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April 2018 2nd QTR ASC Drug File

Effective 04.01.2018

HCPCS Code Status Indicator Amount
A9515 A $5,700.00
A9587 A $66.74
A9588 A $389.55
C9014 A $95.40
C9015 A $9.67
C9016 A $2,826.67
C9024 A $186.71
C9028 A $2,202.44
C9029 A $99.66
C9132 A $1.94
C9250 A $113.21
C9257 A $1.93
C9293 A $298.28
C9399 C $0.00
C9460 A $15.05
C9462 A $0.47
C9463 A $2.41
C9464 A $0.94
C9465 A $1,033.50
C9466 A $167.91
C9467 A $45.72
C9468 A $4.46
C9469 A $18.88
C9482 A $9.99
C9488 A $30.93
C9492 A $73.60
C9493 A $19.19
C9497 A $146.73
J0129 A $50.16
J0135 A $1,291.09
J0178 A $968.79
J0180 A $172.19
J0202 A $1,817.56
J0207 A $948.18
J0220 A $159.63
J0221 A $160.64
J0256 A $4.45
J0257 A $4.64
J0287 A $17.35
J0289 A $48.07
J0300 A $234.02
J0400 A $0.76
J0401 A $5.01
J0470 A $50.91
J0475 A $178.38
J0476 A $45.98
J0480 A $3,550.39
J0485 A $3.89
J0490 A $43.52
J0561 A $12.84
J0565 A $40.14
J0570 A $1,229.98
J0585 A $6.15
J0586 A $8.23
J0587 A $11.99
J0588 A $5.08
J0594 A $27.95
J0596 A $27.85
J0597 A $48.92
J0598 A $56.07
J0600 A $5,594.42
J0606 A $3.47
J0630 A $2,461.06
J0637 A $15.51
J0638 A $108.70
J0641 A $0.36
J0695 A $5.20
J0712 A $2.62
J0714 A $77.08
J0716 A $4,459.02
J0717 A $7.74
J0740 A $493.46
J0775 A $43.58
J0795 A $8.61
J0800 A $3,754.07
J0840 A $3,086.28
J0850 A $1,129.12
J0875 A $14.73
J0878 A $0.42
J0881 A $3.78
J0882 A $3.78
J0883 A $1.24
J0884 A $1.24
J0885 A $13.00
J0888 A $1.90
J0894 A $16.42
J0897 A $17.94
J1110 A $83.35
J1130 A $0.22
J1162 A $3,513.19
J1190 A $243.13
J1212 A $549.34
J1290 A $457.08
J1300 A $230.48
J1322 A $231.13
J1327 A $19.51
J1364 A $72.36
J1410 A $301.60
J1428 A $168.37
J1430 A $444.10
J1438 A $645.54
J1439 A $1.05
J1442 A $1.02
J1447 A $0.61
J1451 A $7.31
J1453 A $2.10
J1455 A $82.27
J1458 A $380.91
J1459 A $39.65
J1460 A $38.79
J1555 A $13.53
J1556 A $70.52
J1557 A $39.09
J1559 A $9.83
J1560 A $387.93
J1561 A $39.15
J1566 A $35.53
J1568 A $41.41
J1569 A $39.69
J1571 A $62.21
J1572 A $35.15
J1573 A $62.21
J1575 A $13.86
J1595 A $209.29
J1602 A $24.04
J1610 A $211.73
J1627 A $4.34
J1640 A $22.36
J1670 A $451.51
J1726 A $27.33
J1740 A $74.24
J1742 A $321.30
J1743 A $542.88
J1744 A $355.28
J1745 A $83.29
J1750 A $13.03
J1786 A $41.58
J1826 A $604.40
J1830 A $364.99
J1833 A $0.72
J1930 A $56.86
J1931 A $30.61
J1942 A $2.43
J1950 A $1,089.22
J2182 A $28.85
J2265 A $1.59
J2278 A $7.44
J2315 A $3.26
J2320 A $72.58
J2323 A $19.36
J2325 A $73.32
J2326 A $1,103.11
J2350 A $57.16
J2353 A $190.68
J2355 A $467.22
J2357 A $36.38
J2407 A $23.49
J2425 A $19.09
J2426 A $10.38
J2469 A $20.02
J2502 A $265.76
J2503 A $720.68
J2504 A $358.99
J2505 A $4,500.88
J2507 A $2,090.02
J2515 A $52.02
J2547 A $1.68
J2562 A $314.44
J2597 A $13.02
J2724 A $15.20
J2760 A $378.44
J2770 A $419.20
J2778 A $372.93
J2783 A $271.29
J2786 A $9.11
J2792 A $24.31
J2793 A $24.09
J2794 A $8.98
J2796 A $68.50
J2820 A $37.48
J2840 A $530.00
J2850 A $34.78
J2860 A $93.34
J2941 A $74.65
J2993 A $2,301.91
J2997 A $84.58
J3060 A $40.37
J3070 A $108.39
J3090 A $1.38
J3095 A $5.39
J3101 A $111.63
J3145 A $1.34
J3240 A $1,598.00
J3243 A $2.63
J3246 A $8.79
J3262 A $4.54
J3285 A $61.24
J3300 A $3.87
J3315 A $252.73
J3357 A $184.94
J3358 A $12.80
J3380 A $19.13
J3385 A $345.09
J3396 A $10.86
J3465 A $2.10
J7175 A $6.84
J7178 A $1.17
J7179 A $2.27
J7180 A $8.22
J7181 A $15.02
J7182 A $1.31
J7183 A $1.04
J7185 A $1.25
J7186 A $0.99
J7187 A $1.13
J7188 A $4.05
J7189 A $2.06
J7190 A $1.04
J7192 A $1.28
J7193 A $1.13
J7194 A $1.40
J7195 A $1.50
J7197 A $3.59
J7198 A $1.99
J7200 A $1.31
J7201 A $3.03
J7202 A $4.24
J7205 A $2.05
J7207 A $1.80
J7209 A $1.62
J7210 A $1.40
J7211 A $1.24
J7308 A $404.59
J7311 A $20,166.50
J7312 A $200.36
J7313 A $490.28
J7316 A $1,046.93
J7320 A $6.44
J7321 A $88.65
J7322 A $19.26
J7323 A $149.92
J7324 A $149.40
J7325 A $12.08
J7326 A $527.87
J7327 A $812.55
J7328 A $2.18
J7336 A $3.15
J7340 A $2.14
J7342 A $29.98
J7345 A $1.39
J7501 A $222.86
J7503 A $1.24
J7504 A $1,937.64
J7505 A $6.80
J7511 A $713.84
J7525 A $192.81
J8501 A $8.03
J8560 A $74.66
J8655 A $366.82
J8670 A $2.27
J8705 A $103.73
J9015 A $4,138.14
J9017 A $71.82
J9019 A $409.06
J9022 A $75.97
J9023 A $80.63
J9025 A $1.44
J9027 A $129.56
J9031 A $137.67
J9032 A $36.27
J9033 A $30.21
J9034 A $23.75
J9035 A $77.17
J9039 A $107.47
J9041 A $46.66
J9042 A $144.84
J9043 A $163.86
J9047 A $34.11
J9050 A $3,854.59
J9055 A $59.17
J9065 A $22.62
J9070 A $41.87
J9098 A $628.37
J9120 A $1,580.57
J9145 A $50.39
J9150 A $41.58
J9155 A $3.69
J9171 A $1.66
J9176 A $6.35
J9179 A $111.28
J9185 A $76.62
J9202 A $397.59
J9203 A $193.16
J9205 A $42.59
J9207 A $72.11
J9211 A $34.28
J9214 A $31.09
J9216 A $6,932.64
J9217 A $209.30
J9218 A $25.79
J9225 A $3,465.85
J9226 A $30,323.34
J9228 A $148.78
J9230 A $292.48
J9245 A $1,117.99
J9261 A $151.90
J9262 A $2.84
J9264 A $11.12
J9266 A $14,977.05
J9268 A $2,066.03
J9271 A $48.71
J9280 A $140.08
J9285 A $50.03
J9293 A $32.14
J9295 A $5.36
J9299 A $27.15
J9301 A $60.84
J9302 A $56.59
J9303 A $111.94
J9305 A $66.17
J9306 A $11.51
J9307 A $262.32
J9308 A $56.93
J9310 A $883.68
J9315 A $337.02
J9320 A $342.79
J9325 A $48.60
J9328 A $9.48
J9330 A $71.69
J9340 A $741.00
J9352 A $295.13
J9354 A $30.31
J9355 A $101.05
J9357 A $1,247.19
J9371 A $2,807.15
J9395 A $96.88
J9400 A $8.12
J9600 A $21,219.57
P9041 A $11.80
P9045 A $54.72
P9046 A $22.49
P9047 A $53.44
Q0138 A $0.95
Q0139 A $0.95
Q2009 A $3.43
Q2017 A $2,540.26
Q2043 A $41,827.20
Q2049 A $508.43
Q2050 A $376.16
Q3027 A $50.17
Q5101 A $0.68
Q5103 A $69.71
Q5104 A $70.38
Q9968 A $4.96
Q9982 A $3,498.00
Q9983 A $2,968.00
90371 A $113.51
90375 A $315.08
90376 A $346.30
90378 A $1,514.17
90396 A $1,357.03
90675 A $287.29
90676 A $196.54
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 2018 by the American Medical Association. 

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