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April 2019 2nd Quarter ASC Drug File

Effective 04.01.2019 – Revised 01.06.2020

HCPCS Code Status Indicator Amount
A9586 A $3,029.07
A9587 A $68.70
A9588 A $424.53
C9035 A $2.71
C9036 A $98.40
C9037 A $9.79
C9038 A $200.87
C9039 A $3.16
C9040 A $2.65
C9041 A $291.50
C9042 A $23.66
C9043 A $4.12
C9044 A $27.47
C9045 A $21.46
C9046 A $1.62
C9132 A $1.93
C9141 A $2.03
C9248 A $2.72
C9250 A $156.84
C9257 A $2.03
C9290 A $1.22
C9293 A $313.20
C9399 C $0.00
C9407 A $320.12
C9447 A $437.40
C9460 A $15.41
C9462 A $0.47
C9482 A $9.99
C9488 A $32.32
J0129 A $52.49
J0135 A $1,371.13
J0178 A $960.20
J0180 A $178.20
J0185 A $2.23
J0202 A $1,873.16
J0207 A $990.39
J0220 A $141.14
J0221 A $166.21
J0256 A $4.56
J0257 A $4.72
J0287 A $6.16
J0289 A $23.92
J0300 A $56.62
J0401 A $5.45
J0475 A $174.19
J0480 A $3,687.17
J0485 A $3.78
J0490 A $44.16
J0517 A $166.88
J0558 A $11.01
J0561 A $13.87
J0565 A $40.00
J0567 A $93.75
J0570 A $1,263.19
J0584 A $353.28
J0585 A $6.12
J0586 A $8.41
J0587 A $11.97
J0588 A $5.09
J0594 A $6.82
J0596 A $27.34
J0597 A $48.94
J0598 A $54.97
J0599 A $9.67
J0600 A $5,594.42
J0606 A $2.83
J0630 A $2,657.54
J0637 A $10.44
J0638 A $111.02
J0641 A $0.23
J0695 A $5.41
J0712 A $2.92
J0714 A $84.16
J0716 A $4,592.80
J0717 A $7.87
J0725 A $22.21
J0740 A $579.91
J0775 A $46.96
J0795 A $9.06
J0840 A $3,322.07
J0841 A $1,256.60
J0850 A $1,129.15
J0875 A $14.50
J0878 A $0.37
J0881 A $3.97
J0882 A $3.97
J0883 A $0.92
J0884 A $0.92
J0885 A $11.73
J0894 A $8.75
J0897 A $18.69
J1095 A $1.11
J1162 A $3,779.99
J1190 A $211.49
J1212 A $550.53
J1290 A $480.20
J1300 A $230.48
J1301 A $19.52
J1322 A $236.83
J1327 A $14.11
J1364 A $78.87
J1410 A $309.21
J1428 A $167.94
J1430 A $444.10
J1438 A $685.56
J1439 A $1.07
J1442 A $1.00
J1447 A $0.57
J1451 A $6.34
J1453 A $2.05
J1454 A $528.70
J1455 A $82.27
J1458 A $390.31
J1459 A $40.72
J1460 A $39.21
J1555 A $13.17
J1556 A $70.52
J1557 A $44.20
J1559 A $10.19
J1560 A $392.06
J1561 A $38.75
J1566 A $59.81
J1568 A $32.47
J1569 A $42.15
J1571 A $64.61
J1572 A $36.43
J1573 A $64.61
J1575 A $14.11
J1595 A $187.35
J1602 A $22.49
J1610 A $207.13
J1627 A $2.80
J1628 A $95.32
J1640 A $23.03
J1670 A $408.43
J1726 A $22.20
J1740 A $44.45
J1742 A $131.54
J1743 A $542.98
J1744 A $350.38
J1745 A $71.76
J1746 A $58.47
J1750 A $13.64
J1786 A $42.10
J1826 A $2,785.97
J1830 A $373.17
J1833 A $0.73
J1930 A $58.74
J1931 A $31.22
J1942 A $2.58
J1950 A $1,190.20
J2062 A $15.34
J2182 A $29.41
J2186 A $1.68
J2265 A $1.65
J2278 A $7.72
J2315 A $3.23
J2320 A $21.69
J2323 A $19.69
J2325 A $74.80
J2326 A $1,101.52
J2350 A $57.41
J2353 A $197.91
J2355 A $163.98
J2357 A $37.02
J2407 A $23.91
J2425 A $20.22
J2426 A $10.87
J2469 A $11.73
J2502 A $304.73
J2504 A $367.96
J2505 A $4,655.48
J2507 A $2,403.30
J2515 A $44.40
J2547 A $1.68
J2562 A $330.52
J2597 A $12.35
J2724 A $15.12
J2760 A $387.12
J2770 A $417.00
J2778 A $364.15
J2783 A $279.16
J2786 A $9.46
J2792 A $28.61
J2794 A $9.39
J2796 A $71.75
J2797 A $0.94
J2820 A $39.67
J2840 A $541.13
J2850 A $34.78
J2860 A $95.63
J2993 A $504.98
J2997 A $87.68
J3060 A $40.36
J3090 A $1.42
J3095 A $5.98
J3101 A $121.78
J3145 A $1.42
J3240 A $1,652.12
J3243 A $1.78
J3245 A $135.87
J3246 A $10.98
J3262 A $4.93
J3285 A $66.12
J3300 A $3.85
J3304 A $18.88
J3315 A $240.68
J3316 A $2,896.97
J3357 A $180.32
J3358 A $12.02
J3380 A $19.74
J3385 A $345.51
J3396 A $10.96
J3397 A $218.53
J3398 A $2,915.00
J7170 A $48.08
J7175 A $7.17
J7177 A $1.27
J7178 A $1.20
J7179 A $1.93
J7180 A $8.47
J7181 A $14.72
J7182 A $1.30
J7183 A $0.98
J7185 A $1.24
J7186 A $1.03
J7187 A $1.16
J7188 A $3.21
J7189 A $2.07
J7190 A $1.04
J7192 A $1.28
J7193 A $1.15
J7194 A $1.44
J7195 A $1.50
J7196 A $103.35
J7197 A $3.40
J7198 A $1.92
J7200 A $1.33
J7201 A $3.00
J7202 A $4.30
J7203 A $3.69
J7205 A $2.02
J7207 A $1.63
J7209 A $1.25
J7210 A $1.36
J7211 A $1.26
J7308 A $396.08
J7311 A $20,131.15
J7312 A $200.15
J7313 A $490.81
J7316 A $1,042.28
J7318 A $17.23
J7320 A $7.20
J7321 A $83.64
J7322 A $19.26
J7323 A $145.30
J7324 A $506.68
J7325 A $11.32
J7326 A $1,057.88
J7327 A $1,511.15
J7328 A $2.18
J7329 A $6.99
J7336 A $3.14
J7342 A $29.96
J7345 A $1.44
J7501 A $239.33
J7504 A $2,071.80
J7511 A $739.75
J7525 A $206.00
J8560 A $75.86
J8562 A $81.42
J8600 A $12.00
J8655 A $259.81
J8670 A $1.75
J9015 A $4,138.14
J9017 A $63.01
J9019 A $414.82
J9022 A $77.46
J9023 A $81.74
J9025 A $1.35
J9027 A $66.19
J9031 A $141.98
J9032 A $38.89
J9033 A $29.95
J9034 A $23.98
J9035 A $81.22
J9039 A $110.31
J9041 A $44.46
J9042 A $156.37
J9043 A $168.83
J9044 A $31.06
J9047 A $36.36
J9050 A $3,883.23
J9055 A $60.73
J9057 A $77.70
J9065 A $22.17
J9070 A $37.45
J9098 A $628.37
J9120 A $1,253.86
J9145 A $52.29
J9150 A $47.24
J9151 A $0.32
J9153 A $192.31
J9155 A $3.82
J9171 A $1.16
J9173 A $73.78
J9176 A $6.40
J9179 A $114.84
J9202 A $488.28
J9203 A $192.96
J9205 A $45.75
J9207 A $84.24
J9213 A $169.33
J9214 A $33.59
J9217 A $224.30
J9225 A $3,868.15
J9226 A $34,970.23
J9228 A $150.94
J9229 A $2,199.14
J9230 A $321.72
J9245 A $697.41
J9261 A $152.17
J9262 A $2.98
J9264 A $11.85
J9266 A $15,701.93
J9268 A $1,984.76
J9270 A $6.12
J9271 A $49.20
J9280 A $115.92
J9285 A $51.09
J9293 A $32.79
J9295 A $5.63
J9299 A $27.46
J9301 A $63.91
J9302 A $58.42
J9303 A $115.03
J9305 A $68.34
J9306 A $12.20
J9307 A $281.46
J9308 A $57.68
J9311 A $45.28
J9312 A $95.20
J9315 A $313.70
J9320 A $344.85
J9325 A $49.90
J9328 A $10.40
J9330 A $62.13
J9340 A $553.44
J9352 A $300.65
J9354 A $31.21
J9355 A $107.02
J9357 A $1,380.06
J9371 A $3,030.37
J9395 A $97.54
J9400 A $8.22
J9600 A $21,219.57
P9041 A $10.49
P9045 A $52.45
P9046 A $20.98
P9047 A $52.45
Q0138 A $0.97
Q0139 A $0.97
Q2017 A $2,645.71
Q2026 A $473.90
Q2028 A $3.28
Q2043 A $45,027.55
Q2049 A $470.40
Q2050 A $361.36
Q3027 A $53.40
Q4195 A $53.14
Q4196 A $81.99
Q5101 A $0.64
Q5103 A $54.34
Q5104 A $59.27
Q5105 A $1.14
Q5106 A $11.36
Q5108 A $350.12
Q5110 A $0.73
Q5111 A $358.35
Q9950 A $19.97
Q9968 A $4.54
Q9991 A $1,674.80
Q9992 A $1,674.80
90371 A $125.37
90375 A $312.46
90376 A $279.24
90378 A $1,205.05
90396 A $1,565.94
90634 A $29.11
90675 A $283.76
90676 A $130.01
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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