CMS 2010 Basic Stand Alone (BSA) DME Line Items Public Use ...

CMS 2010 BSA DME Line Items PUF General Documentation

CMS 2010 Basic Stand Alone (BSA) DME Line Items Public Use File (PUF)

General Documentation

1. Overview of the PUF

This release contains the Basic Stand Alone (BSA) Durable Medical Equipment (DME) Line Items Public Use File (PUF) named “CMS 2010 BSA DME Line Items PUF” with information from 2010 Medicare DME claims.1 The CMS 2010 BSA DME Line Items PUF is a line item level file in which each record is a line item of a DME claim incurred by a 5% sample of Medicare beneficiaries (each claim is comprised of up to 13 line item services). Some 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 2010 BSA DME Line Items PUF. It is also not possible to link line item services that belong to the same claim.

When the line item related variables were selected for inclusion in this PUF, priority was given to the measures most commonly reported/studied in health services research. However, most variables could not be included in the CMS 2010 BSA DME Line Items PUF because the inclusion of more information would increase the risk of identification of beneficiaries.

2. Source Data for the PUF

The CMS 2010 BSA DME Line Items PUF originates from a 5% simple random sample of beneficiaries drawn (without replacement) from the 100% Beneficiary Summary File for reference year 2010. The sample that is used for the CMS 2010 BSA DME Line Items PUF is disjoint from the existing 5% CMS research sample2 in the sense that there is no overlap in terms of the beneficiaries in the CMS 2010 BSA DME Line Items PUF and the 5% CMS research sample. It is also disjoint from the other BSA PUFs (i.e., CMS 2010 Inpatient Claims PUF, CMS 2010 PDE PUF, and CMS 2010 Hospice Beneficiary PUF) that have been released so far. 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

1 Claims with DME services ending in 2010, defined by the “claim through date.” 2 http://www.resdac.org/tools/TBs/TN‐011_How5percentMedicarefilescreated_508.pdf


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 DME line items is created by collecting the DME line items for the beneficiaries in the 5% random sample of beneficiaries. The 5% random sample contains approximately 2.5 million beneficiaries. To create the CMS 2010 BSA DME Line Items PUF, all claims that belong to those 2.5 million beneficiaries are collected. These claims are then transformed so that each record of the file is not one claim, but one line item service of a claim.

As part of the PUF preparation steps, some line items are suppressed from the CMS 2010 BSA DME Line Items PUF. The initial 5% sample of beneficiaries contains 2,503,543 beneficiaries. Out of the 2,503,543 beneficiaries, there are 508,185 beneficiaries with at least one DME claim. The 508,185 beneficiaries who have DME claims in 2010 generate 3,265,576 claims that are comprised of 5,528,467 line item services.3 In order to protect the privacy of Medicare beneficiaries in the PUF, a total of 296,875 line items services used by 74,846 beneficiaries and comprising 217,994 claims are suppressed from the PUF, leaving 5,231,592 line items and 3,129,144 claims incurred by 494,250 beneficiaries in the CMS 2010 BSA DME Line Items PUF. Note that suppressing a line item service may or may not exclude a claim or beneficiary from the PUF. The exclusion of a claim or beneficiary depends on whether or not the claim or beneficiary has one or more additional line item services remaining in the PUF. Consequently, not all 74,846 beneficiaries and 217,994 claims are excluded. Table 1 below provides the number of line item services and the total Medicare payments.

Table 1: Suppression in CMS 2010 BSA DME Line Items PUF

Category Formula Medicare Payments(2)

Number of Line Items

Initial 5% Sample(1) (a) $ 481,637,896 5,528,467

Suppressed (b) $ 54,839,315 296,875

CMS 2010 BSA DME Line Items PUF (c) =(a)‐(b) $ 426,798,581 5,231,592

(1) A number of line items (736,930) are suppressed initially because of missing or invalid HCPCS codes, denied

services or the protection of solo practitioners. (2) The Medicare Payments provided in this table are computed using actual payment amounts from the DME

claim file.

3A number of line items are suppressed initially because of missing or invalid HCPCS codes, denied services or the protection of solo practitioners.


3. Content of the PUF

The most important aspects of the CMS 2010 BSA DME Line Items PUF are as follows:

i. It contains DME line item services for a simple random sample of 5% of the 2010 beneficiary population. Out of approximately 2.5 million beneficiaries in the 5% sample, about 508,185 had claims, resulting in a Public Use File of 5,231,592 line items after protecting the privacy of Medicare beneficiaries.

ii. It contains six (6) analytic variables (in addition to a unique record key): Gender, age, ICD‐9 primary diagnosis code, HCPCS Level II procedure codes, line item payment by Medicare, and a count of the number of services related to the line item. The line item payments have been rounded and the ICD‐9 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 six (6) variables is shared by at least eleven (11) line items pertaining to at least eleven (11) beneficiaries in the population. For some combinations of values of the six (6) variables there are fewer than eleven (11) line items in the PUF (e.g., only one or two line items).

iv. Line items cannot be linked by claim or by beneficiary, and cannot be linked to any external data source.

4. Analytic Variables of the PUF

CMS 2010 BSA DME Line Items PUF contains seven (7) variables. A primary record (i.e., line item) key indexing the line items and six (6) analytic variables, listed below.

i. Gender (BENE_SEX_IDENT_CD): The beneficiary’s gender, (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 primary diagnosis code (DME_LINE_ICD9_DGNS_CD): “International Classification of Diseases” version 9.4 This is a three‐digit code (four‐digit for “E” ICD‐9 diagnosis codes). In the PUF, 426 such codes are observed.

4 See, for example, http://www.cdc.gov/nchs/data/icd9/icdguide10.pdf

iv. HCPCS code (DME_LINE_HCPCS_CD): These are HCPCS Level II codes and take on 1,086 possible codes values in the CMS 2010 BSA DME Line Items PUF. It identifies a supply, procedure or service.

v. Count of services (DME_LINE_SRVC_CNT) is a count of the total number of services associated with the line item, ranging from 1 to 999.

vi. Medicare Payment Amount (DME_LINE_PMT_AMT): Medicare payment is rounded according to the rules in Table 2. Note that a payment amount between $0 and $4.99 is rounded to $0 according to the rounding rules.

vii. Line item count (DME_LINE_CNT): Total number of line items associated with the record (i.e., combination of the analytic variables).

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

Table 3 presents the number of line items, claims and beneficiaries in the initial 5% sample and CMS 2010 BSA DME 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 2010 for which the beneficiary was enrolled in Part B of Medicare. Note that CMS 2010 BSA DME 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. 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 2010 BSA DME Line Items PUF, the initial 5% sample and the entire population. These figures presented in those tables indicate that the PUF, despite the suppression of 5% of the line items in the original sample, provides quite good estimates of population parameters. Table 13 and Table 14 provide the same comparison for the ICD‐9‐CM diagnosis codes and HCPCS codes.

Table 15 shows the suppression percentages of individual ICD‐9‐CM diagnosis codes in the CMS 2010 BSA DME 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 is the rate of suppression for common ICD‐9 diagnosis codes. Twenty‐seven ICD‐9 diagnosis codes have suppression rates from the initial 5% sample of 10% or less. Care should be exercised in using statistics for those higher risk ICD‐9 diagnosis codes.

Table 16 shows number line items, number of services and Medicare payments by HCPCS code in the CMS 2010 BSA DME 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 2010 BSA DME Line Items PUF are rounded according to the rules in Table 2. The means in the initial 5% sample and in the CMS 2010 BSA DME Line Items PUF may differ for several reasons. First, the payments in the PUF are rounded while the mean payments shown in Table 16 for the initial 5% sample are based on actual payments. Second, approximately 5% (or 296,875 line items) of the initial 5% sample is 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 2010 BSA DME 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 1,666 HCPCS codes in the initial 5% sample, the top 30 most frequent HCPCS codes comprise over 70% percent of the line items in the initial 5% file. Thus, many of the HCPCS codes in the CMS 2010 BSA DME Line Items PUF are infrequent and care should be exercised in using statistics for the uncommon HCPCS codes. Table 14 also provides the suppression rates for each HCPCS code in the CMS 2010 BSA DME 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 of total payments in 2010 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 10

100 ‐ 1,000 Round to the nearest multiple of 50

1,000 ‐ 5,000 Round to the nearest multiple of 1,000

5,000 ‐ 10,000 Round to the nearest multiple of 5,000

Greater than 10,000 Round to the nearest multiple of 10,000

(1) Note that a Medicare payment amount between $0 and $4.99 is rounded to $0 according to the rounding rules. Hence, the corresponding value for $10 in the PUF is a value between $5 and $14.99 in the initial 5% sample file.

Table 3: Size of DME population, initial 5% sample and DME PUF in 2010

File Number of Line Items

Number of Claims

Number of Beneficiaries

Initial 5% sample 5,528,467 3,265,576 508,185

DME PUF 5,231,592 3,129,144 494,250

(1) The following data cleaning steps were taken: (i) remove invalid HCPCS codes; (ii) remove denied line items; and (iii) remove suppliers who are solo practitioners.


Table 4: Distribution of Line Items for Male Beneficiaries by Number of Months of Part B Enrollment in 2010 and Age of Beneficiary

Months of Part B

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

85 and above

Total

1 375 251 229 185 225 384 1,6492 836 651 437 562 589 702 3,7773 1,264 1,025 753 926 1,025 1,360 6,3534 1,733 1,608 773 1,191 1,222 1,528 8,0555 2,321 2,092 1,391 1,294 1,574 1,932 10,6046 3,147 3,191 1,877 1,905 1,940 2,424 14,4847 3,701 3,226 2,031 1,992 1,953 2,844 15,7478 4,083 3,733 1,877 2,283 2,114 3,758 17,8489 4,410 3,688 2,273 2,827 2,489 3,524 19,21110 4,961 5,399 2,870 2,986 2,957 4,192 23,36511 5,688 4,862 3,725 3,074 3,570 4,742 25,66112 511,035 350,997 411,549 342,270 261,622 209,826 2,087,299

Total 543,554 380,723 429,785 361,495 281,280 237,216 2,234,053

(1) Number of months enrolled in 2010. Months of enrollment for a beneficiary is replaced with one (1) if it is equal to zero (0). Table 5: Distribution of Line Items for Female Beneficiaries by Number of Months of Part B

Enrollment in 2010 and Age of Beneficiary

Months of Part B


85 and above

Total

1 323 274 159 237 267 415 1,6752 844 743 519 447 681 1,286 4,5203 1,354 1,155 699 831 1,112 2,235 7,3864 1,664 1,760 810 1,092 1,497 2,839 9,6625 2,635 2,337 1,181 1,586 1,851 3,685 13,2756 3,555 3,729 1,780 1,703 2,029 3,648 16,4447 3,983 3,612 1,687 1,855 2,046 4,453 17,6368 3,646 3,885 1,728 2,259 2,944 5,500 19,9629 4,395 4,282 2,307 2,722 3,028 5,634 22,36810 4,620 5,317 2,567 2,936 3,436 6,907 25,78311 5,612 5,165 2,683 2,931 4,066 8,079 28,53612 612,323 441,247 495,817 452,747 391,372 436,786 2,830,292

Total 644,954 473,506 511,937 471,346 414,329 481,467 2,997,539

(1) Number of months enrolled in 2010. Months of enrollment for a beneficiary is replaced with one (1) if it is equal to zero (0).



Table 6: Distribution of Male Beneficiaries by Number of Months of Part B Enrollment in 2010 and Age of Beneficiary

Months of Part B


85 and above

Total

1 119 99 82 86 102 160 6482 212 192 115 155 166 229 1,0693 255 267 146 189 221 312 1,3904 291 355 139 194 197 287 1,4635 332 371 174 189 231 317 1,6146 440 531 237 227 241 344 2,0207 437 448 212 217 214 362 1,8908 410 476 197 218 225 393 1,9199 425 485 192 229 259 368 1,95810 460 553 231 234 260 416 2,15411 440 546 252 235 299 424 2,19612 36,993 33,342 38,799 32,493 25,109 20,746 187,482

Total 40,814 37,665 40,776 34,666 27,524 24,358 205,803

(1) Number of months enrolled in 2010. Months of enrollment for a beneficiary is replaced with one (1) if it is equal to zero (0). Table 7: Distribution of Female Beneficiaries by Number of Months of Part B Enrollment in 2010

and Age of Beneficiary

Months of Part B


85 and above

Total

1 121 113 71 95 118 202 7202 199 226 143 137 193 389 1,2873 282 305 147 163 229 508 1,6344 307 383 148 171 256 520 1,7855 379 437 174 215 265 546 2,0166 489 641 221 191 254 519 2,3157 446 562 163 191 239 588 2,1898 419 544 179 239 275 599 2,2559 431 537 195 236 308 633 2,34010 475 632 193 247 306 693 2,54611 485 589 195 246 316 683 2,51412 45,371 42,147 49,098 44,986 39,402 45,842 266,846

Total 49,404 47,116 50,927 47,117 42,161 51,722 288,447

(1) Number of months enrolled in 2010. 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 DME line items

Total number of line items

Percentage of beneficiaries with DME line items (%)

(a) (b) (c)=(a)*(b) (d)=(b)/494,250 1‐9 309,348 1,141,244 62.5910‐19 106,614 1,440,968 21.5720‐29 41,187 983,075 8.3330‐39 17,498 594,768 3.5440‐49 9,371 412,160 1.90

50 or more 10,232 659,377 2.07Total 494,250 5,231,592 100.00

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

Table 9: Distribution of Claims by Beneficiary

Number of claims per beneficiary

Number of beneficiaries

with DME claims

Total number of DME claims

Percentage of beneficiaries with DME claims (%)

(a) (b) (c)=(a)*(b) (d)=(b)/494,250 1 129,798 129,798 26.262 64,332 128,664 13.023 46,372 139,116 9.384 45,309 181,236 9.175 31,130 155,650 6.306 22,700 136,200 4.597 17,462 122,234 3.538 15,379 123,032 3.119 12,943 116,487 2.6210 11,940 119,400 2.4211 11,370 125,070 2.3012 14,536 174,432 2.94

13 or more 70,979 1,477,825 14.36Total 494,250 3,129,144 100.00



Table 10: Distribution of Number of Line Items by Claim

Number of line items per claim

Number of claims with DME

line items

Total number of line items

Percentage of claims with DME line items (%)

(a) (b) (c)=(a)*(b) (d)=(b)/3,129,1441 1,888,809 1,888,809 60.362 776,763 1,553,526 24.823 233,847 701,541 7.474 132,024 528,096 4.225 64,100 320,500 2.056 18,492 110,952 0.597 6,734 47,138 0.228 3,466 27,728 0.119 1,294 11,646 0.0410 1,032 10,320 0.0311 735 8,085 0.0212 773 9,276 0.0213 1,075 13,975 0.03

Total 3,129,144 5,231,592 100.00


Table 11: Distribution of Line Items by Gender

Gender Population (%) Initial 5% Sample (%) PUF (%) Male 43.010 42.965 42.703Female 56.990 57.035 57.297


Table 12: Distribution of Line Items by Age Categories

Age Population (%) Initial 5% Sample (%) PUF (%) Under 65 23.020 22.944 22.71865‐69 16.238 16.240 16.32870‐74 17.844 17.838 18.00175‐79 15.844 15.846 15.91980‐84 13.302 13.307 13.296

85 and Older 13.752 13.825 13.737 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 Diagnosis Code Population (%) Initial 5% Sample (%) PUF (%)

250 29.031 29.097 30.634496 19.728 19.773 20.791327 10.907 10.847 11.435493 3.277 3.308 3.448799 2.518 2.480 2.593V42 2.466 2.430 2.520428 2.286 2.325 2.406V44 2.425 2.394 2.318715 1.632 1.627 1.645491 1.416 1.414 1.452V43 1.300 1.294 1.328707 1.107 1.109 1.027780 0.969 1.000 1.012788 1.008 1.011 0.983787 1.008 1.022 0.875436 0.909 0.912 0.847492 0.706 0.718 0.734897 0.736 0.732 0.719724 0.694 0.668 0.666786 0.579 0.567 0.571

All Others 15.298 15.272 11.996 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 (%)

A4253 12.023 12.048 12.712E1390 9.760 9.795 10.268A4259 7.226 7.230 7.631E0431 4.743 4.786 5.005A4256 4.000 4.022 4.247E0570 3.647 3.666 3.849Q0513 3.181 3.191 3.367E0601 2.454 2.425 2.552A4258 2.041 2.055 2.170E0260 1.933 1.949 1.960J7613 1.672 1.663 1.713J7620 1.602 1.618 1.687



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

A7038 1.471 1.464 1.536K0001 1.439 1.444 1.439A7037 1.227 1.230 1.295A7003 1.112 1.116 1.169A7035 1.090 1.085 1.142A7034 0.945 0.946 0.994A5500 0.897 0.892 0.937K0003 0.839 0.856 0.799E0562 0.753 0.743 0.779K0195 0.785 0.776 0.760E0143 0.752 0.751 0.748E0443 0.731 0.724 0.743J7626 0.692 0.701 0.728Q0512 0.708 0.691 0.723A4235 0.651 0.657 0.694Q0511 0.647 0.639 0.670K0738 0.604 0.604 0.616K0004 0.643 0.623 0.571

All Others 29.732 29.610 26.496 Note: Percentages may not add up to 100% due to rounding.

Table 15: 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) 174 153 154 135 150 110 011 038 250 162 332 157 151 156 042 041 327 416 344 191 185 161 078 045 428 486 354 249 203 197 094 053 491 515 360 277 231 202 138 070 492 724 379 278 279 263 141 079 493 781 401 290 335 285 149 136 496 786 414 294 338 318 155 140 607 788 415 331 342 348 163 145 715 820 427 340 356 359 170 146 780 824 436 343 357 411 172 147 799 897 480 410 366 437 175 148 V42 V44 490 434 402 440 182 152 V43 494 438 424 441 183 158

511 443 425 453 188 171


0%‐5% 5%‐10% 10%‐20% 20%‐30% 30%‐40% 40%‐50% 50%‐75% 75%‐100%(1) 516 466 429 454 189 173 518 482 435 483 195 179

707 487 457 484 198 180 716 495 481 501 199 184 718 585 485 507 208 190 719 596 505 514 233 200 721 700 508 519 238 201 722 714 512 530 239 204 723 726 579 536 257 205 728 727 584 550 272 225 733 729 586 560 274 230 736 735 611 569 275 235 787 743 682 599 276 237 805 746 717 711 282 244 808 812 782 730 298 251 813 822 814 737 302 280 821 836 844 741 307 281 823 871 847 756 310 286 825 879 891 769 319 288 840 V45 892 770 333 289 842 V49 923 783 334 295 845 V55 959 807 337 299 998 V57 996 815 345 300 V54 V15 816 353 311 826 355 315 854 367 317 875 369 323 890 372 330 893 386 336 913 396 341 924 412 346 V52 413 358 V58 426 362 431 373 432 376 433 395 447 403 458 404 459 423 477 430 506 442


0%‐5% 5%‐10% 10%‐20% 20%‐30% 30%‐40% 40%‐50% 50%‐75% 75%‐100%(1) 517 444 553 446 555 451 571 465 577 478 578 500 593 510 598 535 600 537 673 556 695 558 701 562 703 564 710 572 713 574 720 575 725 576 738 590 739 595 745 618 747 625 748 671 754 681 757 686 758 696 768 709 785 731 789 732 797 734 806 742 810 755 827 759 829 767 831 784 832 790 835 791 852 793 876 794 877 802 880 809 881 818


0%‐5% 5%‐10% 10%‐20% 20%‐30% 30%‐40% 40%‐50% 50%‐75% 75%‐100%(1) 887 834 894 837 895 838 896 839 905 841 952 843 995 846 E888 851 V46 853 V67 863 873 874 878 882 883 884 907 922 928 933 934 945 948 956 997 V10 V12 V13

V17 V41 V53

(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 2010 BSA DME Line Items PUF.

Table 16: Medicare Payment and Suppression Rates in CMS 2010 BSA DME Line Items PUF by HCPCS Code

HCPCS Code(1)

Number of Line Items in PUF

Number 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)

A4216 112 5,791 2,050 0.4 0.3 33.3 75 ‐ 100 A4217 300 4,826 11,400 2.4 2.2 9.1 50 ‐ 75 A4221 10,766 72,349 1,376,940 19.0 18.6 2.2 5 ‐ 10 A4222 10,397 21,472 808,190 37.6 37.3 0.8 10 ‐ 20 A4233 11,755 23,003 450 0.0 0.6 100.0 0 ‐ 5 A4234 367 591 2,170 3.7 2.7 37.0 0 ‐ 5 A4235 36,290 50,999 80 0.0 1.6 100.0 0 ‐ 5 A4236 247 283 0 0.0 1.2 100.0 0 ‐ 5 A4247 1 1 0 0.0 0.2 100.0 50 ‐ 75 A4253 665,056 2,073,784 51,450,450 24.8 25.6 3.1 0 ‐ 5 A4256 222,193 228,226 2,137,810 9.4 7.4 27.0 0 ‐ 5 A4258 113,520 113,528 1,123,770 9.9 12.5 20.8 0 ‐ 5 A4259 399,210 688,999 6,138,880 8.9 8.3 7.2 0 ‐ 5 A4265 100 565 1,820 3.2 2.8 14.3 40 ‐ 50 A4310 2,079 2,696 19,890 7.4 5.5 34.5 10 ‐ 20 A4311 579 605 5,570 9.2 10.4 11.5 10 ‐ 20 A4312 105 106 1,620 15.3 7.0 118.6 30 ‐ 40 A4314 6,936 7,097 132,070 18.6 18.9 1.6 5 ‐ 10 A4315 469 494 9,540 19.3 20.9 7.7 20 ‐ 30 A4316 37 37 740 20.0 19.7 1.5 30 ‐ 40 A4320 462 788 2,210 2.8 3.4 17.6 40 ‐ 50 A4322 63 841 2,060 2.4 2.1 14.3 75 ‐ 100 A4326 221 7,642 62,870 8.2 8.0 2.5 20 ‐ 30 A4331 406 1,909 5,270 2.8 2.4 16.7 20 ‐ 30 A4332 3,446 586,109 60,560 0.1 0.1 0.0 20 ‐ 30 A4333 375 3,891 6,270 1.6 1.7 5.9 40 ‐ 50 A4334 2,156 2,275 810 0.4 3.8 89.5 10 ‐ 20 A4338 3,289 4,020 36,490 9.1 8.6 5.8 10 ‐ 20 A4340 516 530 12,980 24.5 23.5 4.3 20 ‐ 30 A4344 601 731 7,490 10.2 10.2 0.0 20 ‐ 30 A4349 4,269 154,394 245,910 1.6 1.6 0.0 10 ‐ 20 A4351 10,748 1,463,285 2,048,860 1.4 1.4 0.0 20 ‐ 30 A4352 1,786 191,796 941,690 4.9 4.8 2.1 40 ‐ 50


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

A4353 1,570 206,525 1,151,590 5.6 5.7 1.8 40 ‐ 50 A4354 125 130 1,210 9.3 9.2 1.1 40 ‐ 50 A4356 183 191 6,930 36.3 35.2 3.1 10 ‐ 20 A4357 17,266 28,444 237,620 8.4 7.2 16.7 5 ‐ 10 A4358 9,477 18,155 89,440 4.9 4.9 0.0 5 ‐ 10 A4361 10 10 180 18.0 13.2 36.4 75 ‐ 100 A4362 404 7,985 21,250 2.7 2.5 8.0 30 ‐ 40 A4363 144 457 740 1.6 1.8 11.1 20 ‐ 30 A4364 630 3,060 7,330 2.4 1.9 26.3 20 ‐ 30 A4366 125 2,420 2,450 1.0 1.0 0.0 20 ‐ 30 A4367 2,377 3,531 27,370 7.8 5.6 39.3 5 ‐ 10 A4368 73 2,520 370 0.1 0.2 50.0 50 ‐ 75 A4369 311 798 1,180 1.5 1.6 6.3 20 ‐ 30 A4371 2,689 4,988 12,120 2.4 2.8 14.3 5 ‐ 10 A4373 862 16,145 80,870 5.0 5.0 0.0 20 ‐ 30 A4376 1 2 80 40.0 20.0 100.0 75 ‐ 100 A4377 19 200 780 3.9 3.1 25.8 50 ‐ 75 A4378 1 2 50 25.0 15.4 62.3 75 ‐ 100 A4381 7 60 240 4.0 3.5 14.3 75 ‐ 100 A4385 5,244 139,455 583,660 4.2 4.1 2.4 5 ‐ 10 A4388 1,389 33,890 115,160 3.4 3.4 0.0 10 ‐ 20 A4389 523 15,500 71,500 4.6 4.6 0.0 20 ‐ 30 A4390 2,194 41,865 320,190 7.6 7.6 0.0 10 ‐ 20 A4391 116 2,590 14,110 5.4 5.4 0.0 30 ‐ 40 A4392 112 2,070 14,810 7.2 6.5 10.8 30 ‐ 40 A4393 413 7,860 58,600 7.5 7.0 7.1 20 ‐ 30 A4394 5,069 85,007 175,080 2.1 1.7 23.5 10 ‐ 20 A4395 35 4,400 70 0.0 0.0 0.0 40 ‐ 50 A4396 203 226 6,830 30.2 29.8 1.3 10 ‐ 20 A4397 323 1,914 6,880 3.6 3.3 9.1 30 ‐ 40 A4398 195 204 1,960 9.6 10.6 9.4 10 ‐ 20 A4399 154 156 1,480 9.5 9.1 4.4 10 ‐ 20 A4402 3,773 37,772 26,430 0.7 0.6 16.7 10 ‐ 20 A4404 103 2,340 3,060 1.3 1.3 0.0 30 ‐ 40 A4405 619 2,513 6,660 2.7 2.3 17.4 10 ‐ 20


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

A4406 9,019 39,939 187,020 4.7 4.3 9.3 5 ‐ 10 A4407 6,808 138,328 979,070 7.1 7.0 1.4 5 ‐ 10 A4408 120 2,070 15,690 7.6 7.8 2.6 20 ‐ 30 A4409 5,885 122,994 595,950 4.8 4.9 2.0 5 ‐ 10 A4410 291 5,700 43,140 7.6 7.2 5.6 30 ‐ 40 A4411 169 3,740 16,240 4.3 4.2 2.4 20 ‐ 30 A4412 67 1,170 2,820 2.4 2.2 9.1 40 ‐ 50 A4413 135 2,390 11,150 4.7 4.4 6.8 40 ‐ 50 A4414 11,383 234,016 882,520 3.8 3.9 2.6 5 ‐ 10 A4415 649 11,485 56,600 4.9 4.7 4.3 20 ‐ 30 A4416 1,279 87,366 202,860 2.3 2.2 4.5 10 ‐ 20 A4417 90 5,370 16,600 3.1 2.9 6.9 40 ‐ 50 A4418 116 7,800 11,680 1.5 1.4 7.1 30 ‐ 40 A4419 3,130 242,988 349,110 1.4 1.4 0.0 10 ‐ 20 A4422 47 6,412 610 0.1 0.1 0.0 50 ‐ 75 A4423 121 8,910 13,980 1.6 1.5 6.7 40 ‐ 50 A4424 876 22,770 88,960 3.9 3.7 5.4 10 ‐ 20 A4425 3,854 97,710 293,470 3.0 2.9 3.4 5 ‐ 10 A4426 314 7,470 17,900 2.4 2.2 9.1 20 ‐ 30 A4427 395 10,340 24,760 2.4 2.2 9.1 20 ‐ 30 A4428 447 9,800 50,100 5.1 5.2 1.9 20 ‐ 30 A4430 980 18,970 134,050 7.1 6.9 2.9 10 ‐ 20 A4431 12 240 1,200 5.0 4.8 4.2 50 ‐ 75 A4432 4,408 97,650 291,780 3.0 2.9 3.4 5 ‐ 10 A4433 107 2,770 7,670 2.8 2.7 3.7 30 ‐ 40 A4434 53 850 2,550 3.0 3.1 3.2 40 ‐ 50 A4450 5,089 339,481 25,350 0.1 0.1 0.0 20 ‐ 30 A4452 6,495 514,133 165,460 0.3 0.3 0.0 10 ‐ 20 A4455 118 1,168 1,460 1.3 1.0 30.0 30 ‐ 40 A4456 5,392 367,952 72,070 0.2 0.2 0.0 5 ‐ 10 A4481 82 4,980 1,620 0.3 0.3 0.0 40 ‐ 50 A4483 6 180 900 5.0 4.0 25.0 75 ‐ 100 A4557 671 1,273 21,050 16.5 15.3 7.8 10 ‐ 20 A4595 18,639 38,129 854,640 22.4 21.5 4.2 5 ‐ 10 A4604 995 995 48,560 48.8 42.3 15.4 0 ‐ 5


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

A4605 149 1,398 19,520 14.0 13.5 3.7 50 ‐ 75 A4614 33 33 620 18.8 17.1 9.9 30 ‐ 40 A4618 11 43 280 6.5 6.7 3.0 75 ‐ 100 A4623 1,742 48,177 240,850 5.0 4.9 2.0 20 ‐ 30 A4624 1,084 75,427 152,960 2.0 2.0 0.0 40 ‐ 50 A4625 34 1,020 5,100 5.0 5.4 7.4 50 ‐ 75 A4628 894 2,660 9,090 3.4 3.0 13.3 40 ‐ 50 A4629 2,284 64,610 216,500 3.4 3.7 8.1 20 ‐ 30 A4640 10 10 500 50.0 33.8 47.9 75 ‐ 100 A4671 31 930 16,300 17.5 16.5 6.1 40 ‐ 50 A4690 16 256 16,000 62.5 61.5 1.6 50 ‐ 75 A4726 2 696 2,000 2.9 4.6 37.0 75 ‐ 100 A4860 18 216 340 1.6 2.8 42.9 50 ‐ 75 A4911 25 750 5,200 6.9 5.3 30.2 50 ‐ 75 A4928 8 160 60 0.4 0.5 20.0 30 ‐ 40 A5051 77 3,690 6,100 1.7 1.4 21.4 50 ‐ 75 A5052 10 600 700 1.2 1.1 9.1 40 ‐ 50 A5054 1,324 89,558 131,380 1.5 1.4 7.1 10 ‐ 20 A5055 213 9,059 10,720 1.2 1.0 20.0 30 ‐ 40 A5061 3,544 88,252 247,510 2.8 2.7 3.7 10 ‐ 20 A5062 18 240 480 2.0 1.6 25.0 75 ‐ 100 A5063 11,997 268,150 613,340 2.3 2.1 9.5 5 ‐ 10 A5071 55 960 4,800 5.0 4.9 2.0 40 ‐ 50 A5073 648 13,180 32,980 2.5 2.5 0.0 10 ‐ 20 A5082 24 44 440 10.0 8.8 13.6 50 ‐ 75 A5093 390 5,475 9,110 1.7 1.5 13.3 20 ‐ 30 A5102 285 289 5,580 19.3 17.6 9.7 10 ‐ 20 A5105 90 95 2,660 28.0 31.8 11.9 40 ‐ 50 A5112 591 656 18,020 27.5 24.8 10.9 10 ‐ 20 A5114 126 150 1,390 9.3 6.6 40.9 40 ‐ 50 A5120 8,297 457,787 94,140 0.2 0.2 0.0 5 ‐ 10 A5122 37 519 5,190 10.0 7.5 33.3 50 ‐ 75 A5126 49 900 900 1.0 0.9 11.1 50 ‐ 75 A5131 833 1,181 12,600 10.7 11.6 7.8 10 ‐ 20 A5200 1 5 50 10.0 8.9 12.4 75 ‐ 100


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

A5500 48,994 89,132 4,290,890 48.1 51.2 6.1 0 ‐ 5 A5501 797 1,380 200,550 145.3 152.0 4.4 5 ‐ 10 A5503 360 651 15,900 24.4 23.4 4.3 5 ‐ 10 A5504 138 216 5,100 23.6 23.1 2.2 5 ‐ 10 A5505 67 122 2,990 24.5 23.7 3.4 0 ‐ 5 A5506 23 33 760 23.0 23.8 3.4 10 ‐ 20 A5507 53 83 1,960 23.6 22.6 4.4 10 ‐ 20 A5512 27,379 144,677 3,497,940 24.2 21.5 12.6 0 ‐ 5 A5513 20,496 101,741 3,369,690 33.1 32.1 3.1 0 ‐ 5 A6010 20 960 28,500 29.7 25.4 16.9 75 ‐ 100 A6011 14 406 770 1.9 1.9 0.0 75 ‐ 100 A6021 2,856 76,250 1,366,200 17.9 17.5 2.3 10 ‐ 20 A6022 97 2,749 49,410 18.0 17.6 2.3 50 ‐ 75 A6154 66 2,376 27,550 11.6 11.3 2.7 30 ‐ 40 A6196 2,521 73,217 459,230 6.3 6.0 5.0 20 ‐ 30 A6197 846 20,999 283,930 13.5 13.7 1.5 30 ‐ 40 A6199 222 11,850 51,080 4.3 4.3 0.0 50 ‐ 75 A6203 70 1,379 3,650 2.6 2.7 3.7 50 ‐ 75 A6204 108 1,314 6,570 5.0 5.2 3.8 30 ‐ 40 A6207 20 108 610 5.6 6.1 8.2 75 ‐ 100 A6209 2,026 47,972 315,220 6.6 6.2 6.5 20 ‐ 30 A6210 349 6,767 112,670 16.6 16.5 0.6 40 ‐ 50 A6211 16 408 10,200 25.0 24.1 3.7 75 ‐ 100 A6212 4,622 114,775 935,910 8.2 8.0 2.5 10 ‐ 20 A6214 3 36 300 8.3 8.8 5.7 75 ‐ 100 A6216 1,007 190,530 9,060 0.0 0.0 0.0 40 ‐ 50 A6219 505 15,871 11,350 0.7 0.7 0.0 40 ‐ 50 A6220 105 3,481 8,200 2.4 2.1 14.3 50 ‐ 75 A6222 2,464 90,702 149,670 1.7 1.7 0.0 20 ‐ 30 A6223 221 6,669 12,730 1.9 1.8 5.6 50 ‐ 75 A6231 530 18,849 69,070 3.7 3.9 5.1 30 ‐ 40 A6232 2 60 300 5.0 5.7 12.3 75 ‐ 100 A6234 822 9,427 51,470 5.5 4.9 12.2 30 ‐ 40 A6235 119 1,420 18,380 12.9 13.2 2.3 40 ‐ 50 A6236 12 144 3,000 20.8 22.8 8.8 50 ‐ 75


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

A6237 152 1,342 8,840 6.6 6.0 10.0 50 ‐ 75 A6238 15 180 3,750 20.8 17.7 17.5 50 ‐ 75 A6240 49 138 1,380 10.0 9.8 2.0 50 ‐ 75 A6242 285 10,384 52,030 5.0 5.1 2.0 30 ‐ 40 A6243 7 210 2,100 10.0 8.2 22.0 75 ‐ 100 A6247 62 5,580 124,000 22.2 20.0 11.0 5 ‐ 10 A6248 1,572 4,882 61,900 12.7 12.2 4.1 20 ‐ 30 A6251 188 6,167 10,370 1.7 1.6 6.3 50 ‐ 75 A6252 1,015 37,964 99,060 2.6 2.4 8.3 40 ‐ 50 A6253 269 11,858 60,440 5.1 4.6 10.9 50 ‐ 75 A6257 122 1,062 1,440 1.4 1.1 27.3 50 ‐ 75 A6258 136 2,720 9,180 3.4 3.4 0.0 75 ‐ 100 A6260 10 87 140 1.6 1.8 11.1 50 ‐ 75 A6261 21 44 1,550 35.2 14.9 136.2 75 ‐ 100 A6262 3 9 60 6.7 3.7 81.1 75 ‐ 100 A6266 1,191 142,184 234,490 1.6 1.6 0.0 30 ‐ 40 A6402 5,336 474,707 51,280 0.1 0.1 0.0 20 ‐ 30 A6403 157 16,875 6,060 0.4 0.3 33.3 75 ‐ 100 A6407 49 795 1,370 1.7 1.5 13.3 50 ‐ 75 A6441 14 724 380 0.5 0.5 0.0 75 ‐ 100 A6442 11 1,300 150 0.1 0.1 0.0 75 ‐ 100 A6443 180 12,578 2,990 0.2 0.2 0.0 75 ‐ 100 A6445 49 4,476 1,220 0.3 0.3 0.0 50 ‐ 75 A6446 3,011 354,430 118,020 0.3 0.3 0.0 30 ‐ 40 A6449 664 48,939 75,740 1.5 1.4 7.1 40 ‐ 50 A6452 14 257 1,280 5.0 4.9 2.0 75 ‐ 100 A6454 88 6,095 3,980 0.7 0.6 16.7 75 ‐ 100 A6456 29 2,120 2,280 1.1 1.0 10.0 75 ‐ 100 A6457 30 1,686 1,680 1.0 0.8 25.0 75 ‐ 100 A6531 582 1,308 47,340 36.2 34.3 5.5 20 ‐ 30 A6532 69 161 7,840 48.7 45.7 6.6 40 ‐ 50 A6545 23 33 2,410 73.0 70.4 3.7 40 ‐ 50 A6550 5,246 56,832 1,136,580 20.0 19.8 1.0 5 ‐ 10 A7000 5,580 35,691 232,860 6.5 6.5 0.0 10 ‐ 20 A7001 5 6 170 28.3 24.0 17.9 75 ‐ 100


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

A7002 1,609 3,515 10,540 3.0 2.8 7.1 30 ‐ 40 A7003 61,180 127,530 33,730 0.3 2.1 85.7 0 ‐ 5 A7004 16,472 39,443 17,070 0.4 1.3 69.2 0 ‐ 5 A7005 20,250 20,507 476,100 23.2 22.9 1.3 0 ‐ 5 A7007 296 659 2,680 4.1 3.6 13.9 40 ‐ 50 A7010 201 208 4,120 19.8 7.8 153.8 40 ‐ 50 A7012 235 563 2,080 3.7 2.9 27.6 30 ‐ 40 A7013 9,113 18,453 0 0.0 0.6 100.0 0 ‐ 5 A7014 621 634 130 0.2 3.5 94.3 0 ‐ 5 A7015 11,111 17,193 8,000 0.5 1.5 66.7 0 ‐ 5 A7016 219 225 2,190 9.7 5.5 76.4 10 ‐ 20 A7027 795 795 117,430 147.7 149.6 1.3 5 ‐ 10 A7028 567 1,158 46,160 39.9 40.6 1.7 5 ‐ 10 A7029 665 1,355 22,790 16.8 16.5 1.8 5 ‐ 10 A7030 27,393 27,396 3,948,450 144.1 131.1 9.9 0 ‐ 5 A7031 15,985 20,430 994,800 48.7 48.9 0.4 0 ‐ 5 A7032 21,455 46,262 1,359,720 29.4 27.8 5.8 0 ‐ 5 A7033 16,812 35,952 664,420 18.5 19.6 5.6 0 ‐ 5 A7034 51,992 52,003 4,421,420 85.0 80.5 5.6 0 ‐ 5 A7035 59,726 59,738 1,733,570 29.0 26.4 9.8 0 ‐ 5 A7036 5,991 5,991 58,010 9.7 11.5 15.7 0 ‐ 5 A7037 67,724 67,819 1,965,930 29.0 28.1 3.2 0 ‐ 5 A7038 80,377 212,898 811,610 3.8 3.5 8.6 0 ‐ 5 A7039 25,272 25,294 243,310 9.6 9.8 2.0 0 ‐ 5 A7044 53 53 4,770 90.0 79.3 13.5 10 ‐ 20 A7045 189 189 1,830 9.7 13.1 26.0 5 ‐ 10 A7046 12,096 12,105 116,710 9.6 13.6 29.4 0 ‐ 5 A7501 6 6 540 90.0 88.2 2.0 20 ‐ 30 A7504 16 930 470 0.5 0.5 0.0 75 ‐ 100 A7505 10 22 100 4.5 3.9 15.4 75 ‐ 100 A7506 33 1,680 560 0.3 0.3 0.0 10 ‐ 20 A7507 197 8,720 19,940 2.3 2.0 15.0 40 ‐ 50 A7508 143 5,870 14,510 2.5 2.3 8.7 30 ‐ 40 A7520 987 1,110 43,890 39.5 38.1 3.7 10 ‐ 20 A7521 994 1,035 40,620 39.2 38.4 2.1 10 ‐ 20


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

A7522 14 14 560 40.0 37.9 5.5 50 ‐ 75 A7524 4 4 280 70.0 65.0 7.7 50 ‐ 75 A7525 748 1,663 2,560 1.5 1.7 11.8 20 ‐ 30 A7526 1,293 16,342 44,690 2.7 2.7 0.0 30 ‐ 40 A9999 258 353 10,150 28.8 25.0 15.2 20 ‐ 30 B4034 8,493 227,268 1,118,220 4.9 4.6 6.5 20 ‐ 30 B4035 26,889 647,431 5,803,720 9.0 8.9 1.1 10 ‐ 20 B4036 1,684 47,269 306,940 6.5 6.1 6.6 40 ‐ 50 B4087 938 938 28,020 29.9 26.0 15.0 20 ‐ 30 B4088 215 215 6,420 29.9 26.9 11.2 30 ‐ 40 B4150 6,446 2,346,375 1,217,590 0.5 0.5 0.0 50 ‐ 75 B4152 3,675 1,675,253 731,990 0.4 0.4 0.0 75 ‐ 100 B4153 79 34,500 50,400 1.5 1.4 7.1 75 ‐ 100 B4154 3,261 1,100,271 1,030,510 0.9 0.9 0.0 75 ‐ 100 B4155 1,445 39,157 28,830 0.7 0.7 0.0 50 ‐ 75 B4185 725 13,633 135,460 9.9 9.1 8.8 75 ‐ 100 B4189 52 366 52,000 142.1 154.1 7.8 75 ‐ 100 B4193 356 2,732 449,000 164.3 199.5 17.6 50 ‐ 75 B4197 941 6,153 1,665,000 270.6 239.7 12.9 50 ‐ 75 B4199 168 959 269,250 280.8 265.5 5.8 50 ‐ 75 B4220 2,118 14,756 104,290 7.1 7.0 1.4 40 ‐ 50 B4224 2,150 15,105 325,830 21.6 21.7 0.5 40 ‐ 50 B9002 10,653 10,653 946,230 88.8 90.2 1.6 10 ‐ 20 B9004 392 392 137,200 350.0 344.1 1.7 20 ‐ 30 E0100 5,346 5,346 102,290 19.1 16.0 19.4 10 ‐ 20 E0105 2,946 2,946 110,570 37.5 36.8 1.9 10 ‐ 20 E0110 119 119 7,660 64.4 56.6 13.8 50 ‐ 75 E0112 3 3 90 30.0 26.3 14.1 75 ‐ 100 E0114 1,990 1,990 68,510 34.4 34.4 0.0 10 ‐ 20 E0116 17 24 350 14.6 17.1 14.6 75 ‐ 100 E0130 4 4 200 50.0 46.4 7.8 75 ‐ 100 E0135 2,248 2,248 126,280 56.2 54.0 4.1 20 ‐ 30 E0140 5 5 1,250 250.0 214.3 16.7 75 ‐ 100 E0141 146 146 11,540 79.0 73.6 7.3 50 ‐ 75 E0143 39,149 39,149 3,200,360 81.7 79.6 2.6 5 ‐ 10


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

E0147 58 58 23,200 400.0 387.7 3.2 40 ‐ 50 E0148 115 115 10,350 90.0 89.3 0.8 40 ‐ 50 E0149 619 619 92,380 149.2 150.5 0.9 20 ‐ 30 E0154 346 357 16,020 44.9 37.7 19.1 50 ‐ 75 E0155 313 313 6,240 19.9 20.7 3.9 30 ‐ 40 E0156 13,113 13,113 257,070 19.6 17.7 10.7 5 ‐ 10 E0158 32 32 640 20.0 21.3 6.1 50 ‐ 75 E0159 38 46 540 11.7 12.1 3.3 50 ‐ 75 E0163 18,333 18,333 1,592,820 86.9 86.0 1.0 5 ‐ 10 E0165 3,432 3,432 37,430 10.9 11.4 4.4 20 ‐ 30 E0168 517 517 73,550 142.3 95.1 49.6 40 ‐ 50 E0181 9,775 9,775 183,420 18.8 17.0 10.6 10 ‐ 20 E0184 398 398 47,700 119.8 96.6 24.0 50 ‐ 75 E0185 2,488 2,488 544,070 218.7 188.5 16.0 20 ‐ 30 E0186 5 5 50 10.0 16.3 38.7 75 ‐ 100 E0188 96 96 1,920 20.0 20.3 1.5 5 ‐ 10 E0189 29 29 1,160 40.0 41.9 4.5 10 ‐ 20 E0193 16 16 9,200 575.0 544.2 5.7 75 ‐ 100 E0194 212 212 450,000 2,122.6 2,079.3 2.1 0 ‐ 5 E0196 46 46 1,050 22.8 21.0 8.6 75 ‐ 100 E0197 10 10 2,000 200.0 107.2 86.6 75 ‐ 100 E0199 7 7 200 28.6 22.6 26.5 75 ‐ 100 E0200 1 1 70 70.0 64.7 8.2 75 ‐ 100 E0205 52 52 7,900 151.9 144.5 5.1 20 ‐ 30 E0210 368 368 9,000 24.5 24.8 1.2 10 ‐ 20 E0215 2,768 2,768 150,520 54.4 53.9 0.9 5 ‐ 10 E0217 3,399 3,399 1,271,790 374.2 375.4 0.3 5 ‐ 10 E0235 803 803 7,650 9.5 10.7 11.2 20 ‐ 30 E0236 44 44 1,640 37.3 35.8 4.2 40 ‐ 50 E0238 6 6 120 20.0 22.6 11.5 10 ‐ 20 E0249 611 611 46,790 76.6 76.3 0.4 20 ‐ 30 E0250 67 67 3,510 52.4 54.1 3.1 75 ‐ 100 E0255 380 380 25,170 66.2 65.2 1.5 50 ‐ 75 E0260 102,519 102,519 8,528,490 83.2 80.9 2.8 5 ‐ 10 E0261 2,607 2,607 186,990 71.7 73.6 2.6 30 ‐ 40


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

E0265 1 1 150 150.0 116.7 28.5 75 ‐ 100 E0271 284 284 41,040 144.5 107.5 34.4 50 ‐ 75 E0272 21 21 3,150 150.0 106.1 41.4 75 ‐ 100 E0277 6,957 6,957 2,955,900 424.9 417.6 1.7 5 ‐ 10 E0294 53 53 4,050 76.4 70.6 8.2 75 ‐ 100 E0295 35 35 2,430 69.4 69.4 0.0 75 ‐ 100 E0301 66 66 10,300 156.1 146.6 6.5 50 ‐ 75 E0303 1,581 1,581 257,330 162.8 173.2 6.0 20 ‐ 30 E0304 48 48 21,000 437.5 420.7 4.0 50 ‐ 75 E0305 46 46 460 10.0 9.2 8.7 75 ‐ 100 E0310 1 1 150 150.0 63.8 135.1 75 ‐ 100 E0325 40 40 390 9.8 7.0 40.0 50 ‐ 75 E0326 1 1 10 10.0 7.9 26.6 75 ‐ 100 E0371 71 71 19,150 269.7 263.3 2.4 10 ‐ 20 E0372 129 129 42,750 331.4 320.8 3.3 10 ‐ 20 E0373 28 28 10,100 360.7 336.6 7.2 40 ‐ 50 E0424 53 53 7,950 150.0 130.4 15.0 75 ‐ 100 E0431 261,839 261,839 5,092,930 19.5 22.4 12.9 0 ‐ 5 E0434 24,269 24,269 468,840 19.3 22.2 13.1 0 ‐ 5 E0439 18,771 18,771 2,718,790 144.8 133.6 8.4 0 ‐ 5 E0442 9,328 9,328 540,270 57.9 59.5 2.7 5 ‐ 10 E0443 38,874 38,874 2,183,780 56.2 57.8 2.8 0 ‐ 5 E0444 10,114 10,114 585,300 57.9 59.5 2.7 5 ‐ 10 E0450 635 635 495,100 779.7 761.6 2.4 40 ‐ 50 E0461 54 54 43,200 800.0 781.1 2.4 75 ‐ 100 E0463 993 993 993,000 1,000.0 1,145.8 12.7 10 ‐ 20 E0464 216 216 216,000 1,000.0 1,164.2 14.1 30 ‐ 40 E0470 26,610 26,610 4,027,890 151.4 144.0 5.1 0 ‐ 5 E0471 5,066 5,066 1,786,440 352.6 351.7 0.3 5 ‐ 10 E0480 1 1 40 40.0 28.2 41.8 75 ‐ 100 E0482 322 322 91,700 284.8 286.1 0.5 20 ‐ 30 E0483 1,090 1,090 771,100 707.4 718.3 1.5 0 ‐ 5 E0484 148 148 4,440 30.0 30.1 0.3 20 ‐ 30 E0486 53 53 89,950 1,697.2 1,557.2 9.0 20 ‐ 30 E0500 19 19 1,710 90.0 83.1 8.3 75 ‐ 100


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

E0550 11 11 360 32.7 32.5 0.6 75 ‐ 100 E0561 159 159 4,910 30.9 27.4 12.8 10 ‐ 20 E0562 40,735 40,735 2,791,430 68.5 74.6 8.2 0 ‐ 5 E0565 1,295 1,295 51,730 39.9 39.7 0.5 20 ‐ 30 E0570 201,364 201,364 1,851,910 9.2 10.4 11.5 0 ‐ 5 E0571 6 6 150 25.0 21.7 15.2 50 ‐ 75 E0574 73 73 1,950 26.7 28.3 5.7 20 ‐ 30 E0600 5,336 5,336 158,690 29.7 29.0 2.4 20 ‐ 30 E0601 133,535 133,535 8,062,940 60.4 60.7 0.5 0 ‐ 5 E0605 4 4 80 20.0 18.3 9.3 75 ‐ 100 E0607 21,881 21,881 1,063,340 48.6 45.7 6.3 0 ‐ 5 E0621 26 26 1,980 76.2 41.2 85.0 75 ‐ 100 E0627 1,377 1,377 401,310 291.4 266.0 9.5 10 ‐ 20 E0628 417 417 123,700 296.6 267.3 11.0 20 ‐ 30 E0629 99 99 29,450 297.5 270.7 9.9 30 ‐ 40 E0630 11,617 11,617 751,210 64.7 64.8 0.2 20 ‐ 30 E0635 15 15 1,260 84.0 81.4 3.2 75 ‐ 100 E0636 68 68 53,950 793.4 760.4 4.3 50 ‐ 75 E0650 1 1 600 600.0 180.6 232.2 75 ‐ 100 E0651 551 551 356,120 646.3 571.2 13.1 20 ‐ 30 E0652 17 17 68,000 4,000.0 2,937.7 36.2 40 ‐ 50 E0667 547 852 223,600 262.4 258.5 1.5 10 ‐ 20 E0668 48 48 15,550 324.0 264.2 22.6 30 ‐ 40 E0669 38 57 8,550 150.0 150.2 0.1 20 ‐ 30 E0675 234 234 67,750 289.5 293.5 1.4 30 ‐ 40 E0705 237 237 10,370 43.8 42.0 4.3 50 ‐ 75 E0720 1,267 1,267 139,090 109.8 112.6 2.5 10 ‐ 20 E0730 11,098 11,098 1,249,940 112.6 114.7 1.8 0 ‐ 5 E0731 977 977 278,300 284.9 280.5 1.6 10 ‐ 20 E0740 28 28 10,840 387.1 302.8 27.8 50 ‐ 75 E0745 1,317 1,317 81,990 62.3 59.5 4.7 5 ‐ 10 E0747 237 237 711,000 3,000.0 3,132.0 4.2 5 ‐ 10 E0748 1,000 1,000 3,000,000 3,000.0 3,247.2 7.6 0 ‐ 5 E0760 252 252 756,000 3,000.0 2,712.8 10.6 5 ‐ 10 E0762 88 88 74,400 845.5 812.5 4.1 20 ‐ 30


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

E0776 15,829 15,829 312,380 19.7 19.6 0.5 5 ‐ 10 E0779 256 256 2,550 10.0 11.1 9.9 5 ‐ 10 E0781 4,702 4,702 832,790 177.1 187.4 5.5 5 ‐ 10 E0784 4,905 4,905 1,351,950 275.6 284.2 3.0 0 ‐ 5 E0791 12 12 3,000 250.0 218.2 14.6 50 ‐ 75 E0849 385 385 137,600 357.4 304.8 17.3 20 ‐ 30 E0855 72 72 24,120 335.0 241.2 38.9 40 ‐ 50 E0860 202 202 5,740 28.4 28.1 1.1 20 ‐ 30 E0900 21 21 1,990 94.8 93.2 1.7 40 ‐ 50 E0910 8,230 8,230 79,240 9.6 11.0 12.7 10 ‐ 20 E0912 420 420 27,360 65.1 65.8 1.1 50 ‐ 75 E0935 3,161 44,733 798,520 17.9 17.7 1.1 5 ‐ 10 E0940 1,658 1,658 33,630 20.3 18.8 8.0 30 ‐ 40 E0941 1 1 40 40.0 36.4 9.9 75 ‐ 100 E0950 87 87 6,610 76.0 66.4 14.5 50 ‐ 75 E0951 2,947 3,691 22,670 6.1 6.9 11.6 30 ‐ 40 E0952 14 25 330 13.2 12.7 3.9 50 ‐ 75 E0955 848 848 126,700 149.4 142.0 5.2 20 ‐ 30 E0956 305 556 41,150 74.0 68.5 8.0 30 ‐ 40 E0957 29 34 3,400 100.0 88.1 13.5 50 ‐ 75 E0958 33 33 1,050 31.8 28.0 13.6 75 ‐ 100 E0959 9 9 0 0.0 13.3 100.0 75 ‐ 100 E0960 134 134 9,740 72.7 67.1 8.3 30 ‐ 40 E0961 3,171 3,839 32,510 8.5 10.4 18.3 30 ‐ 40 E0966 10 10 100 10.0 14.1 29.1 75 ‐ 100 E0971 12,534 14,818 179,350 12.1 14.5 16.6 10 ‐ 20 E0973 7,285 10,888 611,150 56.1 53.4 5.1 20 ‐ 30 E0974 2 4 80 20.0 17.5 14.3 75 ‐ 100 E0978 3,451 3,451 64,930 18.8 18.1 3.9 20 ‐ 30 E0981 35 35 1,150 32.9 31.6 4.1 50 ‐ 75 E0982 19 19 670 35.3 33.2 6.3 50 ‐ 75 E0986 2 2 8,000 4,000.0 4,086.0 2.1 50 ‐ 75 E0990 2,725 5,046 356,140 70.6 68.4 3.2 30 ‐ 40 E0992 5 5 350 70.0 52.7 32.8 75 ‐ 100 E0995 9 12 240 20.0 17.2 16.3 50 ‐ 75


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

E1002 192 192 576,000 3,000.0 2,916.1 2.9 30 ‐ 40 E1004 2 2 8,000 4,000.0 3,040.0 31.6 75 ‐ 100 E1007 241 241 1,205,000 5,000.0 6,232.8 19.8 20 ‐ 30 E1008 2 2 10,000 5,000.0 6,329.3 21.0 50 ‐ 75 E1010 93 93 79,050 850.0 805.5 5.5 40 ‐ 50 E1015 5 9 900 100.0 96.4 3.7 30 ‐ 40 E1016 17 34 3,550 104.4 95.7 9.1 75 ‐ 100 E1020 169 174 25,990 149.4 117.1 27.6 50 ‐ 75 E1028 1,607 1,802 268,240 148.9 144.3 3.2 20 ‐ 30 E1029 1 1 250 250.0 252.7 1.1 75 ‐ 100 E1030 4 4 3,400 850.0 843.7 0.7 20 ‐ 30 E1031 3,065 3,065 94,790 30.9 30.5 1.3 30 ‐ 40 E1035 125 125 53,800 430.4 416.7 3.3 40 ‐ 50 E1038 8,738 8,738 103,170 11.8 11.3 4.4 20 ‐ 30 E1161 188 188 376,000 2,000.0 1,656.0 20.8 40 ‐ 50 E1226 1,035 1,035 194,740 188.2 142.3 32.3 50 ‐ 75 E1372 30 30 600 20.0 18.9 5.8 30 ‐ 40 E1390 537,191 537,191 76,516,300 142.4 131.9 8.0 0 ‐ 5 E1391 18 18 2,700 150.0 152.0 1.3 50 ‐ 75 E1392 10,345 10,345 407,270 39.4 40.5 2.7 5 ‐ 10 E1399 856 881 94,330 107.1 106.1 0.9 40 ‐ 50 E1510 12 12 1,200 100.0 90.7 10.3 75 ‐ 100 E1594 124 124 47,700 384.7 372.9 3.2 10 ‐ 20 E1800 1,374 1,374 107,570 78.3 75.8 3.3 5 ‐ 10 E1801 24 24 2,400 100.0 91.2 9.6 50 ‐ 75 E1802 38 38 8,050 211.8 207.7 2.0 20 ‐ 30 E1805 2,187 2,187 171,270 78.3 78.2 0.1 0 ‐ 5 E1806 6 6 530 88.3 75.6 16.8 75 ‐ 100 E1810 3,197 3,197 255,430 79.9 79.5 0.5 0 ‐ 5 E1811 182 182 17,160 94.3 97.1 2.9 30 ‐ 40 E1815 1,581 1,581 127,220 80.5 80.8 0.4 0 ‐ 5 E1818 5 5 500 100.0 100.6 0.6 75 ‐ 100 E1820 8 8 520 65.0 60.3 7.8 40 ‐ 50 E1825 575 575 46,680 81.2 81.0 0.2 0 ‐ 5 E1830 185 185 16,160 87.4 84.5 3.4 10 ‐ 20


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

E1840 190 190 51,550 271.3 265.7 2.1 5 ‐ 10 E1841 3 3 1,200 400.0 354.6 12.8 75 ‐ 100 E2100 221 221 110,390 499.5 461.9 8.1 10 ‐ 20 E2120 10 10 2,000 200.0 172.4 16.0 40 ‐ 50 E2201 535 535 31,500 58.9 62.5 5.8 50 ‐ 75 E2202 5 5 200 40.0 79.8 49.9 75 ‐ 100 E2203 29 29 11,300 389.7 298.7 30.5 50 ‐ 75 E2205 8 16 400 25.0 25.2 0.8 75 ‐ 100 E2206 77 130 4,280 32.9 30.1 9.3 50 ‐ 75 E2208 1,205 1,205 83,330 69.2 63.2 9.5 20 ‐ 30 E2209 151 179 12,500 69.8 57.6 21.2 40 ‐ 50 E2210 115 446 1,870 4.2 3.9 7.7 50 ‐ 75 E2211 98 191 4,960 26.0 25.4 2.4 40 ‐ 50 E2212 37 68 300 4.4 4.3 2.3 30 ‐ 40 E2213 220 416 9,920 23.8 22.4 6.3 30 ‐ 40 E2214 12 24 680 28.3 28.0 1.1 50 ‐ 75 E2215 4 8 60 7.5 6.7 11.9 50 ‐ 75 E2219 23 46 1,550 33.7 31.2 8.0 50 ‐ 75 E2220 12 24 550 22.9 21.3 7.5 75 ‐ 100 E2221 2 4 80 20.0 21.1 5.2 75 ‐ 100 E2222 5 10 200 20.0 15.9 25.8 75 ‐ 100 E2224 6 12 900 75.0 69.5 7.9 50 ‐ 75 E2226 3 6 180 30.0 31.4 4.5 75 ‐ 100 E2231 85 85 11,510 135.4 106.9 26.7 50 ‐ 75 E2310 92 92 78,200 850.0 830.3 2.4 40 ‐ 50 E2311 312 312 624,000 2,000.0 1,662.4 20.3 20 ‐ 30 E2312 2 2 4,000 2,000.0 1,640.9 21.9 75 ‐ 100 E2313 304 304 76,000 250.0 257.3 2.8 20 ‐ 30 E2321 53 53 53,000 1,000.0 1,246.6 19.8 50 ‐ 75 E2323 59 59 2,950 50.0 47.0 6.4 40 ‐ 50 E2324 2 2 60 30.0 31.7 5.4 30 ‐ 40 E2325 1 1 1,000 1,000.0 851.7 17.4 75 ‐ 100 E2326 1 1 250 250.0 251.3 0.5 50 ‐ 75 E2330 7 7 14,000 2,000.0 2,477.6 19.3 20 ‐ 30 E2361 1,989 3,968 395,340 99.6 98.2 1.4 10 ‐ 20


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

E2363 972 1,942 242,600 124.9 132.2 5.5 10 ‐ 20 E2365 9,560 19,090 1,425,110 74.7 79.4 5.9 5 ‐ 10 E2366 1,059 1,059 192,420 181.7 174.2 4.3 20 ‐ 30 E2367 8 8 2,400 300.0 299.4 0.2 75 ‐ 100 E2368 25 36 13,150 365.3 362.6 0.7 75 ‐ 100 E2369 1 2 650 325.0 324.2 0.2 75 ‐ 100 E2370 520 645 361,850 561.0 572.2 2.0 30 ‐ 40 E2373 11 11 6,450 586.4 573.5 2.2 50 ‐ 75 E2374 496 496 198,250 399.7 379.9 5.2 30 ‐ 40 E2375 382 382 229,700 601.3 607.6 1.0 30 ‐ 40 E2376 37 37 35,150 950.0 926.6 2.5 50 ‐ 75 E2377 321 321 112,350 350.0 345.8 1.2 20 ‐ 30 E2381 84 160 8,000 50.0 47.5 5.3 50 ‐ 75 E2382 43 69 1,100 15.9 14.0 13.6 50 ‐ 75 E2383 48 96 9,650 100.5 105.8 5.0 50 ‐ 75 E2384 65 128 6,420 50.2 54.7 8.2 50 ‐ 75 E2385 2 4 140 35.0 29.4 19.0 75 ‐ 100 E2386 629 1,246 124,330 99.8 105.3 5.2 30 ‐ 40 E2387 130 258 12,040 46.7 44.7 4.5 50 ‐ 75 E2388 6 12 420 35.0 35.5 1.4 75 ‐ 100 E2389 8 16 320 20.0 18.3 9.3 75 ‐ 100 E2390 2 4 120 30.0 31.0 3.2 75 ‐ 100 E2391 67 135 2,020 15.0 14.3 4.9 50 ‐ 75 E2392 454 975 37,730 38.7 36.5 6.0 40 ‐ 50 E2394 154 308 15,400 50.0 54.5 8.3 40 ‐ 50 E2395 95 183 7,280 39.8 37.6 5.9 50 ‐ 75 E2396 25 44 2,010 45.7 42.6 7.3 75 ‐ 100 E2402 5,000 5,000 4,978,800 995.8 1,208.6 17.6 0 ‐ 5 E2510 100 100 500,000 5,000.0 5,507.9 9.2 30 ‐ 40 E2512 14 14 13,350 953.6 855.7 11.4 75 ‐ 100 E2599 47 47 57,650 1,226.6 951.1 29.0 50 ‐ 75 E2601 6,191 6,191 267,020 43.1 44.7 3.6 10 ‐ 20 E2602 88 88 7,980 90.7 83.4 8.8 50 ‐ 75 E2603 577 577 62,400 108.1 108.3 0.2 20 ‐ 30 E2604 28 28 4,200 150.0 135.3 10.9 40 ‐ 50


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

E2605 101 101 21,200 209.9 198.7 5.6 40 ‐ 50 E2607 340 340 72,550 213.4 213.5 0.0 20 ‐ 30 E2608 3 3 750 250.0 245.1 2.0 75 ‐ 100 E2609 56 56 42,900 766.1 766.5 0.1 40 ‐ 50 E2611 2,479 2,479 619,200 249.8 232.3 7.5 10 ‐ 20 E2612 7 7 2,100 300.0 316.3 5.2 75 ‐ 100 E2613 71 71 22,450 316.2 299.5 5.6 50 ‐ 75 E2614 1 1 400 400.0 414.8 3.6 50 ‐ 75 E2615 143 143 53,600 374.8 345.7 8.4 30 ‐ 40 E2617 63 63 53,350 846.8 822.8 2.9 40 ‐ 50 E2619 50 50 1,920 38.4 35.3 8.8 40 ‐ 50 E2620 343 343 138,750 404.5 400.0 1.1 20 ‐ 30 E2621 5 5 2,000 400.0 408.9 2.2 50 ‐ 75 G0333 13,455 13,455 635,960 47.3 43.1 9.7 0 ‐ 5 J0886 20 740 5,550 7.5 7.6 1.3 75 ‐ 100 J0895 46 732 9,150 12.5 12.4 0.8 75 ‐ 100 J1170 17 4,250 5,100 1.2 1.2 0.0 75 ‐ 100 J1250 1 24 90 3.8 3.8 0.0 75 ‐ 100 J1325 205 52,027 553,600 10.6 10.1 5.0 20 ‐ 30 J1561 36 2,260 65,000 28.8 30.1 4.3 75 ‐ 100 J1562 381 99,777 942,400 9.4 9.1 3.3 50 ‐ 75 J1569 69 4,350 134,000 30.8 27.6 11.6 50 ‐ 75 J1570 41 148 4,040 27.3 28.0 2.5 50 ‐ 75 J1817 3,538 327,190 728,830 2.2 2.2 0.0 0 ‐ 5 J2260 105 7,938 316,000 39.8 38.7 2.8 75 ‐ 100 J2545 3 3 120 40.0 40.4 1.0 75 ‐ 100 J2930 1 12 30 2.5 2.3 8.7 75 ‐ 100 J3285 444 108,860 5,182,000 47.6 49.1 3.1 10 ‐ 20 J7500 1,604 86,220 9,430 0.1 0.1 0.0 5 ‐ 10 J7502 3,095 199,510 489,100 2.5 2.5 0.0 5 ‐ 10 J7506 8,566 399,044 3,000 0.0 0.0 0.0 0 ‐ 5 J7507 24,190 3,658,381 9,435,170 2.6 2.6 0.0 0 ‐ 5 J7509 71 4,905 140 0.0 0.1 100.0 20 ‐ 30 J7510 15 378 0 0.0 0.0 0.0 50 ‐ 75 J7515 5,011 692,610 420,820 0.6 0.6 0.0 5 ‐ 10


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

J7517 16,990 3,017,967 4,196,050 1.4 1.4 0.0 0 ‐ 5 J7518 6,381 1,169,356 2,751,320 2.4 2.4 0.0 0 ‐ 5 J7520 2,985 236,539 1,768,750 7.5 7.7 2.6 5 ‐ 10 J7605 12,742 751,850 3,073,110 4.1 4.1 0.0 0 ‐ 5 J7606 7,093 414,906 1,451,010 3.5 3.7 5.4 0 ‐ 5 J7608 844 16,725 26,850 1.6 1.5 6.7 40 ‐ 50 J7611 789 166,660 11,120 0.1 0.1 0.0 20 ‐ 30 J7613 89,633 22,563,783 943,030 0.0 0.0 0.0 0 ‐ 5 J7614 3,029 491,447 95,560 0.2 0.2 0.0 20 ‐ 30 J7620 88,250 9,946,044 1,687,060 0.2 0.2 0.0 0 ‐ 5 J7626 38,086 2,265,680 9,773,340 4.3 4.3 0.0 0 ‐ 5 J7631 15 3,600 1,340 0.4 0.3 33.3 75 ‐ 100 J7639 228 18,411 383,200 20.8 19.2 8.3 10 ‐ 20 J7644 26,997 1,455,348 272,020 0.2 0.2 0.0 0 ‐ 5 J7682 180 10,080 540,000 53.6 45.7 17.3 20 ‐ 30 J7699 212 6,048 2,072,000 342.6 294.4 16.4 5 ‐ 10 J7799 129 1,772 208,900 117.9 91.1 29.4 50 ‐ 75 J8501 149 6,776 30,250 4.5 4.5 0.0 50 ‐ 75 J8540 40 3,648 200 0.1 0.1 0.0 75 ‐ 100 J8597 15 2,200 1,250 0.6 1.6 62.5 75 ‐ 100 J9190 3,357 26,604 43,130 1.6 1.6 0.0 10 ‐ 20 K0001 75,282 75,282 2,342,410 31.1 33.4 6.9 5 ‐ 10 K0002 2,050 2,050 105,480 51.5 50.9 1.2 30 ‐ 40 K0003 41,809 41,809 2,406,550 57.6 55.1 4.5 10 ‐ 20 K0004 29,898 29,898 2,393,330 80.0 81.6 2.0 10 ‐ 20 K0005 146 146 234,050 1,603.1 864.7 85.4 50 ‐ 75 K0006 2,739 2,739 214,920 78.5 76.5 2.6 40 ‐ 50 K0007 2,352 2,352 269,030 114.4 114.5 0.1 30 ‐ 40 K0009 7 7 14,000 2,000.0 1,769.2 13.0 50 ‐ 75 K0015 5 8 1,050 131.3 90.7 44.8 75 ‐ 100 K0017 12 19 690 36.3 33.3 9.0 75 ‐ 100 K0018 4 4 80 20.0 19.1 4.7 75 ‐ 100 K0019 994 1,554 15,450 9.9 11.4 13.2 30 ‐ 40 K0020 21 21 60 2.9 7.2 59.7 75 ‐ 100 K0038 53 64 1,270 19.8 15.8 25.3 50 ‐ 75


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

K0039 6 6 270 45.0 39.9 12.8 75 ‐ 100 K0040 355 646 35,520 55.0 51.3 7.2 40 ‐ 50 K0041 4 7 280 40.0 38.5 3.9 75 ‐ 100 K0043 18 32 460 14.4 13.9 3.6 50 ‐ 75 K0044 11 15 160 10.7 11.8 9.3 50 ‐ 75 K0045 3 4 160 40.0 38.2 4.7 75 ‐ 100 K0047 7 12 620 51.7 50.8 1.8 50 ‐ 75 K0051 3 3 120 40.0 36.9 8.4 75 ‐ 100 K0052 29 50 3,710 74.2 38.4 93.2 75 ‐ 100 K0053 26 27 400 14.8 18.3 19.1 75 ‐ 100 K0056 75 75 2,990 39.9 36.6 9.0 50 ‐ 75 K0065 6 12 420 35.0 38.7 9.6 75 ‐ 100 K0069 9 18 1,350 75.0 78.8 4.8 75 ‐ 100 K0070 28 54 7,950 147.2 142.2 3.5 50 ‐ 75 K0071 4 8 800 100.0 79.2 26.3 75 ‐ 100 K0072 22 44 2,140 48.6 50.4 3.6 40 ‐ 50 K0077 39 75 3,410 45.5 42.8 6.3 50 ‐ 75 K0105 4 4 320 80.0 35.4 126.0 75 ‐ 100 K0108 4,066 4,799 521,920 108.8 112.5 3.3 40 ‐ 50 K0195 39,746 39,746 457,950 11.5 12.0 4.2 5 ‐ 10 K0455 729 729 144,030 197.6 208.5 5.2 0 ‐ 5 K0462 613 613 163,610 266.9 261.7 2.0 40 ‐ 50 K0552 6,494 167,939 372,580 2.2 2.2 0.0 0 ‐ 5 K0601 14 83 70 0.8 0.9 11.1 30 ‐ 40 K0603 798 6,424 2,750 0.4 0.5 20.0 0 ‐ 5 K0606 465 465 930,000 2,000.0 1,995.4 0.2 0 ‐ 5 K0730 19 19 13,900 731.6 959.4 23.7 20 ‐ 30 K0733 92 184 3,640 19.8 20.7 4.3 50 ‐ 75 K0734 577 577 153,500 266.0 247.4 7.5 20 ‐ 30 K0735 13 13 3,900 300.0 311.4 3.7 50 ‐ 75 K0736 182 182 46,750 256.9 243.0 5.7 30 ‐ 40 K0737 3 3 900 300.0 306.3 2.1 75 ‐ 100 K0738 32,233 32,233 1,261,700 39.1 40.3 3.0 0 ‐ 5 K0739 9,766 30,043 345,800 11.5 12.2 5.7 20 ‐ 30 K0800 398 398 377,900 949.5 854.9 11.1 30 ‐ 40


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

K0801 14 14 28,000 2,000.0 1,231.9 62.4 75 ‐ 100 K0814 6 6 12,000 2,000.0 1,747.0 14.5 75 ‐ 100 K0815 2 2 6,000 3,000.0 2,666.9 12.5 75 ‐ 100 K0816 3 3 6,000 2,000.0 1,278.0 56.5 75 ‐ 100 K0822 571 571 1,713,000 3,000.0 2,680.9 11.9 20 ‐ 30 K0823 6,562 6,562 19,548,900 2,979.1 2,795.6 6.6 5 ‐ 10 K0824 12 12 48,000 4,000.0 3,278.8 22.0 75 ‐ 100 K0825 492 492 1,476,000 3,000.0 2,933.3 2.3 20 ‐ 30 K0827 29 29 116,000 4,000.0 3,832.9 4.4 40 ‐ 50 K0835 4 4 12,000 3,000.0 2,912.9 3.0 75 ‐ 100 K0848 79 79 316,000 4,000.0 3,797.2 5.3 40 ‐ 50 K0849 6 6 24,000 4,000.0 3,410.3 17.3 75 ‐ 100 K0856 157 157 628,000 4,000.0 4,016.6 0.4 30 ‐ 40 K0858 2 2 10,000 5,000.0 3,720.2 34.4 75 ‐ 100 K0861 228 228 912,000 4,000.0 4,039.5 1.0 20 ‐ 30 K0862 4 4 20,000 5,000.0 2,747.0 82.0 75 ‐ 100 L0113 1 1 200 200.0 205.1 2.5 75 ‐ 100 L0120 837 837 15,610 18.6 18.2 2.2 10 ‐ 20 L0140 4 4 160 40.0 41.7 4.1 75 ‐ 100 L0150 2 2 180 90.0 77.6 16.0 75 ‐ 100 L0172 264 264 25,970 98.4 94.2 4.5 30 ‐ 40 L0174 306 306 62,350 203.8 189.5 7.5 20 ‐ 30 L0180 5 5 1,250 250.0 272.3 8.2 75 ‐ 100 L0200 10 10 4,500 450.0 405.2 11.1 50 ‐ 75 L0220 2 2 100 50.0 35.2 42.0 75 ‐ 100 L0450 10 10 1,300 130.0 126.7 2.6 75 ‐ 100 L0454 13 13 3,250 250.0 244.8 2.1 50 ‐ 75 L0456 81 81 56,700 700.0 699.9 0.0 20 ‐ 30 L0460 39 39 28,850 739.7 725.5 2.0 50 ‐ 75 L0462 11 11 9,900 900.0 890.1 1.1 40 ‐ 50 L0464 58 58 58,000 1,000.0 1,045.9 4.4 20 ‐ 30 L0472 256 256 77,750 303.7 305.3 0.5 10 ‐ 20 L0482 29 29 29,000 1,000.0 1,161.4 13.9 50 ‐ 75 L0484 1 1 1,000 1,000.0 1,282.5 22.0 75 ‐ 100 L0486 75 75 82,000 1,093.3 1,368.3 20.1 30 ‐ 40


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

L0621 69 69 5,110 74.1 66.4 11.6 40 ‐ 50 L0625 256 256 9,930 38.8 36.1 7.5 30 ‐ 40 L0626 342 342 20,000 58.5 52.9 10.6 10 ‐ 20 L0627 2,397 2,397 710,450 296.4 287.4 3.1 5 ‐ 10 L0628 209 209 12,420 59.4 57.0 4.2 20 ‐ 30 L0630 301 301 29,700 98.7 109.2 9.6 10 ‐ 20 L0631 3,595 3,595 2,669,750 742.6 727.7 2.0 5 ‐ 10 L0633 73 73 14,600 200.0 200.5 0.2 20 ‐ 30 L0636 1 1 1,000 1,000.0 1,130.0 11.5 75 ‐ 100 L0637 2,019 2,019 1,841,250 912.0 898.1 1.5 10 ‐ 20 L0638 13 13 12,350 950.0 900.6 5.5 50 ‐ 75 L0639 62 62 59,650 962.1 899.5 7.0 40 ‐ 50 L0640 8 8 6,000 750.0 722.5 3.8 50 ‐ 75 L0972 61 61 4,880 80.0 77.6 3.1 20 ‐ 30 L0974 1 1 100 100.0 127.8 21.8 75 ‐ 100 L0976 55 55 6,150 111.8 109.7 1.9 40 ‐ 50 L1220 14 14 2,100 150.0 163.8 8.4 50 ‐ 75 L1652 136 136 33,900 249.3 253.3 1.6 5 ‐ 10 L1686 21 21 15,250 726.2 657.7 10.4 50 ‐ 75 L1810 2,044 2,471 196,670 79.6 74.7 6.6 10 ‐ 20 L1820 1,393 1,492 142,910 95.8 93.8 2.1 10 ‐ 20 L1830 1,027 1,028 66,310 64.5 63.2 2.1 10 ‐ 20 L1831 332 466 96,500 207.1 208.7 0.8 0 ‐ 5 L1832 1,471 1,676 831,450 496.1 485.6 2.2 10 ‐ 20 L1836 9 9 810 90.0 87.6 2.7 30 ‐ 40 L1843 440 458 291,550 636.6 631.5 0.8 10 ‐ 20 L1844 199 199 199,000 1,000.0 1,261.5 20.7 10 ‐ 20 L1845 527 569 351,050 617.0 621.1 0.7 10 ‐ 20 L1846 198 203 177,350 873.6 863.6 1.2 20 ‐ 30 L1847 4 8 3,400 425.0 377.3 12.6 50 ‐ 75 L1850 25 25 5,200 208.0 199.8 4.1 10 ‐ 20 L1902 2,920 3,550 202,370 57.0 57.2 0.3 10 ‐ 20 L1906 1,320 1,324 109,220 82.5 81.3 1.5 20 ‐ 30 L1907 26 29 11,600 400.0 397.0 0.8 50 ‐ 75 L1930 660 691 120,860 174.9 167.7 4.3 20 ‐ 30


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

L1932 493 555 341,650 615.6 630.4 2.3 20 ‐ 30 L1940 724 760 279,480 367.7 365.6 0.6 20 ‐ 30 L1945 17 21 15,400 733.3 692.9 5.8 75 ‐ 100 L1950 2 2 1,100 550.0 496.1 10.9 75 ‐ 100 L1951 136 148 86,400 583.8 595.5 2.0 20 ‐ 30 L1960 1,080 1,166 507,550 435.3 421.1 3.4 30 ‐ 40 L1970 1,209 1,300 686,550 528.1 526.3 0.3 20 ‐ 30 L1971 438 451 156,700 347.5 324.8 7.0 20 ‐ 30 L1980 5 5 1,300 260.0 260.1 0.0 75 ‐ 100 L1990 196 208 66,300 318.8 317.7 0.3 50 ‐ 75 L2000 10 20 20,000 1,000.0 805.6 24.1 50 ‐ 75 L2005 2 2 6,000 3,000.0 2,929.1 2.4 75 ‐ 100 L2020 1 1 800 800.0 818.9 2.3 75 ‐ 100 L2036 113 125 173,000 1,384.0 1,393.1 0.7 50 ‐ 75 L2112 25 25 9,200 368.0 305.2 20.6 75 ‐ 100 L2114 71 71 30,250 426.1 362.5 17.5 50 ‐ 75 L2116 38 38 18,950 498.7 356.5 39.9 75 ‐ 100 L2180 1 1 100 100.0 87.1 14.8 75 ‐ 100 L2200 260 450 16,000 35.6 35.7 0.3 40 ‐ 50 L2210 457 910 44,040 48.4 49.4 2.0 30 ‐ 40 L2220 434 879 49,440 56.2 60.7 7.4 30 ‐ 40 L2230 55 71 4,070 57.3 56.5 1.4 50 ‐ 75 L2232 120 128 9,040 70.6 68.0 3.8 30 ‐ 40 L2250 52 55 14,100 256.4 260.4 1.5 50 ‐ 75 L2260 12 23 3,300 143.5 146.3 1.9 75 ‐ 100 L2265 109 115 9,890 86.0 87.1 1.3 50 ‐ 75 L2270 652 784 31,660 40.4 40.0 1.0 30 ‐ 40 L2275 1,972 2,255 211,400 93.7 92.5 1.3 10 ‐ 20 L2280 439 480 167,800 349.6 345.9 1.1 30 ‐ 40 L2310 2 2 200 100.0 101.6 1.6 30 ‐ 40 L2320 7 7 1,050 150.0 146.5 2.4 75 ‐ 100 L2330 491 510 144,450 283.2 289.3 2.1 20 ‐ 30 L2340 291 324 110,650 341.5 342.1 0.2 40 ‐ 50 L2350 7 7 4,850 692.9 682.9 1.5 75 ‐ 100 L2360 87 101 4,110 40.7 38.7 5.2 50 ‐ 75


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

L2385 28 49 4,890 99.8 101.6 1.8 50 ‐ 75 L2397 228 253 21,000 83.0 79.9 3.9 20 ‐ 30 L2405 14 28 1,800 64.3 62.2 3.4 75 ‐ 100 L2415 19 44 3,950 89.8 86.2 4.2 75 ‐ 100 L2425 38 74 7,400 100.0 101.0 1.0 50 ‐ 75 L2430 12 28 2,800 100.0 102.2 2.2 75 ‐ 100 L2624 25 35 9,650 275.7 267.2 3.2 50 ‐ 75 L2640 11 11 2,950 268.2 247.4 8.4 50 ‐ 75 L2660 13 13 1,950 150.0 131.9 13.7 30 ‐ 40 L2755 129 187 18,120 96.9 89.9 7.8 50 ‐ 75 L2780 102 294 14,600 49.7 50.1 0.8 50 ‐ 75 L2795 67 70 4,290 61.3 62.6 2.1 50 ‐ 75 L2800 5 5 350 70.0 77.8 10.0 75 ‐ 100 L2810 24 28 1,600 57.1 58.8 2.9 75 ‐ 100 L2820 3,001 3,423 213,720 62.4 63.0 1.0 10 ‐ 20 L2830 64 79 5,420 68.6 69.9 1.9 50 ‐ 75 L2999 1 1 30 30.0 166.1 81.9 75 ‐ 100 L3000 282 346 74,300 214.7 199.5 7.6 40 ‐ 50 L3002 28 43 5,050 117.4 105.1 11.7 75 ‐ 100 L3010 54 65 8,800 135.4 117.9 14.8 50 ‐ 75 L3020 332 433 64,900 149.9 132.7 13.0 30 ‐ 40 L3030 157 255 12,790 50.2 47.8 5.0 40 ‐ 50 L3031 1 1 90 90.0 63.2 42.4 75 ‐ 100 L3040 55 64 1,920 30.0 26.5 13.2 50 ‐ 75 L3050 2 2 60 30.0 24.1 24.5 75 ‐ 100 L3060 16 31 1,550 50.0 36.7 36.2 75 ‐ 100 L3070 30 40 900 22.5 22.0 2.3 20 ‐ 30 L3100 47 49 1,430 29.2 28.2 3.5 40 ‐ 50 L3170 21 21 840 40.0 30.0 33.3 50 ‐ 75 L3224 55 71 3,220 45.4 44.1 2.9 50 ‐ 75 L3225 57 72 3,560 49.4 48.1 2.7 50 ‐ 75 L3300 9 9 360 40.0 35.2 13.6 75 ‐ 100 L3310 86 103 5,840 56.7 54.4 4.2 40 ‐ 50 L3332 37 37 1,710 46.2 33.4 38.3 50 ‐ 75 L3350 42 54 940 17.4 15.3 13.7 50 ‐ 75


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

L3390 10 11 430 39.1 34.6 13.0 50 ‐ 75 L3400 21 26 780 30.0 25.8 16.3 50 ‐ 75 L3480 3 3 120 40.0 37.0 8.1 75 ‐ 100 L3485 12 12 240 20.0 19.8 1.0 50 ‐ 75 L3540 2 3 110 36.7 32.9 11.6 75 ‐ 100 L3600 1 1 60 60.0 46.3 29.6 75 ‐ 100 L3610 13 13 910 70.0 69.9 0.1 50 ‐ 75 L3620 32 41 2,240 54.6 51.7 5.6 50 ‐ 75 L3630 14 15 1,060 70.7 68.3 3.5 50 ‐ 75 L3650 717 717 31,430 43.8 41.1 6.6 20 ‐ 30 L3660 350 350 24,010 68.6 65.6 4.6 30 ‐ 40 L3670 2,064 2,064 173,460 84.0 82.4 1.9 10 ‐ 20 L3675 113 113 11,270 99.7 109.1 8.6 20 ‐ 30 L3702 29 29 3,960 136.6 110.6 23.5 50 ‐ 75 L3710 3 3 270 90.0 80.9 11.2 75 ‐ 100 L3720 1 2 1,000 500.0 445.9 12.1 75 ‐ 100 L3760 407 456 150,700 330.5 318.9 3.6 20 ‐ 30 L3762 53 53 3,550 67.0 59.6 12.4 50 ‐ 75 L3763 10 10 4,850 485.0 395.9 22.5 75 ‐ 100 L3766 7 7 6,250 892.9 828.0 7.8 50 ‐ 75 L3806 19 19 5,700 300.0 265.1 13.2 50 ‐ 75 L3807 2,842 3,088 421,020 136.3 137.2 0.7 10 ‐ 20 L3808 619 623 126,770 203.5 186.5 9.1 30 ‐ 40 L3900 1 1 1,000 1,000.0 738.3 35.4 75 ‐ 100 L3906 329 329 89,440 271.9 242.9 11.9 40 ‐ 50 L3908 11,876 12,890 510,580 39.6 39.9 0.8 5 ‐ 10 L3912 20 26 1,740 66.9 60.9 9.9 75 ‐ 100 L3913 368 368 61,530 167.2 154.7 8.1 30 ‐ 40 L3915 6 6 2,100 350.0 264.4 32.4 75 ‐ 100 L3917 13 13 910 70.0 65.2 7.4 50 ‐ 75 L3919 38 38 6,550 172.4 147.9 16.6 50 ‐ 75 L3923 1,102 1,142 63,910 56.0 52.9 5.9 10 ‐ 20 L3925 43 43 1,640 38.1 31.2 22.1 50 ‐ 75 L3927 30 30 600 20.0 19.8 1.0 50 ‐ 75 L3929 12 12 720 60.0 34.4 74.4 75 ‐ 100


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

L3931 47 48 5,450 113.5 87.6 29.6 50 ‐ 75 L3933 190 190 26,990 142.1 106.9 32.9 50 ‐ 75 L3960 85 85 42,400 498.8 440.3 13.3 40 ‐ 50 L3962 2 2 1,000 500.0 460.0 8.7 75 ‐ 100 L3980 138 138 30,350 219.9 211.0 4.2 20 ‐ 30 L3982 31 31 8,750 282.3 218.3 29.3 50 ‐ 75 L3984 27 27 6,900 255.6 179.1 42.7 50 ‐ 75 L3995 35 52 1,340 25.8 21.5 20.0 50 ‐ 75 L4002 106 178 2,690 15.1 17.3 12.7 50 ‐ 75 L4110 6 6 360 60.0 62.3 3.7 75 ‐ 100 L4205 367 987 15,590 15.8 15.6 1.3 50 ‐ 75 L4210 57 64 790 12.3 24.4 49.6 75 ‐ 100 L4350 1,250 1,250 80,000 64.0 61.8 3.6 10 ‐ 20 L4360 5,883 5,883 1,174,470 199.6 194.5 2.6 5 ‐ 10 L4380 99 99 7,860 79.4 77.8 2.1 30 ‐ 40 L4386 2,626 2,626 259,030 98.6 107.3 8.1 10 ‐ 20 L4392 1 2 30 15.0 16.4 8.5 75 ‐ 100 L4396 2,016 2,208 225,890 102.3 115.9 11.7 0 ‐ 5 L4398 1 1 50 50.0 54.6 8.4 75 ‐ 100 L5000 573 621 250,350 403.1 389.8 3.4 10 ‐ 20 L5020 13 13 25,000 1,923.1 1,692.2 13.6 50 ‐ 75 L5050 13 13 26,000 2,000.0 1,861.6 7.4 50 ‐ 75 L5100 10 10 20,000 2,000.0 1,835.8 8.9 20 ‐ 30 L5200 3 3 9,000 3,000.0 2,615.7 14.7 50 ‐ 75 L5301 994 1,086 2,151,000 1,980.7 1,911.7 3.6 0 ‐ 5 L5311 1 1 3,000 3,000.0 2,736.3 9.6 75 ‐ 100 L5321 296 298 809,000 2,714.8 2,692.8 0.8 10 ‐ 20 L5331 4 4 16,000 4,000.0 3,743.1 6.9 40 ‐ 50 L5450 11 11 3,450 313.6 310.8 0.9 30 ‐ 40 L5530 47 47 71,000 1,510.6 1,398.1 8.0 10 ‐ 20 L5535 1 1 1,000 1,000.0 1,356.4 26.3 75 ‐ 100 L5540 132 133 190,000 1,428.6 1,486.0 3.9 10 ‐ 20 L5580 15 15 30,000 2,000.0 1,881.5 6.3 30 ‐ 40 L5590 59 59 118,000 2,000.0 1,975.6 1.2 10 ‐ 20 L5611 33 33 33,000 1,000.0 1,225.6 18.4 10 ‐ 20


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

L5613 3 3 6,000 2,000.0 1,630.3 22.7 50 ‐ 75 L5616 1 1 1,000 1,000.0 1,102.4 9.3 50 ‐ 75 L5617 6 6 2,400 400.0 408.8 2.2 40 ‐ 50 L5618 12 17 3,700 217.6 219.4 0.8 50 ‐ 75 L5620 1,704 2,502 544,380 217.6 218.8 0.5 5 ‐ 10 L5622 2 3 950 316.7 289.3 9.5 75 ‐ 100 L5624 589 934 272,150 291.4 292.6 0.4 10 ‐ 20 L5626 1 1 350 350.0 398.4 12.1 75 ‐ 100 L5629 1,482 1,604 422,900 263.7 253.7 3.9 0 ‐ 5 L5631 519 530 180,150 339.9 352.1 3.5 5 ‐ 10 L5632 26 26 4,850 186.5 172.3 8.2 30 ‐ 40 L5634 2 2 400 200.0 231.6 13.6 50 ‐ 75 L5636 3 3 600 200.0 178.2 12.2 50 ‐ 75 L5637 1,781 1,915 483,510 252.5 248.8 1.5 0 ‐ 5 L5643 6 6 6,000 1,000.0 1,241.9 19.5 10 ‐ 20 L5645 632 682 410,050 601.2 598.4 0.5 5 ‐ 10 L5646 1 1 400 400.0 368.9 8.4 75 ‐ 100 L5647 368 393 234,400 596.4 610.9 2.4 5 ‐ 10 L5649 579 593 960,000 1,618.9 1,586.1 2.1 5 ‐ 10 L5650 610 620 236,300 381.1 387.2 1.6 5 ‐ 10 L5651 499 516 468,800 908.5 939.2 3.3 5 ‐ 10 L5652 208 209 65,250 312.2 331.7 5.9 10 ‐ 20 L5653 1 1 400 400.0 431.8 7.4 75 ‐ 100 L5654 1 1 250 250.0 272.1 8.1 75 ‐ 100 L5655 183 194 43,800 225.8 233.1 3.1 10 ‐ 20 L5658 2 2 700 350.0 313.6 11.6 75 ‐ 100 L5661 1 1 450 450.0 444.7 1.2 75 ‐ 100 L5665 79 93 38,350 412.4 414.7 0.6 20 ‐ 30 L5666 26 26 1,540 59.2 56.3 5.2 30 ‐ 40 L5668 375 442 36,430 82.4 83.2 1.0 10 ‐ 20 L5670 163 168 34,950 208.0 211.9 1.8 10 ‐ 20 L5671 1,569 1,674 674,310 402.8 406.3 0.9 5 ‐ 10 L5672 1 1 200 200.0 216.6 7.7 75 ‐ 100 L5673 2,187 4,207 2,096,150 498.3 523.4 4.8 5 ‐ 10 L5676 15 15 3,850 256.7 280.6 8.5 40 ‐ 50


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

L5678 14 14 430 30.7 32.4 5.2 40 ‐ 50 L5679 812 1,524 676,500 443.9 433.0 2.5 5 ‐ 10 L5680 14 14 3,500 250.0 241.1 3.7 30 ‐ 40 L5681 41 49 47,350 966.3 901.6 7.2 10 ‐ 20 L5682 1 1 450 450.0 479.8 6.2 75 ‐ 100 L5683 87 100 96,300 963.0 932.8 3.2 10 ‐ 20 L5684 12 12 430 35.8 38.3 6.5 50 ‐ 75 L5685 1,017 1,779 168,950 95.0 89.3 6.4 5 ‐ 10 L5686 9 9 360 40.0 41.6 3.8 40 ‐ 50 L5688 9 9 450 50.0 49.7 0.6 50 ‐ 75 L5690 3 3 250 83.3 82.9 0.5 75 ‐ 100 L5692 8 8 800 100.0 105.3 5.0 40 ‐ 50 L5694 24 24 3,600 150.0 137.1 9.4 20 ‐ 30 L5695 109 123 15,750 128.0 132.8 3.6 10 ‐ 20 L5696 11 11 1,650 150.0 155.4 3.5 40 ‐ 50 L5697 6 6 360 60.0 65.9 9.0 50 ‐ 75 L5698 20 20 1,770 88.5 85.8 3.1 30 ‐ 40 L5700 588 627 1,346,000 2,146.7 2,170.7 1.1 5 ‐ 10 L5701 227 233 571,000 2,450.6 2,597.0 5.6 5 ‐ 10 L5702 1 1 3,000 3,000.0 3,365.7 10.9 50 ‐ 75 L5704 944 1,010 424,000 419.8 410.8 2.2 5 ‐ 10 L5705 257 260 196,600 756.2 739.9 2.2 10 ‐ 20 L5707 4 4 3,900 975.0 972.3 0.3 50 ‐ 75 L5781 93 103 299,000 2,902.9 2,830.2 2.6 10 ‐ 20 L5782 8 10 28,000 2,800.0 3,021.4 7.3 20 ‐ 30 L5785 25 25 9,650 386.0 403.9 4.4 30 ‐ 40 L5790 6 6 3,200 533.3 581.3 8.3 50 ‐ 75 L5810 13 13 4,950 380.8 386.6 1.5 40 ‐ 50 L5811 23 23 12,650 550.0 572.5 3.9 20 ‐ 30 L5812 105 105 46,700 444.8 441.3 0.8 10 ‐ 20 L5814 56 56 168,000 3,000.0 2,644.6 13.4 10 ‐ 20 L5816 2 2 1,200 600.0 637.3 5.9 75 ‐ 100 L5818 1 1 700 700.0 693.0 1.0 50 ‐ 75 L5822 18 18 18,000 1,000.0 1,249.1 19.9 5 ‐ 10 L5824 2 2 2,000 1,000.0 1,106.6 9.6 50 ‐ 75


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

L5826 2 2 4,000 2,000.0 2,237.5 10.6 50 ‐ 75 L5828 114 116 246,000 2,120.7 2,155.3 1.6 10 ‐ 20 L5840 16 16 48,000 3,000.0 2,636.2 13.8 20 ‐ 30 L5845 292 295 297,000 1,006.8 1,277.9 21.2 5 ‐ 10 L5848 102 104 82,600 794.2 760.4 4.4 10 ‐ 20 L5850 281 282 26,340 93.4 96.5 3.2 10 ‐ 20 L5855 1 1 250 250.0 232.1 7.7 75 ‐ 100 L5856 84 86 1,700,000 19,767.4 16,618.3 18.9 10 ‐ 20 L5857 1 1 5,000 5,000.0 6,125.0 18.4 50 ‐ 75 L5858 19 19 190,000 10,000.0 13,418.4 25.5 20 ‐ 30 L5910 1,457 1,575 428,570 272.1 278.9 2.4 5 ‐ 10 L5920 486 497 208,150 418.8 411.3 1.8 5 ‐ 10 L5925 45 45 12,600 280.0 292.3 4.2 20 ‐ 30 L5930 51 52 106,000 2,038.5 2,383.0 14.5 20 ‐ 30 L5940 1,339 1,440 563,910 391.6 392.3 0.2 5 ‐ 10 L5950 469 481 285,800 594.2 601.5 1.2 10 ‐ 20 L5960 2 2 1,550 775.0 674.5 14.9 75 ‐ 100 L5962 830 889 402,000 452.2 463.1 2.4 5 ‐ 10 L5964 137 137 101,650 742.0 736.6 0.7 10 ‐ 20 L5966 1 1 850 850.0 956.7 11.2 75 ‐ 100 L5968 14 14 41,000 2,928.6 2,543.0 15.2 20 ‐ 30 L5970 14 14 2,200 157.1 154.6 1.6 30 ‐ 40 L5971 4 4 600 150.0 164.7 8.9 50 ‐ 75 L5972 294 304 86,200 283.6 287.4 1.3 5 ‐ 10 L5973 7 7 70,000 10,000.0 11,585.8 13.7 30 ‐ 40 L5974 67 67 11,950 178.4 194.7 8.4 5 ‐ 10 L5975 31 31 10,850 350.0 338.4 3.4 30 ‐ 40 L5976 73 76 34,050 448.0 445.9 0.5 30 ‐ 40 L5978 17 17 3,900 229.4 243.7 5.9 40 ‐ 50 L5979 100 105 208,000 1,981.0 1,809.2 9.5 10 ‐ 20 L5980 207 225 688,000 3,057.8 2,877.4 6.3 5 ‐ 10 L5981 477 501 1,010,000 2,016.0 2,247.0 10.3 5 ‐ 10 L5982 1 1 400 400.0 401.8 0.4 75 ‐ 100 L5984 169 176 79,250 450.3 454.0 0.8 10 ‐ 20 L5985 22 22 4,400 200.0 204.2 2.1 10 ‐ 20


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

L5986 561 588 288,000 489.8 496.7 1.4 5 ‐ 10 L5987 214 227 1,135,000 5,000.0 5,063.1 1.2 5 ‐ 10 L5988 96 109 122,000 1,119.3 1,428.6 21.7 5 ‐ 10 L5990 4 4 4,000 1,000.0 1,314.2 23.9 0 ‐ 5 L5999 7 7 4,930 704.3 390.2 80.5 75 ‐ 100 L6100 4 4 7,000 1,750.0 1,568.1 11.6 50 ‐ 75 L6110 1 1 1,000 1,000.0 1,473.0 32.1 50 ‐ 75 L6250 3 3 6,000 2,000.0 1,883.7 6.2 50 ‐ 75 L6615 5 5 750 150.0 132.6 13.1 50 ‐ 75 L6616 1 1 50 50.0 54.5 8.3 75 ‐ 100 L6620 1 1 250 250.0 208.5 19.9 75 ‐ 100 L6621 2 2 4,000 2,000.0 1,663.8 20.2 50 ‐ 75 L6629 6 6 650 108.3 113.1 4.2 50 ‐ 75 L6630 3 3 550 183.3 192.5 4.8 50 ‐ 75 L6635 2 2 300 150.0 140.1 7.1 50 ‐ 75 L6641 4 4 600 150.0 125.0 20.0 50 ‐ 75 L6660 12 15 1,080 72.0 69.2 4.0 40 ‐ 50 L6665 3 3 100 33.3 34.3 2.9 75 ‐ 100 L6670 1 1 40 40.0 34.9 14.6 75 ‐ 100 L6675 10 11 980 89.1 92.2 3.4 40 ‐ 50 L6676 4 4 380 95.0 95.4 0.4 50 ‐ 75 L6680 10 14 2,600 185.7 210.3 11.7 50 ‐ 75 L6682 3 3 600 200.0 210.1 4.8 75 ‐ 100 L6686 3 3 1,550 516.7 492.9 4.8 50 ‐ 75 L6687 9 9 3,600 400.0 418.5 4.4 40 ‐ 50 L6688 2 2 900 450.0 450.6 0.1 75 ‐ 100 L6691 1 1 250 250.0 251.6 0.6 50 ‐ 75 L6693 2 2 4,000 2,000.0 2,062.0 3.0 50 ‐ 75 L6696 1 1 950 950.0 931.8 2.0 50 ‐ 75 L6698 2 2 700 350.0 387.6 9.7 50 ‐ 75 L6706 7 7 1,950 278.6 274.4 1.5 50 ‐ 75 L6721 2 2 4,000 2,000.0 1,686.8 18.6 30 ‐ 40 L6881 5 5 15,000 3,000.0 2,950.0 1.7 50 ‐ 75 L6882 9 9 18,000 2,000.0 2,246.9 11.0 50 ‐ 75 L6890 15 15 2,100 140.0 153.9 9.0 40 ‐ 50


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

L6935 6 6 30,000 5,000.0 6,296.6 20.6 40 ‐ 50 L6955 3 3 30,000 10,000.0 8,858.5 12.9 50 ‐ 75 L7007 7 7 16,000 2,285.7 2,721.6 16.0 50 ‐ 75 L7009 4 4 12,000 3,000.0 2,764.2 8.5 50 ‐ 75 L7274 9 9 43,000 4,777.8 4,550.8 5.0 40 ‐ 50 L7367 19 21 6,200 295.2 280.4 5.3 30 ‐ 40 L7368 153 153 53,550 350.0 360.1 2.8 10 ‐ 20 L7400 9 9 1,800 200.0 220.4 9.3 30 ‐ 40 L7401 4 4 1,000 250.0 248.6 0.6 50 ‐ 75 L7402 1 1 250 250.0 262.5 4.8 0 ‐ 5 L7403 12 12 3,000 250.0 265.4 5.8 40 ‐ 50 L7404 9 9 3,600 400.0 402.0 0.5 20 ‐ 30 L7510 141 156 4,400 28.2 101.8 72.3 40 ‐ 50 L7520 454 1,687 36,310 21.5 21.5 0.0 30 ‐ 40 L7900 4,778 4,778 1,813,140 379.5 374.5 1.3 0 ‐ 5 L8000 11,300 29,416 840,620 28.6 28.5 0.4 0 ‐ 5 L8001 112 146 13,560 92.9 86.1 7.9 10 ‐ 20 L8002 37 47 4,950 105.3 109.6 3.9 20 ‐ 30 L8015 474 662 27,610 41.7 42.3 1.4 0 ‐ 5 L8020 1,573 1,836 247,090 134.6 137.0 1.8 0 ‐ 5 L8030 5,143 5,683 1,383,940 243.5 237.1 2.7 0 ‐ 5 L8031 3 3 750 250.0 233.7 7.0 50 ‐ 75 L8032 8 8 240 30.0 27.7 8.3 30 ‐ 40 L8300 75 75 4,450 59.3 56.4 5.1 20 ‐ 30 L8310 44 44 4,640 105.5 90.2 17.0 40 ‐ 50 L8400 475 2,998 40,330 13.5 13.1 3.1 10 ‐ 20 L8410 35 218 3,540 16.2 17.0 4.7 50 ‐ 75 L8417 92 493 26,650 54.1 51.8 4.4 40 ‐ 50 L8420 1,768 12,745 203,060 15.9 16.1 1.2 10 ‐ 20 L8430 325 2,324 40,790 17.6 17.9 1.7 20 ‐ 30 L8435 9 66 1,100 16.7 16.1 3.7 50 ‐ 75 L8440 642 1,325 46,410 35.0 34.0 2.9 10 ‐ 20 L8460 196 385 19,930 51.8 50.7 2.2 10 ‐ 20 L8470 1,194 8,540 44,150 5.2 5.0 4.0 10 ‐ 20 L8480 186 1,272 8,900 7.0 6.7 4.5 20 ‐ 30


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

L8485 2 18 150 8.3 8.4 1.2 75 ‐ 100 L8499 13 13 9,080 698.5 632.2 10.5 50 ‐ 75 L8500 20 20 10,200 510.0 486.9 4.7 40 ‐ 50 L8501 124 125 11,650 93.2 91.2 2.2 40 ‐ 50 L8505 2 3 60 20.0 19.9 0.5 75 ‐ 100 L8507 133 219 6,240 28.5 26.7 6.7 10 ‐ 20 L8509 103 103 8,080 78.4 72.1 8.7 30 ‐ 40 L8512 4 36 40 1.1 1.4 21.4 50 ‐ 75 L8513 5 30 100 3.3 3.7 10.8 50 ‐ 75 L8515 59 59 2,360 40.0 39.7 0.8 5 ‐ 10 Q0163 69 69 0 0.0 0.0 0.0 50 ‐ 75 Q0165 12 173 0 0.0 0.0 0.0 75 ‐ 100 Q0166 12 14 20 1.4 3.8 63.2 75 ‐ 100 Q0179 382 1,947 8,870 4.6 3.9 17.9 50 ‐ 75 Q0510 708 711 27,660 38.9 38.9 0.0 0 ‐ 5 Q0511 35,058 35,120 691,280 19.7 18.9 4.2 0 ‐ 5 Q0512 37,826 42,299 455,490 10.8 12.6 14.3 0 ‐ 5 Q0513 176,171 176,171 5,033,220 28.6 25.2 13.5 0 ‐ 5 Q0514 8,068 8,068 390,550 48.4 51.0 5.1 0 ‐ 5 Q4074 180 29,706 1,638,000 55.1 52.4 5.2 30 ‐ 40 V2020 17,644 17,644 844,780 47.9 47.5 0.8 0 ‐ 5 V2100 1,382 1,837 53,050 28.9 28.5 1.4 0 ‐ 5 V2101 40 50 1,660 33.2 31.1 6.8 30 ‐ 40 V2103 2,403 3,204 80,840 25.2 25.4 0.8 0 ‐ 5 V2104 100 117 3,550 30.3 27.1 11.8 10 ‐ 20 V2105 1 1 30 30.0 32.8 8.5 75 ‐ 100 V2107 25 25 850 34.0 31.1 9.3 40 ‐ 50 V2108 1 1 30 30.0 31.9 6.0 75 ‐ 100 V2200 5,342 7,079 266,220 37.6 36.6 2.7 0 ‐ 5 V2201 163 237 9,910 41.8 40.3 3.7 10 ‐ 20 V2202 113 142 6,780 47.7 43.2 10.4 20 ‐ 30 V2203 14,433 19,716 747,200 37.9 37.4 1.3 0 ‐ 5 V2204 752 923 36,320 39.3 38.3 2.6 5 ‐ 10 V2205 57 70 2,960 42.3 42.3 0.0 20 ‐ 30 V2206 20 23 950 41.3 44.5 7.2 40 ‐ 50


HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

V2207 52 57 2,460 43.2 42.5 1.6 30 ‐ 40 V2208 31 46 1,830 39.8 37.7 5.6 50 ‐ 75 V2219 515 781 18,590 23.8 23.6 0.8 5 ‐ 10 V2220 67 102 2,440 23.9 22.6 5.8 30 ‐ 40 V2221 1 2 150 75.0 67.2 11.6 75 ‐ 100 V2300 2,096 2,747 129,460 47.1 47.3 0.4 0 ‐ 5 V2301 65 84 5,030 59.9 50.4 18.8 40 ‐ 50 V2302 36 46 2,460 53.5 50.2 6.6 50 ‐ 75 V2303 6,521 8,884 416,920 46.9 47.3 0.8 0 ‐ 5 V2304 320 385 19,090 49.6 49.6 0.0 5 ‐ 10 V2305 29 32 1,860 58.1 59.8 2.8 30 ‐ 40 V2307 22 26 1,450 55.8 50.7 10.1 20 ‐ 30 V2308 7 11 580 52.7 59.3 11.1 50 ‐ 75 V2319 165 265 7,960 30.0 29.2 2.7 10 ‐ 20 V2320 5 10 500 50.0 34.7 44.1 75 ‐ 100 V2430 21 29 2,180 75.2 76.3 1.4 50 ‐ 75 V2510 19 20 1,510 75.5 76.9 1.8 50 ‐ 75 V2513 2 2 300 150.0 112.0 33.9 75 ‐ 100 V2520 14 14 1,280 91.4 77.3 18.2 50 ‐ 75 V2523 36 37 4,200 113.5 88.6 28.1 50 ‐ 75 V2623 109 109 79,650 730.7 720.2 1.5 40 ‐ 50 V2624 753 753 32,080 42.6 42.4 0.5 10 ‐ 20 V2625 58 58 17,350 299.1 281.2 6.4 40 ‐ 50 V2626 45 45 8,750 194.4 171.0 13.7 40 ‐ 50 V2627 63 63 62,400 990.5 949.9 4.3 40 ‐ 50 V2628 181 181 40,900 226.0 242.4 6.8 30 ‐ 40 V2700 160 163 5,080 31.2 31.1 0.3 10 ‐ 20 V2710 148 164 8,500 51.8 48.1 7.7 20 ‐ 30 V2715 431 582 4,970 8.5 8.0 6.3 5 ‐ 10 V2730 13 26 370 14.2 14.2 0.0 40 ‐ 50 V2744 479 851 10,880 12.8 13.1 2.3 5 ‐ 10 V2745 341 628 4,830 7.7 7.5 2.7 5 ‐ 10 V2750 595 1,019 17,350 17.0 16.3 4.3 0 ‐ 5 V2755 5,716 8,849 94,030 10.6 11.0 3.6 0 ‐ 5 V2780 4 8 80 10.0 9.2 8.7 50 ‐ 75



HCPCS Code(1)



PUF




Sample(2) ($)



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

(f)=100* abs[(e)‐(d)]/(e) (3)

(g)

V2782 71 118 3,580 30.3 28.3 7.1 30 ‐ 40 V2784 225 334 8,490 25.4 25.1 1.2 5 ‐ 10 V2799 18 23 1,050 45.7 37.7 21.2 50 ‐ 75 Total 5,231,592 70,344,089 429,222,650 6.1 5.3 15.1 0 ‐ 5

(1) HCPCS codes are that are fully suppressed (i.e., HCPCS codes that do not appear in the CMS 2010 BSA DME 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, denied services or the protection of solo practitioners.

(3) “abs[ ]” stands for absolute value of the term inside the brackets.

CMS 2010 Basic Stand Alone (BSA) DME Line Items Public Use ...

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