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July 2018 3rd QTR ASC Drug File

Effective 07.01.2018 – Revised 04.01.2019

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 $103.13
C9030 A $71.58
C9032 A $3,003.33
C9132 A $1.93
C9250 A $124.40
C9257 A $1.97
C9293 A $298.72
C9399 C $0.00
C9460 A $15.49
C9462 A $0.47
C9463 A $2.41
C9464 A $0.94
C9465 A $1,033.50
C9466 A $167.75
C9467 A $46.38
C9468 A $4.46
C9482 A $9.99
C9488 A $30.78
C9492 A $73.47
C9493 A $19.19
C9497 A $151.36
J0129 A $51.63
J0135 A $1,291.09
J0178 A $967.67
J0180 A $174.67
J0202 A $1,843.28
J0207 A $976.56
J0220 A $159.63
J0221 A $162.82
J0256 A $4.51
J0257 A $4.72
J0287 A $19.34
J0289 A $48.07
J0300 A $234.02
J0400 A $0.76
J0401 A $5.24
J0470 A $50.44
J0475 A $173.31
J0476 A $59.39
J0480 A $3,656.01
J0485 A $3.83
J0490 A $43.62
J0561 A $13.94
J0565 A $40.16
J0570 A $1,250.92
J0585 A $6.16
J0586 A $8.43
J0587 A $12.02
J0588 A $5.08
J0594 A $20.27
J0596 A $27.72
J0597 A $48.94
J0598 A $55.94
J0600 A $5,594.42
J0606 A $3.17
J0630 A $2,606.13
J0637 A $13.60
J0638 A $110.52
J0641 A $0.23
J0695 A $5.47
J0712 A $2.90
J0714 A $83.98
J0716 A $4,592.80
J0717 A $8.02
J0740 A $466.61
J0775 A $43.50
J0795 A $8.60
J0800 A $3,990.17
J0840 A $3,231.94
J0850 A $1,129.12
J0875 A $14.66
J0878 A $0.36
J0881 A $3.84
J0882 A $3.84
J0883 A $1.31
J0884 A $1.31
J0885 A $13.09
J0888 A $1.79
J0894 A $14.50
J0897 A $18.38
J1110 A $92.19
J1130 A $0.22
J1162 A $3,512.18
J1190 A $236.49
J1212 A $531.55
J1290 A $476.87
J1300 A $230.48
J1322 A $232.52
J1327 A $18.48
J1364 A $78.87
J1410 A $310.39
J1428 A $168.20
J1430 A $444.10
J1438 A $645.54
J1439 A $1.07
J1442 A $1.02
J1447 A $0.59
J1451 A $5.68
J1453 A $2.08
J1455 A $82.27
J1458 A $383.21
J1459 A $39.67
J1460 A $38.48
J1555 A $13.40
J1556 A $70.52
J1557 A $55.77
J1559 A $9.85
J1560 A $384.81
J1561 A $40.25
J1566 A $40.01
J1568 A $33.16
J1569 A $46.33
J1571 A $67.89
J1572 A $35.16
J1573 A $67.89
J1575 A $14.34
J1595 A $205.59
J1602 A $24.30
J1610 A $197.32
J1627 A $3.89
J1640 A $23.04
J1670 A $277.59
J1726 A $28.29
J1740 A $78.11
J1742 A $298.65
J1743 A $542.92
J1744 A $364.73
J1745 A $83.90
J1750 A $13.67
J1786 A $41.33
J1826 A $604.40
J1830 A $389.20
J1833 A $0.85
J1930 A $58.92
J1931 A $30.62
J1942 A $2.46
J1950 A $1,196.91
J2182 A $29.64
J2265 A $1.64
J2278 A $7.58
J2315 A $3.26
J2320 A $72.58
J2323 A $19.90
J2325 A $73.33
J2326 A $1,102.65
J2350 A $57.17
J2353 A $199.03
J2355 A $426.92
J2357 A $36.33
J2407 A $23.39
J2425 A $20.34
J2426 A $10.88
J2469 A $22.60
J2502 A $280.74
J2503 A $717.87
J2504 A $367.96
J2505 A $4,720.84
J2507 A $2,322.06
J2515 A $49.20
J2547 A $1.62
J2562 A $329.81
J2597 A $12.90
J2724 A $15.34
J2760 A $391.94
J2770 A $418.59
J2778 A $373.50
J2783 A $271.65
J2786 A $9.11
J2792 A $27.32
J2793 A $24.09
J2794 A $9.40
J2796 A $70.55
J2820 A $37.15
J2840 A $536.73
J2850 A $34.78
J2860 A $95.24
J2941 A $74.65
J2993 A $2,301.91
J2997 A $87.62
J3060 A $40.39
J3070 A $108.39
J3090 A $1.44
J3095 A $5.49
J3101 A $121.03
J3145 A $1.33
J3240 A $1,608.72
J3243 A $2.26
J3246 A $8.37
J3262 A $4.72
J3285 A $61.24
J3300 A $3.86
J3315 A $262.10
J3357 A $195.55
J3358 A $12.55
J3380 A $19.62
J3385 A $345.25
J3396 A $10.86
J3465 A $1.94
J7175 A $7.17
J7178 A $1.16
J7179 A $2.26
J7180 A $8.22
J7181 A $14.89
J7182 A $1.33
J7183 A $1.03
J7185 A $1.25
J7186 A $0.99
J7187 A $1.12
J7188 A $2.47
J7189 A $2.07
J7190 A $1.11
J7192 A $1.35
J7193 A $1.14
J7194 A $1.43
J7195 A $1.51
J7197 A $3.68
J7198 A $2.11
J7200 A $1.35
J7201 A $2.99
J7202 A $4.33
J7205 A $2.01
J7207 A $1.76
J7209 A $1.48
J7210 A $1.39
J7211 A $1.27
J7308 A $404.59
J7311 A $20,395.29
J7312 A $200.20
J7313 A $490.20
J7316 A $1,018.70
J7320 A $6.25
J7321 A $83.18
J7322 A $19.26
J7323 A $143.73
J7324 A $140.34
J7325 A $11.70
J7326 A $509.35
J7327 A $796.56
J7328 A $2.18
J7336 A $3.15
J7340 A $2.19
J7342 A $29.98
J7345 A $1.39
J7501 A $230.28
J7503 A $1.25
J7504 A $2,106.51
J7505 A $6.80
J7511 A $725.69
J7525 A $206.32
J8501 A $7.49
J8560 A $75.79
J8655 A $340.62
J8670 A $2.23
J8705 A $103.86
J9015 A $4,138.14
J9017 A $77.06
J9019 A $414.83
J9022 A $76.90
J9023 A $80.59
J9025 A $1.51
J9027 A $120.24
J9031 A $138.11
J9032 A $37.26
J9033 A $30.75
J9034 A $23.45
J9035 A $78.85
J9039 A $109.92
J9041 A $46.75
J9042 A $150.82
J9043 A $163.59
J9047 A $35.19
J9050 A $3,921.51
J9055 A $60.78
J9065 A $22.27
J9070 A $41.83
J9098 A $628.37
J9120 A $1,574.07
J9145 A $50.95
J9150 A $42.30
J9155 A $3.66
J9171 A $1.81
J9176 A $6.42
J9179 A $112.99
J9185 A $74.28
J9202 A $467.58
J9203 A $193.16
J9205 A $45.63
J9207 A $70.59
J9211 A $35.45
J9214 A $34.38
J9217 A $218.17
J9218 A $33.20
J9225 A $3,452.33
J9226 A $30,441.90
J9228 A $148.63
J9230 A $322.66
J9245 A $1,055.92
J9261 A $152.11
J9262 A $2.97
J9264 A $11.23
J9266 A $15,030.18
J9268 A $2,005.21
J9271 A $48.57
J9280 A $144.08
J9285 A $51.04
J9293 A $29.88
J9295 A $5.51
J9299 A $27.16
J9301 A $62.84
J9302 A $58.44
J9303 A $114.04
J9305 A $67.46
J9306 A $11.81
J9307 A $267.08
J9308 A $57.67
J9310 A $915.30
J9315 A $329.04
J9320 A $343.99
J9325 A $49.70
J9328 A $10.56
J9330 A $73.77
J9340 A $785.73
J9352 A $296.42
J9354 A $30.69
J9355 A $103.73
J9357 A $1,249.17
J9371 A $2,807.15
J9395 A $97.24
J9400 A $8.09
J9600 A $21,219.57
P9041 A $11.80
P9045 A $54.72
P9046 A $22.49
P9047 A $53.44
Q0138 A $0.96
Q0139 A $0.96
Q2009 A $3.55
Q2017 A $2,569.53
Q2043 A $41,532.64
Q2050 A $372.49
Q3027 A $54.18
Q5101 A $0.65
Q5103 A $64.98
Q5104 A $69.22
Q5105 A $1.17
Q5106 A $11.69
Q9968 A $5.48
Q9982 A $3,498.00
Q9983 A $2,968.00
Q9991 A $1,674.80
Q9992 A $1,674.80
Q9993 A $18.88
Q9995 A $49.48
90371 A $117.12
90375 A $295.82
90376 A $305.44
90378 A $1,514.17
90396 A $1,499.36
90675 A $288.96
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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