CMS 2008 Basic Stand Alone (BSA) Carrier Line Items Public

CMS 2008 BSA Carrier Line Items PUF General Documentation

CMS 2008 Basic Stand Alone (BSA) Carrier Line Items Public Use File (PUF)

General Documentation

1. Overview of the PUF

This release contains the Basic Stand Alone (BSA) Carrier Line Items Public Use File (PUF) named “CMS 2008 BSA Carrier Line Items PUF” with information from 2008 Medicare carrier claims.1

The Carrier claims file was originally called the Physician/Supplier Part B file. This file contains final action claims data submitted by non‐institutional providers. These claims are largely from physicians, although they also include claims from other non‐institutional providers such as:

• Physician assistants, • Clinical social workers, • Nurse practitioners, • Independent clinical laboratories, • Ambulance providers, and • Free‐standing ambulatory surgical centers.2

Each record in the carrier claims file is a claim. Each carrier claim must include at least one HCPCS code to describe the nature of the billed service. Each HCPCS code must be accompanied by a line item ICD‐9‐CM diagnosis code, providing a reason for the service.3 In addition, each line item has other fields, such as dates of service, reimbursement amount, provider information, and beneficiary demographic data.4 Each claim comprise up to 13 line items, each of which corresponds to one HCPCS code and its accompanying information.

The CMS 2008 BSA Carrier Line Items PUF is a line item level file, in which each record is a line item of a carrier claim incurred by a 5% sample of Medicare beneficiaries. Certain demographic and line item related variables are provided in this PUF as detailed below. However, as beneficiary identities are not provided, it is not possible to link claims that belong to the same beneficiary in the CMS 2008 BSA Carrier Line Items PUF. It is also not possible to link line items that belong to the same claim.

Most variables could not be included in the CMS 2008 BSA Carrier Line Items PUF because the inclusion of more information would increase the risk of beneficiary or provider identification.

1 Claims with carrier services ending in 2008, defined by the “claim through date.” 2 http://www.resdac.org/medicare/file_descriptions.asp 3 ICD‐9‐CM and HCPCS are explained in Section 4 below. 4 http://healthservices.cancer.gov/seermedicare/medicare/claims.html#carrier , http://www.resdac.org/medicare/file_descriptions.asp

http://www.resdac.org/medicare/file_descriptions.asp

http://healthservices.cancer.gov/seermedicare/medicare/claims.html#carrier

http://www.resdac.org/medicare/file_descriptions.asp


In selecting claim‐related variables for inclusion in this PUF, priority was given to the measures most commonly reported/studied in health services research.

2. Source Data for the PUF

The CMS 2008 BSA Carrier Line Items PUF originates from a 5% simple random sample of beneficiaries drawn (without replacement) from the 100% Beneficiary Summary File for reference year 2008. The sample used for the CMS 2008 BSA Carrier Line Items PUF is disjoint from the existing 5% CMS research sample5 in the sense that there is no overlap in beneficiaries between the CMS 2008 BSA Carrier Line Items PUF and the 5% CMS research sample. It is also disjoint from the other BSA PUFs released so far (i.e., CMS 2008 Inpatient Claims PUF, CMS 2008 DME Line Items PUF, CMS 2008 PDE PUF, CMS 2008 Hospice Beneficiary PUF, CMS 2008 Outpatient Procedures PUF, CMS 2008 SNF Beneficiary PUF, and CMS 2008 HHA Beneficiary PUF). This property prevents users from linking data across multiple files for identification purposes.

The 100% Beneficiary Summary File is created annually and contains demographic, entitlement and enrollment data for beneficiaries:

a. who were documented as being alive for some part of the reference year of the Beneficiary Summary File, and

b. who were entitled to Medicare benefits during the reference year, and c. who were enrolled in the Medicare Part A and/or Part B for at least one month in

the reference year.

The 5% sample of carrier line items is created by collecting the carrier line items for the beneficiaries in the 5% random sample of beneficiaries, which contains approximately 2.4 million beneficiaries. These claims are then transformed so that each record in the file is not one claim, but one line item of a claim.

As part of the PUF preparation steps, some line items are suppressed from the CMS 2008 BSA Carrier Line Items PUF. The initial 5% sample of beneficiaries contains 2,392,893 beneficiaries. Out of those, 1,674,591 beneficiaries have at least one carrier claim in 2008. These 1,674,591 beneficiaries generate 41,674,934 claims that comprise 81,289,647 line item services.6 The resulting file contained 1,582,579 beneficiaries with 39,145,016 claims that correspond to 72,243,842 line items. In order to protect the privacy of Medicare beneficiaries in the PUF, 4,508,767 line items were suppressed from the PUF, leaving 67,735,075 line items in the CMS 2008 BSA Carrier Line Items PUF. Note that suppressing a line item service may or may not

5 http://www.resdac.org/tools/TBs/TN‐011_How5percentMedicarefilescreated_508.pdf 6A number of line items are suppressed initially because of missing or invalid HCPCS codes or denied services.

http://www.resdac.org/tools/TBs/TN-011_How5percentMedicarefilescreated_508.pdf

exclude a claim or a beneficiary from the PUF. Exclusion of a claim or a beneficiary depends on whether or not the claim or beneficiary has one or more additional line item remaining in the PUF. Table 1 below provides the total Medicare payments and the number of line items in the initial 5% sample, the suppressed file, and the CMS 2008 BSA Carrier Line Items PUF.

Table 1: Suppression in CMS 2008 BSA Carrier Line Items PUF

Category Formula Medicare Payments(2)

Number of Line Items

Initial 5% Sample(1) (a) $3,914,247,244 72,243,842

Suppressed (b) $439,014,014 4,508,767

CMS 2008 BSA Carrier Line Items PUF (c) =(a)‐(b) $3,475,233,230 67,735,075

(1) A number of line items (3,487 records) are suppressed initially because of missing or invalid HCPCS codes. In

addition, 9,042,318 line items are suppressed because of denied services. (2) The Medicare Payments provided in this table are computed using actual payment amounts from the carrier

claim file.

3. Content of the PUF

The most important aspects of the CMS 2008 BSA Carrier Line Items PUF are as follows:

i. It contains carrier line item services for a simple random sample of 5% of the 2008 beneficiary population. Out of approximately 2.4 million beneficiaries in the 5% sample, 1,674,591 had claims, resulting in a PUF of 67,735,075 line items after excluding invalid line items, denied claims and protecting the privacy of Medicare beneficiaries.

ii. It contains ten (10) analytic variables (in addition to a unique record key): gender, age, ICD‐9‐CM diagnosis code, HCPCS procedure code, BETOS code, count of the services related to the line item, type of provider, type of service, place of service, and line item payment by Medicare. The line item payments have been rounded and the ICD‐9‐CM diagnosis codes have been coarsened in order to protect individuals from identification while retaining the analytic value of the data.

iii. A line item service for a sampled beneficiary is only included in the PUF if the combination of all ten (10) variables is shared by at least eleven (11) line items pertaining to at least eleven (11) beneficiaries and eleven (11) providers in the population. For some combinations of values of the ten (10) variables, however, there are fewer than eleven (11) line items in the PUF

iv. Line items cannot be linked by claim or by beneficiary, and cannot be linked to any external data source by means of the carrier line ID. The carrier line ID is a cryptographic key specific to the CMS 2008 BSA Carrier Line Items PUF and not available elsewhere.



The CMS 2008 BSA Carrier Line Items PUF is sorted by this carrier line ID to ensure that the relative positions of each line item in the PUF and in the original source data are totally uncorrelated.

4. Analytic Variables of the PUF

The CMS 2008 BSA Carrier Line Items PUF contains eleven (11) variables: a primary record (i.e., line item) key indexing the line items and ten (10) analytic variables, listed below.

i. Gender (BENE_SEX_IDENT_CD): (1) male or (2) female.

ii. Age (BENE_AGE_CAT_CD): The beneficiary’s age, reported in six categories: (1) under 65, (2) 65 ‐ 69, (3) 70 ‐ 74, (4) 75‐79, (5) 80‐84, (6) 85 and older.

iii. ICD‐9‐CM diagnosis code (CAR_LINE_ICD9_DGNS_CD): International Classification of Diseases, Clinical Modification version 9 (ICD‐9‐CM) is a three‐digit code (four‐digit for “E” ICD‐9‐CM diagnosis codes).7 In this PUF, 923 such codes are observed.

iv. HCPCS code (CAR_LINE_HCPCS_CD): These are Healthcare Common Procedure Classification Coding System (HCPCS) codes (Level I and Level II) and take on 4,736 possible values in the CMS 2008 BSA Carrier Line Items PUF.8

v. BETOS code (CAR_LINE_BETOS_CD): These are the Berenson‐Eggers Type of Service codes based on clinically meaningful categories of procedures and services. In this PUF, 99 such codes are observed.

vi. Count of services (CAR_LINE_SRVC_CNT): This is the count of the total number of services associated with the line item, ranging from 1 to 999.

vii. Type of provider code (CAR_LINE_PRVDR_TYPE_CD): This variable identifies the type of provider furnishing the service. Examples of provider types include clinics, physicians, and independent laboratories. In this PUF, 6 such codes are observed.

viii. Type of service code (CAR_LINE_CMS_TYPE_SRVC_CD): This variable identifies the type of service. Examples of types of service include medical care, surgery, and consultation. In this PUF, 22 such codes are observed.

7 See, for example, http://www.cdc.gov/nchs/data/icd9/icdguide10.pdf 8 Level I HCPCS procedure codes are copyrighted by the American Medical Association’s Current Procedural Terminology, Fourth Edition (CPT‐4).

ix. Place of service code (CAR_LINE_PLACE_OF_SRVC_CD): This variable identifies the place

of service. Examples of places of service include office, independent laboratory, inpatient hospital, outpatient hospital, and emergency room. In this PUF, 27 such codes are observed.

x. Medicare Payment Amount (CAR_HCPCS_PMT_AMT): Medicare payment is rounded according to the rules in Table 2. Note that a payment amount between $0 and $2.49 is rounded to $0 according to the rounding rules.

The detailed definitions and frequency distributions of these variables are provided in the Data Dictionary & Codebook together with this document.

5. Analytic Utility of the PUF

The CMS 2008 BSA Carrier Line Items PUF has been designed to give researchers an initial look at the CMS carrier claims. In order to preserve confidentiality, several variables have been suppressed or coarsened. The tables presented in this section are intended to increase the analytic utility by providing additional information that is not available in the PUF.

Table 3 presents the number of line items, claims, and beneficiaries in the initial 5% sample and the CMS 2008 BSA Carrier Line Items PUF.

Table 4 through Table 7 present the distribution of line items and beneficiaries in the PUF by gender, age and number of months in 2008 for which the beneficiary was enrolled in Part B of Medicare. Note that the CMS 2008 BSA Carrier Line Items PUF includes line items for beneficiaries who were enrolled in Medicare Part B for less than a full year.

Table 8 and Table 9 provide the distribution of the number of line items and claims per beneficiary in the CMS 2008 BSA Carrier Line Items PUF. Table 10 shows the distribution of the number of line items per claim. Each claim can have up to 13 line items, but as shown in Table 10, most claims have only one line item.

Table 11 and Table 12 compare the distribution of line items by gender and age of beneficiaries in the CMS 2008 BSA Carrier Line Items PUF, the initial 5% sample and the entire population. The column “Population” refers to the population analogous to the column “Initial 5% sample” of carrier line items for services received by Medicare beneficiaries in 2008. The initial 5% sample consists of 72,243,842 line items after preliminary cleaning steps (see Table 1 above). The last column “PUF” refers to the 67,735,075 line items that remain in the PUF. The figures presented in these tables indicate that this PUF, despite the suppression of 6.2% of the line items in the initial sample, provides good estimates of population parameters. Table 13, Table


14, and Table 15 provide the same comparison for the ICD‐9‐CM diagnosis codes, HCPCS codes, and BETOS codes. Table 16, Table 17 and Table 18 provide the equivalent comparison for type of provider, type of service, and place of service. Similarly, Table 19 displays the distribution of line items by count of services.

Table 20 shows the suppression percentages of individual ICD‐9‐CM diagnosis codes in the CMS 2008 BSA Carrier Line Items PUF from the initial 5% sample. Generally, the rate of suppression of line items is higher for ICD‐9 CM diagnosis codes that are uncommon amongst Medicare beneficiaries than the rate of suppression for common ICD‐9‐CM diagnosis codes. 153 ICD‐9‐CM diagnosis codes have suppression rates from the initial 5% sample of 10% or less. Care should be exercised in using statistics for ICD‐9‐CM diagnosis codes with high suppression.

Table 21 shows the number of line items, the count of services and Medicare payments by HCPCS code in the CMS 2008 BSA Carrier Line Items PUF. The weighted mean (Medicare payments divided by service counts for each HCPCS code) is compared with the mean from the initial 5% sample. Medicare payments in the CMS 2008 BSA Carrier Line Items PUF are rounded according to the rules in Table 2. The means in the initial 5% sample and in the CMS 2008 BSA Carrier Line Items PUF may differ for several reasons. First, the payments in this PUF are rounded while the mean payments shown in Table 21 for the initial 5% sample are based on actual payments. Second, 4,508,767 line items of the initial 5% sample are suppressed in the de‐identification process so the number of line items for each HCPCS code differ between the initial 5% sample and the CMS 2008 BSA Carrier Line Items PUF. Some HCPCS codes are already sparsely represented in the initial 5% sample and suppression may decrease the sample size for these HCPCS codes further, exacerbating differences in mean payment per service count between the two files. Although there are 8,397 HCPCS codes in the initial 5% sample the top 35 most frequent HCPCS codes constitute almost 50% percent of the line items in the initial 5% file. Thus, many of the HCPCS codes in the CMS 2008 BSA Carrier Line Items PUF are infrequent and care should be exercised in using statistics for HCPCS codes with high suppression.

Table 21 also provides the suppression rates for each HCPCS code in the CMS 2008 BSA Carrier Line Items PUF.

It is important to note that the 5% sample is 5% of beneficiaries, not line items, so multiplying payments in the initial 5% sample by 20 may not yield a good approximation for total payments in 2008 associated with each HCPCS code.


Table 2: Rounding Rule for Medicare Payment

Value of Medicare Payment Amount ($)

Rounding Rule

0 ‐ 100 Round to the nearest multiple of 5

100 ‐ 500 Round to the nearest multiple of 25

500 ‐ 1,000 Round to the nearest multiple of 100

Greater than 1,000 Round to the nearest multiple of 1,000

(1) Note that a Medicare payment amount between $0 and $2.49 is rounded to $0 according to the rounding rules. Hence, the corresponding value for $5 in the PUF is a value between $2.5 and $7.49 in the initial 5% sample file.

Table 3: Size of Initial 5% Sample and Carrier PUF in 2008

File Number of Line Items

Number of Claims

Number of Beneficiaries

Initial 5% Sample(1) 72,243,842 39,145,016 1,582,579

Carrier PUF 67,735,075 37,320,704 1,578,106

(1) The following data cleaning steps were taken: (i) remove invalid HCPCS codes; (ii) remove denied line items.


Table 4: Distribution of Line Items for Male Beneficiaries by Number of Months of Part B Enrollment in 2008 and Age of Beneficiary

Months of Part B

Enrollment(1) Under 65 65 ‐ 69 70 ‐ 74 75 ‐ 79 80 ‐ 84

85 and older

Total

1 9,155 11,436 7,143 7,680 8,869 11,100 55,3832 17,483 23,225 12,986 16,782 18,660 25,625 114,7613 27,130 33,615 24,942 22,426 28,489 35,152 171,7544 30,376 46,148 21,313 30,645 30,616 37,648 196,7465 36,079 54,618 28,099 38,186 31,141 40,620 228,7436 50,255 76,072 38,136 34,468 40,192 44,363 283,4867 50,887 69,801 34,270 36,370 36,324 48,490 276,1428 49,640 76,563 32,579 44,688 45,148 58,782 307,4009 57,419 82,620 32,877 43,418 44,976 62,643 323,95310 67,936 98,856 38,629 45,347 52,600 68,414 371,78211 69,077 94,597 43,631 50,749 62,721 71,572 392,34712 4,142,835 4,296,540 5,126,812 4,763,288 3,887,483 3,117,628 25,334,586

Total 4,608,272 4,964,091 5,441,417 5,134,047 4,287,219 3,622,037 28,057,083

(1) Number of months enrolled in 2008. Months of enrollment for a beneficiary is replaced with one (1) if it is equal to zero (0) in the Beneficiary Summary File.

Table 5: Distribution of Line Items for Female Beneficiaries by Number of Months of Part B Enrollment in 2008 and Age of Beneficiary

Months of Part B


85 and older

Total

1 9,889 10,671 5,686 8,052 9,014 17,994 61,3062 15,074 25,019 12,591 16,667 21,466 41,478 132,2953 23,494 41,386 16,669 23,979 28,461 58,407 192,3964 33,102 51,497 21,452 26,478 32,563 64,981 230,0735 38,009 64,698 24,410 29,846 35,178 63,869 256,0106 55,845 91,334 30,010 36,733 41,379 76,853 332,1547 46,997 82,977 28,690 41,336 44,401 78,945 323,3468 52,841 85,242 33,860 41,132 46,664 84,144 343,8839 55,878 100,379 34,986 40,596 42,470 95,185 369,49410 62,209 109,499 33,484 49,393 56,662 103,015 414,26211 67,301 121,610 33,470 53,587 60,598 117,549 454,11512 5,050,226 5,805,326 6,832,550 6,543,590 6,006,925 6,330,041 36,568,658

Total 5,510,865 6,589,638 7,107,858 6,911,389 6,425,781 7,132,461 39,677,992




Table 6: Distribution of Male Beneficiaries by Number of Months of Part B Enrollment in 2008 and Age of Beneficiary

Months of Part B


85 and older

Total

1 846 1,136 342 384 480 692 3,8802 1,017 1,719 389 467 530 883 5,0053 1,192 2,162 494 481 637 972 5,9384 1,262 2,455 401 485 534 841 5,9785 1,252 2,579 488 516 495 776 6,1066 1,698 3,506 688 517 573 763 7,7457 1,457 2,542 436 437 495 737 6,1048 1,305 2,421 439 485 526 814 5,9909 1,414 2,561 388 443 505 811 6,12210 1,384 2,751 451 476 568 863 6,49311 1,505 2,551 459 514 607 872 6,50812 112,569 121,973 128,613 103,469 77,530 60,795 604,949

Total 126,901 148,356 133,588 108,674 83,480 69,819 670,818


Table 7: Distribution of Female Beneficiaries by Number of Months of Part B Enrollment in 2008 and Age of Beneficiary

Months of Part B


85 and older

Total

1 851 1,318 268 399 532 1,304 4,6722 1,025 2,114 347 472 682 1,754 6,3943 1,138 2,802 370 526 720 1,891 7,4474 1,274 2,967 390 472 665 1,699 7,4675 1,268 3,221 391 448 607 1,500 7,4356 1,734 4,240 539 521 641 1,531 9,2067 1,378 3,054 349 455 608 1,430 7,2748 1,302 3,035 383 466 609 1,462 7,2579 1,363 3,101 399 422 532 1,461 7,27810 1,348 3,309 387 460 612 1,605 7,72111 1,390 3,275 347 480 627 1,663 7,78212 112,642 150,723 162,008 141,786 124,772 135,424 827,355

Total 126,713 183,159 166,178 146,907 131,607 152,724 907,288

(1) Number of months enrolled in 2008. Months of enrollment for a beneficiary is replaced with one (1) if it is equal to zero (0).

Table 8: Distribution of Line Items by Beneficiaries

Number of Line Items per Beneficiary

Number of Beneficiaries with Carrier Line Items

Total Number of Line Items

Percentage of Beneficiaries with

Carrier Line Items (%) (a) (b) (c)=(a)*(b) (d)=(b)/ 1,578,106

1‐9 293,627 1,403,526 18.6

10‐19 286,874 4,126,327 18.2

20‐29 234,880 5,706,589 14.9

30‐39 178,381 6,110,844 11.3

40‐49 133,156 5,893,383 8.4

50 or more 451,188 44,494,406 28.6

Total 1,578,106 67,735,075 100.0

Table 9: Distribution of Claims by Beneficiary

Number of Claims per Beneficiary

Number of Beneficiaries with Carrier

Claims

Total Number of Carrier Claims

Percentage of Beneficiaries with Carrier Claims (%)

(a) (b) (c)=(a)*(b) (d)=(b)/ 1,578,106

1‐4 225,631 550,850 14.3

5‐9 263,168 1,835,251 16.7

10‐14 229,820 2,740,119 14.6

15‐19 185,547 3,136,973 11.8

20‐29 254,919 6,135,949 16.2

30‐39 152,561 5,198,595 9.7

40 or more 266,460 17,722,967 16.9

Total 1,578,106 37,320,704 100.0


Table 10: Distribution of Number of Line Items by Claim

Number of Line Items per Claim

Number of Claims with Carrier Line

Items

Total Number of Line Items

Percentage of Claims with Carrier Line

Items (%)

(a) (b) (c)=(a)*(b) (d)=(b)/ 37,320,704

1 22,882,758 22,882,758 61.3

2 7,539,086 15,078,172 20.2

3 3,252,991 9,758,973 8.7

4 1,487,077 5,948,308 4.0

5 844,865 4,224,325 2.3

6 609,145 3,654,870 1.6

7 242,758 1,699,306 0.7

8 155,293 1,242,344 0.4

9 100,740 906,660 0.3

10 70,901 709,010 0.2

11 43,399 477,389 0.1

12 39,023 468,276 0.1

13 52,668 684,684 0.1

Total 37,320,704 67,735,075 100.0

Table 11: Distribution of Line Items by Gender

Gender Population (%) Initial 5% Sample (%) PUF (%)

Male 41.313 41.708 41.422

Female 58.687 58.292 58.578 Note: Percentages may not add up to 100% due to rounding.

Table 12: Distribution of Line Items by Age Categories

Age Population (%) Initial 5% Sample (%) PUF (%)

Under 65 15.108 15.241 14.939

65‐69 17.025 17.048 17.057

70‐74 18.513 18.437 18.527

75‐79 17.701 17.691 17.783

80‐84 15.783 15.758 15.816

85 and older 15.871 15.825 15.877


Note: Percentages may not add up to 100% due to rounding.

Table 13: Distribution of Line Items by ICD‐9‐CM Diagnosis Codes

ICD‐9‐CM Diagnosis Code

Population (%) Initial 5% Sample (%) PUF (%)

250 4.999 4.786 5.029

401 4.853 4.635 4.878

786 3.790 3.643 3.810

272 3.634 3.464 3.652

427 2.822 2.705 2.829

V58 2.817 2.717 2.778

780 2.670 2.576 2.668

414 2.240 2.170 2.264

724 2.170 2.117 2.171

719 2.134 2.084 2.149

715 1.853 1.792 1.852

285 1.842 1.762 1.828

V04 1.813 1.718 1.813

599 1.521 1.470 1.518

585 1.530 1.454 1.504

739 1.416 1.335 1.413

428 1.279 1.244 1.285

789 1.239 1.208 1.243

V76 1.208 1.148 1.210

366 1.189 1.137 1.190

362 1.052 1.000 1.047

365 1.040 0.993 1.044

244 0.977 0.934 0.977

702 0.975 0.933 0.976

518 0.916 0.882 0.913

185 0.862 0.851 0.862

174 0.829 0.838 0.849

296 0.835 0.825 0.838

729 0.799 0.801 0.796

790 0.786 0.768 0.782

788 0.739 0.725 0.743

726 0.706 0.702 0.717



ICD‐9‐CM Diagnosis Code

Population (%) Initial 5% Sample (%) PUF (%)

787 0.707 0.700 0.703

722 0.704 0.710 0.702

280 0.697 0.678 0.699

110 0.698 0.669 0.698

424 0.692 0.668 0.695

All other values 38.967 41.155 38.876 Note: Percentages may not add up to 100% due to rounding.

Table 14: Distribution of Line Items by HCPCS Codes

HCPCS Code Population (%) Initial 5% Sample (%) PUF (%)

99213 7.398 7.074 7.479

99214 4.969 4.788 5.031

36415 4.725 4.479 4.737

99232 3.308 3.187 3.328

85025 2.285 2.174 2.299

80053 1.851 1.768 1.865

85610 1.584 1.498 1.586

80061 1.511 1.439 1.523

99212 1.443 1.400 1.459

71010 1.398 1.331 1.393

97110 1.369 1.352 1.388

93010 1.353 1.299 1.365

99233 1.355 1.322 1.362

71020 1.091 1.052 1.098

98941 1.017 0.953 1.010

84443 1.004 0.954 1.010

99231 0.941 0.925 0.946

90658 0.898 0.852 0.903

G0008 0.897 0.853 0.894

A0425 0.878 0.934 0.888

83036 0.844 0.800 0.849

93000 0.809 0.777 0.819

88305 0.815 0.848 0.780

97140 0.752 0.736 0.759


HCPCS Code Population (%) Initial 5% Sample (%) PUF (%)

92014 0.742 0.710 0.746

80048 0.687 0.663 0.692

99211 0.635 0.622 0.644

99308 0.599 0.607 0.607

99285 0.581 0.565 0.590

99215 0.580 0.590 0.588

90772 0.570 0.558 0.574

93325 0.567 0.544 0.571

93320 0.564 0.543 0.569

93307 0.543 0.526 0.549

11721 0.538 0.513 0.540

92012 0.465 0.446 0.468

All Others 48.435 50.317 48.091 Note: Percentages may not add up to 100% due to rounding.

Table 15: Distribution of Line Items by BETOS Codes

BETOS Code Population (%) Initial 5% Sample (%) PUF (%)

M1B 15.261 14.710 15.440

T1H 13.875 13.592 13.646

M2B 6.265 6.104 6.307

P6C 5.390 5.554 5.420

T1A 4.725 4.479 4.737

I1A 3.120 2.989 3.123

T1B 2.846 2.736 2.865

T1D 2.795 2.688 2.801

M5C 2.564 2.474 2.569

T2A 2.302 2.214 2.320

I1B 2.176 2.230 2.193

O1G 2.130 2.037 2.127

O1E 2.101 2.254 2.102

M6 1.902 1.966 1.925

O1A 1.850 1.890 1.853

I3C 1.708 1.654 1.724

O1B 1.636 1.540 1.632

M4B 1.528 1.652 1.541

M5B 1.439 1.472 1.442


BETOS Code Population (%) Initial 5% Sample (%) PUF (%)

T1C 1.411 1.356 1.418

P6A 1.389 1.405 1.390

P5A 1.352 1.367 1.352

T2D 1.437 1.499 1.351

M3 1.285 1.275 1.311

T1G 1.361 1.561 1.262

I2B 1.079 1.157 1.100

I1E 1.062 1.113 1.061

M1A 0.880 0.939 0.900

P6B 0.876 0.910 0.879

P0 0.691 0.887 0.711

M2A 0.683 0.691 0.693

T1F 0.693 0.674 0.689

I1F 0.599 0.631 0.579

P5E 0.553 0.588 0.567

I3F 0.521 0.544 0.516

T2B 0.461 0.454 0.466

All other values 8.053 8.713 7.988 Note: Percentages may not add up to 100% due to rounding.

Table 16: Distribution of Line Items by Type of Provider Codes

Type of Provider Code Population (%) Initial 5% Sample (%) PUF (%)

0 4.160 4.559 3.9991 71.648 71.086 72.2443 1.941 2.002 1.9135 17.763 17.337 17.3827 3.981 4.522 3.9718 0.507 0.494 0.491


Table 17: Distribution of Line Items by Type of Service Codes

Type of Service Code Population (%) Initial 5% Sample (%) PUF (%)

0 0.000 0.001 0.0001 38.627 38.278 38.975


Type of Service Code Population (%) Initial 5% Sample (%) PUF (%)

2 6.133 6.523 6.1483 1.941 2.024 1.9584 9.592 9.845 9.6205 34.847 34.155 34.4326 0.627 0.723 0.6237 0.713 0.915 0.7318 0.072 0.109 0.0729 0.080 0.087 0.077D 1.850 1.890 1.853F 0.455 0.482 0.451G 0.001 0.004 0.001K 0.203 0.200 0.201M 0.211 0.201 0.209N 0.000 0.000 0.000P 0.029 0.045 0.028Q 1.195 1.154 1.190S 0.013 0.017 0.012T 1.370 1.402 1.382U 0.001 0.001 0.001V 2.040 1.943 2.036


Table 18: Distribution of Line Items by Place of Service Codes

Place of Service Code Population (%) Initial 5% Sample (%) PUF (%)

0 0.255 0.349 0.226

1 0.001 0.001 0.000

11 52.802 52.222 53.115

12 0.633 0.709 0.582

21 13.366 13.456 13.482

22 6.405 6.791 6.499

23 2.945 2.957 2.997

24 1.051 1.147 1.041

31 1.278 1.356 1.238

32 1.607 1.683 1.524

33 0.134 0.173 0.115

34 0.000 0.001 0.000

41 1.846 1.882 1.850

42 0.004 0.008 0.003

50 0.003 0.006 0.002

51 0.119 0.132 0.118

52 0.021 0.023 0.018

53 0.119 0.121 0.117

54 0.018 0.027 0.008

56 0.001 0.002 0.000

60 0.398 0.376 0.398

61 0.090 0.116 0.088

65 0.194 0.184 0.193

71 0.058 0.060 0.055

72 0.005 0.009 0.004

81 16.614 16.154 16.315

99 0.031 0.054 0.011 Note: Percentages may not add up to 100% due to rounding.


Table 19: Distribution of Line Items by Count of Services

Count of Services Population (%) Initial 5% Sample (%) PUF (%)

1 95.072 94.410 95.228

2 2.085 2.248 2.044

3 0.679 0.769 0.659

4 0.581 0.656 0.559

5 0.226 0.260 0.217

6 0.154 0.179 0.141

7 0.095 0.108 0.090

8 0.129 0.151 0.126

9 0.061 0.071 0.058

10 0.249 0.267 0.244

11 0.041 0.048 0.040

12 0.051 0.061 0.046

13 0.030 0.037 0.029

14 0.023 0.030 0.021

15 0.028 0.039 0.029

16 0.020 0.028 0.020

17 0.012 0.017 0.011

18 0.012 0.017 0.011

19 0.010 0.014 0.008

20 or more 0.441 0.592 0.417 Note: Percentages may not add up to 100% due to rounding.


Table 20: ICD‐9‐CM Diagnosis Codes Suppression Percentages from Initial 5% Sample

0%‐5% 5%‐10% 10%‐20% 20%‐30% 30%‐40% 40%‐50% 50%‐75% 75%‐100%(1) 110 008 036 009 031 088 003 001 244 038 041 034 077 097 005 002 250 153 042 135 079 131 011 004 266 162 053 150 111 146 035 006 272 173 054 151 117 156 039 007 276 174 070 161 133 158 047 015 280 183 078 172 136 171 052 017 281 185 112 191 141 175 057 027 285 211 154 193 155 179 061 033 296 238 157 200 180 184 066 040 362 241 182 205 195 186 075 045 365 242 188 224 197 196 082 049 366 257 189 228 199 208 091 051 380 268 198 233 201 210 094 056 401 274 202 236 214 212 098 072 414 275 203 239 217 220 099 074 424 286 204 253 225 222 114 090 427 288 216 255 227 226 115 093 428 295 218 259 235 230 132 096 461 300 232 271 243 237 138 104 466 309 240 277 270 261 142 116 477 345 245 279 283 269 145 122 486 354 246 302 291 310 147 123 511 372 251 303 292 318 148 126 518 373 252 305 299 319 149 127 584 375 256 307 301 320 152 128 585 379 263 312 304 323 159 129 588 381 273 314 322 360 160 130 599 388 278 342 337 385 163 134 600 389 282 344 343 417 164 140 702 396 284 357 349 442 170 143 703 402 287 358 350 448 176 144 714 410 289 363 351 474 187 192 715 411 290 378 353 480 190 207 719 413 293 384 359 513 194 209 724 415 294 404 367 521 206 234 726 425 298 421 383 522 213 249


0%‐5% 5%‐10% 10%‐20% 20%‐30% 30%‐40% 40%‐50% 50%‐75% 75%‐100%(1) 739 426 311 430 398 526 215 254 780 429 327 444 405 541 219 260 786 433 331 457 420 568 221 264 788 434 332 460 447 583 223 265 789 435 333 464 456 587 229 306 790 436 338 470 463 614 231 313 839 440 340 476 471 617 258 315 V03 453 346 478 510 628 262 321 V04 458 348 483 524 634 297 325 V06 462 355 485 527 643 308 330 V47 465 356 501 529 645 316 352 V58 490 361 516 533 652 317 390 V76 491 364 519 552 659 324 391 493 368 525 565 750 334 392 496 370 528 566 754 335 393 507 371 531 581 771 336 422 512 374 532 594 798 339 445 514 377 537 597 834 341 475 530 382 540 632 835 347 500 535 386 556 642 838 369 502 560 394 557 646 841 376 505 562 395 572 654 861 387 508 564 397 576 655 877 452 517 574 403 579 656 880 484 520 578 412 605 669 890 495 542 592 416 622 693 894 506 543 593 423 623 694 907 523 551 595 431 624 697 911 534 629 601 432 644 705 914 570 631 602 437 648 711 944 580 635 607 438 680 753 945 582 637 610 441 684 756 967 589 639 611 443 686 757 980 606 653 618 446 718 848 991 615 657 627 451 730 851 997 619 663 682 454 736 860 999 633 665 692 455 737 884 E934 641 666 700 459 738 892 V02 647 667


0%‐5% 5%‐10% 10%‐20% 20%‐30% 30%‐40% 40%‐50% 50%‐75% 75%‐100%(1) 707 472 745 893 V24 649 673 721 473 792 910 V69 651 675 722 481 795 913 658 744 723 482 802 916 660 748 725 487 810 917 661 760 727 492 814 921 664 767 728 494 815 931 671 775 729 515 816 933 674 779 733 536 822 935 676 800 735 550 823 958 683 804 781 553 829 966 685 817 782 555 831 972 712 828 783 558 850 E888 713 830 784 567 853 V07 731 833 785 569 854 V09 732 837 787 571 879 V13 734 862 793 573 881 V28 741 863 794 575 882 V55 742 864 813 577 883 V78 743 874 820 586 891 747 885 836 590 897 751 887 840 591 919 752 895 847 596 930 755 896 959 598 964 758 902 V42 603 965 759 903 V43 604 969 768 906 V49 608 989 769 908 V72 616 990 770 925 620 998 797 928 621 V08 801 929 625 V16 803 932 626 V23 806 936 640 V45 809 937 650 V67 811 946 681 V71 818 947 690 827 948 691 832 951 695 865 955


0%‐5% 5%‐10% 10%‐20% 20%‐30% 30%‐40% 40%‐50% 50%‐75% 75%‐100%(1) 696 866 956 698 867 957 701 868 960 704 870 961 706 871 971 708 872 974 709 875 976 710 876 982 716 878 983 717 886 984 720 900 985 746 904 986 791 905 988 796 909 993 799 912 994 805 915 E812 807 927 E819 808 934 E849 812 938 E880 821 939 E884 824 940 E905 825 941 E931 826 942 E936 842 943 E939 843 949 E942 844 952 E943 845 953 E944 846 962 E960 852 963 E980 869 968 V11 873 970 V19 918 975 V26 920 987 V40 922 992 V48 923 E885 V50 924 E906 V52 977 E933 V60 995 E950 V61



0%‐5% 5%‐10% 10%‐20% 20%‐30% 30%‐40% 40%‐50% 50%‐75% 75%‐100%(1) 996 V14 V64 V01 V17 V75 V05 V18 V84 V10 V27 V85 V12 V41 V86 V15 V44 V22 V56 V25 V59 V46 V62 V53 V65 V54 V68 V57 V73 V66 V80 V70 V74 V77 V81 V82

(1) ICD‐9 diagnosis codes are excluded from this table if they do not appear in the 5% sample or if they are fully

suppressed (suppression of 100%) from the CMS 2008 BSA Carrier Line Items PUF.

Table 21: Medicare Payment and Suppression Rates in CMS 2008 BSA Carrier Line Items PUF by HCPCS Code

HCPCS Code(1)

Number of Line Items in

PUF

Count of Services in

PUF

Total Medicare Payment in PUF

($)

Mean Medicare Payment in PUF(2) ($)

Mean Medicare Payment in Initial 5% Sample(2) ($)

Difference in Means (%)

Suppression Rate (%)(1)

(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

00100 48 48 6,600 137.5 155.7 11.7 75‐100

00103 4,424 4,424 491,785 111.2 111.9 0.6 10‐20

00104 7,937 7,937 382,975 48.3 48.9 1.4 10‐20

00120 221 221 30,705 138.9 135.2 2.8 75‐100

00126 202 202 10,780 53.4 65.4 18.4 50‐75

00140 4,161 4,161 459,355 110.4 109.0 1.3 30‐40

00142 99,594 99,594 7,643,465 76.7 77.3 0.7 0‐5

00144 758 758 97,500 128.6 131.0 1.8 40‐50

00145 4,720 4,720 609,010 129.0 131.4 1.8 20‐30

00160 1,914 1,914 225,175 117.6 118.4 0.6 40‐50

00170 302 302 34,390 113.9 111.0 2.5 75‐100

00190 30 30 4,355 145.2 134.0 8.3 75‐100

00192 3 3 450 150.0 180.5 16.9 75‐100

00210 985 985 240,750 244.4 269.8 9.4 50‐75

00214 317 317 51,400 162.1 170.8 5.1 40‐50

00215 1 1 175 175.0 202.8 13.7 75‐100

00216 28 28 10,100 360.7 379.8 5.0 75‐100

00220 412 412 72,600 176.2 194.1 9.2 30‐40

00300 5,823 5,823 667,475 114.6 116.1 1.3 40‐50

00320 4,394 4,394 580,470 132.1 141.1 6.4 40‐50



HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

00350 4,174 4,174 941,610 225.6 227.1 0.6 5‐10

00352 205 205 20,280 98.9 103.3 4.2 50‐75

00400 12,478 12,478 1,007,355 80.7 82.1 1.7 40‐50

00402 618 618 102,010 165.1 170.8 3.3 40‐50

00404 1,435 1,435 213,415 148.7 150.6 1.2 10‐20

00406 2 2 325 162.5 285.9 43.2 75‐100

00410 2,939 2,939 182,395 62.1 64.6 4.0 5‐10

00450 4 4 550 137.5 139.7 1.6 75‐100

00500 39 39 17,925 459.6 350.5 31.1 75‐100

00520 1,251 1,251 136,805 109.4 111.4 1.8 50‐75

00528 275 275 40,925 148.8 174.6 14.8 50‐75

00529 26 26 3,875 149.0 224.2 33.5 75‐100

00530 3,655 3,655 404,705 110.7 113.8 2.7 20‐30

00532 4,725 4,725 437,750 92.6 93.1 0.5 40‐50

00534 1,324 1,324 212,285 160.3 168.4 4.8 40‐50

00537 1,300 1,300 247,375 190.3 181.8 4.7 40‐50

00540 314 314 76,200 242.7 262.7 7.6 50‐75

00541 1,270 1,270 398,925 314.1 321.3 2.2 40‐50

00542 158 158 42,850 271.2 290.6 6.7 50‐75

00550 91 91 18,325 201.4 229.5 12.2 50‐75

00560 398 398 108,500 272.6 309.5 11.9 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

00562 6,288 6,288 3,363,560 534.9 529.6 1.0 10‐20

00563 189 189 109,175 577.6 565.5 2.1 50‐75

00566 789 789 469,900 595.6 591.9 0.6 10‐20

00600 1,051 1,051 216,490 206.0 232.4 11.4 40‐50

00620 53 53 7,250 136.8 232.7 41.2 75‐100

00630 7,080 7,080 1,347,280 190.3 194.1 2.0 20‐30

00635 1 1 90 90.0 84.9 6.0 75‐100

00670 3,813 3,813 1,169,870 306.8 318.1 3.5 20‐30

0067T 50 50 17,865 357.3 275.7 29.6 75‐100

00700 5 5 415 83.0 106.4 22.0 75‐100

0073T 435 435 191,350 439.9 440.0 0.0 50‐75

00740 37,675 37,675 3,325,930 88.3 89.6 1.4 20‐30

00750 791 791 77,385 97.8 100.4 2.5 30‐40

00752 1,161 1,161 169,590 146.1 148.9 1.9 20‐30

00770 613 613 210,750 343.8 336.2 2.3 40‐50

00790 21,012 21,012 3,526,535 167.8 177.1 5.2 20‐30

00792 9 9 2,350 261.1 319.7 18.3 75‐100

00794 68 68 21,525 316.5 334.2 5.3 75‐100

00796 22 22 20,600 936.4 755.1 24.0 50‐75

00797 732 732 157,390 215.0 224.5 4.2 20‐30

00800 149 149 13,550 90.9 98.4 7.5 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

00802 5 5 675 135.0 174.3 22.6 75‐100

00810 54,516 54,516 4,953,625 90.9 91.1 0.2 10‐20

00830 6,679 6,679 732,055 109.6 110.7 1.0 5‐10

00832 1,120 1,120 164,295 146.7 151.6 3.2 20‐30

00840 7,840 7,840 1,225,010 156.3 163.3 4.3 30‐40

00844 91 91 19,075 209.6 246.4 14.9 75‐100

00846 193 193 39,450 204.4 229.7 11.0 50‐75

0084T 6 6 3,600 600.0 515.0 16.5 50‐75

00851 61 61 6,635 108.8 105.7 3.0 30‐40

00860 2,497 2,497 345,860 138.5 143.5 3.4 30‐40

00862 1,249 1,249 235,785 188.8 209.6 9.9 40‐50

00864 152 152 47,400 311.8 329.1 5.2 40‐50

00865 1,287 1,287 297,920 231.5 234.5 1.3 10‐20

00868 471 471 138,400 293.8 288.9 1.7 20‐30

00872 140 140 16,600 118.6 134.5 11.9 40‐50

00873 2,708 2,708 276,575 102.1 102.9 0.8 10‐20

00880 142 142 51,125 360.0 364.2 1.2 50‐75

00882 112 112 16,000 142.9 152.3 6.2 50‐75

00902 3,236 3,236 346,350 107.0 104.6 2.3 40‐50

00904 66 66 11,575 175.4 171.2 2.5 50‐75

00906 3 3 325 108.3 101.0 7.2 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

00908 3 3 525 175.0 156.8 11.6 75‐100

00910 11,392 11,392 791,000 69.4 72.4 4.1 30‐40

00912 4,030 4,030 420,470 104.3 103.9 0.5 20‐30

00914 4,804 4,804 591,555 123.1 122.9 0.2 10‐20

00918 2,150 2,150 240,815 112.0 112.1 0.0 20‐30

00920 1,009 1,009 85,155 84.4 87.7 3.7 40‐50

00938 347 347 46,655 134.5 141.1 4.7 30‐40

00940 762 762 51,820 68.0 74.0 8.2 50‐75

00942 1,047 1,047 128,855 123.1 121.7 1.1 20‐30

00944 887 887 152,285 171.7 175.4 2.1 30‐40

00952 2,030 2,030 164,450 81.0 81.7 0.9 20‐30

01112 23 23 1,545 67.2 84.5 20.5 75‐100

01120 50 50 7,350 147.0 160.4 8.4 75‐100

01160 2 2 80 40.0 74.3 46.2 75‐100

01173 5 5 1,100 220.0 248.9 11.6 75‐100

01200 310 310 23,155 74.7 78.0 4.2 50‐75

01210 4,546 4,546 716,500 157.6 158.9 0.8 10‐20

01214 7,164 7,164 1,379,750 192.6 195.0 1.3 5‐10

01215 918 918 225,765 245.9 255.8 3.9 30‐40

01220 620 620 67,270 108.5 108.8 0.3 20‐30

01230 8,009 8,009 1,209,300 151.0 153.1 1.4 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

01232 494 494 62,690 126.9 131.4 3.4 50‐75

01250 30 30 3,415 113.8 104.5 9.0 75‐100

01260 41 41 4,565 111.3 110.6 0.7 75‐100

01270 2,162 2,162 509,040 235.4 247.8 5.0 30‐40

01274 95 95 13,980 147.2 183.4 19.8 75‐100

01320 6 6 850 141.7 113.1 25.3 75‐100

01340 5 5 625 125.0 120.0 4.1 75‐100

01360 319 319 54,020 169.3 158.2 7.1 50‐75

01380 141 141 6,730 47.7 59.1 19.3 75‐100

01382 286 286 22,965 80.3 81.1 1.0 50‐75

01392 319 319 43,270 135.6 132.8 2.2 50‐75

01400 8,508 8,508 817,690 96.1 98.9 2.8 10‐20

01402 18,051 18,051 3,273,500 181.3 182.7 0.7 0‐5

01444 6 6 1,175 195.8 262.2 25.3 75‐100

0144T 63 63 14,350 227.8 188.9 20.6 75‐100

0145T 5 5 475 95.0 230.9 58.9 75‐100

01462 3 3 325 108.3 81.9 32.3 75‐100

01464 3 3 190 63.3 96.5 34.4 75‐100

0146T 611 611 268,845 440.0 356.5 23.4 40‐50

01470 681 681 58,160 85.4 87.7 2.7 75‐100

01472 9 9 1,575 175.0 135.3 29.3 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

0147T 622 622 294,975 474.2 397.0 19.4 40‐50

01480 8,187 8,187 835,080 102.0 103.4 1.4 30‐40

01482 515 515 65,925 128.0 121.6 5.3 50‐75

01484 36 36 5,090 141.4 147.7 4.3 75‐100

01486 5 5 825 165.0 236.5 30.2 75‐100

0148T 295 295 183,675 622.6 492.9 26.3 50‐75

0149T 328 328 147,675 450.2 376.1 19.7 50‐75

0151T 1,127 1,127 159,655 141.7 126.3 12.1 20‐30

01520 58 58 5,795 99.9 100.0 0.0 50‐75

0159T 92 92 675 7.3 9.7 24.7 30‐40

01610 2,253 2,253 303,715 134.8 134.4 0.3 40‐50

01620 95 95 6,115 64.4 76.1 15.4 75‐100

01622 4 4 395 98.8 124.6 20.8 75‐100

01630 5,907 5,907 851,000 144.1 148.2 2.8 20‐30

01638 807 807 181,900 225.4 239.6 5.9 30‐40

01710 334 334 31,400 94.0 91.8 2.4 50‐75

01712 1 1 150 150.0 97.2 54.4 75‐100

0171T 210 210 132,050 628.8 660.7 4.8 30‐40

0172T 70 70 14,750 210.7 304.9 30.9 50‐75

01740 378 378 56,120 148.5 140.4 5.8 50‐75

01744 65 65 10,265 157.9 179.4 12.0 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

01770 83 83 10,650 128.3 145.7 11.9 75‐100

01772 13 13 1,875 144.2 141.3 2.1 75‐100

0177T 4 4 4,000 1000.0 984.7 1.6 75‐100

01810 9,526 9,526 669,555 70.3 74.0 5.1 10‐20

01820 367 367 28,085 76.5 76.1 0.6 50‐75

01830 2,203 2,203 242,015 109.9 105.6 4.1 50‐75

01840 56 56 7,565 135.1 139.0 2.8 75‐100

01844 7,977 7,977 1,205,325 151.1 153.1 1.3 10‐20

01916 343 343 40,915 119.3 126.9 6.0 75‐100

01920 119 119 22,000 184.9 173.3 6.7 50‐75

01922 1,143 1,143 145,510 127.3 133.2 4.5 50‐75

01924 394 394 57,300 145.4 148.7 2.2 50‐75

01925 90 90 16,125 179.2 196.1 8.6 50‐75

01926 1,031 1,031 238,750 231.6 237.0 2.3 30‐40

0192T 3 3 2,300 766.7 738.2 3.9 75‐100

01930 331 331 37,240 112.5 116.9 3.7 50‐75

01935 21 21 2,150 102.4 107.9 5.1 75‐100

01936 2,064 2,064 240,370 116.5 119.3 2.4 20‐30

01961 205 205 31,615 154.2 152.4 1.2 30‐40

01965 42 42 3,305 78.7 85.8 8.3 40‐50

01966 2 2 250 125.0 87.9 42.2 75‐100

HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

01967 166 166 49,390 297.5 302.8 1.7 30‐40

01968 9 9 860 95.6 79.6 20.0 75‐100

01991 608 608 29,210 48.0 58.8 18.3 50‐75

01992 9,106 9,106 777,190 85.3 87.4 2.4 20‐30

01996 8,932 8,936 427,995 47.9 46.4 3.3 10‐20

10021 960 960 87,950 91.6 83.2 10.1 40‐50

10022 5,221 5,276 405,090 76.8 78.3 2.0 20‐30

10040 1,118 1,118 62,985 56.3 55.7 1.1 10‐20

10060 24,094 24,094 1,687,925 70.1 68.8 1.8 10‐20

10061 7,541 7,541 931,840 123.6 119.2 3.7 10‐20

10080 21 21 2,170 103.3 93.9 10.1 75‐100

10081 12 12 1,375 114.6 142.8 19.8 75‐100

10120 917 917 87,900 95.9 82.5 16.1 50‐75

10121 70 70 12,125 173.2 162.8 6.4 75‐100

10140 2,091 2,091 213,230 102.0 91.7 11.2 40‐50

10160 1,632 1,632 135,575 83.1 75.6 9.8 50‐75

10180 420 420 50,075 119.2 125.3 4.8 40‐50

11000 3,849 3,849 135,470 35.2 33.0 6.5 30‐40

11004 46 46 18,650 405.4 386.2 5.0 50‐75

11005 93 93 49,500 532.3 531.0 0.2 50‐75

11008 25 25 5,025 201.0 195.7 2.7 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

11010 8 8 790 98.8 143.3 31.1 75‐100

11012 180 180 28,950 160.8 207.8 22.6 50‐75

11040 45,940 46,366 1,229,470 26.5 26.3 0.6 5‐10

11041 31,100 31,315 1,012,105 32.3 31.6 2.3 5‐10

11042 50,477 51,309 1,965,450 38.3 38.1 0.5 10‐20

11043 6,634 6,642 1,108,230 166.9 160.0 4.3 20‐30

11044 1,380 1,380 293,375 212.6 209.1 1.7 40‐50

11055 34,926 34,926 1,069,510 30.6 30.6 0.1 5‐10

11056 75,729 75,729 2,963,400 39.1 38.7 1.1 0‐5

11057 14,152 14,152 675,565 47.7 46.9 1.8 10‐20

11100 118,953 118,953 7,024,335 59.1 58.6 0.8 0‐5

11101 34,787 48,558 1,070,180 22.0 22.1 0.2 5‐10

11200 4,739 4,739 196,180 41.4 41.0 0.9 10‐20

11201 323 350 4,610 13.2 11.7 12.7 20‐30

11300 3,525 3,547 99,915 28.2 28.4 0.7 10‐20

11301 7,556 7,656 332,840 43.5 42.7 1.8 10‐20

11302 4,498 4,531 272,795 60.2 58.6 2.8 10‐20

11303 641 641 51,600 80.5 75.2 7.1 30‐40

11305 4,130 4,130 152,905 37.0 36.0 2.9 20‐30

11306 3,620 3,620 178,840 49.4 48.0 3.0 20‐30

11307 1,395 1,395 87,255 62.5 60.7 3.0 30‐40


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

11308 104 104 8,500 81.7 69.8 17.1 75‐100

11310 3,571 3,578 141,260 39.5 38.3 3.1 10‐20

11311 5,407 5,446 296,790 54.5 53.0 2.9 10‐20

11312 2,157 2,159 150,580 69.7 66.7 4.6 20‐30

11313 228 228 23,620 103.6 90.5 14.5 40‐50

11400 1,664 1,669 106,725 63.9 60.5 5.6 30‐40

11401 3,697 3,706 276,880 74.7 71.9 4.0 20‐30

11402 4,907 4,907 379,765 77.4 75.0 3.2 20‐30

11403 1,937 1,937 179,320 92.6 85.7 8.1 20‐30

11404 711 711 80,980 113.9 110.2 3.4 40‐50

11406 623 623 99,495 159.7 157.5 1.4 40‐50

11420 754 754 53,145 70.5 63.3 11.4 50‐75

11421 1,328 1,328 113,305 85.3 78.7 8.5 30‐40

11422 1,594 1,594 145,795 91.5 85.8 6.6 30‐40

11423 498 498 53,170 106.8 96.1 11.1 50‐75

11424 114 114 15,130 132.7 128.6 3.2 50‐75

11426 75 75 14,800 197.3 198.7 0.7 75‐100

11440 1,920 1,923 139,125 72.3 68.0 6.4 30‐40

11441 2,388 2,388 207,680 87.0 82.7 5.2 20‐30

11442 1,939 1,939 184,720 95.3 88.4 7.7 20‐30

11443 404 404 48,495 120.0 104.1 15.3 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

11444 37 37 6,925 187.2 148.7 25.9 75‐100

11446 16 16 3,850 240.6 223.3 7.8 75‐100

11450 15 15 1,845 123.0 157.9 22.1 50‐75

11451 5 5 825 165.0 182.7 9.7 50‐75

11462 2 2 150 75.0 139.0 46.0 75‐100

11470 2 2 350 175.0 194.7 10.1 75‐100

11471 4 4 900 225.0 236.1 4.7 50‐75

11600 211 211 23,470 111.2 95.8 16.1 40‐50

11601 1,478 1,478 160,420 108.5 102.4 6.0 20‐30

11602 7,319 7,335 776,385 105.8 106.0 0.1 5‐10

11603 3,718 3,718 436,615 117.4 117.3 0.1 10‐20

11604 1,220 1,220 169,980 139.3 138.9 0.3 20‐30

11606 1,120 1,120 249,015 222.3 220.9 0.7 20‐30

11620 91 91 9,730 106.9 90.5 18.2 50‐75

11621 809 809 89,845 111.1 105.5 5.2 20‐30

11622 2,652 2,654 297,975 112.3 110.9 1.3 10‐20

11623 1,078 1,078 160,355 148.8 144.0 3.3 20‐30

11624 318 318 55,015 173.0 175.0 1.1 30‐40

11626 258 258 48,250 187.0 190.1 1.6 40‐50

11640 665 665 71,965 108.2 98.0 10.5 20‐30

11641 3,355 3,358 379,300 113.0 111.0 1.7 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

11642 6,650 6,658 814,865 122.4 121.2 1.0 5‐10

11643 2,135 2,135 325,890 152.6 149.0 2.4 10‐20

11644 682 682 138,210 202.7 199.3 1.7 20‐30

11646 402 402 99,125 246.6 253.7 2.8 30‐40

11719 70,399 70,399 723,805 10.3 10.1 1.8 0‐5

11720 100,953 100,953 1,995,830 19.8 19.9 0.5 0‐5

11721 365,827 365,827 10,472,830 28.6 28.6 0.0 0‐5

11730 29,994 29,994 1,965,240 65.5 64.3 1.9 5‐10

11732 4,044 4,044 127,230 31.5 31.3 0.5 10‐20

11740 1,024 1,024 28,705 28.0 26.5 5.8 20‐30

11750 10,452 10,475 1,344,585 128.4 124.8 2.8 5‐10

11752 9 9 1,800 200.0 151.1 32.3 75‐100

11755 794 794 70,745 89.1 84.3 5.7 30‐40

11760 30 30 2,080 69.3 80.0 13.3 75‐100

11765 2,476 2,476 188,935 76.3 74.6 2.2 20‐30

11770 8 8 1,000 125.0 175.9 28.9 50‐75

11771 16 16 4,575 285.9 275.5 3.8 40‐50

11772 4 4 1,450 362.5 363.4 0.3 75‐100

11900 5,474 5,474 166,670 30.4 29.9 1.8 10‐20

11901 1,666 1,666 72,370 43.4 41.7 4.3 30‐40

11921 11 11 1,700 154.5 136.7 13.1 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

11970 41 41 9,925 242.1 301.2 19.6 50‐75

11980 65 65 4,515 69.5 63.6 9.1 50‐75

11981 382 382 26,610 69.7 54.2 28.4 40‐50

11982 122 122 12,125 99.4 87.1 14.1 40‐50

11983 367 367 60,225 164.1 156.8 4.7 10‐20

12001 6,799 6,799 494,140 72.7 71.9 1.1 20‐30

12002 5,254 5,254 422,305 80.4 78.3 2.7 20‐30

12004 591 591 56,650 95.9 93.4 2.6 30‐40

12005 119 119 14,500 121.8 114.2 6.7 50‐75

12006 6 6 900 150.0 144.5 3.8 75‐100

12011 3,476 3,476 253,840 73.0 71.8 1.7 10‐20

12013 1,995 1,995 171,190 85.8 83.8 2.3 10‐20

12014 185 185 18,425 99.6 101.3 1.7 30‐40

12015 102 102 13,075 128.2 127.2 0.8 40‐50

12016 6 6 900 150.0 133.3 12.5 75‐100

12020 64 64 9,375 146.5 143.8 1.9 50‐75

12021 19 19 2,225 117.1 101.5 15.3 75‐100

12031 1,844 1,844 230,710 125.1 116.2 7.7 30‐40

12032 7,358 7,358 1,352,940 183.9 172.6 6.5 10‐20

12034 502 502 70,765 141.0 128.3 9.9 40‐50

12035 28 28 4,630 165.4 141.9 16.6 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

12036 1 1 200 200.0 155.8 28.4 75‐100

12041 466 466 57,800 124.0 117.1 6.0 40‐50

12042 1,447 1,447 217,115 150.0 141.8 5.8 20‐30

12044 24 24 3,665 152.7 138.6 10.2 75‐100

12051 2,340 2,340 303,975 129.9 123.6 5.1 20‐30

12052 3,043 3,043 465,535 153.0 146.8 4.2 10‐20

12053 283 283 43,645 154.2 149.1 3.4 30‐40

12054 88 88 12,460 141.6 129.2 9.6 50‐75

13100 113 113 22,125 195.8 182.7 7.2 50‐75

13101 1,883 1,883 429,505 228.1 214.5 6.4 20‐30

13102 173 176 12,725 72.3 59.3 21.9 50‐75

13120 172 172 30,765 178.9 158.0 13.2 50‐75

13121 3,421 3,421 786,480 229.9 222.3 3.4 10‐20

13122 227 227 17,990 79.3 71.3 11.1 50‐75

13131 1,172 1,172 203,475 173.6 168.0 3.3 20‐30

13132 7,481 7,481 1,955,515 261.4 261.5 0.0 10‐20

13133 287 288 31,385 109.0 102.6 6.2 40‐50

13150 46 46 7,175 156.0 185.5 15.9 50‐75

13151 1,159 1,159 213,950 184.6 189.6 2.7 20‐30

13152 1,538 1,538 382,625 248.8 254.6 2.3 20‐30

13153 11 11 1,350 122.7 110.4 11.2 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

13160 255 255 123,075 482.6 482.8 0.0 50‐75

14000 217 217 85,025 391.8 353.5 10.9 50‐75

14001 165 165 95,375 578.0 484.8 19.2 50‐75

14020 821 821 372,900 454.2 424.2 7.1 40‐50

14021 586 586 378,175 645.4 586.4 10.1 30‐40

14040 3,550 3,550 1,675,800 472.1 445.2 6.0 20‐30

14041 1,618 1,618 1,090,875 674.2 632.4 6.6 20‐30

14060 4,636 4,636 2,240,200 483.2 464.7 4.0 20‐30

14061 1,027 1,027 765,875 745.7 705.0 5.8 20‐30

14300 509 509 353,125 693.8 628.6 10.4 40‐50

15002 395 395 64,475 163.2 162.3 0.6 50‐75

15003 15 15 460 30.7 28.8 6.6 75‐100

15004 447 447 97,500 218.1 216.9 0.6 50‐75

15005 2 3 185 61.7 53.6 15.0 75‐100

15100 302 302 148,150 490.6 443.3 10.7 50‐75

15101 18 18 1,455 80.8 85.2 5.1 75‐100

15115 1 1 500 500.0 433.9 15.2 75‐100

15120 190 190 104,475 549.9 490.9 12.0 50‐75

15170 3 3 375 125.0 189.5 34.1 75‐100

15220 194 194 85,800 442.3 397.6 11.2 50‐75

15221 4 4 250 62.5 70.0 10.8 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

15240 434 434 228,550 526.6 487.8 8.0 40‐50

15241 15 15 1,650 110.0 95.4 15.3 75‐100

15260 2,569 2,569 1,485,550 578.3 561.1 3.1 10‐20

15261 6 6 900 150.0 124.3 20.7 50‐75

15300 4 4 800 200.0 177.1 12.9 75‐100

15320 1 1 250 250.0 223.4 11.9 75‐100

15330 38 38 3,570 93.9 114.6 18.0 75‐100

15331 4 4 165 41.3 42.6 3.2 75‐100

15335 18 18 3,500 194.4 157.8 23.2 75‐100

15340 775 775 151,900 196.0 189.1 3.7 20‐30

15341 123 123 2,590 21.1 22.6 6.7 50‐75

15365 525 525 120,250 229.0 226.2 1.2 30‐40

15400 45 45 7,025 156.1 186.7 16.4 75‐100

15420 51 51 8,300 162.7 205.4 20.8 50‐75

15430 249 249 85,125 341.9 310.1 10.2 50‐75

15574 6 6 3,500 583.3 481.8 21.1 75‐100

15576 76 76 36,625 481.9 429.6 12.2 50‐75

15630 64 64 17,450 272.7 281.7 3.2 50‐75

15731 17 17 11,900 700.0 628.1 11.4 75‐100

15732 333 333 285,950 858.7 785.2 9.4 50‐75

15734 265 265 216,500 817.0 709.2 15.2 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

15738 54 54 40,100 742.6 697.9 6.4 75‐100

15740 275 275 177,175 644.3 584.6 10.2 30‐40

15757 1 1 2,000 2000.0 1486.0 34.6 75‐100

15760 3 3 1,800 600.0 448.2 33.9 75‐100

15821 4 4 900 225.0 230.3 2.3 75‐100

15822 125 125 38,900 311.2 305.2 2.0 50‐75

15823 6,391 6,432 2,904,100 451.5 443.0 1.9 5‐10

15830 20 20 16,300 815.0 716.5 13.7 75‐100

15851 13 13 930 71.5 61.8 15.8 75‐100

15852 14 14 490 35.0 29.9 16.9 75‐100

15931 8 8 3,550 443.8 422.4 5.1 50‐75

15933 1 1 600 600.0 606.4 1.1 75‐100

15934 1 1 600 600.0 539.3 11.2 75‐100

15936 66 66 37,775 572.3 559.1 2.4 40‐50

15937 39 39 22,525 577.6 570.2 1.3 50‐75

15940 4 4 1,900 475.0 429.0 10.7 75‐100

15941 4 4 2,125 531.3 456.1 16.5 50‐75

15944 3 3 1,500 500.0 515.0 2.9 75‐100

15945 3 3 2,100 700.0 547.7 27.8 75‐100

15946 107 107 104,700 978.5 1088.2 10.1 10‐20

15956 6 6 3,100 516.7 643.8 19.7 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

15958 5 5 1,950 390.0 538.8 27.6 75‐100

16000 7 7 240 34.3 37.6 8.7 75‐100

16020 242 242 11,840 48.9 48.2 1.6 50‐75

17000 229,031 229,031 9,180,010 40.1 40.1 0.1 0‐5

17003 167,602 718,654 3,627,320 5.0 5.1 0.5 0‐5

17004 35,031 35,031 4,142,020 118.2 115.5 2.3 0‐5

17106 9 9 2,400 266.7 232.3 14.8 75‐100

17108 14 14 8,400 600.0 610.7 1.8 75‐100

17110 62,828 62,828 3,892,425 62.0 61.3 1.1 0‐5

17111 2,846 2,846 222,710 78.3 76.5 2.3 10‐20

17250 1,434 1,434 59,585 41.6 39.8 4.4 50‐75

17260 808 808 38,075 47.1 46.2 2.0 20‐30

17261 5,879 5,913 446,915 75.6 74.5 1.4 5‐10

17262 9,025 9,106 883,795 97.1 95.6 1.5 0‐5

17263 1,690 1,690 199,015 117.8 113.8 3.5 10‐20

17264 261 261 34,065 130.5 124.5 4.9 20‐30

17266 53 53 8,075 152.4 141.3 7.8 40‐50

17270 438 438 36,100 82.4 78.9 4.5 20‐30

17271 2,574 2,576 221,940 86.2 86.0 0.2 5‐10

17272 3,117 3,127 343,890 110.0 106.2 3.6 5‐10

17273 501 501 66,305 132.3 125.4 5.6 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

17274 81 81 12,805 158.1 148.4 6.5 30‐40

17276 24 24 4,475 186.5 170.4 9.4 50‐75

17280 2,028 2,033 149,865 73.7 72.0 2.4 10‐20

17281 6,545 6,577 662,625 100.7 99.0 1.8 5‐10

17282 5,120 5,142 630,240 122.6 121.4 1.0 5‐10

17283 733 733 112,985 154.1 147.3 4.6 10‐20

17284 119 119 22,650 190.3 178.1 6.9 30‐40

17286 22 22 5,325 242.0 220.9 9.6 50‐75

17311 22,140 22,246 8,509,435 382.5 379.9 0.7 0‐5

17312 12,683 17,446 5,129,490 294.0 290.6 1.2 0‐5

17313 2,919 2,919 1,135,100 388.9 374.5 3.8 5‐10

17314 1,316 1,607 461,675 287.3 280.5 2.4 5‐10

17315 364 538 31,290 58.2 56.6 2.8 30‐40

17340 59 59 1,585 26.9 26.3 2.2 50‐75

19000 760 760 41,560 54.7 54.9 0.5 10‐20

19001 105 105 1,865 17.8 17.8 0.2 20‐30

19020 35 35 7,225 206.4 198.2 4.1 50‐75

19030 48 48 3,730 77.7 70.6 10.0 30‐40

19100 257 257 21,880 85.1 80.2 6.1 30‐40

19101 89 89 15,350 172.5 172.3 0.1 50‐75

19102 2,313 2,318 233,050 100.5 99.9 0.7 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

19103 4,711 4,718 1,110,710 235.4 239.4 1.6 5‐10

19110 22 22 4,550 206.8 211.9 2.4 50‐75

19120 1,181 1,181 336,825 285.2 285.5 0.1 20‐30

19125 1,729 1,729 539,325 311.9 311.6 0.1 10‐20

19126 80 80 9,375 117.2 131.1 10.6 30‐40

19272 4 4 4,000 1000.0 1146.8 12.8 75‐100

19290 2,651 2,651 148,940 56.2 56.2 0.1 5‐10

19291 135 135 3,755 27.8 31.1 10.5 20‐30

19295 5,250 5,274 395,705 75.0 74.9 0.1 5‐10

19296 195 195 563,850 2891.5 2794.8 3.5 5‐10

19297 33 33 2,180 66.1 156.1 57.7 30‐40

19300 38 38 11,450 301.3 297.4 1.3 40‐50

19301 1,779 1,779 719,820 404.6 398.5 1.5 10‐20

19302 480 480 296,170 617.0 575.5 7.2 10‐20

19303 884 884 504,090 570.2 545.2 4.6 10‐20

19304 2 2 750 375.0 348.3 7.7 75‐100

19305 15 15 11,000 733.3 757.8 3.2 40‐50

19307 738 738 522,450 707.9 684.1 3.5 10‐20

19316 19 19 9,050 476.3 403.5 18.0 75‐100

19318 166 166 139,025 837.5 818.1 2.4 30‐40

19325 3 3 1,450 483.3 538.8 10.3 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

19328 5 5 1,050 210.0 269.9 22.2 75‐100

19330 4 4 900 225.0 326.2 31.0 75‐100

19340 12 12 1,750 145.8 199.7 27.0 75‐100

19342 37 37 24,450 660.8 644.9 2.5 50‐75

19350 19 19 6,375 335.5 443.0 24.3 75‐100

19357 111 111 124,500 1121.6 1049.9 6.8 30‐40

19361 10 10 10,000 1000.0 972.0 2.9 50‐75

19364 5 5 10,000 2000.0 1611.5 24.1 75‐100

19366 4 4 4,000 1000.0 923.2 8.3 75‐100

19367 4 4 4,000 1000.0 1105.8 9.6 50‐75

19370 4 4 900 225.0 419.2 46.3 75‐100

19371 34 34 17,650 519.1 478.6 8.5 50‐75

19380 45 45 22,375 497.2 492.9 0.9 50‐75

19499 2 2 140 70.0 145.0 51.7 75‐100

20000 79 79 11,325 143.4 126.9 13.0 50‐75

20005 75 75 14,055 187.4 175.1 7.0 50‐75

20100 1 1 425 425.0 336.4 26.3 75‐100

20200 2 2 130 65.0 94.0 30.8 75‐100

20205 46 46 4,600 100.0 123.5 19.0 50‐75

20206 131 131 5,990 45.7 66.3 31.1 50‐75

20220 113 113 6,430 56.9 63.8 10.9 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

20225 328 328 26,345 80.3 107.1 25.0 50‐75

20245 3 3 675 225.0 350.1 35.7 75‐100

20251 1 1 150 150.0 183.0 18.1 75‐100

20501 50 50 1,485 29.7 30.6 2.9 75‐100

20525 7 7 1,225 175.0 207.4 15.6 75‐100

20526 2,206 2,209 113,385 51.3 50.7 1.2 10‐20

20550 35,095 35,292 1,293,125 36.6 35.7 2.6 5‐10

20551 5,122 7,689 213,435 27.8 26.8 3.4 10‐20

20552 13,397 13,397 426,800 31.9 31.3 1.7 5‐10

20553 6,609 6,609 238,345 36.1 35.0 2.9 10‐20

20600 16,497 16,551 573,995 34.7 33.9 2.3 10‐20

20605 20,501 20,544 769,375 37.5 37.0 1.1 10‐20

20610 252,230 255,038 12,517,010 49.1 49.1 0.0 0‐5

20612 741 741 28,125 38.0 36.3 4.5 20‐30

20650 35 35 2,040 58.3 77.3 24.6 75‐100

20660 10 10 865 86.5 109.2 20.8 75‐100

20661 13 13 3,875 298.1 279.2 6.7 75‐100

20665 7 7 490 70.0 77.5 9.7 75‐100

20670 188 188 46,345 246.5 214.4 15.0 50‐75

20680 2,033 2,033 535,750 263.5 252.9 4.2 30‐40

20690 156 156 31,275 200.5 222.1 9.7 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

20692 18 18 10,575 587.5 469.8 25.1 75‐100

20694 70 70 14,175 202.5 201.2 0.6 75‐100

20900 8 8 1,425 178.1 167.4 6.4 75‐100

20902 40 40 7,895 197.4 193.6 2.0 75‐100

20912 1 1 175 175.0 208.9 16.2 75‐100

20924 9 9 1,575 175.0 192.2 8.9 75‐100

20926 177 177 27,475 155.2 178.5 13.1 50‐75

20931 824 831 69,390 83.5 82.8 0.8 20‐30

20937 612 612 64,170 104.9 99.5 5.4 20‐30

20938 98 98 12,580 128.4 102.2 25.6 50‐75

20974 8 8 350 43.8 43.6 0.4 75‐100

20975 20 20 2,500 125.0 105.0 19.1 50‐75

20979 2 2 85 42.5 41.3 2.9 75‐100

20985 546 546 57,775 105.8 106.6 0.8 5‐10

20987 3 3 0 0.0 109.0 100.0 75‐100

21015 77 77 12,900 167.5 224.4 25.3 50‐75

21031 3 3 750 250.0 197.5 26.6 75‐100

21085 4 4 2,000 500.0 474.3 5.4 75‐100

21235 52 52 13,675 263.0 300.9 12.6 75‐100

21282 3 3 375 125.0 208.2 40.0 75‐100

21310 223 223 3,790 17.0 19.7 13.6 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

21315 2 2 200 100.0 119.9 16.6 75‐100

21320 32 32 3,900 121.9 134.5 9.4 50‐75

21365 7 7 5,300 757.1 705.8 7.3 50‐75

21390 18 18 10,600 588.9 573.1 2.8 50‐75

21453 2 2 1,000 500.0 473.0 5.7 75‐100

21461 2 2 1,200 600.0 566.9 5.8 75‐100

21462 1 1 700 700.0 613.4 14.1 75‐100

21470 4 4 3,200 800.0 786.5 1.7 75‐100

21480 15 15 375 25.0 29.7 15.8 50‐75

21501 48 48 9,350 194.8 215.9 9.8 50‐75

21550 20 20 2,200 110.0 134.0 17.9 75‐100

21555 107 107 24,975 233.4 247.0 5.5 75‐100

21556 57 57 16,400 287.7 282.5 1.8 75‐100

21627 33 33 9,450 286.4 269.1 6.4 50‐75

21750 26 26 9,765 375.6 337.8 11.2 50‐75

21800 917 917 46,670 50.9 48.9 4.0 20‐30

21930 172 172 48,150 279.9 279.1 0.3 50‐75

21935 17 17 14,000 823.5 724.9 13.6 75‐100

22010 5 5 2,125 425.0 466.3 8.9 75‐100

22015 31 31 15,175 489.5 507.0 3.5 50‐75

22102 1 1 700 700.0 400.9 74.6 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

22207 2 2 4,000 2000.0 1257.2 59.1 75‐100

22212 3 3 1,500 500.0 462.3 8.1 75‐100

22214 27 27 14,300 529.6 375.5 41.0 75‐100

22216 19 19 3,445 181.3 175.8 3.1 75‐100

22305 84 84 11,055 131.6 121.6 8.2 40‐50

22310 318 318 61,390 193.1 182.9 5.5 30‐40

22315 5 5 2,500 500.0 516.3 3.2 75‐100

22318 33 33 30,475 923.5 807.7 14.3 40‐50

22325 3 3 1,500 500.0 375.8 33.1 75‐100

22326 18 18 13,900 772.2 573.1 34.8 75‐100

22327 4 4 4,000 1000.0 645.3 55.0 75‐100

22328 1 1 200 200.0 132.1 51.4 75‐100

22520 591 591 390,200 660.2 625.8 5.5 20‐30

22521 618 618 413,325 668.8 603.0 10.9 20‐30

22522 239 239 44,700 187.0 197.8 5.5 30‐40

22523 1,005 1,005 451,925 449.7 456.8 1.6 10‐20

22524 1,137 1,137 460,450 405.0 409.6 1.1 10‐20

22525 477 482 98,525 204.4 206.5 1.0 10‐20

22533 9 9 7,550 838.9 576.9 45.4 75‐100

22554 1,799 1,799 624,125 346.9 343.2 1.1 20‐30

22556 3 3 3,000 1000.0 566.5 76.5 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

22558 308 308 186,400 605.2 544.1 11.2 40‐50

22585 1,328 1,441 265,440 184.2 174.8 5.4 30‐40

22590 8 8 8,000 1000.0 708.8 41.1 75‐100

22595 27 27 26,400 977.8 690.5 41.6 50‐75

22600 260 260 144,435 555.5 451.1 23.2 50‐75

22610 7 7 4,425 632.1 426.1 48.4 75‐100

22612 3,984 3,984 2,780,475 697.9 752.7 7.3 10‐20

22614 2,876 3,489 775,120 222.2 208.9 6.4 30‐40

22630 1,569 1,569 733,385 467.4 443.2 5.5 20‐30

22632 395 397 67,820 170.8 170.2 0.4 30‐40

22800 1 1 500 500.0 405.5 23.3 75‐100

22802 21 21 35,000 1666.7 1001.8 66.4 50‐75

22804 3 3 6,000 2000.0 1249.9 60.0 75‐100

22830 141 141 37,190 263.8 251.6 4.8 50‐75

22840 1,652 1,652 695,680 421.1 393.7 7.0 10‐20

22842 2,156 2,156 948,215 439.8 411.2 7.0 10‐20

22843 97 97 58,060 598.6 451.1 32.7 50‐75

22844 7 7 5,100 728.6 477.0 52.8 75‐100

22845 1,644 1,644 682,335 415.0 389.9 6.4 20‐30

22846 242 242 113,525 469.1 394.9 18.8 40‐50

22848 12 12 3,300 275.0 196.0 40.3 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

22849 35 35 14,950 427.1 400.6 6.6 75‐100

22850 69 69 14,590 211.4 196.9 7.4 50‐75

22851 3,541 3,962 883,215 222.9 211.4 5.4 20‐30

22852 215 215 47,475 220.8 212.3 4.0 50‐75

22855 42 42 14,285 340.1 298.8 13.8 50‐75

22900 9 9 2,475 275.0 240.4 14.4 75‐100

23030 8 8 1,350 168.8 172.0 1.9 75‐100

23040 1 1 500 500.0 404.3 23.7 75‐100

23075 27 27 3,485 129.1 171.4 24.7 75‐100

23076 5 5 1,925 385.0 347.6 10.8 75‐100

23077 1 1 800 800.0 787.5 1.6 75‐100

23120 730 730 146,510 200.7 196.7 2.1 30‐40

23130 221 221 67,200 304.1 318.0 4.4 40‐50

23331 22 22 4,575 208.0 245.8 15.4 50‐75

23332 10 10 3,125 312.5 342.9 8.9 75‐100

23350 1,181 1,181 88,670 75.1 75.6 0.7 20‐30

23405 27 27 5,905 218.7 192.6 13.6 75‐100

23410 249 249 157,905 634.2 523.3 21.2 40‐50

23412 1,616 1,616 1,028,245 636.3 567.6 12.1 20‐30

23415 7 7 3,025 432.1 443.6 2.6 75‐100

23420 602 602 408,320 678.3 615.3 10.2 20‐30


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

23430 285 285 71,500 250.9 249.0 0.7 40‐50

23440 9 9 2,550 283.3 264.3 7.2 75‐100

23455 2 2 1,400 700.0 489.3 43.1 75‐100

23470 434 434 286,675 660.5 614.8 7.4 30‐40

23472 1,080 1,080 812,125 752.0 767.0 2.0 10‐20

23485 1 1 700 700.0 543.0 28.9 75‐100

23500 454 454 59,295 130.6 123.9 5.4 20‐30

23515 26 26 11,580 445.4 373.1 19.4 50‐75

23540 3 3 350 116.7 114.7 1.7 75‐100

23550 2 2 775 387.5 275.8 40.5 75‐100

23570 88 88 13,350 151.7 134.7 12.6 30‐40

23600 1,699 1,699 337,460 198.6 195.6 1.6 5‐10

23605 69 69 18,550 268.8 265.2 1.4 40‐50

23615 333 333 171,155 514.0 453.1 13.4 20‐30

23616 175 175 138,175 789.6 736.5 7.2 20‐30

23620 116 116 19,710 169.9 154.1 10.3 40‐50

23630 10 10 4,500 450.0 335.5 34.1 75‐100

23650 585 585 92,600 158.3 154.9 2.2 20‐30

23655 83 83 21,425 258.1 249.1 3.6 40‐50

23700 184 184 31,085 168.9 153.2 10.3 40‐50

23930 16 16 2,180 136.3 147.4 7.6 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

23931 12 12 1,675 139.6 117.9 18.4 75‐100

24075 32 32 5,600 175.0 224.5 22.1 75‐100

24076 5 5 1,725 345.0 315.7 9.3 75‐100

24077 6 6 3,600 600.0 542.1 10.7 75‐100

24105 232 232 64,775 279.2 268.4 4.0 30‐40

24305 1 1 400 400.0 404.8 1.2 75‐100

24342 21 21 11,300 538.1 502.5 7.1 75‐100

24357 5 5 3,300 660.0 375.4 75.8 75‐100

24358 30 30 16,400 546.7 475.2 15.0 50‐75

24359 32 32 19,575 611.7 499.4 22.5 50‐75

24363 14 14 14,000 1000.0 862.4 16.0 50‐75

24430 7 7 4,900 700.0 580.2 20.7 75‐100

24435 3 3 2,300 766.7 615.9 24.5 75‐100

24500 200 200 43,725 218.6 214.3 2.0 20‐30

24505 26 26 8,200 315.4 309.1 2.0 50‐75

24515 64 64 37,380 584.1 475.6 22.8 50‐75

24516 108 108 64,460 596.9 493.3 21.0 40‐50

24530 42 42 10,300 245.2 229.9 6.7 40‐50

24535 1 1 375 375.0 383.9 2.3 75‐100

24545 44 44 27,085 615.6 474.8 29.6 40‐50

24546 27 27 20,025 741.7 650.1 14.1 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

24560 4 4 700 175.0 177.8 1.5 75‐100

24576 7 7 1,525 217.9 208.6 4.4 75‐100

24579 7 7 4,200 600.0 471.2 27.3 50‐75

24586 2 2 1,600 800.0 614.0 30.3 75‐100

24600 37 37 6,900 186.5 191.6 2.7 50‐75

24605 4 4 1,200 300.0 274.6 9.3 75‐100

24635 7 7 4,200 600.0 497.8 20.5 75‐100

24650 293 293 47,815 163.2 149.3 9.3 20‐30

24665 5 5 1,350 270.0 364.6 25.9 75‐100

24666 14 14 7,100 507.1 389.1 30.3 50‐75

24670 50 50 8,885 177.7 165.6 7.3 40‐50

24685 240 240 99,235 413.5 362.3 14.1 30‐40

25000 348 348 101,850 292.7 281.2 4.1 20‐30

25028 14 14 4,275 305.4 317.7 3.9 75‐100

25075 45 45 8,650 192.2 220.1 12.7 75‐100

25076 3 3 1,050 350.0 343.1 2.0 75‐100

25077 2 2 1,200 600.0 515.9 16.3 75‐100

25110 1 1 275 275.0 250.8 9.6 75‐100

25111 336 336 82,600 245.8 240.9 2.1 20‐30

25112 4 4 1,325 331.3 302.5 9.5 75‐100

25115 185 185 110,700 598.4 596.6 0.3 30‐40


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

25116 28 28 14,325 511.6 454.5 12.6 50‐75

25118 17 17 4,250 250.0 233.8 6.9 75‐100

25210 41 41 7,975 194.5 216.5 10.2 50‐75

25215 3 3 1,350 450.0 375.6 19.8 75‐100

25240 2 2 350 175.0 268.1 34.7 75‐100

25246 23 23 2,205 95.9 101.6 5.6 50‐75

25290 17 17 3,875 227.9 258.3 11.7 75‐100

25310 338 338 89,680 265.3 283.9 6.5 30‐40

25320 1 1 700 700.0 478.0 46.5 75‐100

25332 1 1 600 600.0 624.6 3.9 75‐100

25400 3 3 1,900 633.3 597.7 6.0 75‐100

25405 4 4 3,200 800.0 720.4 11.0 75‐100

25440 2 2 2,000 1000.0 714.0 40.1 75‐100

25445 8 8 4,000 500.0 518.0 3.5 75‐100

25447 762 762 433,965 569.5 520.5 9.4 20‐30

25500 36 36 6,500 180.6 160.8 12.3 50‐75

25505 1 1 325 325.0 310.2 4.8 75‐100

25530 69 69 11,475 166.3 149.3 11.4 40‐50

25545 14 14 3,350 239.3 280.2 14.6 75‐100

25560 40 40 6,825 170.6 161.5 5.7 40‐50

25565 4 4 1,375 343.8 300.6 14.3 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

25575 33 33 20,700 627.3 503.9 24.5 50‐75

25600 2,253 2,253 405,610 180.0 175.5 2.6 10‐20

25605 1,135 1,135 439,375 387.1 379.3 2.1 10‐20

25606 409 409 187,150 457.6 447.4 2.3 20‐30

25607 356 356 171,710 482.3 438.2 10.1 20‐30

25608 316 316 176,835 559.6 520.2 7.6 20‐30

25609 569 569 375,355 659.7 619.0 6.6 10‐20

25622 87 87 17,275 198.6 182.7 8.7 40‐50

25630 59 59 12,550 212.7 187.7 13.3 50‐75

25650 24 24 4,700 195.8 178.1 9.9 50‐75

25651 1 1 175 175.0 329.6 46.9 75‐100

25652 10 10 2,075 207.5 367.3 43.5 50‐75

25810 4 4 2,400 600.0 602.5 0.4 75‐100

25825 9 9 6,000 666.7 554.0 20.3 75‐100

26010 54 54 6,555 121.4 117.6 3.2 50‐75

26011 32 32 4,925 153.9 159.7 3.6 75‐100

26020 12 12 3,175 264.6 242.3 9.2 75‐100

26025 1 1 275 275.0 253.4 8.5 75‐100

26040 16 16 4,975 310.9 230.9 34.6 75‐100

26045 11 11 4,425 402.3 355.2 13.3 75‐100

26055 3,969 3,971 865,280 217.9 215.2 1.2 5‐10


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

26115 39 39 11,975 307.1 291.1 5.5 75‐100

26116 43 43 15,325 356.4 322.3 10.6 75‐100

26121 79 79 36,675 464.2 430.5 7.8 50‐75

26123 528 528 308,725 584.7 574.6 1.8 10‐20

26125 280 280 63,325 226.2 221.9 1.9 20‐30

26145 167 167 51,250 306.9 293.0 4.7 50‐75

26160 601 601 165,150 274.8 267.3 2.8 30‐40

26210 7 7 2,275 325.0 270.8 20.0 75‐100

26356 4 4 2,900 725.0 587.7 23.4 75‐100

26410 1 1 400 400.0 330.3 21.1 75‐100

26418 25 25 8,175 327.0 334.8 2.3 75‐100

26432 9 9 3,250 361.1 356.6 1.3 50‐75

26437 1 1 225 225.0 327.6 31.3 75‐100

26480 107 107 32,025 299.3 341.1 12.3 50‐75

26516 1 1 200 200.0 264.2 24.3 75‐100

26531 36 36 8,475 235.4 288.2 18.3 75‐100

26536 26 26 11,050 425.0 447.7 5.1 50‐75

26540 2 2 950 475.0 414.8 14.5 75‐100

26600 625 625 102,885 164.6 154.4 6.6 20‐30

26605 43 43 9,150 212.8 188.1 13.1 50‐75

26608 11 11 4,925 447.7 340.3 31.6 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

26615 31 31 14,625 471.8 370.9 27.2 50‐75

26700 6 6 900 150.0 169.5 11.5 75‐100

26720 430 430 47,320 110.0 103.2 6.7 20‐30

26725 63 63 14,500 230.2 197.8 16.3 50‐75

26727 35 35 14,075 402.1 346.6 16.0 50‐75

26735 22 22 7,750 352.3 316.0 11.5 50‐75

26740 12 12 1,825 152.1 130.1 16.9 75‐100

26746 10 10 4,950 495.0 472.5 4.8 75‐100

26750 167 167 17,945 107.5 97.5 10.2 40‐50

26756 2 2 300 150.0 284.8 47.3 75‐100

26765 26 26 8,550 328.8 279.8 17.5 75‐100

26770 158 158 21,825 138.1 135.8 1.7 30‐40

26841 2 2 1,000 500.0 447.6 11.7 75‐100

26850 9 9 3,725 413.9 421.2 1.7 75‐100

26860 94 94 36,025 383.2 387.3 1.0 50‐75

26861 6 6 450 75.0 106.3 29.4 75‐100

26862 3 3 1,800 600.0 420.1 42.8 75‐100

26951 39 39 15,450 396.2 363.8 8.9 75‐100

26952 3 3 1,350 450.0 405.8 10.9 75‐100

26990 58 58 19,925 343.5 354.3 3.0 75‐100

26992 4 4 2,800 700.0 563.4 24.2 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

27030 4 4 2,325 581.3 453.2 28.2 75‐100

27047 1 1 375 375.0 337.7 11.1 75‐100

27062 9 9 1,975 219.4 266.8 17.8 75‐100

27070 1 1 600 600.0 414.6 44.7 75‐100

27071 1 1 600 600.0 444.2 35.1 75‐100

27090 3 3 1,400 466.7 334.2 39.7 75‐100

27091 62 62 50,025 806.9 840.2 4.0 40‐50

27093 476 476 51,465 108.1 106.6 1.4 30‐40

27095 111 111 8,970 80.8 92.8 12.9 50‐75

27096 9,732 9,738 1,036,090 106.4 103.3 3.0 10‐20

27122 4 4 3,200 800.0 630.7 26.8 75‐100

27125 658 658 439,250 667.6 650.3 2.6 10‐20

27130 7,677 7,677 5,381,050 700.9 730.0 4.0 0‐5

27132 281 281 229,300 816.0 873.9 6.6 20‐30

27134 646 646 567,725 878.8 979.2 10.2 10‐20

27137 333 333 233,575 701.4 701.8 0.1 20‐30

27138 137 137 95,400 696.4 718.4 3.1 30‐40

27187 1 1 700 700.0 565.8 23.7 75‐100

27193 786 786 256,350 326.1 322.2 1.2 10‐20

27200 7 7 875 125.0 102.0 22.6 75‐100

27216 1 1 800 800.0 523.9 52.7 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

27220 97 97 36,125 372.4 354.0 5.2 30‐40

27227 11 11 11,000 1000.0 756.6 32.2 50‐75

27228 19 19 19,000 1000.0 1091.0 8.3 40‐50

27230 49 49 15,850 323.5 314.9 2.7 50‐75

27232 2 2 1,200 600.0 537.0 11.7 75‐100

27235 801 801 523,000 652.9 651.5 0.2 5‐10

27236 4,507 4,507 3,147,780 698.4 687.6 1.6 0‐5

27238 45 45 14,350 318.9 318.9 0.0 50‐75

27240 8 8 5,900 737.5 652.9 13.0 50‐75

27244 1,674 1,674 1,190,300 711.1 702.3 1.2 5‐10

27245 4,005 4,005 3,416,850 853.1 878.8 2.9 0‐5

27246 110 110 29,750 270.5 263.6 2.6 30‐40

27248 35 35 14,795 422.7 320.4 32.0 50‐75

27250 95 95 27,225 286.6 291.6 1.7 40‐50

27252 16 16 8,800 550.0 493.7 11.4 75‐100

27254 1 1 900 900.0 744.0 21.0 75‐100

27265 177 177 42,050 237.6 235.8 0.7 30‐40

27266 289 289 110,475 382.3 380.1 0.6 40‐50

27269 3 3 2,700 900.0 541.1 66.3 75‐100

27301 98 98 29,300 299.0 306.7 2.5 50‐75

27303 1 1 450 450.0 300.1 50.0 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

27310 55 55 25,550 464.5 373.9 24.2 75‐100

27327 18 18 3,925 218.1 246.1 11.4 75‐100

27328 4 4 1,175 293.8 288.2 1.9 75‐100

27329 6 6 4,200 700.0 597.5 17.2 75‐100

27340 18 18 5,000 277.8 263.3 5.5 75‐100

27345 7 7 1,975 282.1 177.0 59.4 75‐100

27360 4 4 2,400 600.0 443.4 35.3 75‐100

27370 489 489 56,860 116.3 110.2 5.5 30‐40

27380 1 1 400 400.0 276.2 44.8 75‐100

27385 24 24 10,460 435.8 331.2 31.6 75‐100

27403 2 2 450 225.0 213.7 5.3 75‐100

27418 2 2 1,200 600.0 420.3 42.8 75‐100

27422 4 4 2,000 500.0 347.4 43.9 75‐100

27425 15 15 2,375 158.3 233.3 32.1 75‐100

27438 15 15 8,700 580.0 366.3 58.3 75‐100

27446 939 939 570,850 607.9 622.7 2.4 10‐20

27447 18,852 18,852 13,507,765 716.5 782.8 8.5 0‐5

27470 5 5 4,000 800.0 560.4 42.8 75‐100

27472 8 8 6,525 815.6 708.1 15.2 75‐100

27486 478 478 342,575 716.7 689.4 4.0 20‐30

27487 826 826 641,575 776.7 907.2 14.4 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

27488 194 194 127,825 658.9 623.0 5.8 30‐40

27495 4 4 3,200 800.0 577.4 38.6 75‐100

27500 11 11 3,825 347.7 348.0 0.1 75‐100

27501 35 35 12,000 342.9 343.4 0.2 40‐50

27502 4 4 2,700 675.0 533.6 26.5 50‐75

27503 17 17 10,100 594.1 561.7 5.8 40‐50

27506 390 390 314,350 806.0 765.5 5.3 20‐30

27507 180 180 106,835 593.5 525.7 12.9 30‐40

27508 35 35 12,525 357.9 340.4 5.1 50‐75

27510 1 1 600 600.0 471.1 27.4 75‐100

27511 243 243 147,440 606.7 581.5 4.3 20‐30

27513 125 125 106,700 853.6 779.2 9.6 20‐30

27514 56 56 38,350 684.8 577.3 18.6 40‐50

27520 307 307 63,225 205.9 201.0 2.5 20‐30

27524 234 234 112,240 479.7 433.5 10.6 30‐40

27530 253 253 65,375 258.4 196.6 31.5 30‐40

27532 5 5 1,400 280.0 348.0 19.5 75‐100

27535 94 94 60,605 644.7 496.5 29.9 40‐50

27536 67 67 55,375 826.5 689.7 19.8 30‐40

27560 4 4 750 187.5 213.7 12.2 75‐100

27570 307 307 42,520 138.5 127.4 8.7 40‐50


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

27580 7 7 7,000 1000.0 860.9 16.2 75‐100

27590 571 571 334,435 585.7 512.7 14.2 30‐40

27596 14 14 6,850 489.3 476.6 2.7 75‐100

27602 23 23 4,500 195.7 214.3 8.7 75‐100

27603 58 58 15,150 261.2 255.2 2.3 75‐100

27606 19 19 1,950 102.6 124.0 17.2 75‐100

27613 4 4 700 175.0 147.9 18.3 75‐100

27615 2 2 1,400 700.0 590.6 18.5 75‐100

27618 3 3 750 250.0 273.0 8.4 75‐100

27630 1 1 275 275.0 255.9 7.5 75‐100

27640 14 14 8,500 607.1 531.4 14.3 75‐100

27641 1 1 500 500.0 441.2 13.3 75‐100

27650 41 41 21,925 534.8 439.9 21.6 50‐75

27652 2 2 1,200 600.0 663.3 9.5 75‐100

27654 27 27 13,400 496.3 424.3 17.0 75‐100

27658 3 3 400 133.3 170.8 21.9 75‐100

27680 3 3 600 200.0 277.9 28.0 75‐100

27685 35 35 6,775 193.6 214.0 9.6 75‐100

27687 52 52 10,200 196.2 201.8 2.8 50‐75

27690 3 3 1,350 450.0 330.4 36.2 75‐100

27691 41 41 21,000 512.2 439.9 16.4 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

27695 1 1 175 175.0 237.1 26.2 75‐100

27698 11 11 4,675 425.0 306.8 38.5 75‐100

27702 15 15 10,500 700.0 556.7 25.7 50‐75

27707 1 1 150 150.0 146.6 2.3 75‐100

27720 4 4 2,400 600.0 453.6 32.3 75‐100

27724 8 8 7,400 925.0 675.6 36.9 50‐75

27726 4 4 2,400 600.0 648.9 7.5 75‐100

27750 93 93 21,075 226.6 214.6 5.6 40‐50

27752 37 37 11,625 314.2 321.5 2.3 50‐75

27758 55 55 33,650 611.8 467.1 31.0 50‐75

27759 140 140 92,845 663.2 566.3 17.1 30‐40

27760 109 109 22,975 210.8 200.5 5.1 30‐40

27766 29 29 9,500 327.6 365.8 10.4 50‐75

27780 122 122 22,865 187.4 169.6 10.5 40‐50

27786 1,245 1,245 248,140 199.3 194.3 2.6 10‐20

27788 15 15 4,450 296.7 246.8 20.2 75‐100

27792 226 226 110,925 490.8 463.3 5.9 20‐30

27808 170 170 35,800 210.6 196.2 7.4 20‐30

27810 28 28 7,825 279.5 286.7 2.5 50‐75

27814 617 617 306,510 496.8 461.4 7.7 10‐20

27816 24 24 4,475 186.5 175.1 6.5 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

27818 39 39 10,375 266.0 279.2 4.7 50‐75

27822 261 261 150,840 577.9 521.3 10.9 20‐30

27823 39 39 27,900 715.4 566.6 26.3 40‐50

27824 3 3 625 208.3 182.8 13.9 75‐100

27825 3 3 525 175.0 258.2 32.2 75‐100

27827 10 10 7,900 790.0 619.8 27.5 75‐100

27828 32 32 29,400 918.8 777.2 18.2 40‐50

27829 59 59 13,500 228.8 233.3 1.9 50‐75

27840 62 62 12,725 205.2 208.1 1.4 40‐50

27848 2 2 1,200 600.0 514.5 16.6 75‐100

27870 80 80 54,625 682.8 550.9 23.9 50‐75

27880 560 560 351,510 627.7 572.5 9.6 30‐40

27881 3 3 1,900 633.3 571.7 10.8 75‐100

27882 16 16 7,400 462.5 443.4 4.3 50‐75

27886 9 9 3,575 397.2 420.2 5.5 75‐100

28001 46 46 9,350 203.3 145.7 39.5 75‐100

28002 65 65 18,500 284.6 284.8 0.0 50‐75

28003 24 24 9,950 414.6 379.4 9.3 75‐100

28005 66 66 30,375 460.2 416.8 10.4 50‐75

28008 31 31 8,850 285.5 252.2 13.2 50‐75

28010 179 179 23,395 130.7 119.8 9.1 40‐50


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

28011 14 14 2,550 182.1 175.8 3.6 75‐100

28035 71 71 20,425 287.7 262.5 9.6 40‐50

28043 6 6 1,600 266.7 225.8 18.1 75‐100

28045 27 27 6,100 225.9 254.8 11.3 75‐100

28060 49 49 11,925 243.4 246.1 1.1 50‐75

28062 1 1 300 300.0 304.0 1.3 75‐100

28080 352 352 94,650 268.9 264.6 1.6 20‐30

28090 111 111 27,975 252.0 244.2 3.2 50‐75

28092 6 6 1,775 295.8 275.0 7.6 75‐100

28104 17 17 4,225 248.5 260.6 4.6 75‐100

28108 39 39 7,875 201.9 233.7 13.6 75‐100

28110 117 117 22,925 195.9 199.3 1.7 40‐50

28112 62 62 8,725 140.7 174.1 19.2 75‐100

28113 16 16 3,600 225.0 265.8 15.3 75‐100

28114 14 14 8,400 600.0 446.3 34.4 75‐100

28118 31 31 6,500 209.7 230.0 8.8 75‐100

28119 65 65 21,125 325.0 328.3 1.0 40‐50

28120 73 73 24,575 336.6 287.5 17.1 50‐75

28122 222 222 76,650 345.3 324.2 6.5 50‐75

28124 460 460 107,785 234.3 221.2 5.9 40‐50

28126 22 22 4,065 184.8 198.0 6.7 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

28140 1 1 325 325.0 297.5 9.2 75‐100

28153 20 20 2,685 134.3 189.9 29.3 75‐100

28160 39 39 5,975 153.2 183.3 16.4 50‐75

28190 168 168 28,245 168.1 146.2 15.0 40‐50

28192 1 1 325 325.0 291.3 11.6 75‐100

28200 4 4 500 125.0 189.8 34.1 75‐100

28208 2 2 250 125.0 180.9 30.9 75‐100

28220 3 3 600 200.0 212.9 6.1 75‐100

28230 93 93 19,875 213.7 189.2 13.0 50‐75

28232 392 392 60,170 153.5 148.3 3.5 30‐40

28234 136 136 20,080 147.6 156.1 5.4 50‐75

28240 1 1 125 125.0 176.5 29.2 75‐100

28250 3 3 900 300.0 283.3 5.9 75‐100

28270 1,080 1,080 218,950 202.7 209.9 3.4 30‐40

28272 114 114 20,005 175.5 171.1 2.6 50‐75

28285 5,358 5,359 1,146,450 213.9 210.3 1.7 5‐10

28286 2 2 250 125.0 256.5 51.3 75‐100

28288 37 37 9,725 262.8 290.5 9.5 75‐100

28289 119 119 49,325 414.5 375.6 10.3 50‐75

28290 53 53 16,300 307.5 313.2 1.8 50‐75

28292 564 564 246,010 436.2 406.4 7.3 20‐30


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

28293 132 132 67,365 510.3 487.2 4.7 40‐50

28296 1,077 1,077 479,955 445.6 429.6 3.7 10‐20

28297 24 24 11,075 461.5 362.6 27.3 50‐75

28298 66 66 27,975 423.9 369.3 14.8 50‐75

28299 221 221 126,735 573.5 523.5 9.5 20‐30

28300 19 19 5,000 263.2 280.2 6.1 75‐100

28306 45 45 10,250 227.8 210.4 8.2 50‐75

28308 345 345 62,725 181.8 190.6 4.6 50‐75

28310 70 70 10,525 150.4 185.9 19.1 50‐75

28312 9 9 1,325 147.2 194.3 24.2 75‐100

28313 32 32 5,375 168.0 202.5 17.0 50‐75

28315 38 38 10,100 265.8 245.7 8.2 50‐75

28322 4 4 2,525 631.3 371.8 69.8 75‐100

28400 99 99 16,875 170.5 153.5 11.0 30‐40

28415 29 29 24,500 844.8 689.7 22.5 50‐75

28430 30 30 4,850 161.7 138.5 16.7 50‐75

28450 84 84 12,285 146.3 127.0 15.1 40‐50

28470 1,586 1,587 209,640 132.1 125.5 5.2 10‐20

28475 29 29 5,750 198.3 160.1 23.8 50‐75

28476 1 1 225 225.0 193.1 16.5 75‐100

28485 62 62 25,450 410.5 361.7 13.5 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

28490 215 215 17,815 82.9 77.6 6.8 30‐40

28495 10 10 1,250 125.0 108.9 14.8 50‐75

28505 2 2 650 325.0 357.5 9.1 75‐100

28510 493 493 36,975 75.0 69.4 8.1 20‐30

28515 45 45 5,125 113.9 98.5 15.6 50‐75

28615 7 7 4,000 571.4 355.8 60.6 75‐100

28645 8 8 1,825 228.1 287.0 20.5 75‐100

28660 1 1 60 60.0 54.8 9.4 75‐100

28715 38 38 27,000 710.5 540.0 31.6 75‐100

28725 28 28 16,200 578.6 403.4 43.4 75‐100

28730 18 18 10,800 600.0 451.1 33.0 75‐100

28740 11 11 4,925 447.7 317.8 40.9 75‐100

28750 176 176 88,975 505.5 441.0 14.6 50‐75

28755 42 42 10,325 245.8 261.4 5.9 50‐75

28805 162 162 85,350 526.9 482.9 9.1 50‐75

28810 419 419 117,375 280.1 274.9 1.9 40‐50

28820 684 684 160,600 234.8 236.5 0.7 40‐50

28825 183 183 36,925 201.8 211.5 4.6 50‐75

28899 187 187 9,225 49.3 75.1 34.3 30‐40

29065 348 348 22,275 64.0 61.1 4.7 30‐40

29075 2,941 2,941 171,170 58.2 56.9 2.4 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

29085 134 134 8,395 62.6 59.6 5.1 50‐75

29105 521 521 26,375 50.6 48.5 4.4 40‐50

29125 2,485 2,485 89,775 36.1 34.6 4.5 30‐40

29130 324 324 7,405 22.9 22.0 4.0 50‐75

29200 21 21 735 35.0 33.5 4.5 75‐100

29220 149 149 5,960 40.0 38.6 3.6 50‐75

29240 152 152 6,320 41.6 40.2 3.3 75‐100

29260 28 28 1,010 36.1 30.6 17.9 75‐100

29280 10 10 260 26.0 27.1 4.2 75‐100

29345 13 13 1,210 93.1 85.6 8.8 75‐100

29405 1,772 1,772 107,470 60.6 58.7 3.4 30‐40

29425 870 870 58,600 67.4 63.5 6.1 40‐50

29445 405 405 37,995 93.8 90.6 3.6 40‐50

29505 110 110 3,750 34.1 34.8 2.1 50‐75

29515 1,324 1,324 51,560 38.9 38.0 2.6 40‐50

29520 4 4 140 35.0 28.8 21.4 75‐100

29530 255 255 8,820 34.6 32.9 5.3 50‐75

29540 12,544 12,571 302,440 24.1 23.7 1.3 10‐20

29550 2,318 2,318 54,180 23.4 23.0 1.6 20‐30

29580 15,468 15,538 499,955 32.2 32.1 0.4 10‐20

29590 22 22 700 31.8 30.6 3.8 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

29700 1 1 45 45.0 37.2 20.8 75‐100

29705 23 23 1,135 49.3 43.8 12.7 75‐100

29799 31 31 1,085 35.0 29.0 20.8 75‐100

29806 18 18 14,200 788.9 634.3 24.4 75‐100

29807 150 150 90,600 604.0 581.5 3.9 40‐50

29819 8 8 890 111.3 167.7 33.7 75‐100

29822 699 699 88,105 126.0 132.1 4.6 40‐50

29823 1,039 1,039 157,890 152.0 162.1 6.3 40‐50

29824 2,102 2,102 325,625 154.9 158.5 2.3 20‐30

29825 40 40 8,115 202.9 171.1 18.6 50‐75

29826 4,977 4,977 1,337,975 268.8 261.9 2.7 10‐20

29827 2,845 2,845 1,858,675 653.3 632.3 3.3 10‐20

29828 176 176 111,490 633.5 507.7 24.8 50‐75

29846 13 13 5,500 423.1 349.7 21.0 75‐100

29848 1,176 1,176 683,025 580.8 571.5 1.6 10‐20

29862 3 3 2,200 733.3 520.3 40.9 75‐100

29870 7 7 1,175 167.9 219.4 23.5 75‐100

29871 31 31 10,775 347.6 306.8 13.3 50‐75

29873 56 56 11,120 198.6 204.6 3.0 50‐75

29874 8 8 3,225 403.1 371.0 8.7 75‐100

29875 341 341 72,175 211.7 205.5 3.0 40‐50


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

29876 438 438 154,100 351.8 353.4 0.5 40‐50

29877 200 200 95,725 478.6 434.3 10.2 50‐75

29879 483 483 148,875 308.2 311.6 1.1 30‐40

29880 3,674 3,674 1,926,005 524.2 507.5 3.3 5‐10

29881 4,856 4,856 2,255,935 464.6 448.1 3.7 5‐10

29882 5 5 2,375 475.0 443.4 7.1 75‐100

29883 4 4 2,400 600.0 565.7 6.1 75‐100

29884 5 5 2,275 455.0 297.8 52.8 75‐100

29888 62 62 36,385 586.9 531.3 10.5 40‐50

29891 1 1 475 475.0 460.1 3.2 75‐100

29893 70 70 37,900 541.4 500.0 8.3 30‐40

29895 1 1 500 500.0 278.3 79.7 75‐100

29898 1 1 400 400.0 333.1 20.1 75‐100

29999 5 5 1,125 225.0 266.6 15.6 75‐100

30000 1 1 150 150.0 122.6 22.4 75‐100

30100 3 3 270 90.0 72.1 24.8 75‐100

30110 8 8 1,200 150.0 146.5 2.4 50‐75

30115 4 4 600 150.0 233.3 35.7 75‐100

30117 2 2 725 362.5 344.6 5.2 75‐100

30120 3 3 900 300.0 307.0 2.3 75‐100

30130 90 90 15,675 174.2 200.9 13.3 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

30140 793 793 217,225 273.9 279.1 1.9 20‐30

30200 63 63 3,815 60.6 59.9 1.1 75‐100

30220 1 1 85 85.0 154.7 45.0 75‐100

30300 20 20 3,275 163.8 144.5 13.3 75‐100

30420 1 1 900 900.0 916.2 1.8 75‐100

30465 25 25 18,700 748.0 730.4 2.4 50‐75

30520 1,003 1,003 336,775 335.8 331.8 1.2 20‐30

30801 19 19 2,590 136.3 128.8 5.8 75‐100

30802 99 99 12,960 130.9 145.6 10.1 50‐75

30901 5,483 5,483 308,950 56.3 55.7 1.2 5‐10

30903 1,995 1,995 198,835 99.7 98.3 1.4 10‐20

30905 290 290 27,375 94.4 89.7 5.2 20‐30

30906 19 19 2,640 138.9 129.9 7.0 50‐75

30930 62 62 7,075 114.1 123.5 7.6 50‐75

31000 86 86 11,520 134.0 132.2 1.3 50‐75

31030 1 1 350 350.0 345.7 1.3 75‐100

31200 18 18 6,000 333.3 311.0 7.2 50‐75

31225 1 1 1,000 1000.0 1131.7 11.6 75‐100

31231 14,518 14,518 2,013,400 138.7 131.8 5.2 10‐20

31233 96 96 21,275 221.6 205.1 8.0 75‐100

31237 2,076 2,076 578,165 278.5 265.1 5.1 20‐30


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

31238 814 814 193,675 237.9 232.1 2.5 20‐30

31239 12 12 6,150 512.5 465.0 10.2 75‐100

31240 69 69 6,880 99.7 103.7 3.8 50‐75

31254 234 234 41,180 176.0 192.7 8.7 30‐40

31255 992 995 350,650 352.4 349.1 0.9 20‐30

31256 497 497 69,265 139.4 146.3 4.7 20‐30

31267 841 841 162,575 193.3 203.5 5.0 20‐30

31276 475 475 197,100 414.9 401.9 3.2 20‐30

31287 189 189 28,555 151.1 154.8 2.4 30‐40

31288 185 185 29,290 158.3 163.5 3.2 40‐50

31360 11 11 13,000 1181.8 1133.0 4.3 50‐75

31365 12 12 24,000 2000.0 1685.0 18.7 30‐40

31500 11,529 11,529 950,815 82.5 82.1 0.5 10‐20

31502 442 442 10,945 24.8 24.2 2.2 40‐50

31505 308 308 18,290 59.4 54.1 9.8 50‐75

31525 34 34 4,410 129.7 134.1 3.3 75‐100

31526 4 4 500 125.0 127.9 2.2 75‐100

31535 103 103 14,945 145.1 165.1 12.1 75‐100

31536 192 192 34,725 180.9 191.5 5.6 50‐75

31540 4 4 700 175.0 233.5 25.1 75‐100

31541 347 347 86,750 250.0 243.7 2.6 30‐40


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

31545 7 7 1,775 253.6 283.1 10.4 75‐100

31570 15 15 3,150 210.0 213.0 1.4 75‐100

31571 57 57 10,550 185.1 193.6 4.4 50‐75

31575 23,047 23,047 1,877,730 81.5 79.5 2.4 10‐20

31579 1,556 1,556 257,790 165.7 158.5 4.5 20‐30

31588 19 19 15,200 800.0 726.4 10.1 50‐75

31600 1,592 1,592 465,875 292.6 287.2 1.9 20‐30

31603 35 35 5,800 165.7 153.8 7.8 50‐75

31610 38 38 20,725 545.4 519.8 4.9 50‐75

31611 5 5 900 180.0 292.6 38.5 75‐100

31613 6 6 1,825 304.2 297.7 2.2 75‐100

31614 1 1 500 500.0 423.8 18.0 75‐100

31615 164 164 18,310 111.6 102.8 8.6 50‐75

31620 156 156 8,200 52.6 55.2 4.8 40‐50

31622 3,367 3,367 324,620 96.4 98.4 2.1 20‐30

31623 1,491 1,491 57,750 38.7 48.6 20.4 20‐30

31624 3,393 3,393 225,925 66.6 70.6 5.7 20‐30

31625 1,175 1,175 141,245 120.2 117.4 2.4 20‐30

31628 1,682 1,682 233,720 139.0 133.9 3.8 20‐30

31629 536 536 80,950 151.0 157.8 4.3 30‐40

31630 16 16 2,400 150.0 127.6 17.6 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

31632 63 63 2,520 40.0 41.7 4.0 50‐75

31633 31 31 1,555 50.2 51.0 1.6 50‐75

31635 24 24 3,600 150.0 134.6 11.4 75‐100

31641 39 39 7,750 198.7 188.8 5.2 75‐100

31643 24 24 3,000 125.0 124.7 0.3 50‐75

31645 1,024 1,024 123,475 120.6 110.5 9.1 20‐30

31646 130 130 13,425 103.3 98.6 4.8 40‐50

31730 1 1 100 100.0 106.5 6.1 75‐100

32100 26 26 18,200 700.0 526.6 32.9 75‐100

32120 1 1 475 475.0 387.0 22.7 75‐100

32124 2 2 650 325.0 328.2 1.0 75‐100

32141 6 6 6,000 1000.0 638.6 56.6 75‐100

32201 1 1 150 150.0 163.6 8.3 75‐100

32220 118 118 107,000 906.8 899.0 0.9 30‐40

32225 5 5 3,500 700.0 413.7 69.2 75‐100

32320 28 28 28,000 1000.0 916.5 9.1 50‐75

32400 12 12 785 65.4 65.2 0.3 75‐100

32405 2,579 2,579 188,455 73.1 73.5 0.5 10‐20

32421 4,941 4,941 292,750 59.2 59.3 0.1 10‐20

32422 4,225 4,225 398,510 94.3 93.4 1.0 10‐20

32440 33 33 29,650 898.5 899.8 0.1 40‐50


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

32480 768 768 601,600 783.3 818.5 4.3 10‐20

32482 36 36 32,650 906.9 905.1 0.2 30‐40

32484 28 28 28,000 1000.0 764.9 30.7 50‐75

32486 3 3 6,000 2000.0 1257.0 59.1 50‐75

32488 3 3 6,000 2000.0 1476.0 35.5 50‐75

32500 266 266 221,550 832.9 726.0 14.7 40‐50

32501 1 1 175 175.0 134.7 30.0 75‐100

32540 4 4 4,000 1000.0 810.8 23.3 50‐75

32550 194 194 33,950 175.0 181.8 3.7 30‐40

32551 2,216 2,216 289,575 130.7 127.8 2.3 20‐30

32560 147 147 11,560 78.6 75.1 4.8 40‐50

32601 32 32 4,050 126.6 151.3 16.4 50‐75

32602 62 62 15,200 245.2 221.0 10.9 50‐75

32650 233 233 106,010 455.0 381.9 19.1 40‐50

32651 43 43 33,400 776.7 628.3 23.6 50‐75

32652 60 60 60,000 1000.0 994.0 0.6 40‐50

32653 3 3 2,300 766.7 560.9 36.7 75‐100

32655 5 5 3,500 700.0 571.2 22.6 75‐100

32656 2 2 1,200 600.0 423.0 41.9 75‐100

32657 264 264 153,345 580.9 450.5 28.9 50‐75

32659 3 3 1,600 533.3 438.6 21.6 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

32663 170 170 148,325 872.5 796.3 9.6 30‐40

32815 1 1 2,000 2000.0 1400.3 42.8 75‐100

32998 2 2 450 225.0 340.7 34.0 75‐100

33010 99 99 8,235 83.2 77.0 8.1 50‐75

33015 6 6 2,250 375.0 333.4 12.5 75‐100

33025 233 233 125,905 540.4 480.3 12.5 30‐40

33030 3 3 2,900 966.7 609.9 58.5 75‐100

33031 1 1 500 500.0 507.5 1.5 75‐100

33120 10 10 9,200 920.0 523.0 75.9 75‐100

33141 33 33 3,070 93.0 86.9 7.1 40‐50

33202 40 40 21,425 535.6 457.5 17.1 50‐75

33206 18 18 6,225 345.8 325.4 6.3 75‐100

33207 1,128 1,128 409,175 362.7 355.6 2.0 10‐20

33208 5,715 5,715 2,228,400 389.9 384.8 1.3 5‐10

33210 837 837 82,790 98.9 99.4 0.4 20‐30

33211 1 1 70 70.0 93.5 25.1 75‐100

33212 464 464 121,250 261.3 262.7 0.5 20‐30

33213 2,113 2,113 625,675 296.1 295.9 0.1 10‐20

33214 1 1 375 375.0 335.8 11.7 75‐100

33215 140 140 28,750 205.4 200.8 2.2 30‐40

33216 171 171 37,025 216.5 224.8 3.7 40‐50


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

33217 27 27 5,200 192.6 219.0 12.0 75‐100

33218 2 2 300 150.0 243.7 38.5 75‐100

33222 78 78 12,175 156.1 183.2 14.8 50‐75

33223 107 107 20,950 195.8 227.5 14.0 50‐75

33224 31 31 11,050 356.5 334.5 6.6 75‐100

33225 1,385 1,385 486,425 351.2 349.9 0.4 10‐20

33226 4 4 1,500 375.0 361.6 3.7 75‐100

33233 2,830 2,830 278,780 98.5 100.9 2.4 10‐20

33234 64 64 19,725 308.2 300.7 2.5 50‐75

33235 84 84 39,925 475.3 446.3 6.5 50‐75

33240 1,056 1,056 377,950 357.9 345.8 3.5 20‐30

33241 1,422 1,422 131,045 92.2 94.7 2.7 10‐20

33244 147 147 90,500 615.6 578.1 6.5 40‐50

33249 2,856 2,856 2,005,675 702.3 672.7 4.4 10‐20

33251 1 1 600 600.0 472.3 27.0 75‐100

33254 2 2 2,000 1000.0 698.5 43.2 75‐100

33257 233 233 79,610 341.7 305.0 12.0 30‐40

33258 2 2 1,000 500.0 316.8 57.8 75‐100

33259 226 226 111,520 493.5 437.6 12.8 30‐40

33265 3 3 3,000 1000.0 1049.0 4.7 50‐75

33266 1 1 1,000 1000.0 966.7 3.4 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

33282 153 153 35,550 232.4 225.5 3.1 30‐40

33284 45 45 8,075 179.4 158.2 13.4 50‐75

33405 2,242 2,242 2,664,450 1188.4 1041.5 14.1 5‐10

33406 28 28 56,000 2000.0 1323.4 51.1 50‐75

33410 50 50 77,350 1547.0 1195.8 29.4 30‐40

33411 30 30 62,025 2067.5 1611.0 28.3 50‐75

33416 4 4 2,800 700.0 583.6 20.0 75‐100

33425 9 9 18,000 2000.0 1207.1 65.7 75‐100

33426 410 410 563,425 1374.2 1106.3 24.2 20‐30

33427 192 192 286,025 1489.7 1284.3 16.0 20‐30

33430 571 571 815,150 1427.6 1316.2 8.5 20‐30

33463 33 33 66,000 2000.0 1460.8 36.9 50‐75

33464 142 142 109,925 774.1 687.8 12.5 30‐40

33465 4 4 8,000 2000.0 1219.1 64.1 75‐100

33508 4,122 4,122 34,465 8.4 9.3 9.9 0‐5

33510 367 367 225,760 615.2 606.8 1.4 20‐30

33511 368 368 358,000 972.8 791.0 23.0 20‐30

33512 275 275 368,175 1338.8 1105.6 21.1 20‐30

33513 97 97 154,100 1588.7 1216.9 30.6 20‐30

33514 20 20 34,900 1745.0 1280.1 36.3 30‐40

33517 1,333 1,333 119,355 89.5 89.1 0.5 5‐10


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

33518 2,542 2,542 497,555 195.7 190.8 2.6 5‐10

33519 1,874 1,874 484,145 258.3 252.2 2.4 5‐10

33521 544 544 170,320 313.1 302.4 3.5 10‐20

33522 54 54 23,830 441.3 362.9 21.6 40‐50

33523 11 11 6,600 600.0 410.4 46.2 50‐75

33530 675 675 177,360 262.8 250.9 4.7 20‐30

33533 6,599 6,599 5,279,785 800.1 870.8 8.1 5‐10

33534 472 472 628,750 1332.1 1055.2 26.2 10‐20

33535 94 94 146,225 1555.6 1191.8 30.5 30‐40

33536 27 27 40,000 1481.5 1216.2 21.8 30‐40

33542 14 14 26,250 1875.0 1039.3 80.4 50‐75

33548 7 7 14,000 2000.0 1287.5 55.3 50‐75

33572 139 139 17,190 123.7 121.6 1.7 30‐40

33641 110 110 58,735 534.0 448.7 19.0 40‐50

33860 175 175 284,050 1623.1 1498.8 8.3 20‐30

33861 5 5 10,000 2000.0 1171.7 70.7 50‐75

33863 78 78 152,250 1951.9 1653.8 18.0 40‐50

33870 29 29 28,900 996.6 850.5 17.2 50‐75

33875 2 2 2,000 1000.0 955.8 4.6 75‐100

33877 37 37 89,800 2427.0 1763.2 37.7 30‐40

33880 10 10 8,900 890.0 881.7 0.9 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

33881 61 61 51,375 842.2 860.8 2.2 20‐30

33883 4 4 1,700 425.0 378.2 12.4 75‐100

33945 17 17 41,000 2411.8 2289.0 5.4 40‐50

33967 791 791 115,330 145.8 145.5 0.2 20‐30

33968 124 124 3,145 25.4 25.0 1.3 40‐50

33970 14 14 2,050 146.4 151.5 3.4 75‐100

33971 1 1 500 500.0 479.3 4.3 75‐100

33979 9 9 18,000 2000.0 1202.8 66.3 50‐75

34101 46 46 21,625 470.1 394.3 19.2 50‐75

34111 3 3 675 225.0 288.6 22.0 75‐100

34151 1 1 1,000 1000.0 774.5 29.1 75‐100

34201 238 238 144,545 607.3 518.9 17.0 40‐50

34203 63 63 41,750 662.7 562.3 17.8 50‐75

34800 3 3 2,700 900.0 666.8 35.0 75‐100

34802 951 951 657,225 691.1 677.2 2.0 5‐10

34803 244 244 184,450 755.9 720.2 5.0 20‐30

34804 58 58 40,250 694.0 666.6 4.1 20‐30

34805 7 7 6,300 900.0 703.8 27.9 50‐75

34806 23 23 1,765 76.7 73.7 4.2 50‐75

34808 5 5 775 155.0 143.7 7.8 50‐75

34812 1,260 1,260 185,305 147.1 145.6 1.0 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

34813 7 7 1,275 182.1 175.5 3.8 50‐75

34820 6 6 1,175 195.8 191.1 2.5 75‐100

34825 659 659 151,140 229.3 229.1 0.1 10‐20

34826 259 259 31,940 123.3 121.6 1.4 20‐30

34833 3 3 725 241.7 272.3 11.2 75‐100

34900 8 8 6,000 750.0 532.3 40.9 75‐100

35011 20 20 15,700 785.0 727.2 8.0 50‐75

35013 1 1 1,000 1000.0 924.4 8.2 75‐100

35045 1 1 800 800.0 685.9 16.6 75‐100

35081 228 228 182,575 800.8 890.2 10.0 10‐20

35082 74 74 120,175 1624.0 1280.8 26.8 20‐30

35091 43 43 46,050 1070.9 958.5 11.7 20‐30

35092 8 8 16,000 2000.0 1740.5 14.9 40‐50

35102 137 137 131,075 956.8 1016.1 5.8 20‐30

35103 24 24 44,550 1856.3 1306.2 42.1 40‐50

35131 5 5 5,000 1000.0 768.5 30.1 75‐100

35141 111 111 84,275 759.2 668.5 13.6 40‐50

35142 15 15 15,000 1000.0 781.3 28.0 50‐75

35151 17 17 16,600 976.5 768.3 27.1 50‐75

35190 3 3 1,700 566.7 422.6 34.1 75‐100

35206 14 14 8,400 600.0 496.4 20.9 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

35216 1 1 1,000 1000.0 781.5 28.0 75‐100

35221 19 19 19,000 1000.0 780.6 28.1 50‐75

35226 25 25 15,650 626.0 483.7 29.4 75‐100

35236 4 4 2,800 700.0 626.4 11.7 75‐100

35301 4,383 4,383 2,742,840 625.8 613.2 2.0 5‐10

35302 38 38 31,175 820.4 628.4 30.6 50‐75

35303 13 13 10,950 842.3 628.3 34.1 75‐100

35321 1 1 700 700.0 655.6 6.8 75‐100

35341 1 1 500 500.0 512.9 2.5 75‐100

35351 9 9 9,000 1000.0 578.5 72.9 75‐100

35355 34 34 25,000 735.3 542.8 35.5 75‐100

35371 256 256 109,485 427.7 389.5 9.8 40‐50

35372 95 95 50,300 529.5 453.4 16.8 50‐75

35390 50 50 5,510 110.2 95.5 15.4 30‐40

35400 2 2 250 125.0 125.7 0.6 75‐100

35454 44 44 5,500 125.0 129.2 3.3 50‐75

35456 39 39 5,975 153.2 166.0 7.7 50‐75

35459 7 7 1,225 175.0 212.6 17.7 75‐100

35460 95 95 13,275 139.7 173.2 19.3 50‐75

35470 1,119 1,120 336,925 300.8 332.6 9.6 20‐30

35471 369 369 166,450 451.1 493.4 8.6 40‐50



PUF


PUF


($)





HCPCS Code(1)

(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

35472 8 8 1,275 159.4 225.2 29.2 75‐100

35473 985 985 149,850 152.1 179.0 15.0 20‐30

35474 2,824 2,824 607,825 215.2 234.4 8.2 10‐20

35475 234 234 254,350 1087.0 812.4 33.8 50‐75

35476 4,692 4,692 3,166,050 674.8 648.0 4.1 10‐20

35483 2 2 350 175.0 168.6 3.8 75‐100

35492 6 6 900 150.0 153.0 2.0 75‐100

35493 718 718 197,375 274.9 273.6 0.5 20‐30

35495 315 315 118,575 376.4 368.2 2.2 30‐40

35500 9 9 2,250 250.0 187.5 33.4 75‐100

35501 1 1 1,000 1000.0 1119.5 10.7 50‐75

35556 217 217 183,375 845.0 764.9 10.5 30‐40

35566 192 192 171,825 894.9 1004.5 10.9 30‐40

35571 81 81 79,350 979.6 823.5 19.0 40‐50

35572 6 6 1,650 275.0 250.7 9.7 75‐100

35583 80 80 72,500 906.3 864.9 4.8 30‐40

35585 68 68 62,300 916.2 1017.8 10.0 40‐50

35587 12 12 12,000 1000.0 859.9 16.3 50‐75

35600 181 181 26,040 143.9 138.9 3.6 30‐40

35601 2 2 2,000 1000.0 828.1 20.8 75‐100

35606 7 7 6,300 900.0 727.6 23.7 75‐100



PUF


PUF


($)





HCPCS Code(1)

(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

35631 10 10 10,000 1000.0 863.4 15.8 75‐100

35638 3 3 3,000 1000.0 729.6 37.1 75‐100

35646 104 104 85,900 826.0 896.9 7.9 40‐50

35647 3 3 3,000 1000.0 841.2 18.9 75‐100

35654 22 22 22,000 1000.0 744.7 34.3 50‐75

35656 549 549 376,425 685.7 631.0 8.7 20‐30

35661 144 144 104,600 726.4 598.6 21.4 50‐75

35665 19 19 18,000 947.4 582.6 62.6 75‐100

35666 93 93 89,350 960.8 781.9 22.9 40‐50

35681 7 7 440 62.9 52.8 19.1 75‐100

35682 6 6 1,650 275.0 263.0 4.6 75‐100

35685 14 14 2,275 162.5 149.5 8.7 50‐75

35697 10 10 885 88.5 86.6 2.2 50‐75

35700 136 136 15,065 110.8 99.6 11.2 30‐40

35761 5 5 1,000 200.0 183.3 9.1 75‐100

35800 26 26 8,225 316.3 268.8 17.7 50‐75

35820 258 258 217,780 844.1 884.1 4.5 20‐30

35840 24 24 9,525 396.9 345.4 14.9 50‐75

35860 63 63 16,675 264.7 235.9 12.2 50‐75

35875 49 49 18,775 383.2 369.3 3.7 50‐75

35876 27 27 18,500 685.2 549.3 24.7 50‐75



PUF


PUF


($)





HCPCS Code(1)

(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

35879 8 8 5,600 700.0 487.0 43.8 75‐100

35881 7 7 5,600 800.0 563.1 42.1 75‐100

35883 1 1 900 900.0 679.9 32.4 75‐100

35903 309 309 119,425 386.5 355.9 8.6 30‐40

35907 3 3 3,000 1000.0 1218.7 17.9 75‐100

36000 5,605 5,626 115,780 20.6 19.2 7.0 30‐40

36002 154 154 13,210 85.8 83.3 3.0 30‐40

36005 1,295 1,295 62,235 48.1 66.2 27.4 30‐40

36010 2,824 2,824 191,930 68.0 80.8 15.9 20‐30

36011 323 323 61,855 191.5 204.7 6.5 50‐75

36012 37 37 4,650 125.7 135.1 6.9 75‐100

36013 18 18 990 55.0 64.4 14.6 75‐100

36014 2 2 120 60.0 98.1 38.9 75‐100

36120 55 55 2,570 46.7 85.0 45.0 75‐100

36140 916 916 44,385 48.5 57.1 15.1 40‐50

36145 11,757 11,835 1,393,595 117.8 125.0 5.8 10‐20

36200 3,167 3,181 296,675 93.3 95.4 2.3 10‐20

36215 2,800 2,800 586,895 209.6 214.1 2.1 20‐30

36216 2,575 2,575 458,450 178.0 185.8 4.2 20‐30

36217 909 909 234,400 257.9 264.0 2.3 30‐40

36218 744 744 35,760 48.1 46.8 2.8 30‐40



PUF


PUF


($)





HCPCS Code(1)

(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

36245 5,052 5,052 905,700 179.3 201.5 11.0 20‐30

36246 2,316 2,316 377,975 163.2 180.7 9.7 20‐30

36247 4,323 4,323 747,750 173.0 182.2 5.1 10‐20

36248 735 735 30,270 41.2 42.9 3.9 30‐40

36410 7,403 7,403 95,640 12.9 12.5 3.6 20‐30

36415 3,208,631 3,208,778 15,993,030 5.0 3.0 66.6 0‐5

36430 288 288 8,710 30.2 29.3 3.3 50‐75

36470 192 192 17,390 90.6 85.6 5.8 40‐50

36471 2,690 2,690 319,265 118.7 115.8 2.5 10‐20

36475 1,063 1,063 1,269,100 1193.9 1244.2 4.0 10‐20

36476 107 107 27,575 257.7 261.9 1.6 30‐40

36478 1,732 1,732 1,857,475 1072.4 1205.4 11.0 5‐10

36479 218 223 66,025 296.1 306.2 3.3 30‐40

36512 2 2 140 70.0 74.4 6.0 75‐100

36514 344 344 22,660 65.9 98.5 33.1 50‐75

36516 32 32 64,000 2000.0 1694.2 18.1 50‐75

36522 75 75 6,245 83.3 80.0 4.1 75‐100

36556 22,240 22,240 2,053,730 92.3 91.3 1.1 10‐20

36558 5,256 5,256 1,214,425 231.1 233.1 0.9 20‐30

36561 4,187 4,187 1,128,525 269.5 280.4 3.9 30‐40

36565 157 157 37,600 239.5 245.1 2.3 50‐75



PUF


PUF


($)





HCPCS Code(1)

(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

36569 9,809 9,809 717,030 73.1 73.8 0.9 20‐30

36571 177 177 40,450 228.5 248.6 8.1 50‐75

36575 90 90 8,870 98.6 75.6 30.3 40‐50

36576 8 8 1,050 131.3 137.4 4.5 75‐100

36578 3 3 450 150.0 178.8 16.1 75‐100

36580 199 199 10,535 52.9 54.9 3.6 50‐75

36581 1,505 1,505 396,345 263.4 250.6 5.1 20‐30

36582 25 25 5,600 224.0 239.4 6.4 50‐75

36584 285 285 15,775 55.4 57.9 4.4 40‐50

36589 3,744 3,744 389,055 103.9 103.2 0.7 20‐30

36590 1,508 1,508 243,020 161.2 155.2 3.9 30‐40

36591 4,442 4,442 68,610 15.4 15.4 0.2 10‐20

36592 249 249 4,980 20.0 19.7 1.4 50‐75

36593 516 516 13,900 26.9 27.3 1.3 40‐50

36595 22 22 2,340 106.4 157.0 32.2 50‐75

36596 24 24 610 25.4 36.7 30.8 50‐75

36597 160 160 7,630 47.7 45.7 4.4 40‐50

36598 440 440 28,020 63.7 63.3 0.6 30‐40

36600 1,857 1,857 42,385 22.8 20.6 10.9 30‐40

36620 24,811 24,811 961,490 38.8 38.5 0.6 10‐20

36625 1 1 90 90.0 80.4 11.9 75‐100



PUF


PUF


($)





HCPCS Code(1)

(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

36680 5 5 225 45.0 46.2 2.5 75‐100

36800 704 704 88,690 126.0 119.8 5.2 20‐30

36818 268 268 137,695 513.8 475.5 8.0 30‐40

36819 461 461 274,755 596.0 546.2 9.1 20‐30

36820 94 94 58,400 621.3 543.9 14.2 40‐50

36821 1,487 1,487 579,140 389.5 375.8 3.6 10‐20

36825 145 145 64,800 446.9 412.2 8.4 40‐50

36830 1,217 1,217 586,655 482.1 465.1 3.6 10‐20

36831 450 450 144,520 321.2 306.9 4.7 20‐30

36832 527 527 223,990 425.0 405.6 4.8 20‐30

36833 309 309 151,110 489.0 445.5 9.8 30‐40

36834 40 40 18,825 470.6 422.6 11.4 50‐75

36838 6 6 5,400 900.0 792.8 13.5 75‐100

36870 2,362 2,362 1,444,025 611.4 599.7 1.9 10‐20

37182 22 22 15,000 681.8 612.6 11.3 50‐75

37183 3 3 975 325.0 287.8 12.9 75‐100

37184 59 59 17,100 289.8 313.6 7.6 50‐75

37185 25 25 3,125 125.0 127.8 2.2 50‐75

37186 21 21 4,050 192.9 223.9 13.9 50‐75

37187 30 30 12,600 420.0 692.9 39.4 75‐100

37200 55 55 9,775 177.7 168.9 5.2 50‐75



PUF


PUF


($)





HCPCS Code(1)

(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

37201 338 338 45,100 133.4 143.0 6.7 40‐50

37202 161 161 20,625 128.1 174.5 26.6 75‐100

37203 38 38 7,425 195.4 197.0 0.8 75‐100

37204 611 611 417,675 683.6 658.2 3.9 40‐50

37205 4,697 4,697 2,095,600 446.2 499.5 10.7 10‐20

37206 1,250 1,259 231,350 183.8 222.2 17.3 10‐20

37207 90 90 18,450 205.0 210.0 2.4 50‐75

37208 26 26 4,050 155.8 140.1 11.2 50‐75

37209 36 36 1,925 53.5 61.4 12.8 50‐75

37210 10 10 4,300 430.0 433.2 0.7 40‐50

37215 360 360 294,350 817.6 795.8 2.7 10‐20

37250 135 135 11,295 83.7 85.4 2.1 50‐75

37251 67 67 4,305 64.3 63.0 2.0 50‐75

37607 319 319 73,525 230.5 236.7 2.6 40‐50

37609 643 643 116,850 181.7 186.6 2.6 40‐50

37620 2,679 2,679 1,364,000 509.1 503.4 1.1 10‐20

37700 11 11 1,105 100.5 130.8 23.2 75‐100

37722 26 26 8,700 334.6 357.6 6.4 50‐75

37760 8 8 2,475 309.4 338.9 8.7 75‐100

37765 385 385 100,675 261.5 276.5 5.4 20‐30

37766 236 236 82,300 348.7 355.5 1.9 30‐40



PUF


PUF


($)





HCPCS Code(1)

(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

37785 55 55 9,355 170.1 187.9 9.5 50‐75

37799 29 29 3,095 106.7 371.9 71.3 75‐100

38100 55 55 40,800 741.8 527.5 40.6 75‐100

38120 10 10 7,000 700.0 536.8 30.4 75‐100

38206 39 39 2,340 60.0 59.9 0.2 50‐75

38220 1,218 1,218 57,680 47.4 48.2 1.8 40‐50

38221 5,037 5,037 518,800 103.0 97.9 5.2 20‐30

38241 16 16 1,520 95.0 92.7 2.5 50‐75

38308 28 28 4,400 157.1 166.5 5.6 50‐75

38500 306 306 45,570 148.9 157.9 5.7 50‐75

38505 293 293 17,205 58.7 63.5 7.6 50‐75

38510 187 187 51,525 275.5 280.5 1.8 50‐75

38525 1,724 1,724 303,400 176.0 189.5 7.2 10‐20

38562 9 9 3,225 358.3 306.2 17.0 75‐100

38570 15 15 2,245 149.7 198.7 24.7 75‐100

38571 278 278 75,485 271.5 261.3 3.9 20‐30

38572 23 23 8,875 385.9 323.6 19.2 50‐75

38720 1 1 900 900.0 720.8 24.9 75‐100

38724 58 58 57,175 985.8 795.1 24.0 75‐100

38740 23 23 9,950 432.6 380.6 13.7 75‐100

38745 75 75 45,050 600.7 515.8 16.5 50‐75



PUF


PUF


($)





HCPCS Code(1)

(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

38746 618 618 101,040 163.5 156.7 4.3 20‐30

38747 18 18 3,625 201.4 163.1 23.5 75‐100

38760 7 7 4,200 600.0 507.6 18.2 75‐100

38770 9 9 6,000 666.7 443.9 50.2 75‐100

38790 29 29 1,095 37.8 41.1 8.2 40‐50

38792 1,906 1,906 35,650 18.7 18.7 0.2 5‐10

39010 6 6 3,200 533.3 400.1 33.3 75‐100

39400 367 367 118,950 324.1 328.1 1.2 30‐40

39502 66 66 39,250 594.7 475.3 25.1 50‐75

39599 7 7 4,900 700.0 482.5 45.1 75‐100

4048F 1 1 0 0.0 1.0 100.0 75‐100

40490 1,286 1,286 105,100 81.7 77.6 5.4 20‐30

40510 1 1 250 250.0 291.9 14.4 75‐100

40520 6 6 1,500 250.0 285.8 12.5 75‐100

40650 1 1 200 200.0 171.6 16.6 75‐100

40800 1 1 150 150.0 119.6 25.5 75‐100

40808 194 194 23,875 123.1 103.9 18.5 50‐75

40810 25 25 3,225 129.0 109.8 17.4 75‐100

40812 159 159 30,175 189.8 171.7 10.5 50‐75

40830 1 1 125 125.0 131.2 4.7 75‐100

41100 147 147 16,925 115.1 97.4 18.2 50‐75



PUF


PUF


($)





HCPCS Code(1)

(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

41105 5 5 600 120.0 87.2 37.7 75‐100

41108 1 1 100 100.0 81.6 22.5 75‐100

41110 17 17 2,325 136.8 116.3 17.6 75‐100

41112 41 41 9,000 219.5 209.1 5.0 75‐100

41120 10 10 7,100 710.0 702.2 1.1 75‐100

41135 1 1 1,000 1000.0 1403.9 28.8 75‐100

41155 2 2 4,000 2000.0 1839.3 8.7 75‐100

41250 6 6 595 99.2 106.3 6.7 75‐100

41800 1 1 85 85.0 81.6 4.2 75‐100

41825 1 1 125 125.0 108.6 15.1 75‐100

42100 45 45 4,465 99.2 88.0 12.8 50‐75

42104 18 18 2,325 129.2 109.6 17.9 75‐100

42106 5 5 875 175.0 149.3 17.2 75‐100

42145 41 41 20,475 499.4 457.5 9.1 50‐75

42330 36 36 5,675 157.6 148.0 6.5 40‐50

42335 1 1 275 275.0 170.1 61.7 75‐100

42400 3 3 225 75.0 64.4 16.6 75‐100

42410 2 2 875 437.5 434.7 0.7 75‐100

42415 109 109 83,650 767.4 633.6 21.1 50‐75

42420 14 14 12,700 907.1 711.0 27.6 75‐100

42426 2 2 2,000 1000.0 904.3 10.6 75‐100



PUF


PUF


($)





HCPCS Code(1)

(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

42440 39 39 14,375 368.6 341.1 8.1 50‐75

42650 28 28 1,610 57.5 50.9 13.1 50‐75

42700 12 12 1,525 127.1 107.0 18.8 75‐100

42800 20 20 1,965 98.3 89.0 10.4 75‐100

42821 10 10 2,825 282.5 266.2 6.1 40‐50

42826 77 77 18,110 235.2 221.8 6.0 50‐75

42831 6 6 950 158.3 162.0 2.3 50‐75

43030 3 3 575 191.7 272.1 29.6 75‐100

43107 19 19 34,300 1805.3 1300.5 38.8 50‐75

43112 3 3 6,000 2000.0 1637.2 22.2 75‐100

43117 43 43 65,825 1530.8 1316.1 16.3 20‐30

43122 5 5 10,000 2000.0 1350.0 48.2 75‐100

43130 28 28 15,700 560.7 453.6 23.6 50‐75

43200 284 284 27,575 97.1 87.2 11.3 50‐75

43202 36 36 1,810 50.3 82.1 38.8 75‐100

43215 41 41 4,350 106.1 107.0 0.8 50‐75

43220 43 43 3,880 90.2 100.7 10.4 75‐100

43226 56 56 5,595 99.9 126.9 21.3 50‐75

43227 7 7 1,050 150.0 152.2 1.4 75‐100

43228 71 71 11,275 158.8 181.8 12.6 30‐40

43235 22,554 22,554 2,546,710 112.9 112.5 0.4 10‐20



PUF


PUF


($)





HCPCS Code(1)

(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

43236 280 280 29,915 106.8 103.3 3.5 50‐75

43237 2 2 350 175.0 174.0 0.6 75‐100

43239 88,917 88,917 13,317,870 149.8 147.7 1.4 0‐5

43241 30 30 3,325 110.8 88.7 24.9 75‐100

43242 589 589 184,750 313.7 302.0 3.9 30‐40

43243 27 27 5,275 195.4 187.1 4.4 75‐100

43244 454 454 98,725 217.5 211.7 2.7 30‐40

43245 444 444 64,710 145.7 144.2 1.0 40‐50

43246 6,040 6,040 1,054,265 174.5 172.5 1.2 10‐20

43247 849 849 129,090 152.0 146.8 3.5 30‐40

43248 5,996 5,996 1,043,520 174.0 171.2 1.6 10‐20

43249 4,597 4,597 680,195 148.0 143.0 3.5 10‐20

43250 181 181 27,220 150.4 147.6 1.9 50‐75

43251 1,227 1,227 209,065 170.4 167.1 1.9 20‐30

43255 2,092 2,092 426,200 203.7 201.3 1.2 20‐30

43256 50 50 9,000 180.0 176.4 2.1 50‐75

43258 333 333 69,050 207.4 212.2 2.3 50‐75

43259 804 804 176,625 219.7 219.5 0.1 40‐50

43260 387 387 97,725 252.5 242.0 4.3 40‐50

43261 159 159 2,480 15.6 69.3 77.5 50‐75

43262 2,145 2,145 224,370 104.6 114.4 8.6 10‐20



PUF


PUF


($)





HCPCS Code(1)

(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

43264 1,573 1,573 575,850 366.1 361.7 1.2 10‐20

43265 70 70 29,225 417.5 420.6 0.7 40‐50

43268 1,196 1,196 288,355 241.1 240.0 0.5 20‐30

43269 487 487 116,430 239.1 249.0 4.0 40‐50

43271 244 244 15,340 62.9 89.0 29.4 40‐50

43280 380 380 230,415 606.4 540.2 12.2 30‐40

43289 6 6 4,600 766.7 576.2 33.0 75‐100

43324 44 44 34,200 777.3 675.9 15.0 50‐75

43415 7 7 7,000 1000.0 854.2 17.1 50‐75

43450 4,611 4,611 287,420 62.3 63.0 1.0 10‐20

43453 177 177 10,335 58.4 63.0 7.3 40‐50

43456 24 24 1,410 58.8 90.1 34.8 75‐100

43458 31 31 3,875 125.0 127.8 2.2 50‐75

43501 10 10 9,000 900.0 714.9 25.9 75‐100

43610 1 1 700 700.0 459.6 52.3 75‐100

43611 1 1 800 800.0 528.0 51.5 75‐100

43620 2 2 2,000 1000.0 912.0 9.6 75‐100

43621 18 18 33,000 1833.3 1172.1 56.4 50‐75

43622 1 1 2,000 2000.0 1283.4 55.8 75‐100

43631 9 9 9,000 1000.0 753.9 32.6 75‐100

43632 71 71 68,650 966.9 1020.8 5.3 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

43633 32 32 28,800 900.0 1037.0 13.2 50‐75

43644 352 352 275,675 783.2 864.6 9.4 10‐20

43645 4 4 4,000 1000.0 968.7 3.2 40‐50

43659 5 5 5,000 1000.0 571.7 74.9 75‐100

43752 331 331 9,940 30.0 29.6 1.5 40‐50

43760 2,028 2,028 87,020 42.9 48.8 12.0 20‐30

43761 40 40 3,040 76.0 75.6 0.5 75‐100

43770 231 231 143,725 622.2 573.7 8.5 20‐30

43774 3 3 2,100 700.0 486.8 43.8 75‐100

43820 28 28 23,925 854.5 641.4 33.2 75‐100

43830 91 91 34,275 376.6 334.6 12.6 75‐100

43832 1 1 700 700.0 617.8 13.3 75‐100

43840 127 127 107,450 846.1 743.6 13.8 50‐75

43846 26 26 24,350 936.5 931.1 0.6 30‐40

43847 1 1 1,000 1000.0 951.7 5.1 50‐75

43848 3 3 3,000 1000.0 1066.0 6.2 75‐100

43860 3 3 3,000 1000.0 783.5 27.6 75‐100

43880 2 2 2,000 1000.0 989.7 1.0 75‐100

43999 35 35 2,275 65.0 92.4 29.6 75‐100

44005 622 622 416,690 669.9 639.3 4.8 20‐30

44015 120 120 11,625 96.9 88.9 9.0 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

44020 7 7 4,700 671.4 426.8 57.3 75‐100

44021 16 16 9,325 582.8 462.5 26.0 50‐75

44050 66 66 35,000 530.3 411.8 28.8 50‐75

44055 6 6 6,000 1000.0 861.3 16.1 50‐75

44110 1 1 600 600.0 328.9 82.4 75‐100

44120 1,018 1,018 708,465 695.9 618.5 12.5 30‐40

44121 54 54 9,575 177.3 140.3 26.4 50‐75

44125 3 3 2,400 800.0 524.0 52.7 75‐100

44130 22 22 18,500 840.9 637.1 32.0 75‐100

44139 692 692 50,875 73.5 71.7 2.5 30‐40

44140 1,515 1,515 1,179,625 778.6 723.3 7.6 20‐30

44141 138 138 138,000 1000.0 1026.8 2.6 40‐50

44143 605 605 538,525 890.1 939.5 5.3 20‐30

44144 81 81 81,000 1000.0 963.8 3.8 50‐75

44145 558 558 465,800 834.8 864.6 3.5 20‐30

44146 53 53 54,125 1021.2 1114.2 8.3 50‐75

44147 13 13 13,000 1000.0 963.9 3.7 50‐75

44150 209 209 206,600 988.5 1018.1 2.9 30‐40

44155 6 6 6,000 1000.0 1063.5 6.0 75‐100

44160 840 840 611,450 727.9 669.2 8.8 20‐30

44180 173 173 106,700 616.8 533.7 15.6 40‐50


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

44188 13 13 10,400 800.0 596.5 34.1 75‐100

44202 17 17 15,900 935.3 768.8 21.6 75‐100

44204 659 659 543,075 824.1 809.3 1.8 20‐30

44205 481 481 356,900 742.0 723.1 2.6 20‐30

44206 20 20 20,000 1000.0 989.7 1.0 50‐75

44207 299 299 241,350 807.2 945.3 14.6 20‐30

44208 4 4 4,000 1000.0 1039.4 3.8 75‐100

44210 1 1 1,000 1000.0 900.9 11.0 75‐100

44212 1 1 1,000 1000.0 994.5 0.5 75‐100

44213 274 274 30,790 112.4 105.6 6.4 20‐30

44227 15 15 15,000 1000.0 917.1 9.0 50‐75

44300 17 17 10,000 588.2 462.4 27.2 75‐100

44310 28 28 11,925 425.9 421.0 1.2 75‐100

44314 10 10 7,000 700.0 562.1 24.5 75‐100

44320 124 124 100,925 813.9 658.1 23.7 50‐75

44340 2 2 800 400.0 351.7 13.7 75‐100

44345 8 8 5,600 700.0 548.8 27.6 75‐100

44346 38 38 28,575 752.0 595.3 26.3 50‐75

44360 101 101 11,145 110.3 116.5 5.3 50‐75

44361 255 255 37,275 146.2 162.8 10.2 50‐75

44366 45 45 8,300 184.4 185.2 0.4 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

44372 2 2 375 187.5 183.3 2.3 75‐100

44373 6 6 820 136.7 125.1 9.2 75‐100

44376 3 3 675 225.0 226.2 0.5 75‐100

44380 7 7 200 28.6 59.7 52.1 75‐100

44388 125 125 19,475 155.8 146.9 6.1 50‐75

44389 17 17 2,275 133.8 148.0 9.6 75‐100

44392 8 8 1,200 150.0 161.0 6.8 75‐100

44394 21 21 3,900 185.7 192.4 3.5 50‐75

44500 384 384 7,680 20.0 18.4 9.0 30‐40

44602 107 107 94,500 883.2 720.5 22.6 50‐75

44603 35 35 35,000 1000.0 794.2 25.9 50‐75

44604 34 34 23,650 695.6 529.6 31.3 50‐75

44615 4 4 2,900 725.0 486.3 49.1 75‐100

44620 44 44 26,300 597.7 461.5 29.5 50‐75

44625 86 86 60,400 702.3 585.1 20.0 50‐75

44626 201 201 170,375 847.6 853.7 0.7 30‐40

44640 18 18 16,750 930.6 728.1 27.8 50‐75

44650 2 2 2,000 1000.0 756.1 32.3 75‐100

44661 11 11 10,500 954.5 781.9 22.1 50‐75

44800 4 4 1,000 250.0 327.7 23.7 75‐100

44901 3 3 375 125.0 111.0 12.6 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

44950 155 155 69,025 445.3 396.2 12.4 30‐40

44955 78 78 4,675 59.9 51.9 15.5 50‐75

44960 146 146 88,300 604.8 540.0 12.0 20‐30

44970 587 587 230,495 392.7 366.7 7.1 20‐30

45005 1 1 100 100.0 117.6 15.0 75‐100

45020 3 3 1,050 350.0 315.4 11.0 75‐100

45100 4 4 800 200.0 182.4 9.7 75‐100

45110 104 104 83,200 800.0 926.2 13.6 30‐40

45111 4 4 2,800 700.0 529.8 32.1 75‐100

45112 7 7 7,000 1000.0 1071.9 6.7 50‐75

45119 8 8 8,000 1000.0 959.9 4.2 50‐75

45130 89 89 61,100 686.5 663.9 3.4 10‐20

45170 184 184 96,900 526.6 500.6 5.2 40‐50

45300 1,299 1,299 89,760 69.1 61.8 11.7 40‐50

45305 4 4 500 125.0 96.1 30.1 75‐100

45321 2 2 140 70.0 69.6 0.6 75‐100

45330 2,583 2,583 158,740 61.5 57.4 7.2 30‐40

45331 1,159 1,159 94,840 81.8 78.4 4.4 40‐50

45333 39 39 4,195 107.6 105.2 2.2 50‐75

45334 111 111 15,075 135.8 125.3 8.4 40‐50

45335 6 6 210 35.0 67.0 47.7 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

45337 22 22 2,180 99.1 93.5 5.9 50‐75

45338 113 113 14,405 127.5 115.4 10.5 50‐75

45339 29 29 3,775 130.2 136.6 4.7 50‐75

45340 1 1 80 80.0 101.8 21.4 75‐100

45341 66 66 7,175 108.7 124.2 12.4 50‐75

45378 57,977 57,977 11,738,760 202.5 200.4 1.0 5‐10

45380 53,927 53,927 10,907,150 202.3 201.9 0.2 5‐10

45381 2,772 2,772 199,865 72.1 81.4 11.4 10‐20

45382 830 830 200,650 241.7 241.5 0.1 30‐40

45383 3,541 3,541 928,225 262.1 264.4 0.9 10‐20

45384 14,902 14,902 3,044,140 204.3 202.3 1.0 5‐10

45385 46,259 46,259 11,719,760 253.4 251.6 0.7 0‐5

45386 24 24 4,825 201.0 186.7 7.7 75‐100

45395 7 7 7,000 1000.0 1197.0 16.5 50‐75

45402 3 3 3,000 1000.0 723.4 38.2 50‐75

45540 10 10 7,000 700.0 491.1 42.5 50‐75

45541 4 4 2,600 650.0 544.2 19.4 75‐100

45550 12 12 12,000 1000.0 796.4 25.6 50‐75

45560 80 80 24,245 303.1 294.0 3.1 40‐50

45900 2 2 250 125.0 108.0 15.7 50‐75

45915 35 35 6,225 177.9 173.3 2.7 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

46020 9 9 1,350 150.0 164.4 8.7 75‐100

46040 197 197 55,475 281.6 284.2 0.9 30‐40

46045 1 1 250 250.0 280.2 10.8 75‐100

46050 72 72 7,365 102.3 86.2 18.7 40‐50

46060 3 3 900 300.0 288.2 4.1 75‐100

46080 54 54 5,675 105.1 129.1 18.6 40‐50

46083 85 85 8,590 101.1 90.8 11.3 30‐40

46200 38 38 7,775 204.6 220.5 7.2 50‐75

46220 14 14 1,750 125.0 107.7 16.0 50‐75

46221 1,835 1,835 269,785 147.0 140.3 4.8 10‐20

46230 18 18 2,665 148.1 146.6 1.0 75‐100

46250 63 63 13,600 215.9 219.0 1.4 40‐50

46255 153 153 40,700 266.0 262.0 1.5 30‐40

46260 360 360 116,050 322.4 311.6 3.4 20‐30

46261 7 7 2,325 332.1 359.3 7.6 75‐100

46270 49 49 13,500 275.5 272.2 1.2 40‐50

46275 33 33 9,325 282.6 273.2 3.4 40‐50

46280 24 24 7,350 306.3 314.2 2.5 50‐75

46320 64 64 7,035 109.9 90.2 21.8 40‐50

46500 447 447 63,850 142.8 131.5 8.7 20‐30

46505 5 5 750 150.0 134.6 11.5 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

46600 3,598 3,598 202,660 56.3 54.4 3.6 20‐30

46604 3 3 975 325.0 285.4 13.9 75‐100

46606 1 1 25 25.0 74.7 66.5 75‐100

46614 1 1 100 100.0 96.4 3.8 75‐100

46750 7 7 3,500 500.0 399.5 25.2 75‐100

46753 4 4 1,500 375.0 321.8 16.5 50‐75

46900 59 59 9,000 152.5 141.4 7.9 30‐40

46910 13 13 1,425 109.6 107.5 2.0 50‐75

46916 8 8 1,200 150.0 148.5 1.0 50‐75

46922 17 17 2,195 129.1 138.8 6.9 75‐100

46924 77 77 16,760 217.7 228.0 4.5 40‐50

46934 1,504 1,504 394,405 262.2 248.1 5.7 10‐20

46936 36 36 9,775 271.5 274.2 1.0 50‐75

46940 7 7 1,200 171.4 145.2 18.1 50‐75

46945 20 20 3,745 187.3 164.3 14.0 75‐100

46946 9 9 1,650 183.3 158.1 15.9 75‐100

46947 135 135 46,100 341.5 346.9 1.6 30‐40

47000 2,029 2,029 152,125 75.0 77.0 2.6 20‐30

47001 116 116 8,475 73.1 74.3 1.7 50‐75

47011 84 84 12,350 147.0 140.2 4.9 50‐75

47100 52 52 15,495 298.0 300.4 0.8 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

47120 60 60 113,850 1897.5 1246.3 52.2 50‐75

47125 5 5 10,000 2000.0 1764.7 13.3 75‐100

47130 12 12 24,000 2000.0 2013.2 0.7 50‐75

47135 57 57 141,400 2480.7 2366.2 4.8 30‐40

47143 3 3 525 175.0 173.8 0.7 75‐100

47350 1 1 900 900.0 657.4 36.9 75‐100

47380 3 3 3,000 1000.0 609.7 64.0 75‐100

47382 38 38 23,100 607.9 628.9 3.3 50‐75

47420 2 2 1,800 900.0 556.6 61.7 75‐100

47490 209 209 83,525 399.6 394.0 1.4 30‐40

47500 153 153 6,235 40.8 46.5 12.3 40‐50

47505 591 591 13,790 23.3 23.3 0.2 30‐40

47510 51 51 19,100 374.5 348.9 7.4 50‐75

47511 99 99 45,375 458.3 443.6 3.3 50‐75

47525 216 216 43,350 200.7 204.7 2.0 50‐75

47550 29 29 3,315 114.3 103.1 10.9 40‐50

47552 4 4 500 125.0 173.3 27.9 75‐100

47553 1 1 125 125.0 189.3 34.0 75‐100

47555 6 6 900 150.0 246.2 39.1 75‐100

47556 24 24 7,850 327.1 288.0 13.6 50‐75

47562 6,378 6,378 2,841,580 445.5 438.8 1.5 5‐10


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

47563 3,270 3,270 1,481,885 453.2 446.3 1.5 5‐10

47564 59 59 35,900 608.5 481.3 26.4 40‐50

47600 906 906 489,750 540.6 485.2 11.4 20‐30

47605 170 170 101,225 595.4 508.1 17.2 40‐50

47610 80 80 61,950 774.4 674.2 14.9 40‐50

47760 1 1 1,000 1000.0 1210.7 17.4 75‐100

47780 15 15 30,000 2000.0 1318.6 51.7 50‐75

47785 1 1 2,000 2000.0 1565.1 27.8 75‐100

48100 2 2 600 300.0 317.3 5.4 75‐100

48102 51 51 9,600 188.2 194.5 3.2 50‐75

48105 15 15 30,000 2000.0 1484.4 34.7 40‐50

48140 31 31 31,000 1000.0 855.0 17.0 50‐75

48150 68 68 122,700 1804.4 1800.6 0.2 30‐40

48153 49 49 93,050 1899.0 1840.6 3.2 40‐50

48511 10 10 1,500 150.0 141.7 5.9 50‐75

48548 1 1 1,000 1000.0 753.2 32.8 75‐100

48551 6 6 655 109.2 86.0 26.9 50‐75

48554 14 14 17,675 1262.5 1055.6 19.6 30‐40

49000 166 166 86,925 523.6 448.3 16.8 50‐75

49002 89 89 51,000 573.0 525.7 9.0 50‐75

49020 95 95 85,800 903.2 825.6 9.4 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

49021 639 639 81,950 128.2 128.5 0.2 20‐30

49041 27 27 4,100 151.9 154.9 2.0 50‐75

49060 6 6 3,975 662.5 602.3 10.0 75‐100

49061 168 168 24,800 147.6 145.4 1.5 40‐50

49080 5,554 5,554 290,920 52.4 52.5 0.3 10‐20

49081 151 151 7,220 47.8 52.8 9.5 50‐75

49180 512 512 34,795 68.0 68.6 0.9 40‐50

49203 1 1 800 800.0 535.9 49.3 75‐100

49204 11 11 11,000 1000.0 876.2 14.1 75‐100

49205 14 14 14,000 1000.0 923.7 8.3 75‐100

49320 107 107 19,800 185.0 159.4 16.1 75‐100

49321 4 4 900 225.0 168.1 33.9 75‐100

49322 8 8 1,830 228.8 198.4 15.3 75‐100

49324 107 107 26,285 245.7 228.4 7.6 40‐50

49325 14 14 3,750 267.9 267.8 0.0 50‐75

49326 3 3 375 125.0 122.2 2.3 50‐75

49400 2 2 140 70.0 69.0 1.4 75‐100

49402 5 5 3,000 600.0 477.4 25.7 75‐100

49419 9 9 1,400 155.6 184.9 15.9 40‐50

49420 96 96 9,145 95.3 90.7 5.1 50‐75

49421 169 169 42,025 248.7 244.4 1.7 40‐50


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

49422 219 219 52,750 240.9 242.0 0.5 40‐50

49423 42 42 2,415 57.5 60.0 4.1 75‐100

49424 345 345 9,100 26.4 26.8 1.4 50‐75

49425 2 2 1,000 500.0 449.0 11.4 75‐100

49435 1 1 85 85.0 79.2 7.3 75‐100

49440 395 395 71,275 180.4 181.2 0.4 40‐50

49441 4 4 800 200.0 209.5 4.5 75‐100

49446 55 55 5,180 94.2 96.9 2.8 75‐100

49450 244 244 12,635 51.8 56.5 8.3 40‐50

49451 73 73 5,165 70.8 84.6 16.3 50‐75

49452 144 144 15,700 109.0 111.3 2.1 40‐50

49465 407 407 10,175 25.0 24.2 3.4 30‐40

49505 4,670 4,670 1,707,560 365.6 356.4 2.6 5‐10

49507 527 527 233,125 442.4 416.5 6.2 20‐30

49520 444 444 199,790 450.0 426.5 5.5 20‐30

49521 104 104 55,150 530.3 473.2 12.1 30‐40

49525 82 82 35,900 437.8 379.6 15.3 40‐50

49550 33 33 12,175 368.9 340.2 8.4 50‐75

49553 67 67 26,025 388.4 365.2 6.4 50‐75

49560 1,803 1,803 790,510 438.4 411.0 6.7 10‐20

49561 609 609 362,170 594.7 538.3 10.5 30‐40


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

49565 323 323 152,125 471.0 416.3 13.1 30‐40

49566 157 157 93,350 594.6 507.5 17.2 40‐50

49568 2,263 2,263 424,380 187.5 187.2 0.2 10‐20

49570 27 27 7,350 272.2 272.6 0.1 50‐75

49572 5 5 1,625 325.0 304.5 6.7 75‐100

49585 1,150 1,150 291,680 253.6 234.4 8.2 10‐20

49587 387 387 138,590 358.1 325.8 9.9 30‐40

49590 19 19 7,250 381.6 337.7 13.0 75‐100

49650 878 878 266,330 303.3 291.1 4.2 10‐20

49651 145 145 53,870 371.5 344.1 8.0 20‐30

49659 394 394 242,150 614.6 503.2 22.1 40‐50

49900 46 46 21,400 465.2 433.7 7.3 50‐75

49905 18 18 4,550 252.8 224.7 12.5 75‐100

50021 8 8 1,025 128.1 134.1 4.5 50‐75

50080 55 55 35,600 647.3 645.7 0.2 30‐40

50081 136 136 129,225 950.2 906.8 4.8 10‐20

50200 962 962 106,915 111.1 109.1 1.9 20‐30

50205 11 11 3,175 288.6 326.2 11.5 75‐100

50220 51 51 27,100 531.4 509.1 4.4 50‐75

50230 249 249 163,300 655.8 658.2 0.4 20‐30

50234 30 30 22,350 745.0 634.6 17.4 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

50236 21 21 16,875 803.6 729.4 10.2 50‐75

50240 126 126 99,850 792.5 744.6 6.4 30‐40

50320 4 4 4,000 1000.0 1020.1 2.0 50‐75

50323 221 221 19,840 89.8 92.8 3.3 20‐30

50325 61 61 4,585 75.2 83.6 10.1 40‐50

50327 76 76 6,130 80.7 77.1 4.6 20‐30

50328 35 35 2,280 65.1 65.1 0.1 40‐50

50329 1 1 65 65.0 61.8 5.1 75‐100

50360 509 509 922,325 1812.0 1500.6 20.8 10‐20

50365 2 2 4,000 2000.0 2120.8 5.7 50‐75

50370 46 46 35,250 766.3 695.7 10.1 20‐30

50387 1 1 75 75.0 84.1 10.9 75‐100

50389 5 5 200 40.0 42.5 5.8 75‐100

50390 294 294 12,975 44.1 49.3 10.5 40‐50

50392 543 543 72,145 132.9 129.7 2.4 30‐40

50393 285 285 49,960 175.3 164.3 6.7 40‐50

50394 838 838 21,050 25.1 29.1 13.7 30‐40

50395 65 65 6,780 104.3 114.2 8.6 50‐75

50398 551 551 27,290 49.5 65.1 23.9 40‐50

50541 1 1 700 700.0 537.7 30.2 75‐100

50542 24 24 18,800 783.3 668.7 17.1 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

50543 70 70 64,225 917.5 861.6 6.5 30‐40

50545 271 271 207,300 764.9 727.2 5.2 20‐30

50546 49 49 36,000 734.7 699.6 5.0 50‐75

50547 81 81 85,625 1057.1 982.5 7.6 20‐30

50548 58 58 43,775 754.7 732.3 3.1 40‐50

50561 2 2 600 300.0 265.0 13.2 75‐100

50590 2,737 2,737 1,357,825 496.1 526.4 5.8 5‐10

50592 12 12 3,350 279.2 507.1 44.9 50‐75

50593 5 5 1,750 350.0 312.9 11.9 75‐100

50605 65 65 23,920 368.0 383.6 4.1 50‐75

50684 13 13 260 20.0 26.5 24.5 75‐100

50688 6 6 375 62.5 54.2 15.4 75‐100

50690 7 7 360 51.4 48.4 6.4 75‐100

50715 17 17 15,350 902.9 653.1 38.3 75‐100

50760 1 1 800 800.0 507.6 57.6 75‐100

50820 7 7 7,000 1000.0 703.4 42.2 75‐100

51040 108 108 22,375 207.2 193.8 6.9 50‐75

51045 3 3 525 175.0 262.1 33.2 75‐100

51050 16 16 4,725 295.3 264.3 11.7 50‐75

51102 300 300 51,095 170.3 177.3 3.9 50‐75

51525 4 4 2,600 650.0 411.7 57.9 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

51550 9 9 5,825 647.2 413.1 56.7 75‐100

51555 2 2 1,800 900.0 613.9 46.6 75‐100

51575 5 5 4,225 845.0 968.9 12.8 50‐75

51590 26 26 23,375 899.0 1056.2 14.9 50‐75

51595 131 131 207,900 1587.0 1275.7 24.4 20‐30

51596 19 19 38,000 2000.0 1417.2 41.1 50‐75

51597 10 10 18,275 1827.5 1430.3 27.8 50‐75

51600 978 978 61,670 63.1 63.0 0.0 40‐50

51610 33 33 1,395 42.3 42.2 0.3 75‐100

51700 4,992 4,992 311,070 62.3 59.0 5.7 20‐30

51701 6,796 6,796 342,430 50.4 49.0 2.9 10‐20

51702 8,168 8,168 479,905 58.8 56.1 4.7 10‐20

51703 2,038 2,038 199,940 98.1 92.9 5.6 20‐30

51705 3,221 3,221 271,105 84.2 80.6 4.5 20‐30

51710 198 198 26,440 133.5 120.2 11.1 50‐75

51715 563 563 114,725 203.8 203.9 0.1 20‐30

51720 8,656 8,656 778,505 89.9 89.4 0.6 5‐10

51725 490 490 85,130 173.7 148.1 17.3 50‐75

51726 10,069 10,069 2,312,625 229.7 218.0 5.4 10‐20

51736 292 292 10,090 34.6 32.2 7.2 40‐50

51741 30,490 30,490 1,504,765 49.4 49.3 0.0 0‐5


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

51772 4,506 4,506 443,310 98.4 97.8 0.6 10‐20

51784 8,216 8,216 744,205 90.6 90.0 0.6 10‐20

51785 257 257 19,230 74.8 72.1 3.8 50‐75

51792 386 386 43,505 112.7 117.9 4.4 30‐40

51795 9,012 9,012 1,112,310 123.4 120.3 2.6 5‐10

51797 7,425 7,425 783,275 105.5 100.8 4.7 10‐20

51798 81,917 81,917 1,271,085 15.5 15.6 0.3 0‐5

51800 5 5 1,415 283.0 477.1 40.7 75‐100

51840 19 19 6,665 350.8 275.1 27.5 75‐100

51960 3 3 3,000 1000.0 891.9 12.1 75‐100

51992 1 1 600 600.0 362.5 65.5 75‐100

52000 47,338 47,338 7,218,340 152.5 151.3 0.8 5‐10

52001 374 374 85,050 227.4 221.3 2.8 30‐40

52005 1,674 1,674 183,940 109.9 122.5 10.3 40‐50

52204 1,177 1,177 205,715 174.8 192.2 9.0 40‐50

52214 1,006 1,006 724,435 720.1 658.2 9.4 30‐40

52224 2,125 2,125 1,431,200 673.5 618.0 9.0 20‐30

52234 1,016 1,016 219,755 216.3 211.8 2.1 20‐30

52235 1,364 1,364 326,775 239.6 240.4 0.3 10‐20

52240 1,043 1,043 417,925 400.7 396.8 1.0 20‐30

52260 199 199 37,230 187.1 180.9 3.4 40‐50


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

52265 17 17 6,375 375.0 339.3 10.5 75‐100

52275 47 47 18,645 396.7 366.7 8.2 50‐75

52276 519 519 117,775 226.9 222.0 2.2 20‐30

52281 5,782 5,782 1,427,880 247.0 244.0 1.2 10‐20

52282 2 2 500 250.0 220.5 13.4 75‐100

52283 1 1 60 60.0 102.4 41.4 75‐100

52285 104 104 22,000 211.5 204.8 3.3 50‐75

52310 2,455 2,455 468,385 190.8 186.7 2.2 20‐30

52315 16 16 4,625 289.1 311.0 7.1 75‐100

52317 298 298 89,275 299.6 313.3 4.4 30‐40

52318 258 258 86,575 335.6 336.0 0.1 20‐30

52320 16 16 2,945 184.1 211.1 12.8 75‐100

52325 10 10 2,500 250.0 252.3 0.9 50‐75

52330 67 67 12,200 182.1 278.1 34.5 40‐50

52332 4,910 4,910 494,240 100.7 105.1 4.2 20‐30

52334 2 2 400 200.0 197.6 1.2 75‐100

52341 22 22 4,750 215.9 231.8 6.9 75‐100

52344 30 30 9,750 325.0 319.4 1.7 75‐100

52351 556 556 138,950 249.9 253.7 1.5 40‐50

52352 542 542 157,750 291.1 285.7 1.9 20‐30

52353 1,364 1,364 474,555 347.9 341.8 1.8 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

52354 120 120 36,625 305.2 321.4 5.0 50‐75

52355 6 6 2,100 350.0 368.6 5.0 75‐100

52400 8 8 3,350 418.8 435.9 3.9 75‐100

52450 13 13 4,550 350.0 346.5 1.0 75‐100

52500 170 170 70,650 415.6 405.3 2.5 40‐50

52601 2,219 2,219 1,379,325 621.6 622.7 0.2 5‐10

52612 2 2 800 400.0 392.7 1.9 75‐100

52620 6 6 1,900 316.7 305.3 3.7 75‐100

52630 85 85 28,350 333.5 325.8 2.4 40‐50

52640 85 85 26,150 307.6 305.3 0.8 30‐40

52647 134 134 193,150 1441.4 1231.2 17.1 20‐30

52648 1,664 1,664 1,213,525 729.3 734.4 0.7 5‐10

52649 19 19 14,200 747.4 761.7 1.9 50‐75

53020 8 8 320 40.0 78.4 49.0 75‐100

53215 2 2 1,400 700.0 506.0 38.3 75‐100

53230 1 1 450 450.0 339.0 32.7 75‐100

53265 14 14 1,975 141.1 161.8 12.8 50‐75

53275 3 3 600 200.0 200.5 0.3 75‐100

53410 1 1 700 700.0 705.8 0.8 75‐100

53440 117 117 67,200 574.4 558.1 2.9 20‐30

53444 1 1 600 600.0 555.5 8.0 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

53445 77 77 44,800 581.8 543.9 7.0 30‐40

53446 15 15 7,325 488.3 395.3 23.5 50‐75

53447 3 3 1,800 600.0 734.0 18.3 75‐100

53500 2 2 1,200 600.0 364.5 64.6 75‐100

53600 265 265 16,245 61.3 58.0 5.7 30‐40

53601 610 610 37,890 62.1 59.1 5.0 20‐30

53620 252 252 22,685 90.0 85.3 5.6 30‐40

53621 163 163 14,875 91.3 85.3 7.0 30‐40

53660 864 864 46,835 54.2 52.5 3.2 20‐30

53661 1,386 1,386 74,930 54.1 52.9 2.2 10‐20

53850 1,232 1,232 2,971,000 2411.5 2386.7 1.0 5‐10

53852 375 375 886,350 2363.6 2304.6 2.6 10‐20

53899 1 1 150 150.0 250.8 40.2 75‐100

54001 55 55 6,750 122.7 123.3 0.4 40‐50

54050 15 15 1,380 92.0 82.9 10.9 50‐75

54055 12 12 1,080 90.0 70.9 27.0 75‐100

54056 89 89 8,255 92.8 88.1 5.2 30‐40

54057 4 4 270 67.5 138.2 51.1 75‐100

54060 2 2 300 150.0 131.0 14.5 75‐100

54065 29 29 4,975 171.6 148.8 15.3 50‐75

54100 58 58 8,365 144.2 118.5 21.7 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

54120 6 6 2,825 470.8 399.3 17.9 75‐100

54161 562 562 105,740 188.1 179.9 4.6 10‐20

54162 1 1 150 150.0 167.9 10.7 75‐100

54163 2 2 300 150.0 185.6 19.2 75‐100

54200 83 83 6,665 80.3 74.1 8.4 50‐75

54220 10 10 1,175 117.5 122.3 3.9 50‐75

54235 456 456 29,945 65.7 63.8 3.0 20‐30

54360 5 5 2,350 470.0 333.2 41.0 75‐100

54400 2 2 800 400.0 305.1 31.1 75‐100

54405 253 253 135,815 536.8 563.0 4.7 10‐20

54406 15 15 8,000 533.3 493.7 8.0 50‐75

54408 7 7 4,200 600.0 539.4 11.2 50‐75

54410 49 49 35,200 718.4 593.9 21.0 40‐50

54450 61 61 2,940 48.2 46.6 3.5 40‐50

54520 65 65 17,000 261.5 254.1 2.9 50‐75

54530 15 15 6,075 405.0 415.9 2.6 75‐100

54700 37 37 5,450 147.3 140.6 4.8 50‐75

54830 2 2 550 275.0 253.9 8.3 75‐100

54840 90 90 26,775 297.5 280.1 6.2 20‐30

54860 6 6 1,825 304.2 312.5 2.7 75‐100

55000 124 124 11,720 94.5 86.0 9.9 30‐40


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

55040 326 326 93,375 286.4 276.5 3.6 10‐20

55041 11 11 5,450 495.5 435.1 13.9 75‐100

55060 21 21 6,275 298.8 293.8 1.7 50‐75

55100 31 31 4,095 132.1 121.3 8.9 40‐50

55500 8 8 2,150 268.8 257.8 4.3 50‐75

55520 128 128 24,975 195.1 189.4 3.0 30‐40

55530 1 1 275 275.0 274.7 0.1 75‐100

55700 11,220 11,220 1,947,850 173.6 173.2 0.2 5‐10

55810 18 18 16,000 888.9 757.4 17.4 20‐30

55815 1 1 1,000 1000.0 1056.0 5.3 75‐100

55821 52 52 23,775 457.2 455.8 0.3 20‐30

55831 40 40 21,125 528.1 511.0 3.4 30‐40

55840 117 117 72,285 617.8 545.5 13.3 30‐40

55842 37 37 30,400 821.6 771.1 6.5 30‐40

55845 471 471 328,100 696.6 826.9 15.8 5‐10

55866 800 800 622,370 778.0 960.6 19.0 5‐10

55873 222 222 245,800 1107.2 1087.6 1.8 10‐20

55875 955 955 650,200 680.8 679.7 0.2 0‐5

55876 777 777 79,700 102.6 98.8 3.8 10‐20

55899 17 17 15,500 911.8 722.0 26.3 50‐75

56405 112 112 8,715 77.8 71.7 8.5 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

56420 53 53 4,385 82.7 70.9 16.6 40‐50

56440 6 6 775 129.2 156.6 17.5 50‐75

56501 73 73 6,470 88.6 82.3 7.8 50‐75

56515 23 23 3,420 148.7 139.1 6.9 75‐100

56605 938 938 55,610 59.3 55.4 7.1 30‐40

56606 66 66 1,910 28.9 26.6 9.0 50‐75

56620 42 42 16,000 381.0 353.2 7.9 50‐75

56630 17 17 10,600 623.5 584.6 6.7 50‐75

56631 7 7 5,600 800.0 810.0 1.2 30‐40

56632 7 7 6,300 900.0 779.8 15.4 40‐50

56633 2 2 1,600 800.0 666.3 20.1 50‐75

56637 4 4 4,000 1000.0 716.1 39.6 50‐75

56740 2 2 425 212.5 250.3 15.1 75‐100

56820 74 74 4,955 67.0 65.1 2.9 50‐75

56821 53 53 5,575 105.2 98.5 6.8 50‐75

57061 7 7 480 68.6 68.7 0.1 75‐100

57065 6 6 750 125.0 118.7 5.3 75‐100

57100 95 95 6,150 64.7 58.1 11.4 50‐75

57106 8 8 1,550 193.8 199.6 2.9 75‐100

57110 35 35 20,400 582.9 519.0 12.3 30‐40

57120 79 79 20,285 256.8 239.2 7.3 30‐40


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

57135 12 12 1,420 118.3 137.9 14.2 75‐100

57150 894 894 35,575 39.8 37.8 5.4 20‐30

57155 147 147 45,800 311.6 314.4 0.9 40‐50

57160 4,650 4,650 242,240 52.1 51.2 1.7 5‐10

57210 9 9 1,125 125.0 150.9 17.1 50‐75

57240 947 947 233,350 246.4 244.2 0.9 10‐20

57250 503 503 137,600 273.6 265.4 3.1 10‐20

57260 865 865 248,270 287.0 280.0 2.5 10‐20

57265 369 369 170,905 463.2 440.3 5.2 10‐20

57267 1,234 1,330 222,790 167.5 167.0 0.3 10‐20

57268 55 55 8,760 159.3 180.1 11.6 30‐40

57270 3 3 825 275.0 295.8 7.0 75‐100

57280 143 143 77,665 543.1 475.4 14.2 20‐30

57282 718 718 108,515 151.1 150.0 0.8 10‐20

57283 153 153 34,715 226.9 223.7 1.4 20‐30

57284 68 68 31,790 467.5 394.1 18.6 30‐40

57285 39 39 8,560 219.5 220.8 0.6 40‐50

57287 27 27 13,725 508.3 467.8 8.7 75‐100

57288 2,632 2,632 1,267,940 481.7 456.0 5.6 5‐10

57295 15 15 5,075 338.3 290.2 16.6 75‐100

57305 9 9 2,800 311.1 312.7 0.5 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

57410 25 25 1,885 75.4 78.0 3.3 75‐100

57415 3 3 300 100.0 119.8 16.5 75‐100

57420 90 90 7,420 82.4 68.1 21.0 50‐75

57421 122 122 14,250 116.8 104.7 11.5 30‐40

57425 63 63 35,400 561.9 487.6 15.3 40‐50

57452 301 301 22,510 74.8 68.5 9.1 40‐50

57454 836 836 89,875 107.5 105.0 2.4 10‐20

57455 101 101 10,105 100.1 95.3 4.9 30‐40

57456 115 115 10,880 94.6 86.6 9.3 30‐40

57460 28 28 5,225 186.6 173.5 7.5 50‐75

57461 23 23 4,850 210.9 190.9 10.5 50‐75

57500 224 224 21,955 98.0 86.9 12.8 40‐50

57505 36 36 2,660 73.9 65.9 12.2 50‐75

57511 55 55 5,775 105.0 94.4 11.2 30‐40

57513 1 1 90 90.0 132.4 32.0 75‐100

57520 49 49 10,000 204.1 217.1 6.0 50‐75

57522 82 82 16,150 197.0 188.8 4.3 40‐50

57556 2 2 400 200.0 172.0 16.3 75‐100

57800 9 9 400 44.4 37.2 19.5 75‐100

58100 3,231 3,231 246,470 76.3 75.0 1.8 10‐20

58110 15 15 535 35.7 34.4 3.8 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

58120 458 458 75,630 165.1 166.8 1.0 30‐40

58140 10 10 5,800 580.0 547.3 6.0 40‐50

58146 2 2 1,800 900.0 918.5 2.0 0‐5

58150 831 831 462,445 556.5 522.5 6.5 20‐30

58152 6 6 4,650 775.0 564.9 37.2 50‐75

58180 26 26 13,950 536.5 439.8 22.0 50‐75

58200 74 74 65,175 880.7 799.5 10.2 30‐40

58210 169 169 149,575 885.1 1077.5 17.9 10‐20

58260 528 528 228,245 432.3 410.7 5.2 10‐20

58262 160 160 83,275 520.5 501.4 3.8 30‐40

58263 40 40 23,725 593.1 560.0 5.9 30‐40

58267 3 3 1,525 508.3 626.8 18.9 50‐75

58270 37 37 20,925 565.5 494.4 14.4 40‐50

58275 1 1 700 700.0 756.9 7.5 75‐100

58301 21 21 1,390 66.2 56.2 17.8 50‐75

58340 250 250 24,865 99.5 90.7 9.6 30‐40

58353 23 23 5,775 251.1 222.0 13.1 30‐40

58356 6 6 12,000 2000.0 1601.0 24.9 40‐50

58400 3 3 475 158.3 145.3 9.0 75‐100

58541 20 20 9,075 453.8 399.6 13.6 50‐75

58542 9 9 5,000 555.6 482.1 15.2 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

58543 3 3 2,100 700.0 584.8 19.7 50‐75

58545 2 2 1,400 700.0 685.9 2.1 75‐100

58548 38 38 35,875 944.1 1031.8 8.5 40‐50

58550 40 40 19,000 475.0 430.4 10.4 50‐75

58552 187 187 105,425 563.8 504.7 11.7 30‐40

58553 1 1 800 800.0 582.7 37.3 50‐75

58555 35 35 4,950 141.4 145.8 3.0 50‐75

58558 1,696 1,696 386,795 228.1 225.9 1.0 10‐20

58561 15 15 6,650 443.3 412.8 7.4 50‐75

58563 245 245 86,550 353.3 365.2 3.3 10‐20

58565 6 6 4,950 825.0 697.3 18.3 50‐75

58570 7 7 2,400 342.9 353.8 3.1 75‐100

58571 72 72 48,650 675.7 582.1 16.1 50‐75

58573 2 2 1,800 900.0 738.9 21.8 50‐75

58605 2 2 450 225.0 222.5 1.1 0‐5

58611 8 8 440 55.0 52.2 5.4 20‐30

58660 33 33 16,550 501.5 377.7 32.8 50‐75

58661 306 306 129,840 424.3 379.9 11.7 40‐50

58662 46 46 23,525 511.4 454.2 12.6 50‐75

58670 13 13 3,825 294.2 280.7 4.8 50‐75

58671 9 9 3,000 333.3 289.1 15.3 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

58720 178 178 74,315 417.5 345.6 20.8 50‐75

58740 2 2 925 462.5 319.1 45.0 75‐100

58823 2 2 250 125.0 123.7 1.0 75‐100

58925 7 7 3,650 521.4 356.7 46.2 75‐100

58940 17 17 5,125 301.5 223.4 35.0 75‐100

58943 7 7 5,700 814.3 624.7 30.3 50‐75

58950 11 11 8,100 736.4 606.7 21.4 50‐75

58951 24 24 23,150 964.6 884.1 9.1 50‐75

58952 46 46 40,800 887.0 827.4 7.2 40‐50

58953 54 54 64,900 1201.9 1161.9 3.4 40‐50

58954 46 46 74,250 1614.1 1250.6 29.1 30‐40

58956 15 15 15,000 1000.0 859.1 16.4 50‐75

58957 15 15 15,000 1000.0 849.5 17.7 50‐75

58958 2 2 2,000 1000.0 873.1 14.5 75‐100

58960 3 3 2,000 666.7 386.6 72.5 75‐100

59000 17 17 1,595 93.8 76.5 22.7 50‐75

59025 615 615 16,175 26.3 26.0 1.0 20‐30

59120 1 1 600 600.0 653.5 8.2 50‐75

59151 2 2 1,000 500.0 573.3 12.8 30‐40

59320 1 1 125 125.0 121.7 2.7 50‐75

59400 156 156 161,500 1035.3 1243.3 16.7 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

59409 43 43 25,600 595.3 598.7 0.6 30‐40

59410 46 46 30,500 663.0 643.6 3.0 30‐40

59425 34 34 5,595 164.6 151.0 9.0 50‐75

59426 23 23 11,775 512.0 226.8 125.7 75‐100

59430 46 46 4,285 93.2 87.7 6.2 30‐40

59510 127 127 175,000 1378.0 1360.4 1.3 10‐20

59514 98 98 36,700 374.5 365.9 2.4 20‐30

59515 31 31 25,400 819.4 821.0 0.2 30‐40

59610 5 5 5,000 1000.0 1327.1 24.7 20‐30

59812 12 12 2,500 208.3 204.8 1.7 40‐50

59820 33 33 8,975 272.0 262.0 3.8 30‐40

60100 735 735 47,665 64.9 63.2 2.6 20‐30

60200 19 19 10,000 526.3 374.4 40.6 75‐100

60210 4 4 1,925 481.3 340.3 41.4 75‐100

60212 1 1 700 700.0 607.3 15.3 75‐100

60220 343 343 161,170 469.9 410.7 14.4 30‐40

60225 13 13 8,100 623.1 509.9 22.2 75‐100

60240 313 313 198,050 632.7 544.7 16.2 40‐50

60252 30 30 26,000 866.7 706.8 22.6 50‐75

60254 1 1 1,000 1000.0 850.3 17.6 75‐100

60260 19 19 14,800 778.9 582.4 33.8 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

60271 26 26 19,400 746.2 592.0 26.0 75‐100

60280 4 4 1,200 300.0 290.3 3.3 75‐100

60300 18 18 715 39.7 49.7 20.1 75‐100

60500 598 598 367,310 614.2 578.4 6.2 20‐30

60502 11 11 9,900 900.0 738.3 21.9 75‐100

60512 46 46 8,105 176.2 150.9 16.8 50‐75

60600 2 2 2,000 1000.0 786.9 27.1 75‐100

60650 10 10 7,525 752.5 676.5 11.2 75‐100

61055 8 8 800 100.0 97.3 2.8 75‐100

61070 10 10 575 57.5 59.9 4.0 75‐100

61107 58 58 13,450 231.9 231.5 0.2 50‐75

61108 15 15 9,000 600.0 538.6 11.4 50‐75

61154 278 278 225,575 811.4 764.7 6.1 30‐40

61210 5 5 1,200 240.0 234.3 2.4 75‐100

61312 461 461 519,425 1126.7 1153.4 2.3 10‐20

61313 67 67 72,875 1087.7 1102.3 1.3 40‐50

61314 3 3 3,000 1000.0 907.8 10.2 75‐100

61315 12 12 14,000 1166.7 1157.4 0.8 50‐75

61320 8 8 8,000 1000.0 1114.7 10.3 50‐75

61343 8 8 15,000 1875.0 1342.3 39.7 50‐75

61458 18 18 19,000 1055.6 1042.1 1.3 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

61510 339 339 473,225 1395.9 1176.7 18.6 20‐30

61512 95 95 183,000 1926.3 1419.9 35.7 40‐50

61514 2 2 2,000 1000.0 970.9 3.0 75‐100

61517 7 7 455 65.0 65.0 0.0 50‐75

61518 50 50 100,000 2000.0 1604.5 24.7 30‐40

61519 17 17 34,000 2000.0 1722.9 16.1 30‐40

61520 3 3 7,000 2333.3 1794.6 30.0 75‐100

61533 6 6 6,000 1000.0 949.6 5.3 30‐40

61537 1 1 2,000 2000.0 1327.4 50.7 75‐100

61538 4 4 8,000 2000.0 1339.8 49.3 30‐40

61548 49 49 39,100 798.0 805.9 1.0 50‐75

61592 1 1 1,000 1000.0 1328.6 24.7 75‐100

61608 1 1 2,000 2000.0 2351.8 15.0 75‐100

61616 3 3 6,000 2000.0 1645.1 21.6 75‐100

61624 124 124 101,100 815.3 780.8 4.4 40‐50

61626 10 10 6,300 630.0 633.1 0.5 75‐100

61697 27 27 81,000 3000.0 2092.1 43.4 40‐50

61700 17 17 41,000 2411.8 1868.1 29.1 50‐75

61750 8 8 7,400 925.0 907.3 1.9 50‐75

61751 28 28 26,600 950.0 931.2 2.0 50‐75

61760 1 1 1,000 1000.0 719.1 39.1 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

61790 7 7 4,100 585.7 589.7 0.7 75‐100

61793 328 328 290,800 886.6 827.5 7.1 40‐50

61795 603 603 111,550 185.0 184.1 0.5 30‐40

61867 58 58 99,000 1706.9 1388.6 22.9 30‐40

61868 2 2 975 487.5 386.8 26.1 75‐100

61885 54 54 24,650 456.5 475.8 4.1 50‐75

61886 8 8 4,100 512.5 697.5 26.5 75‐100

62141 1 1 800 800.0 453.1 76.6 75‐100

62143 2 2 1,600 800.0 425.4 88.1 75‐100

62160 3 3 400 133.3 149.4 10.7 75‐100

62165 4 4 2,600 650.0 787.1 17.4 75‐100

62223 306 306 176,860 578.0 541.6 6.7 20‐30

62225 5 5 1,500 300.0 267.7 12.1 75‐100

62230 43 43 24,300 565.1 447.2 26.4 50‐75

62252 135 135 9,650 71.5 62.7 14.0 50‐75

62256 5 5 1,750 350.0 315.5 11.0 75‐100

62258 3 3 2,000 666.7 575.5 15.8 75‐100

62264 664 664 151,825 228.7 229.1 0.2 30‐40

62270 2,444 2,444 141,385 57.9 58.6 1.3 30‐40

62272 58 58 4,010 69.1 64.0 8.0 75‐100

62273 71 71 6,620 93.2 93.9 0.7 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

62282 94 94 21,115 224.6 204.1 10.0 75‐100

62284 2,548 2,548 208,480 81.8 87.1 6.0 20‐30

62287 16 16 8,725 545.3 485.1 12.4 75‐100

62290 626 693 80,220 115.8 121.3 4.6 30‐40

62291 35 35 3,025 86.4 92.4 6.4 50‐75

62310 9,648 9,648 1,340,340 138.9 135.9 2.2 10‐20

62311 54,460 54,460 6,661,710 122.3 120.6 1.4 0‐5

62318 1,656 1,656 132,215 79.8 84.8 5.9 20‐30

62319 1,919 1,919 167,390 87.2 85.7 1.7 20‐30

62350 119 119 23,675 199.0 236.3 15.8 50‐75

62355 16 16 2,700 168.8 208.0 18.9 75‐100

62362 138 138 53,775 389.7 755.7 48.4 50‐75

62365 9 9 2,475 275.0 278.7 1.3 75‐100

62367 340 340 9,045 26.6 23.9 11.4 50‐75

62368 7,435 7,435 270,060 36.3 35.4 2.7 10‐20

63005 26 26 17,425 670.2 453.2 47.9 75‐100

63012 30 30 11,290 376.3 336.6 11.8 75‐100

63015 63 63 59,500 944.4 784.1 20.4 40‐50

63017 20 20 16,600 830.0 571.7 45.2 50‐75

63020 26 26 19,575 752.9 563.7 33.6 75‐100

63030 1,695 1,695 859,970 507.4 472.2 7.5 20‐30


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

63035 432 432 55,920 129.4 119.5 8.3 40‐50

63040 1 1 900 900.0 764.2 17.8 75‐100

63042 808 808 539,685 667.9 608.7 9.7 30‐40

63044 210 210 38,485 183.3 178.8 2.5 50‐75

63045 236 236 153,955 652.4 504.1 29.4 50‐75

63046 19 19 13,900 731.6 457.8 59.8 75‐100

63047 5,273 5,273 2,269,675 430.4 418.5 2.9 10‐20

63048 5,616 7,086 822,765 116.1 111.0 4.6 10‐20

63051 21 21 21,000 1000.0 830.9 20.4 50‐75

63055 2 2 2,000 1000.0 736.2 35.8 75‐100

63056 285 285 186,325 653.8 528.8 23.6 40‐50

63057 36 36 7,820 217.2 187.8 15.7 75‐100

63075 1,608 1,608 1,110,025 690.3 666.2 3.6 10‐20

63076 908 965 135,125 140.0 130.8 7.1 20‐30

63081 299 299 236,875 792.2 889.9 11.0 30‐40

63082 149 154 26,995 175.3 148.9 17.7 50‐75

63090 15 15 14,025 935.0 791.1 18.2 75‐100

63091 6 6 750 125.0 82.1 52.3 75‐100

63200 1 1 1,000 1000.0 806.3 24.0 75‐100

63266 2 2 2,000 1000.0 872.5 14.6 75‐100

63267 99 99 76,425 772.0 616.8 25.2 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

63276 13 13 13,000 1000.0 975.2 2.5 75‐100

63277 1 1 1,000 1000.0 632.6 58.1 75‐100

63281 4 4 8,000 2000.0 952.4 110.0 75‐100

63650 1,358 1,370 937,025 684.0 626.0 9.3 20‐30

63655 111 111 61,825 557.0 439.1 26.8 50‐75

63660 93 93 25,250 271.5 264.4 2.7 75‐100

63685 280 280 183,675 656.0 1148.0 42.9 50‐75

63688 70 70 13,300 190.0 232.8 18.4 50‐75

63707 2 2 775 387.5 337.4 14.8 75‐100

64400 104 104 5,450 52.4 53.4 1.8 75‐100

64402 4 4 200 50.0 55.1 9.2 75‐100

64405 1,919 1,975 117,330 59.4 58.5 1.5 30‐40

64413 83 83 5,155 62.1 60.1 3.3 75‐100

64415 3,831 3,831 203,375 53.1 53.8 1.2 10‐20

64416 231 231 29,900 129.4 125.4 3.2 30‐40

64417 203 203 10,930 53.8 54.0 0.3 50‐75

64418 438 438 37,275 85.1 73.3 16.0 50‐75

64420 37 37 4,245 114.7 81.4 40.9 75‐100

64421 358 358 53,045 148.2 126.5 17.2 50‐75

64425 73 73 5,965 81.7 70.9 15.2 75‐100

64430 375 375 23,300 62.1 66.4 6.4 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

64435 7 7 495 70.7 73.4 3.7 75‐100

64445 2,542 2,542 178,265 70.1 70.4 0.3 30‐40

64446 181 181 22,675 125.3 122.5 2.3 30‐40

64447 3,769 3,769 176,330 46.8 46.7 0.1 10‐20

64448 2,262 2,262 245,420 108.5 108.4 0.0 10‐20

64449 154 154 16,150 104.9 105.7 0.8 30‐40

64450 8,062 8,075 505,430 62.6 59.4 5.4 30‐40

64470 6,021 6,021 1,099,235 182.6 179.7 1.6 10‐20

64472 7,533 8,729 775,285 88.8 87.2 1.9 10‐20

64475 22,888 22,939 3,673,785 160.2 158.0 1.4 5‐10

64476 27,081 32,931 2,452,265 74.5 73.9 0.7 10‐20

64479 1,391 1,391 238,040 171.1 171.8 0.4 30‐40

64480 810 810 78,080 96.4 97.7 1.4 30‐40

64483 36,787 36,814 6,219,310 168.9 168.7 0.1 5‐10

64484 17,996 18,884 1,696,250 89.8 90.0 0.2 5‐10

64510 282 282 32,780 116.2 108.0 7.6 50‐75

64520 482 482 64,270 133.3 114.6 16.3 50‐75

64530 11 11 1,195 108.6 87.4 24.4 75‐100

64550 855 855 10,440 12.2 12.1 0.7 20‐30

64555 3,085 3,085 475,565 154.2 183.9 16.2 10‐20

64561 290 290 245,200 845.5 839.8 0.7 20‐30


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

64573 15 15 3,075 205.0 232.9 12.0 40‐50

64581 213 213 151,400 710.8 671.8 5.8 20‐30

64585 32 32 3,525 110.2 147.7 25.4 75‐100

64590 152 152 47,185 310.4 673.1 53.9 40‐50

64595 13 13 960 73.8 117.4 37.1 75‐100

64612 3,054 3,060 327,035 106.9 102.8 4.0 10‐20

64613 1,791 1,791 194,750 108.7 102.9 5.6 20‐30

64614 1,460 1,460 180,015 123.3 116.9 5.5 30‐40

64622 5,872 5,872 1,250,370 212.9 210.9 1.0 10‐20

64623 9,644 11,971 957,785 80.0 80.3 0.4 10‐20

64626 1,034 1,034 249,350 241.2 246.3 2.1 20‐30

64627 1,664 1,861 163,510 87.9 91.7 4.2 30‐40

64640 3,353 3,353 561,135 167.4 156.5 7.0 20‐30

64704 79 79 10,775 136.4 141.3 3.5 50‐75

64708 28 28 6,900 246.4 212.6 15.9 75‐100

64718 653 653 234,830 359.6 338.8 6.2 20‐30

64719 154 154 26,100 169.5 192.2 11.8 30‐40

64721 6,871 6,871 2,079,375 302.6 299.7 1.0 0‐5

64722 2 2 250 125.0 175.5 28.8 75‐100

64726 1 1 100 100.0 149.1 32.9 75‐100

64727 57 57 8,025 140.8 148.8 5.4 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

64774 1 1 300 300.0 198.1 51.4 75‐100

64782 3 3 950 316.7 267.7 18.3 75‐100

64784 3 3 1,500 500.0 383.9 30.2 75‐100

64787 7 7 1,250 178.6 184.3 3.1 75‐100

64795 4 4 500 125.0 147.7 15.4 75‐100

64831 11 11 4,250 386.4 401.9 3.9 75‐100

64999 84 84 7,065 84.1 172.0 51.1 50‐75

65093 2 2 800 400.0 449.1 10.9 75‐100

65105 7 7 3,700 528.6 548.3 3.6 75‐100

65205 852 852 27,965 32.8 32.2 1.8 30‐40

65210 945 945 40,540 42.9 41.8 2.7 20‐30

65220 61 61 1,885 30.9 29.9 3.3 50‐75

65222 1,317 1,317 60,305 45.8 44.7 2.3 10‐20

65285 22 22 14,700 668.2 644.2 3.7 50‐75

65400 157 157 58,700 373.9 343.6 8.8 50‐75

65420 176 176 38,925 221.2 237.3 6.8 40‐50

65426 271 271 116,675 430.5 404.6 6.4 20‐30

65430 130 130 10,010 77.0 71.2 8.2 50‐75

65435 202 202 10,630 52.6 44.2 19.0 40‐50

65436 22 22 5,775 262.5 255.9 2.6 50‐75

65600 6 6 1,500 250.0 235.1 6.3 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

65710 28 28 21,900 782.1 725.2 7.9 50‐75

65730 228 228 191,300 839.0 751.2 11.7 30‐40

65750 18 18 14,900 827.8 724.7 14.2 50‐75

65755 797 797 653,100 819.4 783.1 4.6 10‐20

65772 39 39 10,900 279.5 267.6 4.4 75‐100

65780 78 78 49,100 629.5 606.4 3.8 50‐75

65800 14 14 750 53.6 81.4 34.2 75‐100

65805 920 920 59,140 64.3 70.1 8.3 20‐30

65850 8 8 4,100 512.5 481.5 6.4 75‐100

65855 8,739 8,739 1,769,270 202.5 197.6 2.4 0‐5

65865 3 3 450 150.0 200.7 25.2 75‐100

65870 7 7 1,625 232.1 276.1 15.9 75‐100

65875 49 49 10,500 214.3 272.3 21.3 50‐75

66170 1,416 1,416 862,100 608.8 596.3 2.1 5‐10

66172 571 571 465,950 816.0 786.5 3.8 10‐20

66180 608 608 438,475 721.2 674.1 7.0 20‐30

66185 6 6 3,450 575.0 387.6 48.4 75‐100

66250 186 186 68,325 367.3 348.2 5.5 50‐75

66625 2 2 250 125.0 195.9 36.2 75‐100

66682 12 12 2,450 204.2 240.4 15.1 75‐100

66710 166 166 39,775 239.6 244.0 1.8 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

66711 656 656 138,450 211.1 213.8 1.3 20‐30

66761 4,648 4,648 1,199,700 258.1 243.6 6.0 5‐10

66762 67 67 22,425 334.7 312.1 7.2 50‐75

66820 3 3 375 125.0 146.3 14.6 75‐100

66821 42,691 55,042 8,448,410 153.5 139.3 10.2 0‐5

66825 116 116 56,000 482.8 422.0 14.4 50‐75

66840 44 44 19,425 441.5 396.9 11.2 50‐75

66850 135 135 64,000 474.1 339.2 39.8 50‐75

66852 15 15 8,800 586.7 478.5 22.6 75‐100

66940 10 10 5,000 500.0 453.8 10.2 75‐100

66982 9,494 9,494 6,676,535 703.2 519.2 35.5 5‐10

66983 2 2 1,600 800.0 90.6 783.0 75‐100

66984 153,071 241,590 82,115,895 339.9 282.3 20.4 0‐5

66985 204 204 114,470 561.1 315.8 77.7 50‐75

66986 207 207 128,900 622.7 548.8 13.5 50‐75

66999 35 35 60,300 1722.9 857.2 101.0 50‐75

67005 42 42 10,125 241.1 241.1 0.0 50‐75

67010 134 134 32,425 242.0 249.6 3.1 40‐50

67015 4 4 1,500 375.0 322.1 16.4 75‐100

67025 2 2 450 225.0 312.4 28.0 75‐100

67028 49,425 49,425 6,896,185 139.5 138.7 0.6 0‐5


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

67031 114 114 28,525 250.2 238.4 5.0 40‐50

67036 536 536 327,395 610.8 491.2 24.3 40‐50

67039 95 95 54,525 573.9 507.0 13.2 50‐75

67040 832 832 656,200 788.7 706.3 11.7 30‐40

67041 1,410 1,410 1,069,615 758.6 738.4 2.7 20‐30

67042 1,288 1,288 1,153,850 895.8 908.2 1.4 10‐20

67043 57 57 57,000 1000.0 1004.2 0.4 40‐50

67101 43 43 15,000 348.8 336.4 3.7 50‐75

67105 223 223 104,050 466.6 444.2 5.0 20‐30

67107 107 107 77,775 726.9 656.3 10.8 30‐40

67108 618 618 556,375 900.3 891.4 1.0 10‐20

67110 133 133 75,450 567.3 525.3 8.0 30‐40

67112 4 4 2,400 600.0 664.8 9.8 75‐100

67113 581 581 541,100 931.3 977.9 4.8 10‐20

67121 7 7 4,200 600.0 447.4 34.1 75‐100

67141 43 43 14,050 326.7 289.4 12.9 50‐75

67145 831 831 269,825 324.7 312.2 4.0 10‐20

67210 6,501 6,501 2,821,720 434.0 404.7 7.2 5‐10

67218 6 6 5,400 900.0 925.5 2.8 75‐100

67220 582 582 408,700 702.2 684.2 2.6 5‐10

67221 838 838 171,100 204.2 198.9 2.6 5‐10


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

67225 40 40 805 20.1 20.5 1.8 10‐20

67228 4,262 4,262 3,088,730 724.7 710.7 2.0 5‐10

67255 270 270 74,775 276.9 293.2 5.5 40‐50

67311 91 91 30,575 336.0 343.8 2.3 50‐75

67312 77 77 38,100 494.8 473.1 4.6 30‐40

67314 39 39 19,025 487.8 443.9 9.9 50‐75

67320 2 2 400 200.0 259.5 22.9 75‐100

67331 12 12 2,400 200.0 214.8 6.9 50‐75

67332 41 41 9,125 222.6 257.4 13.5 50‐75

67335 42 42 4,520 107.6 174.0 38.1 40‐50

67412 5 5 3,000 600.0 546.7 9.7 75‐100

67500 143 143 7,320 51.2 51.4 0.4 50‐75

67515 1,348 1,348 64,840 48.1 47.6 1.1 20‐30

67700 126 126 24,650 195.6 174.9 11.9 50‐75

67800 823 823 63,515 77.2 74.3 3.9 10‐20

67801 116 116 12,825 110.6 102.5 7.9 30‐40

67805 40 40 5,600 140.0 122.3 14.4 30‐40

67810 1,884 1,885 273,670 145.2 136.1 6.7 20‐30

67820 13,819 13,829 440,215 31.8 31.6 0.7 5‐10

67825 316 316 24,235 76.7 69.5 10.4 40‐50

67830 2 2 350 175.0 141.8 23.4 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

67840 1,920 1,920 343,025 178.7 164.7 8.5 20‐30

67850 93 93 14,825 159.4 136.9 16.5 50‐75

67875 138 138 9,695 70.3 70.2 0.0 50‐75

67880 16 16 4,000 250.0 227.4 9.9 75‐100

67900 622 622 157,225 252.8 246.1 2.7 20‐30

67901 24 24 9,850 410.4 362.7 13.2 75‐100

67903 210 210 65,875 313.7 311.8 0.6 40‐50

67904 3,552 3,557 1,148,625 322.9 316.2 2.1 5‐10

67908 162 162 53,950 333.0 318.9 4.4 40‐50

67911 89 89 21,575 242.4 285.3 15.0 50‐75

67912 3 3 675 225.0 317.2 29.1 75‐100

67914 53 53 14,645 276.3 244.1 13.2 50‐75

67915 3 3 675 225.0 172.9 30.1 75‐100

67916 108 108 39,225 363.2 329.0 10.4 50‐75

67917 1,556 1,557 511,250 328.4 329.8 0.4 10‐20

67921 189 189 49,610 262.5 239.0 9.8 30‐40

67922 1 1 225 225.0 166.3 35.3 75‐100

67923 154 154 59,325 385.2 362.6 6.3 30‐40

67924 722 722 253,450 351.0 351.0 0.0 10‐20

67938 18 18 3,325 184.7 136.4 35.4 75‐100

67950 234 234 47,375 202.5 240.7 15.9 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

67961 215 215 57,675 268.3 288.2 6.9 50‐75

67966 202 202 69,375 343.4 363.7 5.6 50‐75

67971 15 15 6,475 431.7 381.3 13.2 75‐100

67973 6 6 3,600 600.0 482.3 24.4 75‐100

67975 8 8 3,525 440.6 423.2 4.1 75‐100

68020 57 57 4,500 78.9 68.2 15.8 50‐75

68100 5 5 625 125.0 77.2 61.9 75‐100

68110 49 49 7,600 155.1 108.9 42.4 75‐100

68115 1 1 225 225.0 190.6 18.0 75‐100

68200 905 905 16,820 18.6 18.7 0.5 30‐40

68320 10 10 4,000 400.0 362.9 10.2 75‐100

68326 9 9 5,400 600.0 361.4 66.0 75‐100

68420 8 8 1,775 221.9 201.3 10.2 75‐100

68440 337 337 15,440 45.8 48.3 5.1 30‐40

68530 18 18 5,650 313.9 257.7 21.8 75‐100

68700 52 52 13,250 254.8 302.9 15.9 75‐100

68720 273 273 136,500 500.0 475.7 5.1 20‐30

68750 15 15 8,275 551.7 500.8 10.2 50‐75

68760 372 372 45,760 123.0 113.5 8.4 40‐50

68761 12,237 12,317 1,090,310 88.5 88.6 0.1 10‐20

68801 1,471 1,471 108,020 73.4 71.3 3.0 20‐30


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

68810 1,001 1,001 192,160 192.0 181.5 5.7 20‐30

68815 296 296 39,170 132.3 156.8 15.6 30‐40

68840 1,483 1,484 115,920 78.1 74.3 5.1 20‐30

69000 14 14 1,625 116.1 107.6 7.9 75‐100

69005 3 3 350 116.7 123.4 5.5 75‐100

69020 30 30 5,525 184.2 151.8 21.3 50‐75

69100 3,795 3,816 253,630 66.5 64.3 3.4 10‐20

69105 1 1 90 90.0 88.6 1.6 75‐100

69110 39 39 8,900 228.2 237.7 4.0 75‐100

69200 1,007 1,007 82,505 81.9 76.3 7.4 20‐30

69210 63,645 63,645 1,959,905 30.8 30.4 1.2 0‐5

69220 1,902 1,902 177,360 93.2 90.3 3.3 20‐30

69222 229 229 36,750 160.5 152.2 5.4 40‐50

69401 292 292 16,460 56.4 54.7 3.1 30‐40

69420 454 454 61,330 135.1 125.5 7.6 20‐30

69424 1 1 90 90.0 80.4 11.9 75‐100

69433 1,615 1,615 222,475 137.8 134.1 2.7 10‐20

69436 494 494 102,065 206.6 187.2 10.4 30‐40

69610 69 69 19,075 276.4 257.8 7.2 50‐75

69631 111 111 71,200 641.4 633.2 1.3 40‐50

69633 2 2 1,400 700.0 695.7 0.6 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

69641 9 9 6,300 700.0 769.8 9.1 75‐100

69644 4 4 4,000 1000.0 1032.1 3.1 75‐100

69645 1 1 1,000 1000.0 911.4 9.7 75‐100

69646 4 4 4,000 1000.0 1087.0 8.0 75‐100

69660 14 14 9,200 657.1 664.5 1.1 50‐75

69714 24 24 18,900 787.5 816.9 3.6 50‐75

69801 156 156 82,200 526.9 537.4 2.0 40‐50

69930 68 68 62,800 923.5 1067.9 13.5 20‐30

69990 397 397 63,810 160.7 142.7 12.6 40‐50

70030 1,007 1,008 7,425 7.4 9.6 23.4 30‐40

70100 76 76 515 6.8 12.2 44.7 75‐100

70110 407 407 4,875 12.0 13.1 8.3 40‐50

70140 163 163 1,735 10.6 13.7 22.6 50‐75

70150 874 874 11,685 13.4 15.7 15.1 30‐40

70160 1,144 1,144 8,255 7.2 10.3 29.7 30‐40

70170 1 1 10 10.0 18.3 45.2 75‐100

70200 210 210 2,980 14.2 18.5 23.1 50‐75

70210 3,729 3,729 56,695 15.2 15.7 3.2 10‐20

70220 5,638 5,638 106,425 18.9 18.7 0.8 10‐20

70250 1,389 1,389 18,310 13.2 14.6 9.7 40‐50

70260 472 472 8,830 18.7 20.9 10.5 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

70328 3 3 55 18.3 14.3 28.4 75‐100

70330 112 112 2,320 20.7 23.9 13.3 50‐75

70336 62 62 11,715 189.0 201.9 6.4 50‐75

70350 3 3 45 15.0 15.7 4.3 75‐100

70355 664 664 11,400 17.2 15.0 14.2 50‐75

70360 2,368 2,368 16,390 6.9 8.6 19.7 30‐40

70370 26 26 555 21.3 28.4 24.9 75‐100

70371 1,260 1,260 51,235 40.7 44.9 9.4 30‐40

70373 645 645 19,365 30.0 33.2 9.6 30‐40

70390 7 7 105 15.0 23.3 35.7 75‐100

70450 236,984 236,984 8,595,085 36.3 37.5 3.3 0‐5

70460 1,054 1,054 65,255 61.9 76.3 18.9 50‐75

70470 10,999 10,999 941,335 85.6 93.1 8.1 20‐30

70480 1,542 1,542 132,765 86.1 91.5 5.9 40‐50

70481 34 34 1,785 52.5 103.4 49.3 75‐100

70482 49 49 2,695 55.0 141.3 61.1 75‐100

70486 20,051 20,051 1,667,245 83.2 83.6 0.6 10‐20

70487 192 192 10,055 52.4 72.7 27.9 50‐75

70488 33 33 1,765 53.5 120.1 55.5 75‐100

70490 1,711 1,711 129,130 75.5 83.1 9.2 50‐75

70491 8,006 8,006 713,625 89.1 98.5 9.5 30‐40


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

70492 690 690 92,015 133.4 164.3 18.8 50‐75

70496 3,665 3,665 326,290 89.0 99.7 10.7 20‐30

70498 5,605 5,605 661,165 118.0 120.0 1.7 10‐20

70540 116 116 19,075 164.4 185.7 11.4 75‐100

70542 3 3 180 60.0 166.7 64.0 75‐100

70543 1,081 1,081 262,775 243.1 267.6 9.2 50‐75

70544 16,326 16,326 1,452,355 89.0 98.3 9.5 10‐20

70545 55 55 2,500 45.5 96.5 52.9 75‐100

70546 272 272 24,145 88.8 177.2 49.9 50‐75

70547 3,933 3,933 389,550 99.0 114.4 13.5 20‐30

70548 1,673 1,673 109,265 65.3 89.1 26.7 20‐30

70549 4,198 4,198 669,470 159.5 171.6 7.1 10‐20

70551 35,365 35,365 4,404,975 124.6 131.0 4.9 10‐20

70552 514 514 36,420 70.9 133.2 46.8 50‐75

70553 46,383 46,383 9,229,315 199.0 205.4 3.1 10‐20

71010 943,232 945,709 6,010,785 6.4 7.5 15.2 0‐5

71020 743,676 743,699 9,375,060 12.6 11.4 10.6 0‐5

71021 159 159 2,375 14.9 17.5 14.8 50‐75

71022 272 272 6,165 22.7 23.5 3.4 50‐75

71023 131 131 1,965 15.0 21.6 30.5 50‐75

71030 414 414 6,490 15.7 19.7 20.3 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

71034 2 2 40 20.0 31.9 37.4 75‐100

71035 5,738 5,793 36,630 6.3 7.9 19.7 10‐20

71090 11,312 11,312 245,260 21.7 22.3 3.0 0‐5

71100 14,464 14,464 196,040 13.6 12.5 8.6 10‐20

71101 10,276 10,276 138,225 13.5 14.0 3.9 10‐20

71110 1,416 1,416 23,300 16.5 18.1 9.2 30‐40

71111 853 853 15,200 17.8 19.8 10.0 40‐50

71120 599 599 7,065 11.8 11.7 1.0 30‐40

71130 42 42 600 14.3 15.9 10.2 50‐75

71250 64,706 64,706 5,094,155 78.7 79.7 1.2 5‐10

71260 93,629 93,629 7,226,295 77.2 80.5 4.2 5‐10

71270 7,414 7,414 865,080 116.7 128.8 9.4 20‐30

71275 26,353 26,353 2,190,895 83.1 86.6 4.0 5‐10

71550 58 58 10,900 187.9 178.1 5.5 75‐100

71552 31 31 7,530 242.9 256.8 5.4 75‐100

71555 101 101 14,800 146.5 181.8 19.4 50‐75

72010 1,751 1,751 78,915 45.1 42.7 5.7 30‐40

72020 10,739 10,757 77,625 7.2 8.2 12.3 10‐20

72040 27,137 27,137 449,435 16.6 15.7 5.8 5‐10

72050 22,877 22,877 434,340 19.0 19.8 4.2 5‐10

72052 4,525 4,525 138,180 30.5 30.2 1.0 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

72069 383 383 6,605 17.2 16.5 4.6 40‐50

72070 17,395 17,395 271,315 15.6 14.8 5.6 10‐20

72072 9,866 9,866 131,385 13.3 12.2 8.9 5‐10

72074 572 572 8,795 15.4 15.7 2.0 30‐40

72080 1,723 1,723 32,965 19.1 18.0 6.4 20‐30

72090 387 387 7,675 19.8 21.7 8.8 30‐40

72100 91,581 91,581 1,635,610 17.9 17.0 5.1 0‐5

72110 47,313 47,340 990,785 20.9 21.7 3.4 5‐10

72114 4,085 4,085 151,400 37.1 37.0 0.1 10‐20

72120 909 909 24,665 27.1 26.3 3.1 30‐40

72125 23,791 23,791 1,206,160 50.7 51.2 0.9 5‐10

72126 652 652 40,960 62.8 76.4 17.7 30‐40

72127 2 2 100 50.0 92.7 46.1 75‐100

72128 3,169 3,169 187,205 59.1 62.9 6.1 20‐30

72129 221 221 10,895 49.3 65.9 25.2 50‐75

72131 13,423 13,423 1,008,125 75.1 75.3 0.3 10‐20

72132 2,264 2,264 163,590 72.3 80.2 9.9 10‐20

72133 49 49 3,015 61.5 130.6 52.9 75‐100

72141 23,934 23,934 4,210,250 175.9 176.7 0.5 5‐10

72142 46 46 4,545 98.8 179.1 44.8 75‐100

72146 8,542 8,542 1,328,140 155.5 158.2 1.7 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

72147 10 10 710 71.0 174.1 59.2 75‐100

72148 59,404 59,404 10,567,835 177.9 178.0 0.1 5‐10

72149 158 158 20,380 129.0 184.1 29.9 50‐75

72156 3,773 3,773 847,815 224.7 232.7 3.4 20‐30

72157 2,728 2,728 514,040 188.4 210.9 10.6 30‐40

72158 13,775 13,775 3,255,590 236.3 237.2 0.4 10‐20

72170 81,313 81,340 877,235 10.8 11.6 6.7 0‐5

72190 2,363 2,363 42,405 17.9 16.9 6.4 30‐40

72191 4,030 4,030 504,865 125.3 129.6 3.3 20‐30

72192 85,127 85,127 4,985,600 58.6 60.6 3.4 5‐10

72193 117,955 117,955 8,049,195 68.2 70.0 2.5 5‐10

72194 20,989 20,989 2,374,850 113.1 119.3 5.1 10‐20

72195 2,430 2,430 355,575 146.3 162.8 10.1 40‐50

72196 31 31 2,015 65.0 128.6 49.4 75‐100

72197 950 950 237,055 249.5 256.4 2.7 50‐75

72198 80 80 9,025 112.8 217.7 48.2 75‐100

72200 442 442 5,570 12.6 13.3 4.9 40‐50

72202 826 826 11,190 13.5 15.2 10.8 30‐40

72220 4,941 4,941 47,655 9.6 11.2 13.8 10‐20

72240 364 364 16,245 44.6 50.3 11.3 30‐40

72255 12 12 420 35.0 57.7 39.4 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

72265 1,968 1,968 93,055 47.3 50.0 5.5 20‐30

72270 230 230 14,270 62.0 78.4 20.9 40‐50

72275 3,412 3,412 193,965 56.8 58.3 2.4 10‐20

72285 19 19 785 41.3 69.2 40.3 75‐100

72291 3,369 3,479 182,035 52.3 53.8 2.8 5‐10

72292 15 15 765 51.0 60.3 15.4 50‐75

72295 499 542 34,580 63.8 77.6 17.8 30‐40

73000 3,289 3,289 39,990 12.2 12.6 3.5 20‐30

73010 1,579 1,579 24,180 15.3 15.4 0.4 30‐40

73020 6,549 6,551 65,225 10.0 10.5 5.1 10‐20

73030 103,999 104,479 1,479,540 14.2 14.8 4.2 0‐5

73040 645 645 26,655 41.3 48.8 15.4 30‐40

73050 331 331 7,905 23.9 21.0 13.9 40‐50

73060 16,030 16,032 163,130 10.2 11.5 11.9 10‐20

73070 10,841 10,841 132,885 12.3 12.6 2.8 10‐20

73080 12,163 12,164 140,680 11.6 12.8 9.5 10‐20

73090 9,938 9,938 86,835 8.7 9.9 11.6 10‐20

73100 19,266 19,307 294,825 15.3 15.8 3.1 5‐10

73110 40,875 40,969 552,265 13.5 14.3 5.6 5‐10

73115 9 9 235 26.1 57.3 54.4 75‐100

73120 12,608 12,774 192,680 15.1 15.3 1.4 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

73130 40,045 40,424 506,140 12.5 13.5 7.4 5‐10

73140 14,542 14,553 190,795 13.1 13.1 0.2 10‐20

73200 2,192 2,192 148,010 67.5 75.3 10.4 30‐40

73201 150 150 11,655 77.7 94.8 18.0 50‐75

73202 2 2 90 45.0 147.2 69.4 75‐100

73206 1 1 70 70.0 124.2 43.6 75‐100

73218 716 716 130,310 182.0 198.0 8.1 50‐75

73220 111 111 20,585 185.5 226.3 18.0 75‐100

73221 21,204 21,207 3,980,010 187.7 187.9 0.1 10‐20

73222 563 563 101,925 181.0 209.6 13.6 30‐40

73223 221 221 55,990 253.3 261.7 3.2 50‐75

73500 24,732 24,744 270,160 10.9 11.6 5.9 5‐10

73510 122,972 122,988 1,914,245 15.6 14.7 5.6 0‐5

73520 16,058 16,058 300,500 18.7 18.8 0.2 10‐20

73525 366 366 14,545 39.7 43.6 8.9 40‐50

73530 3,371 3,371 33,690 10.0 11.1 9.6 5‐10

73540 1 1 30 30.0 20.3 48.1 75‐100

73542 682 682 36,775 53.9 52.6 2.6 30‐40

73550 23,152 23,170 218,610 9.4 10.9 13.1 10‐20

73560 105,067 106,415 1,462,995 13.7 14.5 5.5 0‐5

73562 80,305 81,450 1,428,935 17.5 17.9 1.9 0‐5


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

73564 47,214 47,747 946,315 19.8 19.1 3.6 5‐10

73565 17,477 17,477 318,105 18.2 18.4 1.2 5‐10

73580 426 426 39,790 93.4 87.9 6.2 30‐40

73590 21,607 21,636 201,845 9.3 10.6 11.9 10‐20

73600 12,898 12,907 174,105 13.5 13.9 3.2 10‐20

73610 53,611 53,712 684,965 12.8 13.6 6.0 5‐10

73620 41,267 41,557 721,820 17.4 17.5 0.5 5‐10

73630 97,122 97,718 1,516,620 15.5 16.1 3.3 5‐10

73650 4,848 4,849 65,230 13.5 13.6 1.3 10‐20

73660 4,460 4,460 51,315 11.5 11.4 1.1 20‐30

73700 6,590 6,590 401,230 60.9 66.1 7.9 20‐30

73701 1,080 1,084 50,315 46.4 57.8 19.7 50‐75

73702 18 18 810 45.0 108.5 58.5 75‐100

73706 470 470 62,735 133.5 144.2 7.5 50‐75

73718 3,621 3,621 619,880 171.2 178.4 4.0 30‐40

73719 6 6 360 60.0 160.1 62.5 75‐100

73720 1,196 1,196 187,705 156.9 197.6 20.6 40‐50

73721 31,080 31,108 5,894,755 189.5 189.0 0.3 10‐20

73722 64 64 10,415 162.7 212.0 23.3 50‐75

73723 546 546 98,280 180.0 226.7 20.6 50‐75

73725 1,380 1,385 232,245 167.7 189.5 11.5 30‐40


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

74000 90,212 90,335 687,240 7.6 8.8 13.4 5‐10

74010 3,261 3,261 40,705 12.5 12.5 0.0 20‐30

74020 40,931 40,931 440,390 10.8 11.2 3.6 5‐10

74022 43,885 43,885 482,075 11.0 12.3 10.6 5‐10

74150 87,044 87,044 5,372,685 61.7 63.0 2.1 5‐10

74160 106,009 106,009 8,037,945 75.8 78.6 3.6 5‐10

74170 47,527 47,527 5,987,760 126.0 130.4 3.4 10‐20

74175 6,988 6,988 873,325 125.0 128.9 3.1 20‐30

74181 3,319 3,319 323,260 97.4 119.5 18.5 30‐40

74182 26 26 2,100 80.8 150.9 46.5 75‐100

74183 4,746 4,746 1,109,305 233.7 240.4 2.8 30‐40

74185 1,652 1,652 249,795 151.2 175.3 13.8 30‐40

74190 2 2 35 17.5 22.6 22.5 75‐100

74210 139 139 2,235 16.1 23.4 31.3 40‐50

74220 8,944 8,944 211,110 23.6 24.5 3.7 10‐20

74230 16,963 16,963 343,590 20.3 20.9 3.0 5‐10

74240 2,037 2,037 55,350 27.2 31.0 12.4 30‐40

74241 1,057 1,057 32,515 30.8 36.2 15.1 40‐50

74245 1,172 1,172 48,755 41.6 45.6 8.9 30‐40

74246 2,627 2,627 90,145 34.3 37.1 7.4 20‐30

74247 1,405 1,405 54,405 38.7 41.7 7.1 20‐30


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

74249 1,312 1,312 64,580 49.2 52.9 6.9 20‐30

74250 3,630 3,630 79,250 21.8 24.3 10.1 20‐30

74251 8 8 200 25.0 27.8 10.0 75‐100

74270 3,045 3,045 86,515 28.4 31.2 8.9 20‐30

74280 1,450 1,450 68,785 47.4 53.5 11.4 20‐30

74283 3 3 225 75.0 79.3 5.4 75‐100

74300 2,707 2,707 38,240 14.1 12.9 9.7 5‐10

74301 5 5 50 10.0 7.7 29.4 75‐100

74305 728 728 11,535 15.8 16.8 5.8 30‐40

74320 222 222 4,565 20.6 21.0 2.1 30‐40

74327 10 10 250 25.0 27.0 7.5 50‐75

74328 1,785 1,785 44,600 25.0 25.4 1.6 10‐20

74329 65 65 1,640 25.2 25.5 1.1 50‐75

74330 1,552 1,552 53,080 34.2 33.3 2.6 20‐30

74340 412 412 8,260 20.0 20.0 0.1 30‐40

74360 112 112 2,245 20.0 22.8 11.9 40‐50

74363 82 82 2,805 34.2 34.3 0.2 50‐75

74400 1,747 1,747 51,290 29.4 32.1 8.5 20‐30

74410 76 76 3,500 46.1 49.1 6.2 50‐75

74415 493 493 16,835 34.1 43.0 20.5 30‐40

74420 5,702 5,702 92,555 16.2 19.4 16.4 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

74425 1,729 1,729 26,040 15.1 15.7 4.0 10‐20

74430 800 800 14,640 18.3 19.9 8.0 40‐50

74450 183 183 2,740 15.0 17.7 15.2 50‐75

74455 504 504 16,370 32.5 36.5 11.1 40‐50

74475 688 689 14,375 20.9 21.6 3.2 20‐30

74480 408 408 8,385 20.6 21.1 2.6 30‐40

74485 93 93 1,870 20.1 25.3 20.6 50‐75

74740 24 24 415 17.3 22.2 22.3 40‐50

75561 77 77 8,075 104.9 198.1 47.1 75‐100

75563 2 2 250 125.0 304.6 59.0 75‐100

75600 24 24 480 20.0 31.5 36.5 75‐100

75605 137 137 6,685 48.8 91.8 46.8 50‐75

75625 5,060 5,060 256,340 50.7 57.0 11.1 10‐20

75630 1,848 1,848 136,480 73.9 79.2 6.7 20‐30

75635 3,257 3,257 533,885 163.9 166.6 1.6 20‐30

75650 1,391 1,391 95,555 68.7 79.0 13.1 20‐30

75658 129 129 30,975 240.1 186.7 28.6 40‐50

75660 23 23 1,150 50.0 56.4 11.3 75‐100

75662 75 75 4,875 65.0 81.9 20.6 50‐75

75665 366 366 18,715 51.1 54.2 5.7 30‐40

75671 1,497 1,497 110,865 74.1 80.8 8.4 20‐30


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

75676 371 371 18,895 50.9 53.5 4.8 30‐40

75680 1,686 1,686 130,275 77.3 85.7 9.8 20‐30

75685 1,562 1,616 108,595 67.2 72.4 7.1 20‐30

75705 3 3 255 85.0 95.6 11.1 75‐100

75710 6,141 6,141 580,225 94.5 96.9 2.5 10‐20

75716 4,075 4,075 252,940 62.1 69.3 10.4 10‐20

75722 364 364 17,795 48.9 56.6 13.7 30‐40

75724 1,870 1,870 158,040 84.5 97.6 13.4 20‐30

75726 1,014 1,014 44,755 44.1 47.6 7.3 30‐40

75736 122 122 5,580 45.7 69.0 33.7 50‐75

75743 4 4 260 65.0 75.4 13.8 75‐100

75774 3,030 3,117 61,485 19.7 30.2 34.7 20‐30

75790 11,104 11,110 1,048,280 94.4 93.7 0.6 5‐10

75809 28 28 465 16.6 20.6 19.2 75‐100

75820 2,095 2,095 69,015 32.9 35.3 6.8 20‐30

75822 216 216 10,650 49.3 50.5 2.4 50‐75

75825 1,817 1,817 83,040 45.7 50.2 9.0 20‐30

75827 972 972 165,400 170.2 166.0 2.5 30‐40

75831 1 1 45 45.0 82.9 45.7 75‐100

75833 17 17 1,005 59.1 69.3 14.7 75‐100

75860 110 110 5,020 45.6 69.0 33.9 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

75889 15 15 660 44.0 50.2 12.3 75‐100

75891 2 2 90 45.0 44.6 0.8 75‐100

75893 9 9 180 20.0 25.3 21.0 75‐100

75894 729 729 52,540 72.1 110.5 34.8 40‐50

75896 554 554 28,370 51.2 80.1 36.0 40‐50

75898 1,117 1,117 73,415 65.7 66.3 0.8 40‐50

75900 80 80 1,600 20.0 19.1 4.9 30‐40

75901 33 33 765 23.2 47.2 50.9 50‐75

75902 40 40 600 15.0 27.4 45.2 30‐40

75940 2,638 2,638 56,595 21.5 22.0 2.6 10‐20

75945 178 178 2,670 15.0 16.6 9.8 30‐40

75946 92 92 1,380 15.0 15.6 4.1 40‐50

75952 903 903 160,025 177.2 171.9 3.1 5‐10

75953 585 602 31,770 52.8 52.2 1.0 10‐20

75954 20 20 1,705 85.3 87.3 2.4 40‐50

75956 10 10 2,750 275.0 279.8 1.7 50‐75

75957 35 35 8,200 234.3 239.8 2.3 20‐30

75958 21 21 3,250 154.8 159.7 3.1 30‐40

75960 5,859 6,008 248,620 41.4 51.4 19.5 10‐20

75961 54 54 8,425 156.0 166.4 6.2 50‐75

75962 5,135 5,135 255,300 49.7 59.6 16.6 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

75964 1,454 1,478 24,835 16.8 18.9 11.0 10‐20

75966 396 396 24,095 60.8 69.3 12.2 30‐40

75968 32 32 480 15.0 24.3 38.1 50‐75

75970 88 88 2,785 31.6 36.6 13.4 50‐75

75978 9,934 9,972 1,570,725 157.5 167.9 6.2 10‐20

75980 77 77 4,325 56.2 55.4 1.3 40‐50

75982 146 146 8,190 56.1 55.9 0.3 40‐50

75984 1,476 1,476 39,435 26.7 27.7 3.7 30‐40

75989 2,366 2,366 108,910 46.0 46.8 1.6 20‐30

75992 958 958 20,085 21.0 22.4 6.3 10‐20

75993 282 282 4,230 15.0 14.4 4.0 10‐20

76000 4,456 4,456 62,680 14.1 28.1 49.9 40‐50

76001 202 202 5,330 26.4 28.8 8.3 50‐75

76080 621 621 12,680 20.4 21.6 5.5 50‐75

76098 5,463 5,484 36,585 6.7 7.9 15.7 0‐5

76100 46 46 1,170 25.4 44.0 42.2 75‐100

76376 5,933 5,933 212,915 35.9 42.5 15.6 40‐50

76377 4,689 4,715 366,525 77.7 76.5 1.6 40‐50

76380 857 857 48,880 57.0 59.0 3.3 50‐75

76510 310 310 38,850 125.3 117.0 7.1 50‐75

76511 123 123 10,225 83.1 73.0 13.8 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

76512 5,428 5,477 447,465 81.7 79.7 2.5 20‐30

76513 209 248 16,375 66.0 69.0 4.3 50‐75

76514 23,139 23,139 207,500 9.0 8.9 1.0 0‐5

76516 267 267 14,880 55.7 51.3 8.7 40‐50

76519 44,790 45,503 1,716,780 37.7 37.9 0.4 0‐5

76536 23,970 23,970 1,149,675 48.0 48.8 1.7 10‐20

76604 2,334 2,334 49,910 21.4 23.6 9.5 20‐30

76645 37,857 37,857 1,408,385 37.2 37.5 0.8 0‐5

76700 49,194 49,194 2,752,595 56.0 56.5 1.0 10‐20

76705 42,502 42,502 1,175,310 27.7 29.6 6.7 5‐10

76770 46,605 46,605 2,500,330 53.6 54.0 0.6 10‐20

76775 32,807 32,807 1,211,465 36.9 38.6 4.4 10‐20

76776 1,526 1,526 48,910 32.1 34.6 7.4 20‐30

76800 40 40 4,000 100.0 82.5 21.3 75‐100

76801 354 354 19,090 53.9 51.7 4.4 20‐30

76805 509 509 32,440 63.7 61.3 4.1 20‐30

76810 6 6 370 61.7 60.1 2.6 50‐75

76811 251 251 31,075 123.8 116.2 6.6 20‐30

76812 1 1 65 65.0 77.0 15.6 75‐100

76813 42 42 3,210 76.4 72.7 5.1 30‐40

76815 368 368 13,070 35.5 37.3 4.8 30‐40


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

76816 445 445 23,010 51.7 52.1 0.7 20‐30

76817 443 443 20,630 46.6 47.0 1.0 20‐30

76818 128 128 8,020 62.7 63.8 1.9 30‐40

76819 280 280 12,320 44.0 45.3 2.8 20‐30

76820 88 88 2,945 33.5 39.8 16.0 40‐50

76821 2 2 50 25.0 43.2 42.2 75‐100

76825 35 35 3,385 96.7 92.9 4.1 40‐50

76827 27 27 865 32.0 36.2 11.5 50‐75

76828 3 3 135 45.0 32.4 39.0 75‐100

76830 20,337 20,337 1,227,700 60.4 59.9 0.7 5‐10

76831 216 216 18,165 84.1 77.3 8.8 30‐40

76856 24,606 24,606 1,426,755 58.0 57.8 0.4 10‐20

76857 10,808 10,808 556,715 51.5 50.4 2.2 10‐20

76870 4,809 4,809 211,385 44.0 45.2 2.7 10‐20

76872 14,758 14,758 1,282,470 86.9 85.6 1.6 5‐10

76873 736 736 71,135 96.7 93.9 2.9 20‐30

76880 7,618 7,626 513,200 67.3 65.6 2.6 20‐30

76930 30 30 770 25.7 28.2 9.1 50‐75

76932 15 15 375 25.0 32.0 22.0 75‐100

76936 8 8 600 75.0 94.3 20.5 75‐100

76937 17,164 17,164 195,100 11.4 12.3 7.7 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

76940 3 3 240 80.0 100.8 20.6 75‐100

76942 42,637 42,669 3,145,805 73.7 74.5 1.0 10‐20

76946 20 20 545 27.3 27.3 0.0 50‐75

76950 9,883 9,883 354,295 35.8 35.9 0.2 10‐20

76965 926 926 60,550 65.4 66.7 2.0 10‐20

76970 167 167 10,565 63.3 53.4 18.5 50‐75

76977 358 358 5,705 15.9 16.3 2.5 40‐50

76998 437 437 22,525 51.5 51.0 1.1 50‐75

77001 19,806 19,806 340,040 17.2 17.3 0.7 10‐20

77002 6,355 6,360 235,180 37.0 37.2 0.5 20‐30

77003 97,047 97,414 3,174,250 32.6 33.1 1.6 0‐5

77011 22 22 3,675 167.0 249.0 32.9 75‐100

77012 7,975 7,975 417,855 52.4 60.8 13.8 20‐30

77013 69 69 10,400 150.7 159.7 5.6 50‐75

77014 19,093 19,093 1,763,845 92.4 93.4 1.0 10‐20

77021 118 118 23,950 203.0 224.5 9.6 50‐75

77031 3,337 3,351 311,360 92.9 94.5 1.7 5‐10

77032 1,881 1,881 43,930 23.4 24.5 4.5 5‐10

77051 43,036 43,036 217,850 5.1 5.6 9.4 0‐5

77052 223,755 223,755 1,157,440 5.2 5.9 13.0 0‐5

77053 55 55 1,215 22.1 28.2 21.6 30‐40


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

77055 21,602 21,602 673,270 31.2 31.8 2.1 0‐5

77056 16,726 16,726 710,840 42.5 43.1 1.4 5‐10

77057 146,293 146,293 5,403,935 36.9 37.5 1.5 0‐5

77058 257 257 85,105 331.1 357.0 7.2 30‐40

77059 2,942 2,942 1,232,685 419.0 424.7 1.3 10‐20

77071 135 135 3,575 26.5 25.9 2.4 50‐75

77072 3 3 15 5.0 9.0 44.3 75‐100

77073 1,208 1,208 27,575 22.8 23.0 0.8 20‐30

77074 193 193 3,495 18.1 22.8 20.7 50‐75

77075 1,500 1,500 43,435 29.0 32.9 12.0 30‐40

77076 3 3 90 30.0 29.4 2.0 75‐100

77077 795 795 23,240 29.2 29.1 0.4 40‐50

77078 698 698 19,065 27.3 33.6 18.6 30‐40

77079 7 7 415 59.3 58.6 1.2 75‐100

77080 137,151 137,151 5,463,935 39.8 39.3 1.3 0‐5

77081 1,736 1,736 38,235 22.0 21.5 2.2 20‐30

77082 7,085 7,085 155,600 22.0 22.1 0.6 10‐20

77083 10 10 250 25.0 19.0 31.9 75‐100

77261 381 381 20,625 54.1 53.6 1.0 40‐50

77262 143 143 11,555 80.8 82.4 1.9 50‐75

77263 12,219 12,219 1,529,400 125.2 120.5 3.9 5‐10


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

77280 12,362 12,372 848,175 68.6 71.5 4.1 10‐20

77285 106 106 7,235 68.3 89.0 23.3 50‐75

77290 15,066 15,066 2,284,640 151.6 159.1 4.7 10‐20

77295 6,257 6,257 2,077,715 332.1 339.2 2.1 10‐20

77300 20,738 51,826 1,815,820 35.0 35.4 1.1 20‐30

77301 3,556 3,556 3,224,650 906.8 873.7 3.8 10‐20

77305 303 303 10,115 33.4 36.0 7.3 40‐50

77310 35 35 1,495 42.7 54.3 21.3 75‐100

77315 3,872 3,877 299,770 77.3 76.0 1.8 20‐30

77321 917 917 54,875 59.8 62.4 4.1 30‐40

77326 115 115 7,565 65.8 68.3 3.6 50‐75

77327 77 77 4,830 62.7 73.3 14.4 40‐50

77328 944 944 122,440 129.7 137.8 5.9 30‐40

77331 4,402 6,327 236,880 37.4 37.2 0.6 30‐40

77332 2,180 2,206 77,115 35.0 37.2 6.1 20‐30

77333 204 204 7,445 36.5 41.2 11.5 50‐75

77334 24,871 49,368 3,731,500 75.6 76.8 1.6 20‐30

77336 20,333 20,333 1,330,010 65.4 65.7 0.5 10‐20

77370 1,438 1,438 147,840 102.8 105.0 2.1 20‐30

77372 5 5 3,500 700.0 621.8 12.6 75‐100

77373 99 99 99,000 1000.0 1264.1 20.9 40‐50


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

77399 69 69 1,035 15.0 27.6 45.6 75‐100

77401 944 944 31,620 33.5 36.7 8.7 50‐75

77403 403 403 33,195 82.4 86.2 4.5 50‐75

77404 130 130 11,260 86.6 89.5 3.2 50‐75

77408 79 79 7,900 100.0 113.6 12.0 75‐100

77409 15 15 1,875 125.0 120.8 3.5 75‐100

77413 24,748 24,851 3,365,925 135.4 139.3 2.8 20‐30

77414 17,502 17,502 2,643,545 151.0 147.7 2.3 20‐30

77416 2,605 2,605 405,925 155.8 153.0 1.8 40‐50

77417 12,695 12,697 197,600 15.6 15.2 2.6 10‐20

77418 44,185 45,297 21,078,690 465.3 467.1 0.4 20‐30

77421 33,681 33,828 2,152,440 63.6 65.2 2.3 20‐30

77427 58,640 58,640 8,185,320 139.6 140.5 0.6 5‐10

77431 94 94 6,770 72.0 73.1 1.5 50‐75

77432 238 238 73,150 307.4 305.7 0.5 30‐40

77435 242 242 123,975 512.3 513.7 0.3 40‐50

77470 5,761 5,761 853,495 148.2 150.8 1.8 20‐30

77750 5 5 875 175.0 204.9 14.6 75‐100

77778 716 716 300,975 420.4 420.8 0.1 10‐20

77781 938 1,066 191,135 179.3 219.2 18.2 30‐40

77782 291 291 86,480 297.2 269.9 10.1 30‐40


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

77783 173 173 29,125 168.4 318.2 47.1 50‐75

77784 623 624 407,500 653.0 740.4 11.8 40‐50

77790 542 542 22,700 41.9 45.6 8.2 30‐40

78000 27 27 245 9.1 15.8 42.6 50‐75

78001 26 26 260 10.0 25.0 60.0 50‐75

78006 1,048 1,048 39,175 37.4 44.5 16.0 10‐20

78007 1,492 1,492 49,830 33.4 36.7 9.1 10‐20

78010 251 251 6,155 24.5 37.5 34.7 40‐50

78015 1 1 25 25.0 58.5 57.3 75‐100

78018 386 386 17,795 46.1 56.9 19.0 20‐30

78020 34 34 820 24.1 33.1 27.1 40‐50

78070 1,215 1,215 52,455 43.2 47.7 9.5 20‐30

78102 13 13 260 20.0 25.9 22.7 75‐100

78122 1 1 15 15.0 21.1 29.0 75‐100

78195 1,494 1,494 74,080 49.6 52.2 5.0 10‐20

78205 17 17 425 25.0 49.4 49.4 75‐100

78206 1 1 35 35.0 76.2 54.1 75‐100

78215 274 274 5,900 21.5 31.3 31.3 40‐50

78216 10 10 200 20.0 37.1 46.1 75‐100

78220 70 70 1,400 20.0 24.2 17.4 40‐50

78223 8,511 8,511 366,065 43.0 45.8 6.0 5‐10


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

78258 1 1 30 30.0 51.5 41.7 75‐100

78264 2,651 2,651 120,045 45.3 49.9 9.2 10‐20

78267 365 365 3,650 10.0 11.0 8.8 10‐20

78268 298 298 28,270 94.9 89.3 6.2 30‐40

78278 1,842 1,842 68,015 36.9 37.2 0.7 10‐20

78290 18 18 450 25.0 42.5 41.2 50‐75

78300 929 929 32,100 34.6 37.5 7.8 30‐40

78305 180 180 6,300 35.0 60.4 42.0 50‐75

78306 23,416 23,416 1,251,675 53.5 57.2 6.6 10‐20

78315 4,390 4,390 242,015 55.1 62.3 11.5 20‐30

78320 739 739 48,550 65.7 86.0 23.6 40‐50

78445 77 77 1,540 20.0 32.4 38.3 50‐75

78459 11 11 3,475 315.9 683.5 53.8 75‐100

78460 123 123 4,095 33.3 36.5 8.8 30‐40

78461 682 682 31,970 46.9 47.2 0.6 20‐30

78464 2,838 2,838 394,045 138.8 133.2 4.2 10‐20

78465 151,580 151,580 42,050,255 277.4 277.4 0.0 0‐5

78472 2,369 2,369 253,585 107.0 106.3 0.7 20‐30

78473 4 4 220 55.0 205.4 73.2 75‐100

78478 150,178 150,224 6,252,270 41.6 41.6 0.1 0‐5

78480 150,022 150,060 5,299,160 35.3 34.7 1.7 0‐5


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

78481 1,182 1,182 216,155 182.9 173.7 5.3 20‐30

78483 613 613 180,925 295.1 285.3 3.4 30‐40

78492 1,010 1,010 741,535 734.2 685.4 7.1 30‐40

78494 73 73 20,045 274.6 219.7 25.0 75‐100

78496 19 19 2,265 119.2 94.5 26.1 75‐100

78580 1,329 1,329 38,330 28.8 37.7 23.4 20‐30

78584 1,021 1,021 38,420 37.6 38.4 2.0 20‐30

78585 4,992 4,992 205,540 41.2 42.0 2.0 10‐20

78586 12 12 180 15.0 13.7 9.7 50‐75

78587 98 98 1,960 20.0 23.8 15.9 50‐75

78588 4,241 4,241 178,710 42.1 44.2 4.7 10‐20

78591 7 7 105 15.0 21.0 28.4 50‐75

78593 191 191 3,820 20.0 19.9 0.3 30‐40

78594 112 112 2,240 20.0 20.3 1.5 30‐40

78596 146 146 6,910 47.3 107.2 55.8 50‐75

78601 3 3 60 20.0 18.3 9.4 75‐100

78606 6 6 150 25.0 25.0 0.2 75‐100

78607 37 37 1,730 46.8 66.5 29.6 75‐100

78608 196 196 101,225 516.5 561.6 8.0 50‐75

78610 4 4 40 10.0 15.4 35.3 75‐100

78630 127 127 3,190 25.1 33.7 25.5 40‐50


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

78645 16 16 320 20.0 31.3 36.0 75‐100

78660 5 5 100 20.0 40.6 50.8 50‐75

78701 10 10 200 20.0 35.8 44.1 75‐100

78707 783 783 33,685 43.0 58.5 26.5 40‐50

78708 726 726 40,530 55.8 63.3 11.8 40‐50

78709 100 100 5,520 55.2 83.1 33.6 50‐75

78800 46 46 1,150 25.0 44.6 44.0 50‐75

78801 23 23 835 36.3 65.1 44.3 75‐100

78802 61 61 2,560 42.0 72.1 41.8 75‐100

78803 199 199 10,905 54.8 85.1 35.6 50‐75

78804 35 35 1,400 40.0 88.7 54.9 75‐100

78805 319 319 9,585 30.0 37.0 18.8 50‐75

78806 498 498 16,760 33.7 38.8 13.3 50‐75

78811 3 3 180 60.0 421.5 85.8 75‐100

78812 1,279 1,279 569,745 445.5 461.4 3.5 50‐75

78813 74 74 18,425 249.0 565.9 56.0 75‐100

78814 46 46 3,770 82.0 338.9 75.8 75‐100

78815 22,180 22,180 10,310,030 464.8 478.5 2.9 10‐20

78816 1,144 1,144 577,560 504.9 538.9 6.3 40‐50

79005 407 407 31,210 76.7 75.7 1.4 30‐40

79101 10 10 750 75.0 108.4 30.8 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

79403 2 2 170 85.0 114.7 25.9 75‐100

79445 5 5 450 90.0 92.9 3.1 50‐75

80047 1,078 1,078 15,495 14.4 16.9 14.9 50‐75

80048 469,025 469,025 4,168,610 8.9 9.9 9.9 0‐5

80051 40,484 40,484 200,750 5.0 4.9 1.7 10‐20

80053 1,263,295 1,263,295 14,722,160 11.7 11.6 0.5 0‐5

80061 1,031,678 1,031,678 15,022,860 14.6 14.4 1.2 0‐5

80069 38,397 38,397 355,290 9.3 10.4 10.9 5‐10

80074 4,955 4,955 321,585 64.9 65.8 1.4 5‐10

80076 166,486 166,486 1,245,290 7.5 7.9 5.0 0‐5

80100 975 975 19,335 19.8 18.5 7.0 50‐75

80101 30,006 127,901 2,472,980 19.3 18.0 7.4 30‐40

80102 2,553 3,867 72,020 18.6 18.6 0.0 30‐40

80150 122 122 2,440 20.0 20.8 3.8 40‐50

80152 35 35 875 25.0 24.4 2.6 50‐75

80154 7,456 7,456 186,110 25.0 25.8 3.2 10‐20

80156 5,885 5,885 117,025 19.9 19.8 0.4 10‐20

80157 40 40 800 20.0 18.9 5.7 50‐75

80158 2,168 2,168 53,915 24.9 24.2 2.6 20‐30

80160 8 8 200 25.0 24.0 4.2 75‐100

80162 31,878 31,878 637,560 20.0 19.0 5.3 0‐5


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

80164 18,232 18,260 349,775 19.2 18.1 6.0 10‐20

80168 6 6 150 25.0 20.3 23.0 50‐75

80170 312 323 8,020 24.8 22.5 10.5 40‐50

80173 16 16 320 20.0 19.5 2.5 50‐75

80174 14 14 350 25.0 24.0 4.2 75‐100

80178 6,014 6,014 60,090 10.0 9.0 11.2 5‐10

80182 95 95 1,885 19.8 18.3 8.2 40‐50

80184 3,178 3,178 47,670 15.0 15.7 4.5 10‐20

80185 21,691 21,691 433,820 20.0 19.0 5.3 5‐10

80186 778 778 15,560 20.0 18.9 5.6 20‐30

80188 349 349 8,710 25.0 22.4 11.5 30‐40

80194 16 16 320 20.0 20.0 0.0 50‐75

80195 1,033 1,033 20,660 20.0 18.7 6.8 20‐30

80196 6 6 60 10.0 10.0 0.0 75‐100

80197 9,394 9,394 184,635 19.7 18.4 7.0 10‐20

80198 2,000 2,000 40,000 20.0 19.6 1.9 10‐20

80200 67 67 1,675 25.0 21.9 14.3 50‐75

80201 276 276 4,140 15.0 17.0 11.8 20‐30

80202 4,699 4,727 91,040 19.3 17.9 7.7 20‐30

80299 2,600 2,632 51,220 19.5 19.0 2.5 20‐30

80400 5 5 225 45.0 44.0 2.4 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

80500 704 704 10,560 15.0 15.4 2.7 75‐100

80502 17 17 765 45.0 47.8 5.9 75‐100

81000 235,441 235,443 1,168,755 5.0 4.0 24.9 0‐5

81001 306,010 306,022 1,523,935 5.0 4.0 25.0 0‐5

81002 211,325 211,325 1,049,470 5.0 3.9 27.9 0‐5

81003 197,494 197,506 980,115 5.0 3.0 66.3 0‐5

81005 408 408 2,040 5.0 3.0 66.9 75‐100

81007 28 28 140 5.0 4.0 26.5 75‐100

81015 5,373 5,373 26,860 5.0 4.0 25.5 10‐20

81020 29 29 145 5.0 4.5 10.6 75‐100

81025 1,805 1,805 17,040 9.4 8.3 14.0 10‐20

81050 2,474 2,474 12,370 5.0 4.0 25.7 20‐30

82003 32 32 960 30.0 25.2 18.8 50‐75

82009 21 21 105 5.0 6.0 16.2 50‐75

82010 15 15 150 10.0 10.5 4.9 75‐100

82024 1,071 1,071 58,905 55.0 53.4 3.1 20‐30

82040 42,102 42,102 61,120 1.5 2.2 33.5 5‐10

82042 928 928 4,635 5.0 6.4 22.2 20‐30

82043 98,936 98,936 900,345 9.1 7.4 23.3 0‐5

82044 23,357 23,357 110,805 4.7 5.3 10.5 0‐5

82055 5,038 5,038 75,570 15.0 15.0 0.2 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

82075 157 157 2,355 15.0 15.9 5.6 50‐75

82085 2,555 2,555 38,325 15.0 13.9 7.7 10‐20

82088 1,397 1,397 76,835 55.0 56.7 3.0 20‐30

82103 963 963 19,260 20.0 18.4 8.9 20‐30

82104 137 137 2,740 20.0 19.7 1.4 40‐50

82105 4,257 4,257 106,425 25.0 22.8 9.5 5‐10

82107 38 38 3,420 90.0 89.6 0.4 50‐75

82108 18,164 18,164 635,740 35.0 36.0 2.8 20‐30

82120 148 148 740 5.0 4.8 3.9 10‐20

82131 692 692 17,300 25.0 23.8 5.2 40‐50

82135 2 2 50 25.0 23.0 8.7 75‐100

82136 3 3 75 25.0 17.1 46.4 75‐100

82139 1 1 25 25.0 20.8 20.3 75‐100

82140 4,208 4,208 83,785 19.9 19.7 1.2 10‐20

82145 4,409 4,409 88,180 20.0 21.7 7.8 30‐40

82150 27,509 27,509 274,745 10.0 9.0 11.4 5‐10

82157 26 26 1,040 40.0 38.7 3.3 75‐100

82164 1,272 1,272 25,440 20.0 19.9 0.6 20‐30

82172 8,130 8,699 175,810 20.2 20.5 1.6 10‐20

82175 313 313 7,825 25.0 26.5 5.7 40‐50

82180 155 155 2,325 15.0 13.9 7.6 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

82205 4,317 4,317 64,755 15.0 15.9 5.6 20‐30

82232 5,984 5,984 149,465 25.0 22.8 9.6 10‐20

82247 28,283 28,283 8,460 0.3 1.4 79.1 10‐20

82248 87,680 87,680 159,065 1.8 2.2 19.0 0‐5

82270 62,952 63,024 313,700 5.0 4.8 2.8 0‐5

82271 70 70 350 5.0 4.9 2.4 75‐100

82272 14,867 14,867 74,245 5.0 4.9 2.9 0‐5

82274 8,666 8,666 172,645 19.9 21.5 7.3 10‐20

82300 13 13 390 30.0 29.4 2.1 75‐100

82306 100,687 100,687 4,024,260 40.0 40.5 1.3 0‐5

82307 5,024 5,024 226,080 45.0 44.9 0.1 10‐20

82308 221 221 7,735 35.0 36.9 5.2 40‐50

82310 95,960 95,960 359,390 3.7 3.6 3.3 5‐10

82330 5,866 5,866 79,810 13.6 13.4 1.5 20‐30

82340 3,174 3,174 30,450 9.6 7.8 22.5 10‐20

82355 180 180 2,700 15.0 15.5 3.3 40‐50

82360 254 254 5,080 20.0 16.9 18.1 40‐50

82365 634 634 12,115 19.1 17.1 11.5 10‐20

82374 6,838 6,838 1,030 0.2 1.4 89.3 20‐30

82375 262 262 3,930 15.0 15.3 1.9 40‐50

82378 36,350 36,350 908,125 25.0 26.9 7.2 0‐5


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

82379 88 88 2,200 25.0 21.8 14.4 75‐100

82380 55 55 825 15.0 12.9 16.4 50‐75

82384 777 777 27,195 35.0 34.8 0.6 20‐30

82390 874 874 13,110 15.0 14.9 0.8 20‐30

82397 50 50 990 19.8 18.0 9.8 75‐100

82435 14,412 14,412 1,885 0.1 1.3 89.9 10‐20

82436 1,200 1,200 6,000 5.0 6.8 26.2 10‐20

82438 3 3 15 5.0 6.8 26.9 75‐100

82465 29,701 29,701 88,045 3.0 3.1 2.9 5‐10

82491 1,737 1,761 44,025 25.0 24.6 1.5 40‐50

82492 285 285 7,125 25.0 24.6 1.5 40‐50

82507 545 545 21,800 40.0 28.4 41.0 50‐75

82520 3,475 3,475 69,500 20.0 20.8 3.8 40‐50

82523 2,691 2,691 56,865 21.1 21.7 2.4 10‐20

82525 562 562 8,430 15.0 16.7 10.3 40‐50

82530 1,460 1,460 36,500 25.0 22.7 10.1 20‐30

82533 6,212 6,250 156,000 25.0 22.9 9.2 10‐20

82540 456 456 2,280 5.0 6.0 16.5 40‐50

82541 16 16 400 25.0 24.6 1.7 75‐100

82542 3,306 3,306 82,560 25.0 24.8 0.5 50‐75

82550 119,152 119,152 599,015 5.0 5.2 2.7 0‐5


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

82552 892 892 17,840 20.0 18.5 8.0 30‐40

82553 3,425 3,425 46,335 13.5 13.7 1.2 20‐30

82565 132,480 132,480 379,035 2.9 3.1 7.4 0‐5

82570 169,702 169,927 848,220 5.0 6.9 28.1 0‐5

82575 5,649 5,649 84,580 15.0 12.9 16.0 10‐20

82595 332 332 3,320 10.0 8.8 14.1 40‐50

82607 133,750 133,750 2,673,635 20.0 21.0 4.6 0‐5

82608 110 110 2,200 20.0 20.0 0.0 50‐75

82610 68 68 1,360 20.0 17.9 11.5 75‐100

82626 661 661 23,135 35.0 34.6 1.3 30‐40

82627 2,542 2,542 76,260 30.0 30.8 2.6 20‐30

82646 10 10 300 30.0 28.2 6.5 75‐100

82651 363 363 12,705 35.0 35.5 1.4 30‐40

82652 8,932 8,932 456,670 51.1 50.3 1.6 10‐20

82656 23 23 345 15.0 15.5 3.0 50‐75

82657 2 2 50 25.0 24.5 2.2 75‐100

82664 4,597 4,597 229,850 50.0 48.0 4.2 20‐30

82668 4,527 4,527 113,065 25.0 25.7 3.0 10‐20

82670 3,972 3,972 158,480 39.9 38.2 4.5 20‐30

82671 45 45 2,025 45.0 44.1 2.1 50‐75

82672 497 497 14,910 30.0 28.9 3.9 30‐40


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

82677 281 281 9,835 35.0 32.8 6.7 20‐30

82679 271 271 9,485 35.0 33.1 5.7 40‐50

82693 55 55 1,100 20.0 21.0 4.8 10‐20

82705 454 454 2,270 5.0 6.7 25.9 20‐30

82710 42 42 1,050 25.0 22.7 10.2 50‐75

82728 191,412 191,412 3,823,495 20.0 19.0 5.4 0‐5

82731 2 2 180 90.0 56.3 59.9 50‐75

82746 81,980 81,980 1,631,795 19.9 20.8 4.3 0‐5

82747 1,953 1,953 48,370 24.8 22.0 12.6 20‐30

82784 23,567 43,853 593,920 13.5 12.3 9.7 20‐30

82785 3,672 3,672 91,645 25.0 22.4 11.6 20‐30

82787 166 490 5,220 10.7 9.7 9.9 75‐100

82803 1,197 1,197 29,600 24.7 26.0 4.8 30‐40

82805 612 612 24,480 40.0 38.8 3.0 30‐40

82941 261 261 6,525 25.0 24.8 0.7 40‐50

82943 1 1 20 20.0 19.9 0.6 75‐100

82945 220 220 1,100 5.0 4.7 6.1 75‐100

82947 135,922 136,011 513,785 3.8 3.9 2.3 0‐5

82948 16,950 16,977 84,345 5.0 4.0 24.9 5‐10

82950 2,559 2,559 12,790 5.0 6.9 27.6 10‐20

82951 2,370 2,370 44,370 18.7 16.8 11.4 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

82952 1,059 1,273 6,365 5.0 4.9 2.4 30‐40

82955 120 120 1,630 13.6 12.4 9.3 75‐100

82962 117,268 122,774 595,745 4.9 3.0 60.4 0‐5

82977 47,740 47,740 159,560 3.3 3.4 2.0 5‐10

82985 6,007 6,007 119,400 19.9 20.6 3.4 5‐10

83001 5,452 5,452 136,280 25.0 25.9 3.4 5‐10

83002 4,743 4,743 118,575 25.0 25.9 3.4 10‐20

83003 278 278 6,950 25.0 22.8 9.8 50‐75

83009 3 3 285 95.0 81.1 17.2 75‐100

83010 3,558 3,558 71,135 20.0 17.4 14.9 10‐20

83013 1,268 1,268 120,355 94.9 90.6 4.7 20‐30

83014 900 900 9,000 10.0 11.0 8.9 10‐20

83020 358 358 6,255 17.5 15.7 11.3 50‐75

83021 2,183 2,183 54,575 25.0 24.4 2.6 20‐30

83026 267 267 1,335 5.0 3.0 66.7 50‐75

83036 574,952 574,952 8,556,760 14.9 13.9 7.1 0‐5

83037 13,957 13,957 230,220 16.5 16.1 2.5 5‐10

83050 127 127 1,270 10.0 8.2 22.6 50‐75

83051 3 3 30 10.0 8.7 15.4 75‐100

83070 9 9 45 5.0 6.8 26.2 75‐100

83088 2 2 80 40.0 40.3 0.9 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

83090 22,724 22,724 568,100 25.0 24.0 4.3 5‐10

83491 1 1 25 25.0 24.0 4.2 75‐100

83497 377 377 7,540 20.0 17.7 13.0 40‐50

83498 72 72 2,880 40.0 37.5 6.8 50‐75

83516 8,297 9,522 141,810 14.9 15.1 1.4 20‐30

83518 1,328 1,328 13,145 9.9 11.2 11.3 10‐20

83519 1,835 1,849 36,960 20.0 19.3 3.5 30‐40

83520 1,966 2,146 42,275 19.7 17.7 11.0 50‐75

83525 8,247 8,270 124,090 15.0 15.9 5.6 5‐10

83527 11 11 220 20.0 17.5 14.4 75‐100

83540 241,811 241,852 2,392,450 9.9 8.9 11.4 0‐5

83550 191,796 191,796 1,917,180 10.0 11.8 15.0 0‐5

83605 215 215 3,225 15.0 14.6 3.0 50‐75

83615 95,546 95,546 355,090 3.7 3.8 1.1 5‐10

83625 64 64 1,280 20.0 16.9 18.2 75‐100

83630 122 122 3,050 25.0 27.0 7.3 30‐40

83631 2 2 50 25.0 27.0 7.4 75‐100

83655 606 606 9,090 15.0 16.8 10.8 30‐40

83690 19,861 19,861 196,620 9.9 9.7 1.6 5‐10

83695 7,622 7,622 152,440 20.0 18.0 11.2 5‐10

83698 6,307 6,307 283,815 45.0 47.0 4.2 5‐10


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

83700 176 176 2,640 15.0 15.8 5.2 50‐75

83701 11,746 11,746 399,075 34.0 33.1 2.8 5‐10

83704 9,397 9,397 422,865 45.0 43.1 4.3 5‐10

83718 35,819 35,819 357,640 10.0 10.9 8.8 0‐5

83719 1,279 1,279 19,185 15.0 15.4 2.6 20‐30

83721 76,371 76,371 1,127,700 14.8 12.9 14.6 0‐5

83735 102,627 102,627 1,025,205 10.0 8.9 12.6 0‐5

83789 420 420 10,500 25.0 24.9 0.4 40‐50

83825 387 387 9,675 25.0 22.6 10.5 40‐50

83835 988 988 24,700 25.0 23.8 5.0 10‐20

83840 5,955 5,955 148,875 25.0 22.8 9.4 10‐20

83872 342 342 3,420 10.0 8.0 25.8 20‐30

83874 2,256 2,256 44,615 19.8 17.9 10.7 20‐30

83880 50,938 50,938 2,279,485 44.8 46.4 3.5 0‐5

83883 4,334 5,984 118,150 19.7 18.4 7.5 20‐30

83887 151 151 5,285 35.0 32.9 6.3 50‐75

83890 340 340 1,700 5.0 5.7 12.2 50‐75

83891 5,175 5,479 27,355 5.0 5.6 11.0 20‐30

83892 1,129 1,587 7,935 5.0 5.6 10.3 75‐100

83893 17 69 375 5.4 5.7 4.3 75‐100

83894 371 371 1,855 5.0 4.9 1.5 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

83896 2,899 5,481 28,070 5.1 5.4 5.8 50‐75

83898 1,886 2,128 52,085 24.5 18.2 34.6 50‐75

83900 682 682 29,785 43.7 36.3 20.4 50‐75

83901 187 328 4,250 13.0 15.8 17.8 75‐100

83902 595 690 13,740 19.9 13.8 44.7 50‐75

83903 26 26 650 25.0 23.2 7.7 75‐100

83904 228 378 8,740 23.1 17.9 28.9 75‐100

83907 75 75 1,500 20.0 18.6 7.8 75‐100

83908 103 147 3,455 23.5 21.5 9.3 75‐100

83909 417 417 9,410 22.6 16.5 37.1 50‐75

83912 6,670 6,846 43,225 6.3 7.6 16.6 30‐40

83914 104 704 11,650 16.5 14.3 15.5 75‐100

83915 49 49 735 15.0 16.0 6.2 75‐100

83916 5 5 150 30.0 27.9 7.5 75‐100

83918 57 57 1,425 25.0 22.8 9.7 75‐100

83921 6,247 6,247 156,170 25.0 21.8 14.5 10‐20

83925 7,833 12,846 346,155 26.9 26.5 1.7 30‐40

83930 835 835 8,165 9.8 8.8 11.7 20‐30

83935 787 787 7,820 9.9 9.6 3.1 20‐30

83937 124 124 4,920 39.7 37.5 5.9 50‐75

83945 1,203 1,203 24,060 20.0 17.8 12.3 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

83950 16 16 1,440 90.0 89.6 0.5 50‐75

83970 152,436 152,436 9,144,970 60.0 57.9 3.6 0‐5

83986 3,866 3,866 19,325 5.0 4.7 6.0 50‐75

83992 1,731 1,731 34,620 20.0 20.9 4.1 50‐75

84022 7 7 140 20.0 21.5 7.0 50‐75

84030 22 22 220 10.0 8.0 25.0 10‐20

84060 29 29 290 10.0 9.9 0.7 75‐100

84066 741 741 11,115 15.0 13.9 8.2 20‐30

84075 36,931 36,931 29,820 0.8 1.8 55.6 5‐10

84080 1,255 1,255 25,100 20.0 20.3 1.3 30‐40

84100 136,428 136,428 483,540 3.5 3.1 14.8 0‐5

84105 1,247 1,247 6,235 5.0 7.0 28.3 10‐20

84110 8 8 80 10.0 11.6 14.2 75‐100

84120 27 27 540 20.0 20.8 3.6 50‐75

84132 86,136 86,136 272,555 3.2 3.7 14.5 5‐10

84133 1,513 1,513 7,565 5.0 6.0 16.3 10‐20

84134 14,358 14,358 228,530 15.9 15.6 1.9 10‐20

84140 204 204 6,120 30.0 28.6 4.7 40‐50

84144 1,876 1,876 56,125 29.9 28.6 4.7 20‐30

84146 5,012 5,012 125,300 25.0 26.9 7.0 10‐20

84152 905 905 22,625 25.0 25.9 3.6 20‐30


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

84153 184,446 184,446 4,593,190 24.9 25.9 3.8 0‐5

84154 11,888 11,888 296,770 25.0 25.9 3.7 0‐5

84155 32,321 32,321 72,790 2.3 2.7 16.0 5‐10

84156 24,122 24,122 120,525 5.0 5.0 0.2 0‐5

84157 152 152 760 5.0 5.0 0.6 50‐75

84160 9 9 45 5.0 6.7 25.1 75‐100

84165 38,772 38,772 578,275 14.9 14.6 2.2 5‐10

84166 6,547 6,547 139,305 21.3 20.3 4.6 20‐30

84181 8 8 200 25.0 21.1 18.6 75‐100

84182 3 3 75 25.0 24.7 1.1 75‐100

84202 1 1 20 20.0 18.7 6.7 75‐100

84206 5 5 125 25.0 23.0 8.5 75‐100

84207 817 817 32,680 40.0 38.3 4.5 30‐40

84235 2 2 150 75.0 66.7 12.5 75‐100

84238 224 224 11,200 50.0 50.4 0.8 50‐75

84244 1,000 1,000 30,000 30.0 30.8 2.6 20‐30

84252 175 175 5,250 30.0 28.0 7.2 75‐100

84255 28 28 980 35.0 35.1 0.3 75‐100

84260 188 188 8,460 45.0 40.0 12.6 50‐75

84270 2,109 2,109 61,835 29.3 27.5 6.8 30‐40

84295 28,982 28,982 27,960 1.0 1.9 49.5 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

84300 2,696 2,696 13,480 5.0 6.9 27.0 10‐20

84302 12 12 60 5.0 7.0 28.6 50‐75

84305 960 960 26,250 27.3 26.8 2.1 40‐50

84311 10 10 100 10.0 9.9 1.1 75‐100

84376 1 1 10 10.0 7.7 29.3 75‐100

84378 762 762 11,430 15.0 15.5 3.3 20‐30

84392 927 927 4,635 5.0 7.0 28.4 5‐10

84402 8,329 8,329 291,435 35.0 35.7 1.9 5‐10

84403 27,002 27,015 942,080 34.9 35.6 2.0 5‐10

84425 866 866 25,980 30.0 22.9 31.0 50‐75

84432 2,521 2,521 50,270 19.9 21.7 8.1 10‐20

84436 108,705 108,705 1,084,110 10.0 9.8 1.8 0‐5

84439 170,982 170,982 2,512,875 14.7 12.9 14.3 0‐5

84442 454 454 9,080 20.0 20.9 4.4 50‐75

84443 684,027 684,185 17,076,975 25.0 23.0 8.7 0‐5

84445 440 440 30,800 70.0 69.3 1.0 20‐30

84446 241 241 4,820 20.0 19.2 4.3 50‐75

84450 127,232 127,232 371,555 2.9 3.0 2.7 0‐5

84460 148,356 148,356 500,130 3.4 3.4 0.8 0‐5

84466 29,719 29,719 587,835 19.8 17.1 15.6 10‐20

84478 27,284 27,284 90,885 3.3 3.2 2.9 5‐10


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

84479 60,514 60,514 592,930 9.8 8.8 11.7 0‐5

84480 39,445 39,445 781,920 19.8 19.7 0.7 5‐10

84481 25,394 25,394 606,575 23.9 23.0 4.1 5‐10

84482 198 198 3,960 20.0 21.1 5.3 40‐50

84484 4,720 4,720 68,295 14.5 13.5 6.9 10‐20

84510 6 6 90 15.0 15.0 0.0 50‐75

84512 68 68 680 10.0 10.2 1.9 50‐75

84520 93,198 93,198 195,365 2.1 2.4 10.8 5‐10

84540 5,226 5,226 26,130 5.0 7.0 28.1 20‐30

84545 63 63 630 10.0 8.0 25.2 50‐75

84550 134,072 134,072 487,995 3.6 3.6 2.2 0‐5

84560 1,645 1,645 8,225 5.0 6.9 27.6 10‐20

84585 371 371 7,420 20.0 21.6 7.3 30‐40

84586 12 12 240 20.0 27.6 27.6 50‐75

84588 14 14 630 45.0 46.5 3.2 50‐75

84590 618 618 9,270 15.0 16.0 6.2 40‐50

84597 16 16 320 20.0 18.5 8.1 75‐100

84600 19 19 380 20.0 19.7 1.6 75‐100

84620 1 1 15 15.0 17.0 11.5 75‐100

84630 1,342 1,342 20,130 15.0 15.6 4.0 30‐40

84681 3,722 3,722 102,845 27.6 26.5 4.5 20‐30


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

84702 418 418 7,260 17.4 17.8 2.4 20‐30

84703 748 748 7,470 10.0 9.8 1.4 20‐30

85002 133 133 665 5.0 5.8 13.7 50‐75

85004 4,761 4,761 46,545 9.8 8.3 18.3 30‐40

85007 25,178 25,178 125,830 5.0 4.9 1.5 5‐10

85008 565 565 2,825 5.0 5.0 0.1 40‐50

85013 1,600 1,600 7,985 5.0 3.0 68.3 20‐30

85014 28,831 28,831 144,055 5.0 3.0 66.8 5‐10

85018 52,782 52,782 263,305 5.0 3.0 66.8 5‐10

85025 1,556,978 1,556,987 15,411,500 9.9 10.8 8.6 0‐5

85027 134,768 134,768 1,328,440 9.9 8.9 11.3 0‐5

85032 4 4 20 5.0 6.0 16.7 75‐100

85041 3,620 3,620 18,100 5.0 4.0 25.1 20‐30

85044 6,149 6,149 30,735 5.0 6.0 16.5 10‐20

85045 55,510 55,510 277,505 5.0 6.0 16.6 0‐5

85046 6,323 6,323 63,230 10.0 8.0 25.3 20‐30

85048 7,237 7,237 36,125 5.0 4.0 25.4 20‐30

85049 2,470 2,470 12,350 5.0 6.0 16.3 30‐40

85060 7,226 7,226 127,020 17.6 17.5 0.2 20‐30

85097 5,323 5,324 249,125 46.8 51.8 9.7 30‐40

85210 4 4 80 20.0 16.0 24.6 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

85220 12 12 300 25.0 24.4 2.6 75‐100

85230 21 21 525 25.0 24.8 0.8 50‐75

85240 226 226 5,650 25.0 23.7 5.5 40‐50

85245 97 97 2,910 30.0 31.7 5.2 40‐50

85246 92 92 2,760 30.0 31.5 4.8 50‐75

85247 46 46 1,380 30.0 32.0 6.2 40‐50

85250 42 42 1,050 25.0 26.5 5.7 50‐75

85260 16 16 400 25.0 24.4 2.5 50‐75

85270 32 32 800 25.0 25.0 0.1 50‐75

85280 17 17 425 25.0 26.7 6.2 50‐75

85300 306 306 4,590 15.0 16.2 7.6 40‐50

85301 93 93 1,395 15.0 15.0 0.0 50‐75

85302 132 132 1,980 15.0 17.0 11.7 50‐75

85303 380 380 7,600 20.0 19.0 5.5 30‐40

85305 146 146 2,190 15.0 16.0 6.1 50‐75

85306 439 439 8,780 20.0 20.6 2.9 40‐50

85307 44 44 880 20.0 20.8 3.7 50‐75

85335 1 1 20 20.0 16.6 20.2 75‐100

85362 11 11 110 10.0 9.7 2.7 75‐100

85370 74 74 1,110 15.0 14.0 7.0 50‐75

85378 146 146 1,460 10.0 9.8 1.6 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

85379 2,295 2,295 30,920 13.5 12.7 5.7 20‐30

85384 3,672 3,672 36,720 10.0 12.0 16.6 10‐20

85385 12 12 120 10.0 12.0 16.5 75‐100

85390 179 179 2,685 15.0 13.5 11.3 75‐100

85415 3 3 75 25.0 23.8 4.8 75‐100

85420 2 2 20 10.0 9.0 11.1 75‐100

85520 3 3 60 20.0 17.0 17.8 75‐100

85536 3 3 30 10.0 8.6 16.8 75‐100

85540 172 172 1,720 10.0 11.9 15.8 30‐40

85549 10 10 250 25.0 25.4 1.5 75‐100

85576 1,325 1,495 43,125 28.8 23.5 22.7 50‐75

85597 206 220 5,500 25.0 24.3 2.7 50‐75

85610 1,073,945 1,073,989 5,354,050 5.0 5.0 0.0 0‐5

85611 231 231 1,155 5.0 5.9 14.9 50‐75

85613 867 867 12,925 14.9 12.5 19.4 30‐40

85651 79,563 79,563 396,400 5.0 5.0 0.4 0‐5

85652 84,295 84,295 420,480 5.0 4.0 25.3 0‐5

85660 309 309 3,075 10.0 7.9 25.3 30‐40

85670 148 148 1,450 9.8 7.9 23.8 50‐75

85705 13 13 195 15.0 12.9 16.1 75‐100

85730 34,367 34,386 341,260 9.9 8.0 24.8 5‐10


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

85732 219 223 2,230 10.0 9.0 11.7 50‐75

85810 377 377 5,655 15.0 15.6 3.9 30‐40

86000 1 1 10 10.0 9.4 6.6 75‐100

86001 21 21 105 5.0 4.8 3.4 75‐100

86003 2,920 33,152 238,540 7.2 7.2 0.3 40‐50

86021 756 756 15,110 20.0 18.1 10.5 50‐75

86022 318 318 7,930 24.9 24.5 2.0 40‐50

86023 72 72 1,080 15.0 16.4 8.3 40‐50

86038 39,470 39,470 591,800 15.0 16.9 11.3 0‐5

86039 4,956 4,956 74,340 15.0 15.9 5.7 10‐20

86060 2,755 2,755 27,550 10.0 9.9 1.3 10‐20

86063 2,174 2,174 21,740 10.0 7.9 27.1 10‐20

86077 648 648 23,465 36.2 36.4 0.4 50‐75

86078 223 223 8,290 37.2 37.2 0.0 50‐75

86140 72,767 72,767 363,010 5.0 6.9 27.5 0‐5

86141 27,596 27,596 551,370 20.0 17.9 11.4 5‐10

86146 101 228 7,170 31.4 27.5 14.3 75‐100

86147 815 1,349 40,715 30.2 25.6 18.1 75‐100

86148 11 11 220 20.0 16.1 24.3 75‐100

86156 1 1 10 10.0 9.0 11.7 75‐100

86157 47 47 470 10.0 10.8 7.4 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

86160 8,394 12,712 211,895 16.7 16.8 0.5 10‐20

86161 325 325 4,875 15.0 17.0 11.7 40‐50

86162 878 878 26,340 30.0 27.9 7.7 20‐30

86200 7,567 7,567 151,280 20.0 17.9 11.6 5‐10

86225 8,367 8,367 167,040 20.0 18.8 6.0 10‐20

86226 415 415 6,225 15.0 16.8 10.8 30‐40

86235 10,169 23,737 592,330 25.0 24.3 2.8 30‐40

86255 4,647 4,921 75,145 15.3 16.4 6.9 20‐30

86256 1,986 2,059 31,095 15.1 16.5 8.3 50‐75

86294 6,109 6,109 144,530 23.7 24.8 4.5 0‐5

86300 20,713 20,745 598,070 28.8 27.8 3.5 0‐5

86301 2,927 2,927 87,700 30.0 28.0 7.1 10‐20

86304 7,878 7,878 232,315 29.5 28.0 5.4 5‐10

86308 598 598 2,965 5.0 6.9 28.4 30‐40

86316 458 458 13,740 30.0 28.3 6.2 40‐50

86317 560 794 16,240 20.5 20.2 1.5 50‐75

86318 1,341 1,341 26,770 20.0 17.9 11.5 20‐30

86320 231 231 4,035 17.5 18.5 5.6 75‐100

86325 16 16 315 19.7 19.5 0.7 75‐100

86331 45 45 675 15.0 16.4 8.7 75‐100

86332 2 2 70 35.0 33.5 4.4 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

86334 17,439 17,439 451,465 25.9 25.6 0.9 10‐20

86335 4,729 4,729 148,050 31.3 30.1 4.2 20‐30

86336 125 125 2,500 20.0 20.9 4.1 20‐30

86337 207 207 6,210 30.0 29.6 1.3 20‐30

86340 465 465 9,300 20.0 20.8 4.0 40‐50

86341 132 132 3,340 25.3 23.6 7.3 40‐50

86343 13 13 130 10.0 10.0 0.3 50‐75

86353 243 243 17,010 70.0 67.4 3.9 40‐50

86355 450 450 24,750 55.0 51.9 6.1 50‐75

86357 236 236 12,980 55.0 51.8 6.1 50‐75

86359 2,116 2,116 114,230 54.0 51.2 5.4 20‐30

86360 4,004 4,004 230,440 57.6 51.9 11.0 20‐30

86361 1,671 1,671 57,145 34.2 31.5 8.7 20‐30

86376 8,255 8,255 165,100 20.0 19.8 1.0 5‐10

86403 709 709 10,605 15.0 13.6 10.2 40‐50

86430 9,162 9,162 91,515 10.0 8.0 25.3 10‐20

86431 26,674 26,674 266,470 10.0 8.0 25.3 0‐5

86480 13 13 1,105 85.0 72.4 17.4 75‐100

86510 1 1 5 5.0 7.3 31.3 75‐100

86580 6,343 6,343 35,905 5.7 6.0 6.2 10‐20

86592 14,557 14,560 72,800 5.0 6.0 16.2 5‐10


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

86593 364 364 1,820 5.0 6.0 16.4 40‐50

86606 137 175 3,595 20.5 19.2 7.2 50‐75

86609 93 340 6,230 18.3 17.4 5.4 75‐100

86612 44 44 880 20.0 17.3 15.5 75‐100

86615 48 76 1,470 19.3 17.3 11.6 75‐100

86617 1,935 3,442 76,375 22.2 21.3 4.1 30‐40

86618 5,251 5,774 142,755 24.7 23.4 5.9 20‐30

86628 46 82 1,320 16.1 16.5 2.4 75‐100

86631 9 12 195 16.3 14.9 9.2 75‐100

86632 13 13 260 20.0 16.7 20.1 75‐100

86635 350 372 5,580 15.0 15.6 4.1 50‐75

86641 2 2 40 20.0 14.7 36.1 75‐100

86644 436 436 8,720 20.0 19.7 1.3 40‐50

86645 212 212 5,150 24.3 21.1 15.1 50‐75

86648 20 20 400 20.0 20.2 1.2 50‐75

86658 1 6 100 16.7 17.7 6.0 75‐100

86663 448 448 8,960 20.0 17.8 12.2 30‐40

86664 641 641 12,820 20.0 20.5 2.3 30‐40

86665 709 1,113 27,400 24.6 23.9 3.1 50‐75

86666 76 139 2,060 14.8 13.8 7.7 75‐100

86671 99 146 2,425 16.6 15.8 5.1 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

86674 21 21 420 20.0 20.3 1.4 50‐75

86677 10,528 10,974 209,240 19.1 18.8 1.4 10‐20

86684 11 11 220 20.0 20.3 1.7 50‐75

86689 152 152 3,800 25.0 27.0 7.4 20‐30

86694 358 368 7,360 20.0 19.8 1.2 40‐50

86695 833 834 16,670 20.0 17.8 12.6 20‐30

86696 1,009 1,010 25,255 25.0 26.7 6.4 20‐30

86698 49 49 735 15.0 15.9 5.6 75‐100

86701 493 493 4,930 10.0 12.0 16.5 20‐30

86702 9 9 180 20.0 17.8 12.5 75‐100

86703 2,920 2,920 57,410 19.7 18.6 5.6 10‐20

86704 6,356 6,356 95,340 15.0 16.8 11.0 10‐20

86705 1,701 1,701 25,515 15.0 16.0 6.1 20‐30

86706 24,266 24,266 363,990 15.0 15.0 0.1 10‐20

86707 713 713 10,695 15.0 15.9 5.9 20‐30

86708 3,832 3,832 57,480 15.0 16.9 11.5 10‐20

86709 1,837 1,837 27,555 15.0 15.9 5.8 10‐20

86710 97 99 1,980 20.0 18.5 8.2 50‐75

86713 15 15 300 20.0 15.5 29.3 75‐100

86735 43 43 860 20.0 14.3 39.9 75‐100

86738 443 536 10,255 19.1 18.4 4.0 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

86744 4 4 80 20.0 17.7 13.0 75‐100

86747 136 211 4,220 20.0 20.0 0.2 50‐75

86753 71 127 2,185 17.2 16.4 4.7 75‐100

86757 116 168 4,430 26.4 27.0 2.3 75‐100

86762 448 448 8,925 19.9 19.6 1.7 30‐40

86765 66 66 1,260 19.1 16.5 16.0 75‐100

86774 39 39 780 20.0 20.3 1.7 50‐75

86777 219 219 4,380 20.0 19.7 1.6 40‐50

86778 47 47 940 20.0 19.6 2.2 50‐75

86781 604 604 11,970 19.8 18.3 8.2 40‐50

86787 779 826 16,025 19.4 16.7 16.2 40‐50

86788 35 35 860 24.6 22.0 11.5 50‐75

86789 44 44 880 20.0 19.8 1.0 50‐75

86790 32 49 895 18.3 17.2 6.3 75‐100

86800 7,128 7,128 142,455 20.0 21.6 7.7 5‐10

86803 20,318 20,318 406,135 20.0 19.9 0.7 10‐20

86804 129 129 2,580 20.0 21.8 8.1 50‐75

86812 590 590 20,650 35.0 35.7 2.1 20‐30

86850 426 426 8,765 20.6 24.7 16.6 75‐100

86880 1,278 1,286 12,630 9.8 9.4 4.7 20‐30

86885 23 23 230 10.0 8.0 25.0 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

86886 18 18 90 5.0 13.3 62.4 75‐100

86900 1,390 1,390 6,930 5.0 4.2 19.5 30‐40

86901 1,378 1,378 6,870 5.0 4.6 7.5 30‐40

87015 1,286 1,286 12,855 10.0 8.8 14.2 30‐40

87040 11,250 12,296 184,020 15.0 13.9 7.7 10‐20

87045 7,594 7,620 113,580 14.9 12.9 15.8 5‐10

87046 6,551 6,960 100,735 14.5 12.6 14.7 10‐20

87070 40,908 41,080 411,605 10.0 12.0 16.2 5‐10

87071 226 226 3,390 15.0 12.8 16.9 75‐100

87075 4,541 4,548 67,885 14.9 12.8 16.6 20‐30

87076 616 631 6,385 10.1 10.9 7.2 50‐75

87077 74,221 78,147 775,545 9.9 10.5 5.8 5‐10

87081 3,769 3,770 37,205 9.9 8.8 12.5 20‐30

87084 1,194 1,194 11,940 10.0 11.8 14.9 10‐20

87086 208,239 208,300 2,079,100 10.0 10.9 8.8 0‐5

87088 107,501 112,320 1,135,250 10.1 10.7 5.8 0‐5

87101 3,797 3,806 37,875 10.0 10.8 8.1 10‐20

87102 1,762 1,762 17,620 10.0 11.8 15.0 20‐30

87106 931 940 14,100 15.0 14.0 7.2 30‐40

87107 459 512 7,680 15.0 14.1 6.4 20‐30

87109 17 17 340 20.0 21.1 5.2 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

87110 1 1 25 25.0 26.8 6.6 75‐100

87116 1,022 1,022 15,305 15.0 14.5 3.3 30‐40

87118 14 14 210 15.0 14.9 0.4 75‐100

87140 21 27 240 8.9 7.8 14.6 75‐100

87147 6,798 6,878 34,790 5.1 6.8 25.6 10‐20

87149 65 65 1,950 30.0 26.5 13.1 50‐75

87158 3 3 15 5.0 7.1 29.5 75‐100

87168 20 20 100 5.0 6.0 16.3 75‐100

87169 5 5 25 5.0 5.8 13.5 75‐100

87172 2 2 10 5.0 6.0 16.7 75‐100

87176 1 1 10 10.0 8.0 25.3 75‐100

87177 6,780 7,213 73,195 10.1 11.8 13.9 5‐10

87181 143 143 715 5.0 5.9 15.9 75‐100

87184 28,002 29,919 298,815 10.0 9.7 2.6 5‐10

87185 62 62 310 5.0 3.3 52.5 75‐100

87186 86,297 91,547 935,915 10.2 11.8 13.0 0‐5

87187 46 46 690 15.0 13.7 9.7 50‐75

87205 14,193 14,208 71,040 5.0 5.9 15.0 10‐20

87206 1,622 1,657 16,255 9.8 7.8 25.7 30‐40

87207 48 48 505 10.5 10.6 0.7 75‐100

87209 5,649 6,011 148,680 24.7 24.4 1.2 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

87210 4,639 4,662 23,195 5.0 5.8 14.7 10‐20

87220 3,488 3,489 17,390 5.0 5.8 13.9 10‐20

87230 1,280 1,280 36,770 28.7 26.1 10.0 30‐40

87252 76 76 2,660 35.0 32.0 9.4 75‐100

87254 121 124 3,115 25.1 26.5 5.3 50‐75

87255 400 400 18,000 45.0 43.3 4.0 50‐75

87269 56 56 840 15.0 16.4 8.6 30‐40

87272 144 144 2,160 15.0 16.0 6.2 30‐40

87275 96 96 1,440 15.0 15.7 4.3 50‐75

87276 133 133 1,995 15.0 15.9 5.7 40‐50

87290 8 8 120 15.0 15.4 2.7 50‐75

87324 10,553 10,608 159,230 15.0 16.2 7.3 5‐10

87327 11 11 165 15.0 15.8 5.2 75‐100

87328 621 621 9,315 15.0 16.2 7.5 20‐30

87329 2,076 2,076 31,140 15.0 16.0 6.0 5‐10

87335 7 7 105 15.0 16.9 11.4 75‐100

87336 1 1 15 15.0 16.2 7.2 75‐100

87337 7 7 105 15.0 14.9 0.8 75‐100

87338 737 737 13,845 18.8 18.7 0.5 20‐30

87339 9 9 135 15.0 15.4 2.8 75‐100

87340 76,570 76,570 1,142,385 14.9 13.9 7.3 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

87341 32 32 480 15.0 14.0 7.5 75‐100

87350 783 783 11,745 15.0 16.2 7.6 30‐40

87385 21 21 315 15.0 15.4 2.5 75‐100

87400 705 853 13,175 15.4 15.3 1.3 30‐40

87425 45 45 675 15.0 16.2 7.6 50‐75

87427 2,102 2,102 31,530 15.0 16.0 6.2 10‐20

87430 929 929 13,750 14.8 15.5 4.4 20‐30

87449 236 236 3,540 15.0 15.8 5.0 50‐75

87476 68 68 3,400 50.0 47.8 4.5 50‐75

87480 1,421 1,421 42,390 29.8 26.9 10.8 10‐20

87490 117 117 3,510 30.0 26.8 11.8 40‐50

87491 3,994 3,994 193,340 48.4 45.4 6.7 20‐30

87496 17 17 850 50.0 44.6 12.0 75‐100

87497 298 298 16,840 56.5 55.1 2.6 40‐50

87510 1,406 1,406 42,105 29.9 26.9 11.3 10‐20

87516 18 18 900 50.0 44.1 13.5 50‐75

87517 697 697 39,540 56.7 55.5 2.2 30‐40

87521 248 248 12,390 50.0 46.1 8.5 40‐50

87522 2,459 2,459 135,630 55.2 54.3 1.5 10‐20

87529 73 80 4,000 50.0 47.7 4.8 50‐75

87536 6,513 6,514 739,365 113.5 107.2 5.9 5‐10


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

87590 93 93 2,790 30.0 27.0 11.3 50‐75

87591 3,911 3,911 189,160 48.4 45.3 6.8 20‐30

87621 7,212 7,940 388,645 48.9 45.9 6.6 20‐30

87641 2 2 100 50.0 44.4 12.5 75‐100

87650 109 109 3,270 30.0 27.6 8.5 20‐30

87653 4 4 200 50.0 48.8 2.4 75‐100

87660 1,205 1,205 36,150 30.0 26.9 11.6 10‐20

87797 161 161 4,790 29.8 27.3 8.8 30‐40

87798 550 553 27,650 50.0 47.7 4.8 50‐75

87799 228 229 13,745 60.0 55.6 8.0 50‐75

87800 752 752 41,360 55.0 53.7 2.3 20‐30

87801 8 8 800 100.0 94.3 6.0 75‐100

87803 116 116 1,740 15.0 15.2 1.5 50‐75

87804 7,022 7,278 109,370 15.0 16.3 7.6 10‐20

87808 2 2 30 15.0 16.0 6.0 75‐100

87810 1 1 15 15.0 15.5 3.2 75‐100

87880 13,799 13,799 202,260 14.7 16.0 8.3 5‐10

87899 212 225 3,440 15.3 15.9 4.0 50‐75

87900 176 176 26,950 153.1 151.8 0.8 20‐30

87901 320 320 110,325 344.8 299.5 15.1 20‐30

87902 472 472 154,450 327.2 305.2 7.2 30‐40


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

87903 106 106 74,200 700.0 630.7 11.0 20‐30

87904 90 636 23,620 37.1 34.5 7.7 50‐75

88104 3,761 3,891 83,420 21.4 25.7 16.6 40‐50

88106 60 60 1,215 20.3 28.2 28.3 75‐100

88107 11 11 330 30.0 36.3 17.4 75‐100

88108 10,573 10,736 277,185 25.8 30.6 15.7 30‐40

88112 33,376 33,954 1,893,845 55.8 56.4 1.1 20‐30

88141 4,770 4,770 86,375 18.1 17.9 1.4 10‐20

88142 9,612 9,612 284,590 29.6 27.4 7.9 5‐10

88143 6 6 180 30.0 27.5 9.0 75‐100

88150 183 183 2,745 15.0 14.9 0.5 30‐40

88155 129 129 1,290 10.0 8.0 25.6 20‐30

88160 118 118 2,560 21.7 22.6 3.9 75‐100

88161 87 87 1,740 20.0 29.0 30.9 75‐100

88162 18 18 540 30.0 33.9 11.4 75‐100

88164 1,734 1,734 26,010 15.0 14.8 1.6 10‐20

88172 3,150 3,456 86,545 25.0 25.9 3.1 40‐50

88173 8,824 9,388 568,430 60.5 65.5 7.5 30‐40

88174 90 90 2,700 30.0 29.0 3.4 30‐40

88175 14,437 14,437 496,795 34.4 35.3 2.5 5‐10

88182 24 24 875 36.5 61.0 40.2 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

88184 2,488 2,488 153,945 61.9 62.8 1.5 50‐75

88185 27 567 18,900 33.3 36.4 8.3 75‐100

88187 375 375 18,270 48.7 48.5 0.5 50‐75

88188 599 599 36,705 61.3 60.9 0.7 50‐75

88189 4,881 4,881 391,200 80.1 80.6 0.5 30‐40

88235 8 8 1,600 200.0 205.8 2.8 30‐40

88237 2,128 2,156 377,300 175.0 159.8 9.5 20‐30

88261 20 20 5,000 250.0 244.5 2.3 75‐100

88262 989 989 173,075 175.0 173.8 0.7 10‐20

88264 1,205 1,205 210,875 175.0 173.1 1.1 10‐20

88267 5 5 1,250 250.0 251.0 0.4 50‐75

88271 310 1,138 35,370 31.1 27.1 14.8 75‐100

88274 166 166 8,300 50.0 40.9 22.3 50‐75

88275 342 342 18,810 55.0 53.3 3.1 50‐75

88280 932 1,428 49,865 34.9 34.9 0.1 40‐50

88291 2,378 2,378 51,580 21.7 21.8 0.6 30‐40

88300 7,536 7,597 40,815 5.4 4.7 13.2 20‐30

88302 3,555 3,703 25,745 7.0 10.5 33.6 30‐40

88304 44,396 45,591 778,540 17.1 18.1 5.7 10‐20

88305 528,023 715,254 36,362,600 50.8 51.1 0.6 10‐20

88307 25,249 29,873 1,956,030 65.5 70.3 6.8 20‐30


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

88309 6,608 6,696 719,220 107.4 113.2 5.1 20‐30

88311 26,197 26,875 280,615 10.4 9.7 8.2 10‐20

88312 37,507 42,907 1,620,280 37.8 41.3 8.5 30‐40

88313 22,049 29,021 559,830 19.3 28.7 32.8 40‐50

88319 44 46 920 20.0 45.4 55.9 75‐100

88321 4,843 4,844 314,920 65.0 63.6 2.3 40‐50

88323 359 359 35,700 99.4 95.5 4.1 75‐100

88325 30 30 3,960 132.0 125.5 5.2 75‐100

88329 923 942 24,685 26.2 27.1 3.3 40‐50

88331 13,357 15,911 803,520 50.5 49.8 1.4 30‐40

88332 2,152 2,983 72,510 24.3 24.6 1.3 50‐75

88333 863 919 42,580 46.3 49.8 7.0 50‐75

88334 109 121 3,200 26.4 28.2 6.1 75‐100

88342 27,494 49,077 1,935,105 39.4 47.1 16.4 50‐75

88346 379 799 30,570 38.3 53.2 28.1 75‐100

88347 61 61 2,020 33.1 54.2 38.9 75‐100

88348 116 116 6,815 58.8 167.2 64.9 75‐100

88358 22 22 825 37.5 55.8 32.8 75‐100

88360 1,943 3,729 184,005 49.3 61.9 20.2 50‐75

88361 1,034 2,630 166,090 63.2 83.6 24.4 50‐75

88365 87 100 5,305 53.1 72.6 27.0 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

88367 2,655 10,572 1,329,655 125.8 132.7 5.2 50‐75

88368 687 2,219 239,840 108.1 134.3 19.5 75‐100

89050 279 279 1,395 5.0 6.7 25.7 50‐75

89051 1,776 1,776 17,445 9.8 7.6 28.5 30‐40

89055 2,633 2,633 13,165 5.0 5.9 15.0 5‐10

89060 2,043 2,046 22,300 10.9 10.9 0.0 30‐40

89125 55 55 275 5.0 5.4 8.2 40‐50

89160 11 11 55 5.0 4.8 5.2 75‐100

89190 620 620 3,085 5.0 6.8 26.6 20‐30

89320 4 4 60 15.0 17.0 11.8 50‐75

89321 1 1 15 15.0 16.0 6.3 75‐100

90471 49,834 49,834 678,905 13.6 13.6 0.2 5‐10

90472 2,006 2,039 16,740 8.2 7.0 17.0 20‐30

90473 2 2 10 5.0 8.6 41.6 75‐100

90586 8 8 720 90.0 91.1 1.3 50‐75

90632 2 2 70 35.0 26.7 31.1 75‐100

90649 2 2 0 0.0 11.2 100.0 50‐75

90655 1 1 15 15.0 13.5 11.1 75‐100

90656 34,176 34,176 645,210 18.9 17.5 8.1 0‐5

90657 43 43 215 5.0 7.0 28.6 30‐40

90658 611,632 611,686 8,971,850 14.7 12.8 14.4 0‐5


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

90660 187 187 3,740 20.0 17.8 12.6 50‐75

90669 11 11 880 80.0 57.8 38.3 50‐75

90675 5 5 625 125.0 105.0 19.1 75‐100

90703 1,842 1,842 26,445 14.4 14.6 1.9 20‐30

90714 1,729 1,729 23,955 13.9 14.2 2.2 10‐20

90715 275 275 7,070 25.7 23.9 7.6 30‐40

90718 3,154 3,154 28,510 9.0 8.1 11.9 10‐20

90732 68,048 68,048 2,221,940 32.7 31.2 4.6 5‐10

90740 52 52 4,755 91.4 87.2 4.8 40‐50

90743 1 1 20 20.0 11.6 72.8 75‐100

90744 8 8 160 20.0 14.6 36.9 50‐75

90746 1,744 1,745 72,125 41.3 41.1 0.5 10‐20

90747 19 19 1,725 90.8 88.9 2.1 50‐75

90760 9,819 9,819 464,450 47.3 46.8 1.0 20‐30

90761 18,515 23,419 345,535 14.8 14.5 1.8 10‐20

90765 52,768 52,768 3,030,405 57.4 57.8 0.6 10‐20

90766 18,546 23,544 433,835 18.4 18.7 1.4 30‐40

90767 64,981 87,227 2,591,435 29.7 29.6 0.2 10‐20

90768 14,035 14,046 237,870 16.9 17.2 1.8 10‐20

90772 388,676 400,284 5,778,930 14.4 14.5 0.4 0‐5

90774 13,498 13,498 598,270 44.3 43.9 1.0 20‐30


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

90775 58,751 85,056 1,683,160 19.8 19.6 0.7 10‐20

90801 61,002 61,008 6,178,310 101.3 99.2 2.1 5‐10

90804 29,754 29,754 768,290 25.8 26.2 1.4 10‐20

90805 71,106 71,106 2,144,480 30.2 29.9 0.9 0‐5

90806 268,876 268,897 10,269,355 38.2 38.1 0.2 0‐5

90807 46,177 46,178 2,188,910 47.4 47.2 0.4 5‐10

90808 13,977 13,977 792,405 56.7 56.8 0.2 10‐20

90809 1,203 1,203 84,320 70.1 65.3 7.3 20‐30

90811 89 89 2,810 31.6 35.5 11.0 75‐100

90812 342 342 12,670 37.0 42.1 12.1 50‐75

90814 40 40 2,000 50.0 55.0 9.1 75‐100

90816 60,905 60,905 1,771,885 29.1 29.6 1.8 5‐10

90817 19,886 20,135 964,490 47.9 46.7 2.6 10‐20

90818 66,318 66,318 2,939,870 44.3 44.8 1.1 10‐20

90819 3,907 3,925 276,540 70.5 65.6 7.4 40‐50

90821 480 480 29,545 61.6 61.0 0.9 50‐75

90822 46 46 5,150 112.0 98.5 13.7 75‐100

90846 190 190 7,390 38.9 46.2 15.9 75‐100

90847 6,604 6,604 315,185 47.7 48.2 1.0 20‐30

90853 70,049 70,049 942,815 13.5 14.0 3.9 10‐20

90857 27 27 405 15.0 16.3 7.9 75‐100



PUF


PUF


($)





HCPCS Code(1)

(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

90862 249,401 249,757 6,102,855 24.4 24.4 0.0 5‐10

90870 6,022 6,022 315,390 52.4 53.1 1.4 10‐20

90901 369 369 11,595 31.4 30.9 1.6 50‐75

90911 746 746 51,920 69.6 66.1 5.3 30‐40

90935 71,806 72,170 3,751,295 52.0 51.9 0.1 0‐5

90937 4,115 4,127 358,155 86.8 86.8 0.1 10‐20

90945 5,680 5,745 308,895 53.8 53.4 0.8 5‐10

90947 591 592 51,260 86.6 86.6 0.1 20‐30

90989 140 140 55,700 397.9 350.7 13.4 20‐30

90993 8 8 120 15.0 15.2 1.0 75‐100

90999 12 12 60 5.0 14.6 65.8 75‐100

91010 601 601 37,695 62.7 65.7 4.5 20‐30

91020 6 6 330 55.0 66.0 16.6 75‐100

91034 158 158 11,995 75.9 85.9 11.6 40‐50

91035 207 207 17,185 83.0 116.5 28.7 30‐40

91037 5 5 200 40.0 71.3 43.9 75‐100

91038 24 24 1,075 44.8 52.6 14.9 50‐75

91065 516 516 21,570 41.8 37.6 11.3 40‐50

91105 211 211 3,165 15.0 13.7 9.8 50‐75

91110 2,133 2,133 1,221,725 572.8 555.5 3.1 10‐20

91122 1,202 1,202 216,920 180.5 172.9 4.4 30‐40



PUF


PUF


($)





HCPCS Code(1)

(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

92002 8,782 8,782 363,635 41.4 41.0 1.0 10‐20

92004 93,667 93,667 7,454,870 79.6 79.2 0.4 0‐5

92012 317,193 317,193 15,611,320 49.2 49.1 0.2 0‐5

92014 505,623 505,623 34,325,420 67.9 67.6 0.4 0‐5

92015 64 64 0 0.0 1.0 100.0 40‐50

92018 9 9 875 97.2 91.6 6.1 75‐100

92020 41,681 41,681 777,635 18.7 18.3 1.9 0‐5

92025 4,629 4,629 111,095 24.0 22.8 5.4 10‐20

92060 3,257 3,257 133,285 40.9 39.6 3.4 10‐20

92065 364 364 10,930 30.0 30.3 1.0 40‐50

92070 1,284 1,284 60,245 46.9 44.6 5.2 30‐40

92081 4,789 4,789 162,350 33.9 33.4 1.4 10‐20

92082 7,321 7,321 319,795 43.7 42.7 2.4 10‐20

92083 129,310 129,310 6,646,560 51.4 51.1 0.6 0‐5

92100 1,095 1,095 63,960 58.4 55.5 5.2 40‐50

92120 2,400 2,400 125,955 52.5 51.3 2.3 10‐20

92135 297,702 322,099 10,773,175 33.4 33.5 0.2 0‐5

92136 56,581 56,999 2,201,130 38.6 39.0 0.9 0‐5

92140 877 877 37,545 42.8 41.0 4.3 20‐30

92225 38,392 42,012 827,285 19.7 19.7 0.1 5‐10

92226 86,156 93,613 1,749,370 18.7 19.0 1.4 0‐5



PUF


PUF


($)





HCPCS Code(1)

(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

92235 53,349 58,509 6,290,165 107.5 107.4 0.1 0‐5

92240 2,587 2,649 453,410 171.2 173.4 1.3 10‐20

92250 107,587 107,587 5,404,115 50.2 49.9 0.6 0‐5

92260 45 45 675 15.0 14.0 6.8 50‐75

92270 366 366 24,830 67.8 63.9 6.2 40‐50

92275 23 23 1,280 55.7 78.6 29.2 75‐100

92283 208 208 6,245 30.0 28.3 6.3 50‐75

92284 70 70 3,150 45.0 43.0 4.6 50‐75

92285 11,321 11,321 342,115 30.2 29.5 2.5 10‐20

92286 3,838 3,838 347,780 90.6 86.7 4.5 10‐20

92287 46 46 4,370 95.0 91.9 3.3 50‐75

92311 6 6 385 64.2 64.7 0.8 75‐100

92499 13 13 325 25.0 37.0 32.5 75‐100

92502 1 1 70 70.0 68.8 1.7 75‐100

92504 7,317 7,317 150,160 20.5 20.5 0.1 10‐20

92506 316 316 34,425 108.9 106.4 2.4 40‐50

92507 571 571 27,530 48.2 47.7 1.2 40‐50

92511 1,901 1,901 234,275 123.2 111.4 10.7 30‐40

92512 54 54 3,095 57.3 53.0 8.2 75‐100

92520 45 45 1,810 40.2 40.7 1.1 75‐100

92526 145 145 9,170 63.2 63.9 1.1 40‐50



PUF


PUF


($)





HCPCS Code(1)

(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

92541 6,268 6,268 267,645 42.7 42.0 1.7 5‐10

92542 6,502 6,502 287,910 44.3 43.2 2.5 5‐10

92543 5,455 18,420 389,700 21.2 20.9 1.4 10‐20

92544 5,737 5,737 209,190 36.5 35.7 2.2 5‐10

92545 6,282 6,292 210,545 33.5 32.7 2.3 5‐10

92546 3,599 3,630 239,150 65.9 62.9 4.7 10‐20

92547 3,786 9,754 48,025 4.9 5.0 1.3 20‐30

92548 507 507 38,295 75.5 73.2 3.2 50‐75

92552 3,930 3,930 59,985 15.3 15.4 1.2 10‐20

92553 2,149 2,149 47,190 22.0 22.0 0.2 10‐20

92555 582 582 6,390 11.0 11.7 6.4 20‐30

92556 1,296 1,296 20,010 15.4 15.9 2.9 10‐20

92557 50,778 50,778 2,007,325 39.5 39.4 0.4 0‐5

92562 92 92 1,840 20.0 18.9 5.7 40‐50

92563 1,043 1,043 18,740 18.0 17.1 5.1 20‐30

92564 5 5 75 15.0 17.6 14.6 75‐100

92565 50 50 500 10.0 10.2 1.7 50‐75

92567 47,628 47,628 775,440 16.3 16.5 1.6 0‐5

92568 17,322 17,322 284,070 16.4 16.4 0.0 0‐5

92569 2,077 2,077 29,740 14.3 14.1 1.5 10‐20

92571 35 35 525 15.0 15.5 3.2 50‐75



PUF


PUF


($)





HCPCS Code(1)

(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

92579 37 37 1,290 34.9 35.0 0.3 50‐75

92582 8 8 230 28.8 28.3 1.7 75‐100

92584 527 527 34,405 65.3 64.6 1.1 30‐40

92585 1,729 1,729 137,365 79.4 74.9 6.0 20‐30

92587 2,144 2,144 86,610 40.4 38.8 4.2 10‐20

92588 4,755 4,755 273,875 57.6 55.8 3.1 10‐20

92597 41 41 3,075 75.0 76.2 1.6 50‐75

92603 50 50 5,100 102.0 101.8 0.2 20‐30

92604 397 397 24,330 61.3 60.7 0.9 10‐20

92610 142 142 12,240 86.2 81.8 5.4 40‐50

92611 160 160 12,510 78.2 79.1 1.1 40‐50

92612 64 64 8,125 127.0 104.0 22.1 50‐75

92613 16 16 480 30.0 30.8 2.5 75‐100

92616 81 81 13,225 163.3 145.6 12.1 40‐50

92617 17 17 575 33.8 36.1 6.3 75‐100

92625 28 28 1,275 45.5 46.3 1.7 75‐100

92626 86 86 5,215 60.6 70.0 13.4 75‐100

92700 287 287 7,300 25.4 24.5 3.7 20‐30

92950 3,492 3,492 467,725 133.9 135.5 1.1 10‐20

92953 9 9 90 10.0 8.9 12.1 75‐100

92960 5,469 5,469 545,455 99.7 100.1 0.3 5‐10



PUF


PUF


($)





HCPCS Code(1)

(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

92961 24 24 4,825 201.0 200.0 0.5 40‐50

92971 31 31 2,325 75.0 72.3 3.7 75‐100

92973 411 411 56,150 136.6 139.3 1.9 10‐20

92975 1 1 150 150.0 196.8 23.8 75‐100

92978 1,717 1,717 129,565 75.5 76.5 1.4 10‐20

92979 147 147 8,935 60.8 60.6 0.2 30‐40

92980 15,930 15,930 9,873,975 619.8 629.7 1.6 0‐5

92981 1,820 1,820 325,100 178.6 175.7 1.7 5‐10

92982 1,148 1,148 534,100 465.2 454.0 2.5 10‐20

92984 307 307 39,250 127.9 125.2 2.1 10‐20

92986 45 45 45,000 1000.0 1058.9 5.6 30‐40

92995 30 30 15,400 513.3 510.8 0.5 40‐50

93000 554,649 554,689 9,368,865 16.9 17.0 0.8 0‐5

93005 43,080 43,080 404,185 9.4 9.7 3.6 5‐10

93010 924,878 948,291 4,906,305 5.2 6.5 20.7 0‐5

93012 66 66 11,225 170.1 166.9 1.9 75‐100

93014 546 546 11,385 20.9 21.3 2.2 50‐75

93015 106,993 106,993 8,709,435 81.4 81.5 0.1 0‐5

93016 57,609 57,609 1,092,725 19.0 17.8 6.5 0‐5

93017 11,425 11,425 544,105 47.6 47.9 0.6 5‐10

93018 65,928 65,928 707,605 10.7 11.7 8.6 0‐5



PUF


PUF


($)





HCPCS Code(1)

(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

93024 3 3 150 50.0 58.6 14.7 75‐100

93025 249 249 54,775 220.0 192.8 14.1 40‐50

93040 6,837 6,837 71,285 10.4 10.8 3.6 10‐20

93041 436 436 2,135 4.9 4.7 4.1 50‐75

93042 41,260 42,252 212,335 5.0 6.2 19.1 5‐10

93224 10,910 10,924 1,162,345 106.4 106.4 0.0 0‐5

93225 3,541 3,541 112,680 31.8 31.7 0.3 5‐10

93226 1,361 1,361 66,845 49.1 55.1 10.8 50‐75

93227 11,971 11,971 246,255 20.6 20.8 1.1 5‐10

93230 16,760 16,764 1,949,555 116.3 115.5 0.7 0‐5

93231 3,364 3,364 119,285 35.5 35.3 0.5 10‐20

93232 1,662 1,662 89,605 53.9 59.3 9.1 50‐75

93233 6,213 6,213 125,145 20.1 20.3 0.7 5‐10

93235 168 168 17,980 107.0 101.4 5.5 40‐50

93237 5,750 5,836 116,110 19.9 18.4 8.0 10‐20

93268 1,007 1,007 222,875 221.3 221.3 0.0 20‐30

93270 2,444 2,444 58,325 23.9 24.0 0.4 10‐20

93271 1,357 1,357 236,175 174.0 185.0 5.9 50‐75

93272 3,641 3,641 71,935 19.8 19.9 0.7 5‐10

93278 161 161 6,680 41.5 33.5 23.7 50‐75

93303 141 141 15,410 109.3 103.7 5.4 50‐75



PUF


PUF


($)





HCPCS Code(1)

(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

93304 16 16 480 30.0 56.8 47.2 75‐100

93307 371,849 371,849 32,144,185 86.4 86.7 0.3 0‐5

93308 5,371 5,371 183,520 34.2 37.9 9.8 20‐30

93312 9,750 9,750 866,285 88.9 89.3 0.5 10‐20

93313 786 786 24,920 31.7 32.5 2.4 10‐20

93314 568 568 28,775 50.7 55.3 8.4 30‐40

93315 39 39 4,075 104.5 117.7 11.2 50‐75

93318 58 58 4,755 82.0 83.4 1.7 50‐75

93320 385,266 385,266 14,721,325 38.2 38.6 1.1 0‐5

93321 4,404 4,404 48,160 10.9 13.3 18.0 10‐20

93325 387,022 387,022 12,215,220 31.6 30.7 2.7 0‐5

93350 19,733 19,733 2,347,010 118.9 114.5 3.9 5‐10

93501 845 845 91,015 107.7 116.2 7.3 30‐40

93503 6,056 6,056 508,520 84.0 74.4 12.9 10‐20

93505 495 495 88,490 178.8 179.5 0.4 30‐40

93508 3,862 3,862 528,385 136.8 145.6 6.0 10‐20

93510 41,121 41,121 8,281,175 201.4 212.9 5.4 0‐5

93526 5,344 5,344 1,637,575 306.4 323.8 5.4 10‐20

93527 55 55 8,775 159.5 204.1 21.8 50‐75

93539 7,985 7,985 136,980 17.2 18.2 6.0 0‐5

93540 8,400 8,400 180,455 21.5 23.7 9.2 5‐10



PUF


PUF


($)





HCPCS Code(1)

(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

93541 13 13 65 5.0 6.3 20.6 75‐100

93542 64 64 320 5.0 8.9 43.6 50‐75

93543 42,935 42,935 263,920 6.1 7.4 16.7 0‐5

93544 4,098 4,098 45,120 11.0 12.0 8.5 5‐10

93545 51,275 51,275 980,700 19.1 20.5 6.6 0‐5

93555 42,770 42,770 1,621,590 37.9 39.1 3.0 0‐5

93556 50,839 50,839 2,163,050 42.5 43.1 1.3 0‐5

93561 2 2 40 20.0 19.0 5.1 75‐100

93562 6 6 30 5.0 6.0 16.7 75‐100

93571 403 403 30,025 74.5 74.5 0.0 20‐30

93572 28 28 1,620 57.9 58.4 1.0 50‐75

93580 57 57 42,800 750.9 751.1 0.0 30‐40

93600 37 37 3,285 88.8 90.5 1.9 50‐75

93602 164 164 15,145 92.3 92.7 0.4 40‐50

93603 176 176 16,265 92.4 93.0 0.6 30‐40

93609 652 652 138,325 212.2 212.3 0.1 10‐20

93610 210 210 27,150 129.3 131.2 1.4 20‐30

93612 209 209 26,975 129.1 131.5 1.8 20‐30

93613 902 902 271,550 301.1 298.8 0.7 5‐10

93618 19 19 3,325 175.0 177.7 1.5 30‐40

93619 33 33 5,675 172.0 232.4 26.0 50‐75



PUF


PUF


($)





HCPCS Code(1)

(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

93620 2,331 2,331 798,800 342.7 344.1 0.4 10‐20

93621 1,448 1,448 130,525 90.1 93.0 3.1 5‐10

93622 86 86 11,150 129.7 132.7 2.3 10‐20

93623 1,081 1,081 136,025 125.8 122.7 2.6 5‐10

93631 6 6 1,800 300.0 315.9 5.0 75‐100

93640 33 33 2,800 84.8 94.7 10.4 75‐100

93641 3,610 3,610 539,025 149.3 149.8 0.4 5‐10

93642 451 451 94,525 209.6 208.6 0.5 30‐40

93650 455 455 188,250 413.7 404.9 2.2 10‐20

93651 1,472 1,472 1,047,500 711.6 680.8 4.5 5‐10

93652 107 107 79,500 743.0 755.8 1.7 10‐20

93660 1,419 1,419 117,315 82.7 80.8 2.3 10‐20

93662 308 308 37,200 120.8 116.9 3.3 10‐20

93701 21,213 21,213 584,450 27.6 27.1 1.7 5‐10

93720 1,813 1,813 64,330 35.5 35.5 0.1 30‐40

93722 975 975 4,790 4.9 6.1 20.0 20‐30

93724 20 20 4,000 200.0 210.2 4.8 75‐100

93727 623 623 15,230 24.4 24.4 0.2 10‐20

93731 47,822 47,822 1,345,660 28.1 27.6 2.0 0‐5

93732 20,052 20,052 960,040 47.9 47.4 1.0 5‐10

93733 73,228 73,228 1,491,415 20.4 23.0 11.6 20‐30



PUF


PUF


($)





HCPCS Code(1)

(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

93734 11,530 11,530 264,350 22.9 22.9 0.2 5‐10

93735 3,193 3,193 126,690 39.7 38.9 2.0 10‐20

93736 22,140 22,140 399,165 18.0 21.1 14.6 20‐30

93741 10,904 10,904 468,995 43.0 42.2 2.0 5‐10

93742 2,046 2,046 99,250 48.5 47.3 2.7 20‐30

93743 30,421 30,421 1,628,715 53.5 53.1 0.8 5‐10

93744 10,658 10,658 650,140 61.0 59.9 1.9 5‐10

93784 850 850 46,230 54.4 53.6 1.5 10‐20

93786 27 27 650 24.1 22.4 7.5 50‐75

93788 21 21 315 15.0 12.4 21.0 40‐50

93790 114 114 1,680 14.7 13.0 13.2 20‐30

93797 4 4 60 15.0 9.6 55.8 75‐100

93798 8,551 8,551 158,310 18.5 18.8 1.5 10‐20

93799 1,317 1,317 105,685 80.2 457.0 82.4 50‐75

93875 4,131 4,131 277,055 67.1 67.6 0.8 30‐40

93880 159,143 159,143 13,052,405 82.0 82.4 0.5 0‐5

93882 1,625 1,625 157,205 96.7 91.9 5.3 20‐30

93886 2,873 2,873 344,605 119.9 115.1 4.2 20‐30

93888 412 412 20,155 48.9 52.0 6.0 50‐75

93892 2 2 90 45.0 84.0 46.5 75‐100

93893 4 4 340 85.0 82.2 3.4 75‐100



PUF


PUF


($)





HCPCS Code(1)

(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

93922 24,839 24,839 1,743,845 70.2 70.8 0.9 5‐10

93923 30,287 30,287 2,784,105 91.9 92.3 0.4 5‐10

93924 4,880 4,880 632,970 129.7 128.1 1.2 10‐20

93925 26,834 26,834 2,703,880 100.8 100.2 0.6 5‐10

93926 8,542 8,542 411,940 48.2 49.2 2.0 10‐20

93930 439 439 40,960 93.3 87.8 6.3 50‐75

93931 898 898 29,970 33.4 47.4 29.6 50‐75

93965 7,004 7,004 476,420 68.0 65.6 3.7 20‐30

93970 73,369 73,369 4,059,320 55.3 56.4 2.0 5‐10

93971 66,035 66,035 2,180,200 33.0 34.3 3.7 5‐10

93975 7,038 7,038 943,140 134.0 127.4 5.2 20‐30

93976 3,353 3,353 273,170 81.5 82.5 1.2 30‐40

93978 11,097 11,097 1,383,700 124.7 121.3 2.8 10‐20

93979 1,902 1,902 133,610 70.2 65.2 7.7 40‐50

93980 135 135 20,150 149.3 132.7 12.5 40‐50

93982 6 6 180 30.0 32.5 7.6 75‐100

93990 1,993 1,993 118,345 59.4 58.8 0.9 20‐30

94002 891 891 58,580 65.7 65.6 0.2 20‐30

94003 7,794 8,258 403,330 48.8 49.3 0.9 10‐20

94004 1,089 1,089 40,395 37.1 35.5 4.6 30‐40

94010 61,654 61,654 1,357,490 22.0 21.9 0.4 5‐10



PUF


PUF


($)





HCPCS Code(1)

(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

94016 585 585 11,700 20.0 18.8 6.4 50‐75

94060 60,216 60,216 2,053,095 34.1 34.2 0.4 0‐5

94070 973 973 36,500 37.5 38.2 1.7 30‐40

94200 4,308 4,308 68,520 15.9 15.1 5.0 20‐30

94240 29,485 29,485 650,795 22.1 21.7 1.8 5‐10

94250 580 580 9,620 16.6 16.6 0.2 40‐50

94260 12,751 12,751 194,705 15.3 14.9 2.3 5‐10

94350 5,223 5,223 125,705 24.1 23.8 1.2 20‐30

94360 13,785 13,785 330,025 23.9 23.5 1.7 10‐20

94370 1,978 1,978 49,150 24.8 24.4 1.7 30‐40

94375 9,546 9,546 217,750 22.8 22.9 0.4 20‐30

94620 5,923 5,923 345,735 58.4 57.5 1.5 30‐40

94621 285 285 27,800 97.5 86.9 12.2 30‐40

94640 22,831 23,045 225,095 9.8 9.6 1.8 10‐20

94644 20 20 585 29.3 27.5 6.2 75‐100

94660 811 811 31,760 39.2 38.4 2.0 20‐30

94664 8,458 8,460 95,445 11.3 11.4 0.6 5‐10

94667 670 670 12,330 18.4 18.0 2.0 30‐40

94668 1,314 1,314 21,580 16.4 15.1 8.5 20‐30

94680 57 57 730 12.8 28.2 54.6 75‐100

94681 396 396 25,745 65.0 56.2 15.8 40‐50


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

94690 138 138 8,295 60.1 46.7 28.7 50‐75

94720 42,294 42,294 1,128,585 26.7 26.3 1.4 5‐10

94725 703 703 40,540 57.7 59.7 3.4 50‐75

94750 789 789 30,910 39.2 35.9 9.1 50‐75

94760 3,628 3,628 545 0.2 1.9 92.3 20‐30

94761 447 447 2,180 4.9 4.8 2.2 50‐75

94762 7,329 7,329 149,785 20.4 20.8 1.7 50‐75

94770 254 254 6,645 26.2 21.8 20.1 75‐100

95004 2,368 109,257 477,945 4.4 4.4 0.2 50‐75

95010 21 69 920 13.3 13.7 2.5 75‐100

95012 101 101 1,640 16.2 15.9 2.1 40‐50

95015 23 71 665 9.4 9.3 0.4 75‐100

95024 2,879 49,959 276,680 5.5 5.3 3.6 30‐40

95027 24 332 1,360 4.1 4.1 0.8 75‐100

95028 74 422 3,290 7.8 7.0 12.2 50‐75

95044 318 9,006 52,445 5.8 5.6 4.1 50‐75

95060 283 283 5,045 17.8 16.4 8.6 30‐40

95070 138 138 6,195 44.9 44.7 0.5 30‐40

95075 18 18 870 48.3 45.6 6.1 50‐75

95115 61,130 61,130 549,145 9.0 8.4 6.9 0‐5

95117 93,875 93,875 1,010,935 10.8 11.2 4.1 0‐5


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

95144 751 3,866 26,800 6.9 7.5 7.2 50‐75

95145 238 362 3,895 10.8 11.2 3.8 40‐50

95146 42 42 505 12.0 17.6 31.6 50‐75

95147 233 260 4,165 16.0 16.1 0.2 30‐40

95148 126 126 2,710 21.5 19.9 8.2 50‐75

95149 50 50 1,320 26.4 24.4 8.2 50‐75

95165 27,963 232,850 1,847,770 7.9 7.8 1.7 10‐20

95170 86 104 525 5.0 6.5 22.0 50‐75

95250 326 326 36,630 112.4 110.2 1.9 10‐20

95251 332 332 10,060 30.3 30.3 0.2 5‐10

95805 230 230 32,455 141.1 224.2 37.1 40‐50

95806 6 6 900 150.0 119.5 25.5 75‐100

95807 46 46 2,760 60.0 279.3 78.5 75‐100

95808 4 4 380 95.0 147.5 35.6 75‐100

95810 16,117 16,117 4,870,710 302.2 310.6 2.7 5‐10

95811 15,749 15,749 5,252,835 333.5 342.8 2.7 5‐10

95812 687 687 67,715 98.6 94.7 4.1 30‐40

95813 230 230 33,475 145.5 131.0 11.1 50‐75

95816 12,627 12,627 844,270 66.9 68.0 1.7 10‐20

95819 14,077 14,077 854,495 60.7 62.1 2.2 10‐20

95822 513 513 21,900 42.7 51.2 16.6 40‐50


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

95824 1 1 30 30.0 28.8 4.1 75‐100

95827 3 3 120 40.0 52.0 23.1 75‐100

95829 2 2 475 237.5 234.1 1.5 75‐100

95830 1 1 65 65.0 106.3 38.8 75‐100

95831 491 491 10,460 21.3 20.1 5.8 50‐75

95832 24 24 480 20.0 17.8 12.1 75‐100

95851 748 748 10,905 14.6 14.0 4.1 30‐40

95852 12 12 120 10.0 9.5 5.2 75‐100

95857 6 6 165 27.5 24.4 12.5 75‐100

95860 12,068 12,068 706,090 58.5 57.5 1.7 5‐10

95861 16,050 16,050 1,349,500 84.1 83.5 0.7 5‐10

95863 441 441 48,085 109.0 101.4 7.5 30‐40

95864 509 509 69,800 137.1 124.4 10.2 40‐50

95867 9 9 315 35.0 38.6 9.3 75‐100

95869 109 109 3,095 28.4 26.0 9.4 50‐75

95870 1,569 1,594 38,450 24.1 22.4 7.5 30‐40

95872 3 3 300 100.0 110.4 9.4 75‐100

95873 29 29 895 30.9 25.1 23.2 50‐75

95874 1,615 1,615 43,245 26.8 25.8 3.9 20‐30

95900 19,096 53,915 2,236,845 41.5 39.6 4.9 10‐20

95903 26,270 85,399 4,077,205 47.7 46.3 3.1 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

95904 43,356 142,292 5,207,800 36.6 35.4 3.3 10‐20

95920 734 2,002 172,715 86.3 86.5 0.3 50‐75

95921 2,232 2,232 112,755 50.5 48.6 4.0 30‐40

95922 1,652 1,652 103,330 62.5 58.4 7.1 30‐40

95923 38 38 3,030 79.7 67.0 19.0 75‐100

95925 1,152 1,152 25,880 22.5 36.8 39.0 40‐50

95926 1,412 1,412 43,990 31.2 40.2 22.6 40‐50

95927 10 10 500 50.0 44.7 11.8 75‐100

95928 233 233 13,690 58.8 59.3 0.9 40‐50

95929 240 240 14,090 58.7 59.7 1.6 40‐50

95930 135 135 7,635 56.6 66.1 14.4 75‐100

95934 10,989 13,441 528,375 39.3 38.7 1.7 10‐20

95936 205 213 7,500 35.2 32.3 8.9 75‐100

95937 98 131 4,780 36.5 36.1 1.1 75‐100

95950 15 15 1,215 81.0 82.2 1.5 50‐75

95951 1,751 1,757 484,475 275.7 311.1 11.4 10‐20

95953 465 465 110,975 238.7 231.5 3.1 30‐40

95955 285 285 10,610 37.2 39.1 4.8 40‐50

95956 185 185 67,750 366.2 403.7 9.3 50‐75

95957 2,187 2,187 299,370 136.9 128.6 6.4 30‐40

95958 6 6 1,050 175.0 174.6 0.2 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

95961 20 20 2,500 125.0 128.4 2.6 50‐75

95962 6 6 750 125.0 132.7 5.8 75‐100

95970 299 299 9,195 30.8 29.1 5.7 50‐75

95971 2,262 2,262 94,115 41.6 40.4 3.0 10‐20

95972 1,391 1,391 98,325 70.7 68.9 2.6 30‐40

95974 785 785 94,630 120.5 117.6 2.5 20‐30

95978 831 831 122,660 147.6 141.0 4.7 20‐30

95979 75 90 6,450 71.7 67.0 7.0 40‐50

95981 1 1 20 20.0 16.1 24.1 75‐100

95982 1 1 30 30.0 21.0 42.9 75‐100

95990 1,902 1,902 79,715 41.9 42.1 0.5 30‐40

95991 2,979 2,979 175,350 58.9 56.9 3.5 20‐30

96101 1,975 3,468 225,825 65.1 64.2 1.5 50‐75

96103 38 38 1,140 30.0 26.9 11.7 75‐100

96116 2,149 2,251 171,540 76.2 73.2 4.1 50‐75

96118 3,077 10,020 878,630 87.7 83.7 4.8 50‐75

96119 521 1,241 68,625 55.3 52.1 6.1 50‐75

96120 3 3 150 50.0 46.3 8.0 75‐100

96150 50 172 3,010 17.5 17.3 1.4 75‐100

96152 246 764 12,605 16.5 16.4 0.5 75‐100

96153 19 76 285 3.8 3.3 15.1 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

96401 12,919 14,049 711,715 50.7 50.5 0.3 20‐30

96402 25,162 25,226 785,245 31.1 30.9 0.8 0‐5

96405 16 16 1,600 100.0 96.3 3.8 75‐100

96409 10,034 10,034 929,730 92.7 92.0 0.7 10‐20

96411 12,533 14,092 736,740 52.3 52.7 0.8 10‐20

96413 113,214 113,214 14,242,270 125.8 123.7 1.7 0‐5

96415 45,056 68,600 1,927,235 28.1 28.0 0.2 10‐20

96416 5,236 5,236 714,400 136.4 136.4 0.0 10‐20

96417 28,331 31,221 1,917,905 61.4 62.1 1.0 10‐20

96445 39 39 9,950 255.1 244.5 4.3 20‐30

96450 5 5 1,000 200.0 111.8 78.9 75‐100

96521 2,883 2,883 302,455 104.9 107.4 2.3 30‐40

96522 170 170 17,745 104.4 92.7 12.6 75‐100

96523 12,629 12,629 249,415 19.7 19.3 2.2 10‐20

96567 2,002 2,002 161,980 80.9 80.2 0.8 5‐10

96900 3,352 3,352 48,860 14.6 14.1 3.5 10‐20

96910 13,575 13,575 629,890 46.4 45.8 1.3 10‐20

96912 1,385 1,385 75,375 54.4 57.6 5.5 50‐75

96920 1,343 1,343 166,495 124.0 121.0 2.4 10‐20

96921 308 308 36,425 118.3 118.6 0.3 20‐30

96922 299 299 54,350 181.8 175.5 3.6 30‐40


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

97001 83,419 83,422 4,382,945 52.5 52.2 0.7 0‐5

97002 17,894 17,894 539,630 30.2 29.2 3.3 5‐10

97003 4,811 4,811 280,075 58.2 56.8 2.5 20‐30

97004 779 779 28,620 36.7 35.8 2.8 30‐40

97012 25,637 25,903 262,465 10.1 11.0 7.6 5‐10

97016 8,960 8,960 91,625 10.2 11.0 7.1 10‐20

97018 5,246 5,246 26,075 5.0 5.9 15.1 10‐20

97022 9,676 9,676 127,200 13.1 13.0 1.0 10‐20

97024 2,234 2,234 11,080 5.0 4.0 22.7 20‐30

97026 9,282 9,289 45,830 4.9 3.6 35.8 10‐20

97032 97,991 112,159 1,422,165 12.7 12.6 1.0 5‐10

97033 7,228 7,661 133,125 17.4 17.5 0.8 10‐20

97034 321 321 3,240 10.1 11.0 8.0 50‐75

97035 206,661 211,020 2,063,325 9.8 8.9 10.3 0‐5

97039 25 25 250 10.0 8.9 12.1 75‐100

97110 940,054 1,739,916 37,643,390 21.6 21.6 0.2 0‐5

97112 197,428 247,439 5,708,340 23.1 23.0 0.2 5‐10

97113 19,468 52,855 1,371,755 26.0 25.7 1.2 10‐20

97116 50,562 56,512 1,111,490 19.7 19.4 1.3 10‐20

97124 36,732 41,043 744,270 18.1 17.8 2.1 10‐20

97140 513,803 669,718 13,799,255 20.6 20.3 1.5 0‐5


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

97150 24,618 24,705 363,365 14.7 13.6 8.1 5‐10

97530 180,496 263,748 6,152,120 23.3 23.4 0.2 10‐20

97533 63 63 1,260 20.0 19.0 5.3 75‐100

97535 17,334 20,207 481,115 23.8 23.3 2.1 20‐30

97542 57 68 1,450 21.3 20.4 4.4 75‐100

97597 5,596 5,596 193,105 34.5 35.5 2.8 30‐40

97598 422 422 17,410 41.3 43.1 4.2 50‐75

97605 862 862 18,675 21.7 22.0 1.4 30‐40

97606 93 93 1,915 20.6 22.6 8.7 50‐75

97750 2,597 2,874 64,110 22.3 22.0 1.5 30‐40

97760 876 961 23,745 24.7 23.6 4.5 40‐50

97761 7 7 140 20.0 20.6 3.1 75‐100

97762 93 93 2,320 24.9 23.3 6.9 75‐100

97802 1,505 5,577 100,820 18.1 17.7 2.3 30‐40

97803 1,810 4,062 63,660 15.7 15.7 0.3 20‐30

97804 31 76 725 9.5 8.8 8.8 50‐75

98925 3,808 3,808 76,335 20.0 20.3 1.1 10‐20

98926 5,568 5,568 161,945 29.1 28.4 2.5 10‐20

98927 4,268 4,268 165,735 38.8 38.1 1.8 20‐30

98928 3,536 3,536 162,465 45.9 45.0 2.2 20‐30

98929 1,986 1,986 104,395 52.6 52.4 0.2 20‐30


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

98940 316,930 316,938 5,581,015 17.6 17.0 3.7 0‐5

98941 684,382 684,457 16,148,570 23.6 23.8 0.7 0‐5

98942 103,869 103,869 3,349,555 32.2 31.9 1.1 0‐5

99144 16,804 16,804 477,520 28.4 29.4 3.3 20‐30

99145 984 992 7,295 7.4 9.9 25.6 50‐75

99149 19 19 905 47.6 41.0 16.3 75‐100

99183 16,227 16,229 1,445,465 89.1 90.3 1.4 10‐20

99195 2,526 2,526 97,775 38.7 35.3 9.6 30‐40

99199 5 5 100 20.0 35.9 44.3 75‐100

99201 11,738 11,738 268,365 22.9 22.3 2.4 20‐30

99202 106,158 106,158 4,268,845 40.2 39.7 1.3 10‐20

99203 242,115 242,115 14,780,230 61.0 60.1 1.6 5‐10

99204 148,003 148,003 14,231,735 96.2 94.3 2.0 10‐20

99205 42,702 42,702 5,506,090 128.9 123.6 4.3 10‐20

99211 436,535 436,535 5,963,225 13.7 13.6 0.1 0‐5

99212 988,517 988,517 25,509,680 25.8 25.4 1.6 0‐5

99213 5,065,600 5,065,605 204,799,655 40.4 40.4 0.0 0‐5

99214 3,407,944 3,407,945 212,087,575 62.2 61.8 0.7 0‐5

99215 398,039 398,039 33,979,540 85.4 84.9 0.6 5‐10

99217 23,704 23,704 1,188,540 50.1 49.6 1.1 10‐20

99218 2,905 2,905 134,380 46.3 46.0 0.6 30‐40


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

99219 11,088 11,088 853,290 77.0 75.8 1.5 20‐30

99220 16,382 16,382 1,740,850 106.3 107.9 1.5 10‐20

99221 17,507 17,507 1,153,455 65.9 65.0 1.3 10‐20

99222 140,219 140,219 12,738,340 90.8 90.1 0.8 5‐10

99223 281,447 281,447 37,153,750 132.0 134.4 1.8 0‐5

99231 640,708 682,209 19,037,140 27.9 27.9 0.1 0‐5

99232 2,253,904 2,436,522 123,713,105 50.8 50.4 0.7 0‐5

99233 922,687 968,405 70,579,270 72.9 72.8 0.0 0‐5

99234 1,423 1,423 136,935 96.2 95.3 1.0 50‐75

99235 4,716 4,716 598,005 126.8 124.3 2.0 30‐40

99236 4,188 4,188 650,370 155.3 155.5 0.1 30‐40

99238 264,316 264,316 13,480,460 51.0 50.8 0.4 0‐5

99239 144,343 144,343 10,644,805 73.7 73.7 0.1 5‐10

99241 10,248 10,248 338,610 33.0 32.1 2.8 30‐40

99242 58,860 58,860 3,742,480 63.6 61.8 2.8 10‐20

99243 225,951 225,951 20,047,840 88.7 87.7 1.2 5‐10

99244 291,132 291,132 39,187,040 134.6 132.8 1.3 5‐10

99245 103,550 103,550 18,045,560 174.3 167.2 4.2 10‐20

99251 9,391 9,391 336,845 35.9 35.5 1.1 20‐30

99252 38,561 38,561 2,207,860 57.3 57.0 0.5 10‐20

99253 145,761 145,761 12,621,295 86.6 85.6 1.2 5‐10


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

99254 281,376 281,376 35,305,905 125.5 124.4 0.9 0‐5

99255 139,325 139,325 21,929,595 157.4 154.9 1.6 5‐10

99281 3,620 3,620 52,685 14.6 14.0 4.0 20‐30

99282 28,659 28,659 786,515 27.4 26.0 5.6 10‐20

99283 197,943 197,943 8,508,745 43.0 42.8 0.5 0‐5

99284 258,040 258,040 21,398,105 82.9 82.1 1.1 0‐5

99285 399,872 399,872 50,235,280 125.6 126.7 0.9 0‐5

99291 191,947 193,614 31,538,770 162.9 164.4 0.9 0‐5

99292 11,609 13,117 1,082,295 82.5 82.1 0.5 20‐30

99304 5,074 5,074 303,425 59.8 57.5 4.1 40‐50

99305 21,803 21,803 1,811,795 83.1 81.1 2.5 20‐30

99306 47,842 47,842 5,069,415 106.0 105.6 0.3 10‐20

99307 173,637 173,705 4,760,315 27.4 26.8 2.3 5‐10

99308 411,464 411,609 17,586,580 42.7 42.2 1.2 5‐10

99309 260,265 260,290 14,857,960 57.1 56.7 0.6 5‐10

99310 40,851 40,851 3,459,135 84.7 82.9 2.2 20‐30

99315 10,785 10,785 482,870 44.8 43.3 3.5 20‐30

99316 6,946 6,946 399,940 57.6 56.2 2.5 30‐40

99318 4,037 4,037 226,365 56.1 53.5 4.7 40‐50

99324 1,685 1,685 67,240 39.9 39.5 0.9 20‐30

99325 1,169 1,169 70,750 60.5 57.8 4.6 40‐50


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

99326 456 456 44,710 98.0 91.5 7.1 50‐75

99327 621 621 76,915 123.9 117.2 5.7 50‐75

99328 357 357 53,225 149.1 141.2 5.6 50‐75

99334 11,152 11,152 434,770 39.0 37.9 2.9 30‐40

99335 20,666 20,666 1,251,415 60.6 58.5 3.5 30‐40

99336 20,283 20,283 1,729,545 85.3 82.7 3.1 30‐40

99337 3,531 3,531 438,780 124.3 119.8 3.7 40‐50

99341 862 862 34,970 40.6 39.9 1.7 20‐30

99342 1,946 1,946 119,805 61.6 60.0 2.6 20‐30

99343 1,043 1,043 100,925 96.8 92.9 4.1 50‐75

99344 1,392 1,392 174,435 125.3 118.5 5.7 40‐50

99345 1,907 1,907 302,335 158.5 145.2 9.2 40‐50

99347 8,721 8,721 353,495 40.5 38.9 4.3 20‐30

99348 21,137 21,137 1,277,425 60.4 58.5 3.4 20‐30

99349 33,711 33,711 2,915,775 86.5 84.6 2.3 10‐20

99350 16,096 16,096 1,931,720 120.0 118.3 1.4 10‐20

99354 5,700 5,700 405,370 71.1 68.8 3.4 40‐50

99355 61 61 4,095 67.1 66.8 0.5 75‐100

99356 4,053 4,053 265,470 65.5 64.8 1.1 30‐40

99357 31 31 2,015 65.0 64.3 1.1 75‐100

99396 4 4 0 0.0 0.7 100.0 50‐75


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

99406 5,154 5,154 48,070 9.3 8.9 5.4 10‐20

99407 1,160 1,160 21,920 18.9 17.9 5.7 20‐30

A0425 601,167 4,318,782 24,134,250 5.6 5.7 2.4 10‐20

A0426 14,900 14,900 2,799,950 187.9 190.2 1.2 10‐20

A0427 218,993 218,993 66,999,025 305.9 305.7 0.1 0‐5

A0428 294,351 294,351 48,297,365 164.1 163.5 0.4 5‐10

A0429 116,339 116,339 30,739,650 264.2 262.8 0.5 0‐5

A0430 168 168 504,000 3000.0 2964.1 1.2 50‐75

A0431 1,888 1,888 6,694,000 3545.6 3297.6 7.5 20‐30

A0432 41 41 11,275 275.0 272.8 0.8 50‐75

A0433 4,487 4,487 1,962,250 437.3 434.4 0.7 10‐20

A0434 2,766 2,766 1,584,375 572.8 561.5 2.0 30‐40

A0436 22 932 21,600 23.2 23.1 0.5 75‐100

A0999 79 79 23,525 297.8 230.2 29.4 50‐75

A4208 105 105 0 0.0 0.8 100.0 50‐75

A4215 29 29 0 0.0 0.9 100.0 75‐100

A4245 8 8 0 0.0 0.8 100.0 75‐100

A4561 576 576 8,095 14.1 14.8 5.1 5‐10

A4562 1,574 1,574 59,310 37.7 37.8 0.4 5‐10

A4565 1,137 1,137 5,510 4.8 5.7 14.5 20‐30

A4641 67 67 685 10.2 22.1 53.8 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

A4648 55 67 9,245 138.0 110.4 25.0 50‐75

A9500 52,503 89,830 7,999,880 89.1 87.9 1.3 0‐5

A9502 43,071 71,223 6,023,210 84.6 84.0 0.7 5‐10

A9503 2,860 2,889 55,525 19.2 15.5 23.8 30‐40

A9505 15,876 55,214 1,666,415 30.2 29.7 1.7 10‐20

A9507 18 18 50,000 2777.8 2517.1 10.4 50‐75

A9510 28 28 940 33.6 33.7 0.5 50‐75

A9512 57 57 660 11.6 3.2 263.1 75‐100

A9516 122 202 14,735 72.9 15.6 366.5 75‐100

A9537 410 410 14,875 36.3 36.3 0.0 30‐40

A9538 50 50 1,250 25.0 64.6 61.3 75‐100

A9539 23 23 345 15.0 10.8 38.4 75‐100

A9540 56 56 760 13.6 17.7 23.3 50‐75

A9541 239 239 6,040 25.3 26.6 5.1 50‐75

A9552 11,279 11,279 2,048,825 181.7 193.1 5.9 20‐30

A9555 539 1,024 218,400 213.3 207.8 2.6 50‐75

A9560 270 270 21,330 79.0 63.1 25.1 50‐75

A9561 278 278 7,290 26.2 26.0 1.0 50‐75

A9562 34 34 4,525 133.1 234.4 43.2 75‐100

A9576 162 2,845 5,685 2.0 1.9 3.6 75‐100

A9577 281 4,599 10,315 2.2 2.2 2.5 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

A9579 13,710 213,800 416,515 1.9 1.9 1.3 30‐40

C2638 2 2 6,000 3000.0 43.6 6774.2 75‐100

G0008 605,747 605,747 11,262,645 18.6 18.4 1.0 0‐5

G0009 59,553 59,553 1,127,625 18.9 18.7 1.4 5‐10

G0010 821 821 11,500 14.0 14.1 0.8 10‐20

G0101 54,036 54,036 1,452,775 26.9 27.5 2.1 0‐5

G0102 1,095 1,095 10,755 9.8 9.9 0.9 0‐5

G0103 79,716 79,716 1,986,535 24.9 25.9 3.8 0‐5

G0104 92 92 6,830 74.2 70.1 5.9 50‐75

G0105 13,096 13,096 2,673,015 204.1 204.4 0.1 0‐5

G0108 2,408 3,779 76,070 20.1 20.0 0.7 10‐20

G0109 744 2,873 32,415 11.3 11.4 1.0 40‐50

G0121 13,711 13,711 2,746,955 200.3 200.9 0.3 5‐10

G0123 21,345 21,345 614,450 28.8 27.0 6.5 0‐5

G0124 3,203 3,203 61,415 19.2 18.7 2.7 0‐5

G0127 33,580 33,580 331,485 9.9 10.0 1.7 5‐10

G0141 116 116 2,320 20.0 19.5 2.6 30‐40

G0143 269 269 8,070 30.0 27.3 9.7 40‐50

G0144 268 268 8,040 30.0 29.2 2.8 10‐20

G0145 28,795 28,795 981,415 34.1 35.4 3.7 0‐5

G0148 352 352 7,040 20.0 19.7 1.6 30‐40


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

G0166 10,300 10,743 1,362,900 126.9 128.0 0.9 10‐20

G0168 795 795 14,845 18.7 20.5 8.8 20‐30

G0179 55,907 55,907 1,887,070 33.8 33.0 2.4 10‐20

G0180 55,720 55,720 2,549,780 45.8 44.8 2.1 10‐20

G0181 12,812 12,812 1,073,045 83.8 82.3 1.7 20‐30

G0182 590 590 48,950 83.0 81.7 1.5 50‐75

G0202 158,055 158,055 8,904,110 56.3 57.3 1.6 0‐5

G0204 20,733 20,733 1,253,800 60.5 60.9 0.6 0‐5

G0206 24,913 24,913 1,168,965 46.9 47.3 0.9 0‐5

G0237 2,151 3,729 38,770 10.4 11.2 6.9 40‐50

G0238 1,623 3,774 42,520 11.3 12.0 5.8 50‐75

G0239 49 49 490 10.0 10.2 2.0 50‐75

G0245 84 84 3,655 43.5 42.5 2.4 40‐50

G0246 208 208 5,220 25.1 25.2 0.2 20‐30

G0247 249 249 7,255 29.1 28.5 2.1 30‐40

G0248 91 91 14,025 154.1 172.2 10.5 50‐75

G0250 620 620 3,645 5.9 7.0 16.1 10‐20

G0260 1,778 1,778 357,075 200.8 203.9 1.5 10‐20

G0268 4,881 4,881 165,630 33.9 33.5 1.2 0‐5

G0270 6 6 90 15.0 17.0 11.5 75‐100

G0275 633 633 6,330 10.0 10.2 1.7 20‐30


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

G0278 691 691 6,910 10.0 10.5 4.8 10‐20

G0281 67 67 670 10.0 8.4 18.4 75‐100

G0283 273,699 273,699 2,692,560 9.8 8.9 10.0 0‐5

G0288 96 96 17,075 177.9 180.6 1.5 50‐75

G0289 2,068 2,068 137,780 66.6 65.4 1.9 10‐20

G0306 5,504 5,504 55,040 10.0 11.0 8.9 20‐30

G0307 2,356 2,356 23,560 10.0 8.7 14.9 20‐30

G0311 2 2 800 400.0 418.8 4.5 50‐75

G0314 114 114 38,625 338.8 324.8 4.3 20‐30

G0315 36 36 10,425 289.6 270.3 7.1 20‐30

G0316 2 2 450 225.0 218.7 2.9 75‐100

G0317 94,072 94,072 20,286,815 215.7 217.1 0.7 0‐5

G0318 28,885 28,885 5,129,080 177.6 176.7 0.5 0‐5

G0319 8,860 8,860 1,228,440 138.7 138.1 0.4 0‐5

G0321 35 35 10,775 307.9 305.4 0.8 30‐40

G0322 59 59 16,150 273.7 260.9 4.9 40‐50

G0323 9,215 9,215 1,560,975 169.4 159.4 6.3 5‐10

G0325 29 29 290 10.0 9.0 10.9 50‐75

G0326 411 411 4,110 10.0 10.8 7.8 20‐30

G0327 9,469 45,014 265,865 5.9 6.0 2.0 10‐20

G0328 17,212 17,212 337,495 19.6 21.3 7.7 0‐5


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

G0332 1,174 1,174 65,120 55.5 57.3 3.2 30‐40

G0344 4,790 4,790 175,160 36.6 36.9 0.9 5‐10

G0364 2,873 2,873 24,655 8.6 8.7 1.3 10‐20

G0365 834 834 69,455 83.3 81.3 2.4 20‐30

G0366 2,859 2,859 30,280 10.6 10.9 2.5 0‐5

G0367 257 257 1,360 5.3 5.8 9.3 10‐20

G0368 394 394 1,205 3.1 4.0 23.8 10‐20

G0372 334 334 3,345 10.0 10.4 3.3 40‐50

G0377 160 160 1,250 7.8 8.4 6.9 30‐40

G0389 302 302 19,655 65.1 69.4 6.2 50‐75

G0392 486 486 767,675 1579.6 1349.2 17.1 20‐30

G0393 5,274 5,274 3,280,925 622.1 666.5 6.7 10‐20

G0394 1,054 1,054 5,140 4.9 4.7 3.0 30‐40

G0396 81 81 1,975 24.4 22.0 10.7 50‐75

J0129 3,965 289,673 3,616,200 12.5 14.0 11.1 5‐10

J0150 68 190 2,325 12.2 7.0 74.7 75‐100

J0152 36,469 80,711 4,383,845 54.3 50.0 8.6 0‐5

J0170 322 322 0 0.0 0.8 100.0 50‐75

J0207 417 417 164,800 395.2 374.0 5.7 50‐75

J0215 44 1,320 28,300 21.4 21.9 2.2 40‐50

J0280 6,446 7,039 110 0.0 0.6 97.2 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

J0290 206 233 135 0.6 1.6 64.8 50‐75

J0295 8 14 40 2.9 3.4 16.1 75‐100

J0360 2 2 10 5.0 3.8 32.8 75‐100

J0456 18 18 180 10.0 11.9 15.9 75‐100

J0460 2,654 5,009 0 0.0 0.5 100.0 10‐20

J0475 495 1,942 280,150 144.3 109.7 31.5 50‐75

J0500 9 9 90 10.0 9.7 3.6 75‐100

J0530 17 17 170 10.0 9.9 1.0 75‐100

J0540 186 186 4,375 23.5 21.1 11.4 50‐75

J0570 177 183 5,945 32.5 27.3 19.0 50‐75

J0580 12 12 440 36.7 33.8 8.5 75‐100

J0585 4,136 559,017 2,337,015 4.2 4.2 0.5 30‐40

J0587 134 13,992 88,630 6.3 5.1 24.0 50‐75

J0595 340 554 0 0.0 0.4 100.0 30‐40

J0610 744 1,028 0 0.0 0.5 100.0 40‐50

J0640 10,902 103,982 68,815 0.7 0.7 0.5 10‐20

J0670 2,078 2,622 560 0.2 0.9 76.5 20‐30

J0690 2,333 3,477 0 0.0 0.7 100.0 30‐40

J0692 133 532 2,660 5.0 4.8 4.9 75‐100

J0694 17 17 85 5.0 5.9 15.1 75‐100

J0696 35,811 126,111 126,700 1.0 1.1 7.2 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

J0697 58 58 270 4.7 2.5 86.0 50‐75

J0698 948 967 4,220 4.4 3.0 46.6 30‐40

J0702 34,298 73,859 347,325 4.7 4.3 8.5 10‐20

J0704 5,086 7,915 3,850 0.5 0.9 47.6 10‐20

J0713 28 28 140 5.0 2.9 71.9 75‐100

J0715 8 8 40 5.0 3.5 42.9 75‐100

J0725 6 6 30 5.0 2.8 81.3 75‐100

J0735 110 138 5,025 36.4 23.6 54.6 75‐100

J0780 312 312 0 0.0 1.3 100.0 40‐50

J0835 53 53 3,040 57.4 52.8 8.6 75‐100

J0878 763 377,405 113,100 0.3 0.3 6.4 75‐100

J0881 40,867 8,637,481 19,259,625 2.2 2.3 1.5 5‐10

J0882 250 56,720 126,200 2.2 2.3 2.3 20‐30

J0885 50,701 1,705,818 12,378,495 7.3 7.1 1.6 5‐10

J0886 86 2,210 16,340 7.4 7.1 3.9 50‐75

J0894 1,801 88,537 1,776,040 20.1 21.8 8.0 20‐30

J0895 9 32 320 10.0 9.4 6.0 75‐100

J0945 294 294 0 0.0 1.6 100.0 50‐75

J0970 453 453 9,720 21.5 21.3 0.6 20‐30

J1000 1,641 1,710 7,425 4.3 4.2 4.3 10‐20

J1020 11,231 16,990 16,920 1.0 1.8 44.6 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

J1030 78,691 104,736 403,785 3.9 3.4 14.4 0‐5

J1040 65,333 74,278 514,565 6.9 6.6 5.6 5‐10

J1051 167 469 2,015 4.3 4.7 9.0 30‐40

J1055 1 1 20 20.0 39.9 49.8 75‐100

J1060 280 297 1,255 4.2 2.7 56.6 30‐40

J1070 2,820 4,422 16,850 3.8 3.3 14.2 10‐20

J1080 10,650 12,959 67,955 5.2 5.4 2.0 5‐10

J1094 7,466 34,505 1,545 0.0 0.2 78.4 20‐30

J1100 114,258 990,833 1,875 0.0 0.1 98.4 5‐10

J1110 30 31 550 17.7 15.2 16.6 75‐100

J1160 3 3 0 0.0 1.9 100.0 75‐100

J1170 514 5,123 5,415 1.1 1.1 0.6 50‐75

J1200 39,760 40,059 5 0.0 0.9 100.0 5‐10

J1212 657 657 27,740 42.2 26.3 60.5 10‐20

J1245 12,250 54,708 42,720 0.8 0.7 12.8 5‐10

J1250 3,643 3,732 18,420 4.9 3.9 28.2 10‐20

J1260 11,950 122,447 458,190 3.7 3.6 4.1 10‐20

J1300 26 2,340 338,000 144.4 141.1 2.4 50‐75

J1335 929 1,839 36,780 20.0 19.6 2.2 50‐75

J1380 151 151 680 4.5 4.0 12.9 30‐40

J1390 162 162 2,065 12.7 10.7 19.0 40‐50


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

J1410 39 39 1,660 42.6 33.1 28.5 75‐100

J1440 7,923 8,207 1,235,975 150.6 157.6 4.4 10‐20

J1441 11,893 11,915 2,972,050 249.4 242.0 3.1 5‐10

J1450 12 12 60 5.0 7.0 29.0 75‐100

J1561 139 7,880 225,000 28.6 26.7 7.0 50‐75

J1566 148 7,596 149,100 19.6 21.0 6.7 75‐100

J1568 190 10,120 298,200 29.5 27.8 6.0 50‐75

J1569 225 11,300 334,000 29.6 26.5 11.7 50‐75

J1572 34 2,040 68,000 33.3 27.7 20.3 75‐100

J1580 4,936 5,749 120 0.0 0.9 97.6 10‐20

J1600 311 311 1,395 4.5 5.5 18.0 20‐30

J1610 2 2 115 57.5 55.8 3.1 75‐100

J1626 13,644 138,014 549,370 4.0 3.9 3.1 10‐20

J1630 13 13 0 0.0 0.9 100.0 75‐100

J1631 1,133 2,133 4,295 2.0 1.1 78.4 20‐30

J1642 11,486 446,776 36,815 0.1 0.1 24.1 30‐40

J1644 15,819 32,870 970 0.0 0.3 90.3 20‐30

J1650 283 2,730 13,255 4.9 4.7 4.0 75‐100

J1652 529 7,935 39,435 5.0 4.8 3.6 50‐75

J1670 27 27 855 31.7 35.4 10.5 75‐100

J1720 1,760 1,794 120 0.1 1.9 96.5 20‐30


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

J1740 2,714 8,041 853,950 106.2 106.9 0.7 5‐10

J1745 11,768 505,225 21,480,035 42.5 42.4 0.2 5‐10

J1751 1,072 6,255 56,500 9.0 8.9 1.2 20‐30

J1752 52 107 1,060 9.9 8.5 16.1 50‐75

J1756 5,044 904,913 258,745 0.3 0.3 3.5 10‐20

J1785 33 32,967 99,000 3.0 3.3 7.8 75‐100

J1885 23,136 66,440 0 0.0 0.3 100.0 10‐20

J1940 3,022 4,972 0 0.0 0.5 100.0 30‐40

J1950 28 32 11,350 354.7 359.9 1.4 40‐50

J1956 211 422 2,110 5.0 4.6 8.6 50‐75

J2001 3,667 5,132 0 0.0 0.3 100.0 30‐40

J2010 5,680 7,742 24,470 3.2 2.9 9.2 20‐30

J2060 3,953 3,957 0 0.0 1.0 100.0 10‐20

J2150 1,810 2,714 270 0.1 0.7 85.6 20‐30

J2175 3,644 3,876 130 0.0 1.2 97.2 20‐30

J2180 11 11 40 3.6 3.2 14.3 75‐100

J2250 6,181 14,884 0 0.0 0.4 100.0 20‐30

J2270 382 405 105 0.3 1.3 80.1 50‐75

J2275 210 8,314 27,410 3.3 2.7 22.0 75‐100

J2300 2,584 3,191 30 0.0 0.9 98.9 10‐20

J2321 15 15 75 5.0 5.3 4.8 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

J2323 1,068 294,154 1,945,315 6.6 5.9 12.2 10‐20

J2353 1,114 31,980 2,439,000 76.3 79.9 4.6 20‐30

J2354 3 12 15 1.3 1.6 19.4 75‐100

J2355 582 582 116,400 200.0 196.1 2.0 20‐30

J2357 1,137 64,244 753,240 11.7 12.4 5.6 50‐75

J2360 232 232 1,290 5.6 6.2 10.8 50‐75

J2370 1 1 0 0.0 0.9 100.0 75‐100

J2400 5 5 50 10.0 9.0 11.7 75‐100

J2405 7,702 179,783 27,950 0.2 0.2 28.2 30‐40

J2430 3,070 8,251 204,370 24.8 24.5 1.2 10‐20

J2440 19 19 0 0.0 0.8 100.0 50‐75

J2469 38,720 386,093 5,031,660 13.0 13.2 1.1 0‐5

J2503 396 396 316,800 800.0 806.4 0.8 5‐10

J2505 12,255 12,255 24,464,000 1996.2 1736.4 15.0 0‐5

J2510 9 9 90 10.0 6.0 66.7 75‐100

J2550 8,918 9,094 25 0.0 1.0 99.7 10‐20

J2650 40 40 0 0.0 0.4 100.0 75‐100

J2680 1,384 1,782 455 0.3 0.9 71.6 20‐30

J2760 50 50 1,090 21.8 20.6 6.0 40‐50

J2765 732 778 0 0.0 0.7 100.0 40‐50

J2778 16,628 82,757 32,805,775 396.4 293.2 35.2 0‐5


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

J2780 8,357 16,933 365 0.0 0.5 95.8 10‐20

J2790 16 16 990 61.9 60.9 1.7 20‐30

J2792 5 950 14,000 14.7 13.2 11.3 75‐100

J2794 1,712 137,997 499,250 3.6 3.5 3.9 20‐30

J2800 13 13 130 10.0 7.0 43.3 75‐100

J2805 327 327 15,025 45.9 42.4 8.3 20‐30

J2820 3,161 30,697 639,245 20.8 21.3 2.3 20‐30

J2916 2,717 26,961 105,820 3.9 3.7 6.6 10‐20

J2920 2,217 2,907 2,000 0.7 1.7 58.9 30‐40

J2930 5,961 9,123 20,045 2.2 2.2 0.1 20‐30

J2997 897 1,929 49,965 25.9 25.9 0.1 30‐40

J3010 4,125 8,994 2,255 0.3 0.4 42.9 20‐30

J3070 5 5 25 5.0 4.6 9.4 75‐100

J3105 12 12 0 0.0 1.8 100.0 50‐75

J3120 320 500 2,095 4.2 3.8 11.7 30‐40

J3130 1,594 1,774 11,425 6.4 6.6 2.8 10‐20

J3140 7 7 0 0.0 2.6 100.0 75‐100

J3150 59 112 0 0.0 1.0 100.0 50‐75

J3230 1 1 5 5.0 3.3 51.2 75‐100

J3240 76 76 54,600 718.4 555.9 29.2 50‐75

J3250 262 262 1,260 4.8 3.6 34.2 30‐40


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

J3260 227 236 45 0.2 1.6 88.3 50‐75

J3301 108,812 409,695 403,660 1.0 1.1 7.8 5‐10

J3302 2,091 12,496 1,500 0.1 0.3 54.2 30‐40

J3303 3,845 18,098 19,390 1.1 1.0 5.2 20‐30

J3315 6,815 18,831 2,231,090 118.5 117.6 0.7 0‐5

J3360 331 383 0 0.0 0.8 100.0 50‐75

J3370 2,565 6,820 16,410 2.4 2.5 3.3 50‐75

J3396 811 120,309 802,045 6.7 7.3 8.5 5‐10

J3410 1,894 2,859 0 0.0 0.4 100.0 30‐40

J3411 349 349 635 1.8 2.2 18.5 50‐75

J3415 290 290 1,435 4.9 3.5 41.8 50‐75

J3420 139,766 142,480 0 0.0 0.8 100.0 0‐5

J3430 155 384 1,445 3.8 2.9 30.6 50‐75

J3470 21 21 315 15.0 13.3 12.8 75‐100

J3473 4 4 0 0.0 0.4 100.0 75‐100

J3475 4,655 17,275 0 0.0 0.2 100.0 30‐40

J3480 2,884 29,799 0 0.0 0.1 100.0 20‐30

J3487 13,401 52,617 9,103,950 173.0 165.9 4.3 0‐5

J3488 2,497 12,364 2,187,850 177.0 170.5 3.8 5‐10

J3490 22,985 33,515 865,490 25.8 13.1 97.7 20‐30

J3590 2,677 2,685 144,330 53.8 67.2 20.0 5‐10


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

J7030 12,713 14,344 705 0.0 1.0 94.9 10‐20

J7040 24,783 28,883 0 0.0 0.8 100.0 10‐20

J7042 2,229 2,941 0 0.0 0.7 100.0 30‐40

J7050 73,438 113,570 0 0.0 0.6 100.0 5‐10

J7060 5,070 6,888 1,775 0.3 1.0 73.8 20‐30

J7070 601 686 425 0.6 1.9 67.9 50‐75

J7120 890 919 0 0.0 0.9 100.0 40‐50

J7190 20 20 304,000 15200.0 428.1 3450.7 50‐75

J7192 61 61 1,392,000 22819.7 199.5 11337.9 50‐75

J7308 2,104 2,349 211,395 90.0 84.1 6.9 5‐10

J7321 34,586 39,625 3,094,935 78.1 75.7 3.2 0‐5

J7322 20,726 23,428 3,435,645 146.6 141.9 3.4 0‐5

J7323 5,511 6,267 554,380 88.5 86.0 2.8 0‐5

J7324 5,715 6,440 915,685 142.2 138.7 2.6 0‐5

J7340 52 2,288 52,000 22.7 24.3 6.6 50‐75

J7342 172 6,536 172,000 26.3 29.5 10.8 30‐40

J7602 33 33 0 0.0 0.2 100.0 75‐100

J7603 292 387 0 0.0 0.5 100.0 30‐40

J7611 62 66 0 0.0 0.3 100.0 75‐100

J7613 519 711 0 0.0 0.6 100.0 30‐40

J7614 45 73 0 0.0 0.5 100.0 75‐100


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

J7620 786 796 0 0.0 0.8 100.0 30‐40

J7626 21 21 105 5.0 3.8 31.3 75‐100

J7644 468 476 0 0.0 0.8 100.0 30‐40

J7674 27 810 285 0.4 0.3 10.6 75‐100

J7799 239 239 19,775 82.7 24.0 244.6 50‐75

J9000 2,103 18,600 78,035 4.2 4.2 0.9 30‐40

J9001 755 4,940 1,635,150 331.0 332.3 0.4 20‐30

J9010 595 1,687 568,050 336.7 439.5 23.4 10‐20

J9025 3,894 701,144 2,454,920 3.5 3.6 2.3 30‐40

J9031 7,248 7,248 650,235 89.7 89.4 0.4 0‐5

J9035 23,411 452,784 20,727,250 45.8 44.8 2.2 10‐20

J9040 129 211 5,480 26.0 25.7 1.1 40‐50

J9041 5,536 176,365 5,023,780 28.5 27.8 2.4 10‐20

J9045 10,653 67,458 377,760 5.6 5.6 0.0 20‐30

J9055 2,363 114,778 4,731,300 41.2 39.4 4.7 40‐50

J9060 1,326 6,670 12,010 1.8 1.8 1.5 50‐75

J9062 1,357 2,218 21,230 9.6 9.1 4.7 30‐40

J9070 1,152 8,429 12,225 1.5 1.5 4.8 40‐50

J9080 645 1,003 3,590 3.6 3.0 20.0 20‐30

J9090 1,760 2,871 24,845 8.7 9.1 4.8 20‐30

J9091 1,825 1,909 28,590 15.0 15.3 2.3 5‐10


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

J9092 63 63 1,915 30.4 26.7 13.7 50‐75

J9093 169 1,497 2,125 1.4 1.4 0.6 50‐75

J9094 34 43 170 4.0 2.9 36.6 50‐75

J9095 364 569 3,890 6.8 7.2 4.7 40‐50

J9096 421 470 7,050 15.0 14.7 2.3 20‐30

J9097 9 9 270 30.0 25.9 15.7 75‐100

J9130 5 33 125 3.8 3.3 13.7 75‐100

J9140 50 173 1,175 6.8 7.1 4.2 75‐100

J9170 7,570 36,457 9,823,200 269.4 257.7 4.5 10‐20

J9178 96 7,350 43,225 5.9 6.2 5.3 50‐75

J9181 2,308 24,516 8,135 0.3 0.3 3.9 40‐50

J9182 2,851 4,446 16,405 3.7 3.5 6.0 20‐30

J9185 2,309 2,465 401,775 163.0 165.7 1.6 10‐20

J9190 13,401 49,214 81,345 1.7 1.4 17.7 10‐20

J9201 8,692 67,557 6,914,300 102.3 105.2 2.7 10‐20

J9202 1,780 4,882 610,830 125.1 124.2 0.8 10‐20

J9206 2,749 32,735 2,590,760 79.1 74.5 6.3 40‐50

J9208 43 129 3,655 28.3 28.3 0.1 75‐100

J9214 983 40,632 479,180 11.8 11.4 3.1 50‐75

J9217 15,558 54,044 6,596,880 122.1 121.0 0.9 0‐5

J9219 166 166 164,250 989.5 1103.7 10.3 5‐10


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

J9225 446 446 440,500 987.7 966.9 2.2 5‐10

J9250 4,599 15,117 95 0.0 0.3 97.7 10‐20

J9260 2,214 2,609 1,350 0.5 1.8 71.9 20‐30

J9263 4,528 1,382,276 10,306,855 7.5 7.5 0.9 20‐30

J9264 1,728 372,270 2,127,850 5.7 6.9 17.3 30‐40

J9265 10,326 60,282 623,035 10.3 10.0 3.0 20‐30

J9268 77 77 77,000 1000.0 1328.6 24.7 30‐40

J9280 54 63 700 11.1 11.2 1.2 75‐100

J9290 208 308 14,320 46.5 46.1 0.8 30‐40

J9291 576 576 51,835 90.0 89.8 0.2 10‐20

J9293 345 1,510 111,725 74.0 74.6 0.8 40‐50

J9300 1 3 6,000 2000.0 1966.3 1.7 75‐100

J9303 309 14,310 960,000 67.1 55.8 20.2 50‐75

J9305 1,574 145,522 5,651,900 38.8 36.9 5.1 20‐30

J9310 10,496 77,109 31,280,725 405.7 408.9 0.8 5‐10

J9350 1,387 1,939 1,142,800 589.4 712.5 17.3 20‐30

J9355 5,414 145,319 6,923,600 47.6 46.9 1.6 10‐20

J9360 149 1,378 1,235 0.9 0.8 9.2 50‐75

J9370 1,227 2,187 10,935 5.0 5.4 8.1 20‐30

J9375 1,405 1,415 14,130 10.0 10.7 6.6 5‐10

J9390 2,313 9,714 133,945 13.8 13.8 0.2 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

J9395 2,603 26,486 1,743,240 65.8 63.7 3.3 0‐5

J9999 1,171 2,276 1,484,600 652.3 167.8 288.7 30‐40

L8603 75 99 29,700 300.0 293.4 2.3 20‐30

L8606 36 50 7,650 153.0 147.2 4.0 50‐75

L8680 513 3,524 1,142,100 324.1 310.3 4.4 30‐40

L8681 1 1 800 800.0 687.0 16.4 75‐100

M0064 6,286 6,298 128,680 20.4 19.7 3.6 10‐20

P3000 3,412 3,412 51,180 15.0 15.0 0.3 0‐5

P3001 477 477 9,450 19.8 18.9 4.8 10‐20

P9016 44 55 0 0.0 199.5 100.0 75‐100

P9037 1 1 1,000 1000.0 412.6 142.3 75‐100

P9040 2 2 0 0.0 145.0 100.0 75‐100

P9053 2 2 2,000 1000.0 1237.6 19.2 75‐100

P9058 36 36 18,200 505.6 538.1 6.0 30‐40

P9603 117,158 730,642 689,495 0.9 0.7 31.5 30‐40

P9604 114,684 115,562 660,480 5.7 6.4 10.4 20‐30

P9612 1,887 1,887 9,345 5.0 3.0 66.2 5‐10

P9615 52 52 260 5.0 3.0 66.7 75‐100

Q0091 50,530 50,530 1,533,940 30.4 30.3 0.3 0‐5

Q0092 69,781 76,809 896,895 11.7 12.1 3.4 10‐20

Q0111 2,669 2,693 13,440 5.0 5.9 15.2 10‐20


HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

Q0112 1,571 1,571 7,850 5.0 5.8 14.1 10‐20

Q1003 42,043 42,043 1,676,010 39.9 39.9 0.0 0‐5

Q3014 186 186 3,640 19.6 17.7 10.9 50‐75

Q3025 1,885 5,625 587,725 104.5 103.8 0.6 5‐10

Q4005 17 17 170 10.0 8.2 22.2 50‐75

Q4006 473 474 9,355 19.7 19.4 1.8 20‐30

Q4009 48 48 240 5.0 4.9 2.5 50‐75

Q4010 3,482 3,541 51,320 14.5 12.5 16.3 10‐20

Q4014 121 121 2,420 20.0 17.7 13.1 40‐50

Q4017 54 54 270 5.0 5.8 14.3 20‐30

Q4018 235 235 2,330 9.9 9.7 1.7 20‐30

Q4021 84 84 420 5.0 4.9 2.4 50‐75

Q4022 601 601 5,970 9.9 7.7 28.9 20‐30

Q4030 47 47 2,350 50.0 48.7 2.6 50‐75

Q4034 4 4 180 45.0 43.8 2.6 75‐100

Q4037 80 80 800 10.0 10.4 4.2 50‐75

Q4038 2,718 2,727 80,065 29.4 26.4 11.3 10‐20

Q4042 3 3 75 25.0 23.0 8.7 75‐100

Q4045 25 25 250 10.0 7.8 28.6 50‐75

Q4046 121 121 1,775 14.7 12.4 17.9 50‐75

Q4049 165 165 0 0.0 0.9 100.0 40‐50



HCPCS Code(1)


PUF


PUF


($)





(a) (b) (c) (d) = (c)/(b) (e) (f)=

100* abs[(e)‐(d)]/(e) (3) (g)

Q4098 3,892 26,918 256,665 9.5 9.0 6.4 10‐20

Q9953 4 4 100 25.0 9.2 173.0 75‐100

Q9957 461 787 39,295 49.9 15.2 229.4 30‐40

Q9960 96 98 0 0.0 0.2 100.0 50‐75

Q9962 185 201 0 0.0 0.2 100.0 50‐75

Q9965 2,426 89,576 95,660 1.1 1.0 6.3 50‐75

Q9966 6,260 38,143 11,825 0.3 0.4 30.4 20‐30

Q9967 41,281 3,471,719 592,645 0.2 0.2 1.8 20‐30

R0070 42,779 42,779 5,075,950 118.7 118.1 0.5 10‐20

R0075 15,807 15,807 711,000 45.0 47.7 5.8 30‐40

S0020 132 132 0 0.0 1.0 100.0 50‐75

V2785 406 406 942,000 2320.2 2292.7 1.2 10‐20

Total 67,735,075 100,380,827 3,477,564,780 34.6 32.9 5.4 10‐20

(1) HCPCS codes are that are fully suppressed (i.e., HCPCS codes that do not appear in the CMS 2008 BSA Carrier Line Items PUF) are not included in this table. Hence, the actual suppression rate for any HCPCS code in this table is less than 100%.

(2) Mean Medicare Payment in PUF and Mean Medicare Payment in Initial 5% Sample are both weighted means. Mean Medicare Payment in PUF is calculated by dividing total (rounded) Medicare payment by the number of services in the PUF. Mean Medicare Payment in Initial 5% Sample is calculated by dividing total actual (not rounded) Medicare payment in the initial 5% sample (not shown) by the number of services in the initial 5% sample (not shown) for each HCPCS code. A number of line items are excluded from the initial 5% sample because of missing or invalid HCPCS codes or denied services.

(3) “abs[ ]” stands for absolute value of the term inside the brackets.

CMS 2008 Basic Stand Alone (BSA) Carrier Line Items Public

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