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September 26, 2012

October 2012 4th QTR ASC Drug File

HCPCS Code Status Indicator Amount
A9584 A $1,974.93
C9121 A $17.95
C9248 A $2.90
C9250 A $65.17
C9254 A $0.14
C9257 A $1.53
C9275 A $660.68
C9279 A $1.28
C9285 A $13.28
C9286 A $3.80
C9287 A $95.40
C9288 A $3,635.80
C9289 A $334.32
C9290 A $1.14
C9292 A $102.86
C9293 A $233.73
C9358 A $11.80
C9360 A $11.58
C9363 A $23.69
C9366 A $129.38
C9367 A $4.35
C9368 A $137.47
C9369 A $109.40
C9399 C $0.00
J0129 A $21.78
J0130 A $564.18
J0131 A $0.11
J0132 A $2.98
J0135 A $447.76
J0152 A $107.34
J0180 A $137.66
J0205 A $41.20
J0207 A $304.32
J0210 A $41.60
J0215 A $40.86
J0220 A $200.57
J0221 A $153.61
J0256 A $3.89
J0257 A $3.85
J0287 A $10.78
J0288 A $14.56
J0289 A $14.55
J0300 A $149.55
J0348 A $1.23
J0364 A $32.14
J0475 A $176.59
J0476 A $75.02
J0480 A $2,280.33
J0490 A $38.32
J0583 A $2.92
J0585 A $5.37
J0586 A $6.82
J0587 A $10.68
J0588 A $4.46
J0594 A $21.49
J0597 A $30.23
J0598 A $44.84
J0600 A $197.60
J0637 A $12.60
J0638 A $89.41
J0641 A $1.87
J0712 A $0.78
J0718 A $4.82
J0740 A $742.73
J0775 A $37.51
J0795 A $5.71
J0800 A $2,893.28
J0833 A $99.76
J0840 A $2,216.80
J0850 A $994.74
J0878 A $0.53
J0881 A $3.26
J0885 A $9.68
J0894 A $32.77
J0897 A $14.32
J1162 A $882.66
J1190 A $156.00
J1205 A $254.25
J1212 A $85.51
J1290 A $318.22
J1300 A $191.78
J1324 A $0.52
J1327 A $24.18
J1410 A $123.08
J1430 A $294.28
J1438 A $226.74
J1440 A $263.83
J1441 A $418.82
J1451 A $6.39
J1453 A $1.68
J1455 A $3.43
J1458 A $347.67
J1459 A $34.48
J1460 A $22.90
J1557 A $37.25
J1559 A $7.15
J1560 A $228.97
J1561 A $37.56
J1562 A $12.48
J1566 A $31.61
J1568 A $32.58
J1569 A $36.91
J1570 A $71.66
J1571 A $51.16
J1572 A $34.43
J1573 A $51.16
J1595 A $126.97
J1610 A $109.13
J1620 A $93.03
J1640 A $13.01
J1670 A $271.06
J1725 A $2.65
J1740 A $148.78
J1742 A $136.61
J1743 A $446.44
J1745 A $63.95
J1750 A $11.78
J1756 A $0.28
J1786 A $40.95
J1830 A $238.76
J1835 A $372.55
J1930 A $33.18
J1931 A $26.17
J1945 A $541.35
J1950 A $651.42
J2020 A $38.58
J2170 A $28.82
J2248 A $0.93
J2265 A $0.57
J2278 A $6.48
J2315 A $2.80
J2323 A $11.37
J2325 A $50.84
J2353 A $124.61
J2355 A $239.40
J2357 A $23.09
J2358 A $2.70
J2425 A $11.89
J2426 A $6.89
J2469 A $18.66
J2503 A $1,010.52
J2504 A $260.47
J2505 A $2,785.33
J2507 A $320.77
J2513 A $13.23
J2562 A $282.03
J2700 A $2.34
J2724 A $13.33
J2725 A $27.03
J2730 A $86.92
J2760 A $53.55
J2770 A $171.75
J2778 A $390.79
J2783 A $200.87
J2785 A $52.66
J2788 A $25.37
J2790 A $82.19
J2791 A $5.09
J2792 A $18.08
J2793 A $23.64
J2794 A $5.35
J2796 A $47.27
J2820 A $30.99
J2850 A $26.98
J2941 A $65.71
J2993 A $2,258.46
J2995 A $33.43
J2997 A $48.29
J3030 A $50.91
J3095 A $2.65
J3101 A $65.25
J3240 A $1,033.91
J3243 A $1.43
J3246 A $8.53
J3262 A $3.57
J3285 A $60.08
J3300 A $3.50
J3310 A $19.54
J3315 A $157.28
J3350 A $72.00
J3355 A $65.43
J3357 A $130.53
J3365 A $449.09
J3385 A $349.31
J3396 A $9.97
J3465 A $6.51
J3487 A $219.88
J3488 A $220.50
J7180 A $6.41
J7183 A $0.88
J7185 A $1.08
J7186 A $0.91
J7187 A $0.89
J7189 A $1.58
J7190 A $0.89
J7191 A $9.12
J7192 A $1.09
J7193 A $0.93
J7194 A $1.01
J7195 A $1.22
J7196 A $101.40
J7197 A $2.98
J7198 A $1.60
J7308 A $158.14
J7309 A $74.51
J7310 A $16,640.00
J7311 A $18,980.00
J7312 A $192.07
J7321 A $90.51
J7323 A $148.24
J7324 A $166.70
J7325 A $11.99
J7326 A $603.30
J7335 A $25.55
J7501 A $141.89
J7504 A $633.91
J7505 A $1,134.27
J7511 A $456.95
J7513 A $516.41
J7525 A $136.73
J8501 A $6.17
J8510 A $5.21
J8520 A $8.12
J8521 A $27.03
J8560 A $51.18
J8561 A $6.06
J8562 A $81.77
J8650 A $25.29
J8700 A $10.47
J8705 A $82.34
J9010 A $576.69
J9015 A $1,223.46
J9017 A $44.15
J9020 A $62.02
J9025 A $5.42
J9027 A $123.39
J9031 A $114.61
J9033 A $20.23
J9035 A $61.14
J9041 A $42.65
J9043 A $136.07
J9050 A $172.44
J9055 A $50.13
J9065 A $27.71
J9070 A $23.03
J9098 A $513.98
J9120 A $568.01
J9150 A $18.82
J9151 A $239.20
J9155 A $2.94
J9160 A $1,615.12
J9171 A $6.57
J9178 A $1.57
J9179 A $92.81
J9185 A $83.28
J9200 A $51.40
J9201 A $12.01
J9202 A $162.88
J9206 A $4.30
J9207 A $65.24
J9208 A $29.92
J9211 A $98.12
J9214 A $18.70
J9215 A $31.20
J9216 A $2,470.39
J9217 A $212.92
J9218 A $5.87
J9219 A $4,728.88
J9225 A $2,959.58
J9226 A $15,867.44
J9228 A $125.16
J9230 A $154.88
J9245 A $1,287.77
J9261 A $120.33
J9263 A $9.07
J9264 A $9.41
J9266 A $5,778.86
J9268 A $929.05
J9280 A $22.47
J9293 A $35.53
J9300 A $2,690.84
J9302 A $45.44
J9303 A $87.34
J9305 A $55.44
J9307 A $173.94
J9310 A $647.27
J9315 A $233.16
J9320 A $268.98
J9328 A $4.73
J9330 A $52.50
J9340 A $171.99
J9351 A $3.07
J9355 A $74.95
J9357 A $987.28
J9390 A $8.98
J9395 A $85.40
J9600 A $18,961.15
P9041 A $21.22
P9045 A $62.01
P9046 A $26.87
P9047 A $68.04
Q0138 A $0.63
Q0174 A $0.80
Q0515 A $1.77
Q2017 A $315.76
Q2043 A $32,696.25
Q2045 A $0.89
Q2046 A $980.50
Q2048 A $522.00
Q2049 A $488.86
Q3025 A $281.67
Q4101 A $37.34
Q4102 A $7.63
Q4103 A $7.63
Q4104 A $20.58
Q4105 A $11.18
Q4106 A $41.77
Q4107 A $96.53
Q4108 A $24.70
Q4110 A $37.05
Q4111 A $6.74
Q4112 A $433.86
Q4113 A $433.86
Q4114 A $1,153.95
Q4115 A $10.00
Q4116 A $31.60
Q4118 A $2.82
Q4119 A $4.32
Q4121 A $21.87
Q4122 A $84.97
Q4123 A $13.12
Q4124 A $10.36
Q4125 A $131.71
Q4128 A $45.81
Q4129 A $30.67
90371 A $95.32
90375 A $203.44
90376 A $191.00
90378 A $1,216.79
90396 A $94.01
90581 A $112.86
90585 A $113.95
90675 A $204.79
90676 A $146.53
90681 A $106.60
90733 A $110.75
90734 A $92.35
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 2011 by the American Medical Association.

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