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June 26, 2012 - Revised: 01.07.13

July 2012 3rd QTR ASC Drug File — Effective 07/01/2012

HCPCS Code Status Indicator Amount
A9584 A $2,084.48
C9121 A $18.47
C9248 A $2.91
C9250 A $134.08
C9254 A $0.15
C9257 A $1.53
C9275 A $623.28
C9279 A $1.30
C9285 A $13.26
C9286 A $3.81
C9287 A $95.40
C9288 A $3,635.80
C9289 A $334.32
C9290 A $1.14
C9358 A $11.65
C9360 A $11.47
C9363 A $19.03
C9366 A $122.70
C9367 A $4.35
C9368 A $160.66
C9369 A $51.84
C9399 C $0.00
J0129 A $21.52
J0130 A $566.57
J0131 A $0.11
J0132 A $3.00
J0135 A $450.77
J0152 A $106.83
J0180 A $137.68
J0205 A $41.20
J0207 A $308.62
J0210 A $41.60
J0215 A $40.86
J0220 A $201.35
J0221 A $153.60
J0256 A $3.83
J0257 A $3.85
J0287 A $10.93
J0288 A $14.84
J0289 A $14.24
J0300 A $130.05
J0348 A $1.19
J0364 A $30.53
J0475 A $177.50
J0476 A $74.52
J0480 A $2,280.37
J0490 A $38.33
J0583 A $2.93
J0585 A $5.37
J0586 A $6.89
J0587 A $10.77
J0588 A $4.47
J0594 A $21.36
J0597 A $30.23
J0598 A $44.84
J0600 A $197.60
J0637 A $12.86
J0638 A $89.23
J0641 A $1.79
J0712 A $0.76
J0718 A $4.64
J0740 A $742.89
J0775 A $37.51
J0795 A $4.84
J0800 A $2,823.79
J0833 A $99.76
J0840 A $2,217.32
J0850 A $991.56
J0878 A $0.53
J0881 A $3.24
J0885 A $9.56
J0894 A $33.10
J0897 A $14.39
J1162 A $769.71
J1190 A $171.95
J1205 A $265.97
J1212 A $85.26
J1290 A $285.03
J1300 A $191.78
J1324 A $0.52
J1327 A $23.52
J1410 A $122.81
J1430 A $294.28
J1438 A $224.26
J1440 A $261.92
J1441 A $415.38
J1451 A $6.28
J1453 A $1.68
J1455 A $13.06
J1458 A $343.14
J1459 A $34.38
J1460 A $22.47
J1557 A $37.29
J1559 A $7.15
J1560 A $224.67
J1561 A $37.67
J1562 A $12.48
J1566 A $30.52
J1568 A $33.56
J1569 A $38.53
J1570 A $81.15
J1571 A $50.09
J1572 A $34.30
J1573 A $50.09
J1595 A $127.41
J1610 A $111.70
J1620 A $93.03
J1640 A $12.97
J1642 A $0.15
J1644 A $0.19
J1670 A $269.19
J1725 A $2.87
J1740 A $148.97
J1742 A $175.52
J1743 A $446.44
J1745 A $63.05
J1750 A $11.76
J1756 A $0.28
J1786 A $40.95
J1830 A $237.15
J1835 A $372.55
J1930 A $32.95
J1931 A $26.14
J1945 A $389.37
J1950 A $640.97
J2020 A $37.88
J2170 A $28.82
J2248 A $0.91
J2265 A $0.57
J2278 A $6.49
J2315 A $2.78
J2323 A $11.34
J2325 A $50.65
J2353 A $123.40
J2355 A $239.90
J2357 A $22.36
J2358 A $2.70
J2425 A $11.76
J2426 A $6.87
J2469 A $18.52
J2503 A $1,016.35
J2504 A $254.80
J2505 A $2,799.63
J2507 A $301.94
J2513 A $13.23
J2562 A $282.78
J2700 A $2.22
J2724 A $13.28
J2725 A $27.03
J2730 A $86.99
J2760 A $53.55
J2770 A $171.67
J2778 A $391.31
J2783 A $201.01
J2785 A $51.92
J2788 A $25.50
J2790 A $82.07
J2791 A $5.08
J2792 A $17.85
J2793 A $23.64
J2794 A $5.34
J2796 A $47.07
J2820 A $24.64
J2850 A $26.98
J2941 A $64.90
J2993 A $2,258.46
J2995 A $33.43
J2997 A $47.98
J3030 A $58.42
J3095 A $1.93
J3101 A $65.26
J3240 A $1,034.39
J3243 A $1.42
J3246 A $9.94
J3262 A $3.49
J3285 A $60.08
J3300 A $3.47
J3310 A $19.54
J3315 A $167.88
J3350 A $72.00
J3355 A $60.09
J3357 A $129.16
J3365 A $449.09
J3385 A $349.20
J3396 A $9.87
J3465 A $6.73
J3487 A $221.04
J3488 A $220.39
J7180 A $6.41
J7183 A $0.88
J7185 A $1.06
J7186 A $0.91
J7187 A $0.88
J7189 A $1.58
J7190 A $0.88
J7191 A $9.12
J7192 A $1.10
J7193 A $0.91
J7194 A $1.01
J7195 A $1.21
J7196 A $101.40
J7197 A $2.83
J7198 A $1.61
J7308 A $158.78
J7309 A $74.39
J7310 A $16,640.00
J7311 A $18,980.00
J7312 A $192.12
J7321 A $87.51
J7323 A $153.08
J7324 A $165.64
J7325 A $12.08
J7326 A $1,014.00
J7335 A $25.55
J7501 A $129.56
J7504 A $634.00
J7505 A $1,134.27
J7511 A $460.61
J7513 A $516.41
J7525 A $136.81
J8501 A $6.11
J8510 A $4.64
J8520 A $8.08
J8521 A $26.80
J8560 A $49.99
J8561 A $6.05
J8562 A $81.77
J8650 A $22.99
J8700 A $9.93
J8705 A $80.30
J9010 A $589.51
J9015 A $1,223.46
J9017 A $41.65
J9020 A $62.08
J9025 A $5.29
J9027 A $123.69
J9031 A $117.05
J9033 A $18.57
J9035 A $61.15
J9041 A $42.65
J9043 A $135.20
J9050 A $172.00
J9055 A $50.17
J9065 A $28.26
J9070 A $22.63
J9098 A $503.48
J9120 A $564.31
J9150 A $18.60
J9151 A $56.58
J9155 A $2.94
J9160 A $1,615.12
J9171 A $8.25
J9178 A $1.52
J9179 A $92.82
J9185 A $81.56
J9200 A $52.28
J9201 A $25.73
J9202 A $147.73
J9206 A $3.72
J9207 A $64.31
J9208 A $29.60
J9211 A $85.48
J9214 A $18.15
J9215 A $31.20
J9216 A $582.59
J9217 A $212.66
J9218 A $5.57
J9219 A $4,728.88
J9225 A $2,965.96
J9226 A $15,632.91
J9228 A $125.17
J9230 A $154.88
J9245 A $1,289.78
J9261 A $117.26
J9263 A $9.26
J9264 A $9.39
J9266 A $5,778.86
J9268 A $905.09
J9280 A $17.81
J9293 A $28.45
J9300 A $2,690.84
J9302 A $45.42
J9303 A $87.19
J9305 A $55.32
J9307 A $174.03
J9310 A $630.99
J9315 A $231.56
J9320 A $271.07
J9328 A $4.72
J9330 A $52.29
J9340 A $140.31
J9351 A $3.96
J9355 A $73.11
J9357 A $987.84
J9390 A $9.69
J9395 A $85.45
J9600 A $18,961.14
P9041 A $21.22
P9045 A $62.01
P9046 A $26.87
P9047 A $68.04
Q0138 A $0.62
Q0174 A $0.78
Q0515 A $1.77
Q2017 A $314.99
Q2043 A $32,811.85
Q2045 A $0.89
Q2046 A $980.50
Q2048 A $527.07
Q2049 A $488.86
Q3025 A $265.43
Q4101 A $37.33
Q4102 A $7.36
Q4103 A $7.36
Q4104 A $16.16
Q4105 A $13.92
Q4106 A $41.86
Q4107 A $92.32
Q4108 A $25.81
Q4110 A $34.69
Q4111 A $7.10
Q4112 A $323.65
Q4113 A $323.65
Q4114 A $1,085.76
Q4115 A $8.35
Q4116 A $31.64
Q4118 A $2.91
Q4119 A $4.94
Q4121 A $22.30
Q4122 A $36.62
Q4123 A $13.33
Q4124 A $10.36
Q4125 A $125.33
Q4128 A $45.25
Q4129 A $36.52
90371 A $110.92
90375 A $200.94
90376 A $189.01
90378 A $1,158.85
90396 A $94.01
90581 A $112.86
90585 A $112.87
90675 A $202.02
90676 A $146.53
90681 A $108.65
90733 A $112.88
90734 A $96.35
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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