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January 2020 1st Quarter Quarter ASC Drug File

Effective 01.01.2020 – Revised 07.01.2020

HCPCS Code Status Indicator Amount
A9586 A $3,028.84
A9590 A $320.12
C9041 A $291.50
C9046 A $0.86
C9047 A $689.39
C9054 A $0.70
C9055 A $77.38
C9132 A $2.01
C9250 A $156.84
C9257 A $2.02
C9290 A $1.25
C9399 C $0.00
C9460 A $15.33
C9462 A $0.46
C9482 A $9.99
C9488 A $31.37
J0121 A $3.44
J0122 A $1.02
J0129 A $54.85
J0135 A $1,371.13
J0178 A $945.03
J0179 A $317.58
J0180 A $183.75
J0185 A $2.13
J0202 A $1,949.17
J0207 A $1,011.89
J0220 A $73.81
J0221 A $171.21
J0222 A $98.35
J0256 A $4.45
J0257 A $4.86
J0287 A $9.06
J0289 A $26.73
J0291 A $3.34
J0300 A $95.16
J0401 A $5.70
J0475 A $173.60
J0480 A $3,808.08
J0485 A $3.77
J0490 A $45.49
J0517 A $170.49
J0558 A $10.87
J0561 A $13.76
J0565 A $39.79
J0567 A $93.49
J0570 A $1,211.27
J0584 A $353.29
J0585 A $6.12
J0586 A $8.40
J0587 A $11.99
J0588 A $5.01
J0593 A $76.36
J0594 A $4.89
J0596 A $28.08
J0597 A $51.32
J0598 A $56.48
J0599 A $9.67
J0600 A $5,594.42
J0606 A $2.45
J0630 A $2,656.48
J0638 A $111.00
J0641 A $0.17
J0642 A $2.01
J0695 A $5.93
J0712 A $3.18
J0714 A $92.03
J0716 A $4,822.43
J0717 A $8.21
J0740 A $633.40
J0775 A $48.73
J0795 A $9.24
J0800 A $3,923.78
J0840 A $3,284.72
J0841 A $1,260.96
J0850 A $1,129.15
J0875 A $15.06
J0878 A $0.29
J0881 A $3.82
J0882 A $3.82
J0883 A $1.22
J0884 A $1.22
J0885 A $10.56
J0894 A $4.30
J0897 A $19.28
J1095 A $1.21
J1096 A $135.64
J1097 A $109.70
J1162 A $3,780.19
J1190 A $197.52
J1212 A $616.79
J1267 A $0.88
J1290 A $497.05
J1300 A $230.48
J1301 A $19.49
J1303 A $226.28
J1322 A $241.42
J1327 A $3.36
J1410 A $308.70
J1428 A $167.35
J1430 A $444.10
J1438 A $685.56
J1439 A $1.11
J1442 A $0.96
J1447 A $0.53
J1451 A $8.57
J1453 A $1.80
J1454 A $301.87
J1455 A $82.27
J1458 A $397.86
J1459 A $40.84
J1460 A $40.85
J1555 A $14.01
J1557 A $46.23
J1559 A $10.50
J1560 A $408.54
J1561 A $40.35
J1566 A $63.19
J1568 A $38.22
J1569 A $39.92
J1571 A $58.96
J1572 A $35.77
J1573 A $58.96
J1575 A $14.64
J1595 A $161.32
J1602 A $20.66
J1610 A $217.56
J1627 A $1.65
J1628 A $99.41
J1640 A $23.72
J1670 A $462.99
J1726 A $20.11
J1729 A $10.81
J1740 A $44.27
J1742 A $258.22
J1743 A $542.89
J1744 A $371.79
J1745 A $57.35
J1746 A $58.38
J1750 A $14.38
J1786 A $42.64
J1826 A $2,276.61
J1830 A $376.15
J1833 A $0.79
J1930 A $63.65
J1931 A $32.15
J1943 A $2.77
J1944 A $2.73
J1950 A $1,271.10
J2182 A $29.29
J2186 A $1.80
J2265 A $1.81
J2278 A $7.91
J2315 A $3.24
J2323 A $20.90
J2325 A $74.80
J2326 A $1,101.76
J2350 A $57.42
J2353 A $206.09
J2355 A $1.34
J2357 A $37.36
J2407 A $23.76
J2425 A $21.26
J2426 A $11.58
J2502 A $318.82
J2504 A $367.96
J2505 A $4,251.54
J2507 A $2,621.77
J2515 A $34.98
J2547 A $1.68
J2562 A $347.73
J2597 A $11.52
J2724 A $15.08
J2760 A $381.90
J2770 A $417.77
J2778 A $347.28
J2783 A $292.33
J2786 A $9.63
J2792 A $29.79
J2794 A $10.05
J2796 A $74.26
J2797 A $0.94
J2798 A $9.84
J2820 A $43.50
J2840 A $541.13
J2850 A $34.78
J2860 A $103.54
J2941 A $84.13
J2997 A $87.85
J3031 A $2.42
J3060 A $39.96
J3090 A $1.55
J3095 A $5.63
J3101 A $125.42
J3111 A $9.09
J3145 A $1.45
J3240 A $1,700.41
J3243 A $1.64
J3245 A $131.71
J3246 A $6.34
J3262 A $5.08
J3285 A $62.51
J3304 A $18.88
J3315 A $263.74
J3316 A $2,897.33
J3357 A $190.36
J3358 A $11.93
J3380 A $20.24
J3385 A $345.42
J3396 A $11.11
J3397 A $218.77
J3398 A $2,912.39
J7170 A $47.35
J7175 A $7.52
J7177 A $2.24
J7178 A $1.20
J7179 A $1.90
J7180 A $8.46
J7181 A $15.47
J7182 A $1.30
J7183 A $1.03
J7185 A $1.26
J7186 A $1.07
J7187 A $1.17
J7188 A $3.18
J7189 A $2.16
J7190 A $1.10
J7192 A $1.29
J7193 A $1.17
J7194 A $1.48
J7195 A $1.53
J7196 A $103.35
J7197 A $3.28
J7198 A $1.87
J7200 A $1.33
J7201 A $3.14
J7202 A $4.31
J7203 A $3.96
J7205 A $2.11
J7207 A $1.79
J7208 A $2.01
J7209 A $1.21
J7210 A $1.36
J7308 A $392.37
J7311 A $341.55
J7312 A $200.10
J7313 A $490.81
J7314 A $491.13
J7316 A $1,046.93
J7318 A $17.23
J7320 A $16.92
J7322 A $31.67
J7323 A $144.69
J7324 A $140.42
J7325 A $11.03
J7326 A $1,166.00
J7327 A $781.27
J7328 A $2.18
J7329 A $7.20
J7331 A $12.16
J7332 A $25.18
J7336 A $3.25
J7340 A $212.63
J7342 A $29.98
J7345 A $1.45
J7501 A $224.70
J7504 A $2,060.04
J7511 A $765.74
J7525 A $211.60
J8510 A $24.83
J8560 A $75.27
J8655 A $246.92
J8670 A $2.08
J9015 A $4,964.62
J9017 A $44.07
J9019 A $414.82
J9022 A $77.86
J9023 A $84.12
J9025 A $1.02
J9027 A $54.22
J9030 A $2.83
J9032 A $40.83
J9033 A $26.89
J9034 A $21.73
J9035 A $80.64
J9036 A $23.87
J9039 A $113.34
J9041 A $44.86
J9042 A $169.37
J9043 A $176.04
J9044 A $22.70
J9047 A $37.54
J9050 A $2,618.62
J9055 A $63.21
J9057 A $79.37
J9065 A $20.18
J9070 A $33.24
J9098 A $492.92
J9119 A $27.43
J9120 A $1,190.89
J9145 A $54.03
J9150 A $48.40
J9153 A $195.42
J9155 A $3.96
J9171 A $0.97
J9173 A $75.58
J9176 A $6.58
J9179 A $116.24
J9202 A $503.98
J9203 A $199.55
J9204 A $200.87
J9205 A $49.84
J9207 A $96.07
J9210 A $786.73
J9213 A $407.24
J9214 A $34.21
J9217 A $230.07
J9225 A $4,119.79
J9226 A $36,674.54
J9228 A $155.18
J9229 A $2,273.76
J9230 A $328.29
J9245 A $633.39
J9261 A $152.71
J9262 A $2.91
J9264 A $12.55
J9266 A $17,571.62
J9268 A $2,109.35
J9269 A $262.82
J9271 A $50.26
J9280 A $79.89
J9285 A $52.17
J9293 A $27.81
J9295 A $5.74
J9299 A $28.16
J9301 A $63.52
J9302 A $60.08
J9303 A $118.52
J9305 A $70.79
J9306 A $12.62
J9307 A $295.52
J9308 A $59.67
J9309 A $113.38
J9311 A $42.87
J9312 A $94.41
J9313 A $22.08
J9315 A $220.88
J9320 A $352.65
J9325 A $51.44
J9328 A $10.39
J9330 A $47.93
J9340 A $412.01
J9352 A $312.94
J9354 A $32.11
J9355 A $105.86
J9356 A $79.18
J9357 A $1,426.35
J9371 A $3,075.83
J9395 A $84.96
J9400 A $8.40
J9600 A $21,856.35
P9041 A $10.49
P9045 A $52.45
P9046 A $20.98
P9047 A $52.45
Q0138 A $1.04
Q0139 A $1.04
Q2009 A $1.38
Q2017 A $2,645.71
Q2026 A $222.09
Q2028 A $3.19
Q2043 A $45,942.63
Q2049 A $482.06
Q2050 A $295.52
Q3027 A $53.56
Q4195 A $119.99
Q4196 A $113.86
Q5101 A $0.55
Q5103 A $47.77
Q5104 A $51.75
Q5105 A $0.93
Q5106 A $9.33
Q5107 A $69.77
Q5108 A $311.62
Q5110 A $0.63
Q5111 A $336.52
Q5114 A $90.67
Q5115 A $87.09
Q5117 A $90.67
Q9950 A $19.59
Q9968 A $6.11
Q9982 A $3,498.00
Q9983 A $2,968.00
Q9991 A $1,672.45
Q9992 A $1,672.45
90371 A $115.94
90375 A $277.34
90376 A $278.70
90378 A $1,838.68
90396 A $1,705.32
90675 A $277.82
90676 A $227.53
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 2020 by the American Medical Association.

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