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March 29, 2012 - Revised: 01.07.13

April  2012 2nd QTR ASC Drug File — Effective 04/01/2012

HCPCS Code Status Indicator Amount
A9584 A $1,905.21
C9121 A $18.81
C9248 A $2.94
C9250 A $137.17
C9254 A $0.15
C9257 A $1.50
C9275 A $623.28
C9279 A $1.34
C9285 A $13.24
C9286 A $3.81
C9287 A $95.40
C9288 A $4,156.25
C9289 A $337.29
C9290 A $1.14
C9291 A $1,961.00
C9358 A $11.12
C9360 A $11.38
C9363 A $18.33
C9366 A $102.05
C9367 A $4.35
C9399 C $0.00
J0129 A $21.27
J0130 A $538.87
J0131 A $0.11
J0132 A $2.79
J0135 A $420.42
J0152 A $103.08
J0180 A $138.53
J0205 A $41.20
J0207 A $317.58
J0210 A $41.60
J0215 A $37.54
J0220 A $201.45
J0221 A $148.31
J0256 A $3.86
J0257 A $3.81
J0287 A $10.24
J0288 A $14.56
J0289 A $14.30
J0300 A $130.05
J0348 A $1.33
J0364 A $5.49
J0475 A $179.96
J0476 A $74.80
J0480 A $2,185.69
J0490 A $38.32
J0583 A $2.73
J0585 A $5.37
J0586 A $7.08
J0587 A $10.72
J0588 A $4.47
J0594 A $18.72
J0597 A $30.23
J0598 A $44.82
J0600 A $185.59
J0637 A $12.38
J0638 A $89.13
J0641 A $1.63
J0712 A $0.73
J0718 A $4.27
J0740 A $742.89
J0775 A $37.51
J0795 A $5.22
J0800 A $2,642.03
J0833 A $99.76
J0840 A $2,111.36
J0850 A $947.86
J0878 A $0.50
J0881 A $3.20
J0885 A $9.58
J0894 A $32.60
J0897 A $14.39
J1162 A $768.70
J1190 A $196.16
J1205 A $272.14
J1212 A $84.94
J1290 A $284.88
J1300 A $191.78
J1324 A $0.52
J1327 A $23.06
J1410 A $112.88
J1430 A $294.28
J1438 A $215.19
J1440 A $255.42
J1441 A $406.25
J1451 A $6.94
J1453 A $1.68
J1455 A $13.07
J1458 A $339.53
J1459 A $34.38
J1460 A $21.16
J1557 A $37.29
J1559 A $7.15
J1560 A $211.64
J1561 A $36.90
J1562 A $12.48
J1566 A $30.91
J1568 A $33.99
J1569 A $39.45
J1570 A $74.25
J1571 A $47.25
J1572 A $34.93
J1573 A $47.25
J1595 A $110.94
J1610 A $108.68
J1620 A $93.03
J1640 A $10.41
J1642 A $0.15
J1644 A $0.22
J1670 A $246.88
J1680 A $71.53
J1725 A $2.26
J1740 A $149.03
J1742 A $188.08
J1743 A $446.44
J1745 A $62.33
J1750 A $11.87
J1756 A $0.28
J1786 A $41.20
J1830 A $219.96
J1835 A $372.55
J1930 A $32.61
J1931 A $26.33
J1945 A $389.37
J1950 A $595.80
J2020 A $36.34
J2170 A $27.19
J2248 A $0.94
J2265 A $0.57
J2278 A $6.49
J2315 A $2.79
J2323 A $10.90
J2325 A $48.32
J2353 A $120.78
J2355 A $239.10
J2357 A $22.30
J2358 A $2.70
J2425 A $11.55
J2426 A $6.70
J2469 A $18.09
J2503 A $1,011.06
J2504 A $254.80
J2505 A $2,745.96
J2507 A $302.04
J2513 A $13.23
J2562 A $280.60
J2700 A $2.76
J2724 A $12.86
J2725 A $27.03
J2730 A $83.19
J2760 A $53.55
J2770 A $171.15
J2778 A $393.15
J2783 A $197.47
J2785 A $51.66
J2788 A $24.65
J2790 A $82.29
J2791 A $5.09
J2792 A $16.10
J2793 A $23.64
J2794 A $5.19
J2796 A $46.85
J2820 A $24.36
J2850 A $26.98
J2941 A $62.01
J2993 A $2,258.46
J2995 A $33.43
J2997 A $45.49
J3030 A $61.21
J3095 A $2.05
J3101 A $64.99
J3240 A $1,033.42
J3243 A $1.30
J3246 A $8.55
J3262 A $3.46
J3285 A $60.08
J3300 A $3.43
J3310 A $19.54
J3315 A $190.12
J3350 A $72.00
J3355 A $60.60
J3357 A $125.62
J3365 A $449.09
J3385 A $349.35
J3396 A $9.87
J3465 A $6.45
J3487 A $221.93
J3488 A $218.43
J7180 A $6.41
J7183 A $0.88
J7185 A $1.08
J7186 A $0.91
J7187 A $0.88
J7189 A $1.55
J7190 A $0.89
J7191 A $9.12
J7192 A $1.09
J7193 A $0.91
J7194 A $0.87
J7195 A $1.17
J7196 A $101.40
J7197 A $2.70
J7198 A $1.60
J7308 A $147.90
J7309 A $73.44
J7310 A $16,640.00
J7311 A $18,980.00
J7312 A $192.25
J7321 A $87.80
J7323 A $144.61
J7324 A $163.24
J7325 A $12.12
J7326 A $1,014.00
J7335 A $25.55
J7501 A $117.03
J7504 A $606.43
J7505 A $1,134.27
J7511 A $436.63
J7513 A $516.41
J7525 A $136.98
J8501 A $6.06
J8510 A $4.04
J8520 A $7.72
J8521 A $25.53
J8560 A $46.24
J8561 A $5.67
J8562 A $81.77
J8650 A $22.99
J8700 A $9.97
J8705 A $80.30
J9001 A $528.62
J9010 A $575.66
J9015 A $1,077.27
J9017 A $39.81
J9020 A $62.08
J9025 A $5.29
J9027 A $120.23
J9031 A $117.62
J9033 A $18.46
J9035 A $59.81
J9041 A $41.65
J9043 A $134.33
J9050 A $172.48
J9055 A $49.47
J9065 A $22.71
J9070 A $14.68
J9098 A $503.48
J9120 A $567.83
J9150 A $17.31
J9151 A $56.58
J9155 A $2.91
J9160 A $1,615.12
J9171 A $11.50
J9178 A $1.67
J9179 A $91.04
J9185 A $87.44
J9200 A $66.75
J9201 A $34.51
J9202 A $169.64
J9206 A $4.56
J9207 A $64.36
J9208 A $31.10
J9211 A $102.46
J9214 A $17.62
J9215 A $31.20
J9216 A $582.59
J9217 A $210.91
J9218 A $5.07
J9219 A $4,728.88
J9225 A $3,080.37
J9226 A $15,635.34
J9228 A $125.18
J9230 A $154.88
J9245 A $1,326.58
J9261 A $117.29
J9263 A $9.60
J9264 A $9.41
J9266 A $5,778.86
J9268 A $823.69
J9280 A $17.81
J9293 A $29.40
J9300 A $2,690.84
J9302 A $45.42
J9303 A $85.57
J9305 A $53.92
J9307 A $165.63
J9310 A $629.84
J9315 A $226.03
J9320 A $269.02
J9328 A $4.72
J9330 A $51.19
J9340 A $140.31
J9351 A $6.58
J9355 A $72.94
J9357 A $972.95
J9390 A $10.55
J9395 A $84.46
J9600 A $18,961.15
P9041 A $21.22
P9045 A $62.01
P9046 A $26.87
P9047 A $68.04
Q0138 A $0.62
Q0174 A $0.80
Q0515 A $1.77
Q2017 A $316.16
Q2043 A $32,860.00
Q3025 A $245.79
Q4101 A $35.87
Q4102 A $7.27
Q4103 A $7.27
Q4104 A $18.51
Q4105 A $10.00
Q4106 A $40.53
Q4107 A $93.21
Q4108 A $26.45
Q4110 A $30.90
Q4111 A $6.92
Q4112 A $271.12
Q4113 A $271.12
Q4114 A $1,080.56
Q4115 A $7.78
Q4116 A $31.69
Q4118 A $2.89
Q4119 A $4.66
Q4121 A $22.07
Q4122 A $33.62
Q4123 A $13.77
Q4124 A $10.36
Q4125 A $123.61
Q4128 A $39.93
Q4129 A $35.49
90371 A $110.99
90375 A $183.37
90376 A $171.62
90378 A $1,158.85
90396 A $94.01
90581 A $112.86
90585 A $111.74
90675 A $197.37
90676 A $146.53
90681 A $106.60
90733 A $110.75
90734 A $85.99
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 2012 by the American Medical Association.

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