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March 28, 2012

January 2012 1st QTR ASC Drug File

HCPCS Code Status Indicator Amount
A9584 A $1,905.88
C9121 A $19.35
C9248 A $2.65
C9250 A $136.58
C9254 A $0.15
C9257 A $1.50
C9275 A $623.28
C9279 A $1.39
C9285 A $13.22
C9286 A $3.80
C9287 A $95.40
C9358 A $11.00
C9360 A $11.33
C9363 A $19.91
C9366 A $144.81
C9367 A $4.35
C9399 C $0.00
J0129 A $20.99
J0130 A $545.49
J0131 A $0.11
J0132 A $2.80
J0135 A $424.92
J0152 A $97.93
J0180 A $138.53
J0205 A $41.24
J0207 A $312.57
J0210 A $41.60
J0215 A $38.78
J0220 A $155.85
J0221 A $148.31
J0256 A $3.74
J0257 A $3.85
J0287 A $8.02
J0288 A $12.48
J0289 A $14.90
J0300 A $23.95
J0348 A $1.87
J0364 A $5.50
J0475 A $185.16
J0476 A $76.21
J0480 A $2,178.28
J0490 A $38.42
J0583 A $2.72
J0585 A $5.38
J0586 A $7.19
J0587 A $10.72
J0588 A $5.53
J0594 A $18.72
J0597 A $30.23
J0598 A $43.37
J0600 A $186.92
J0637 A $13.08
J0638 A $89.02
J0641 A $1.68
J0712 A $0.74
J0718 A $4.13
J0740 A $740.27
J0775 A $37.51
J0795 A $5.50
J0800 A $2,643.55
J0833 A $80.96
J0840 A $2,111.36
J0850 A $947.86
J0878 A $0.50
J0881 A $3.15
J0885 A $9.44
J0894 A $32.56
J0897 A $14.43
J1162 A $667.76
J1190 A $181.60
J1205 A $274.51
J1212 A $84.65
J1290 A $288.91
J1300 A $190.44
J1324 A $0.51
J1327 A $22.40
J1410 A $112.47
J1430 A $294.28
J1438 A $215.44
J1440 A $252.63
J1441 A $400.43
J1451 A $7.61
J1453 A $1.69
J1455 A $13.06
J1458 A $341.15
J1459 A $34.40
J1460 A $21.06
J1557 A $37.29
J1559 A $7.15
J1560 A $210.65
J1561 A $36.91
J1562 A $7.33
J1566 A $30.24
J1568 A $55.80
J1569 A $37.21
J1570 A $66.04
J1571 A $48.86
J1572 A $35.08
J1573 A $48.86
J1595 A $111.08
J1610 A $104.46
J1620 A $93.03
J1640 A $10.43
J1642 A $0.16
J1644 A $0.26
J1670 A $234.89
J1680 A $71.57
J1725 A $2.25
J1740 A $148.40
J1742 A $179.32
J1743 A $446.44
J1745 A $61.50
J1750 A $11.83
J1756 A $0.31
J1786 A $41.20
J1830 A $210.52
J1835 A $372.55
J1930 A $32.46
J1931 A $26.33
J1945 A $389.32
J1950 A $625.28
J2020 A $35.36
J2170 A $0.76
J2248 A $0.97
J2278 A $6.48
J2315 A $2.76
J2323 A $10.85
J2325 A $48.70
J2353 A $119.29
J2355 A $239.71
J2357 A $21.52
J2358 A $2.70
J2425 A $11.47
J2426 A $6.68
J2469 A $18.12
J2503 A $1,009.65
J2504 A $254.80
J2505 A $2,702.11
J2507 A $302.13
J2513 A $13.23
J2562 A $280.63
J2700 A $2.79
J2724 A $12.90
J2725 A $27.03
J2730 A $88.49
J2760 A $53.55
J2770 A $171.48
J2778 A $394.25
J2783 A $193.76
J2785 A $51.74
J2788 A $24.52
J2790 A $80.64
J2791 A $5.09
J2792 A $15.41
J2793 A $23.64
J2794 A $5.18
J2796 A $45.92
J2820 A $24.30
J2850 A $26.98
J2941 A $61.34
J2993 A $2,258.47
J2995 A $33.43
J2997 A $44.82
J3030 A $73.78
J3095 A $2.04
J3101 A $62.97
J3240 A $1,032.54
J3243 A $1.30
J3246 A $10.12
J3262 A $3.47
J3285 A $60.08
J3300 A $3.43
J3310 A $19.54
J3315 A $174.72
J3350 A $72.00
J3355 A $57.58
J3357 A $124.63
J3365 A $449.09
J3385 A $349.23
J3396 A $9.86
J3465 A $6.39
J3487 A $222.55
J3488 A $218.44
J7180 A $6.41
J7183 A $0.88
J7185 A $1.04
J7186 A $0.91
J7187 A $0.87
J7189 A $1.53
J7190 A $0.88
J7191 A $9.12
J7192 A $1.10
J7193 A $0.90
J7194 A $0.87
J7195 A $1.17
J7196 A $101.40
J7197 A $2.70
J7198 A $1.61
J7308 A $148.54
J7309 A $73.75
J7310 A $16,640.00
J7311 A $18,980.00
J7312 A $192.25
J7321 A $88.84
J7323 A $151.17
J7324 A $162.26
J7325 A $12.04
J7326 A $1,014.00
J7335 A $25.55
J7501 A $117.03
J7504 A $604.59
J7505 A $1,111.58
J7511 A $433.33
J7513 A $516.41
J7525 A $136.96
J8501 A $6.05
J8510 A $3.82
J8520 A $7.69
J8521 A $25.36
J8560 A $39.94
J8561 A $5.68
J8562 A $79.27
J8700 A $9.56
J8705 A $77.96
J9001 A $532.79
J9010 A $577.97
J9015 A $1,034.45
J9017 A $40.07
J9020 A $62.08
J9025 A $5.16
J9027 A $119.88
J9031 A $113.29
J9033 A $18.46
J9035 A $59.93
J9041 A $41.65
J9043 A $135.20
J9050 A $172.48
J9055 A $49.51
J9065 A $22.96
J9070 A $14.63
J9098 A $503.48
J9120 A $566.49
J9150 A $14.07
J9151 A $56.58
J9155 A $2.75
J9160 A $1,615.12
J9171 A $13.69
J9178 A $1.70
J9179 A $90.05
J9185 A $93.44
J9200 A $60.84
J9201 A $50.22
J9202 A $173.35
J9206 A $4.58
J9207 A $63.47
J9208 A $31.43
J9211 A $114.31
J9214 A $17.42
J9215 A $13.08
J9216 A $26.63
J9217 A $210.98
J9218 A $4.77
J9219 A $4,728.88
J9225 A $3,128.60
J9226 A $15,402.12
J9228 A $125.05
J9230 A $154.88
J9245 A $1,290.39
J9261 A $113.96
J9263 A $10.07
J9264 A $9.45
J9266 A $2,675.40
J9268 A $1,068.41
J9280 A $17.50
J9293 A $38.82
J9300 A $2,690.84
J9302 A $45.42
J9303 A $85.53
J9305 A $54.02
J9307 A $165.63
J9310 A $615.09
J9315 A $225.98
J9320 A $264.12
J9328 A $4.73
J9330 A $51.34
J9340 A $127.92
J9351 A $7.72
J9355 A $71.08
J9357 A $972.66
J9390 A $11.37
J9395 A $84.62
J9600 A $18,961.14
P9041 A $21.22
P9045 A $62.01
P9046 A $26.87
P9047 A $68.04
Q0138 A $0.64
Q0515 A $1.77
Q2017 A $316.31
Q2043 A $32,860.00
Q3025 A $245.28
Q4101 A $35.88
Q4102 A $7.24
Q4103 A $7.24
Q4104 A $16.60
Q4105 A $11.71
Q4106 A $40.50
Q4107 A $97.65
Q4108 A $22.58
Q4110 A $30.23
Q4111 A $6.93
Q4112 A $174.26
Q4113 A $174.26
Q4114 A $1,090.61
Q4115 A $9.61
Q4116 A $31.57
Q4118 A $2.92
Q4119 A $4.85
Q4121 A $20.98
Q4122 A $32.42
Q4124 A $10.39
90371 A $114.60
90375 A $184.38
90376 A $176.30
90378 A $928.18
90396 A $94.01
90585 A $110.69
90675 A $196.84
90676 A $146.53
90681 A $106.60
90733 A $110.75
90734 A $92.08
90735 A $100.15
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 2011 by the American Medical Association.

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