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July 5, 2011

January 2011 1st QTR ASC Drug File

Revised 07.01.2011

HCPCS Code Status Indicator Amount
A9582 A $2,332.00
A9583 A $12.80
C9121 A $19.26
C9248 A $6.09
C9250 A $122.94
C9254 A $0.16
C9257 A $1.48
C9270 A $37.29
C9272 A $14.54
C9273 A $32,860.00
C9274 A $2,081.98
C9275 A $636.00
C9276 A $141.33
C9277 A $14.83
C9278 A $5.57
C9279 A $1.39
C9358 A $11.46
C9360 A $11.83
C9361 A $269.17
C9362 A $49.91
C9363 A $19.05
C9364 A $18.73
C9367 A $4.35
C9399 C $0.00
J0129 A $20.24
J0130 A $518.64
J0132 A $2.71
J0135 A $382.62
J0152 A $87.03
J0180 A $134.93
J0205 A $41.59
J0207 A $318.26
J0210 A $39.82
J0215 A $35.03
J0220 A $157.27
J0256 A $3.76
J0287 A $9.51
J0288 A $13.87
J0289 A $14.88
J0348 A $1.25
J0475 A $203.37
J0476 A $72.56
J0480 A $2,032.47
J0515 A $59.98
J0583 A $2.52
J0585 A $5.43
J0586 A $7.49
J0587 A $10.24
J0594 A $16.45
J0597 A $27.53
J0598 A $42.75
J0600 A $194.87
J0630 A $51.47
J0637 A $12.11
J0638 A $88.33
J0641 A $1.26
J0718 A $3.91
J0735 A $19.58
J0740 A $751.20
J0775 A $37.51
J0795 A $5.11
J0800 A $2,418.20
J0833 A $51.81
J0834 A $75.71
J0850 A $870.53
J0878 A $0.45
J0881 A $2.93
J0885 A $9.58
J0894 A $30.99
J0945 A $7.50
J1162 A $507.76
J1190 A $220.39
J1205 A $443.64
J1212 A $70.85
J1290 A $275.28
J1300 A $183.75
J1327 A $19.98
J1410 A $96.76
J1430 A $148.55
J1438 A $197.42
J1440 A $237.65
J1441 A $373.76
J1451 A $7.38
J1453 A $1.71
J1457 A $2.01
J1458 A $335.20
J1459 A $34.75
J1460 A $18.50
J1559 A $7.22
J1560 A $184.98
J1561 A $37.28
J1562 A $7.18
J1566 A $30.98
J1568 A $35.70
J1569 A $38.21
J1571 A $59.53
J1572 A $35.40
J1573 A $59.53
J1595 A $96.69
J1610 A $96.46
J1640 A $8.41
J1670 A $230.28
J1680 A $72.89
J1730 A $1.04
J1740 A $145.13
J1742 A $176.67
J1743 A $450.74
J1745 A $60.01
J1750 A $11.60
J1756 A $0.36
J1786 A $41.59
J1830 A $189.44
J1930 A $30.11
J1931 A $25.32
J1945 A $302.30
J1950 A $547.60
J2020 A $33.57
J2170 A $20.37
J2248 A $1.02
J2278 A $6.54
J2315 A $2.38
J2320 A $9.27
J2323 A $10.12
J2325 A $43.63
J2353 A $113.62
J2355 A $242.48
J2357 A $20.24
J2358 A $2.73
J2425 A $11.22
J2426 A $6.50
J2469 A $18.69
J2503 A $1,014.20
J2504 A $245.00
J2505 A $2,519.78
J2510 A $11.37
J2513 A $160.29
J2562 A $280.01
J2700 A $2.10
J2724 A $12.52
J2730 A $89.55
J2770 A $158.71
J2778 A $401.81
J2783 A $181.09
J2785 A $51.21
J2788 A $25.09
J2790 A $84.80
J2791 A $5.13
J2792 A $20.83
J2793 A $23.86
J2794 A $5.00
J2796 A $44.75
J2805 A $71.86
J2820 A $23.59
J2850 A $27.23
J2941 A $58.62
J2993 A $1,442.89
J2995 A $47.57
J2997 A $39.27
J3095 A $1.93
J3101 A $51.01
J3240 A $1,043.09
J3243 A $1.23
J3246 A $8.17
J3262 A $3.48
J3285 A $60.66
J3300 A $3.20
J3310 A $30.91
J3315 A $174.61
J3350 A $82.18
J3355 A $64.81
J3357 A $111.88
J3365 A $453.41
J3385 A $350.59
J3396 A $9.55
J3465 A $5.95
J3487 A $220.72
J3488 A $220.57
J7184 A $70.18
J7185 A $1.07
J7186 A $0.91
J7187 A $0.88
J7189 A $1.42
J7190 A $0.88
J7191 A $1.17
J7192 A $1.09
J7193 A $0.90
J7194 A $0.87
J7195 A $1.14
J7196 A $102.38
J7197 A $2.50
J7198 A $1.59
J7308 A $140.46
J7309 A $70.42
J7310 A $16,800.00
J7311 A $19,162.50
J7312 A $195.98
J7321 A $89.91
J7323 A $147.13
J7324 A $167.44
J7325 A $11.81
J7335 A $25.55
J7501 A $105.71
J7504 A $525.85
J7505 A $1,122.47
J7511 A $404.43
J7513 A $521.38
J7525 A $138.06
J8501 A $5.93
J8510 A $3.62
J8520 A $6.84
J8521 A $22.51
J8560 A $29.80
J8562 A $79.53
J8700 A $9.20
J8705 A $77.12
J9001 A $508.27
J9010 A $581.28
J9015 A $909.41
J9017 A $37.68
J9020 A $62.64
J9025 A $5.08
J9027 A $115.26
J9031 A $112.53
J9033 A $18.39
J9035 A $59.10
J9041 A $39.98
J9050 A $174.25
J9055 A $49.27
J9065 A $24.93
J9098 A $479.44
J9120 A $556.15
J9150 A $17.60
J9151 A $57.12
J9155 A $2.62
J9160 A $1,569.76
J9171 A $18.26
J9178 A $1.90
J9185 A $91.56
J9200 A $37.92
J9201 A $150.33
J9202 A $200.44
J9206 A $5.31
J9207 A $63.14
J9208 A $33.40
J9211 A $118.41
J9212 A $6.88
J9214 A $15.90
J9215 A $21.07
J9216 A $426.87
J9217 A $207.13
J9218 A $5.29
J9219 A $4,774.35
J9225 A $1,354.20
J9226 A $15,156.16
J9230 A $152.67
J9245 A $1,333.83
J9261 A $108.34
J9263 A $9.06
J9264 A $9.28
J9265 A $6.95
J9266 A $2,701.13
J9268 A $1,133.03
J9280 A $21.52
J9293 A $33.36
J9300 A $2,662.38
J9302 A $45.38
J9303 A $86.50
J9305 A $51.84
J9307 A $165.63
J9310 A $589.02
J9315 A $219.30
J9320 A $271.99
J9328 A $4.89
J9330 A $50.35
J9340 A $113.18
J9351 A $27.09
J9355 A $67.72
J9357 A $955.32
J9395 A $82.16
J9600 A $3,051.70
P9041 A $20.37
P9045 A $67.07
P9046 A $29.16
P9047 A $70.39
Q0138 A $0.73
Q0515 A $1.78
Q2017 A $319.73
Q3025 A $219.95
Q4101 A $34.42
Q4102 A $4.58
Q4103 A $4.58
Q4104 A $15.08
Q4105 A $10.26
Q4106 A $39.83
Q4107 A $91.22
Q4108 A $19.54
Q4110 A $34.48
Q4111 A $7.04
Q4112 A $334.72
Q4113 A $334.72
Q4114 A $1,001.35
Q4115 A $6.83
Q4116 A $32.23
Q4118 A $3.19
Q4119 A $5.62
Q4121 A $21.86
Q9968 A $1.73
90371 A $115.26
90375 A $159.26
90376 A $156.10
90378 A $74.65
90396 A $129.48
90476 A $23.24
90585 A $113.40
90675 A $192.51
90676 A $107.83
90680 A $73.07
90681 A $101.53
90733 A $102.44
90734 A $17.95
90735 A $101.12
90740 C $0.00
90743 C $0.00
90744 C $0.00
90746 C $0.00
90747 C $0.00

All CPT codes begin with a numeric character and all HCPCS codes begin with an alpha character.

All Current Procedural Terminology (CPT) codes and descriptors are copyrighted 2010 by the American Medical Association.

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