1249.18,65.55,,,Percent of total billed charges,,3974.95,21,,,Percent of total billed charges,,1273.44,90,,,Percent of total billed charges,,5457.6,21,,,Percent of total billed charges,,1273.44,21,,,Percent of total billed charges,,1273.44,64.9,,,Percent of total billed charges,,3935.54,21,,,Percent of total billed charges,,1273.44,,4415.77,,Case rate,,4415.77,1200.67,6064,
"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction)",81340,CPT,,,,Outpatient,Facility,,,609,243.6,66,,,Percent of total billed charges,,401.94,20.8,,,Percent of total billed charges,,126.67,,213.1,,Case rate,,213.1,,208.92,,Case rate,,208.92,,20.92,,Case rate,,20.92,80,,,Percent of total billed charges,,487.2,61.6,,,Percent of total billed charges,,375.14,20.6,,,Percent of total billed charges,,125.45,20.6,,,Percent of total billed charges,,125.45,65.55,,,Percent of total billed charges,,399.2,21,,,Percent of total billed charges,,127.89,90,,,Percent of total billed charges,,548.1,21,,,Percent of total billed charges,,127.89,21,,,Percent of total billed charges,,127.89,64.9,,,Percent of total billed charges,,395.24,21,,,Percent of total billed charges,,127.89,,835.74,,Case rate,,835.74,20.92,835.74,
Treatment of closed elbow dislocation; without anesthesia,24600,CPT,,,,Outpatient,Facility,,,1692,676.8,66,,,Percent of total billed charges,,1116.72,20.8,,,Percent of total billed charges,,351.94,20.4,,,Percent of total billed charges,,345.17,,376.49,,Case rate,,376.49,,58.06,,Case rate,,58.06,80,,,Percent of total billed charges,,1353.6,61.6,,,Percent of total billed charges,,1042.27,20.6,,,Percent of total billed charges,,348.55,20.6,,,Percent of total billed charges,,348.55,65.55,,,Percent of total billed charges,,1109.11,21,,,Percent of total billed charges,,355.32,90,,,Percent of total billed charges,,1522.8,21,,,Percent of total billed charges,,355.32,21,,,Percent of total billed charges,,355.32,64.9,,,Percent of total billed charges,,1098.11,21,,,Percent of total billed charges,,355.32,,1434.69,,Case rate,,1434.69,58.06,1692,
Treatment of swallowing dysfunction and/or oral function for feeding,92526,CPT,,,,Outpatient,Facility,,,426,170.4,66,,,Percent of total billed charges,,281.16,20.8,,,Percent of total billed charges,,88.61,,85.7,,Case rate,,85.7,,83,,Case rate,,83,,15.35,,Case rate,,15.35,80,,,Percent of total billed charges,,340.8,61.6,,,Percent of total billed charges,,262.42,20.6,,,Percent of total billed charges,,87.76,20.6,,,Percent of total billed charges,,87.76,65.55,,,Percent of total billed charges,,279.24,21,,,Percent of total billed charges,,89.46,90,,,Percent of total billed charges,,383.4,21,,,Percent of total billed charges,,89.46,21,,,Percent of total billed charges,,89.46,64.9,,,Percent of total billed charges,,276.47,21,,,Percent of total billed charges,,89.46,,217.8,,Case rate,,217.8,15.35,426,
"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)",81342,CPT,,,,Outpatient,Facility,,,791,316.4,66,,,Percent of total billed charges,,522.06,20.8,,,Percent of total billed charges,,164.53,,205.53,,Case rate,,205.53,,201.5,,Case rate,,201.5,,27.13,,Case rate,,27.13,80,,,Percent of total billed charges,,632.8,61.6,,,Percent of total billed charges,,487.26,20.6,,,Percent of total billed charges,,162.95,20.6,,,Percent of total billed charges,,162.95,65.55,,,Percent of total billed charges,,518.5,21,,,Percent of total billed charges,,166.11,90,,,Percent of total billed charges,,711.9,21,,,Percent of total billed charges,,166.11,21,,,Percent of total billed charges,,166.11,64.9,,,Percent of total billed charges,,513.36,21,,,Percent of total billed charges,,166.11,,761.68,,Case rate,,761.68,27.13,791,
"Trypsin; feces, quantitative, 24-hour collection",84490,CPT,,,,Outpatient,Facility,,,75,30,66,,,Percent of total billed charges,,49.5,20.8,,,Percent of total billed charges,,15.6,20.4,,,Percent of total billed charges,,15.3,,9.93,,Case rate,,9.93,,2.2,,Case rate,,2.2,80,,,Percent of total billed charges,,60,61.6,,,Percent of total billed charges,,46.2,20.6,,,Percent of total billed charges,,15.45,20.6,,,Percent of total billed charges,,15.45,65.55,,,Percent of total billed charges,,49.16,21,,,Percent of total billed charges,,15.75,90,,,Percent of total billed charges,,67.5,21,,,Percent of total billed charges,,15.75,21,,,Percent of total billed charges,,15.75,64.9,,,Percent of total billed charges,,48.68,21,,,Percent of total billed charges,,15.75,,56.23,,Case rate,,56.23,2.2,75,
"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)",32551,CPT,,,,Outpatient,Facility,,,1918,767.2,66,,,Percent of total billed charges,,1265.88,20.8,,,Percent of total billed charges,,398.94,20.4,,,Percent of total billed charges,,391.27,,151.22,,Case rate,,151.22,,32.91,,Case rate,,32.91,80,,,Percent of total billed charges,,1534.4,61.6,,,Percent of total billed charges,,1181.49,20.6,,,Percent of total billed charges,,395.11,20.6,,,Percent of total billed charges,,395.11,65.55,,,Percent of total billed charges,,1257.25,21,,,Percent of total billed charges,,402.78,90,,,Percent of total billed charges,,1726.2,21,,,Percent of total billed charges,,402.78,21,,,Percent of total billed charges,,402.78,64.9,,,Percent of total billed charges,,1244.78,21,,,Percent of total billed charges,,402.78,,1628.02,,Case rate,,1628.02,32.91,1918,
"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension",86481,CPT,,,,Outpatient,Facility,,,356,142.4,66,,,Percent of total billed charges,,234.96,20.8,,,Percent of total billed charges,,74.05,20.4,,,Percent of total billed charges,,72.62,,100,,Case rate,,100,,17.27,,Case rate,,17.27,80,,,Percent of total billed charges,,284.8,61.6,,,Percent of total billed charges,,219.3,20.6,,,Percent of total billed charges,,73.34,20.6,,,Percent of total billed charges,,73.34,65.55,,,Percent of total billed charges,,233.36,21,,,Percent of total billed charges,,74.76,90,,,Percent of total billed charges,,320.4,21,,,Percent of total billed charges,,74.76,21,,,Percent of total billed charges,,74.76,64.9,,,Percent of total billed charges,,231.04,21,,,Percent of total billed charges,,74.76,,304.44,,Case rate,,304.44,17.27,356,
"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon",86480,CPT,,,,Outpatient,Facility,,,491,196.4,66,,,Percent of total billed charges,,324.06,20.8,,,Percent of total billed charges,,102.13,20.4,,,Percent of total billed charges,,100.16,,61.98,,Case rate,,61.98,,17.14,,Case rate,,17.14,80,,,Percent of total billed charges,,392.8,61.6,,,Percent of total billed charges,,302.46,20.6,,,Percent of total billed charges,,101.15,20.6,,,Percent of total billed charges,,101.15,65.55,,,Percent of total billed charges,,321.85,21,,,Percent of total billed charges,,103.11,90,,,Percent of total billed charges,,441.9,21,,,Percent of total billed charges,,103.11,21,,,Percent of total billed charges,,103.11,64.9,,,Percent of total billed charges,,318.66,21,,,Percent of total billed charges,,103.11,,298.13,,Case rate,,298.13,17.14,491,
Tympanometry (impedance testing),92567,CPT,,,,Outpatient,Facility,,,66,26.4,66,,,Percent of total billed charges,,43.56,20.8,,,Percent of total billed charges,,13.73,20.4,,,Percent of total billed charges,,13.46,,15.94,,Case rate,,15.94,,1.93,,Case rate,,1.93,80,,,Percent of total billed charges,,52.8,61.6,,,Percent of total billed charges,,40.66,20.6,,,Percent of total billed charges,,13.6,20.6,,,Percent of total billed charges,,13.6,65.55,,,Percent of total billed charges,,43.26,21,,,Percent of total billed charges,,13.86,90,,,Percent of total billed charges,,59.4,21,,,Percent of total billed charges,,13.86,21,,,Percent of total billed charges,,13.86,64.9,,,Percent of total billed charges,,42.83,21,,,Percent of total billed charges,,13.86,,52.51,,Case rate,,52.51,1.93,66,
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,,,,Outpatient,Facility,,,941,376.4,66,,,Percent of total billed charges,,621.06,20.8,,,Percent of total billed charges,,195.73,20.4,,,Percent of total billed charges,,191.96,,26.55,,Case rate,,26.55,,11.46,,Case rate,,11.46,80,,,Percent of total billed charges,,752.8,61.6,,,Percent of total billed charges,,579.66,20.6,,,Percent of total billed charges,,193.85,20.6,,,Percent of total billed charges,,193.85,65.55,,,Percent of total billed charges,,616.83,21,,,Percent of total billed charges,,197.61,90,,,Percent of total billed charges,,846.9,21,,,Percent of total billed charges,,197.61,21,,,Percent of total billed charges,,197.61,64.9,,,Percent of total billed charges,,610.71,21,,,Percent of total billed charges,,197.61,,274.63,,Case rate,,274.63,11.46,941,
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",76942,CPT,40276942,CDM,TC,Outpatient,Facility,,,941,376.4,66,,,Percent of total billed charges,,621.06,20.8,,,Percent of total billed charges,,195.73,20.4,,,Percent of total billed charges,,191.96,,26.55,,Case rate,,26.55,,11.46,,Case rate,,11.46,80,,,Percent of total billed charges,,752.8,61.6,,,Percent of total billed charges,,579.66,20.6,,,Percent of total billed charges,,193.85,20.6,,,Percent of total billed charges,,193.85,65.55,,,Percent of total billed charges,,616.83,21,,,Percent of total billed charges,,197.61,90,,,Percent of total billed charges,,846.9,21,,,Percent of total billed charges,,197.61,21,,,Percent of total billed charges,,197.61,64.9,,,Percent of total billed charges,,610.71,21,,,Percent of total billed charges,,197.61,,274.63,,Case rate,,274.63,11.46,941,
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)",76706,CPT,40276706,CDM,TC,Outpatient,Facility,,,490,196,66,,,Percent of total billed charges,,323.4,20.8,,,Percent of total billed charges,,101.92,20.4,,,Percent of total billed charges,,99.96,,76.82,,Case rate,,76.82,,4.33,,Case rate,,4.33,80,,,Percent of total billed charges,,392,61.6,,,Percent of total billed charges,,301.84,20.6,,,Percent of total billed charges,,100.94,20.6,,,Percent of total billed charges,,100.94,65.55,,,Percent of total billed charges,,321.2,21,,,Percent of total billed charges,,102.9,90,,,Percent of total billed charges,,441,21,,,Percent of total billed charges,,102.9,21,,,Percent of total billed charges,,102.9,64.9,,,Percent of total billed charges,,318.01,21,,,Percent of total billed charges,,102.9,,370.65,,Case rate,,370.65,4.33,490,
"Ultrasound, abdominal, real time with image documentation; complete",76700,CPT,,,,Outpatient,Facility,,,795,318,66,,,Percent of total billed charges,,524.7,20.8,,,Percent of total billed charges,,165.36,20.4,,,Percent of total billed charges,,162.18,,74.92,,Case rate,,74.92,,14.33,,Case rate,,14.33,80,,,Percent of total billed charges,,636,61.6,,,Percent of total billed charges,,489.72,20.6,,,Percent of total billed charges,,163.77,20.6,,,Percent of total billed charges,,163.77,65.55,,,Percent of total billed charges,,521.12,21,,,Percent of total billed charges,,166.95,90,,,Percent of total billed charges,,715.5,21,,,Percent of total billed charges,,166.95,21,,,Percent of total billed charges,,166.95,64.9,,,Percent of total billed charges,,515.96,21,,,Percent of total billed charges,,166.95,,345.02,,Case rate,,345.02,14.33,795,
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",76705,CPT,,,,Outpatient,Facility,,,579,231.6,66,,,Percent of total billed charges,,382.14,20.8,,,Percent of total billed charges,,120.43,20.4,,,Percent of total billed charges,,118.12,,57.22,,Case rate,,57.22,,10.39,,Case rate,,10.39,80,,,Percent of total billed charges,,463.2,61.6,,,Percent of total billed charges,,356.66,20.6,,,Percent of total billed charges,,119.27,20.6,,,Percent of total billed charges,,119.27,65.55,,,Percent of total billed charges,,379.53,21,,,Percent of total billed charges,,121.59,90,,,Percent of total billed charges,,521.1,21,,,Percent of total billed charges,,121.59,21,,,Percent of total billed charges,,121.59,64.9,,,Percent of total billed charges,,375.77,21,,,Percent of total billed charges,,121.59,,248.12,,Case rate,,248.12,10.39,579,
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,,,,Outpatient,Facility,,,277,110.8,66,,,Percent of total billed charges,,182.82,20.8,,,Percent of total billed charges,,57.62,20.4,,,Percent of total billed charges,,56.51,,27.81,,Case rate,,27.81,,9.63,,Case rate,,9.63,80,,,Percent of total billed charges,,221.6,61.6,,,Percent of total billed charges,,170.63,20.6,,,Percent of total billed charges,,57.06,20.6,,,Percent of total billed charges,,57.06,65.55,,,Percent of total billed charges,,181.57,21,,,Percent of total billed charges,,58.17,90,,,Percent of total billed charges,,249.3,21,,,Percent of total billed charges,,58.17,21,,,Percent of total billed charges,,58.17,64.9,,,Percent of total billed charges,,179.77,21,,,Percent of total billed charges,,58.17,,227.55,,Case rate,,227.55,9.63,277,
"Ultrasound, chest (includes mediastinum), real time with image documentation",76604,CPT,40276604,CDM,TC,Outpatient,Facility,,,277,110.8,66,,,Percent of total billed charges,,182.82,20.8,,,Percent of total billed charges,,57.62,20.4,,,Percent of total billed charges,,56.51,,27.81,,Case rate,,27.81,,9.63,,Case rate,,9.63,80,,,Percent of total billed charges,,221.6,61.6,,,Percent of total billed charges,,170.63,20.6,,,Percent of total billed charges,,57.06,20.6,,,Percent of total billed charges,,57.06,65.55,,,Percent of total billed charges,,181.57,21,,,Percent of total billed charges,,58.17,90,,,Percent of total billed charges,,249.3,21,,,Percent of total billed charges,,58.17,21,,,Percent of total billed charges,,58.17,64.9,,,Percent of total billed charges,,179.77,21,,,Percent of total billed charges,,58.17,,227.55,,Case rate,,227.55,9.63,277,
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,,,,Outpatient,Facility,,,558,223.2,66,,,Percent of total billed charges,,368.28,20.8,,,Percent of total billed charges,,116.06,20.4,,,Percent of total billed charges,,113.83,,10.42,,Case rate,,10.42,,16.38,,Case rate,,16.38,80,,,Percent of total billed charges,,446.4,61.6,,,Percent of total billed charges,,343.73,20.6,,,Percent of total billed charges,,114.95,20.6,,,Percent of total billed charges,,114.95,65.55,,,Percent of total billed charges,,365.77,21,,,Percent of total billed charges,,117.18,90,,,Percent of total billed charges,,502.2,21,,,Percent of total billed charges,,117.18,21,,,Percent of total billed charges,,117.18,64.9,,,Percent of total billed charges,,362.14,21,,,Percent of total billed charges,,117.18,,456.17,,Case rate,,456.17,10.42,558,
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation",76881,CPT,40276881,CDM,TC,Outpatient,Facility,,,558,223.2,66,,,Percent of total billed charges,,368.28,20.8,,,Percent of total billed charges,,116.06,20.4,,,Percent of total billed charges,,113.83,,10.42,,Case rate,,10.42,,16.38,,Case rate,,16.38,80,,,Percent of total billed charges,,446.4,61.6,,,Percent of total billed charges,,343.73,20.6,,,Percent of total billed charges,,114.95,20.6,,,Percent of total billed charges,,114.95,65.55,,,Percent of total billed charges,,365.77,21,,,Percent of total billed charges,,117.18,90,,,Percent of total billed charges,,502.2,21,,,Percent of total billed charges,,117.18,21,,,Percent of total billed charges,,117.18,64.9,,,Percent of total billed charges,,362.14,21,,,Percent of total billed charges,,117.18,,456.17,,Case rate,,456.17,10.42,558,
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation",76882,CPT,40276882,CDM,TC,Outpatient,Facility,,,410,164,66,,,Percent of total billed charges,,270.6,20.8,,,Percent of total billed charges,,85.28,20.4,,,Percent of total billed charges,,83.64,,8.84,,Case rate,,8.84,,1.94,,Case rate,,1.94,80,,,Percent of total billed charges,,328,61.6,,,Percent of total billed charges,,252.56,20.6,,,Percent of total billed charges,,84.46,20.6,,,Percent of total billed charges,,84.46,65.55,,,Percent of total billed charges,,268.76,21,,,Percent of total billed charges,,86.1,90,,,Percent of total billed charges,,369,21,,,Percent of total billed charges,,86.1,21,,,Percent of total billed charges,,86.1,64.9,,,Percent of total billed charges,,266.09,21,,,Percent of total billed charges,,86.1,,261.35,,Case rate,,261.35,1.94,410,
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",76856,CPT,,,,Outpatient,Facility,,,835,334,66,,,Percent of total billed charges,,551.1,20.8,,,Percent of total billed charges,,173.68,20.4,,,Percent of total billed charges,,170.34,,69.55,,Case rate,,69.55,,11.59,,Case rate,,11.59,80,,,Percent of total billed charges,,668,61.6,,,Percent of total billed charges,,514.36,20.6,,,Percent of total billed charges,,172.01,20.6,,,Percent of total billed charges,,172.01,65.55,,,Percent of total billed charges,,547.34,21,,,Percent of total billed charges,,175.35,90,,,Percent of total billed charges,,751.5,21,,,Percent of total billed charges,,175.35,21,,,Percent of total billed charges,,175.35,64.9,,,Percent of total billed charges,,541.92,21,,,Percent of total billed charges,,175.35,,277.19,,Case rate,,277.19,11.59,835,
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,,,,Outpatient,Facility,,,361,144.4,66,,,Percent of total billed charges,,238.26,20.8,,,Percent of total billed charges,,75.09,20.4,,,Percent of total billed charges,,73.64,,24.02,,Case rate,,24.02,,7.34,,Case rate,,7.34,80,,,Percent of total billed charges,,288.8,61.6,,,Percent of total billed charges,,222.38,20.6,,,Percent of total billed charges,,74.37,20.6,,,Percent of total billed charges,,74.37,65.55,,,Percent of total billed charges,,236.64,21,,,Percent of total billed charges,,75.81,90,,,Percent of total billed charges,,324.9,21,,,Percent of total billed charges,,75.81,21,,,Percent of total billed charges,,75.81,64.9,,,Percent of total billed charges,,234.29,21,,,Percent of total billed charges,,75.81,,172.81,,Case rate,,172.81,7.34,361,
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)",76857,CPT,40276857,CDM,TC,Outpatient,Facility,,,361,144.4,66,,,Percent of total billed charges,,238.26,20.8,,,Percent of total billed charges,,75.09,20.4,,,Percent of total billed charges,,73.64,,24.02,,Case rate,,24.02,,7.34,,Case rate,,7.34,80,,,Percent of total billed charges,,288.8,61.6,,,Percent of total billed charges,,222.38,20.6,,,Percent of total billed charges,,74.37,20.6,,,Percent of total billed charges,,74.37,65.55,,,Percent of total billed charges,,236.64,21,,,Percent of total billed charges,,75.81,90,,,Percent of total billed charges,,324.9,21,,,Percent of total billed charges,,75.81,21,,,Percent of total billed charges,,75.81,64.9,,,Percent of total billed charges,,234.29,21,,,Percent of total billed charges,,75.81,,172.81,,Case rate,,172.81,7.34,361,
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,,,,Outpatient,Facility,,,329,131.6,66,,,Percent of total billed charges,,217.14,20.8,,,Percent of total billed charges,,68.43,20.4,,,Percent of total billed charges,,67.12,,102.42,,Case rate,,102.42,,10.8,,Case rate,,10.8,80,,,Percent of total billed charges,,263.2,61.6,,,Percent of total billed charges,,202.66,20.6,,,Percent of total billed charges,,67.77,20.6,,,Percent of total billed charges,,67.77,65.55,,,Percent of total billed charges,,215.66,21,,,Percent of total billed charges,,69.09,90,,,Percent of total billed charges,,296.1,21,,,Percent of total billed charges,,69.09,21,,,Percent of total billed charges,,69.09,64.9,,,Percent of total billed charges,,213.52,21,,,Percent of total billed charges,,69.09,,125.36,,Case rate,,125.36,10.8,329,
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76812,CPT,40276812,CDM,TC,Outpatient,Facility,,,329,131.6,66,,,Percent of total billed charges,,217.14,20.8,,,Percent of total billed charges,,68.43,20.4,,,Percent of total billed charges,,67.12,,102.42,,Case rate,,102.42,,10.8,,Case rate,,10.8,80,,,Percent of total billed charges,,263.2,61.6,,,Percent of total billed charges,,202.66,20.6,,,Percent of total billed charges,,67.77,20.6,,,Percent of total billed charges,,67.77,65.55,,,Percent of total billed charges,,215.66,21,,,Percent of total billed charges,,69.09,90,,,Percent of total billed charges,,296.1,21,,,Percent of total billed charges,,69.09,21,,,Percent of total billed charges,,69.09,64.9,,,Percent of total billed charges,,213.52,21,,,Percent of total billed charges,,69.09,,125.36,,Case rate,,125.36,10.8,329,
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,,,,Outpatient,Facility,,,1081,432.4,66,,,Percent of total billed charges,,713.46,20.8,,,Percent of total billed charges,,224.85,20.4,,,Percent of total billed charges,,220.52,,81.85,,Case rate,,81.85,,35.85,,Case rate,,35.85,80,,,Percent of total billed charges,,864.8,61.6,,,Percent of total billed charges,,665.9,20.6,,,Percent of total billed charges,,222.69,20.6,,,Percent of total billed charges,,222.69,65.55,,,Percent of total billed charges,,708.6,21,,,Percent of total billed charges,,227.01,90,,,Percent of total billed charges,,972.9,21,,,Percent of total billed charges,,227.01,21,,,Percent of total billed charges,,227.01,64.9,,,Percent of total billed charges,,701.57,21,,,Percent of total billed charges,,227.01,,563.52,,Case rate,,563.52,35.85,1081,
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation",76811,CPT,40276811,CDM,TC,Outpatient,Facility,,,1081,432.4,66,,,Percent of total billed charges,,713.46,20.8,,,Percent of total billed charges,,224.85,20.4,,,Percent of total billed charges,,220.52,,81.85,,Case rate,,81.85,,35.85,,Case rate,,35.85,80,,,Percent of total billed charges,,864.8,61.6,,,Percent of total billed charges,,665.9,20.6,,,Percent of total billed charges,,222.69,20.6,,,Percent of total billed charges,,222.69,65.55,,,Percent of total billed charges,,708.6,21,,,Percent of total billed charges,,227.01,90,,,Percent of total billed charges,,972.9,21,,,Percent of total billed charges,,227.01,21,,,Percent of total billed charges,,227.01,64.9,,,Percent of total billed charges,,701.57,21,,,Percent of total billed charges,,227.01,,563.52,,Case rate,,563.52,35.85,1081,
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76810,CPT,,,,Outpatient,Facility,,,939,375.6,66,,,Percent of total billed charges,,619.74,20.8,,,Percent of total billed charges,,195.31,20.4,,,Percent of total billed charges,,191.56,,39.51,,Case rate,,39.51,,32.07,,Case rate,,32.07,80,,,Percent of total billed charges,,751.2,61.6,,,Percent of total billed charges,,578.42,20.6,,,Percent of total billed charges,,193.43,20.6,,,Percent of total billed charges,,193.43,65.55,,,Percent of total billed charges,,615.51,21,,,Percent of total billed charges,,197.19,90,,,Percent of total billed charges,,845.1,21,,,Percent of total billed charges,,197.19,21,,,Percent of total billed charges,,197.19,64.9,,,Percent of total billed charges,,609.41,21,,,Percent of total billed charges,,197.19,,781.09,,Case rate,,781.09,32.07,939,
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",76805,CPT,40276805,CDM,TC,Outpatient,Facility,,,479,191.6,66,,,Percent of total billed charges,,316.14,20.8,,,Percent of total billed charges,,99.63,20.4,,,Percent of total billed charges,,97.72,,84.4,,Case rate,,84.4,,16.16,,Case rate,,16.16,80,,,Percent of total billed charges,,383.2,61.6,,,Percent of total billed charges,,295.06,20.6,,,Percent of total billed charges,,98.67,20.6,,,Percent of total billed charges,,98.67,65.55,,,Percent of total billed charges,,313.98,21,,,Percent of total billed charges,,100.59,90,,,Percent of total billed charges,,431.1,21,,,Percent of total billed charges,,100.59,21,,,Percent of total billed charges,,100.59,64.9,,,Percent of total billed charges,,310.87,21,,,Percent of total billed charges,,100.59,,403.76,,Case rate,,403.76,16.16,479,
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)",76802,CPT,40276802,CDM,TC,Outpatient,Facility,,,308,123.2,66,,,Percent of total billed charges,,203.28,20.8,,,Percent of total billed charges,,64.06,20.4,,,Percent of total billed charges,,62.83,,20.23,,Case rate,,20.23,,4.54,,Case rate,,4.54,80,,,Percent of total billed charges,,246.4,61.6,,,Percent of total billed charges,,189.73,20.6,,,Percent of total billed charges,,63.45,20.6,,,Percent of total billed charges,,63.45,65.55,,,Percent of total billed charges,,201.89,21,,,Percent of total billed charges,,64.68,90,,,Percent of total billed charges,,277.2,21,,,Percent of total billed charges,,64.68,21,,,Percent of total billed charges,,64.68,64.9,,,Percent of total billed charges,,199.89,21,,,Percent of total billed charges,,64.68,,253.79,,Case rate,,253.79,4.54,308,
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",76801,CPT,,,,Outpatient,Facility,,,486,194.4,66,,,Percent of total billed charges,,320.76,20.8,,,Percent of total billed charges,,101.09,20.4,,,Percent of total billed charges,,99.14,,67.65,,Case rate,,67.65,,15.1,,Case rate,,15.1,80,,,Percent of total billed charges,,388.8,61.6,,,Percent of total billed charges,,299.38,20.6,,,Percent of total billed charges,,100.12,20.6,,,Percent of total billed charges,,100.12,65.55,,,Percent of total billed charges,,318.57,21,,,Percent of total billed charges,,102.06,90,,,Percent of total billed charges,,437.4,21,,,Percent of total billed charges,,102.06,21,,,Percent of total billed charges,,102.06,64.9,,,Percent of total billed charges,,315.41,21,,,Percent of total billed charges,,102.06,,406.96,,Case rate,,406.96,15.1,486,
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus",76816,CPT,40276816,CDM,TC,Outpatient,Facility,,,464,185.6,66,,,Percent of total billed charges,,306.24,20.8,,,Percent of total billed charges,,96.51,20.4,,,Percent of total billed charges,,94.66,,66.07,,Case rate,,66.07,,8.96,,Case rate,,8.96,80,,,Percent of total billed charges,,371.2,61.6,,,Percent of total billed charges,,285.82,20.6,,,Percent of total billed charges,,95.58,20.6,,,Percent of total billed charges,,95.58,65.55,,,Percent of total billed charges,,304.15,21,,,Percent of total billed charges,,97.44,90,,,Percent of total billed charges,,417.6,21,,,Percent of total billed charges,,97.44,21,,,Percent of total billed charges,,97.44,64.9,,,Percent of total billed charges,,301.14,21,,,Percent of total billed charges,,97.44,,211.26,,Case rate,,211.26,8.96,464,
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",76817,CPT,,,,Outpatient,Facility,,,498,199.2,66,,,Percent of total billed charges,,328.68,20.8,,,Percent of total billed charges,,103.58,20.4,,,Percent of total billed charges,,101.59,,54.37,,Case rate,,54.37,,14.73,,Case rate,,14.73,80,,,Percent of total billed charges,,398.4,61.6,,,Percent of total billed charges,,306.77,20.6,,,Percent of total billed charges,,102.59,20.6,,,Percent of total billed charges,,102.59,65.55,,,Percent of total billed charges,,326.44,21,,,Percent of total billed charges,,104.58,90,,,Percent of total billed charges,,448.2,21,,,Percent of total billed charges,,104.58,21,,,Percent of total billed charges,,104.58,64.9,,,Percent of total billed charges,,323.2,21,,,Percent of total billed charges,,104.58,,420.61,,Case rate,,420.61,14.73,498,
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",76770,CPT,40276770,CDM,TC,Outpatient,Facility,,,714,285.6,66,,,Percent of total billed charges,,471.24,20.8,,,Percent of total billed charges,,148.51,20.4,,,Percent of total billed charges,,145.66,,70.5,,Case rate,,70.5,,13.89,,Case rate,,13.89,80,,,Percent of total billed charges,,571.2,61.6,,,Percent of total billed charges,,439.82,20.6,,,Percent of total billed charges,,147.08,20.6,,,Percent of total billed charges,,147.08,65.55,,,Percent of total billed charges,,468.03,21,,,Percent of total billed charges,,149.94,90,,,Percent of total billed charges,,642.6,21,,,Percent of total billed charges,,149.94,21,,,Percent of total billed charges,,149.94,64.9,,,Percent of total billed charges,,463.39,21,,,Percent of total billed charges,,149.94,,347.16,,Case rate,,347.16,13.89,714,
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited",76775,CPT,40276775,CDM,TC,Outpatient,Facility,,,575,230,66,,,Percent of total billed charges,,379.5,20.8,,,Percent of total billed charges,,119.6,20.4,,,Percent of total billed charges,,117.3,,30.03,,Case rate,,30.03,,10.35,,Case rate,,10.35,80,,,Percent of total billed charges,,460,61.6,,,Percent of total billed charges,,354.2,20.6,,,Percent of total billed charges,,118.45,20.6,,,Percent of total billed charges,,118.45,65.55,,,Percent of total billed charges,,376.91,21,,,Percent of total billed charges,,120.75,90,,,Percent of total billed charges,,517.5,21,,,Percent of total billed charges,,120.75,21,,,Percent of total billed charges,,120.75,64.9,,,Percent of total billed charges,,373.18,21,,,Percent of total billed charges,,120.75,,260.52,,Case rate,,260.52,10.35,575,
"Ultrasound, scrotum and contents",76870,CPT,,,,Outpatient,Facility,,,608,243.2,66,,,Percent of total billed charges,,401.28,20.8,,,Percent of total billed charges,,126.46,20.4,,,Percent of total billed charges,,124.03,,67.33,,Case rate,,67.33,,11.19,,Case rate,,11.19,80,,,Percent of total billed charges,,486.4,61.6,,,Percent of total billed charges,,374.53,20.6,,,Percent of total billed charges,,125.25,20.6,,,Percent of total billed charges,,125.25,65.55,,,Percent of total billed charges,,398.54,21,,,Percent of total billed charges,,127.68,90,,,Percent of total billed charges,,547.2,21,,,Percent of total billed charges,,127.68,21,,,Percent of total billed charges,,127.68,64.9,,,Percent of total billed charges,,394.59,21,,,Percent of total billed charges,,127.68,,267.67,,Case rate,,267.67,11.19,608,
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",76536,CPT,40276536,CDM,TC,Outpatient,Facility,,,794,317.6,66,,,Percent of total billed charges,,524.04,20.8,,,Percent of total billed charges,,165.15,20.4,,,Percent of total billed charges,,161.98,,80.3,,Case rate,,80.3,,10.22,,Case rate,,10.22,80,,,Percent of total billed charges,,635.2,61.6,,,Percent of total billed charges,,489.1,20.6,,,Percent of total billed charges,,163.56,20.6,,,Percent of total billed charges,,163.56,65.55,,,Percent of total billed charges,,520.47,21,,,Percent of total billed charges,,166.74,90,,,Percent of total billed charges,,714.6,21,,,Percent of total billed charges,,166.74,21,,,Percent of total billed charges,,166.74,64.9,,,Percent of total billed charges,,515.31,21,,,Percent of total billed charges,,166.74,,257.55,,Case rate,,257.55,10.22,794,
Unclassified biologics,J3590,HCPCS,,,,Outpatient,Facility,1,EA,3.29,1.32,66,,,Percent of total billed charges,,2.17,20.8,,,Percent of total billed charges,,0.68,20.4,,,Percent of total billed charges,,0.67,48.3,,,Percent of total billed charges,,1.59,19.8,,,Percent of total billed charges,,0.65,80,,,Percent of total billed charges,,2.63,61.6,,,Percent of total billed charges,,2.03,20.6,,,Percent of total billed charges,,0.68,20.6,,,Percent of total billed charges,,0.68,65.55,,,Percent of total billed charges,,2.15,21,,,Percent of total billed charges,,0.69,90,,,Percent of total billed charges,,2.96,21,,,Percent of total billed charges,,0.69,21,,,Percent of total billed charges,,0.69,64.9,,,Percent of total billed charges,,2.13,21,,,Percent of total billed charges,,0.69,45,,,Percent of total billed charges,,1.48,0.65,3.29,
Unclassified drugs or biologicals,C9399,CPT,,,,Outpatient,Facility,,,0.01,,66,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,80,,,Percent of total billed charges,,0.01,61.6,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,65.55,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,90,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,64.9,,,Percent of total billed charges,,0.01,,,,Percent of total billed charges,code is bundled with other services,,,,,Percent of total billed charges,code is bundled with other services,,0.01,0.01,
Unlisted chemistry procedure,84999,CPT,,,,Outpatient,Facility,,,17,6.8,66,,,Percent of total billed charges,,11.22,20.8,,,Percent of total billed charges,,3.54,20.4,,,Percent of total billed charges,,3.47,48.3,,,Percent of total billed charges,,8.21,,0.28,,Case rate,,0.28,80,,,Percent of total billed charges,,13.6,61.6,,,Percent of total billed charges,,10.47,20.6,,,Percent of total billed charges,,3.5,20.6,,,Percent of total billed charges,,3.5,65.55,,,Percent of total billed charges,,11.14,21,,,Percent of total billed charges,,3.57,90,,,Percent of total billed charges,,15.3,21,,,Percent of total billed charges,,3.57,21,,,Percent of total billed charges,,3.57,64.9,,,Percent of total billed charges,,11.03,21,,,Percent of total billed charges,,3.57,,2.32,,Case rate,,2.32,0.28,17,
Unlisted diagnostic radiographic procedure,76499,CPT,,,,Outpatient,Facility,,,73,29.2,66,,,Percent of total billed charges,,48.18,20.8,,,Percent of total billed charges,,15.18,20.4,,,Percent of total billed charges,,14.89,48.3,,,Percent of total billed charges,,35.26,19.8,,,Percent of total billed charges,,14.45,80,,,Percent of total billed charges,,58.4,61.6,,,Percent of total billed charges,,44.97,20.6,,,Percent of total billed charges,,15.04,20.6,,,Percent of total billed charges,,15.04,65.55,,,Percent of total billed charges,,47.85,21,,,Percent of total billed charges,,15.33,90,,,Percent of total billed charges,,65.7,21,,,Percent of total billed charges,,15.33,21,,,Percent of total billed charges,,15.33,64.9,,,Percent of total billed charges,,47.38,21,,,Percent of total billed charges,,15.33,,53.67,,Case rate,,53.67,14.45,73,
Unlisted diagnostic radiographic procedure,76499,CPT,32076499,CDM,TC,Outpatient,Facility,,,73,29.2,66,,,Percent of total billed charges,,48.18,20.8,,,Percent of total billed charges,,15.18,20.4,,,Percent of total billed charges,,14.89,48.3,,,Percent of total billed charges,,35.26,19.8,,,Percent of total billed charges,,14.45,80,,,Percent of total billed charges,,58.4,61.6,,,Percent of total billed charges,,44.97,20.6,,,Percent of total billed charges,,15.04,20.6,,,Percent of total billed charges,,15.04,65.55,,,Percent of total billed charges,,47.85,21,,,Percent of total billed charges,,15.33,90,,,Percent of total billed charges,,65.7,21,,,Percent of total billed charges,,15.33,21,,,Percent of total billed charges,,15.33,64.9,,,Percent of total billed charges,,47.38,21,,,Percent of total billed charges,,15.33,,53.67,,Case rate,,53.67,14.45,73,
Unlisted immune globulin,90399,CPT,,,,Outpatient,Facility,,,1300.31,520.12,66,,,Percent of total billed charges,,858.21,20.8,,,Percent of total billed charges,,270.46,20.4,,,Percent of total billed charges,,265.26,48.3,,,Percent of total billed charges,,628.05,19.8,,,Percent of total billed charges,,257.46,80,,,Percent of total billed charges,,1040.25,61.6,,,Percent of total billed charges,,800.99,20.6,,,Percent of total billed charges,,267.86,20.6,,,Percent of total billed charges,,267.86,65.55,,,Percent of total billed charges,,852.35,21,,,Percent of total billed charges,,273.07,90,,,Percent of total billed charges,,1170.28,21,,,Percent of total billed charges,,273.07,21,,,Percent of total billed charges,,273.07,64.9,,,Percent of total billed charges,,843.9,21,,,Percent of total billed charges,,273.07,,325.99,,Case rate,,325.99,257.46,1300.31,
Unlisted immunology procedure,86849,CPT,,,,Outpatient,Facility,,,286,114.4,66,,,Percent of total billed charges,,188.76,20.8,,,Percent of total billed charges,,59.49,20.4,,,Percent of total billed charges,,58.34,48.3,,,Percent of total billed charges,,138.14,,0.88,,Case rate,,0.88,80,,,Percent of total billed charges,,228.8,61.6,,,Percent of total billed charges,,176.18,20.6,,,Percent of total billed charges,,58.92,20.6,,,Percent of total billed charges,,58.92,65.55,,,Percent of total billed charges,,187.47,21,,,Percent of total billed charges,,60.06,90,,,Percent of total billed charges,,257.4,21,,,Percent of total billed charges,,60.06,21,,,Percent of total billed charges,,60.06,64.9,,,Percent of total billed charges,,185.61,21,,,Percent of total billed charges,,60.06,,25.82,,Case rate,,25.82,0.88,286,
Unlisted miscellaneous pathology test,89240,CPT,,,,Outpatient,Facility,,,261,104.4,66,,,Percent of total billed charges,,172.26,20.8,,,Percent of total billed charges,,54.29,20.4,,,Percent of total billed charges,,53.24,48.3,,,Percent of total billed charges,,126.06,19.8,,,Percent of total billed charges,,51.68,80,,,Percent of total billed charges,,208.8,61.6,,,Percent of total billed charges,,160.78,20.6,,,Percent of total billed charges,,53.77,20.6,,,Percent of total billed charges,,53.77,65.55,,,Percent of total billed charges,,171.09,21,,,Percent of total billed charges,,54.81,90,,,Percent of total billed charges,,234.9,21,,,Percent of total billed charges,,54.81,21,,,Percent of total billed charges,,54.81,64.9,,,Percent of total billed charges,,169.39,21,,,Percent of total billed charges,,54.81,,150.9,,Case rate,,150.9,51.68,261,
Unlisted molecular pathology procedure,81479,CPT,,,,Outpatient,Facility,,,723,289.2,66,,,Percent of total billed charges,,477.18,20.8,,,Percent of total billed charges,,150.38,20.4,,,Percent of total billed charges,,147.49,,103,,Case rate,,103,,8.09,,Case rate,,8.09,80,,,Percent of total billed charges,,578.4,61.6,,,Percent of total billed charges,,445.37,20.6,,,Percent of total billed charges,,148.94,20.6,,,Percent of total billed charges,,148.94,65.55,,,Percent of total billed charges,,473.93,21,,,Percent of total billed charges,,151.83,90,,,Percent of total billed charges,,650.7,21,,,Percent of total billed charges,,151.83,21,,,Percent of total billed charges,,151.83,64.9,,,Percent of total billed charges,,469.23,21,,,Percent of total billed charges,,151.83,45,,,Percent of total billed charges,,325.35,8.09,723,
"Unlisted procedure, skin, mucous membrane and subcutaneous tissue",17999,CPT,,,,Outpatient,Facility,,,143,57.2,66,,,Percent of total billed charges,,94.38,20.8,,,Percent of total billed charges,,29.74,20.4,,,Percent of total billed charges,,29.17,48.3,,,Percent of total billed charges,,69.07,,1.98,,Case rate,,1.98,80,,,Percent of total billed charges,,114.4,61.6,,,Percent of total billed charges,,88.09,20.6,,,Percent of total billed charges,,29.46,20.6,,,Percent of total billed charges,,29.46,65.55,,,Percent of total billed charges,,93.74,21,,,Percent of total billed charges,,30.03,90,,,Percent of total billed charges,,128.7,21,,,Percent of total billed charges,,30.03,21,,,Percent of total billed charges,,30.03,64.9,,,Percent of total billed charges,,92.81,21,,,Percent of total billed charges,,30.03,,54.6,,Case rate,,54.6,1.98,143,
"Unlisted procedure, urinary system",53899,CPT,,,,Outpatient,Facility,,,160,64,66,,,Percent of total billed charges,,105.6,20.8,,,Percent of total billed charges,,33.28,20.4,,,Percent of total billed charges,,32.64,48.3,,,Percent of total billed charges,,77.28,,1.98,,Case rate,,1.98,80,,,Percent of total billed charges,,128,61.6,,,Percent of total billed charges,,98.56,20.6,,,Percent of total billed charges,,32.96,20.6,,,Percent of total billed charges,,32.96,65.55,,,Percent of total billed charges,,104.88,21,,,Percent of total billed charges,,33.6,90,,,Percent of total billed charges,,144,21,,,Percent of total billed charges,,33.6,21,,,Percent of total billed charges,,33.6,64.9,,,Percent of total billed charges,,103.84,21,,,Percent of total billed charges,,33.6,,39.37,,Case rate,,39.37,1.98,160,
"Unlisted procedure, vascular surgery",37799,CPT,,,,Outpatient,Facility,,,1675,670,66,,,Percent of total billed charges,,1105.5,20.8,,,Percent of total billed charges,,348.4,20.4,,,Percent of total billed charges,,341.7,48.3,,,Percent of total billed charges,,809.02,,1.98,,Case rate,,1.98,80,,,Percent of total billed charges,,1340,61.6,,,Percent of total billed charges,,1031.8,20.6,,,Percent of total billed charges,,345.05,20.6,,,Percent of total billed charges,,345.05,65.55,,,Percent of total billed charges,,1097.96,21,,,Percent of total billed charges,,351.75,90,,,Percent of total billed charges,,1507.5,21,,,Percent of total billed charges,,351.75,21,,,Percent of total billed charges,,351.75,64.9,,,Percent of total billed charges,,1087.08,21,,,Percent of total billed charges,,351.75,,40.95,,Case rate,,40.95,1.98,1675,
Unlisted therapeutic procedure (specify),97139,CPT,,,,Outpatient,Facility,,,99,39.6,66,,,Percent of total billed charges,,65.34,20.8,,,Percent of total billed charges,,20.59,20.4,,,Percent of total billed charges,,20.2,,17.78,,Case rate,,17.78,,2.71,,Case rate,,2.71,80,,,Percent of total billed charges,,79.2,61.6,,,Percent of total billed charges,,60.98,20.6,,,Percent of total billed charges,,20.39,20.6,,,Percent of total billed charges,,20.39,65.55,,,Percent of total billed charges,,64.89,21,,,Percent of total billed charges,,20.79,90,,,Percent of total billed charges,,89.1,21,,,Percent of total billed charges,,20.79,21,,,Percent of total billed charges,,20.79,64.9,,,Percent of total billed charges,,64.25,21,,,Percent of total billed charges,,20.79,,57.99,,Case rate,,57.99,2.71,99,
"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion",96379,CPT,,,,Outpatient,Facility,,,53,21.2,66,,,Percent of total billed charges,,34.98,20.8,,,Percent of total billed charges,,11.02,20.4,,,Percent of total billed charges,,10.81,48.3,,,Percent of total billed charges,,25.6,19.8,,,Percent of total billed charges,,10.49,80,,,Percent of total billed charges,,42.4,61.6,,,Percent of total billed charges,,32.65,20.6,,,Percent of total billed charges,,10.92,20.6,,,Percent of total billed charges,,10.92,65.55,,,Percent of total billed charges,,34.74,21,,,Percent of total billed charges,,11.13,90,,,Percent of total billed charges,,47.7,21,,,Percent of total billed charges,,11.13,21,,,Percent of total billed charges,,11.13,64.9,,,Percent of total billed charges,,34.4,21,,,Percent of total billed charges,,11.13,45,,,Percent of total billed charges,,23.85,10.49,53,
"Urea nitrogen, urine",84540,CPT,,,,Outpatient,Facility,,,79,31.6,66,,,Percent of total billed charges,,52.14,20.8,,,Percent of total billed charges,,16.43,20.4,,,Percent of total billed charges,,16.12,,5.56,,Case rate,,5.56,,1.35,,Case rate,,1.35,80,,,Percent of total billed charges,,63.2,61.6,,,Percent of total billed charges,,48.66,20.6,,,Percent of total billed charges,,16.27,20.6,,,Percent of total billed charges,,16.27,65.55,,,Percent of total billed charges,,51.78,21,,,Percent of total billed charges,,16.59,90,,,Percent of total billed charges,,71.1,21,,,Percent of total billed charges,,16.59,21,,,Percent of total billed charges,,16.59,64.9,,,Percent of total billed charges,,51.27,21,,,Percent of total billed charges,,16.59,,23.08,,Case rate,,23.08,1.35,79,
Urea nitrogen; quantitative,84520,CPT,,,,Outpatient,Facility,,,30,12,66,,,Percent of total billed charges,,19.8,20.8,,,Percent of total billed charges,,6.24,20.4,,,Percent of total billed charges,,6.12,,3.95,,Case rate,,3.95,,0.81,,Case rate,,0.81,80,,,Percent of total billed charges,,24,61.6,,,Percent of total billed charges,,18.48,20.6,,,Percent of total billed charges,,6.18,20.6,,,Percent of total billed charges,,6.18,65.55,,,Percent of total billed charges,,19.66,21,,,Percent of total billed charges,,6.3,90,,,Percent of total billed charges,,27,21,,,Percent of total billed charges,,6.3,21,,,Percent of total billed charges,,6.3,64.9,,,Percent of total billed charges,,19.47,21,,,Percent of total billed charges,,6.3,,25.03,,Case rate,,25.03,0.81,30,
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,,,,Outpatient,Facility,,,377,150.8,66,,,Percent of total billed charges,,248.82,20.8,,,Percent of total billed charges,,78.42,20.4,,,Percent of total billed charges,,76.91,,85.04,,Case rate,,85.04,,9.34,,Case rate,,9.34,80,,,Percent of total billed charges,,301.6,61.6,,,Percent of total billed charges,,232.23,20.6,,,Percent of total billed charges,,77.66,20.6,,,Percent of total billed charges,,77.66,65.55,,,Percent of total billed charges,,247.12,21,,,Percent of total billed charges,,79.17,90,,,Percent of total billed charges,,339.3,21,,,Percent of total billed charges,,79.17,21,,,Percent of total billed charges,,79.17,64.9,,,Percent of total billed charges,,244.67,21,,,Percent of total billed charges,,79.17,,235.59,,Case rate,,235.59,9.34,377,
"Urethrocystography, voiding, radiological supervision and interpretation",74455,CPT,32074455,CDM,TC,Outpatient,Facility,,,377,150.8,66,,,Percent of total billed charges,,248.82,20.8,,,Percent of total billed charges,,78.42,20.4,,,Percent of total billed charges,,76.91,,85.04,,Case rate,,85.04,,9.34,,Case rate,,9.34,80,,,Percent of total billed charges,,301.6,61.6,,,Percent of total billed charges,,232.23,20.6,,,Percent of total billed charges,,77.66,20.6,,,Percent of total billed charges,,77.66,65.55,,,Percent of total billed charges,,247.12,21,,,Percent of total billed charges,,79.17,90,,,Percent of total billed charges,,339.3,21,,,Percent of total billed charges,,79.17,21,,,Percent of total billed charges,,79.17,64.9,,,Percent of total billed charges,,244.67,21,,,Percent of total billed charges,,79.17,,235.59,,Case rate,,235.59,9.34,377,
Uric acid; blood,84550,CPT,,,,Outpatient,Facility,,,92,36.8,66,,,Percent of total billed charges,,60.72,20.8,,,Percent of total billed charges,,19.14,20.4,,,Percent of total billed charges,,18.77,,4.52,,Case rate,,4.52,,0.93,,Case rate,,0.93,80,,,Percent of total billed charges,,73.6,61.6,,,Percent of total billed charges,,56.67,20.6,,,Percent of total billed charges,,18.95,20.6,,,Percent of total billed charges,,18.95,65.55,,,Percent of total billed charges,,60.31,21,,,Percent of total billed charges,,19.32,90,,,Percent of total billed charges,,82.8,21,,,Percent of total billed charges,,19.32,21,,,Percent of total billed charges,,19.32,64.9,,,Percent of total billed charges,,59.71,21,,,Percent of total billed charges,,19.32,,27.67,,Case rate,,27.67,0.93,92,
Uric acid; other source,84560,CPT,,,,Outpatient,Facility,,,21,8.4,66,,,Percent of total billed charges,,13.86,20.8,,,Percent of total billed charges,,4.37,20.4,,,Percent of total billed charges,,4.28,,5.08,,Case rate,,5.08,,0.66,,Case rate,,0.66,80,,,Percent of total billed charges,,16.8,61.6,,,Percent of total billed charges,,12.94,20.6,,,Percent of total billed charges,,4.33,20.6,,,Percent of total billed charges,,4.33,65.55,,,Percent of total billed charges,,13.77,21,,,Percent of total billed charges,,4.41,90,,,Percent of total billed charges,,18.9,21,,,Percent of total billed charges,,4.41,21,,,Percent of total billed charges,,4.41,64.9,,,Percent of total billed charges,,13.63,21,,,Percent of total billed charges,,4.41,,6.69,,Case rate,,6.69,0.66,21,
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy",81001,CPT,,,,Outpatient,Facility,,,44,17.6,66,,,Percent of total billed charges,,29.04,20.8,,,Percent of total billed charges,,9.15,20.4,,,Percent of total billed charges,,8.98,,3.17,,Case rate,,3.17,,0.89,,Case rate,,0.89,80,,,Percent of total billed charges,,35.2,61.6,,,Percent of total billed charges,,27.1,20.6,,,Percent of total billed charges,,9.06,20.6,,,Percent of total billed charges,,9.06,65.55,,,Percent of total billed charges,,28.84,21,,,Percent of total billed charges,,9.24,90,,,Percent of total billed charges,,39.6,21,,,Percent of total billed charges,,9.24,21,,,Percent of total billed charges,,9.24,64.9,,,Percent of total billed charges,,28.56,21,,,Percent of total billed charges,,9.24,,11.38,,Case rate,,11.38,0.89,44,
"Urinalysis; qualitative or semiquantitative, except immunoassays",81005,CPT,,,,Outpatient,Facility,,,19,7.6,66,,,Percent of total billed charges,,12.54,20.8,,,Percent of total billed charges,,3.95,20.4,,,Percent of total billed charges,,3.88,,2.17,,Case rate,,2.17,,0.63,,Case rate,,0.63,80,,,Percent of total billed charges,,15.2,61.6,,,Percent of total billed charges,,11.7,20.6,,,Percent of total billed charges,,3.91,20.6,,,Percent of total billed charges,,3.91,65.55,,,Percent of total billed charges,,12.45,21,,,Percent of total billed charges,,3.99,90,,,Percent of total billed charges,,17.1,21,,,Percent of total billed charges,,3.99,21,,,Percent of total billed charges,,3.99,64.9,,,Percent of total billed charges,,12.33,21,,,Percent of total billed charges,,3.99,,7.1,,Case rate,,7.1,0.63,19,
"Urography (pyelography), intravenous, with or without KUB, with or without tomography",74400,CPT,32074400,CDM,TC,Outpatient,Facility,,,531,212.4,66,,,Percent of total billed charges,,350.46,20.8,,,Percent of total billed charges,,110.45,20.4,,,Percent of total billed charges,,108.32,,107.48,,Case rate,,107.48,,10.89,,Case rate,,10.89,80,,,Percent of total billed charges,,424.8,61.6,,,Percent of total billed charges,,327.1,20.6,,,Percent of total billed charges,,109.39,20.6,,,Percent of total billed charges,,109.39,65.55,,,Percent of total billed charges,,348.07,21,,,Percent of total billed charges,,111.51,90,,,Percent of total billed charges,,477.9,21,,,Percent of total billed charges,,111.51,21,,,Percent of total billed charges,,111.51,64.9,,,Percent of total billed charges,,344.62,21,,,Percent of total billed charges,,111.51,,275.38,,Case rate,,275.38,10.89,531,
"Urography, antegrade, radiological supervision and interpretation",74425,CPT,,,,Outpatient,Facility,,,782,312.8,66,,,Percent of total billed charges,,516.12,20.8,,,Percent of total billed charges,,162.66,20.4,,,Percent of total billed charges,,159.53,,107.8,,Case rate,,107.8,,8.26,,Case rate,,8.26,80,,,Percent of total billed charges,,625.6,61.6,,,Percent of total billed charges,,481.71,20.6,,,Percent of total billed charges,,161.09,20.6,,,Percent of total billed charges,,161.09,65.55,,,Percent of total billed charges,,512.6,21,,,Percent of total billed charges,,164.22,90,,,Percent of total billed charges,,703.8,21,,,Percent of total billed charges,,164.22,21,,,Percent of total billed charges,,164.22,64.9,,,Percent of total billed charges,,507.52,21,,,Percent of total billed charges,,164.22,,195.47,,Case rate,,195.47,8.26,782,
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography",74415,CPT,,,,Outpatient,Facility,,,475,190,66,,,Percent of total billed charges,,313.5,20.8,,,Percent of total billed charges,,98.8,20.4,,,Percent of total billed charges,,96.9,,125.82,,Case rate,,125.82,,12.84,,Case rate,,12.84,80,,,Percent of total billed charges,,380,61.6,,,Percent of total billed charges,,292.6,20.6,,,Percent of total billed charges,,97.85,20.6,,,Percent of total billed charges,,97.85,65.55,,,Percent of total billed charges,,311.36,21,,,Percent of total billed charges,,99.75,90,,,Percent of total billed charges,,427.5,21,,,Percent of total billed charges,,99.75,21,,,Percent of total billed charges,,99.75,64.9,,,Percent of total billed charges,,308.28,21,,,Percent of total billed charges,,99.75,,322.73,,Case rate,,322.73,12.84,475,
"Urography, retrograde, with or without KUB",74420,CPT,,,,Outpatient,Facility,,,557,222.8,66,,,Percent of total billed charges,,367.62,20.8,,,Percent of total billed charges,,115.86,20.4,,,Percent of total billed charges,,113.63,,50.26,,Case rate,,50.26,,14.28,,Case rate,,14.28,80,,,Percent of total billed charges,,445.6,61.6,,,Percent of total billed charges,,343.11,20.6,,,Percent of total billed charges,,114.74,20.6,,,Percent of total billed charges,,114.74,65.55,,,Percent of total billed charges,,365.11,21,,,Percent of total billed charges,,116.97,90,,,Percent of total billed charges,,501.3,21,,,Percent of total billed charges,,116.97,21,,,Percent of total billed charges,,116.97,64.9,,,Percent of total billed charges,,361.49,21,,,Percent of total billed charges,,116.97,,358.44,,Case rate,,358.44,14.28,557,
"Urography, retrograde, with or without KUB",74420,CPT,32074420,CDM,TC,Outpatient,Facility,,,557,222.8,66,,,Percent of total billed charges,,367.62,20.8,,,Percent of total billed charges,,115.86,20.4,,,Percent of total billed charges,,113.63,,50.26,,Case rate,,50.26,,14.28,,Case rate,,14.28,80,,,Percent of total billed charges,,445.6,61.6,,,Percent of total billed charges,,343.11,20.6,,,Percent of total billed charges,,114.74,20.6,,,Percent of total billed charges,,114.74,65.55,,,Percent of total billed charges,,365.11,21,,,Percent of total billed charges,,116.97,90,,,Percent of total billed charges,,501.3,21,,,Percent of total billed charges,,116.97,21,,,Percent of total billed charges,,116.97,64.9,,,Percent of total billed charges,,361.49,21,,,Percent of total billed charges,,116.97,,358.44,,Case rate,,358.44,14.28,557,
Vaginal delivery only (with or without episiotomy and/or forceps),59409,CPT,,,,Outpatient,Facility,,,4792,1916.8,66,,,Percent of total billed charges,,3162.72,20.8,,,Percent of total billed charges,,996.74,20.4,,,Percent of total billed charges,,977.57,,786.66,,Case rate,,786.66,,156.81,,Case rate,,156.81,80,,,Percent of total billed charges,,3833.6,61.6,,,Percent of total billed charges,,2951.87,20.6,,,Percent of total billed charges,,987.15,20.6,,,Percent of total billed charges,,987.15,65.55,,,Percent of total billed charges,,3141.16,21,,,Percent of total billed charges,,1006.32,90,,,Percent of total billed charges,,4312.8,21,,,Percent of total billed charges,,1006.32,21,,,Percent of total billed charges,,1006.32,64.9,,,Percent of total billed charges,,3110.01,21,,,Percent of total billed charges,,1006.32,,921.96,,Case rate,,921.96,156.81,4792,
vaginal delivery without complicating diagnoses,775,MS-DRG,,,,Inpatient,Facility,,,12600.47,5040.19,,,,Case rate,DRG Factor * DRG Weight,,,1758.64,,Per Diem,,3517.28,,1724.82,,Per Diem,,3449.64,,,,Case rate,DRG Factor * DRG Weight,,,1674.09,,Per Diem,,3348.18,80,,,Percent of total billed charges,,10080.38,61.6,,,Percent of total billed charges,,7761.89,,1741.73,,Per Diem,,3483.46,,1741.73,,Per Diem,,3483.46,65.55,,,Percent of total billed charges,,8259.61,,2079,,Per Diem,,4158,90,,,Percent of total billed charges,,11340.43,,2079,,Per Diem,,4158,,2079,,Per Diem,,4158,64.9,,,Percent of total billed charges,,8177.71,,2079,,Per Diem,,4158,,,,Case rate,DRG Factor * DRG Weight,,3348.18,12600.47,
Valproic acid (dipropylacetic acid); free,80165,CPT,,,,Outpatient,Facility,,,45,18,66,,,Percent of total billed charges,,29.7,20.8,,,Percent of total billed charges,,9.36,20.4,,,Percent of total billed charges,,9.18,,13.54,,Case rate,,13.54,,1.33,,Case rate,,1.33,80,,,Percent of total billed charges,,36,61.6,,,Percent of total billed charges,,27.72,20.6,,,Percent of total billed charges,,9.27,20.6,,,Percent of total billed charges,,9.27,65.55,,,Percent of total billed charges,,29.5,21,,,Percent of total billed charges,,9.45,90,,,Percent of total billed charges,,40.5,21,,,Percent of total billed charges,,9.45,21,,,Percent of total billed charges,,9.45,64.9,,,Percent of total billed charges,,29.2,21,,,Percent of total billed charges,,9.45,,68.11,,Case rate,,68.11,1.33,68.11,
Vancomycin,80202,CPT,,,,Outpatient,Facility,,,141,56.4,66,,,Percent of total billed charges,,93.06,20.8,,,Percent of total billed charges,,29.33,20.4,,,Percent of total billed charges,,28.76,,13.54,,Case rate,,13.54,,2.76,,Case rate,,2.76,80,,,Percent of total billed charges,,112.8,61.6,,,Percent of total billed charges,,86.86,20.6,,,Percent of total billed charges,,29.05,20.6,,,Percent of total billed charges,,29.05,65.55,,,Percent of total billed charges,,92.43,21,,,Percent of total billed charges,,29.61,90,,,Percent of total billed charges,,126.9,21,,,Percent of total billed charges,,29.61,21,,,Percent of total billed charges,,29.61,64.9,,,Percent of total billed charges,,91.51,21,,,Percent of total billed charges,,29.61,,56.04,,Case rate,,56.04,2.76,141,
"Vanillylmandelic acid (VMA), urine",84585,CPT,,,,Outpatient,Facility,,,134,53.6,66,,,Percent of total billed charges,,88.44,20.8,,,Percent of total billed charges,,27.87,20.4,,,Percent of total billed charges,,27.34,,15.5,,Case rate,,15.5,,3.19,,Case rate,,3.19,80,,,Percent of total billed charges,,107.2,61.6,,,Percent of total billed charges,,82.54,20.6,,,Percent of total billed charges,,27.6,20.6,,,Percent of total billed charges,,27.6,65.55,,,Percent of total billed charges,,87.84,21,,,Percent of total billed charges,,28.14,90,,,Percent of total billed charges,,120.6,21,,,Percent of total billed charges,,28.14,21,,,Percent of total billed charges,,28.14,64.9,,,Percent of total billed charges,,86.97,21,,,Percent of total billed charges,,28.14,,77.63,,Case rate,,77.63,3.19,134,
"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)",55250,CPT,,,,Outpatient,Facility,,,3160.27,1264.11,66,,,Percent of total billed charges,,2085.77,20.8,,,Percent of total billed charges,,657.34,20.4,,,Percent of total billed charges,,644.69,,323.77,,Case rate,,323.77,,89.15,,Case rate,,89.15,80,,,Percent of total billed charges,,2528.21,61.6,,,Percent of total billed charges,,1946.72,20.6,,,Percent of total billed charges,,651.01,20.6,,,Percent of total billed charges,,651.01,65.55,,,Percent of total billed charges,,2071.55,21,,,Percent of total billed charges,,663.66,90,,,Percent of total billed charges,,2844.24,21,,,Percent of total billed charges,,663.66,21,,,Percent of total billed charges,,663.66,64.9,,,Percent of total billed charges,,2051.01,21,,,Percent of total billed charges,,663.66,,2201.62,,Case rate,,2201.62,89.15,3160.26,
Vasoactive intestinal peptide (VIP),84586,CPT,,,,Outpatient,Facility,,,331,132.4,66,,,Percent of total billed charges,,218.46,20.8,,,Percent of total billed charges,,68.85,20.4,,,Percent of total billed charges,,67.52,,35.33,,Case rate,,35.33,,10.23,,Case rate,,10.23,80,,,Percent of total billed charges,,264.8,61.6,,,Percent of total billed charges,,203.9,20.6,,,Percent of total billed charges,,68.19,20.6,,,Percent of total billed charges,,68.19,65.55,,,Percent of total billed charges,,216.97,21,,,Percent of total billed charges,,69.51,90,,,Percent of total billed charges,,297.9,21,,,Percent of total billed charges,,69.51,21,,,Percent of total billed charges,,69.51,64.9,,,Percent of total billed charges,,214.82,21,,,Percent of total billed charges,,69.51,,238.56,,Case rate,,238.56,10.23,331,
"Vasopressin (antidiuretic hormone, ADH)",84588,CPT,,,,Outpatient,Facility,,,285,114,66,,,Percent of total billed charges,,188.1,20.8,,,Percent of total billed charges,,59.28,20.4,,,Percent of total billed charges,,58.14,,33.94,,Case rate,,33.94,,9.83,,Case rate,,9.83,80,,,Percent of total billed charges,,228,61.6,,,Percent of total billed charges,,175.56,20.6,,,Percent of total billed charges,,58.71,20.6,,,Percent of total billed charges,,58.71,65.55,,,Percent of total billed charges,,186.82,21,,,Percent of total billed charges,,59.85,90,,,Percent of total billed charges,,256.5,21,,,Percent of total billed charges,,59.85,21,,,Percent of total billed charges,,59.85,64.9,,,Percent of total billed charges,,184.96,21,,,Percent of total billed charges,,59.85,,228.57,,Case rate,,228.57,9.83,285,
Vedolizumab,80280,CPT,,,,Outpatient,Facility,,,286,114.4,66,,,Percent of total billed charges,,188.76,20.8,,,Percent of total billed charges,,59.49,20.4,,,Percent of total billed charges,,58.34,,38.57,,Case rate,,38.57,,2.3,,Case rate,,2.3,80,,,Percent of total billed charges,,228.8,61.6,,,Percent of total billed charges,,176.18,20.6,,,Percent of total billed charges,,58.92,20.6,,,Percent of total billed charges,,58.92,65.55,,,Percent of total billed charges,,187.47,21,,,Percent of total billed charges,,60.06,90,,,Percent of total billed charges,,257.4,21,,,Percent of total billed charges,,60.06,21,,,Percent of total billed charges,,60.06,64.9,,,Percent of total billed charges,,185.61,21,,,Percent of total billed charges,,60.06,,149.5,,Case rate,,149.5,2.3,286,
"Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for routine venipuncture)",36410,CPT,,,,Outpatient,Facility,,,560,224,66,,,Percent of total billed charges,,369.6,20.8,,,Percent of total billed charges,,116.48,20.4,,,Percent of total billed charges,,114.24,,16.83,,Case rate,,16.83,,1.98,,Case rate,,1.98,80,,,Percent of total billed charges,,448,61.6,,,Percent of total billed charges,,344.96,20.6,,,Percent of total billed charges,,115.36,20.6,,,Percent of total billed charges,,115.36,65.55,,,Percent of total billed charges,,367.08,21,,,Percent of total billed charges,,117.6,90,,,Percent of total billed charges,,504,21,,,Percent of total billed charges,,117.6,21,,,Percent of total billed charges,,117.6,64.9,,,Percent of total billed charges,,363.44,21,,,Percent of total billed charges,,117.6,,39.98,,Case rate,,39.98,1.98,560,
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,,,,Outpatient,Facility,,,1883,753.2,66,,,Percent of total billed charges,,1242.78,20.8,,,Percent of total billed charges,,391.66,20.4,,,Percent of total billed charges,,384.13,,62.91,,Case rate,,62.91,,64.41,,Case rate,,64.41,80,,,Percent of total billed charges,,1506.4,61.6,,,Percent of total billed charges,,1159.93,20.6,,,Percent of total billed charges,,387.9,20.6,,,Percent of total billed charges,,387.9,65.55,,,Percent of total billed charges,,1234.31,21,,,Percent of total billed charges,,395.43,90,,,Percent of total billed charges,,1694.7,21,,,Percent of total billed charges,,395.43,21,,,Percent of total billed charges,,395.43,64.9,,,Percent of total billed charges,,1222.07,21,,,Percent of total billed charges,,395.43,,1576.21,,Case rate,,1576.21,62.91,1883,
"Venography, caval, superior, with serialography, radiological supervision and interpretation",75827,CPT,32075827,CDM,TC,Outpatient,Facility,,,1883,753.2,66,,,Percent of total billed charges,,1242.78,20.8,,,Percent of total billed charges,,391.66,20.4,,,Percent of total billed charges,,384.13,,62.91,,Case rate,,62.91,,64.41,,Case rate,,64.41,80,,,Percent of total billed charges,,1506.4,61.6,,,Percent of total billed charges,,1159.93,20.6,,,Percent of total billed charges,,387.9,20.6,,,Percent of total billed charges,,387.9,65.55,,,Percent of total billed charges,,1234.31,21,,,Percent of total billed charges,,395.43,90,,,Percent of total billed charges,,1694.7,21,,,Percent of total billed charges,,395.43,21,,,Percent of total billed charges,,395.43,64.9,,,Percent of total billed charges,,1222.07,21,,,Percent of total billed charges,,395.43,,1576.21,,Case rate,,1576.21,62.91,1883,
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day",94002,CPT,,,,Outpatient,Facility,,,772,308.8,66,,,Percent of total billed charges,,509.52,20.8,,,Percent of total billed charges,,160.58,20.4,,,Percent of total billed charges,,157.49,,89.73,,Case rate,,89.73,,16.27,,Case rate,,16.27,80,,,Percent of total billed charges,,617.6,61.6,,,Percent of total billed charges,,475.55,20.6,,,Percent of total billed charges,,159.03,20.6,,,Percent of total billed charges,,159.03,65.55,,,Percent of total billed charges,,506.05,21,,,Percent of total billed charges,,162.12,90,,,Percent of total billed charges,,694.8,21,,,Percent of total billed charges,,162.12,21,,,Percent of total billed charges,,162.12,64.9,,,Percent of total billed charges,,501.03,21,,,Percent of total billed charges,,162.12,,467.27,,Case rate,,467.27,16.27,772,
viral illness without mcc,866,MS-DRG,,,,Inpatient,Facility,,,10200.78,4080.31,,8261.14,,Case rate,DRG Factor * DRG Weight,8261.14,,1758.64,,Per Diem,,3517.28,,1724.82,,Per Diem,,3449.64,,8825.44,,Case rate,DRG Factor * DRG Weight,8825.44,,1674.09,,Per Diem,,3348.18,80,,,Percent of total billed charges,,8160.63,61.6,,,Percent of total billed charges,,6283.68,,1741.73,,Per Diem,,3483.46,,1741.73,,Per Diem,,3483.46,65.55,,,Percent of total billed charges,,6686.61,,2079,,Per Diem,,4158,90,,,Percent of total billed charges,,9180.7,,2079,,Per Diem,,4158,,2079,,Per Diem,,4158,64.9,,,Percent of total billed charges,,6620.31,,2079,,Per Diem,,4158,,8856.94,,Case rate,DRG Factor * DRG Weight,8856.94,3348.18,10200.78,
"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity)",87255,CPT,,,,Outpatient,Facility,,,243,97.2,66,,,Percent of total billed charges,,160.38,20.8,,,Percent of total billed charges,,50.54,20.4,,,Percent of total billed charges,,49.57,,33.86,,Case rate,,33.86,,9.68,,Case rate,,9.68,80,,,Percent of total billed charges,,194.4,61.6,,,Percent of total billed charges,,149.69,20.6,,,Percent of total billed charges,,50.06,20.6,,,Percent of total billed charges,,50.06,65.55,,,Percent of total billed charges,,159.29,21,,,Percent of total billed charges,,51.03,90,,,Percent of total billed charges,,218.7,21,,,Percent of total billed charges,,51.03,21,,,Percent of total billed charges,,51.03,64.9,,,Percent of total billed charges,,157.71,21,,,Percent of total billed charges,,51.03,,58.22,,Case rate,,58.22,9.68,243,
Viscosity,85810,CPT,,,,Outpatient,Facility,,,100,40,66,,,Percent of total billed charges,,66,20.8,,,Percent of total billed charges,,20.8,20.4,,,Percent of total billed charges,,20.4,,11.67,,Case rate,,11.67,,3.38,,Case rate,,3.38,80,,,Percent of total billed charges,,80,61.6,,,Percent of total billed charges,,61.6,20.6,,,Percent of total billed charges,,20.6,20.6,,,Percent of total billed charges,,20.6,65.55,,,Percent of total billed charges,,65.55,21,,,Percent of total billed charges,,21,90,,,Percent of total billed charges,,90,21,,,Percent of total billed charges,,21,21,,,Percent of total billed charges,,21,64.9,,,Percent of total billed charges,,64.9,21,,,Percent of total billed charges,,21,,83.43,,Case rate,,83.43,3.38,100,
"Vital capacity, total (separate procedure)",94150,CPT,,,,Outpatient,Facility,,,227,90.8,66,,,Percent of total billed charges,,149.82,20.8,,,Percent of total billed charges,,47.22,20.4,,,Percent of total billed charges,,46.31,,19.91,,Case rate,,19.91,,1.12,,Case rate,,1.12,80,,,Percent of total billed charges,,181.6,61.6,,,Percent of total billed charges,,139.83,20.6,,,Percent of total billed charges,,46.76,20.6,,,Percent of total billed charges,,46.76,65.55,,,Percent of total billed charges,,148.8,21,,,Percent of total billed charges,,47.67,90,,,Percent of total billed charges,,204.3,21,,,Percent of total billed charges,,47.67,21,,,Percent of total billed charges,,47.67,64.9,,,Percent of total billed charges,,147.32,21,,,Percent of total billed charges,,47.67,,19.64,,Case rate,,19.64,1.12,227,
Vitamin A,84590,CPT,,,,Outpatient,Facility,,,209,83.6,66,,,Percent of total billed charges,,137.94,20.8,,,Percent of total billed charges,,43.47,20.4,,,Percent of total billed charges,,42.64,,11.61,,Case rate,,11.61,,2.39,,Case rate,,2.39,80,,,Percent of total billed charges,,167.2,61.6,,,Percent of total billed charges,,128.74,20.6,,,Percent of total billed charges,,43.05,20.6,,,Percent of total billed charges,,43.05,65.55,,,Percent of total billed charges,,137,21,,,Percent of total billed charges,,43.89,90,,,Percent of total billed charges,,188.1,21,,,Percent of total billed charges,,43.89,21,,,Percent of total billed charges,,43.89,64.9,,,Percent of total billed charges,,135.64,21,,,Percent of total billed charges,,43.89,,46.52,,Case rate,,46.52,2.39,209,
"Volume measurement for timed collection, each",81050,CPT,,,,Outpatient,Facility,,,47,18.8,66,,,Percent of total billed charges,,31.02,20.8,,,Percent of total billed charges,,9.78,,3.71,,Case rate,,3.71,,3.64,,Case rate,,3.64,,0.87,,Case rate,,0.87,80,,,Percent of total billed charges,,37.6,61.6,,,Percent of total billed charges,,28.95,20.6,,,Percent of total billed charges,,9.68,20.6,,,Percent of total billed charges,,9.68,65.55,,,Percent of total billed charges,,30.81,21,,,Percent of total billed charges,,9.87,90,,,Percent of total billed charges,,42.3,21,,,Percent of total billed charges,,9.87,21,,,Percent of total billed charges,,9.87,64.9,,,Percent of total billed charges,,30.5,21,,,Percent of total billed charges,,9.87,,26.09,,Case rate,,26.09,0.87,47,
Voriconazole,80285,CPT,,,,Outpatient,Facility,,,186,74.4,66,,,Percent of total billed charges,,122.76,20.8,,,Percent of total billed charges,,38.69,20.4,,,Percent of total billed charges,,37.94,,27.11,,Case rate,,27.11,,1.62,,Case rate,,1.62,80,,,Percent of total billed charges,,148.8,61.6,,,Percent of total billed charges,,114.58,20.6,,,Percent of total billed charges,,38.32,20.6,,,Percent of total billed charges,,38.32,65.55,,,Percent of total billed charges,,121.92,21,,,Percent of total billed charges,,39.06,90,,,Percent of total billed charges,,167.4,21,,,Percent of total billed charges,,39.06,21,,,Percent of total billed charges,,39.06,64.9,,,Percent of total billed charges,,120.71,21,,,Percent of total billed charges,,39.06,45,,,Percent of total billed charges,,83.7,1.62,186,
"Wedge excision of skin of nail fold (eg, for ingrown toenail)",11765,CPT,,,,Outpatient,Facility,,,287,114.8,66,,,Percent of total billed charges,,189.42,20.8,,,Percent of total billed charges,,59.7,20.4,,,Percent of total billed charges,,58.55,,159.18,,Case rate,,159.18,,9.9,,Case rate,,9.9,80,,,Percent of total billed charges,,229.6,61.6,,,Percent of total billed charges,,176.79,20.6,,,Percent of total billed charges,,59.12,20.6,,,Percent of total billed charges,,59.12,65.55,,,Percent of total billed charges,,188.13,21,,,Percent of total billed charges,,60.27,90,,,Percent of total billed charges,,258.3,21,,,Percent of total billed charges,,60.27,21,,,Percent of total billed charges,,60.27,64.9,,,Percent of total billed charges,,186.26,21,,,Percent of total billed charges,,60.27,,234.8,,Case rate,,234.8,9.9,287,
Zinc,84630,CPT,,,,Outpatient,Facility,,,72,28.8,66,,,Percent of total billed charges,,47.52,20.8,,,Percent of total billed charges,,14.98,20.4,,,Percent of total billed charges,,14.69,,11.39,,Case rate,,11.39,,2.35,,Case rate,,2.35,80,,,Percent of total billed charges,,57.6,61.6,,,Percent of total billed charges,,44.35,20.6,,,Percent of total billed charges,,14.83,20.6,,,Percent of total billed charges,,14.83,65.55,,,Percent of total billed charges,,47.2,21,,,Percent of total billed charges,,15.12,90,,,Percent of total billed charges,,64.8,21,,,Percent of total billed charges,,15.12,21,,,Percent of total billed charges,,15.12,64.9,,,Percent of total billed charges,,46.73,21,,,Percent of total billed charges,,15.12,,59.01,,Case rate,,59.01,2.35,72,
Zonisamide,80203,CPT,,,,Outpatient,Facility,,,75,30,66,,,Percent of total billed charges,,49.5,20.8,,,Percent of total billed charges,,15.6,20.4,,,Percent of total billed charges,,15.3,,13.25,,Case rate,,13.25,,1.42,,Case rate,,1.42,80,,,Percent of total billed charges,,60,61.6,,,Percent of total billed charges,,46.2,20.6,,,Percent of total billed charges,,15.45,20.6,,,Percent of total billed charges,,15.45,65.55,,,Percent of total billed charges,,49.16,21,,,Percent of total billed charges,,15.75,90,,,Percent of total billed charges,,67.5,21,,,Percent of total billed charges,,15.75,21,,,Percent of total billed charges,,15.75,64.9,,,Percent of total billed charges,,48.68,21,,,Percent of total billed charges,,15.75,,95.37,,Case rate,,95.37,1.42,95.37,